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0050 BETH LANE
o 07 401 1 r 0 0 I I 1 f Q 0 O 0 e • o ' i ��r�` �9'� �� � � O o ��G e c �� X I A Town of Barnstable 77 �' ,�:�. a '���,1s'n;.f� Post Thrs CardnSo,Thatrt is V�srbleFrom the Street Approved Plans Must be Retained on Job and this Card Must be Kept3 .;<fi MIWAULK PermitM Pos'ted,UnYl'`Frnal`Iris "ecti nHas Been Made ' � ,.. '' x s639 „ Building z,Wherea Certificate of Occupancy rs Required,such Bulling shallN t be Occ pied untrla Final Ins"pct�on has been made , ,, .��z.. .. .... �, . .. Permit No. B-19-2737 Applicant Name: Jamie Brids Approvals Date Issued: 08/28/2019 Current Use: Structure } Permit Type: Building-Solar Panel.-Residential Expiration Date: 02/28/2020 Foundation: Location: 50 BETH LANE, HYANNIS Map/Lot: 272-151 Zoning District: RC-1 Sheathing: Owner on Record: JOHNSON,GREGORY W&MOTT, FELICIA J Contractor Name: °, MY GENERATION ENERGY INC. Framing: 1 Address: 50 BETH LANE Contractor License:%::163006 2 HYANNIS, MA 02601 .Est. Protect Cost: $6,100.00 Chimney: Description: Add-on installation of 8 roof mounted solar panels to an existing 11 Permit Fee: $85.00 panel array installed in 2017 Insulation: $85.00 45#ea,3#/sf, 18.5 sf ea,total of 148 sf. 2.96 kw system Fee Paid Date. 8/28/2019 Final: Project Review Req: x, Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: b This permit shall be deemed abandoned and invalid unless the work authorized'by this permit is commenced within six months afterJssuance. All work authorized by this permit shall conform to the approved applic�tron'and the,approved construction documents for which"this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall•be in compliance with the local zoning by laws-and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. w Electrical The Certificate of Occupancy will not be issued until all applicable signatures byth�e Buildinand.Fire Officials are provided on�this,permit. Minimum of Five Call Inspections Required for All Construction Work • _ Service: : 1.Foundation or Footing , Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT -ac-t7 T OWN OF BARNSTABLE BUILDING PERMIT APPLICATION, Map 2.71 Parcel 1 l TC1Yf I r)rr B, A lication # � S� �l pp Health Division n � Date Issued 8= 518 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 'r`t 4 '( Historic - OKH _ Preservation / Hyannis Project Street Address SO -TN �AM� Village Iry wmiS MHNS:N Owner Geccnaeu -r a_J6A Ma Address 50 l�Mt l kt\c PCONA!S Telephone -1-1LI - y3-1 -$-IOLQ Permit Request I MStmA eMgA3 or- 1\ QLop r(\ivcNN UPKZ r1S 514 E i4 cY 14'�'I Sa K Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new M1 Zoning District -Flood Plain Groundwater Overlay Proi Val_ ateA IItU Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 14 Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ;dNo On Old King's Highway: ❑Yes V No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes XNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name My Fn1rJo-A-mtA ENcvkA Telephone Number _Sa- (AL4-jaM Address 3 1)iftWnpA)1S pffill , WiT Z License # wSgio • Ike i(, �& 6lu t4 1) Home Improvement Contractor# I L03DOU Email 5in f_ a M1i��NE0At1t1�1EN�"Y16U•P61d1 Worker's Compensation # 231 SUoS$2L1o1U ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1xwln Td.Prni&oa_ f1CN SIGNATURE DATE JI-2,I11 r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. P.O. Box 201 Phone: (508) 896-1613 Brewster, MA 02631 Fax: (808) 896-1783 BUM May 2,2017 RE: Solar Panel Installation Mott Residence 50 Beth Ln. Hyannis,MA To Whom it May Concern, There are eleven(11) solar panels currently proposed to be installed on the easterly facing roof of the house as shown in the attached sketches. The roof structure under the panels is supported by 2x8 rafters 16"o.c, The panels are to be attached to the roof through a system of racks which bolt into the rafters under the roof deck as shown in the attached sketches. The attachments are certified by the manufacturer to withstand 120 mph wind on this type of roof at exposure C. The roof structure with the proposed panel placement, at the existing roof pitch subject to the Code wind Exposure C, with the roof attachments, is sufficient to withstand the loading required by the Massachusetts Building Code including the weight of the solar array and the wind loading for a 120 mph wind and Exposure C which is required for this site. (Hurricane prone) :Please see attached sketched and drawings. Thank you. Sincerely, 11A of NLINDA J. PI 0 Linda J. Pinto,P.E. I Oceanside Septic, Inc. . 6 o .c Cif sT NAL I I OTHER CONSIDERATIONS:All home improvement contractors and subcontractors shall be registered.Any inquiries about a contractor or subcontractor relating to a registration should be directed to: Registration Division,Program Coordinator One Ashburton Place Room 1301 Boston,Ma 02108 Tel: (617)727-3200 ext.25239 You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller,which may be his main office or branch thereof,provided you notify the seller in writing at his main office or branch by ordinary mail posted,by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement.Attachment A. THIS PROPOSAL IS SUBMITTED IN DUPLICATE. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. SUBMITTED: My Generation Energy, Inc. ACCEPTED: Owner(s) SIG NAME: l�R l C �� a 6-It DATE: O\ CA "L�l7;T7 3 The Commonwealth of'Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston,MA 02H4 2017 www mass.gov/d'ia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. IFUplivant Information Please Print bl Name(Business/Organization/Individual): it Address: City/State/Zip: j beNN o, lVe CY_k&q( Phone#: 5Q. q�_ UMH Are you an employer°Cheek the appropriate box: Type of project(required): LE]I am a employer with employees(full and/or part-time). 7,❑New construction 2.01 am a sole proprietor or partnership and have no employees working for me in $. Remodeling any capacity.[No workers'comp.insurance required.] 9. Demolition in I am a homeowner doing all work myself[No workers'comp.insurance required.]t 40I am a homeowner and will be hiring contractors to conduct all work on my property. 1 will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole I I❑Electrical repairs or additions rvi proprietors with no employees. 12�Plumbing repairs or additions 5 j I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.]Roof repairs These sub-contractors have employees and have workers'comp.insurance.'+ 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14 Other '�()i q(c 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. +contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy tend job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: U A' m Attach a copy of the workers'compensation policy declaration page(showing the policy number and om_ expiration date). Failure to secure coverage as required under MGL c. 132,§25A is a criminal violation punishable by 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.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 t p " and penalties of perjury that the information provided above is true and correct i nature: Date: Z 1 Phone#: 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): I.Board of Health 2.Building Department 3.City/Town Clerk A.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i Client#:760192 2AAYGE1 ACORDY. CERTIFICATE OF LIABILITY INSURANCE ►24r2o17 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEFL 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: the certificate holder is an ADDITIONAL INSURED.the policylies}muss be endorsed.If U IS WAIVKsubject to the terms and conditions of the policy,certain policies may require in endorsement.A statement on this certificate does not confer rights to the � certificate holder in lieu of such endomemetAs). PPAXXX R Dowling&O'Neil Dowling&O'Neil insurance Agency 508 775-1620 5087781218 973 Iyannough Rd,PO Box 1990 coi ins eam Hyannis,AAA 02601 508 775-1620 01MOMA.-Nautilus Insurance Company 17370 MUM Arty Generation Energy,Inc. INSMS., 3 Diamonds Path,Unit#2 MUfmc. Saudi Dennis,AAA 02560 ftatffmo: DUUM9 s MI F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TICS Iy TO C�..P—M THAT THE ROUCIES OF 04SURAACE i3+'"TEO B&OW KAVESEENJIMED TOTHE'RIMMED WAEDASM FORTtE POUCYPERIO0 INIY?,.ATED. AI97WMISTANONG ANY REQUIRSMISIT TEW OR CONDITION OF ANY OOMTRACTOR OTHER DOCila DIT%WH RESPECT TO WrlICH THIS CEIMMATE MAY BE 9MEO OR MAY PERTAIN, THE thWRANM AFFORDEO BY THE PiUCIEs DESCROM HEREIN IS SMECT TO ALL THE TEIWS, EXCLUSXM AND CONDMIC OF POLICIES. UWTS$14OWN MAY HAVE BEEN REIXXED BY PAID CLAD. WRI rMAM um PW On Lem A ' NN718436 1121f2017 01/2112011 eAcmocoimteme $ X is s:Y 1 5100.000 saAr ® ,, •WeOMAPI $5 800 X SUM Ded:!000 POISOM E AO+l Ir3AW 0,000.000 GOMPALAGGRIMATE $2 00 000 ,v t cA-s i rem; r +ate Azlts s2,000,000 vaaasv roc $ ALA Y p AN4YAM0 B .Y tDdAmlY Ot�"umfil ALL OVO4D° somy Y $ AU'7'0 OM $ stmffi ocomEACH 00MAUMMM V =a ummm A401vinklm $ - :ecro r liAr" IWCmTATit n* Wa A32Y €6Yp4Pp �$ F-L EOCAB.. $ f4CI "fAdr3@$X�idr 'EY' MIA -- m: P-L0tSSASe-6AQVWVM $ rUUM POMY L20 $ "44MM"OF OFMTWMInzATil"0YID4 iAOOAOtan,AddOWWRanuftmom.,armyc�acu� Insurance coverage is limited to the terms,conditions,exclusions-,other runkations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE R CANCELLATION SHOUW ANY OF PIE Town of Barnstable Building Department DATE"TH 200 Main St ACOORDAUM WITII THE ICY PROV410113. Hyannis, MA 02601 AMORMIMPOMSMATIVE 019I,I8-2010 ACORD CORPORATIOIC All ruts reserved. ACORD 25(20%05) t ef i The ACORD nine and logo are r4mtered mauls of ACORD SS18490319I11"902 CSD r%���� rt.2�?'ni��Q�yI��J�'�t",�i✓��2 G���f�'jyJ�L��i';tl/�P1 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 163006 Type: Private Corporation Expiration: 5/4/2017 Tr# 265414 . MY GENERATION ENERGY, INC. .......---..._........._........ ANDREW WADE ..... _ _._..__... ---- 3 DIMONDS PATH UNIT 2 ----..._._ _-- SOUTH DENNIS, MA 02660 -- -- ................. Update Address and return card.Mark reason for change. -z scA i 0 Zaa-osn r I Address I...-1 Renewal _j Employment Lost ar -._i _ -_ .... - _ ....... ............ ......... ........._.. ... .. .. ... .......... ...- .... :'��1E`✓<c�ui�x+'ir�r,r�rrfC�r�^�t�z,rr.���sc+Gl,"s ffice of Consumer Affairs&Business Regulation ! ME IMPROVEMENT CONTRACTOR License or registration valid for individul use only H � before the expiration date. If found return to: registration: 163006 Type: Office of Consumer Affairs and Business Regulation . xpiration: 5/412017 Private Corporation 10 Park Plaza-Suite 5170 psi �y Boston,MA 02116 MY GENERATION ENERGY,INC, ANDREW WADE 3 DIAMONDS PATH UNIT 2 _................... ... ...._.. --........................_g_......_..._..__....... .........-_-......... SOUTH DENNIS,MA 02660 Undersecretary No valid withou signature 5It12017 Print Receipt Terms Agreement Payment Receipt Payment Confirmation YOUR PAYMENT HAS PROCESSED AND THIS IS YOUR RECEIPT Your application will be processed In the next 3-5 business days.Please visit www.mass.gov/homeimprovement for more information on the Home Improvement Contractor program. Your account has been billed for the following transaction. You will receive a receipt via email. Office of Consumer Affairs and Business Regulation-HIC Registration Program Ten Park Plana,Suite 5170 Boston,Massachusetts 0211E (8U)283-3757 Transaction Processed Successfully. INVOICE : OfcO abO Ocf cdc-a f-e bf7bd05bOd Description Service Free Amount Registration Fee-Renewal $2.35 $100.00 _. _._..............__ HIC Card Fee-Supplemental $0.24 $10.00 $159 $110.00 Date Paid: 5J1J2017 3:34:32 PM Total Amount Paid: $112.59 i i Payment On Behalf Of MY GENERATION ENERGY,INC. Billing Information First Name: �,��� 1 S ?A311L1 Jamie Last Name: Brids � L .SSLIJ �S l Address: Y� Q 3 Diamonds Path,Unit 2 �(� cVrxS y City: South Dennis State: MA Zip Code: 02660 Phone Number: (508)6s4-6884 Email Address: jamie@rnygenerabonenergy.com Important Information . If you pay less than the required amount due you will not have satisfied your obligation. • Please call:$88-283.3757 if you have any questions regarding this Information. Print i2e t httpsl/www-nmxt.com/X-PressV6-2/PrintReceiptaspx »1 1 \ a vSol MY l a "Y' A � O�Avyv A \ o EE -s,:, CIRWICATE F ISSUED AS MATTER OF 91FORIKATIOU ONLY k CONFERS NO PAGHTS ''.!. Es :y CERTWWATE DOES NOT AffWMATWELY OR,NEGAMELY AWESO. EXTEND OR ALTER THE COVERAOE AFFORDED BY THE POLWES— MAll I'll. ,-u Y, e4, r .,: ;'�'y rinl.,q, y,.i .,ay 116111441 .5„ fy.. WAW > ... wA,, o w PO BOX 1,497 SOUTH DENNIS,MA O28eG ra BALTIC COMPANY INC Fit ,ate r / f , ♦' s:.2'r s 9. 'car ;. "f 4:. � e r.� .� a% 4= ♦ s'- � 's 'v..�k ,;.,�" le`M i:. �" its. ,• ',5E z-: .�. .,.� ".�;�>f f✓ t .,�h l' s'c' � d" 3 ' [.K.. „�,rr ? 1K'; r r s, SAW i rr r y ,FF a ♦�. F' - d5. Diamonds Path, SouthDennis, 02660 t'`0, „s :•u s .,x Construction supervisor Form Job Location_fjL Property Owner atfGIW:: l �sr��evsocJ Construction Supervisor License Number Q LA'A-1 t9 Address S1 Ck"P DVECAEe V o ; C t�s;c�v ��t Phone Licensed Designee (if applicable) Responsibility for Work: R5.2.15.1 The license holder shall be fully and completely responsible for all work for which he/she is supervising. He/she shall be responsible for seeing that all work is done pursuant to 780 CMR and the drawings as approved by the Building Official. Responsibility to Supervise Work: R52.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair, removal or demolition involving structural elements of the buildings and structures only pursuant to the State Building Code and all other applicable laws of the Commonwealth, even though the license holder is not the permit holder but a subcontractor or contractor to the permit holder. Notification of Violations: 5.2.15.3 The license holder shall immediately notify the building official in writing of any violations which are covered by the building permit. Willful Violations: 5.2.15.4 Any licensee who violates the State Building Code, shall be subject to revocation or suspension of license by the Board of Building Regulations and Standards. Permit Applications: 5.2.16 All building permit applications shall contain the name, signature and license number of the construction supervisor who is to supervise those engaged in construction, reconstruction, alteration, repair, removal or demolition as regulated by 780 CMR 108.3.5 and 780 CMR R5. In the event that such licensee is no longer supervising said persons, the work shall immediately cease until a new licensee is substituted on the records of the building department. I have read and understand my responsibilities under the rules and regulations for licensing construction supervisors in accordance with the State Building Code. I understand the construction inspection procedures and the specific inspections as called for the by building official. Signature Workers' Compensation Subcontractor List Homeowner or Contractor MMf�n8�d, qwEf Job Location _ 1 ----------------------------------------------- ----------------------------- Cjt,3P& 9,E,I1QSV-PS D.B.A. BPvti . NC,CC t�tiJy �cJC Print name Print name of business Will be working for the contractor or homeowner at the location listed above. I am an employer that is providing workers' compensation insurance for my employees Insurance Company 4, SU%--i0,x\ Policy# If I have not provided the insurance information requested above I am.a sole proprietor or partnership and have no employees working for me in any capacity. I do hereby certify under the pains and penaltie per that the.information provided is true and correct.Signature Date t—,, 2-1_11 D.B.A. Print name Print name of business Will be working for the contractor or homeowner at the location listed above. I ant.an employer that is providing workers' compensation insurance.for my employees Insurance Company Policy# If I have not provided the insurance information requested above.l am a sole proprietor or partnership and have no employees working for me in any capacity. .I do hereby certify under the pains and penalties or perjury that the information provided is true and correct. Signature Date ------------------------------------------------------------------------------------------ D.:B.A. Print name Print name of business Will be working for the contractor or homeowner at the location lasted above. I am an employer that is providing workers' compensation insurance for my employees Insurance Company Policy# If I have not provided the insurance information requested above I am a sole proprietor or partnership and have no employees working for me in any capacity. I do hereby certify under the pains and.penalties or perjury that the information provided is true and correct. Signature Date i , Felcia Mott • i 50 Beth lane Hyannis, MA F OW IF / i s „r. v /n s Xw GenerationMy • Andrew • ' Felcia Mott Site Photos 50 Beth lane Hyannis, MA Solar panel =44.1 lbs per module 11 Modules=577.51bs Inverter = 4.4 lbs per module Projected Area of Array = 187sf Associated hardware = 4 lbs per module Added dead load =3.08 psf Total = 52.5 lbs per module Ground snow load =30 psf RAMRSA =I MAD LOAO,%fO .rif D LOAD�OM W. 11.E 1 <11 # 11 rlec : 117 11 1T-10 224 MW b, 6-70-6 11.1 10 `2 2 Il t�le 91 .3 121.5 154, 119�43 n-11 VT I IMF 14.1 1142 1 =11 01.1: 9-0 1.1-9 14-11 18-2 A-1 7•2 104 13•4 16.3 1$40 11.= 1341 r. Al 1€03 1 .f1 6 1 to rn: 5 1:1 144 1 % 23 1611 14a 1 I � 1 r� #1 84 13 1&1 Nis V117 11--10 16.2 19- 10. 'mot �1 �m 17- 1 Maximum allowable span-13'-6" Actual maximum span — 12' M My Generation Energy Andrew Wade — Roof Attachments CCMPOSITION L FOOT SARAK CHANNEL NUT X 2' . MILT AND SPLIT WASHER Tzl RAIL SN ,CK C OSET3ON ROOF FLA KING SZ, LAG SCREV WITH FLAT WASl-ER SEE ENOINEERD ENTS FLU 013LT EMBEDMENT REW! TES — Via' WR Eb BEDMEXT IS TYPICAL) S;NtA w" L FOOT DASE SEAL PENETRATION ANI9 04ER BASE VJrH APPM. PRIATE ROOF SEALANT , RATTER TYE'.._... " L� ^a i Felcia Mott Site Photos 50 Beth lane Hyannis, MA Location of 11 panels. DK:'. T2 i My Generation Energy Andrew Wade — Felcia Mott Site Photos 50 Beth lane Hyannis, MA 1110 POOR/ '"11/ 111 AIIIII ov, My Generation Energy Andrew Wade — Felcia Mott Site Photos 50 Beth lane Hyannis, MA Location of 11 panels. V DK` lk a I My Generation Energy Andrew Wade — Felcia Mott Site Photos 50 Beth lane Hyannis, MA 3 IF 5l, �r }}t r My Generation Energy Andrew Wade — 4 Felcia Mott Site Photos 50 Beth lane Hyannis, MA Solar panel =44.1 lbs per module 11 Modules-=577.5lbs Inverter = 4.4 lbs per module Projected Area of Array = 187sf .Associated hardware = 4 lbs per module Added dead load =3.08 psf Total = 52.5 lbs per module Ground snow load =30 psf S PC R-!C-CMMa4 WV BER . 1 TAW dtdm i %- ^ 'A.':gm MO&RAbt "0'10 U-sZk ak pa&AO W.P" A Ifi.1 ! a&AS1 M 14-9 1i i"•Eat . a 116 11,ii) .24 ` b 3 0 04 20.t 2 f,I zi.Cer V1 8.3 12.5 1$-# lv 2 1 1. 1tek 1441 11y1, 14y11 11 m-fir 102 a 114 1-11 I&C NA Fmk 16.6 IS-4 j6J iMO fI on-fir 03 6 .44 W5 1341 t 4 *6 91.1 1 3 6N6" 11 S�wjl :Pik &. '1.1 14•t 1".. 2 14 NW 1k #41 14=1 1S.6 ZM W_ to soolbrim,pint 02. T 41134 16.2 14-:) 72.1 7.10 11.2 144 tea) v—z =f m'' 11.11 1f1, 1 -5 214 7.3 1,4041 1-to 16.6 r9k.2 S_moo- . 41F 3 m 94 114 13.11 16-2 1 ( � Maximum allowable span-13'-6" Actual maximum span — 12' My Generation Energy Andrew Wade — Roof Attachments SNARMACK CCWOSITIGN L FOOT SNIAPNRACK CHANNEL NUT X I" &S. ROL I AND S44PWACK SLIT WASHER STANDMU RAIL S--. n-mrz wT 4� S k SNOP4W, K C€ OSIT70N ROOF FLASHING - � S.S. LAG sr.REV 'WITH FLAT VA$-ER SEE EN INEERM I)OCU dE TS FIR DOLT EMBEDMENT REQUtREMENIS - . " r MIN. EMBEMMENT IS TYPICAL) L FOOT b4SE SEAL PENETRATItItd ANI LINER BASE WITH APP- RIATE ROOF SEALANT � ROOF DECKIK T'YP. 4, RAFTS TYP. W„ . 6 J i i Felcia Mott - Photos 1 Beth lane :Hyannis, MA I " s, 01,, i r� A, / 4 My Generation Energy ,1y ,�'rr,i%%�J/� j %h/y ,✓,�/� yq-�r ��'� i,�^//f/%f �,� e r � � � ° mar, � ,�� , j Andrew Wade I Felcia Mott Site Photos 50 Beth lane Hyannis, MA Location of 11 panels. T2, D K(I z 1'2 rr My Generation Energy Andrew Wade — Felcia Mott Site Photos 50 Beth lane Hyannis, MA kk Fr 17, v r r My Generation Energy Andrew Wade — Felcia Mott Site Photos 50 Beth lane Hyannis, MA Solar panel=44.1 lbs per module 11 Modules-=577.5lbs Inverter =4.4 lbs per module Projected Area of Array = 187sf Associated hardware = 4 lbs per module Added dead load =3.08 psf Total = 52.5 lbs per module Ground snow load =30 psf TAME $PANS FM C 4 i , SE-R LOAD;0to of DEAD LO I AAFT Fes' µ; ws ANO CRAW Lithag —owa �A L M&AM •'ia*AW..0 lmfsm:• I kfflhul I WAtma$ I liehas� ��dy �"9,&1i6 � � ,�:n: '��+�-� ��;.�'� 1�.1 � - �:1:, `�� 11�•11 1'�s� �¢�§ ��` 11 i s O 1 6-4 114 111,1 1W. $4 10-3 124, 1 0 it 1=11 ai74. 13 Mto z =?' 6 .fit 9=2 i ? 114 NO Elm{=fir 'i 12.5 15 10 «]" 1.7 1 F;k E4-�i V41 i -i1 VIvwj.fit 9-0 JJA 1441 1 2, u1.41 id 16.E 1 -4 16.1 1 x6io smlwth:Obio ss &1.1 14yl 1 INS MW is *1:1 144 1446 I -I A 8_9 134 1 1 21;'_� 23-7 1240 1 2 14 1,2' 10 { fin >02. 991 J216 W2 1q) 21-7 -7.10 11".2 Wil 11 3 'v sta .l t & 1 1 ' _ 11A11. 1 .1 111c m 1= ' '74 11k 4: 1 =a 16.6, t Maximum allowable span-13'-6" Actual maximum span — 12' My Generation Energy Andrew Wade — Roof Attachments SNAPtRAM SITIUN L FOOT SARACK CH#MEL NUT q X I" S-.S. SiIL T AND ASK SPLIT WASHER ST" 1 S--. rLC t1T SidAPt4W-K COMPOS1130N ROOF RASHING S.S. LA& SCREV WITH FLAT VASI-ER .SCE E GINEERT i DOCUMENTS FIR ,,,,�..�,,,,,.... � ©LT EMBEDMENT REWIRE TS — 5" MIN. EMEEMMEMT IS TY€(CAL.) SNAPNRACK L FOOT HAS SEAL PENETRATION AN3 VtaER BASE VITH A P RIATC RD©F SEA ANTe ROOF fi RAFTER TYP, — ti�i¢¢;;�{`x t t• 4r. F a � x .. Town of Barnstable Regulatory Services Richard V. Scali,Interim Director 9H"M, Building Division 039. Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:, 508-790-6230 Q� � PERMIT# 2.01. �0Z� FEE: $ SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less 0 ge-,41 1 c,�, e Location of shed(address) Village C�lGC G' Property owne s name Telephone number Size of Shed Map/Parcel# C) / -�, Signature Da a ez� A Hyannis Main Street Waterfront Historic District? �. r-- Old King's Highway Historic District Commission jurisdiction? v ' . If over 120 square feet,you must file with Old Icing's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR IDETAILS. THIS FORM,MUST BE ACCOMPANIED BY A PLOT PLAN - � wn Q-forms-shedreg REV:110413 of THE l� Town of Barnstable *Permit# O Expires 6 months from LFue Regulatory Services Fee 9� 1& Thomas F.Geiler,Director, A��yw Building Division n Tom Perry, CBO, Building Commissioner 1' �- 200 Main Street,Hyannis,MA 02601 1 www.town.barnstable.ma us Office: 508-8 62-403 8 Fax: 50 8-790-623 0 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number�- /� ' Property Address ; ;// Residential Value of Word V _ Minimum fee of$35.00 for worm under$6000.00' Owner's Name&Address Ctejzd:::: Contractor's Name j`�C� �� Telephone Number-0 e 2 7 S— 553 / Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Worionan's Compensation Insurance _ -' r Check one: I am a sole proprietor C t C e E 2 0.11 I am the Homeowner - ❑ I have Worker's Compensation Insurance � �� % l �,RNISTAQLE (nsurance Company Name Workman's Camp. Policy# i :opy of Insurance Compliance Certificate must accompany each permit 'ermit Request(check box) ARe-roof(stripping.old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors License is requi GNATURE: 7FILESTORMSlbum7ding permit formslE-UPRESS ACC ?A The.Commonwealth of Massachusetts Department of Industrial Accidents Y Office of Investigations ' d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le gib Name(BusinessiOrganization/Individual): . C� Address: C� City/State/Zip: km Phone:#: Are you an employer?Check the appropriate box: . Type of project(required):; 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction . . . 2 I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling Aship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp,insurance.$ required.] 5. Ej We are a corporation and its ME]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 13�Other employees. [No workers' comp.insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site.Address: City/State/Zip: Attach a copy of the workers' compensation policy.declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine yip 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 th i -and penalties o.per' that the information provided above is true and correct. Signature: Date: - . Phone#: 7 Official use only. Do not write in this area,to be completed by city or town officiaC City or Town: Permit/License# Issuing Authority(circle one): - 1.Board of Health 2.Building Department 3.-City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-con6actor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions'regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the.permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city or . town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any.questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. The ConmonwQaM of MassachusiWs Department of Industrial Accidents Office, Qf Investigat m 600 Washington Street Boston,MA 02111 Tel. ##617-727-4900 ext 406 or 1-977-MASSAFE Revised 11-22-06 Fax##617-727-7749 wwv.mass.govfdia 1HErati Town of Barnstable Regulatory Services 1 RDMABLE, y MASS. Thomas F. Geiler,Director 16_19.TFo��a Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601, WWW.town.b arnstable,ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I e , /L�zll�tilSO '!�il , as Owner of the subject property hereby authorize ���� �c� ���A to act on my behalf, i in all matters relative to work authorized by this building permit application for. D P A �s (Address of ob) Signatur o er ate Print N If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. QTORM&O WNERPERMISSION Town of Barnstable P�o�t�T°wti o� Regulatory Services &MMSTABLE, Thomas F.Geiler,Director ' Building Division rFn � 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 i Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: T 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 Persons)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 109.1.0 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:forms:homeexempt � �Office o onsumer'Aft�a rs B sines s a ulahon License or registration valid for Ind " i dul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return'to: Registration: f107723 Type: I Office of Consumer Affairs and Business REg ulation s .Expiration: 8/5/2Q12 DBA 10 Park Plaza-Suite 5170 ' M RTHY BUILDERS=fit Boston,MA 02116 - Bnan:McCarthy X 32 Carver Road (� r W.Yarmouth MA 02673' Undersecretary I Not valid without signatur ti Nlassachusetts - Department of Public SafetN Board of Building Relgulations and Standards Construction Supervisor License One-and Two-Family Dwellings License: CS 47505 BRIAN G MCCARTHY 80 SRANDISH WAY W YARMOUTH,.MA 02673 Expiration: 9/11/2013 ('onunisaiunc� Tr#: 2305 �oFiHE Town of Barnstable *Permit# 'L Expires 6 ni IW7. date °^ ® Regulatory Services Fee OS( 1 1619. R J9• ��� IT Thomas F. Geiler,Director A 1) p 010 ' Building Division "SOWN OF BARNSTABLE Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number l Property Address Be ff !✓%lam /����/�%S ��1}� residential Value of Works fit' Minimum fee of$25.00 for work under$6000.00 Owner's Name&Addressj� �Gt o� L4.1 Contractor's Name Telephone Number' �G Home Improvement Contractor License#(if applicable) / Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: N I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to El Re-roof(not stripping. Going over existing layers of roof) N'lRe-side #of doors ❑' Replacement Windows/doors/sliders.U-Value (maximum.44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\$u ding permit forms\EXPRESS.doc Revised 090809 uildja w. Constrpd g Regul, V �1coSURervisor li and Standards / enge CS cense 7855 Rjtrftiq O�t7 010 Tn# 22 It i`J EOM 485 N R LOPEZ { " . 8 HOME POR pRIV '4MNIS,A44 02601E Commissioner hohs and Standards Board of Build►nf,Reg CTOR CONTRA IMPROVEMENT HOME 12818 82626 do ,, 1 Tr# 2 Re9 11 ►st% ,,• 4127120 Expiration 11 CONS CTION. _ SNOW }R ' JOHN E pRT inistrator 10M BAA 02601' HYANNIS, -. .. y. #, o t,cry. �.�`; a-y' ��R �+ ��' ° yH•�'a'e wr,.a�S'5.t S '�{� �".�` .-% ,' �� � 1 u A i x _1�1 AWIi � r Board of Builaiu � ..� CO gay . " ns�ucttp S gulatio `��Qaz"` I Lic -� uPervisor Lic na Staedaras j 1 @nse CS ense r ! { Ephratfo ss estryC jg82010 T JO (1 �` DO; 22485' HOMEPO DR*'( r j HYANNIS f. COmmissiou er - 7 N _ 4f l License or registration valid for individul use only I before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston,Ma.02108 At valid witho. signature. - — - 1. f - Snow Construction TRIM COVERAGE SPECIALISTS a VINYL SIDING COMBINATION WINDOWS&DOORS a REPLACEMENT WINDOWS a SEAMLESS GUTTER SYSTEMS Licensed Massachusetts Contractor 8 Homeport Drive Lic. #007855 Hyannis,Mass.02601 Member of the Better Business Bureau Telephone 771-9366 Date , ��- .". ... ®� Purchaser's Name ( "11C e(r- T ohyl 5at/ Tel. N - 20 Address Lo e2-e7# �X-4-11r A Az 111 A • 0,3- 0/ J PURCHASE AGREEMENT - - - CONTRACT AGREEMENT I/We, the owner(s)of the premises mentioned below, hereby contract with and authorize you as contractor, to furnish all necessary materials, labor and workmanship, to install, construct and place the improvements according to the following specifications, terms and conditions,on premises below described: Owner's name l Tel. No. c^ Job addrea. Ant _ City / State-4-,"�)-P REPAIR WORK: No repair work shall be done, except as herein specified and expressly agreed to in writing by the Contractor. SPECIFICATIONS /, Z 0/t,S t e vim) as f-e-&. i0_./i-A-LL. Exit-ed 6vP n0l trt Gv/f H (z, Ye GGoA• TP:--y'i l oPALO , C ee, r-A P f 00 'l S r e19 M11 -4 4 0 1 S TA-GG e-o-r► 1011e-f-e ��t7 �� l.Fc- a O S.� 6� � �-/�r^lA✓l%�t,ri�'I7 �o /iLr' /��1..P rA-�L /� � t�cx.�� , —°� fi S e ,C���c tc � /-��✓� f-lo�"e ���� Lip H-T l-`i,��-��'�c , Materials and labor to cost$ 06/ Down Payment$ �Balance of$ DUE UPON COMPLETION. Contractor will do all of said work in a workmanlike manner: Owner agrees that in event of cancellation of this contract before work is started. Owner shall pay to Contractor on demand. Twenty-five per cent of the contract price as liquidated damages for the breach. No work to be done on this property other than that specified in this contract without additional charges. All verbal or written agreements not mentioned on the face of this contract are void, and no salesman has any authority to change, alter or add to this contract in any particular. This contract contains the entire contract between the parties. A copy of this contract is hereby acknowledged to be received. This contract is subject to strikes, accidents,or other delays beyond our con o /- N WITNES WHEREOF the parties have hereunto signed their names thi> � 0 day of Pr h ,20-./� !4 Signe 1 resentativa Owner Accepted: SNOW CONSTRUCTION CO. Signed Owner By Business Certificate filed under Mass.General Laws with Town Clerk of Yarmouth. i The Commonwealth ofNlassachusetts Department of Industrial Accidents �r t7ff ce of IItvESllgatlOnS 600 Washington Street --�,! Boston, NIA 02111 ` wwiv:mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lej4iblY Naive (Business/Organization/Individual): 52,[I e-eI4 n. z Address: City/State/Zip: Phone #: . ' 771 73!il,� Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time). have hired the sub-contractors 6. ❑ New construction sole proprietor or partner- listed on the attached sheet. 7, ❑ Remodeling 2.�I am ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.) 5. ❑ We are a corporation and its 10.❑ Electrical repairs or addition 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or addition 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 �)pI comp.insurance required.] ''Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy# or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK.ORDER and a fin of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification., I do hereby ce ify under th pains and penalties of perjury that the information provided above is trite and correct. Si matureWA Dater Phone#' 4--O�6 77/ Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one):' 1.Board of Health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector. 6. Other Contact Person: Phone#: Information 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 local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7) states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public-work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers.' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone numbers)along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. if an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pen-nit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a.reference number. In addition, an applicant that must submit multiple permit/lic:ense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia F THE T Town of Barnstable *Permit#�2eu Expires 6 months from issue date Regulatory Services Fee N ;SD _.RMI �-" Thomas F. Geiler, Director AtfD MAt A 2009 Building Division 1 (' Tom Perry, CBO, Building Commissioner TOWN OF BARNSYABLEm 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us 01.fice: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY I Not Valid without Red X-Press Imprint Map/parcel Number_ Property Address__ 50 1 ❑ Residential Value of Wort. S Minimum fee of$25.00 for work under$6000.00 Owner's Name &Address •�� i ?— �.tl �'O �� �"' `e Contractor's Name 0 C.lh c �\ Telephone Number j '�76 3 76G I tome Improvement Contractor License# (if applicable) ' 4G 6 `C 9 Construction Supervisor's License# (if applicable) (® 0 F S y ❑Workman's Compensation Insurance Check one: dK I am a sole proprietor ❑ 1 am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name ,� r Workman's Comp. Policy# /V _�(��J �(-6 Copy of Insurance Compliance Certificate must be on file. Permit Request (check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders. U-Value �� Fiazuat .44) *Where required. Issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A c of th Home lmproveme 7tors License is required. SIGNATURE: 11.I.S.1:01WS\building permit forms\EXPRESS.doc Revised 100608 The Commonwealth of Massachusetts Department of Industrial,4ccidents Office of Investigations' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibI Naive(Business/Or ganization/Individual): `e L Address: t I Lv City/State/Zip: Phone.#: 77 Are you an employer? Check the appropriate box: Type of project(required): LEI I am a employer with 4. I am a general contractor and I 6. ❑ New construction 19 employees(full and/or part-time). have hired the sub-contractors 2". I am a sole prpprietor or'partder-' listed on the attached sheet T. Q Remodeling ship and have no employees These sub-contractors have 8.'Q Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers'-romp.-insurance comp.insurance.$ required.] 5. Ej We are a corporation and its •10.❑Electrical repairs or additions - 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself. [No workers' comp. right 6f exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.[] Other 11e1J hlttl comp.insurance required-] *Any applicant thatch=ks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this.affdavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that cbeck 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. Iam an employer that is providing wo leers'compensation insurance for my employees. Below is thepolicy andjob site information. Insurance Company Name: Policy#or Self-ins. Lic.#: 0 6 S`.S`/V Expiration Date: Job Site Address: J e City/State/Zip: _ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crimirikl penalties of a fine tip to S 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 WA for insurance covers gey cation. I do hereby cerd nd th ainsraen:al es perjury that the information provided above is true and correct Si atur Date: 1 _ Phone Official use only. Do not write in this area,to be completed by city or town official .City or Town: Permit/License#. Issuing Authority(circle one): 1.Board of Health "2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information 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 stee of an individual,partnership,association or other legal entity,employing employees: However'the tiu 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, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-conti actors)name(s),addresses)andphone numbers) along with their certificates)of _ insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please-call the Department at the number listed below. Self-insured companies should enter their self-incnranr,e license number on the appropriate line. City or Towp 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 permitilicense number which wiii be used as a reference number. Iu add:uon,an applicant that must submit multiple permit/lic' e 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 maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related io any business or commercial venture (i c.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 e6mmO13wea1th Of MassachuseM Dcparkment of hi.dustri&Accidents OfiRce of Investigations, 600 Washington Street Boston,MA 02111 Tel. #6.17-727--4900 ext 406 or 1-877-MASSAFE Fax# 617=727=7744 -evised 11-22-06 www.mass.gov/dia ;liassachuscttr- Uclru tmcnt af.P,ubiis.5afctN_ �. Board of Buildiu�-.a'2c�-idations and SiandaOs Construction.Supervisor.. License,.- License: CS 60855 Res'ricted to: 00 } MICHAEL A HEALY 72.O.LD MAIN ST .. so YARMOUTH, MA 02664 b, �-- - �' Expiration: 11/22/ 10 (lunmiss;uncr Tr#: 7116 "i'� �ie Ui an��zoazcuna;� � c�c�iuoelY Y —� Board of Bm!c+nb 2rgul41 au1 'anda+ds HOME IMPROVE-MER T`i.ONTRACTOR Registration• 160669 Exp?rat?cn 8'114,12610 Tr# 272383 n ��Type rsu4tr Gr,* ?!onij ' BROTHw�o-(JNSTRiJr'T"10W h 72L r^ rr I S T • v J��s Yr:�rv:OUI'H,NIA�2664 Clt?-��-�-` � A�hn:nstrat�r t Town of Barnstable -' ` Regulatory Services . MAM �, Thomas F.Geiler,Director Eo;6. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstabl e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �y C� , as Owner of the subject property hereby authorize o act on my behalf, in all matters relative to work authorized by this buildingpermit.ap tion for. (Address of Job) Signa Owne ate Punt N \ II If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FO RMS.O WN ERFERM IS S ION L Town of Barnstable Regulatory Services ° v "xwtuvsrwsr.E. Thomas F.Geiler,Director • . Muss . �PlEo.19. �.�� Building Division Tom Perry,Building Commissioner 200 Mairi-Street; Hyannis,MA 02601.. ° R .town.b arnstable-ma.us Office: 509-962-403 8 Fax: 508-790-6230 HOMMOV NER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: - - number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/tow 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 superviso DEFUUnON OF H6h1EOwNER �. Persons)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 buildinZ permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other s applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies thathe/she understands the Town of Barnstable Building Depar r ent minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. - Signati=of Homeowner. Approval of Building Official a ` e, \t 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 bonreowner performing work for which a building pc mit is required shall be exempt from the provisions of this section(Section.I D9.1.1-Licensing of construction Supervisors);provided that if the hameoWmrr engages a person(s)for hire to do such work,that such Homeowner shall ad as supervisor. Many homeowners who use this oxmption in unaware that they are assuming the responsibilities of a supervisor(see Apperrdix(2, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awar==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 licerrscd Supervisor. The homeowner acting as Supervisor is uttimat0y.rzsponsrble To ensure that the homeowner is fully aware of his/her responsibilitics,many eonvmrnities esquire,as part of the permit application, that the homeowner certify that hdsbe understands the responnbi]itics 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 fonTJcertification for use in your community. Q:forms:homw cmpt rlrt 2 NTE- i All ......................................... ................................................... TR* ANSACTIONS i . . •........................................................................................................................................................................:.....................:.... Town Buyer;Buyer 2.........................I............................Seller,Seller 2...........................................................Address ..................:............Price Bamstable Momsey,Christopher M;Momsey,Allen W....Eaton,Theodore;Cline,Pamela c..::: ...: 80 Guildford Rd :.;....$225;000 Bamstable Angus,Harry M Jr Angus,Barbara P;Laliberty,Priscilla A ........42.Locust Ln ..:::.:::...$500,000. f Barnstable Vankleef,H Michael Jr Traub6 Urginia Z;Nasson,Harriett" 328 Arrowhead Dr...:.$165,500 :Barnstable Johnson;Gregory Wes--- .. ... ...0 S-Bank-Na..: :..:.Beth Ln•-4n—r.—_$145;QQ0 Bamstable Brown;Stephen,'F Jr Federal National Mortgage Assoc;;Fannme Mae:a:55 Bettys Pond Rd :...$149,900 Barnstable`Melans6n,Rita M;Rita Melanson Trust Ju, 9 2007:..Cote,Linda;Nardone,Linda C......... ......:..36 Cottage Ln............$255,000 Barnstable Arnold,David F;Arnold,Julie A...:..................Mcclung,Daniel;Mcclung,Pamela ...................15 Chapel Ave ...........$265,000 Barnstable Barnstable Housing Authority........................Flagship Estates Hyannis Llc ............................320 Stevens St..........$109,200 Barnstable. Murdock,Sherry Lynn ........................:....:.....Citibank Na.........................................................24 Brookshire Rd.......$105,000 Bamstable.Santos,Margareth........................................:Ribeiro,Lucien S;Dasilva,Jose Ricardo Coelho....88 Franklin Ave.....`.....$172,000 Barnstable Anderson,Josue P ....... ...,Aegis Mortgage Corp ...... ........300'Mitchells•Way .....$123,500 Barnstable, Omalley,;Gerald V'. Flagship Estates Hyannis Llc .;...... .........320 Stevens St..........$250,000 Bamstable Moynihan Matthew-J Moynihan Michelle J Consumer Solutions Reo Llc 13 Westglow St :.....,:.$238,000 Barnstable Ames,Lorraine ..: ....Ames;,Kevin P Ames,Mary E ..,..;... :......9 Oriole Ln $78,294 ? Falmouth ' Swanson,David S.Jr;Swanson,Joanna M ..Kerr,-Lisa M ....; .........1,0 Chase Rd ........:..$445,000 Falmouth Cence,Debra A;Cence,Luciano..................Stromberg,William M;Donnelly,Janet R.......:..30 Winthrop Dr...,......$208,000 Falmouth Lehy,Gregory J;Lehy,Mary B ................:.....Boyle,Robert J;Fink,Jean M :.........................:26 Oak Ridge Rd.......$210,000 Falmouth Lewis,Edward F........................................:..:Strumwasser,Susan Jayne.....:.....................:...11 Melrose Ave...:......$330,000 Mashpee, Jaramillo,Betty C;Vargas,Luis F .................Federal National Mortgage Assoc;Fannie Mae 17 Radcliffe Rd..........$175,000 i Yarmouth a Cole,Paul D Cole,Mary Anne ....;....Federal National Mortgage Assoc;Fannie Mae_....61ATown Brook Rd...$179,900 l Yarmouth Oneill,Matthew P 0nedl Teri'L Hogan,Thomas W Hogan;Susan M .........88 Lakefield Rd .........$255,000 Yarmouth''Bunce,Eric`C;Rosner,Rebecca . ..Amaral,Valdete Do;Amaral,Valdefe..................11 Payson.Path ....:..:$235,000 Yannoutfi Walker,John,J;Walker,Mary Jane ......; ....Cassaboon,John R Jr.Cassaboon,Barbara A.38 Standish Way .......$416,000 s - Yarmouth :,Ryan,Alan;Ryan,.Michelle . ......: ....Arnold,Peter D;Arnold,Donna M .:.::. ...:.....23 CaptDaniel Rd..:::$280,000 Yarmouth. Clay,John A ......:.:.. :....:Bancer,Shelly;Tasker,'Shelly Bancer. 481 Buck Island Rd ...$174,000 Yarmouth Kilpatrick,Marykate....:....................:.........:...Desimone,Joseph........:..........:.......::::..............304 Winslow Gray Rd :$200,000 Yarmouth Flynn,Raymond.............................................Collier,Dan F...... .................................. ............31 Webbers Path.......$226,000 Marstons Mills y: OCAPE CODO Pond front Home , COOPE RATI'VE BANK . 3 Bed,2:Bath,Ready April 1. 'ApwtoftheCape.A pre ofyour►ife." Hyannis 3.BedApartment Including.Utilities Mortgages for Primary Residences Homes l Construction and Land Loans Florida-St. Petersburg Bruce Williams Interest-Only and First-Time Homebuyer Programs 3 Bed Home Residential Mortgage - Officer 846-D Main Street/P.O.Box 1132'. Ostervitle,MA 02655 0 Cell:508-364-2405 'ei2iafl:b*,yyiams@capecodcoop.com www.bosworthrealtv.com - �ao � f ' Barnstable Assessing Search Results Page 1 of 2 Home: Departments:Assessors Division: Property Assessment Search Results New Search ?� ' New Interactive Maps >> Owner: 2009 Assessed Values: PORTILLA,JUAN M&ALVES, LEIDE %JOHNSON, GREGORY W 50 BETH LANE Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $ 113,400 $ 113,400 272 / 151/ Extra Features: $0 $0 Outbuildings: $0 $0 Mailing Address Land Value: $ 142,100 $ 142,100 PORTILLA,JUAN M&ALVES, LEIDE %JOHNSON, GREGORY W Totals $255,500 $255,500 30 MANGATE LANE SOUTH DENNIS, MA. 02660 2009 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Community Preservation Act Tax $52.89 Fire District Rates Town Ri Barnstable FD-All Classes $2.37 $6.90 C.O.M.M.-All Classes $1.08 Town Ci Hyannis FD Tax(Residential) $454.79 Cotuit FD-All Classes $1.43 $6.12 Hyannis-Residential $1.78 Town Tax(Residential) $ 1,762.95 Hyannis-Commercial $2.77 W Barnstable-All Classes $2.11 Commur Total: $2,270.63 Construction Details Property Sketch Legend Building Property Sketch & ASBUILT Building value $ 113,400 Interior Floors Carpet Style Cape Cod Interior Walls Drywall Model Residential Heat Fuel Oil http://www.town.bamstable.ma.us/assessing/2009/displayparcelO9map.asp?mappar=272151 3/16/2009 Barnstable Assessing Search Results Page 2 of 2 Grade Average Heat Type Hot Air Stories 1 Story F A AC Type None Exterior Walls Wood Shingle Bedrooms 4 Bedrooms Roof Structure Gable/Hip Bathrooms 1 Full Roof Cover Asph/F GIs/Cmp living area 998 Replacement Cost $128822 Year Built 1979 "" f Depreciation 12 Total Rooms 6 Rooms ✓' °ry '3,. ^ Land CODE 1010 Lot Size(Acres) 0.35 Appraised Value $ 142,100 As Built Cards: Assessed Value $ 142,100 View Interactive Maps > Sales History: Owner: Sale Date Book/Page: Sale Price: PORTILLA, JUAN M& Jan 19 2005 12:OOAM 19455/001 $282,000 CHAN, KWOK WEI&GLADYS C Feb 15 1987 12:OOAM 5577/296 $ 107,000 TOLMAN, DENNIS P&JACQUELINE 3063/181 $0 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value Property Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area UST Utility Area(Unfinished) (Finished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story (Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/assessing/2009/displayparcelO9map.asp?mappar=272151 3/16/2009 oFt►,E r�,, Town of Barnstable Regulatory Services BAMSTABLE,Ass. Thomas Thomas F. Geiler,Director Fo;p. 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 April 28,2008 Mr. Juan Portilla 50 Beth Lane Hyannis MA 02601 Re: 50 Beth Lane Dear Mr. Portilla, On March 24, 2007 an Exit Order was issued for the above referenced address to cease using the basement for sleeping purposes. On March 30,2007 a Building Permit was issued to convert the basement to storage only. This permit was neither paid for nor picked up, and no inspections were performed. Please contact this office so that this situation may be resolved. Thank you for your cooperation. Sincerely, t fal Roma Local Inspector r , � � � � , _ � � ��� o � �. a 1 + - � 1 3 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 4`� Parcel `� Application# P 0b / b )7,-1 q Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis- Project Street Address <O Village/ij� yf;1� ��i ? c�9- o Owner �4 r� p 7/�l � Address �o � �� Z tv Telephone go 5�' 1: S 5 v �g 7 & "'S 0 Permit Request _ t -S G @a�'V1 #06 C — �� iO�Z. V�\ Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0 .0U Construction Type Lot Size Grandfathered: ❑Yes ) ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other E n _ Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: O-Yes `�L]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❑ t z a Commercial ❑Yes ❑No If yes, site plan review# -� Current Use Proposed Use J BUILDER INFORMATION Name �TU b,v po �ti�J//-� Telephone Number Address i!D License# 1-4111in: o, C2 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY ' .o. I V PERMIT NO. DATE ISSUED MAP/PARCEL NO. 1 _ ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME _ INSULATION FIREPLACE j ELECTRICAL: ROUGH FINAL PLUMBI NG: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. � I The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibiv Name(Business/Organizationdndividual): /JA n/ I32 �1 Address: k l(I' City/State/Zip: h),i a A Phone.#: O� Are you an employer?Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. I am a general contractor and I � 6. New construction . employees (full and/or part.time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition workingfor in an capacity. employees and have workers' Y P ty. 9. ❑Building addition [No workers' comp,insurance comp.insurance. required] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.L5 I am a homeowner doing all work officers have exercised their l l.[]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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certipy under the pains-and penalties of perjury that the information provided above is true and correct Signature• � 1�ZA Date; Phone#: rOfjr , only. Do not write in this area,to be completed by city or town officialn: Permit/Licensehority(circle one): 1.Boarof Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i Information and Instructions Massachusetts General Laws chapter 152 requires all employers to pros de 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 rPGe]Ver nr 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, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to-operate a business or to construct buildings in the commonwealth for any applicant who has not produced,acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for•the performance of public work until-acceptable evidence of compliance with the insurance requirements of this chapter have been presented*to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law of 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 permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city:or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,,- please do not hesitate to give us a call. The Department's address,telephone-and fax number: bp,Conunonwealth of Massachusetts Department of Industrial Aoeidmts Office of Investigations 600 Washington Street Boston,MA €1-2111 Tel.##€17-727-4900 ext 406 or 1-M N1ASSAFE Fax#617-727-7749� Revised 11-22-06 www.mass.gov/dia �tHE qy 1 V rT.0 VJ LK1 AAP L--r✓iV. Regulatory Services C sa.RrrsT aE.�* Thomas F,Geiler,Director sbgq, Building Division Tom.Perry,Building Commissioner .200 Main Street, Hyannis,MA 02601 www.towA,barnstable,ma.us ice: 508-862-4038 Fax, 508-790-6230 permit no. Date AFFIDAVIT HOME MROYEMENT CONTRACTOR LAW -SUPPLEM.IJNT TO PER=APPLICATION MGL c, 142AreV&es 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 adj scent to 1 such residence or b uilding be done by registered contractors,with certain excup"Ms;slang with other requirements. Type of Work: Estimated Cost Address of ��1'U/u 062 Date of Application �J I hereby certify that: Registratign is aot required for the following reason(s): Work excluded by law FIJob Under$1,000 OBuilding not owner-occupied [Owner pulling own permit Notice is hereby'given that: OyNmRs PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTYFUND CTNDERIYIGL c,142A. SIGNED UNDER PENALTIES OF PBRNRY I hereby apply for a permit as the agent of the owner: Date Contractor Signature. Registration No, l Q OR Date Owner's Signature Q;yrpfiles,{Qrms:homeafi�dzv • Rev: 060606 CF THE tp� Town of Barnstable Regulatory Services BARNSrABLE, Thomas F.Geiler,Director 9 MASS.� & Building Division ATED MA'I A 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 LICENSE EXEMPTION �j Please Print DATE: JOB LOCATION: Cam_ j^ ! Z— number street / village "HOMEOWNER!': �C J) krF S&a S fi iame home phone# work phone# CURRENT MAILING ADDRESS:. 0 r_2 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. gnature 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:forms:homeexempt Fr� 9 d O vV tr ' .- ...ti, i �y sk j 4 ' h ^ 1 n ( V � I ( ���\\ � v � � - ,� � � s �� � �� � a . � oG � j d _ � . a t `^`w� J � t\_-1 �� / TOWN OF BARNSTABLE y tuilding Application IRef: 200701749 MUMSTABLE, Issue Date: 03/30/07Permit 9 MASS. Q3 i639• Applicant: Permit Number: B 20070611 Ar f0�.l A Proposed Use: SINGLE FAMILY HOME Expiration Date: 09/27/07 [Location 50 BETH LANE Zoning District RC-1 Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 272151 Permit Fee$ 25.00 Contractor PROPERTY OWNER Village HYANNIS App Fee$ 50.00 License Num Est Construction Cost$ 100 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND CREATE 5'OPENINGS IN BASEMENT TO BE USED FOR STORAGES ACtHIS CARD MUST BE KEPT POSTED UNTIL FINAL ONLY. INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: PORTILLA,IUAN M 8r BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 50 BETH IN INSPECTION HAS BEEN MADE. HYANNIS,MA 02601 ^ Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO'OCCUPY ANY STREET,ALLY.OR SIDEWALK'OR AN YPART THE OF,EITHER TEMPORARILY OR PERMANENTLY.: ENCROACHEMENTS ON.PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED.UNDER THE BUILDING CODE,MUST BE APPROVED BY,THE JURISDICTION. STREET OR ALLYGRADES AS WELL AS'DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF:THI.S PERMIT DOES NOT RELEASE,.THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS., MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). F� m 0 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health °�1HF, ti Town of Barnstable Regulatory Services BA S MASS. 4 Thomas F. Geiler Director y MASS. � Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: LOCATION: O • Under the provisions of 780 CMR,-the State Building Code, Section 3400.5.1, you are hereby-ordered to immediately discontinue the use of the cellar/basement area for sleeping purposes. f LOCAL INSPECTOR S GNATURE OF RECIPIENT ,NE> ti Town of Barnstable Regulatory Services �B"R''AS& Thomas F. Geilef,Director .Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: LOCATION: 1,417 Under the provisions of 780 CMR,-the State Building Code, Section 3400.5.1, you are hereby ordered to immediately discontinue the use of the cellar/basement area for sleeping purposes. rf'&ik7' LOCAL INSPECTOR S GNATURE OF RECIPIENT 8 January. 1979 I have perjonally the-ked. the.locat on of th s. foundation :and certify it.:is in the location. .. shown'on this print. FTMA xG�F Charles. D. Spohr P.E �< Charles D:. 1 ( SPOPYR N o I No. 7468 a �W J o��C`S T E 0f FQ� fSS'IONAL - - N . 13� 2 5' - 58 E •. y 3 12 5,00 N g W. 0. ti v p 15 0 00 S.f. �t 2 0 ' , o "' N60 Z PRECAST 8cnt 1.EAGh 1N G -PIT I25.06 S 136 25 ' 5 8" W P LOT" P LA N OF LAND IN H Y A N N I S M AS 5. Show ) nq_ pro. po sed hose and stp,t i C %k O�S;A System, c, JOHN PATIUCZ Fo r �°" C F B U I L. D E R S 0CT 1 978 SCALE: I"- 40 TOWN OF BARNSTABLE 20�'� � e Permit No. t Building Inspector t ' Cash _---- � OCCUPANCY- PERMIT Bond "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector: No building shall be occupied until a certificate. of occupancy has been.issued by the Building Inspector." Issued to Clark & Flynn Builders Address Box EE Falmouth, MA l�f 3�?L rt) Rrat;►li t.a�4?. H�rar�n$�a Wiring Inspector C L %A "`- Inspection date Plumbing Easpector M _` Inspection date y Gas Inspector /? %i Inspection date Engineering Department Yi r 7.f Inspection date THIS PERMIT WILL NOT BE VALII), AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIItEMENTS. ............... ......_, 19 � ..................... �Building.:Inspector ....�.._._._ Assessor's map and lot number ..... THE Sewage Permit number .......................... ... ............... SEPTIC SYSTEM MUST INSTALLED IN COMP A = BAUSTULE, House number ........ WITH E rba ♦� ARTICLE II STAT °0 SANITARY CODE AND TOW �0MAR TOWN OF BARNS �nAHtE BUILDING _INSPECTOR APPLICATION FOR PERMIT TO .......eOh ....... .kke,y............................................:......... °� r.� TYPE OF CONSTRUCTION ..................611.E l'l..�l....:..?. r�ffir .. ..................:............................................ .......19..l0 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........$.V..... .Re-A....../` i `1. .......... .. ........... O. .a ......................................................... ProposedUse ....1Gl..MI-110,//Cel f/. .......................................................... .................................................... ........................... ZoningDistrict .........................................................:..............Fire District .............................................................................. o � Name of Owner ...016t:: c.... :.. ..^�f.40j..!7..:.j6 ddress ...8AX....°cr.. Name of Builder ......JFa..... . ..eJ6...............Address A&&..�1�':./....&-t-.6/,4naaf ..l��.d�3� Nameof Architect `�` ....Address.............................................................. .................................................................................... Number of Rooms .....:.5.......................................................Foundation ...... o 0 .... ............................................ Exterior .........IAIV.A:CX.....(S.l1. n . . ......................... Roofing ....... ... . �. " . }� ..Floors J-1 U j ..... ! ..li�.. ' .............. . ....Interior .....iLJ... ..� � !l,C ................ Heating /�>� g / • ............................................ 1 Fug . ........................................Plumbing ........ Fireplace ....... " .................Approximate Cost 3�! ,,,A,,,,,,• Definitive Plan Approved by Planning Board -------------------_-----------19________" Area .... �................ >:............ Diagram of Lot and Building with Dimensions Fee do 03. ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH MONO � Ida �ry I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... ............................ r Clark & Flynn Builders 272 151 No 2Q9- 9....... Permit f r .. Lu2ll.lrlg••1••-••SOry •...• .*..••.•...•..•.•......•...••.....•.••.•................................. EI Location .1.91124.•50...Beth.•La............:.......... ... ............Hyanni.s......................:.................... owner .C:ark..&..F.].ynn.-Bu•i•1•ders................ � r , - rr { T e of Construction YP Frame•..... 'Y Plot ..............272....... Lot ..........15.1 Januar 9 Permit Granted ...............y.............,.........19 79 - t � Date of Inspection f Date Completed lC�l... ...........19 1-/0 - 80 PERMIT REFUSED .............. .................................... . '1 q r ....................................................................... - ............................................................................... Approved ................................................ 19 ......... ............._. ..............................,................... _ = ........ ....... ......................................... ............. ; . � a Assessor's map and lot number ...... '? ................................. pF THE TOE Sewage •Permit number (r�� a P� y Z BlBHSTABLE, i House number raaa ..-....!............... o�oo,1639 Mxf a� w TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO r� ,c k.c -: ........1 .......... ......... :. I/........................................................... TYPE OF CONSTRUCTION .................. 1' . /..r;A�s.......... ............. .........../)Oil..�1. ...........19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .........'> (�.......� ,o.. ...... .......... ... t? / ...... !{ ..:a ......:... Proposed Use .... � trtilT...�i. ...................:........... ' .. . .....................r....:.....~.....r. ZoningDistrict ........................................................'".........::...Fire District.......:....................................................................... Name of Owner .. I........ .................� , ih ra F.-Address ..1............................. .. �� �!. ..l .FJ .? 5 4(`1 !,�'" f Name of Builder , r:fi.'^ y_:... � + (��[9 / �" ",y�ys. Mr! ! 1 .�......?ti .. ...Address .... _7( Nameof Architect ........' . r Address................. .............:....... .................................................................................... �— • r e Number of Rooms .:Foundation ...?. ......t?�"� t/ ...................... ..................................................... Exterior ........ ..r l . /�✓ �..1.+1...�.../....�...:. + .. . ; RooIf ng ... . .. fi sFloor .,�.. :.. ...:......... Interior r................................................... .. /` / , .................................`..,....Plumbin ,.... Heating / !ri .� tll i Fireplace ................'..................................................................Approximate Cost ........> /t!a� . ..... Definitive Plan Approved by Planning Board --------------------------------19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 , I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name I ...'•'ttfc? A. ........................... Clark & Flynn 3uilders 272 151 No ..... Permit for Dwell.ing...1.1:i..sto.ry ................... Location I.Q.t.124....50..Beth-La.................... ...........................Hy-ann-ts.................................... Owner .Cl ark..&.11yan..Bul.].dera................ Type of Construction ....Frame........................... . .................................. ............................................. Plot27?............1.5.1. Lo Permit Granted, ...4!iury...9.................1979 Date of Inspection ....................................19 Date ComplIed ......................................19 PERMIT R'EFU6ED ...................................... 19 ............. ...................0 . ........... ..................... ........ ....... . .. .. .. .. ..... ..........I.... .......................... ................................... .. ....................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... 'P1�ONr E 'CAL FOR a pp ' /�J� A.M. �T T DATE�TIME P.M. M �77 Z i OF IS PHONED j RETURNED PHONE YOUR CALL' 'AREA CODE NUMBER EXTENSION M AGE r 1 n PLEASE CALL I/V�` ,RI WILL CALLCAMET LL Q e uA l T . SEE YOUO "'1n ;TO �ivV SEE YOU SIGNED (Ulniversal 48003 e Town of Barnstable Building Department ComplainVInquiry Report Date: .L Rec'd by: Assessor's No.: Complaint Natne: Location Address: M/P Originator Natne: Street -Pk�j l add"' Village: State: Zip: Telephone: D/C Complaint a r Description: y, T 1 T ' rl Inquiry Desorption: For Office Use Orris• Inspector's Action/Comments Date: 7-- 0 Q Inspector. 6 Follow-up G — Action 16� iZ7 -71 Additional Info. Attached LCopy Diswbuaon: GVl Ze Depa=enr File 3'ellorv-Inspector t > XAA.A4 LOT 21 = 120 00' 0 4 0 Feet ; LOCUS MAP LOT 24 PLAN REF 271-84 DEED REF 23496-212 15000.0 SQ. . FT. ASSESSORS MAP.' 272-151 0.34 ACRES ZONING: RC-1 o SETBACKS.• 30'15'-15' vi -O FLOOD ZONE- C Q N PANEL NUMBER- 250001 0005 C f --� DATED.• 0811911985 C ---_____-__-_-- _ PLOT PLAN OF LAND __ =__= tv o LOCATED AT m _==-==_______=- o N F 50 . BETH LANE ____=#50 _=___ HYANNIS, MA --------------- ---------------- --------------- ----------------- --------------- ---------------- --------------- --------------- ---------------- --------------- PREPARED FOR.- GREGORY JOHNSON MAY 4, 2010 LOT 20 REV 120.00, REV REV YANKEE LAND SURVEY - - - I CO., INC. LOT 25 zo GRAPHIC SCALE 40 INDUSTRY ROAD MARSTONS MILLS, MA 02646 TEL 508-426-0055 FAX 508-420-5553 1 inch = 20 ft SHEET I OF 1 JOB ,¢!• 54610 SH