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0095 BETH LANE
9�5-" ���� l��.rt.� A V ��) i� J V_ � � � d, C� Cn .<- � � � (� � 0 � (> � �c � � � �� � � � � � �� � � o � o � � � a C� pF1HE,pw Town of Barnstable Regulatory Services ■ Y BAMSTABLE. yb MASS. Richard V.Scali,Director 16 3. 0. Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 March 8, 2017 Amy Rosa 95 Beth Lane Hyannis, Ma. 02601 RE: EXIT ORDER 95 Beth Lane, Hyannis Map: 272 Parcel: 170 Dear Property Owner: Recently, this office did an inspection at the above referenced address and observed a room in the basement.set up as a sleeping room. The room did not have a proper emergency escape as required by 780 CMR(State Building Code) and is deemed unsafe for sleeping. You are hereby ordered to remedy the unsafe conditions. Compliance may be achieved by the dismantling of the bed. Once compliance is obtained you are required to contact this office for an inspection or provide other acceptable documentation of compliance. Thank you for your anticipated cooperation and please do not hesitate to contact this office with any questions. By Order, ey L. Lauzon Chief Local Inspector jeffrey.lauzon@town.bamstable.ma.us (508) 862- 4034 Oi G a t � av�. x ti 1 3 r l , t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma /. V p Parcel Application # Health Division BUILD Date Date Issued 21? 7 Conservation Division NOV Application Fee Planning Dept. TOE/ 28 2016 Permit Fee O • 76 Date Definitive Plan Approved by Planning Board NOFBAAAMr ABC Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner Address 9s: Telephone S"e35? OtA PAW Permit Request Square feet: 1st floor: existing proposed 2nd floor: existing .proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3 117 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 ©< On Old King's Highway: ❑Yes �lo Basement Type: 3 F'ull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) kl� 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 Coil ❑ 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: Clexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 2rl o If yes, site plan review# Current Use U, 44d44ZJ1 Proposed Use Adrn..,d APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name � ;� Telephone Number 729 170 C®,2? Address Lw License# 075' 111 `r 14 ` Home Improvement Contractor# Email 4fdd a C 4J0/a l Worker's Compensation # X LOS 015� ALL CONSTRUCTION Df//EE�JBRIS RESULTINGO TI FROM PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED i MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL f � FINAL BUILDING �LYdD� DATE CLOSED OUT ASSOCIATION PLAN NO. } i I Q • 17te Commmmeakh of ManaC heseft ffwe�F�Btg'�eFLt!�� arm AteF� . 007pez6gadons 600 Wasbir t Slreet Baston,MA 02111 if wrmmaML9MY'Aa WaAE'Imre Campensafi=InsmranceAf6dwit Bmlde7dC6' II *-&Mecftk-L • her Appffcant Worm afinn Please Print Are you employer?Checkthe appropriate bow Tyke of Project(rec}ubre4: I.2 I ant a employer wift f 4. ❑I an a general cemfinetor and I 6. ❑New oonskuc ion empLayees(ftcll an&br part-time).* have hiredfhe sub-ccontradors 2.❑ I am a stile pmpfietmr orpartuer- fisted onfhe attscbed sheet 7- 2J;5=— &Hni and have no 1 Theses sub-caulmctais have�P �P�� 8. ❑Demalifioa work-kig hr me i a any capacity empl aadhave was' [No wodoets'ccmp.fi===e comp_msueance$reTdre& 9. ❑Butt ad ore j 5_ We are a=poraTian and its 16-❑ 1 repairs or additions 3.El am.a homeo mer doing all work officers leave exercised their 1L0 Plumbingrepaiss or adchtiam o was' _ agu of epfiog per 14fQ. pa kvm e dj i temp c.M JIM andwebaarenes 2- employem[No WO&E& I3.0 Otfier cam-insurance ] Azy apP6�td;at cliedz hos 91 toast also f�Ila t9te sectFoahcTowslzas�iug rheir wadcas'�peassfiagpo&cgi�nmaifoa I�aa�euarneff,xd>6 snbc&skis sffidas ind g fey axe doing siF�ra¢ic sawehea1ffie aatsid�cra�cm<samst snhmitanetvaf8d�eit iadi�ios writ Ft:aatmCWU,ffistchecYthisboamastattachm[sdditimslshEa showing&a--leofthe mdstK&vhedxxarnat those e eshsm emPlopem Ifthe it-cm• have oaf &ey=1stgmv'1dttl&wodEmegip.goutymmba -Tam an euiplopsr f7iatis prauidirrg workers'caacpenscdiart grsauarxce f or em pFnS�e¢x Below is Ae pv cy andiab site i�farma�rl. . Iasuraxice company ma ma: -Pofiey A or Self-in€Lim;g )f I4.9 C735,0 i. Expirafion Dade:--S12MhQ Job SifeAddses ��/]ems-Ct aAerr�.c : Cgl5kate{ F: "ems C �_ Af€sch a copy of the workers°compeasationpolicy declaration page-(showing the policy number and eapsation(late). Fad to secure coverage as requisedu des Section 25A o€MGL m 152 tan lead to the imposition of criminal peusiges of a fine up to$L50D QQ anVor one-yearimprisoumenk as well as civil penalties in the form of a STOP WORK ORDERand a Brie of up to$250M a dap against#fie violat=. Be advised that a copy o€this staft=aA maybe forwarded to the Office of Iavest�alions ofthe DIA for insmance coverage v on_ X do hearsby ced#y under flue pains and pauaffirs afped4q f uEtflca informa€i m prmr&d abmw h bare and Wrrect Sioutarm � •. Efate- d c Phorm rk -1 71/ 0013 -7,0 21 mat we arm. Do urrt write in ihrs area,to be compTeted by came artown OJYkrat City or Town: PermitUcense;9 Lssming A ffi orifp(fie one):. 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I •1 1)1 •I ■.•Jl ■■ r' ■ •• •►a )■ {t .n a r:n. •1 •• - o./ ■ n■. t t l GI- ut nun - a:+m 1� •t ►:�l - ! G■■.• 1 ■u .- 11�• • 1 - . .t .[ 1►.u - ■•n - a^a r • ./n �:+. t•r nn.: ►a.� u ■�m 1 a• :lam■ a .0 ••vn rw • ►•nun�! w. •ala m n r$Da! �: -■ v: . •�. •1 O �.an �. n .ono FI- n G■.. .- � %. • . •y+■•:n.l •'.a • .1" t. 1■.n. ••t n ..•_n.- u •.n r••r r .n m al• t•t ■ •a 1• -u ••:.a m r- .,Irzar a_r •t•v: n . �:wV: Y a 1■na•. fail . : ! • c.�.r= . � aa ZIi ��...va.• l.a • ».a �J aY.� ••• • nr CA ' AWC Guide to Wood Construction in High Wind Areas:110 mph.Wind Zone Massachusetts Checklist for Compliance(780 CAIR 5301.2.1.1)' Q Cheek 1.1 SCOPE Compliance WindSpeed(3-sec.gust)...................................................................................................................110 mph WindExposure Category.............................................................................................................................B 1.2 APPLICABILITY Number of Stories ..............:........................................... .(Fig 2)........................ stories 5 2 stories Roof Pitch — ....._...................................................................(Fig 2) ........................................... 512.12 Mean Roof Height .............................................. (Fig 2)_........................ — BuildingWidth,W...............................................................(Fig 3)................................................_ft 5 81Y BuildingLength,L ............................................................(Fig 3)............................. . ........... ft 5 80' _ Building Aspect Ratio(L!W) (Fig 4 5 _ Nominal Height of Tallest Openingz ................._................(Fig 4)................................................ 5 6'8' 1.3 FRAMING CONNECTIONS General compliance.with framing connections....................(Table 2)................................................................ 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete,............................................................ Concrete Masonry..................................................................... — 2.2 ANCHORAGE TO FOUNDATION1,3 5/8'Anchor Bolts imbedded or 5/8'Proprietary Mechanical Anchors as an altemaWe in concrete only Bolt Spacing—general (Table 4)........................... _ Bolt Spacing from endrjjoint of plate ............................(Fig 5).................................... in.5 6'—12" Bolt Embedment—concrete.........................................(Fig 5)................................................._in.z T _ Bolt Embedment—masonry.........................................(Fig 5)............................................ in.;-*15' . PlateWasher...............................................................(Fig 5)...............................................Z 3'x 3°x VV — 3.1 FLOORS Floor framing member spans checked .........:.....................(per 780 CMR Chapter 55).................................... Maximum Floor Opening Dimension...................................(Fig 6)............................._ft 5 12'or U2 or W/2 _ Full Height Wall Studs at Floor Openings less than 2'from Exterior Wail(Fig 6)....................................... Maximum Floor Joist Setbacks — Supporting Loadbearing Walls or Shearwall................(Fig 7).................................................... ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8).................................................. ft 5 d Floor Bracing at Endwalls....................................................(Fig 9).....................................:............................. _ Floor Sheathing Type ........................................................(per 780 CMR Chapter 55).................................... Floor Sheathing Thickness.................................................(per 780 CMR Chapter 55)....................... in. Floor Sheathing Fastening able 2 d nails at in edge/ in field 4.1 WALLS Wall Height Loadbearing walls............................ .......(Fig 10 and Table 5)..........................._ft 5 10' - . ..................... Non-Loadbearing wails................................................(Fig 10 and Table 5)........................... It 5 20, _ Wail Stud Spacing ........................................................(Fig 10 and Table 5)...................—in.5 24 O.C. WallStory Offsets ........................................................(Figs 7&8)............................................—ft 5 d 4.2 EXTERIOR WALLS3 t � Wood Studs t Loadbearingwalls........................................................(Table 5).........,....................2x -_ft_in. Non-Loadbearing walls.................................................(fable 5).................... .....2x - ft in. Gable End Wall Bracing' — — Full Height Endwall Studs.........................................I...(Fig 10)............................................._........... ...:... WSPAttic Floor Length................................................(Fig 11).............................................—ft 2 W/3 _ Gypsum Ceiling Length(tf WSP not used)...................(Fig 11).............:.............................._ft Z 0.9W 2 x 4 Continuous Lateral Brace,@ 6 fL o.c...(Fig 11).......................................................:.... Double Top Plate — Splice Length ........................................................(Fig 13 and Table 6)..................................... ft Splice Connection(no.of 16d common nails)..............(Table 6)........................................................ f AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(790 CMR 5301.2.1.1)1 Loadbearing Wall Connections Lateral(no.of endnalled 16d common nails)..._.........{Table T)............................. Non-Loadbearing Wall Connections Lateral(no.of endnaled 16d common nails).._...........(Table 8)....................................................... Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ....................................................:...(Table 9)................................._ft_in.5 I V SillPlate Spans .......................................................(Table 9)............................... _ft_in.511' Full Height Studs (no.of studs)............................_._..(Table 9)........................................................ — Non-Load Bearing Wag Openings(record largest opening but check all openings for compliance to Table 9) Header Spans................................ .........:.............(Table 9)................................._ft_in.512' SillPlate Spans...........................................................(Table 9).................................._ft_in.512' Full Height Studs(no.of studs)............................._.....(Table 9)........................................................ Exterior Wall Sheathing to Resist Uplift and Shear SimultaneousV Minimum Building Dimension,W Nominal Height of Tallest OpennngZ ...........I s 618' _ ........................... SheathingType..............................................(note 4)...................................................... Edge Nail Spacing........................................ (fable 10 or note 4 if less).........................—in. _ Field Nail Spacing..........................................(Table 10)................................................. in. _ Shear Connection(no.,of 16d common nails)(Table 10)_.........................................I............ _ Percent Full-Height Sheathing..................-....(Table 10)..................................................._% 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts).............. Maximum Building Dimension,L Nominal Height of Tallest OpeningZ......................................................................... 5 6V Sheathing Type.......................................__.(note 4)...................................... ............._.. Edge Nall Spacing.........................................(Table 11 or note 4 if less)................:....... in. _ Field Nall Spacing.............:.:..........................(fable 11)................................................. in. Shear Connection(no.of 16d common nails)(fable 11)..........................................I.............. —_ Percent Full-Height Sheathing.......................(Table 11)........._..........I.............................._% 5%Additional Sheathing for Wall with Opening>6V(Design Concepts).............. ... Wall Cladding — Ratedfor Wind Speed?............._............................................... ........................................._..................... 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang .................................................. (Figure 19).............. it 5 smaller of 2'or L/3 — Truss or Rafter Connections at Loadbearing Walls — Proprietary Connectors Uplift...............................................(Table 12)...........................................lJ= ptf Lateral..................... _ ........... .(Table 12) ...............I...........................L= Of — ..... .. Shear.................... .............:..._..(Table 12)............................. _— Ridge Strap Connections,If collar ties not used per page 21....:(fable 13)..............................T= plf _ Gable Rake Outlooker....................... .. (Figure 20)............ _ft s smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls — Proprietary Connectors Uplift...............................................(Table 14)...... U= lb. Lateral(no.of 16d common nails)...(Table 14)...............................a....'...L= lb. _ Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59).................. Roof Sheathing Thickness................................_............................:.........................._in.a 7/16"WSP Notes: — Roof Sheathing Fastening...........................................(Table 2)................................................_..._.... - - 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 53012.1.1 Item 1.if the checklist Is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. .20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a. 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height T pence rg sheathing requirements shown in Tables 10 and 1 g eq 1. 3. The bottom sill plate in exterior walls shall be a minimum 2.in.nominal thickness.pressure treated#2-grade. 1 A WC Gi de to Wood Cans6rirc9or7 zrr 1�i Tr KuzdAreas_110 nrplz ff-17dZane i Mnsachusett Checker for C4mpHmce cnD cmns i I .1)r - 4. a Fram Tables 1 o and 11 and location of wall s m&Ang and Sur7dQrg Asper Rafia,detz=rmine Pea t FutN ieight • S`heafrrbg and bled Spacing req*wrienfs ' b. Wwd Stucfru-a!Panels sW be mhimnnn thidmem of 7116'and be inshW as fellows: - - L Panels WmU be Installed WD s rw ass parallel fn sisriis. ; ii. �4tI hwh=al joint sh d cx=over and be nalled tb framing. al. Dn single stafy ca mtuc:5on,panels shall be afafied to boffnm plates and tnp.inember of the double --- — pA IUMM; - ----_-----_-__---- -.-- —Dn h&M--'nry.Z',,* C5Dn, khagbe a fadied ta$he fop mernber.affhe upper double tnp------ plate and b band jo t at botbm of panel.Upper aftdrna-rh of lower panel shall be made to band joist and lower afEachment made to lowest plane at first fioorframing. V. Hortmrdal narl spacing at dotibie top plates, band joisEs,and girders shall be a double.row of 6d - &ta 5. Glazing proinciaott a)gtieradhouse orr horimntal addrTiP D required if p Ject�.1 rnr�eEdmoser fa shore e:n al Attachment Rh-_23 or north of Rfe.5) �9 'a SDuift of b)vertical addffion—not reguired milem them Is wdw ranovafron to the,fast floor c)replammentwiridows—needs enery conservation cvmpitafrcg only(chap 23) S.Word Frame Canstrudion Manual(�+►rFChq for 110 MPH,Exp sure B may be obfamedfrarn the Amedcdn Wood cauncsl (AWC) . t�sEsd r� - 'ATb=c - cr It •, - tI y rr C tf K ,t Illl ac a r tr l a z— ii t @ i i _ d 'C rr ifQ rrd t t d tE la 1 tl - m R !1 it r 1 t J'Jd r ILL 1 1� •'f11i • ii It i i F '>5d�3ft?KiTt= - Il tE qq I • It aI Itt ! t I PARE r =119LEWAI McMER-ACMJcEML . ` See DaLQ fln N.exf Paga _ DebtU • '1rerflaal and HDI mrT l hiar g , = lT�rtitrai 13rid lfaiizorit;3I hlaiCmg for Panel Afiachmd for Nnel Ataahmarit Town of Barnstable Regulatory Services dF Richard V.Scali, Director Building Division Paul Roma,Building Commissioner NAM 516 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityhown 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 buildingpermit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required . shall be exempt from the-provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a persons)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 to amend and adopt such a form/certification for use in your community. Town of Barnstable - Regulatory Services r Richard V.Sca%Director Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I - ,as Owner of the subject property hereby authorize to act on my beh4 in all matters relative to work authorized by this building permit application for. (Address o 0 f job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of AP Plicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOIS DATE(MMIDDIYYYY) ACC)R v CERTIFICATE OF LIABILITY INSURANCE 9/23/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). cONT PRODUCER NAMEACT Jane Logan Andrew G. Gordon, Inc. PHONE (781)659-2262 ac Nu:(781)659-4725 306 Washington Street ADDRESS:]ane@agordon.com INSURERS AFFORDING COVERAGE NAIC# Norwell MA 02061 INSURER A:Liberty Mutual Agency INSURED INSURERB:Commerce Ins. Co. 34754 Lux Renovations, LLC, DBA: Owens Corning of New INSURERC:Peerless Insurance Co. 24198 60 Shawmut Road INSURER D:Star Insurance Company 18023 INSURER E: Canton MA 02021 INSURER F: COVERAGES CERTIFICATE NUMBERAaster JL 9/16/16 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDLISUBR POLICY EFF POLICY EXP INSR TYPE OF INSURANCE INSO WVD POLICY NUMBER MM/DD MM/DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE O RENTED 100,000 A CLAIMS-MADE ❑X OCCUR PREMISES Ea occurrence $ CBP8512851 9/5/2016 9/5/2017 MED EXP(Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 4 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRCT O ❑LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JE OTHER: COMBINED AUTOMOBILE LIABILITY Ea accident) LIMIT $ ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED X SCHEDULED LP7677 4/4/2016 4/4/2017 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 1,000,000 C EXCESS LIAB X CLAIMS-MADE AGGREGATE $ 1,000,000 DIED I X I RETENTION$ 10.000 CUB511953 9/5/2016 9/5/2017 $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 N 1 A OFFICERIMEMBER EXCLUDED? D (Mandatory In NH) XWS57350449 5/24/2016 5/24/2017 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) Cert Holder is added as an Additional Insured to General Liability Coverage per Blanket AI form 22-133 and Umbrella as coverage is "follow form" where required by written contract. WC excludes Dan Bawabe s Paul Deguglielmo, both LLC Members . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Insured's Copy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Jane Logan/LOGAN ` �— ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 r7nuntl Shea, Sally To: eddie42012@gmail.com Cc: Lauzon,Jeffrey Subject: Permit/Application:TB-16-3479 at 95 BETH LANE, HYANNIS for Building -Alteration INTERIOR Work Only- Residential Eddie, Please provide the basement floor plan showing all the rooms labeled. The floor plan provided does not show the use if the existing finished space in the basement. Is the office shown on the plan proposed? If this is new it must be included in the proposed description of work. Thank you Sally Shea Town of Barnstable Assistant Zoning Admin/Lead Permit Tech. 508-862-4031 c 1 Massachusetts -Department of Public Safety ,.Board of Building Regulations and Standards Corlltluction Sauier,i Or License: GS-075131 EDWARD T.ALIO 30 STORMY FM.1 My Dedham MA 02026 f. . Expiration Commissioner 02/27/2017 ` WQ4 & Office of Consumer Affairs d Business Regulation 10 Park Plaza - Suite 51.70 Boston, M sachusetts 02116 Home Improve ontractor Registration Registration: 137943 F Type: Supplement Card Expiration: 1/29/2017 LUX RENOVATIONS, LLC. r ' EDWARD ALLEN i p 60-SHAWMUT RD w ----- CANTON, MA 02021 e ti Update Address and return card.Mark reason for change. 3CA 1 0 20M-05f11 Address [] Renewal ❑ Employment (] Lost Card �a�iomtmwauu af.C�ae�¢duractla O� Expira ice of Consumer Affairs&Business Regulation License or registration valid for individul use only MEIMPROVq T CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation egistratio Type: IO ParkPlaza SuiteS170 11 Fj — j Supplement Card Roston,MA 02116 LUX RENOVATION r OWENS CORNING ISHING SYSTEMS EDWARD ALLEN _ 60 SHAWMUT RD CANTON,MA 02021 Undersecretary Not valid without signature Owens Corning Basement Finishing Systems of New England Rosa,Amy ._,. Contractor / Agent Authorization From 95 Beth Lane Hyannis,MV02601 508-292-8198 authorize Owens Corning Basement Finishing Systems of Boston to sign the building permit application on my behalf, to perform the work at: Home Owners Signature: Date: I1Le Z�1/ 6 Project Manager Signature: Date: 60 Shawmut Road • Canton,'MA 02021 • Phone: 781-821-0060 • Fax: 781-821-8552 i wti w.ocboston com:' e= � sF-��� 3y79 Rosa,Amy WIPIPM CONTRACT Customer 95 Beth Lane ,,, Name I Customer Signature C4, _ Hyannis,MA 02601 SKETCH Contract Date 508-292-8198 Sales Representative Signature p ATTACHMENT Customer Phone—I Contract Price 1 z 12 13 14 19 21 22 23 2• 25 29 27 29 29 30 31 32.ice- 35 33 37 W W 40 41 42 43 a as 48 47 43 49 W 51 52 53 s4 55 W 57 W 59 W Z F- I �.i.. . . -.... __ .. ; .. dV 8 •-._- 9 � f I.. �I , 10 !.... { .. .i I ®f , ..^'.1 ..I - _j zi �e I I I I I ,2 I I , I,. ,3 I I I 1s y�: ..-j---?---I-i-- —...._I - __.h..---- i I I � L. I-------j--- e I s -I� 1 - j -- - - -;•. � � _i- L....L_ I i i I L i i ..�_ I -�--( � - I•-�--- i 14 17.1 to !..._ .... .. 1.....,I.. ... .... .L......,. I,_._L...._{-. ; tCC .. .I. i _1,._. L. { !... .I- {... .I. 1 I I i - ..I. 1 _ _._.'._... I j i.. I_,..�—._ i.. .{._._ C• 20 IF 21 I l iis 22 23 i I 24 _25 1 ! I i I I _ I a i I 20 ; IA 27 I ' 32 i � I I. i i i � I � ' I I I i-•I ' 1 i , I � .. ..__. I.... ,... .f.- _ 1 I I I I , 34 35 1 I , I ' I I '. -i 1 I 1 i i I NOTES: Each box equals one foot unless otherwise noted.This sketch is a good faith representation of the work to be done,it is understood that all dimensions derived from this sketch are approximate,and that all locations of,outlets,light fixtures,plugs,Jacks and/or switches are subject to change if necessary: Rosa,Amy 95 Beth Lane i D CONTRACT Customer Named Hyannis,MA 02601 Customer Signature _ SKETCH Contract Date 508-292-8198 � Sales Representative Signature_ ✓�—_�_ p ATTACHMENT Customer Phone I Contract Price. 11 1 2 ' 12 13 14 15 ,9 17 18 19 21 22 23 24 25 29 22 29 29 30 31 32 vy�— 3d' W W 37 30 39 40 41 /2 93 a 45 40 47 98 49 50 51 92 53 54 55 59 51 59 59 90 1 Fr ;j"" (rAo � r.. f. _-.---�_� ! I---! ! '- I. L.. I- i ! -I- ` I --i•— ;. i � I I I. i , 1 .I. I ..i_. I I , I i ; I ti I "• I �..,,. � i I I I... I. 1 i i ( I ; I I - -- , i I � I I � •04' � - I ! � ! I f I I ! i , IIi IIt fi I 12 ,!• ;.: i. �.y/ ._I I —i I ..I .'_...I I 1 I I t - -j -I i ; - is ' i , i i.� t _ ! _....... 13 ; I +14 _..., _ IS I I I I I 1 I I I- I ;..I._. i..._� ..-...; I.._..i.. I ..�.,,._,I... ;.. ... ..I......I I___i..... _I.•_._'�_ I ! .. ..� .I I I -I , .'..__i �...� _.I.. _.;.. I. i I , I I ; , i.. I _ 20 f I II 22 23 I- ' I 24 25.I I" �i•'_,",7 .-. , I ; I !� i ; I �I I I ..L_.I. , _'. I ; , I .._. _ I , .;.. �...�_ ,.. _ 29 27 _.I 1 '.._a _I.._I _..... .... I ! i .I .L .� 1 I I _ ! 1 I i ..(_ -..i_.. •__.� ' I I I I ,- i .1., .{. L..._. .-. �.... .......:._. p.. �...'_ .. �_ ._i .__L...� .t _.I I •. I I I ' I ! I � t I ; i i i I _ 'I 3, : I 32 ; I i l j � I i I l i 1 NOTES: 'Each box equals one foot unless otherwise noted.This sketch is a good faith representation of the work to be done,it is understood that all dimensions derived from this sketch are approximate,and that all locations of.outlets,light fixtures,plugs,jacks and/or switches are subject to change if necessary. TOWN OF.BARNSTABLE ' Permit No. ___21,56 �.�n.n T. Building}Inspector r cash PAIL °.R. OCCUPANCY, PERMIT Bond —xx 1 �' "No building nor structure shall be erected, and no land, building or structure shall be J 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 beoccupied until a certificate of occupancy has been issued by the Building Inspector.',', Issued to C & F Bu'llders Address ' Box ,EE Falitlout�i Lot #43 495 Beth Lane . . 'Hyannis Wiring Inspector �/ Inspection date Plumbing Easpector/ h Inspection date 'Gas Inspector v r-' 1 Inspection date yEngineering Department � r�rr �as _G-�. Inspection date��I' �- THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON. SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. .... ........................_............. , 19».». _ .................................Building.. ... - »»»»_ / 77 Assessor's ma and lot numb .r C�j+ '� -s p .. .�� ..... .. �.................`� �' L � � ypF THE t��♦ Q� Sewage Permit number ? .. SNouvi ou NM 9 0NH 3Q031�IMM 4"STAnLE, House number a / 9 3'llll H11Mq. •� f 0311VIS t TOWN O F B AIM S a Mix S��SAS 311d3S BUILDING INSPECTOR APPLICATION FOR PERMIT TO . � /..� .... L�L.II(............ . .......... . ...................................................... TYPE OF CONSTRUCTION G'd/• .. J:'!. ................... .. .............. ..... ............................................................ ...................:/� �ll. . ,9. . } TO THE INSPECTOR OF,BUILDINGS: '' p ` , ' The undersigned hereby applies for a permit according to the following information: Location �.. r............ ............................................. Proposed Use ................. /!f/.`,/..fi......`6? y.....(.11. vel././..!Y. ................................................................... Zoning District .............. Cam./.........................................Fire District ......Ax-ywxlls................... ................... Name of Owner ...... ..�� !`/�!1.� .........Address ..43& Name of Builder ........ .............. �� 4W,.. Name of Architect /„ ....Address .................................................................................... Number of Rooms ..................................................................Foundation M.... 'a Exterior ... ......Roofin ...............✓... .lr��......���..�. ,SDI. . .....,. g ............,�.�5,,�!����.. .. ............... Floors ...... /� ... n. �`� .:...... � .................Interior ..............,!/ �G� ..... .................................................... Heating ........ ! r ..............................Plumbing ..........� .. ................................................. Fireplace .........4.o' .rJ..& ...............................................Approximate Cost .............3..0'.®��:.z9o........ ......... Definitive Plan Approved by Planning Board ---------------_---------------19________. Area ��D• �' Diagram of Lot and Building with Dimensions c�C Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH N nil t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... G .... .................. C & F BUILDERS 4No �2l56 Permit ��e St��v ---.--. rarm ror -------..^---. � ^ . - ' Framelli ���' ''������''�������������' Lot 8 ' Lc�hhon ----�43----95-----�t�—.�Y�!!�.--- \ ........HyAATj��� —~—.--.—,------- Owner ....C..{�..Ir .Builde��gi________. Type of Construction —..����g��-------.. ^ � ` -:----.---~----------------.. ~ ^ . Plot -----~---. �� ................................ , ' ' ' w Permh G,on*a6 ...........Apr.i.1...29x--lp 80 ' Date of Inspection ------------19 ' . ' � - ^ ^ ' . ' PERMIT REFUaED W {E� ' ]V ell .----.��—. ---------- �. > ' . . � � � ............ � . ----. . ---' ^ ^ . � +� � 'Approved ' ~� �� lg "pp'"°= —''�� ---------- ' --.'----�'---.~,--..---.-----.. ' . ~~ , — . ` — -----.--------.----..—..—.-- ° . � . ' { ' ~ . Assessor's map and lot number �'` � M '�� �✓�� `j. E Sewage Permit number ................1..q.... ........................... Z MAR33TABLE, i House number 9� Mb 9• �0 o OR TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ��� / ..................................:......... ................................................................................. TYPEOF CONSTRUCTION .................... ..... ......................... .................................................................................... ..................../1/�// Z19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: /fjJ f� Location ...............��.. Z*h' /'�a� f ••....... ...................................// ........ :.:d. !... .......................... Proposed Use sz,• O...... �// ..../mil!/ /;1�i1/ .................................................................. i ZoningDistrict .............. ........................................................� Fire District .. .... ...................................... Ax, Name of Owner ......?..: !.... evIWW—��.........Address Name of Builder -----•.°' �T.�r`....................Address ........... �� � � �� Nameof Architect ................:��i'r.�..........................Address .................................................................................... 62 Number of Rooms ..................................................................Foundation .....,...........r ...............................-........,..:............... Exterior ....:......./........................... Roofing ................,.....,.`.............,.............................................. Floors ..............�.:.....................................................................Interior ............. ...�...,[.................................................. Heating '..'.=1.y �T�...f. .....................................Plumbing ........................... ............................ Fireplace ......... / •/1��................................................Approximate Cost ........... ?! :.. ; ................ Definitive Plan Approved by Planning Board ________________________________19________. Area ................... . Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH f Lt 1 j I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....... . ....................................................... | ' C & F BUILDERS A=273-170 No ..23I56.. Permit for ..Oze..S±ox-�---' ^ � ........ ggle...F.amil&{... -wall ' ----' � Location I.Q.t...A.4.3...95..Be±h...Tane........... ............... --'-- .............................................. ),Owner C �� F. �A�� Type ofConstruction Plot ........................./Lot ................................ � � Permit Granted-- J.;?�pKil Date Completed ...............)....................19 ' PERM./RIEFUSED � _ -----.-- lV - --- ' --' eo � � ^---... ..�----..,-.��----.----. ----'` '--~-^^------^~----- � � ----.. .-.----~.--------.-.. � Approved................................................. 19 ---------------'---'--^~^-'-- -------.-------.-----..~-...., Assessor's offioe (1st floor): u. f�+ t r ' ^ ��77 THE Assessor's map and lot number ......w!!...f........�".L..7..�..... Q� �♦ Board of Health (3rd floor): _ ''Sewage Permit.number . ' ...................�..�....�....�....... Z B9HIIST1IDLE. i Engineering Department (3rd floor): moo. 039• 0� House number ......... '"' s, APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTAKE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...C�o.S ir.A....... e-.............................................................. TYPEOF CONSTRUCTION ............................. ...............�:..................................................................... ............ .........19..��/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �...��.......,r'-'�l_.. �s. ................. .��.r1/1 .................................... ............. ... ........................................................... Proposed Use .............. ....,.............. ... .......IZ....... Qr^JM.................................................................................... ... /� Zoning District ..................... ...............................................Fire District .......... 5 ........................................ Name of Owner r 7 f �� 4�r...; 9-1-c-...... t Nameof Builder ......................© �..........................Address ............................................. .................................... Name of Architect ................................Address � ..":' :................................ . • ,, t Number of Rooms ....................�................ ...�.................. :.'Foundation ........f,._.: ,/U.�rl .� . 7 � Exlerior ........1.+ `� 1!!'y' "4` 1,..:..`t..+...`...Roofin .... ..,1.../..� �.. ............................ ..... ..,. . Floorsd ...'�? '.................:......................Interior .............,I,.:...,....... ....... ....................................... Heating ...........Plun bing ..........................................................` r" Fireplace ........................ram................................................Approximate Cost ............... 31' 0ay Definitive Plan Approved by Planning Board --------------------------------)9->------ • Area ......... ................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH r r c. . +.ur � I t r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .......0.e+/I/X ...L ! c�: .................. Construction Supervisor's License ..<l. .;/... I. ......... Czarnecki, David & Jane A=272-170 30728 add to single No ................. Permit for .................................... family dwelling .......................................................................... Location 95 Beth Lane ................................................................. Hyannis ............................................................................... Owner David & Jane Czarnecki .................................................................. Type of Construction frame ............................................................................... Plot ...........I................ Lot ................................ Permit Granted ............P y...11................19 87 Date of Inspection ....................................19 i Date Completed ......................................19 oZ . .- * . .� - . ��.:_ � ^R. , = , •- _ - • 1. � - - ., \ LI Assessor's.,4fioe Ost floor): ' t K 14 ' Sep-•' *THE , Assessor's ma and lot number .."SewaSTALL ge of Health .(3rd floor): . _��3 DIN co Sewage Permit number :..........::....................................... Wi� ' E .L � y I Engineering Department (3rd floor): ��1R®���T'TLe S 00 M639• e� House number .... .......•..•......:........:..........•..: :..•....:•... s CooY a` APPL'`ICATIONS PROCESSED 8:30P-9:30 A.M. and 1.00 2:00"P.M.,only TOWN, OF BARNSTAB•LE . a. BUILDING INSPECTOR APPLICATION -FOR PERMIT-TO S �n..... .. ... �Y ................................... .... ....... • TYPE OF CONSTRUCTION .:...........:.....:........ .. ...(�.......:..:........I�.��.�r. ................................................. t . 4 1�'. ...... �..1.........19... TO THE INSPECTOR OF BUILDINGS:,- The uridersigned hereby applies fora permit according to the following information: Location ........ �� .......4 .......�.11 ................ .nn .............. .................. 6 - �Z (��M Proposed Use ................... 1 !. !" - .......... ...... . ....... ........ ............. ...... Zoning District ............. ...... ... .................................Fire District .......... . ..� ,Name of Owner 0.rJ..C►.... . .�. /4...... Z ! Y1��-6�A qq. ..!„ .rt.......: ..... ... ( �- •,• • ddress ............1 ' Name of Builder OWSR..........................Address . ........................................................................... . �. Name of Architect ...................................................................Address .......................... .. Number of Rooms ..:............:.:.. ....,:.;....................................Foundation ........(....Q -�` ............ Exl�rior ...... . J C.�,?.............................Roofing ............. . ..1................•......................... Floors Qv9�Cf'r*r-.................:..:..................Interior .............Vto� . ...:........:..............:........... Heating Plumbing' .:.:...............:........... . " Fireplace :........Approximate Cost ✓ Definitive Plan Approved by Planning Board _________________________`______19________ . Area ........ /..f�. �1................. Diagram of Lot and Building with Dimensions' Fee .......L�*.Or.......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. NameC.� ......... ....................... Construction Supervisor's License 0444�R......... j Czarnecki; David & Jane , No 30728 Permit for ,,,•ad....... .........d to single T ..... .... . » family...dwelling.................................... Location ' .• 95 Beth Lane... y fi Y E F......................... Hyannis................ •. ...,. i me ki Owner David & Jane Cza .. - _ r� � r ......`a.......°.. .....frame� .......... Type,of Construction ......... - - t ................... ............... ............................ ........ Plot Lot'................................ Permit Granted MaY..11 ...............1[9 87 - ,. Date of'Inspection ....................19 +~� Date 'Completed V......... y......�......... .. ..19 `f ti` a n//' A. W D. Con wo V /25. 00 Lot N° 43 15, (g00 f 5.f. 0 bkhd. ) 0 42 N N- 95 N 44 f Story Wood . . . . . ....59 _' - . . . . ... . 26".. o v- 25. 00' - ®ETH LANE Client Ament 5 Ament P. C. Job Number Revised The declarations made below are on the basis of my knowledge,informotion and belief as the result at 8 7-074 o Mortgage Impaction tops survey mode to the normal standard of core of registered land surveyors CO les m0 be practicing in Wssachusetts. Declarations are mode to the above named client only as of this p Y date. reduced scale MORTGAGE INSPECTION PLAN Location: BARNSTABLE Scale 30� Da 3 / 14 /87 Plan Reference : Being Lot 43 on a Plan by Charles N. Savery , Inc. , dated 1 /2/73 Recorded in BARNSTABLE Registry of Deeds Book 271 ,Page 84. 1 hereby certify that the building shown on this plan is located on the ground as shown thereon and it conforms to the zoning laws of the Town when constructgd. I certify that the above property does not lie within a Special Flood Hazard Zone as ' delineated on Community Map No. 25000 1 dated 8/19 /85 . No, fl00 This Plot Plan was not made from an instrument R S associates. 224-3758 CrST a y survey and shall not be recorded or to be used for L L� fences etc,and is drawn for use of the Mortgagee only. 30 Carolyn Dr. Plymouth ,Mass. a r cut T X x � r 4 4. ; i N' �. x } - � i r.. � ¢ - _ _ _ -- � -i ' _ � _ .. _. _ �. " y ., _ - - .. T � 2 I t � �� 1, X.PRESS PER kTown of Barnstable Permit#2607 Mz 6 A Q 2007 Fxpir 6 mouths from issue date 4 Regulatory Services 039. F BARNSTABLE Thomas F.Geiler,Director I `� Building Division 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 PERNHT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X--Press Imprint Map/parcel Number oZ ` Property Address � 3t: Lae :���/Cl ®Residential Value of Wod �. �►��G7 �� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address ,f ex M C, Contractor's Name J Telephone Numben.5-6 S-3 6 7-40 L/ Home Improvement Contractor License#(if.applicable Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor KrI am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name C= Workman's Comp.Policy# o Copy of Insurance Compliance Certificate must be on file. J; N t_" Co Permit Request(check box) c ❑ Re-roof(stripping old shingles) All construction debris will be taken for tV ❑Re-roof(not stripping. Going over existing layers of roof) ) rat ❑ Re-side Replacement Windows. U-Value ' (maximum.44) *Where required: Issuance ofthis 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. Home Improve en Contractors License is required. SIGNATU RE: :� y. Q:Forms:expm Revise071405 oF1HE rql,, Town of Barnstable Regulatory Services g Y BARNSTABLE, Thomas F.Geiler,Director rFDMA'IA Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �0.vvl e 5 W� f 0 10,o1d , as Owner of the subject property hereby authorize s c S W. k10 //� r?C to act on my behalf, in all matters relative to work authorized by this building permit application for: Ct s 3C-+ 4 Gin e- (Address of Job) 07 ` ignature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. QfORM&OWNERPERMISSION Town of Barnstable tFiE 1p�� y�P Regulatory Services + BARNSTABLE, Thomas F.Geiler,Director 9 MASS. q,A 1634• p.0 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 Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. - DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official 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 fomi/certification for use in your community. Q:forms:homeexempt ,per The Commonwealth of Massachusetts Department of Industrial Accidents ~ Office of Investigations d 600 Washington Street Boston,MA 02111' www.mass.gov/dia ' Workers}Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Appffcant Information Please Print Le ibl Name(Business/Organization/Individual): c)ouVtil _-5 0 •Address• i3 e City/State/Zip: ' `� fi� Oaf 0(Phone A: 5 U 9 36 741 41 gS y ,Are you an employer? Check the appropriate bog: :Type of project(required):, . I am a general contractor and I 1• 4 ❑ I am a employer with � 6. ❑New construction . employees (full and/or part-time).* • have hired the sub-contractors 2.❑ T am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition tvorkin for me in an capacity. employee$and have workers' g 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.( I am a homeowner doing ill-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&e oL 1-✓`9Aof employees. [No workers' comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workcn'compensation policy information. t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors mutt submit anew 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 providb their workers'comp.polidy number. r am an employer that isproviding workers'compensation insurance for my employees. Below is.thepolicy and jab 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'(shovving 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 iip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the 1)IA for insurance coverage verification I do hereby certi underthep9n s an Ities perjury that the information provided above is true and correct. =Pho Date. / 2- 7 P O s-V 4 Offtcial use only. Do not write fn.this area, 0 be completed by.city or town official ' City or Town: ' Termit/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#: ` TYPICAL SYSTEM PROFILE AREA PLAN FINISH GRADE=- NOT TO SCALE I FDN TOP + :- - FINISH SCALE : I J0 - FINISH GRADE OVER TANK= GRADE OVER PIT= L �;� T � 43 BETH � S LANE p VC OR C. I. TEES ---� e • e • • o I �. ', BSMT — .• , f. ,jL7 n- ° °.'... ° 4. • • e o • • • • 0 0 0 Q(.� jj 4 FLR REINFORC DIST. BOXCONCRE 8 TO BE INSTALLED ON e • • • • • • o e o 0 y : o :'�a o A LEVEL STABLE BASE e e • • 4 o e e e t .:.° ° o o o.. 6, o �` e e e • • • • o a 0 0 � t, SEPTIC TANK ' LO j Xl�,� TO BE INSTALLED ON A e e • • i • • • • e e > I { LEVEL STABLE BASE e e • • • • • e • y- .�► -,�- �` 2 -1/8 - 1/2 WASHED PEASTONE ALL •. ... �...�. ��_ ` . e • • • • • • • 0 0 o e i BRICK 8ti MORTAR COURSES AS AROUND FREE OF IRONS, FINES Ll /CO, rf3 `—� ' • ,-- BRICK REQUIRED TO BRING COVER TO GRADE AND DUST IN PLACE t LEACHING PIT �` • :Z (6/oE I �' I 24 "C.I . MANHOLE COVER a 3/4 " TO I -1/2 "WASHED CRUSHED i FRAME - SEE DETAIL STONE ALL AROUND FREE OF BASE TO BE LEVEL ,56! - ; \ IRONS, FINES AND DUST IN -� x,EQU } I - 4 _.�_ _.._ PLACE 000 4"9Z P�C�, (Fk'4�tT) ! `� I FOR FIN. GRADE S�7ir_ SEE SYSTEM PROFILE `� I � SOIL AND PERCOLATION r�,wx 3 B. 1,-j $ I „���-,I 1 _ ' ,(,4AjCrr 14�� DATA ` I t X is 7- sr Q Q - 6 -- - - - --- --- ` I v (�t try r — I 4?,E x ALE -- - „ - PERC. RATE ' MIN /IN- 8 LP `/A/G TIP. — f,,r S/ _ Irk L- 4 " o FOR INV. ELEV SEE C. D. SPOHR — - o p F ° TAKEN BY ; INLET , - - SYSTEM PROFILE LE LINE6 . ° �t/ie1�r)t_ o ° WITNESSED BY:4*k'A1i5Tskt i" eL vc HE s ° D OPENINGS W/4-I/8 OUTER DIA. 8{ 1 -3/4" 6 • ° �: - ° ;. °o oD o , o o DATE . , ,,-7 INSIDE DIA . TEST PIT -GND ELEV. O C5/DE} 6 ° TOTAL o o _ 3 AREA �� . 2 R- >t STlqo D 0 0 D __ D D 0 °J ° �!? 'f _' oldo . — — o _ - ©.L ° • I j ' - 4,G7 •a 11i{_�III —III �� ���� _ O� a..ww�...w...•...w-.�...+..,�...,..,.„ L D 7- #-1.;Z7 L - ---- — -- -- -- BOT. P E R C. HOLE EFFECTIVE---DIA` �� i "I CFkrI FY THRT THE PROPOSFD Ha)56' i LEACHING PIT - SECTION DOWN -� i - ' .SNUWA/ Od/ TN/,5 P/.AA1 CQA FORAds M THE �/` :':'.'CN 4.1,.) TOWN OF B geA/STAeAE zoAl/k f NO SCALE DESIGN DATA : k'EGU[AT�O�IIS '' f LAeV ��for" NOTE: DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM fff# JrT ,�.. C>STiE'y OF' NO. OF BEDROOMS _ DISPOSAL {{ T certify that the existing ���`tHOF�gs� I�,EE1a.S 'P'�A"` r3/e, 27/ PG; $4 LEACHING PIT NOTES: EST. TOTAL DAILY EFFLUENT3_GALS . foandati on coif=ms to the Baxn- a ,o , D'. �r I . CONC. TO BE 4000 P.S.I a 28 DAYS . SEPTIC TANK t' +' :` GAL. table uonin�; T�ei 1�1 u t OYLS It q/ AVID n Al 1 " SANICKI ". 2 . R E I N F W 6 x 6 6 GA. W. W. M. { } 8085 ,� ti 3. 2 'AND 4 ' SECTIONS ARE AVAILABLE FOR GENERAL NOTES GREATER DEPTH REQUIREMENTS ' I . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN NOTE . - - - ACCORDANCE WITH TITLES OF THE STATE SANITARY CODE EXCAVATE TO ELEV• "1 --''f OR LOWER AS DATED JULY 1,1977 & ANY LOCAL RULES APPLICABLE. REQUIRED TO REMOVE ALL LOAM AND CLAY CONTAINING 2. ANY CHANGE TO THIS PLAN MUST BE APPR'D. IN N �RS 4 BUILDER LDE R�W - MATERIAL BENEATH PIT. REPLACE EXCAVATED MATERIAL WRITING BY MR. CHARLES D. SPOHR. WITH CLEAN,CLAY FREE GRAVEL, MECHANICALLY 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, COMPACTED IN PLACE. CL 4)kK f l ,. /A , aU/L..L71EQ'5 SIDE AREA = S. F.0S. F./GAL GALS NOTIFY THE ENGINEER AND BOHTc� OF NEyLTH FOR INSPECTION. Q BOTTOM AREA= S. F. ,t'� G'oA./ FAR. k l S. F/GAL GALS 4. FOUNDATION ELEV. MUST BE CHECKED WHEN COMPLETED. f� ���3� - �i `1 5. THESE ELEVS. MUST NOT BE CHANGED WITHOUT WRITTEN fLr(/lQi:)Tf-�� 114/�) J'�.5 . TOTAL AREA = S. F. TOTAL � � GALS APPROVAL BY CHARLES D. SPOHR, LEGEND 6, FOUNDATION INSPECTION READ. WHEN EXCAVATED. + 50.0' EXIST. GROUND ELEV. B. M. NOTE : 50.0' FINISH GROUND ELEV.-%NDERLINED" /`i r EL,E1C5 BASED pAJ PAyE"i •A)l- EOGE 4750' PIPE INVERT. ELEV. REV DATE D E S C R I P T 1 0 N fir - r-�Ssu�uot- v, ""o. oca ' o TEST PIT LOCATION SEWAGE DISPOSAL SYSTEM FOR 0 o SEPTIC TANK Ak EA PLAN : C LARK 4 ELl' BU I L D E R S cl DISTRIBUTION BOX --- I _ v t /s o r �� T<a P� Fp1-)�2�'� FRo" s-uAe vE y pi. -,qA.1 LOT 4 F_ E T -- 5 L I E FQA2 C, r n_ r 4 C. I . PIPE f6«� l r 7�4� FI-DOD PLAAJ pF �3 UI� D,E�'S ...� CAL_E" j -- ,1 oc7 79 ,eT SAE` Z ISI. �tIA s�VF ^4, � �t: g � � {P I TCHERS WA (� I i YAf�J C 11 S -Ht+ttttf- 4 BIT. FIBER PIPE - TIGHT JOINTS SPOHR ' -P Nu 7468 / ? - -- - PROPERTY LINE ' °i.; DESIGNED: C.D SPOHR DATE30 OCr `P-) DRAWING No. A9 7STE�` . Ss,' k` DRAWN: C"' SCALE'ASSHOWN MAP SEC PCL LOT HOUSE 7-0WAI WWA7T MIN. CODE DISTANCE {{ `�A, . 4N.CHECKED' C. D. S .