The URL can be used to link to this page

Home My WebLink About0101 FROST LANE lD 1 fro s-� �.Q h � �. .r , . e i �: Town of Barnstable Building PostThis CardlSo That rt is>.\/rsible From the Street Approvedr:PlansMust„be,;Retamed on J,ob and this Card Must ibe Kept Posted Until;F nalnspectionHas Been Mader Permit ° Where SAAMMASM a Ce�rtifcate:oaf Occupancy Required,suchtldmg shall NotbeOccupdu.nti)a Fnalsinspection;fias been madex Permit No. B-19-2621 Applicant Name: Thomas Capizzi Approvals Date Issued: 10/03/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 04/03/2020 Foundation: Location: 161 FROST LANE,HYANNIS Map/Lot: 289-013 Zoning District: RB Sheathing: Owner on Record: LADNER,THOMAS Contractor Name:` JOHN T STRUMSKI Framing: 1 Address: 101 FROST LANE Contractor License: CS=064817 2 HYANNIS,MA 02601 Est. Project Cost: $7,000.00 Chimney: Description: Remove and replace two fixed skylights in upstairs.,bathroom. Permit Fee: $35.70 Velux M04 fixed with solar blinds. Insulation: Fee Paid: $35.70 Project Review Req: Date. E 10/3/2019 Final: • Al r,�ryY Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six.months after iss an�. iaa Final Plumbing: All work authorized by this permit shall conform to the approved applicat on'and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and stractures;shall be in compliance with the local zoning by laws`ansd codes. Rough Gas: . ., This permit shall be displayed in a location clearly visible from access street o.rd and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. ;roa Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures bythe Budding and:Fire Officals are;pro�idea on thispermit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing i - -` Service: 2.Sheathing Inspectionv. Rough: 3.All Fireplaces must be inspected at the throat level before firest flue'- is installed; .- g 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy •Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 6 Final: N�-z..�r �__�_' _ a ( 1 .N d . � r � � � { G �- r �tHE„ TOWN OF BARNSTABLE R Building Application Ref: 200705890 • * BARNSTABLE, Issue Date: 09/25/07 c Permit 9 MASS �ArFO 339. A Applicant: LEIF E BOTTCHER Permit Number: B 20072349 Proposed Use: SINGLE FAMILY HOME, Expiration Date: 03/24/08 Location 101 FROST LANE Zoning District RB Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 289013 Permit Fee$ 533.00 Contractor LEIF E BOTTCHER Village HYANNIS App Fee$ 50.00 License Num 76085 Est Construction Cost$ 130,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ADD 24 X 28 GARAGE TO EXISTING LEFT SIDE OF HOUSE. MAKE THIS CARD MUST BE KEPT POSTED UNTIL FINAL EXISTING ATRIUM A MUDROOM INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: LADNER,THOMAS BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 101 FROST LANE 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 ORANY PART THEREOF;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.THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM:THE CONDITIONS OF ANYAPPLICABLE SUBDIVISIOM 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). 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 Town of Barnstable Regulatory Services BARNS Thomas F.Geiler,Director Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us 'Office: 508-862-4038 Fa 508-790-6230 PLAN REVIEW Owner: T%. 1--t4-b Y Lf k: NIap/ParceI: � or Project Address ID rs� � Builder: - O 7-- —C uE 2 The following items were noted on reviewing: Reviewed Date:.. _ ,� F_a -7 Q:Forms:Plnrvw LOT 11 ASSESSORS LOT 5 LOT 289-012 ASSESSORS LOT 289-009 CB (FND) _ N88 4010"E 136.46' a, �o (FND) FOUNDATION ,,,,: HOUSE';;';;;;13,01 ,.,, w � �y O .ter aIII can CB (FND) aw ASSESSORS °�• LOT 1 LOT 289-008 r, , ASSESSORS%Lp 0. ' LOT 289-013 cB (FNDj N7971 f p- , 8208, i C.B. (FND) FLOOD ZONE "C" FO UNDA TION CERTIFICA TION RES ZONE- "RB" TOWN. HYANNIS SCALE- 1' 30' PLREF.• 164-57 ELEV N/A SETBACKS. 20 10"-10' YANKEE LAND SURVEYORS °�� -=aF y✓� & CONSULTANTS I CERTIFY THAT THE "FOUNDATION" IS SHD WN ' = r s' ="='� �= P.0. BOX 265 .4 " ' UNIT 1, 40 INDUSTRY ROAD ON THE PLAN AS IT EXISTS A MARSTONS MILLS, MA 02648 508 508ON THE ROUND. TEL —420—5553 JOB 3 7` .OATf-10-18-07 I NUMBER 54268FND TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �- I —7 Map Parcel Application#. ,_)C6' 1b � Health Division Date Issued I c;L f Conservation Division Application Fee Tax Collector Permit Fee a ;�lr Treasurer �IL Planning Dept. Date Definitive Plan Approved by Planning Board r Historic-OKH Preservation/Hyannis Project Street Address 101 Fr N Village 4 1W Owner M A S LRJ N E7?-, Address Telephone Permit Request b ma) _ C 1.. ZNdic�or r Square feet: 1 st floor:existing 102A proposed 2nd floor:existing 57Z proposed Total new Zoning District Flood Plain Groundwater Overlay .as Project Valuatiot _ Construction Type t taczj (Z Lot Size Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure �' 5.Historic House: ❑Yes 90 No On Old King's Highway: ❑Yes W No Basement Type: II 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 Z Total Room Count(not including baths):existing new--4 First Floor Room Count Heat Type and Fuel: VGas ❑Oil ❑Electric ❑Other Central Air: ❑Yes `ONo Fireplaces: Existing I_New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:V existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use- n Proposed Use BUILDER INFORMATION Name LEI F ffnr-r- TP-1 Telephone Number bop)-3w2 -142-U2- Address PD IJO) License# 70f) 8E) pt.barn &+d h P h P DZU Ln Q, Home Improvement Contractor# I I I C15p Worker's Compensation#tp V U b542_JpC�5(e5 e D_7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO v SIGNATURE DATE 11-20 -07 T; FOR OFFICIAL USE ONLY = APPLICATION# DATE ISSUED MAP/PARCEL NO." i ADDRESS VILLAGE ' OWNER, �yG ' DATE`OF4INSPECTION I . FOUNDATION ` FRAME t'C- INSULATION, ' O f A- I� FIREPLACE ELECTRICAL: ROUGH' FINAL - PLUMBING: ROUGH FINAL L GAS: ROUGH FINAL r FINAL BUILDING ' DATE CLOSED OUT ASSOCIATION PLAN NO. ' i T-3" 19'41" 6'40" 2'-6"x 4,-8" _ - 2-6"x48" - 60"LX30'W I I CV cam-3 Ny' k..o oOD � o - i7-5'— _� I I� - =1 20�� '° Cl) �} 5 �o N 3'-0"x 6'-8`8F I. •2'-6"x 6'-8" ti 10'-9" 2'1"" 1'-11" � �' 15'-10" N ` I I � i� 3_I� _3, 1,,I IFRlx lOJO( 'IT 'o. Loa y,L. -3�10 -� 2'-6"x 4'-8" 18'-6" T_7" 34'-0" ID , �✓ I . � 4 f J. „L-,6 r-0 IRQ - W-3"- V � V Zm - =-- __ I � 4 o� C - j �ajtr �I-i�__ V N I ere 4'I j I - 1,_7„Ir-4,I5„ T co I O d II 2'10" A [j I' (s 4'17 I 13R x 10.007.1- ... ra•,.•.a ra•,sa• ra•„�a• -I ra•,,.a. I N N N O O t v � 372" -2214..__ -727 isms! @a rn I i ins \ '•;�,;a\ `\��\' \�. .� `\ IIV - —_-�r ;\..,.'G .•:mot.�� \M'�\ O" 401, CD CD . ae .. rt'm g SS �� _.. � S F �1�•.� R I N C v no so -CULT c I � I vII, tD `•J F—+ • 780 CMR Appendis J Table J&Mb(continued) Prescriptive Packages for One and Two-Family Residenthd Buildings Heated with Fossil Fuels MAJdMUM MINIMUM Hearing/Cooling m STab Glazing Glazing Ceiling Wall Floor Baseent P slab Equipment Efficiency Area'(%) U-value= R-valuer R-value{ R-value° wall R-value° R��' Package 5701 to 6500 Hating Degree Days' Normal Q 12°/a 0.40 38 13 19 LO 6 Normal R 12% 0.52 30 19 19 10 6 6 25 AFUE S 12% 0.50 38 13 19 10 Normal T 15% 0.36 38 13 25 N/A N/A Normal U iS% 0.46 38 19 19 10 6 85 AFUE V IS% 0.44 38 13 25 N/A N/A W IS% 0.52 30 19 19 10 6 8S AFUE Nom1a1 X 19% 032 38 13 25 N/A N/A Y 18% 0.42 38 19 25 N/A N/A Normal Z 18% 0.42 38 13 l9 . .10 6 90 AFUE AA 19% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: I I F'()Ste_ tv . RU A iy 1\ C)*2-u 0 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: SQUARE FOOTAGE OF ALL GLAZING: I .. 3. SQ , 4. %GLAZING AREA(#3 DIVIDED BY#2): 1 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f9803O3a L 780 CMR Appendix J Footnotes to Table A2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall, e area, expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-valueruirement. q For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R 38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 4 Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used).-Do not include exterior siding, structural sheathing, and interior drywall. For example,an R 19 requirement could be met EITHER 1 by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame cons truction. 6 The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, orgarages).Floors over outside air must meet- ('The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement dscribed in Note b. 7 The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. . For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R:values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value ` in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine.compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,_floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted.average R-value is greater than or equal to the R-value requirement f6r that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 I Town of Barnstable ql �G Regulatory Services BAMMBLE, Thomas F.Geller,Director 9 MAW. `bA 039. A�� Building Division TfD MA'S - Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. - O© Type of Work: t(`�CO � I Estimated Cost,_ f n Address of Work: I c Owner's Name: Date of Application: 11— 15 —C)_7 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO T ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: I I 1Gi b,, � E i F- Date Contractor Name Registration No. OR Date Owner's Name Q:fotms:homeaffidav I - e Tp Town of Barnstable .. • �W Regulatory Services s sres , t Thomas V.:Geiler,Director Building Division TomPerry, Building Commissioner 200 Main Street, Iiyannis,MA 02601 wvvw.to wn.b arnstable.ma.us office: 508-862-4038 Fax: 508 790-6230 F Property Owner Must Complete-and Sign T-1-As-Section- if Using ABuilder lei as Owner of the subject property hereby authorize ' I �' � .�'1 to act onnybehalf, in all naatCers relative to work authorized by this building permit application for: (Address of Jo U Si Lure of Owne Date 4 P t arne I The Commonwealth of Massachusetts =` Department of Industrial Accidents _ exce ifMOSWOM 600 ylrashington Street Boston,Mass- 02111 Workers' Compensation Insurance �Gn area Businesstis / ME f"A address: fin, hone# C �Y`12 State: work site location fu address: e Retail[]Restaurant/Bar/Eating Establishment C I am a sole proprietor and have no one Business rl�p : Office Sales(including Real Estate,Autos etc,) working in any capacity. ` ill _�-I am an to er with em 1 es(full& art time. Other em ploy providing vtQrkers' comnensatton for-my employees yvorlQng oI am an ein tlu3 fob. !: .. •env nam _ ,.,,:•.r. v Y.. .J. addr+ass. :;a '` `':C; :��.; ;,� �,: : ,, .•, : ,,. — . a,::: _'•; , .=tr= bone#•' ' •.,.'• •: :...�:..�'r •• :fit„^ 01i workers' etor and have hired the independent contractois listed below who have the following I am a sole propri cortt�en sit ion polices: `• "' .t. t;wt .. :,ram:.\i ::'a'' '4'".r i:;.i:.' .•'•. '" •. •. r rr•en P + �+iaFr'.r'••N':�:,a '�:"'••�n'•I'••\�:�.i'. '•' Y'F�,t"+ ,r: _'"_:: r;?=.r. ••t. :r+.4. •_ ••1�'1�'•.:•+.1. '<^l.r. -, 'V',"- ,'.:.a• 'tr,=,i•=,• ;j;,;.r++,= .j• ••�n•„•r •t' ••i'• • Yt'•. /. r s.'t.�•• ,•, 'riv•r Air:; ','�•'f' ._..'.,'• ,..O11CV# r.?�^:'� r. •'� / /0�� .. inslirence co / l// t 1.'; {:. _ ,t .ir.r�i•. 'n t,. ., ,p',a f.l.yir:i til.: =t�..•7..• address: _ f,,• :,.' ' .c.,: , y.r. bane#!� ,.� a fin " to SI,500.00 and/or• G. Fallure to secure lea coverage as required�mealtin the form of a STOP'FVORK ORDER and a Fine or$100.00 as day agalwt me I understand.that p one years'imprisonment as well w civil p copy otthis statement may be fornarded to the OiDce of lnvestlgatioa of the DIAfor coverage verificetion I do hereby certify under thepains alties of perjury that the information provided above is true and corrects Date h�9 signature - �)2^ v {21y2 L�� Phone# �(� - . Print name r� _ oilieia]w=only do not wrtte in this area to be completed by city or town offielal • permitillcense# ❑Building Department city or town; (]Licensing Board QSelectmen's Office r ❑checkitlrameabteresponseisrequired []Health Department , phone#; ❑Other coatactpersow _ (revered SCI1003) � y Information and Instructions Massachusetts General Laws chapter 152 section 25 requires an employers to provide workers' compensation for their M • another under contract employees. As quoted from the"law",an employee is defined as every person m the service of any of hire,express or implied, oral or written. An employer is defused 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 enti%'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 b g_appur enap thereto shall not because of such employment be deemed to be an employdr. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance dr renewal of a license or permit to operate a business or to construct buildings in the cbrmnonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the coirimonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until.acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted. to the Deparlm=t of Industrial Accidents for confirmation of insurance coverage, .Also be sure to sign and date the affidavit. The affidavit shouldbe 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-'U-W'or if you are required to obtain a workers'compensationpoliay,please call the Department at the number listedbelow. i City or Towns _ ?lease be sure.that the affidavit is complete and printed legibly. The DepartrnentJas provided,a space at the bottom of the you to fill out in the event the Office of Investigations has to contact you regarding fhe applicant: Please., affidavit for be sure to in the ill Out/license number which will be used as a reference number. The affidavits;may be returned to . the Departmeht by nail or FAX unless other arrangements have been made. ; 'rhe Office of Investigations would ltice to thank you in.advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone:and fax number•. _ . . . ' . The Commonwealth Of Massachusetts Department of Industrial Accidents fTtffs®of f"esfjgaugns 600 Washington Street ' Boston,Ma. 02111 fax.#: (617)727-7749 phone#: (617)7274900 ext.406 I i off ##•�$ ��J��h�.hf//GGK6I4 rap,oad{of Bud ' u�t�onsan'tiStanlards r. - IFonstrucorn,S} t perymo hick e L se CS �76085 4x J 20U9Tr r45124 LEIF E.B®TT G HER 825 CEDARS TREE ' - - W:BARNSTABLE MA©2668 � - Comm�ssiotter rt . ✓lie -Pomr�no�Eae«/.l�i.o�✓�aaaac�iuQella Board pfiBudding Reguiahoa,and Standards HOME IMP VEME--NT CONTRACTOR. ktegist�t�oxa�`"`�1-�950 09 Tr# 12789U 3y a DA, w LEIF BOTTCHER k( f( RACTOR LEIF BOTTCHER ` W BARNST'ABLE MA 02668 Admin�strato� PAUE C103/003 Fax Server ACORD. CERTIFICATE OF INSURANCE PRODUCER DATE(MMIDDIYY) 09 07-07 THIS CERTIFICATE i 51SSUED AS A MATTER OF INFORMATION BRYDEN&SULLIVAN INS AG ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 88 FALMOUTH RD HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ' ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. HYANNIS,MA 02601 COMPANIES AFFORDING COVERAGE 232MY COMPANY INSURED A TRAVELERS DIRECT ASSIGNMENT COMPANY BOTPCHER LEIF B 825 CEDAR ST. COMPANY W.BARNSTABLE.MA 02668 C COMPANY COVERAGE D THIS IS QU CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED i ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO AFFORDED S. THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TER OR THE POLICY UERfOR M Y PERTAIN. THE IN URANCG ' PAID CLAIMS. WHICH THIS CERTIPIC�ATE M3,EXCLUSIONSANDCONDITIONSOFSUCHPC,iLICIEES' LIIMEITTSSSHOWONR MAY THE INSURANCE CO MAY HAVE BEEN REDUCED 8Y LTR TYPE OF INSURANCE POLICY EFF POLICY EXP GENERAL LIABILITY POLICY NUMBER DATE(MMIDDtYV) .DATE(MMIDDIYY) COMMERCIAL GENERAL LIABILITY LIMITS CLAIMS MADE GENERATE-COP GATE $ OWNER'S&&CONTRACTOR'S PROT. PRODUCTS=COMPIOP AGG. $ PERSONAL&&ADV.INJURY $ EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ AUTOMOBILE UABiLITY MED.EXPENSE(Anyone person)) $ ALL OWNED AUTOS SCHEDULECOMBINED SINGLE LIMIT UTOS OS 1!lODILY INJURY(Per Person) $ HIRED AUTOS NON-OWNED AUTOS RODILY INJURY(Per Aaldent) $ P GARAGE LIABILITY PROPERTY DAMAGE $ ANYAUTOS AUTO ONLY-EA ACCIDENT S OTHER THAN AUTO ONLY: EXCESS LIABIUTY EACH ACCIDENT $ UMBRELLA FORM AGREGATE $ OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ WORKER'S COMPENSATION AND AGGREGATE S A EMPOtYER'S UA8IUTY THE PROPRIETOR/ U&34268658-07 07-29.07 PARTNERSIEXECUTIVE 07-29-OS STATUTORYLIMITS INCL E,4CH ACCIDENT X OFFICERS ARE: X EXCL DISEASE-POLICY LIMIT $ 100,000 OTHER DISEASE- $ 500,000 EACH EMPLOYEE $ 900,000 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLCS/RESTRICTIONSISPECIAL ITEMS PHIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. THE p'ORRERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR BOT FCHER iEIF_ MA CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE?S3UING COMPANY WILL ENDEAVOR TOMAIL In DAYS WRITTEN NOTICE TO THE CER''IFICATE HOLDER NAMED TO THE LEFT,BUT FAILURETOMAIL SUCH NOTICE SHA,L IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGE61TS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Charles J Clark f _ Y w � PHILBROOK ENGINEERING & 107 BEACH STREET DENNIS, MA 02638 CONSTRUCTION 1.508-385-8682 ENGINEERING DESIGN • CONSTRUCTION INSPECTIONS • BUILDING, ALTERATIONS 8 RENOVATIONS 24 July 2008 To: Mr. Reese Proctor - Builder Subject: Town of Barnstable Building Department - Permit #B-2007-3052 Reference: CONSTRUCTION PLANS prepared by Leif Bottcher - off job LADNER Residence, 101 Frost Road, Hyannis, MA Dear Reese: The following information addresses construction of the spanning beams in this house for the Bldg. Dept. records. It verifys installations and de- tails additional work to finish the framing upgrades. . The following loads were used from Chp. 36 of the Massachusetts State Building Code, 6th ed. Deflections were held to LL/360. and TL/240: Roof Live Loads - 25 lb/sq ft (4/12 Pitch in Zone 1) Roof Live Loads - 20 lb/sq ft (9/12 Pitch in Zone 1) Roof Dead Loads - 15 lb/sq ft (cathedral .w/ 1/2" GWB) Floor Live Loads - 40 or 30 lb/sq ft (1st rL 2nd Floors) Floor Dead Loads - 15 lb/sq ft (joists, ducts, insul, GINS) Partition Dead Loads - 12 lb/sq ft for wall assemblies The following information highlights sizes and connection requirements for you and the Bldg. Dept. Please refer to attached design sheets: 1 KITCHEN/LIVING Room Beam; W10x22 ASTM Grade 36 or 50 Posts; 411x 4" CONST D-Fir OR 4/2"x 4" CONST SPF #2 FAMILY Room CX' Beam; W12x19 ASTM Grade 36 or 50 Posts; 411x 4" CONST D-Fir OR 3/2"x 4" CONST SPF #3 OPEN GARAGE Beam; W12x30 ASTM Grade 36 or 50 Posts; 4/2"x 4" CONST SPF #4 BASEMENT Beam; W12x19 ASTM Grade 36 or 50 Column; 3-1/2" Concrete filled steel column w/ mfgs. Caps Bell Pier Footing (interior wall) : 12"x 18" square concrete Keeper Bracket; Use at outside wall as supplement to bearing & to NOTE - Tack weld all steel to steel connection #5 GARAGE LOFT Beam; 2/1.75"X 24" BC Versa-Lam SP Header Beam; 2/2"x 12" #1 KD S-P-F(s) NOTE - Solid block to foundation below w/ intermediate stud posts #6 PORCH ROOF u/ G Header Beam; 2/1.75"X 11.875" BC Versa-Lam SP OF TrimNOTEmerFasten beams 5to posts 5w/11 Bpairss Vera-Lam of Simpson H2.5A clips T. VARNUM Gn Z� PHILBROOK Respectfully submitted, MECHANfCgL �Q�1CM'67�'1��•'�dY� No. 30690 9FG/STER�� T. VARNUM PHILBROOK, P.E. ss/ONAI E ' 1 Encl; Design Program & Calculation Sheets PHILBKUUK ENGINEERING FIELD REPORTMORKSHEET I Project No: ,o?BEACH srnEEr 1 DENNIS,MA 0283E 1 Sheet No: of GENERAL DESCRIPTION Builder Reese Proctor 685-5124 Narrative: 1-1/2 Story Cape Style Residence w/ 2 Car Garage & Loft Location: . LADNER, 101 Frost ,Road, Hyannis, MA Construction: 21'x 4" @ 16" o/c Platform Frame w/ Stick-built Roof ------------- on Full Height Concrete Foundation & Garage Slab • I SPECIAL CONSIDERATIONS Use Group(s) : R-4 (1 Family Residence) w„� I ------------- Construction Type: 5B (unprotected) - note separation below ------------------ Misc or Comments: o Plan & Design Review ----------------- Roof, Floor, Beams, Plates & Connections >« o Certificate w/ Construction Notes DESIGN CONSIDERATIONS Soil Data: - Site Plan or Boring Log available: NO ---------- Preparer of plan or log:lip- { - Direct Observation: YES; 2 JUL 2008 Silty Medium Sand, Some Fines Description: USCS = _SP(SM)_ SBC Class = -8- +, Specifics: Br(allow) = 2,500 lb/sq ft w/ 10% allowable width increase Fire Data: 1 hr Separation between Private Garage and Residence ---------- . including walls & ceiling i Loads SBC Location #/sq ft Dur Note { ____ _ _ _ __ _____ _ __ _ _____ ________ C 1st Floor - Residential - 40 1.0 L/360 2nd Floor - Residential 30 1.0 L/360 Attic 10 1.0 Non-Expan Balcony/Decks 60 1.0 { Partitions: 2x4/3x4 12 1.0 Bear/Non-Bear Snow - m = 4/12 & 9/12 25 20 1.15 Zone - I Wind .- Ref Pres = 21 Zone - 3 { worst +/- _ -.8 -17 1.33 ERP - B/C Loadings 1 lst Floor 2nd Floor Attic Roof Deck ----•--------- ---------- -- --- --------- -------------- ---- -- LIVE LOAD ------ ------40 ------30 -----lo--------25--60 ----- --- DEAD LOADS 1 12 13 8 7 7 Misc 12x10 Joists, 2x8 Rafters w/ FG & GWB DESIGN TOTAL 1 55 45 20 35 70 w/ round I w/ 5% on DL NET UPLIFT = (DL&W SCI ) ( ) - .67( ) = lb/sq ft 1.05 x (-17) - .67 x (10) _ -12.0 lb/sq ft QOB,26 . �F �qss i 9CyG T. VARWM PHu-BROOK MECHAWCAL o. 3 { P82-FRW-7 �FSSIONAL E�6 ' n GENERAL DESCRIPTION Builder Reese Proctor 685-5124 Location: LADNER, 101 Frost Road, Hyannis, MA KITCHEN/LIVING Room Beam; WlOx22 ASTM Grade 36 w/ Fb = 23,800 PSI & E = 29.Ox 10(6) PSI Wul = (18'+81)/2 x (30+15) + 25 + 7.51x 12 Span = 1516" Wul = 700 lb/If Mmax (1 span) = 21,022 ft-lb Sreq = 10.6 in(3) Savail = 23.2 in(3) dmax = TL/240 x .85 = .66" dact = .27" OK to use Bolt bottom flange to top of Wood posts w/ 3/8"x 5" lag bolts Posts; 4"x 4" CONST D-Fir w/ Fc(ll) = 1,650 PSI & E = 1.5x 10(6) PSI Pmax @ Post - 5,425 lbs Leff = 8' 0" Fc(ll)req = 443 PSI LOW -- OK to use Set solid tight to wall plate, solid block to girt below OR 4/2"x 4" CONST SPF w/ Fc(ll) = 1,200 PSI & E = 1.Ox 10(6) PSI Pmax @ Post = 5,425 lbs Leff = 8' 0" Fc(ll)req - 258 PSI LOW -- OK to use Sat solid tight to wall plate, solid block to sill plate FAMILY Room Beam; W12x19 ASTM Grade 36 w/ Fb = 23,800 PSI & E = 29.Ox 10(6) PSI Wul - (12'+149/2 x (30+15) + 25 + 7.5'x 12 Span = 1116" Wul = 700 lb/lf Hmax (1 span) = 11,570 ft-lb Sreq = 5.8 in(3) Savail = 21.3 in(3) dmax = TL/240 x .85 = .49" dart - .07" OK to use Bolt bottom flange to top of wood posts w/ 3/8"x 5" lag bolts Posts; 41'x 4" CONST D-Fir w/ Fc(ll) = 1,650 PSI & E 1.5x 10(6) PSI Pmax @ Post = 4,200 lbs Leff = 8' 0" Fc(ll)req = 343 PSI LOW -- OK to use Set solid tight to wall plate, solid block to girt below OR 3/2"x 4" CONST SPF w/ Fc(ll) = 1,200 PSI & E = 1.Ox 10(6) PSI Pmax @ Post = 4,200 lbs Leff = 8'0',' Fc(ll)req = 267 PSI LOW -- OK to use Set solid tight to wall plate, solid block to sill plate OPEN GARAGE Beam; W12x30 ASTM Grade 36 w/ Fb = 23,800 PSI & E = 29.Ox 10(6) PSI Wul = (269/2 x (30+15) + 35 Span = 2410" Wul = 590 Ib/lf Mmax (1 span) = 42,480 ft-lb Sreq = 21.4 in(3) - Savail - 38.6 in(3) dmax = TL/240 x .85 = 1.02" dact = .64" OK to use Bolt bottom flange to top of wood posts w/ 3/8"x 5" lag bolts Posts; 4/2"x 4" CONST SPF w/ Fc(ll) = 1,200 PSI & E = 1.Ox 10(6) PSI Pmax @ Post - 7,080 lbs Leff = 816" Fc(ll)req = 337 PSI Fc(11)allow = 353 psi OK Set solid tight to wall plates, solid to sill plate BASEMENT Beam; W12x19 ASTM Grade 36 w/ Fb = 23,800 PSI & E = 29.Ox 10(6) PSI Wul = (6.5'+11.51)/2 x (40+15) + 25 + 7.51x 12 Span = 1616" Wul - 610 lb/lf Hmax (1 span) = 20,760 ft-lb Sreq - 10.5 in(3) Savail = 21.3 in(3) dmax = TL/240 x .85 = .70" dact = .27" OK to use Bolt bottom flange to top of wood posts w/ 3/8"x 5" lag bolts I` GENERAL DESCRIPTION Builder Reese Proctor 685-5124 Location: LADNER, 101 Frost Road, Hyannis, MA Column; 3-1/2" Concrete filled steel tube column w/ Mfgs. Cap & Base Pmax @ Post = 5,030 lbs Low -- OK to use NOTE - Tack weld all steel to steel connection Bell Pier Footing (interior wall) : 12"x 18" square concrete Pmax @ Pier = 5,030 lbs Aavail = 2.25 sq ft Sb req = 2,235 lb/sq ft Sb avail - 2,750 lb/sq ft Cut Floor, Hand Dig, Form Bell, Fill w/ Mix, Rod & Strike Keeper Bracket; Use at outside wall as supplement to bearing & to provide surfaces for bolting and welding attachements Au- S . V1 ' GARAGE LOFT Beam; 2/1.75"8 24" SC Versa-Lam SP w/ Fb = 3.1 KSI & E = 2.Ox 10(6) PSI Wul = (249/2 x (20+15) + 25 Span = 26,0" Wul = 445 lb/lf Mmax (1 span) = 37,600 ft-lb. Fb(rep) req = 1,342 PSI LOW -- OK to use Fasten to wood posts w/ Simpson EPC64-16 post caps Header Beam; 2/2"x 12" #1 KD S-P-F(s) Fb(sgl) = 875 PSI & E = 1.lx 30(6) PSI Pt = 5,765 lb Spans = 310" Fb(sgl) req = 973 PSI Fb (sgl) = 1,006 PSI OK NOTE - Solid block 'to foundation below w/ intermediate stud posts NOTE - Fasten header,stub post & V-Lam beam w/ Simpson H2.5A clips PORCH ROOF Beam;• 2/1.75"8 11.875" BC Versa-Lam SP w/ Fb = 3.1 KSI & E = 2.Ox 10(6) PSI End Pt - (13'x 69/2 x (25+10) + 131/2 x 15 = Pmax @ Hanger = 1,465 lbs Hanger; Simpson HGUS412 face mount fastened to trimmer beam Beam; 3/1.75"R 11.8751, BC Versa-Lam SP w/ Fb = 3,1 KSI & E = 2.Ox 10(6) PSI End Pt = (14'x 61)/2 x (25+10) + 141/2 x 15 = 1,575 lb 2/1.75" Hanger Pt = 1,465 lb @ 7' (mid-point) Pmax @ Wall Hanger = 3,040 lbs Hanger; Simpson HHUS5.50/12 face mount fastened to sidewall blocking Posts; 411x 4" CONST Doug-Fir w/ Fc(ll) = 1,600 PSI & E = 1.5x 10(6) PSI Pmax @ Post = 3,040 lbs Leff = 8' 0" Fc(ll)req = 248 PSI LOW -- OK to use NOTE - Fasten beams to posts w/ pairs of Simpson H2.5A clips r �` 4 Aiding A-11 _4�71 TV * a>�uvsr�►B>�. : �Ieyfi t oa.sPermit . � ; IK118S r t 1?PLEIFEBOCHER PermitNuinber: B 20072349 , - r.°per diUse 4 SINGLE FAIvIII Y HOME Expiration Date: 03/24/08 Location#lO1FROST'LANE_ Zoning District RB Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map.Parcel 289013 Permit Fee$ 533.00 Contractor PROPERTY OWNER Village HYANNIS App Fee$ 50.00 License Num Est Construction Cost$ 130,000 Remarks i APPROVED PLANS MUST BE RETAINED ON JOB AND ADD 24 X 28 GARAGE TO EXISTING LEFT SIDE OF HOUSE. MAKE THIS CARD MUST BE KEPT POSTED UNTIL FINAL EXISTING ATRIUM A MUDROOM INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: LADNER,THOMAS BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 101 FROST LANE INSPECTION HAS BE MADE. HYANNIS,MA 02601 Application Entered by: PR Building Permit Issued By: UST lk� THIS PERMIT CONVEYSNO RIGHT`TO OCCUPY ANY STREET ALLY OR.SIDEWALK ORANY PART.TREREOF,-E[THER TEMPORARfLY.OR.PERMANENTLY. ENCROACHEMENTS ON'PUBLIC:PROPERTY' „NOT.SPECIPICALLY PERMITTED UNDER THE;BUILDING CODE;MUST'BE APPROVED BY THE JURISDICTION. STREET OR ALLY GRADES AS WELL AS DEPTH.AIVD LOCATION O.F PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. TH ' M )OESNTRLEA M'THEN ONYAPPLICABLE 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). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 b� I �lti 2 2 2 3 .1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health t. Ai �114E Application Ref: 200707397 • Permit BARN STABLE, Issue Date: 12%11/07 9 MASS. qj 1 39. Applicant: LEIF E BOTTCHER Permit Number: B 20073052 ArFD MA'I a Proposed Use: SINGLE FAMILY HOME Expiration Date: 06/09/08 Location 101 FROST LANE Zoning District RB Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 289013 Permit Fee$ 615.00 Contractor PROPERTY OWNER Village HYANNIS App Fee$ 50.00 License Num. Est Construction Cost$ 150,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND INSULATE, SHEETROCK,KITCHEZLREMODEL. TRIM REMOVE 2ND FLQQR CARD MUST BE KEPT POSTED UNTIL FINAL BEDROOM TO BECOME LARGER BATHROOM(SMALL BATH EXIS IN(3)ISPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: LADNER,THOMAS BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 101 FROST LANE 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"ANY PART THEREOF EITHER TEMPORARILY OR PERMANENTLY: ENCROACHEIvIENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY3PERMITTED UNDER"THE BUILDING CODE MUST BE APPROVED BY THE`JURISDICTION. STREET OR ALLY GRADES AS'WELL'AS DEPTH AND LOCATION OF PUBLIC SEWERS,1viAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.' THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPL'ICANT;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). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2` -'FtLf 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health ISEr° ti TOWN OF BA STABLE Building Application Ref: 200707397 BARNSTABLE. * Permit y M ASS. Issue Date: 12/11/07 �p i639• ,��' Applicant: LEIF'E BOTTCHER Permit Number: B 20073052 rE'0 MA'1 a Proposed Use: SINGLE FAMILY HOME Expiration Date: 06/09/08 101 FROST LANE Zoning District RB Permit Type: RESIDENTIAL ADDITION/ALTERATIO Location. Map Parcel 289013 Permit Fee$ 615.00 Contractor LEIF E BOTTCHER Village HYANNIS App Fee$ 50.00 License Num 76085 Est Construction Cost$ 150,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND INSULATE,SHEETROCK,KITCHEN REMODEL. TRIM REMOVE 2ND FL(POR CARD MUST BE KEPT POSTED UNTIL FINAL BEDROOM TO BECOME LARGER BATHROOM(SMALL BATH EXIS INQ)IiSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: LADNER,THOMAS BUILD,ING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 101 FROST LANE INSP C ION_IJAS BEEN MADE.... HYANNIS, MA 02601 . f' Application Entered b : PR it PP y Building Permit Issued By: THIS PERMIT CONyEYS NO RIGHT.TO OCCUPY ANY STREET;:ALLY"OR SIDEWALK ORANY PART THEREOF,EITHER TEMPORARILYORPERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER TH&BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET ORALLY.:GRADES AS WELL-AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.' CI LE ISSUANCE OF,TH[S PERMIT DOES NOT RELEASE THE:APPLICANT FROM THE CONDITIONS.OFANY 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). BUILDING INSPECTION APPROVALS . PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 I �� 1`ac71JrC l ,20 . 2 2+ �1`� 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 . Board of Health 3_ TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION Map Parcel „' Application # a0 7bS; Health Division Date Issued Conservation Division Application Fee s Planning Dept. Permit Fee Date Definitive Plan Approved.by Planning Board Historic`- OKH Preservation /Hyannis Project Street Address 1 d I F-f c) _ o e; - Village Q r'1 I S. Owner 1 _M . Address Telephone ® � Permit Request Cam` U UA WA- 64_�;�Apol Square feet: 1 st oor: existing proposed 2nd floor: existing proposed '.Total new Zoning District Flood Plain Groundwater Overlay `3. Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting`documentation Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) r' Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: Yes 0 No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use - APPLICANT INFORMATION— (BUILDER OR HOMEOWNER) FNam th D CY)G�S Lv S, c-TelephoneNumber cAddress=k �" �-0I Fro 'R Cc r\z License #�' Home Improvement'Contractor#==mm.,. 'Worker's Compensation # tALL CONSTRUCTI N DEBRIS RES LTING FROM THIS PROJECT WILL BE TAKEN TO z__ GNATUR DAT-DATE__ FOR OFFICIAL USE ONLY ,APPLICATION# DATE ISSUED MAP/PARCELNO. a d ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 110 —� FRAME ®(C- S 0 INSULATION �— y� � FIREPLACE ;d ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i . 3 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Ledbly Name-(Business/Orkanization/Individual): �O �� J -( Address; C) f f O EC__R/State/-Z-ip:_ n Ph0ne_#;'_G6 k Ce Are you an employer? Check the appropriate bog: T e of project(required): 1.❑ I am a employer with 4. 0 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 g, 0 Demolition working for me in any capacity. employees and have workers' 9 0 Building addition o workers' comp.-insurance comp.Insurance.$ e o work 5. We are a corporation and its 10.0 Electrical repairs or additions 73: --•am'a•homeowner-doing-all work officers have exercised their 11.❑Plumbing repairs or additions right of exemption per MGL myself-[No workers comp. 12.0 Roof repairs inctrran�Ie q ��t c. 152, §1(4),and we have no 13.0 Other employees. [No workers' comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'condensation 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. t-_Mtractors 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 subcont wton: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 crimirial-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 coveraze verification. I do hereby c fy under the pains �penl�'es of perjury that the information provided ab ve is ue and correct Siature:-.~... . �Date;.�,,...� 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 representative's 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-contractors)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 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 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 licens a 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 C6mmonwealth of IMassachus�us - Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-490.0 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass..gov/dia I Town of Barnstable Regulatory Services 9MAS& '$` Thomas F.Geiler,Director �Eo;o. 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 NOTICE TO THE BUILDING DIVISION OF CHANGE'OF LICENSED CONSTRUCTION SUPERVISOR I, bb ry) lns L A.1Z�)IqG�L , owner of property located at (^ voem Y1142� ; hereby certify that C-L p is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# ; 66g65o , issued on /C) 5 20 0 7- I understand that the project under,construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. �J )6 PROPERTY O ER DATE i q/forms/newcontrowner reference R-5 780 CMR rev:011608 Town of Barnstable OF ZHE Tp� " Regulatory Services BARNSfABLE. Thomas F.Geiler,Director 9 MASS'' g 16.59• p.� Building Division lE0 MA'1 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: O ��,, JOB LOCATION: U�� l� ^ number ,�/�/� /� /7- street �(�� a/ village ..HOMEOWNER": 19"1 o '' I A S LAD I V V e 4 "7 )�P� `1 W 1 name �/� home phone# work phone#' CURRENT MAILING ADDRESS: i r ,V,.." -v- city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwelling 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 r irements. ' 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 fornr/certification for use in your community. Q:fonns:homeexempt °FIHET Town of Barnstable Regulatory Services ASS. Thomas F.Geiler,Director i639' �`� Building Division \ Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 \ Fax: 508-790-6230 Property Owner Must , -Complete and Sign This Section ' i If Using A Builder,, 4 as Owner of the subject property herebyauthorize j to act on m behalf, y in all matters relative to work authorized bythis�building permit application for. (Address of Job) ; \ i � s s Signature of Owner Date 1 Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORM&OWNERPERMISSION TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �� l� Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan'Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village—T'A N/V f Owner T- 40 M 6 S L 0 k_� j� Address 'A r\u , Telephone D Permit Request Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supportingAdocumentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) __ Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kingzs-Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft)� r, ~ Number of Baths: Full:.existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑.existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name tiS i( T eiepl iui e Number Address )0 J'"/�C� F License# V Home Improvement Contractor# Worker's Compensation # _ ALL CONSTRUCTION DEBRIS RESULTIRG FROM THIS PROJECT WILL BE TAKEN TO _77f�r_A__ SIGNAT DATE r _ FOR OFFICIAL USE ONLY ZAPPLICATION# DATE ISSUED } MAP/PARCEL NO. ADDRESS VILLAGE I I OWNER 1 t DATE OF INSPECTION: s • FOUNDATION FRAME i INSULATION :r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 4 s • .I F DATE CLOSED OUT `4 ASSOCIATION,PLAN NO. -y i 3 ` �ME>n Town of Barnstable Regulatory Services SARNSrABLE. • v MAss. �, Thomas F.Geiler,Director Fo;pr6 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 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR ILad/A Lr owner of roe located at property rtY b =)Zo sr L.A Vy �- , hereby certify that C I c is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# 70753 - issued on 2a� I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. t cal PROPERT O ER DATE q/forms/newcontrowner reference R-5 780 CMR rev:011608 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information n Please Print Ledbly cX a s/organization/Individual): • Address: ��/ �-�n 2�,, f � `l — Uy I�J � �D City/State/Zip: � {� Phone.#: Are you an employer? Check the appropriate bog: Type of project(required): 1.El I am a employer with 4. I am a general contractor and I 6 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` Remodelin' g� ship and have no employees "These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 Building addition comp. $ o workers' comp.-insurance CO insurance. 10. Electrical repairs or additions required].�� 5. We are a corporation and its ❑ P _--T officers have exercised their I LE]Plumbing repairs or additions ��3_T -I-ants homeowner doing.all work , [No wor myself. : kers'-Comp. right t5f exemption.per MGL 12.❑Roof repairs • - �`t c..152, §1(4),and we have no 13.❑Other tn¢ttrance.regtured] employees. [No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. tConttactors 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-contractons have employees,they must providt their worker's'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 tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce under the pains an enT s of perjury that the information provided abov is tr a and correct. Si store: — Phone#• - Official use only. Do not write in this area, to be completed by city or town off &L. 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#• r 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 representative's 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-contractors)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 (Le.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, ' please do not hesitate to give us a call The Department's address, telephone-and fax number: t ; The Commonwealth of Massaehusctts' ' Department of Industrial Accidents Qffiee of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-490..0 ext 4.06 or 1-977-MASSAFE Revised 11-22-06 Fax#617-727-7749 www.mass..gov/dia I �tHE Town of Barnstable Regulatory Services r � r swxxszasM Thomas F.Geiler,Director '4 %639. .� Building Division AtF p�,t p 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; O JOB-LOCATI01 ? � iC_U number street village "HOMEOWNER":--J bOM 63 CAS,2 name home phone# work phone# �CURRENP NA—ILING ADDRESS:' C�, M_Q 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 r--eq ements. ZSignatur 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 personas 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:\WPFILES\FORMS\homeexempt.DOC oF1r+E tom, , Town of Barnstable Bnxxs'rMLE, ' Regulatory Services ArEo►��s Thomas F.Geiler,Director 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 � 4 Property Owner M st Complete and Sign Thi. Section If Using A Buil, er as er of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by uilding permit application for. (Address of Job) Signature of Owner i% Date I Print Name j Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revise020108 s TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 6 /a Application# 067 0 10 Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee --� Planning Dept. Permit Fee S� Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 101 r S HA- Village Owner lho"As k-ndAi — Address Telephone 09-50- IJ418 Permit Request Rdd 2 Square feet: 1 st floor:existing-Ilk. proposed 2nd floor:existing $ proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ( Construction Type —eo'T> 6UA . Lot Size Grandfathered: ❑Yes <4No If yes, attach supporting documentation. Dwelling Type: Single Family 00 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 14 No On Old King's Highway: ❑Yes Io No Basement Type: qFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) U Q 8 4 sa •r,+ - Number of Baths: Full:existing 2. new Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths):existing new First Floor Room Count 13 Heat Type and Fuel: ❑Gas (LOil ❑ Electric ❑Other Central Air: ❑Yes Wo 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 CIO new size 2-4X 25Shed'.4 existing ❑new size Other: i ..Zoning Board of Appeals Authorization ❑--Appeal# -_ - - -Recorded-Li _ Pommercial ❑Yes ❑No If yes, site plan review# I co Current Use Proposed Use � BUILDER INFORMATION �4. Name`4 F �Clr Telephone Number ,�lra2 Clts`:-T7 '=gap-7 $Q Address I?5 eer�(,�1 License# 07 ia0 Q 5 U1� ns ha Ai HA M_(Dl(ZQ� Home Improvement Contractor# 5 AD Worker's Compensation# U U 134_2_Lp&9n ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO UMD - o�11UC SIGNATURE DATE FOR OFFICIAL USE ONLY - - <• ` PERMIT NO. t D M ISSUED ' C MAP/PARCEL NO. ADDRESS �' r VILLAGE ` OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE _ ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL T GAS: ROUGH FINAL FINAL BUILDING 1 � t DATE CLOSED OUT ASSOCIATION PLAN NO. t y - 'r _i 7 Town of Barnstable Regulatory Services B" MASS. ' Thomas F.Geller,Director Building Division rED hAY. Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.ns Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: L. . Ltq-DN E k_ - Map/Parcel: �-L�_I y r Project Address /0 `�S� � Builder: The following items were noted on reviewing: A-L_L_ W 0f4e-- . La_b E Reviewed by: Date: ' �"�— -7 Q:Forms:Plnrvw s <"Board ofBuddmg RegniaUons andStaadards �` .' ConstructaoRSupeniisorLlce�se License. CAS 76085 Butladate; 8/30/1963 w ¢ Explratlon. 8/30/21309 Tt# 4124 ` Restriction ©0 LEIF E BQTTCHER;, 825 CEDAR STREET ''— I W BARNSTABLE,MA 02568 - Gomm�ssioner R -- � ✓�xe�i»n�x�uue�� Board.ofBu ld ngRegulations:and Staudards �IOIIrIE'IMPRDYEME1tT:CONTRACTOR Registration 111950 Ex Ps..M12009. Tr#. 127890 Type DBA LEIF BOTTCHWHQ, im.P CONTRACTOR 1 LEIF BOT CHER 825 CEDAR'ST W.BARNSTABLE,MA_02668 Administrator RightFax N4-2 9/7/2007 5:22 :48 PM PAGE 003/003 Fax Server ACORD. CERTIFICATE OF INSURANCE DATE(MMI,DD►YY) 09-07-07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BRYDEN&SULLIVAN INS AG HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 88 FALMOUTH RD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE HYANNIS,MA 02601 COMPANY 232MY A TRAVELERS DIRECT ASSIGNMENT INSURED COMPANY B BOTTCHER LEIF COMPANY 825 CEDAR ST. C W.BARNSTABLE,MA 02668 COMPANY D COVERAGE 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. CO POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIYY) DATE(MMIDDIYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. PERSONAL&&ADV.INJURY $ OWNER'S&&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Anyone person) $ AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY(Per Person) $ SCHEDULE AUTOS BODILY INJURY(PerAccident) $ HIRED AUTOS PROPERTY DAMAGE $ NON-OWNED AUTOS GARAGE LIABILITY ANYAUTOS AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGREGATE $ EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ WORKER'S COMPENSATION AND A EMPOLYER'SLIABILITY U13-342613658-07 07-29-07 07-29-08 STATUTORY LIMITS X THE PROPRIETOR/ EACH ACCIDENT $ 100,000 PARTNERS/EXECUTIVE INCL DISEASE-POLICY LIMIT $ 500,000 OFFICERS ARE: X EXCL DISEASE-EACH EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIRESTRICTIONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. THE WORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR BOTTCHER LEIF. JOB:IIMIMMI� ',MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE TOWN OF BARNSTABLE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT 200 MAIN ST -FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. HYANNIS,MA 02601 AUTHORIZED REPRESENTATIVE Charles J Clark ` ACORD 25-5(3193) tit °EVE 'down of Barnstable Regulatory Services &UMSTABLE, " Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence.or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: dib'1 (2A ,od I J Estimated Cos000 Address of Work: 10 J SCOSI A.ru., PVQAJAI I S t f a . O Q? S 0 1 Owner's Name: . I h(Z1`1 Date of Application: "1 1 7- d 7 I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIE F PERJURY I hereby apply for a permit as the agent of the owner: Date ;P40R. orName Registration No. Date Owner's Name Q:forms1omeaffidav RESIDENTIAL BUILDING PERAM FEES AP IC 'ION FEE - New Buildings $100.0.0 Residential Addition $50.00 AltemtIons/Renovations $50.00 Change of Contmotor/Builder FEE VALUE WORICSHEET .NEW LrMG SPACE ' ��square feet x$96/sq.foot= x.0041- plvs$.=below(if applicable) ALTERp,TIONSMN0VATION8 OF MMTING SPACE square feet x$64/sq.That= x.0041= plus frombelow(if applicable) . (,p ,AGES'(attached&detached) square feetx$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft.. >120 sf.500 sf $35.00 >500 sf-750 sf 50.00 . >750 sf- 1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building peaait: . square feet $96/sq,foot= x.0041= STAND ALONE PERMITS Open Porch (number)x$30,00= Deck _____x$30,00= (number) YireplacelChimaey x$25.00= . (number) • Ingronnd Swimming P Dol $60.00 Above Ground Swimming Pool $25,00 RelocationlMoving $150,00 (plus above if applicable) Permit Fee i 1 TAie J lib�entiase+dy 1 erfptira laelcsges for®aa and 7w*-F WIY It aielesttal llugdhw FIe°t®d 14M raw ftsh' MAXf" •�IeaaaglCotlag $ Glsda� ccillag Wail Floor Bes==A eat F�31dea� Am'(*/.) tJ•yaia2 tlavalue' veto®+ R,value Wa11 PetimDter Fm l;,•ygi1�� YSIT paekaae . 37at to ON Rghtfing D D l+icrasst 12% OA0 311 13 19 10 6 13°� U2 30 —19 19 10 �. •s3 & i 0.20 3g 13 18 10? WA ar 23 23 i!A ----- 31 04 - 3S 13 33 NIAi?AFU '1dfA i3: y.; ' ,• +15Ya 0.4.4 - d LI • 13'!a 0.52 30 ' 39 ' 19 10 BZarsssa3, FAA .13% 032' 3i 23 23 1d/A AIIA t9: 2Z rUA N!A Normal 1BYi '' 0.42 3S i 90 AFM •1>g�. 0.42 3i 33 19 10 13% 0.50 30 i9 19 10 d 1.-ADDRESS OF PRC#PBRTYe ' •b .. ---------------- 2 SQUARE FQOTAG$OF AI;Z, TERIORWALLS;: ---- . 3. SQUARE FOOTA(3E OF ALL'GLAZING: ' 4, a/a GLAZING AREA(03 D=Bl)EY#2): 5, 5EL,ECT PACISAGE(Q••AA-see chtit above), .. NOTE: on-M#SORE.W OL'VED METHODS OF DE'T'ERMN'f .ci MgBF G y g,EQuMmy m ARE AVAILABLE, ASI,US FOR IMS NFORMATION,• EtT�DINCs INSPECTOR.APPROVAL; ' —--- • NO; gafct�s��43Q3� 780 cMA-App�nd1x I . Z 1.ba � Lass doors, skylights, and Footnotes to Fable J5. • assemblies (including sllding-g gross wall Cilazlag area is the ratio of the area ®f the glazingoned a a dcars)'to the basement windows if located In Wallso l%of the total gl that enclose azing area maybe excluded from the U-valuee rf glazing eeaquirement. a eea,,;expressed as a percentage,Up For example,3 of decorative glass racy be excludedtested and docurrien ed by the manufacturero accordance with s After 3anuvY I, 1999, glazing U-values must be test rocedure, or taken from Table J1,5.3p. U°values are for the National Fenestration Rating Council (NFR P whole units: cent U=values cannot be used. tint m _bo Substituted for R 3g s .R values do not assume a raised or oversized Truss constnic�tlona. Yf'.the cinsu1a13an achieves the full ceiling bisul'at�on thickness over the,extenor vralls without compr� ti a Geil9agA�xal�ics preseatthe-sum••oi<cav1ty,, —_. a� sad 1�1'�i�nsu�a�ion inay be�stib tliuted'for''R=49,'-ins e ', suatiag Sheathing must.4a:plia d between . insui °n used):Far Vatllatbd &s,to s (if. insulataoiaPlus i?asulatuig g eroof, •. •� ' the conditioned space and the ventiated portion of the ' if'trsad),no tot include` e SUM the wall cavity iasulatioa plus insulating sheatliiag'( auld•be met MIER resent the imment c WaII.R•Yalu�rep end interior drywall•par example,an R 19 requ stivctural sheathing, sheathing. regniremeats apply'ta exterior siding, - by R-19 cavity Insulation OR R 13 cavity insulatiod plus R s Insulating pp to metal•-frame constrd.atim ' cret mascury,log)ivall constructions,but do not apply. mass con � didoaed crawls"Paces;basements, ood-from®ar tl'dned aces(such as uncap w apply to floors over uncondi spaces , e floor requaremotts pp Y troments. The ith an ayerage depth less a de roust or gamgCs),Floors over outside err must meat the ceiling requ 'The entire opaque portion.of any individual basement wan Is, Windows and 1idi:il gl�5d ors•of conditioned. 4 uirament'm above-grad oor U-value requirement meet the same 'R=value re q Basement doors must.taoit.tie d basements must be included with the other glazing. described in Node b :.. •.` t ..,,i -- ou plan to,install roars iTag R value requirements are for"uaheated slabs:4Add as additzoaal R-2 for..hea Qr - y p e lowest utilizes elgttriI resistance heating use compliance approach 3, •, ant with th If the building 3 men the o , equipment or more than one place of cooling aqu p t, than one piece of heating „ .efficiency must meet.or exceed the efficiency required by the selected package,•.• '• • e closest city or town set Table 1511a o ; DOTES: maximum acceptable levels.Insulation R Vilues are m um acceptable-levels. . es era at "alu a)Glazing areas and Components- ' e ulresnents ate for insulation cn1l+and do not Include structural r than 095,Door U-values must be tested fit-valuer q b)Opaque doors in the buUding 0yelopekmust have a U- ua no Bra and documen ted by the rriz iufacttuer m acceidanca with the NFRa�inprocedure o at door IsZctavailable,inc include the If a door contains glass and•en aggregate U•va g in Table J1.5.3b. cur windows cad use the opaque door U•vaiue to determine compliance of the doer. glass area of the door with y One door may be excluded from this requirement(i,Q ffi $v ace w-all component included two or mole areas with c)If a;ceil g�w4 flea,basemer}tWall,slab-osip, t P is ul tab at eqdal to atlon levels,the component complies if the area-welghted r mgo R' Q �;ghYe�a U- dlfferant ins Glazing or door components comply if the R�value requirement for that component. , ire of windows or doors is less Haan or equal to fide tJ•value requirement(0.35 for doors). 43 pF1NE t Town of Barnstable Services ' '" i'a' ` Thomas F.Geller,Director �A s639• s`e� QED MIA'I BuRding Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 62601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I, VMS L" ,as Owner of the subject property hereby authorize EI F�" Ib�ttLL to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) S-25-07 Signature of Owner Date Print Name Q:FORMS:O WNERPERMIS SION The Commonwealth of Massachusetts Department of Industriail Accidents Office of Investigations ' d 600 Washington Street Boston,M4 02111 wwrv.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers kpplicant Information Please Print Legibly vaxne (Business/Organization/Individual): ko j' &*jrr '{- Mc_ Address: ?2 5 01dnr -. "'ity/State/Zip: .bj.rnshbb I`tIR 02U-LeS Phone#: 77-4-g�tp-d180 ►re you an employer? Check the-appropriate box:. Type of project(required): I am a employer with 4. ❑ I am a general contractor and I * have hired the sub-contractors 6 New.construction employees (full"and/or part-tame). 7 �Remodeling El am a sole proprietor or partner- listed on the attached sheet $ g ship and have no employees These sub-contractors have 8. ❑ Demolition Working for me in any capacity. workers' comp. insurance. 9• ❑ Building addition [No workers' comp. insurance 5. ❑ We.are a corporation and its required.] officers have exercised their 10•❑ Electrical repairs or.additions ❑. I am a homeowner doing all work right pf exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no. 12.❑ Roof repairs insurance required.] f employees. [No workers'- comp.insurance required.] 13.0 Other ny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: +K [omeowners.who submit this affidavit-indicating they:are doing.all work and then hire_outside contractors must submit a new affidavit indicating such mtractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. tm an employer that is providing workers compensation insurance for my employees.'Below is the policy and job site formation. surance Company Name: 4icy#or Self-ins. Lie. #: Expiration Date:_ b,Site Address: 1p I s+ V� v nn[ tj-P}- City/State/Zip: O lach a copy of the workers'compensation policy declaration page(showing the policy nud er and expiration date). ilure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties'of a ie 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 up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of vestigations of the DIA for insurance coverage verification. to hereby certify under the pains and penalties of perjury that the information provided above is true and correct: ature:. Date: - -/ - .one#: - a} Ojfxial 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 � Instructions - /iassachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. 'nrsuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, :xpress or implied,oral or written." kn employer is defined as"an individual,,:parmership,,association, corporation or other legal entity,or any two or more )f the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the -eceiver or trustee of an individual,partnership, association or other legal entity,employing employees. However:tlie )weer of a dwelling house having not more than three apartments and who resides therein, or.the occupant of the swelling house of another who employs persons to do maintenance, construction or repair woik•on such dwelling house :)r 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 s 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-contractors)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 of 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 o: Investigations - 600-Washingfon Street . Boston,MA 0211 L. Tel. #617-727-4900 ext 406 or•1-877-MASSAFE Fax#617-727-7749 ,tevised 5-26-05 wwwmass.gov/d—ia- Town of Barnstable Permit# �� 7 , Expires 6 months from issue date PRESS, PERMIT Regulatory Services Fee j".4— Thomas F.Geiler,Director A AUG 1_ 5 Z007 Building Division TOWN OF BARNSTA,BLE10m Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY M / Not Valid without Red X--Press Imprint Map/parcel �pparcel Number� .��/ Property Address K315'esidential Value of Work 2 t0 Minimum fee of$25.00 for work under$6000410 Owner's Name&Address 0 Contractor's Name L-. t D✓z`�� Telephone Number jR;E'- C z{/z6z `a 7q--&36 .-0 C� Home Improvement Contractor License#(if applicable) l r✓ WAr Construction Supervisor's License#(if applicable) d 76 0�� . ❑Workman's Compensation Insurance Check one: �] I am a sole proprietor �] e Homeowner have Worker's Compensation Insurances y Insurance Company Name Workman's Comp.Policy# ( U [b,54'7 1 jI� b Q Copy of Insurance Compliance Certificate muus�t be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to U .� ❑Re-roof(not stripping. Going over existing layers of roof) e-fe_-side Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Prope er must sign Property Owner Letter of Permission. A the vement Contractors License is required. SIGNAF. Q:Forms:expmrt g�_ Revise061306 Y The Commonwealth of Massachusetts Department of Industrial Accidents € Office of Investigations a ' d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): . c Address: R-0. 0 City/State/Zip: i�' TT� G Phone.#: Sag- O C Are y 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 s'ub-contractors 6. New construction . 2.❑ I am a'sole proprietor or partner- listed on the•attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition workingfor me in an capacity. employees and have workers' Y P t3'• $• 9. (]Building addition [No workers' comp.insurance comp. insurance. 10. Electrical repairs or additions required.] 5. We are a corporation and its 0 P officers have exercised their 3.❑ I am a homeowner doing all work 11.0 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. YContractors 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.policy number. ram an employer that is providing workers'compensation insurance for my employees. Below is.the policy and Job site information. Insurance Campany Name: I r) Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address:`d� tE, �l�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 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 cgyggge verification. I do hereby certify an a •and pe tie rm con provided above is true and correct lenatur Date: Phone ` — I I Official use only. Do not write in this area,'tb 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 CIerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: 01*1HE� 'Town of Barnstable. Regulatory Services P � � # BARNSTABLE. s Wss Thomas F.Geller,Director 1,I� T 3Bullding 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 ABuilder as Owner of the subject property hereby authorize / r/ behalf, in all matters relative to.-work authorized by this building permit application for: . own (Address of Job) 2 -7 -b-1,5 ignature o Owner Date P Name Q TORM&OwNERPERMIS S ION ACORD CERTIFICATE OF LIABILITY INSURANCE DA7/26/Q07n PRODUCER THIS CBRTIF(CATEIS ISSLEDASA MATTEROFINFORMAWN .-Dinirgilio Insurance Agency ONLYAND CONFERS NORIGHTSUPONTHECERTFICATE 270 Broadway HOLDER.THIS CBMRCATEDOES NOT AMEW,EXTEND OR P.O. Box 8065 ALTER THE COVERAGE AFFORDED BY THE POLICIPS BELOW. Lynn, MA 01904 INSURERS AFFORDING COVERAGE NAIC# INSURE] INSURER Penn America LEIF BOTTCHER INSURER&Western World 825 CEDAR ST INSURER C: WEST BARNSTAEW, MA 02668 INSURERD: INSURER E: COVERAGES THE POLICIES OFINSURANCE 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 RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. r D' F POLICYNUMBER POUCYEFFECIIVE POUCYEXPIRATDNNSRE LIMITS GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000 coMMERcmGENERALLIABuN Sub1015111 7/8/07 7/8/0$ pRgyIEES Eaoeararca $ 50,000 CLAMS MADE ❑X OCCUR tba ` 7/17/07 7/17/08 MEDEXP(Aryampwsen) $' 51000 PERSONAL&ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPUESPER: PRODUCTS-COMPIOPALGG $ 2,000,000 POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea aoadert) $ ALL OWJEDAUTOS BODILYINJURY $ SCHEDULED AUTOS (per Per—) HIRED AUTOS BODILY INJURY NON-OVNNEDAUTOS (Peraeadent) $ PROPERTYDAMAGE $ (Per aeadert) GARAGELIABILITY AUTO ONLY-EAACCDENT $ ANYAUTO OTHER THAN EAACC $ AUTOONLY: AC,C, $ EXCESSIUMBREJ-ALJABILITY EACH OCCURRENCE $ OCCUR CLAIMSMADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORK ELS COMPENSATION AND O Y MITS ER EMFLOYEtS'LIABILITY _.. ...... EL EACH ACCIDENT $ ANY PROFR IETORIPA R TNER/EXECUTfl E OFFICERI EMBER EXCLUDED? E.L DISEASE-EA'B"PLOYEH $ Byyeess,desaibeunder SPECIALPROVI81CNSbebw ELDISEASE-POLICYINIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHCLESI EXCLDONSADDED BY ENDORSEMENTI SPECIAL PROVISIONS Description of business: Roofing, carpentry, landscaping and plumbing . fax 781-585-7483 CERTIFICATE HOLDER CANCE_LATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIESBE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 0 D AYS W RITIEN NOTICETO THECERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURETO DOSO SHALL IMPOSENO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE Elizabeth Antonio . ©ACORD CORPORATION 1988 i `TN E Taw i l BA`61f 9TOHLE, i 2 0 7 M A6 S. \� 0i679 lvlC/ 367 Main Slreel, Aannie, M-m. 02601 July 17, 1985 TO: JOE DALUZ. BUILDING COMMISSIONER FROM: BOARD OF SELECTMEN RE: COMPLAINT We have received a complaint abouta.Mr. Snow, a resident of Frost Lane, Hyannis concerning: 1 . Alleged building of a shed larger than 100 sq. ft. without necessary permits. 2. Running a business (carpentry) -out of his house. Would request that you investigate at your earliest convenience. Building Permit #28120 dated July 1,'19.85 Owner: Saben l01. Frost .Lane Diagram shows building 10' from property line 7/25/85 Observed one (1) wishing well w/for sale sign Assessor's map,and lot number ... .... `.. �,.�..... SEPTIC 51f�T M oFY"e ro t... �: P� Sewage Permit number ....................... ( . :.. INSTALLED Its LI 1W WITH 5 BAflBn9eT�LE, i House,.number ............. ...... . ....... ........ E AL CODE 1b AN 39 �� TOWN REGULATIONS �QMAIOr�9 TORN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO s. ....... ......................... ... .......................................6 ............... TYPEOF CONSTRUCTION ............ ............. ..... ......................................................................................... ........ .(.......................19.. � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby � applies for a permit according to the following information: Location ....I ..1. o `� , f - �5� ? .... :t>........l! :.`!-' 1�..ya1t��s. ........................................................................................ ProposedUse ......!^� ... . . ....` .. ............................................................................................ Zoning District .. .�.l......... ...................................Fire District ........ � .........................: My. Name of Owner .... ... J.... .l�.s�.T !!$. . '.....� .® 4. ..A.. Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing .......................................................:...................... ...... Floors .Interior ......................................:............................................. Heating ..................................................................................Plumbing .......................:........................................................... ,096)0 m fo Fireplace ....................................................Approximate Cost ........ ...........10................ �� Definitive Plan Approved by Planning Board ________________________________19________. Area ......//.........��...,........ . .. ......... Diagram of Lot and Building with Dimensions Fee .......`..2(...V..V.. ............... 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 re=arding the above construction. Name . ........... ............ ..... .............. .... Construction Supervisor's License Saben, Rockie & Roberta- 28120 shed No Permit for ..........................I.......... ................................................................................. 101 Frost Lane Location ............................................ West Hyannisport.......... ROckie & Roberta Saben Owner .................................................................. frame Type of Construction ......................................... ............................. ................................................... Plot ............................. Lot ................................ • • July 1 85 Permit.Granted ............ ...........................19 Date of Inspection ....................................19 ".,'Date Completed ................ ...19 dkv itPi saw ICA 21 I.M 0 M Assessor's map, and lot number ...�4 . ..... ..... *THEr x �o o . SSA Sewage, Permit..number ........................ (C .. ......:... d� R House, number !} y.. . ....... :.l�C .................: 90o Mb 9 rE0 OR O TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... ..... . Z3 y ...:....... ........................................ TYPEOF CONSTRUCTION ..................................................................................................................................... ....... �......... ....................19..�' �� + \TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....!`. �... 4? .....4�?n........�: ..... rn.Yl .a ....................................... � 4 ProposedUse ...�.. *�. ... :..... ..,. ::............................................................................................ Zoning District - , ...................Fire District ./,V/ / .".;,,, ..... , Name of Owner ...J.�.dD.Y.J.P.4 ,a ;rt.` t : ddress .../A/...�. ' Name of Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..................................................................Foundation ............ Exierior ....................................................................................Roofing .................................................................................... Floors .............Interior Heating ..................................................................................Plumbing .................................................................................. t v Fireplace :..........................................................................::....:Approximate. Cost ..................................... .................... Definitive Plan Approved by Planning Board ---------------------------------19--------. Area ..... ` .......... ..... '.. Diagram of Lot and Building with Dimensions Fee // ��\\ <.. ........ �!..C�. .......... SUBJECT TO APPROVAL OF BOARD OF HEALTH g� 7 y ' 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. t Name .. ...... ..... .. ....0 ... ..(. Construction Supervisor's License .................................... { SABEN, ROCKItf ,� ROBERTA A=289=013 n 1 28120 shed 1 No ........:...... Perm-' for ............................... .... t .................................................................. ........... ` Location 101 Frost an ........................I t..H.Yanni.&Pont............ Owner ......Rookie..&...Roberta••S.aben........... Type of Construction frame ................................................................................ Plot ............................ Lot ................................ r Permit Granted ................41.Y...1...........19 85 Date of Inspection ....................................19 ' Date Completed ......................................19 i I Assessor's off ioe (Ist,floor):; 7 0# �= 'Assessor's ma and lot number ... � r ..oF�NETo� Board of Health (3rd floor): ,� r� � s INSTALLED IN COMPLY Sewage Permit number ......... ...'...............................�....... .�. . ( WITH TITLE 5 Z B9$D9TSDLE, I En ineering;Department (3rd-flooi): I ' g /0/; ,FJ.SN�I�RANNIEN4AL CODE "b 0� House number ..:.....:..............::.......................:......... .:. + T® Y'a� s : .. TOWN REGULATION o YP APPLICATIONS PROCESSED 8:30`.-'9:30 A.M. and' 1:00-2:00 P.M. only - TOWN 'OF BLE y } n ABUI}LDIRG IHSPECTOR -' rt t APPLICATION FOR PERMIT TO .......... ...... . .......(. .,................... ...G.�� ..................... TYPE OF, CONSTRUCTION .................... ..................................................... ......................... ..... _ - •.................... 19. -TO THE INSPECTOR OF BUILDINGS: The• undersigned hereby applies for a permit according to the following information: Location ....... b.(........ .� .�.5....1 ....... .. :!� E' ..... ........ 4.......... y r ... Proposed .Use ......... '— ......................................... ........................ Zoning District ...................�`,. ......................................`....Fire Districtv)................................................. Name of Owner ... �.e.��1..�.'� .! d..►7.�.� V3..:5.11.S.fr(Address ... Nameof Builder .... e..L.� ...............Address ��........................... ......... A... . ..................................................... Name of Architect ..... .:Address .............. .. Number of Rooms 7..................................... .::.....Foundation ...... ...k`6.... P_....................... �. Exter ..............Roofing ........�..�...�.�.../.�. ....�-.�.................:........... ior Floors ................................ ..........................:.........................Interior ........J ( X U j,�- (/..;. .....�. .. ........... .. n/ { ....... Heating ......... ..:ar.....IV�... 9.14...................................Plumbing ................ � .9TrfS Fireplace ...........................!....�...:... ..��.p ..........:............Approximate Cost ........ ... d Definitive Plan Approved by Plan riing Board.__ ----------------------------19________ . Area ................................ {T r Diagram of Lot and Building with Dimensions Fee � .r........................ � " SUBJECT TO APPROVAL OF BOARD OF HEALTH n 0 e T /�DD�I tour +.. fQ6Kr �� e �✓ � , l . V, 3 I� Tj -'re Gx15� r1 4 1• /Z "� • �'� �C St b+�G rULn�b 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 .. .. G ?��...� .t. \.^..... ... r .. . Construction Supervisor's License d A A9--7 SABEN, ROOKIE & ROBERTA' No 29850 r Peimit for ...Ruild-Addi-tiou '.Sing :�...F.amply. I?iaelling.................. r. > Location .... JR1.....F.ros.t..Laae......� A........... .;. yanra i s...................... rA t Owner ..Sabeu............. Al <. _.... d Type of Construction ......Frame...t................... Plots...... ..f .. Lot x. ,'- Permit Granted .. Au�dst 19 , 86 f D6 a of Inspection .. �r , F� ...........19� 91 Date Completed ....... ........ . .......-......19 t , A 1 ' Assessor's offioe (1st floor): ��3 THE Assessor's t0 Assessor's map and lot number ..... <......�..............�............. ZL Board of Health Ord floor): /� �� Sewage Permit number .........(-.. .... ...............................I....... � 2 BaaasTsnLe. : Engineering Department Ord floor): NAM .1 S. oo ,b House number 30. 0 ....................................... 3 c war'' 'APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE 7 BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......... ......../ .o...........................C.. ............'......................... TYPE OF CONSTRUCTION y W� , .................. ..... 9 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information- Location ........ ....... ........ / .�c Proposed Use ..... l E'�� _... Zoning District .............. ..........................Fire District . Y Name of Owner ....1..�.C.�S.?..C'..v .` .h.(?,�L1 t�...:S.L°i. .� Address .......U.�.......,... ...S l / . ... r n( Name of Builder ....�,f.........G 'J 1 c� ....�..�^...................................Address ...............,... ...11...................................................... Name of Architect .....� Address .:........: . �� ......IL.. ............................ ....................................................... Number of Rooms .............�r�.....................I..:..................... Foundation ....... .d... ....�.. ..... jam. *..................... Exterior .......... �.: 1�............ ... !� ?�. /).............Roofing ........./... ...''? ..../ .�T.. -. ........................ ...... . ..... J Floors ................ ........... .....................................................Interior ......... /Y.. ......... ..... 1. .. ..................... Heating F........r....!..Z. ..9.#...................................Plumbing t✓ T A/ S ....................................................................... I 1 , Fireplace + �� u/ 5...........................Rpproximate Cost 6 d v ...................... ............ .,11�. ............................................ Definitive Plan Approved by Planning Board ________________________________19________ . Area ../. f T ......................... Diagram of Lot and Building with Dimensions �,�~ Fee ...............1...... ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH / toT tl��,�r�i• �oHY 1� �w .. _ N J S 4 J I /V S1D 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. , ' a Name ... ` ........................................................................ Construction Supervisor's License 6 '`� 3 3 0 SABEN, ROOKIE & ROBERTA A=289- 13 * �.,_ , No ..2.9850.... Permit for .....bui ld..Addizian P. 4* Sng?,�...kat�ziy...I?we.J J ing.......... .... Location .....1Q1.J1rast...Fans.................. .......... ....................Ryan.i..s................... ...... .......I......... Owner ...........RQ.C.ki.a...&..Rabs.r.ta... aben....... Type of Construction ..Fxame............................. ............................................................................... Plot ............................ Lot ...............:................ Permit Granted .....August 28,.............19 86 t Date of Inspection ....................................19 Date Completed Fo-vA(b t7-j o.) OItILJ 1)(/667 4- • � t � , I : t , I f;, � :t. .... .,_. ._.. i i f _. f... i _ -a-._:._ a—_'" t 1 i a I _ Y , : i Y" ; ...C f.., 1 i • § , 4 — .._ — — 1 ot vil -Tri- far } I r ; }, { I t 44 ,.1 I � gEE t I f 3 r, I 1 ( . § : f} B , +' 4 ,, 1 I ; i t � � .a r, �.. � >;, t §' _. ...�.:.._. .> .L-..r-._ _.•_._��,,., - ,_�..,..... "_",i"„ r,.l.""" f, a a" k !. , _ - _. . i , w , I, F j r ::. ._y t e {.. , i , i � x .... .___. _. -.. -r,....t,� t r _ ..i.wu, �"•. r _ �W S _ _..L_. - ' ° , t , : ,, ..- Y. y. ,! .. :f •.:. Y s i I t t .�� ,1 :Y_ i ' � ,.:.,y, .yk �y. • , : _, .•. .} :r i .4 -1. F t - I : , ..,,:..:,'... ,_. _., _- ak9� 2 } �n -.k^ ..t.,. E §ti , , 5 , I • "1 m., r � - r. - I ( : _ ' t , ; F , , 1 t 1 f tp _ .1 • d. r , �a l A. . 1 A Yo- r : I . I Aw v : 0 I I ; Wick I i' I I li r r j iII 1 `I. t 4 I , , I r i • 11 .r_ I� r 1 , r ............. • i- - : t I •: r � _ ._ . j � ' �. � � 1 f I j '.�..� � I I I } i j � - l• I--,-_i.�___ ...._,_ ....,-..� ..._., ._._-._ ... _ .. ... ...._ .�i--•-1. ""-f_" _ , �_ -"f_"_'t t.—...��>�-� , f i i � ` ! , r i , •-• �, .' .... _ ;. .___.-.,._-_.�....._ _.. -__"f -'�' +.. t f-�'•,_ CIA _ _ T t � j s I i ( i r ; I , 1. :., r t':1 I t r _ _,__ •, i----- � , , I r : � ; � '. : ,. ( i 1 1 i za`Z� e' .i-- k 4�•- `•5 ,. � f""_l.._- r „ i _ 1 F. �fi� %xt ,�s �$Y`# °A, •t '� �y;•i �1 2' r q _ • .-2:: 4!.. 7y:"k �y.k} { #:,•; .s::.,.. T t -i 1 .. _ _ _._. ... _ j t I �� f , M1� f� '' x,6Y a', t ��.-s f � 'f�• ��N`". F"�� - iram-• ",. =-=A'I' '�"8 _�.��..._._t— �. .,t, { I 1y��'-f #+�g� �}�.� +� 'r��4f ?=• �+$'s;'�.:�. ''t�,'�• `�`'.�.�5. .. �`� �r:�t r �"g ,. � � ;.--.-.T�_,.'-,- `.1.. P71�'' . �'�U 1 ►� :i-s 1'. <.E✓,"c 's• q`�Fu.,w 1• ';a� 7,i _ aye' .r'ny7...�1,�. ,M P 3't'.'_ _ . . _ _ _ • f ^' �I/ 1, {1*_ �. r,� ,y,:.::..l+f-.. '°`t,�.•5`�• 1`�t,.,, �%�� 5.� �• `T, � -� '"-�i'•r :Z: ,%S"i ::�'�K'�'. "f`-` $i' �'� ,-.'i.._....__,_._.. _ [ y Y._.---""`.� +-_y -y`. . - I 1 t .w 37 �i'..i # y+r � Y•. l b ,�� .-.W� � : ... .. -.. .. _ - g.s�• ,h:..,'� _S.. ��T 4� ..y �' �-+�. S,�.A ",j�. yl j I I i , � - a , S T ll _ 1 r - n r Py : i /C.}d!t _ I , � t rr ii I— I i. t I j _ (1I f ff , , }} , s I : t : 1 1 f t , ' f . j f : p , 5 � i , , , a r r r� y ; _.w k ' 1 t � • N, k , �// i a / _ , , { - ! r, i _ { , } t : P , Y , , 1 , , J e • 1 r 1 ' i ; i i { : { ' '�9 1 � i _. - - � __— ..... _ _. _ ._. __ -' --. Nay...-,� _Y �.' ,- 1__..... 1-_• _i__.—�_�.__ __ ._._�+ —._.i �___ -..__..._.. .._.- I 1 I h { I Y' i iA. W. I f. • I 4 - - - 6 ► I I 477-1. pow:; , K� 'i Eft ,ter...-._� ..._ ,.... .. : i . .. I . t I t .-si. L aU � , --,- j - } i f- , i i i�i i F7� I - 4 I� , I , i I �- ' � ; ��'t•IQ� �-��, !��'! 1()t' �_�4 �t1G I ._ { � I �,,- !9f S(jn.1�V/�S T I To Ca4n„ A,E I s y T I I 46, - I - -71 i I i ... .. .. ' _ f 1 i I ' , _ _ i r ' ' 1 t , r , ` ! i 1 t t � I 1 i I j - ; I t 1 4 d I r i + i e f , i f t, I , r r l i + I ' f t r r I 1 r I r , c 1 ' I r : t� , 1 i I f. t r_ d F e { 1 c 1 i a t R , e t a. r — : y t r r , , I } + Slot - • Y� { . 1 ^.O'"tee/ v { Gf 0,66 i � f J Lxo �% UA- i ZY-'i6 Ly 1 ROST 41gNtiiS-� oa P&b� KIT6gc&j f(A(,l(Al 1Ei�( a6 6' PkbPo.SEJ ��. � E�iS7wG �1�SE i l I - j I . 17 II 0060 wpma- ,s Yueq i e . La L4� I TgiQ�i,Qq�iC1A/ z�� NEB F } .0 ATT�C�II� 8" co E��STiwG cc��rl�G:ci�i �a f� 6 1 6,� I : I { , I 1 , ! : : I I i I I I : V : r : I. : h , I I I I.. I. rf �Y i : : i ,. I :! ./ { I i '^: Jf•t I ,i h. I f i !,t r I �+ i 1 ! e : xx I ,p � I~ I I, S P I 1 ' N l ( I I I J I, _ : -.P' , I;, .,. i .. . . _.......:...... :. .1 ! '__ ... .. { -.,._ - .. 111ib,,.'wRYc F __ _ •M.1sA'lOvf iW.:iva u:',:t�'.t,,.d mw r I � I I ! I 'I ; !� :..:: ! I !: 1 I .! � - b x ,f t, .,.b /7 `"-.�:. ; ! , ,.•; r � i' �: , i i �i ':. �- -� :.' ! i j .I.. i .i. �. I I_: I e I e i I , I. � 1 f : I ere-0 µ- i. 8 Lr ei t, I �'T I , C , .;. I � ' .: ! .. I- $' j. .j I ..I;.i'. I .� S 1 t i 1 . t , 9 I � 1 r^ � 1 I - .;, .. � � 1 ,, s, ,, , ! ,: �z .. :.��-'� I I +. I I I i i •I: ., I .I i 11 I S �r I I E I I : I �:.:. I .:_..,. :. I ! .. I I i I. i ... I I I ::��: !. + I.A �,'i'_'� •� I, :. I: I � I': I I _I I , i I I 1 1' 1 i j I I I 1• :I j l 1 I. I' �j -I �'� i �� i'. I�iil � _,i_.._.�_ ...—..r I I� , i : -i. � I I i � I I i ! i 1 � I _i I ! { •I i _ I i— , I i i ( I i I I' i I I I� I s ; I .. � � i� I i I .'• :. 2 it j i 4 I. I I j i I : l I I 77 pF Ki-Z - f � , 1 1 I �.— , 1 I- •.3c+;3;.�az>,�-- -�;., ; � --w.:.+„yt�c,.,_, S'./l/_�j$ :T�`.S E—.4,°!.� S!� *w. I•, 1 i I � �. � I I I ! I i � i �+ .'j� I I -� i 'h I i i i F - - -. _ _ a . — I I : : I 1 ..i I i P f • a ' 1 , I a : i : I I , 1 ( i w 9 71 P .,'.., , 1 r 4 !! : r.4 1 i I, i — I , : + s 1 � ; of : a ' : : : 1 a i '-•t 41 I I I r ss 1 s I : J_ , t ' I. �•� -� Imo_ wr•.�..:.,v.a.nae,:�0:_�+.ai.,:.>.:r.�.n�+..e^,..e:u. u.- -.,•ey.,.,:' �,+ww-_.>.,wa•�:au.artr::�._a:...�,.-:rawv:.vwfw,....,.uw_....+w...-v,n-e t s I _ .. _ _ _ __ .__._ I I ,i I I i t{t _ _ _ — -1i -- _ ij—•—._,{' _, ----..—- , _ } • 1 -i� _ _ f t r I I } 1 i I : y n f i . I ' 1 i ; I i "i-'_I 1 , , - , y I f � 1 I i i , ; 04 [0 ,/ , i i } ; i i - I _i .I I. �} � 1 I i I I I I I { - ;.}._ ._ .-...... ,.... _i ._._.,. ..__._ .._.{..._.—. _ __—�•.-.._.-._._ --r_'-_s'�._"1?`"_ .iF..._.. I i .� � j 1 j a 11 - `} I s 1 I 4 • C 1 � I - - - I IFIT — -- — -- — — j, _. - i } 1 , i' i 44, I f S { _ , : f i ` {- ' l I I I ; t y_ ._1. _.. .._ _.. { t -.t":_,• —I -�x —T., _.s._. --3 f � � ' i l , : { t M ; T ,{ .-i I .... _, - 7 i 1 t ' I .f ' I '6� I I �- 1 �3 f i ....�s: .1. _ 'Z 1 S -y�•i^ �-a-- - e_,_, ---}. _i---:._ - _ , ' _ i 1 c k , E i e P i t - _ { 1 ,jr i I j i t S I a f $ •.� �i ry �� p ' ,- � � �. _ i _ _,- .}..�. _ _ ..-..,,tam _ _-.. �...:... J. .—. !._ 1, i r _ t : r i I t , qT 1 '.A I 17 AGh7 E:tIt Did, WF- } i ! 1 i t 1 r t 1- 1 I _ , ti 1 , I _ i 1 i i } 1 , I � } i � • I i I tom.— t '-"'Y_.__. . _.._ _._.......__. _— - -4.__....-•-'--_.. .. t : t , f t �� v - e I , : { } 1 tt I I , I 1 .4Fk �-..t..-:a2#.i. ;•> -#1. •,}'mow}' �.1.� i ( fb-. .a �`._' .,-��. _.._ .. -..�......_;.. --_ IS lots �y }} a < iY i • i `. % , � v � 3, a. �k i^``�' ��3." 's.?vF.rr.. ;�' �il tea k%.r.r �� 3 Y.i- >a..i. F *rt. ,,� �''�+^',�,t, ni�4 `t�her Y{r y 'ram.j iY...--� .#+ ,•i - i fi '�3 ja oil 11401 , o / I i ti i. jt s , t r , : . ; t , 1;. t , . h i i I • 11 f , I r•� , (F-F. J._ t I P I , } , j 1 , i , 1 - '- _-, I _ f ' 1 , � � � � 1 ' �_ � I 4 f � _" _ I_. - - - _. - e -- I -j—r_._—r,_.;....,_• _,.__r -___t__.-1_____,�,._=i - . - , Y ! r , 4 { , i - i I I i I a• r i i � l i I I 1 - ._. --- ----+ — -i. ---r-- - — -- ' - I 1 r t ' -- , j , I r S ' 1 t r- t t , , I , I i t. , f ""1 1 i , 1 K k , I r ' is f- - sT , , E S(( G- r I t , pMffO 6AM6E _ U` i, aU � i , r l a I 7 i I : : I 7i�^J ivE!� !FW�?1�N' �i7/� 1�tG_ _ •---� - - - �'4l L; ��I�E _ . ._ � - -;.__.__. .� i i - -i I , 1 i 9 I } t I , y } „ , , f I f i, 1 { 1 , 1 ! I I I 1 , : r 1 IT i : i I 1 : ; ! : 11! : , I f , I , : ! } , ! ' I t 1 t ; I i r I , i f ! y 1 i _ ; , — n ur t , i T • I 41,4 - } I I , I , , ! 5 1 ; I 1 {{ i i I , n, i HYANNIS - F WCE ON I LOT 11 �sT SUOMI MAIN ASSESSORS LOT 5 LOT 289-012 ASSESSORS ARgOR (� LOT 289-009 �0 YLVA �C b C.B (FND) N88 40'10"E 136. 46' ! - SYDNEY J� i PROPOSED j o SIMON S j DECK !o. o ` I P. ON O ♦ ,,. (FND) tf •� ,,,,,,,,,,, s LOCUS MAP ^♦ O`�G' ' " " �� PLAN REF 164-57 . ... DEED REF- 09507—0025 ♦ •EXISTING,1,1,1,,,�� / ♦ // ,/,/// ytl�, ZONING. "1RB" SETBACKS: 20' 10'-10' FLOOD ZONE- PROPOSED � E. C y / / GARAGE """"""" �� PANEL NUMBER. 2500010008 D /,/,,,///. / O / ••/•""" n►B sic S,�v DATED. 07—02—92 O ♦ ///„// MOW OF BARAWN" 9� SM"W/ASTAu M CARD O _ PLOT PLAN OF LAND ♦ ♦♦ / e� LOCATED AT J PROPOSED 101 FROST LANE ` C B. PORCH ASSESSORS HYANNIS, MA. (FND) c' LOT 289-008 O LOT 1 `o ,O. ASSESSORS PREPARED FOR.- LOT 289-013 `~ ®° ® BRIAN & THOMAS LADNER R= s �- C.B. ® FAG V - �cy ®® SEPTEMBER 10, 2007 / g s �cps —N E �. (FND) o J. N79111 p'� ® °o rLt v ® REV SEPTEMBER 14, 2007 8,2 08' REV- C.B. ® ® REV YANKEE LAND SURVEYORS & CONSULTANTS 20 GRAPHIC SCALE P 0 BOX 265 40 UNIT I, 4 INDUSTRY ROAD MARSTONS MILLS, MA 02648 TEI-• 508-428-0055 FAX 508-420-5553 1 inch = 20 ft. SHEET 1 OF 1 F . JOB ,¢!• 54268 JF 9 _