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0130 LEWIS BAY ROAD
1 �� ��l 5 .�-�- �� �� _ Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Pre-application for Business Certificate Date 07/06/2020 Map Parcel Parcel Applicant Information Applicants Name Thiago Hendque Torres Vieira Applicants Address 130 Lewis Bay Rd,Ap 1, Hyannis,MA 02601 Email Address contact@whataviewmkt.com Telephone Number 508-292-7106 Listed ❑ Unlisted Business Information New Business? Yes No ----------------------------------------- Business is a registered corporation? ________________________. Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? -_---__-- Yes No If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business WhatAView! Marketing Solutions Business Address 130 Lewis Bay Rd, Ap 1, Hyannis, MA 02601 'type of Business Marketing &Advertising Solutions Buil 'ng C mmis 'oner ffice Use Only s C�Co itions UA Building Commissione /Z �' Date Clerk Office Use Only Town of Barnstable BUILDING DEPT. r Building Department JUL .0 9 2020 Brian Florence,CBO Building Commissioner LUMSUsra, 200 Main Street,Hyannis,MA 02601 TOWN OF BARNSTABLE L639. ��� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: �C n, RONff OCCUPATION REGISTRATION Date: Z�"/J Name: G� / LJP& I f Phone# Address: Village: / l Name of Business: Type of Business: MileP INTENT: It is the Ztent of this section to allow the resi/tints of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carved on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust oT other particular .matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dw ing unit. I,the under ' h ve read and a with the above restrictions for my home occupation I am registerm . �6 1VD Applicant: - Date: I 28 2016 10.27AM Tupper Construction Co. 15087785010 page 1 13,0 L e'&)S '6aY R r12.0! ) TUPPER CONSTRUCTION CO. PLC 546A Higgins Crowell Rd,WEST YARMOUTH,MA 02673 PHONE: 508-778-0111 FAX: 5W778-5010 WWW.TUPPERCO COM Date: Town of Barnstable _ f Thomas Perry CBO " 200 Main Street Hyannis, Ma 02601 s (508) 790-6230 fax Re: Insulation Permits Dear Mr. Perry This affidavit is to certify that all work completed for permit application Issued on has�'�� (Q has been inspected by a certified Building Performance Institute (BPI) inspector. All work performed meets or exceeds Federal and State requirements. Sincerely, Richard Tupper License # CS-69058 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel o� Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis ewt a�1�ci0 Project Street Address / 3Q 4L Village .1-1vapnis Owner G�' —r Address �� Z dlx/s Gn Telephone M'G�d lk99 d/ 77 - Permit Request r f Le7 �� U s ✓I n s/v e./_� or, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size , Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Rr Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) -7�- 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: Wnas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes Hl o 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: , ZoningBoard of Appeals Authorization ❑ Appeal # Recorded ❑ pp ,pp Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name /UP P e2 ���s�r(e( a Telephone Number Address �5 � � �(// /�a License # 00M //o oo 7S Home Improvement Contractor# ¢= aw t w�_ Worker's Compensation #&CC ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE // 1149 FOR OFFICIAL USE ONLY APPLICATION# a DATE ISSUED MAP/PARCEL NO. r , ADDRESS VILLAGE OWNER f M ` , DATE OF INSPECTION: FRAME 4 .INSULATION.; FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ,i ' GAS: ROUGH FINAL ' FINAL BUILDING- DATE CLOSED OUT ASSOCIATION PLAN NO. _ J Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Cot actor Registration �.R g Registration: 178434 - Type: LLC Expiration: 4/16/2018 Tr# 419291 TUPPER CONSTRUCTION CO, LLICQ. RICHARD TUPPER 546 A HIGGINS CROWALL RDA W. YARMOUTH, MA 02673 y ------ ------ Update Address and return card.Mark reason for change. Address (—] Renewal Employment C Lost Card SCA 1 C'i 20M-05/11 ✓ COI/L'Iltalt[[1C[C�l� _ __ Office of Consumer Affairs&Business Regulation License or registration valid for individual use only i� _ HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:,, Type: Office of Consumer Affairs and Business Regulation Expiration:- 4/4612018 LLC 10 P a-Suite 5170 5-- oston, 21 TUPPER CONSTRUCTION CO,_LLC: RICHARD TUPPER' -z 546 A HIGGINS CROVVELL W.YARMOUTH,MA 026 Undersecretary Not id without signature BUILDING PERFORMANCE INSTITUTE, INC 107 Hermes Road,Suite 210 Malta,NY 12020 (877)274-1274 www.bpi.org Richard Tupper BPI .', BPI iDH:5040940 CERTIFIED PROFESSIONAL (SEE REVERSE SIDE FOR DESIGNATIONS AND EXPIRATION DATES) Massachusetts -Department of Public Safety ' Unrestricted-Buildings of any use group which Board of Building Regulations and Standards contain less than 35,000 cubic feet(991m)of E Construction Supen-isor enclosed space. License: C-"69058 Richard S Tupperl 546 A Higgins Crdwell'; oad West Yarmouth NA 02`f3 Failure to possess a current edition of the Massachusetts y'� 1ti1,s State Building Code is cause for revocation of this license. Expiration Commissioner 12/31/2016 For DPS Licensing information visit: www.Mass.6ov/DPS DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/1/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If We certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lora FitzGerald NAME: Southeastern Insurance Agency, Inc. (PA o E t: (508)997-6061 HONE �� No: (506)990-2731 439 State Rd. E-MAIL ADDRESS:lfitz@southeasternins.com P.O. BOX 79398 INSURER(S)AFFORDING COVERAGE NAIC# North Dartmouth MA 02747 INSURERAArbella Protection Insurance 41360 INSURED INSURER B Boston Insurance Brokerage Inc Tupper Construction Co LLC INSURER C: 546A Higgins Crowell Road INSURERD: INSURER E: West Yarmouth MA 02673 INSURER F: COVERAGES CERTIFICATE NUMBER:2015-2016-1 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDD/YYYY MM/DD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE FX1 OCCUR PREM SES Ea occurrence) $ 100,000 9520045208 11/1/2015 11/1/2016 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 R POLICY JEC LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED % AUTOS SCHEDULED AUTOS 1020009389 12/1/2015 12/1/2016 BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ Uninsured motorist BI split limit $ 250,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ A EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED 1 1 RETENTION$ 4600058368 11/1/2015 11/1/2016 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A B (Mandatory in NH) WCC5005593012015A 10/3/2015 10/3/2016 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE--POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For informational purposes Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Tupper Construction Co. ,LLC ACCORDANCE WITH THE POLICY PROVISIONS. 546A Higgins Crowell Road W Yarmouth, MA 02673 AUTHORIZED REPRESENTATIVE Lora FitzGerald/MEM C 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 Ign14nn f i 03/25/2016 14:57 5084908624 JIM SHAY PAGE 02/02 f of Samtable, TomPeriyF *VanStmt '1uIA 1 W.9v n tiaraslaeblp ubi vs F'apq.5*79� plopm.ty-Owner m. ust. . ga :.;A►' AlAor .._�_._._.. . . .. . ., ibis /30 *Pvd fens and-1 --At Ike x 'O' _ l/LG l.V//L//LV/L I'VCKLL/L Vf L►Y KJJKI./L KJGLLJ oYies Departmednt of IndustrialAccidents _ ,� -• Office of Investigations ' 1 Congress Street, Suite 100 e> Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Tupper Construction CO, LLC Address:546A Higgins Crowell Rd City/State/Zip:West Yarmouth MA 02673 Phone #:508-778-0111 Are you an employer?Check the appropriate box: Type of project(required): 1.❑■ I am a employer with 10 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' y p n'• 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ R epairs insurance required.] t c. 152, §1(4),and we have no oo employees. [No workers' 13. OtherL� comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:AEIC Policy#or Self-ins. Lic. #:WCC5005593012015,AA Expiration Date: 10/3/16 Job Site Address:13® Z&41X Say A61( City/State/Zip- (, G1I g IS 0,>V �� 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of th5,�UA-€or-insurance coverage verification. I do hereby c tify der th ns and penalties of perjury that the information provided above is true/and (co t. orrrec Si nature: Date: 4 "`'" Phone#: 508-778-011 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Town of Barnstable Building Department - 200 Main Street ASTABLE. = Hyannis, MA 02601 9$p 639. A�� (508) 862-4038 rFD MA'S Certificate of Occupancy Application Number: 20064775 CO Number: 200800002 Parcel ID: 326108 CO Issue Date: 02127/08 Location: 130 LEWIS BAY ROAD Zoning Classification: MEDICAL SERVICES DISTRICT Village: HYANNIS Gen Contractor: MELLOR, STEVEN L. Permit Type: CC03 CERT OF OCCUPANCY COMM 3 Comments: C.O. FOR UNIT 213 Building Department Signature Date Signed �t Town of Barnstable do Building Department - 200 Main Street ILMMST AB • * Hyannis, MA 02601 MAC. (508) 862-4038 �� �e��. Certificate of Occupancy Application Number: 20064775 CO Number: 20080041 Parcel ID: 326108 CO Issue Date: 02/27108 Location: 130 LEWIS BAY ROAD Zoning Classification: MEDICAL SERVICES DISTRICT Village: HYANNIS Gen Contractor: MELLOR, STEVEN L. Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: UNIT 1 C.O. Building Department Signature Date Signed oFt"E' o� Town of Barnstable Building Department - 200 Main Street Hyannis, M�4038601 s6gq. (508) 86 0 rFo nnp'�a Certificate of Occupancy Application Number: 20064775 CO Number: 200800001 Parcel ID: 326108 CO Issue Date: 02127108 Location: 130 LEWIS BAY ROAD Zoning Classification: MEDICAL SERVICES DISTRICT Village: HYANNIS Gen Contractor: MELLOR, STEVEN L. Permit Type: CCO2 CERT OF OCCUPANCY COMM 2 Comments: C.O. FOR UNIT 2A Building Department Signature Date Signed �INETpw TOWN OF BARNSTABLE Building O �► Application Ref: 20064775* BARNSTABLE, * Issue Date: 06/20/07 Perm' it 9 MASS. A i639• Applicant: MELLOR� STEVEN L. Permit Number: B 20071433 Proposed Use: SINGLE FAMILY HOME Expiration Date: 12/18/07 Location 130 LEWIS BAY ROAD Zoning District MS Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 326108 Permit Fee$ 283.50 Contractor MELLOR, STEVEN L. Village HYANNIS App Fee$ 100.00 License Num 049879 Est Construction Cost$ 35,000 j Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND CHANGE FROM SINGLE FAMILY TO A 3 FAMILY CONSISTING OF THRBIFNIS CARD MUST BE KEPT POSTED UNTIL FINAL Ll BEDROOM APARTMENTS.ADDING ONE PARTITION., INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BBSS REALTY LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: SHAY,TIMOTHY D 8i)AMES P INSPECTION HAS BEEN MADE. 32 LOVERS LANE,MA 01772 Application Entered by: PR U Building Permit Issued By: � "�►5��------ 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 ORALLY GRADES 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 PROM 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 PR10R 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 HAVEACCESS TO GUARANTY FUND(as set forth in MGL c.142A). -r BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS _ 3 f 1 Heating Inspection Approvals Engineering Dept Fire Dept (( 2 Board of He th ),COG- �� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# Health Division �)1®L Conservation Division Permit# I Tax Collector Date Issued 1 , Treasurer Application He Planning Dept. Permit Fee== c7 t ! � Date Definitive Plan Approved by Planning Board14 3 Hi ric-OKH Preservation/Hyannis Project Street Address 1 i Village � _K An Owner ,`,� / Address3�p�, t)q Telephone — b ' (`� 1- � Permit Request r p C� 1 A r 9�r� - Square feet: 1 st floor:existing proposed D 2nd floor:existing proposed Total new (2) Zoning District Flood Plain Groundwater Overlay Project Valuation���-' Construction Type (S 6 Lot Size 1 ®. Z9 fi 6) m Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure CO Historic House: ❑Yes Oo . On Old King's Highway: ❑Yes UWo Basement Type: 11rfull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) D Basement Unfinished Area(sq.ft) (� y Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths):existing -7 new First Floor Room Count Heat Type and Fuel: 'Gas ❑Oil �(Electric ❑Other Central Air: ❑Yes >TNo Fireplaces: Existing n New Existing wood/coal stove: ❑Yes Flo 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 BUILDER INFORMATION Name Telephone Number Snz T Address ��� �r License# 6�I 1 S( **-)9 - A A fi Home Improvement Contractor# o�D Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 9/0 FOR OFFICIAL USE ONLY 3 ` 1$ i PERMIT NO. i DATE ISSUED > MAP/PARCEL NO. t ADDRESS VILLAGE, l r. � OWNER } r 1 DATE OF INSPECTION: FOUNDATION /� (� ' S I FRAME INSULATION t FIREPLACES ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 71 GAS: ROUGH FINAL. FINAL BUILDING �c C'4-- t} DATE CLOSED OUT ASSOCIATION PLAN NO. a , r • 1 1 ne L ommonwea[rn of lnu�aucnuseu� Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plunabers Applicant Information Please Print Lezibly Name (Business/Organization/Individual): Address: City/State/Zip: - Phone#: Are you an employer? Check the-appropriate box: Type of project(required): 1.R'I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ 7• 'Remodeling ship and have no employees These sub-contractors.have 8. ❑ Demolition working for mein any capacity. workers' comp.insurance. g, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work .right of 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.] t . employees. [No workers' 13.� Others 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 contactors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins.Lie. #: '��G�a � 6 xpiration Date: Job Site Address: 1 RA City/State/Zip:_ N 0-,\C 61 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and'a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c ify under the pains and enalties of perjury that the informati®n provided above is true and correct: Signature: Date: (, Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Perrnit/Llcense# Issuing Authority(circle one): \ 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 41 J 6. ®ther Contact Person: Phone#: Information and. Instructions , Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees, Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal.entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased enTloyer, 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 employmentbe 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." the i subdivisions Additionally,MGL chapter 152,.§25C(7)states"Neithercommonwealth nor any of is political subdins shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es) and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: • The Commonwealth of Massachusetts - Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-1077-MASSAFE Fax # 617-727-7749 Revised 5-26-05 www.mass.gov/dia °FtHE ra Town of Barnstable Regulatory Services BARNS'"BM ' Thomas F.Geiler,Director 9 Mnss. 1bg9. a`0 Building Division Fo�� g Tom-Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us 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. np Type of Work: c�,rX!t� �— Estimated Cost Address of Work: ` Owner's Name: el� off— Date of Application: I hereby certify that: Registration is not required for the following reason(s): I ❑Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 4Dae Contractor Signature egistration No. OR Date Owner's Signature Q:wpfiles.forms:homeaffi d av Rev: 060606 .do-, y • oI SL, Town of Barnstable Regulatory Services � �+$ Thomas F.Geller,Director ' Building Division. sec�.t r Tom Perry, Buil&ng Commissioner 200 Main Street, liyannis,MA b2601 www.town.barnstable;maxs Office: 508-862-4038 Fax; 508-790-6230 Property Owner Must Complete and sign This Section. -If Using ABuild.er as.Owner of the subject property hereby authorize j LWf MC/��r to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job Sig tore of Owner Date P Name Q:F0RMS:0WNTRPERMISS1Q0 DECKS located in OKH or Hyannis Historic District- Certificate of Appropriateness is needed Map/parcel number Sign-offs from: [� Health Conservation Tax Collector Treasurer Owner's name& address Deck Dimensions Estimated Cost [� Complete dwelling information for the Assessor's dept. Applicant's telephone number ignature Plot Plan [] Two sets of plans with cross se ction rkman's Comp. form. Copy of Insurance Compliance Certificate must be on file. Home Improvement Contractor's Affidavit Construction Super's License AND Home Improvement Specialist's-License R Homeowner's License Exemption form. Check expiration date on license(s) Application fee �� ❑ Permit fee Property Owner must sign Property Owner Letter of Permission. I q-forms:permitsl rev.063004 Q �a A L t 13 F'® ro 3t N Li�� 10 6 1 - - r ,. 1GJW K _ s �. Y 4 - , i _ ISSUE DATE(MM/DD/YY) CERTIFICATE OF IeNsSU NTVCE PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Eastern Insurance Group LLC DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 233 West Central Street POLICIES BELOW. Natick, MA 01760 COMPANIES AFFORDING COVERAGE INSURED Steven L Mellor COMPANY A.I.M. Mutual Insurance Co 199 Percival Drive LETTER A West Barnstable, MA 02668 COVERAGES.- 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 RESPECTTO 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIO LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ LAIMS MADE�OCCUR PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY - COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ tHER BRELLA FORM AGGREGATE $ THAN UMBRELLA FORM WORKER'S COMPENSATION AND WC STATU OTH EMPLOYERS'LIABILITY X TORY LIMITS A THE PROPRIETOR/ 7020385012005 12/27/2001 12/27/2006 E $. , PARTNERS/EXECUTIVE INCL EL DISEASE--POLICY LIMIT $ 500,000 OFFICERS ARE: p EXCL EL DISEASE—EA EMPLOYEE 1 $ 100,000 OTHER L� C C T ESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Cp ; -� CERTIFICATE•HOLDER `:CANCELLATION. SHOULD ANY OF THE ABOVE DESCRIBED POLICUM BE CAN LED%FORE THE TOWN OF BARNSTABLE EXPIRATION DATE THEREOF, THE ISSUING CO PANY WII L ENDEAVOR TO MAIL 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ATTN: BUILDING DEPT. LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 200 MAIN STREET LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE HYANNIS, MA 02601 r "� ✓ate V�am►no�uueai o�✓ ac�uaeQa " BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR a« 049879 Number: CS Birthdate: 05/2211957 �sr Expires: 05/2212008 Tr.no: 25107 Restricted: 00 STEVEN L MELLOR 199 PERCIVAL DR W BARNSTABLE, MA 0261 Commissioner Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 117610 Expiration: 10125/2006 Type: Individual STEVEN L. MELLOR STEVEN MELLOR 199 PERCIVAL DR W BARNSTABLE,MA 02668 Administrator • III TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel , Application Health Division Conservation Division Permit# Tax Collector Date Issued 01 Do Treasurer Application Fee e®I Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board _ Historic-OKH Preservation/Hyannis Project Street Address ' (� �: ��7 Ct Village - ry�yua Owner RM Address Telephone Permit Request Ir' r � `. Square feet: 1st floor:existing 1-bMV proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3,51,be Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ aM.ulta-Farfiily(#units) 0 Age of Existing Structure kAHistoric House: ❑Yes 341% On Old King's Highway: ❑Yes URb Basement Type: l'Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Areas .ft Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing_ new ---- Total Room Count(not including baths):existing 77 new First Floor Room Count Heat Type and Fuel: VGas ❑Oil electric ❑Other Central Air: ❑Yes YNo Fireplaces: Existing New Existing wood/coal stove: ❑1 �No ME Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑newu5size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: :`'6 ry v Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ _.; co r Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name L Ua&.� Telephone Number Address ,I' Pgn�4A4,J License# (A- ()� &Home Improvement Contractor# 10 ] �� Worker's Compensation# 7b_0'*-� �1�60.5 ALL CONSTRUCTION BRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 9-v SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ; 1 MAP/PARCEL NO. i '.ADDRESS VILLAGE 1 ' OWNER i DATE OF INSPECTION: + FOUNDATION FRAME INSULATION FIREPLACE i I f ELECTRICAL: ROUGH FINAL ' + PLUMBING: ROUGH FINAL " GAS: ROUGH FINAL ! i FINAL BUILDING ' DATE CLOSED OUT ASSOCIATION PLAN NO. ' i. y a The Commonwealth-ofMassachusetts Department of Industrial Accidents.' 4 �, t Office of Investigations 600 Washington Street t � T Boston,MA 02111 �y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ,} Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: \tj o Phone#: o Q Are you an employer? Check the appropriate box: Type of project(required): 1.L1 1 am a employer with t 4. ❑ I am a general contractor and I- 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. $ 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity, workers' comp,insurance. g_ ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required,] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions . myself. [No workers' comp. c. 152, §1(4),and we have no 12.7 Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: �a Policy#or Self-ins.Lie.#: Expiration Date: Y Job Site Address: City/State/Zip: 1 4 gQT Attach a copy of the workers' compensation policy Yeelaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a . fine up to$1,500,00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office.of Investigations of the DIA for insurance coverage verification. I do hereby c t fy under thepains andpenalties of perjury that the information provided above is true and correct Sianafore: Date: Phone#: �� �7® '4 L/ 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#: P ' f -Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual;partnership,association or other legal entity,employing employees.'However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with.their certificates).of insurance.'Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance, If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The.affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department.of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self.insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy.information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts IDepartment of Industrial Accidents Gfrice of Investigations 600 Washington Street Boston,MA 02111 Tel, # 617-72.7-4900 ext 406 or 1-8.77-MASW- E Fax#617-727-77*49 Revised 5-26-05 www,rnass.gavaa BOARD OF BUILD► RED License ON NG ULATIgNS STRUCTION SUP ' Number ERVISOR i 049879 Bir#htlate`�b/22i3 9.57 _ EXpi 05/22/2008 Restricted Tr. no: 25107 STEVEN L MELLpR 199 PERCIVAL DR`r W BARNSTABLE, �O'nm�ssioner I ✓!ze -Piomaxauuea,�l/ o�✓�aaac�aubell Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration 117610 Board of Building Regulations and Standards Expiratwn' 1q/25/2008 Tr# 124413 One Ashburton Place Rm 1301 Type, Individual Boston,Ma.02108 STEVEN L.MELLOR _� STEVEN MELLOR, i 199 PERCIVAL DR W BARNSTABLE,MA 0266-8 Administrator Not valid without signature � w `"E►°� SARNSTABLE + BA STABLE,q� Toot/ /J �p fe qS. 100 0*10 Town of Barnstable ��� MARS 3 .27 \ K Plannin Board v� g Decision and Notice Special Permit 2007=02—BBSS Realty,LLC Special Permit- Section 240-24.1.4(B)(2)Hyannis Medical Services District for Multifamily Housing Summary: Granted with Conditions Petitioner: BBSS Realty,LLC Property Address: 130 Lewis Bay Road, Hyannis,MA Assessor's Map/Parcel: Map 326 Parcel 108 Zoning: Hyannis Village Zoning Districts (MS) &Aquifer Protection Overlay District Relief Requested& Background: In this Special Permit request 2007-02 under Section 240-24.1 Hyannis Village Zoning Districts,the applicant seeks relief from Section 240-24.1.4(B)(2)Hyannis Medical Services District-Multifamily housing which allows for creating seven or more dwelling units per acre or 13 or more bedrooms per acre and including at least 25%of workforce housing and totaling not more than 12 units per acre..Applicant proposes three, one-bedroom apartments on an approximately 10,393 square foot parcel. Applicant is BBSS Realty, LLC and the property location is addressed 130 Lewis Bay Road, Hyannis,MA, and shown.on Assessor's Map 326 as Parcel 108 in the Hyannis Medical Services District. The parcel is situated at the intersection of Willow Street and Lewis Bay Road with frontage on both ways. There is an existing two-story single family dwelling constructed in 1880 or 1836 square feet containing 5 bedrooms with a single curb cut access off Willow Street. In 1928 the town widened Lewis Bay Road by taking a portion of this property, approximately 726 square feet. Prior to the taking the property was developed using approximately 11,119 square feet of land. The applicant proposes to remodel the interior of the existing dwelling and convert it to 3 one-bedroom apartments within the existing building footprint. Six parking spaces will be provided and the curb-cut off Willow Street improved. Septic system was upgraded in 2004 and the structure is served by municipal water. The property gained Site Plan Review approval in April 2006. Copies of the site plans were submitted by the applicant showing the existing structure,proposed improvements to the building and associated parking, access ways and landscaping. Procedural&Hearing Summary: ` This special permit request was filed at the Town Clerk's Office and at the Office of the Planning Board on February 23, 2007. A public hearing before the Planning Board was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing opened on March 12, 2007 at which time the Board found grounds to grant the special permit subject to conditions herein. Felicia Penn, Patrick Princi, I y David Munsell, A.Roy Fogelgren,Ray Lang and Steve Shuman were the Board Members deciding this special permit request. Attorney Eliza Cox of Nutter McClennen&Fish,LLP,Attorneys at Law represented BBSS Realty,LLC before the Board. Attorney Cox went over her firm's Memo to the Board accompanying the application package explaining the existing conditions, zoning districts, and the land taking which impacted the use of the property under the new downtown Hyannis Village Zoning. She went on to explain how the taking occurred, why the applicant was required to appear before the Board, and how if the taking had not occurred, the applicant would not need the special permit relief. Attorney Cox explained that the Zoning Code allows multifamily housing by right in the Medical Services District provided there are not more than 12 bedrooms per acre. With the 10,393 square feet of land area, the proposed 3 one-bedroom apartments slightly exceed the 12 bedrooms per acre limitation, i.e. approximately 12.57 bedrooms, greater than 12 but less than the 13 bedrooms which is the jurisdictional trigger. Attorney.Cox noted that one of the three apartments will be restricted for work-force housing consistent with Section 240-24.1.2 E(1)(g) of the Zoning Code and that all renovations are within the existing footprint and parking improvements are in compliance with the Zoning Code. Attorney Cox also noted that the proposal maintains the historic nature of the site; contributes to the Hyannis Downtown area; will reduce vehicle trips if apartments are rented to hospital employees; meets the spirit and intent of the Zoning Code; and is not substantially detrimental to the neighborhood than the existing use. Public comment was requested and no one spoke in favor or in opposition to the request. The Board discussed the proposed plans,the taking issue, the.application of the Hyannis Village Zoning Districts and the spirit and intent of the Zoning Code. Findings of Fact: At the hearing of March 12, 2007, the Board unanimously made the following findings of fact: 1. Special Permit Request 2007-02,BBSS Realty, LLC,property address 130 Lewis Bay Road, Hyannis,MA, and shown on Assessor's Map 326 as Parcel 108 is in the Hyannis Medical Services District. 2. The site is a developed site with an existing single family dwelling and was the subject of a taking by the Town of Barnstable in 1928 for the widening of Lewis Bay Road as shown on the takings plan entitled"Town of Barnstable Plan of Widening of Lewis Bay Road Hyannis as Laid Out by the Selectmen",recorded at the Barnstable County Registry of Deeds in Plan Book 22, Page 115, causing the reduction of the original approximately 11,119 square foot parcel by approximately 726 square feet resulting in the present 10,393 square foot parcel. 3. The applicant has applied for the special permit pursuant to Section 240-24.1.2 (E) in compliance with the requirements of Section 125 (C) and the Board finds that those requirements have been met in addition to subsections (3, 6&7) of 240-24.1.2 (E) wherein the development contributes to the historic character of the Hyannis Village area; contributes to alternative transportation; and provides workforce housing. 4. The applicant has applied for the special permit pursuant to Section 240-24.1.4(B)(2)Hyannis Medical Services District—Multifamily housing which allows for creating seven or more dwelling units per acre or 13 or more bedrooms per acre and including at least 25% of workforce housing and totaling not more than 12 units per acre. The applicant proposes three, one-bedroom apartments on an approximately 10,393 square foot parcel, one of which shall meet the requirements of workforce housing. The Board finds that the workforce housing requirement under this section has been met. 5. The Board further finds that the applicant has met the requirements of Section 240-24.1.4(B)(2) specifically that the jurisdictional trigger for a special permit is 13 bedrooms per acre whereas this proposal averages to 12.57 bedrooms per acre and therefore there is no substantial detriment to the surrounding neighborhood. The Board further finds that the proposal meets the spirit and intent of the Zoning Code. 2 ti Decis-ion: Based on the findings of fact, a motion was duly made and seconded to grant a Special Permit pursuant to Section 240-24.1.4(B)(2)Hyannis Medical Services District—Multifamily housing which allows for creating seven or more dwelling units per acre or 13 or more bedrooms per acre and including at least 25%. of workforce housing and totaling not more than 12 units per acre. Applicant proposes three, one-bedroom apartments on an approximately 10,393 square foot parcel. Applicant is BBSS Realty, LLC and the property location is addressed 130 Lewis Bay Road,Hyannis,MA, and shown on Assessor's Map 326 as Parcel 108 in the Hyannis Medical Services District. The use is subject to the following condition: 1. Applicant shall construct the project consistent with the plan entitled"Proposed Plan of Improvements At 130 Lewis Bay Road Barnstable (Hyannis)Mass."prepared by Sullivan Engineering,Inc.,PO Box 659, Osterville,MA and CapeSurv, 7 Parker Road, Osterville, MA, dated January 25, 2006 and revised February 27, 2006 and April 14, 2006, scale 1"=20'. Ordered: Special Permit 2007-02 is granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. Appeals of this decision, if any, shall be m de pursuant to MGL Chapter 40A, Section 17,within twenty(20) days after the date of the filing o/thi ecision, a copy of which must be filed in the office of the Town Clerk. Felicia Penn, Chair Date Signed I,Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County,Massachusetts,hereby certify that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed�ijthe office f1he Town Clerk. Signed and sealed this �! % day o u, der t' .p ' a alti of perjury. inda Hutchenrider,Town Clerk 3 TOWN OF BARNSTABLE PLANNING BOARD NOTICE OF PUBLIC HEARING MONDAY,MARCH 12,2007 AT 7:15 P.M. - NEW�TOWN HALL,SECOND.FLOOR HEARING ROOM. 367 MAIN STREET,HYANNIS,MA To all pe'fs6rrs deeie�f iiifeYested'ii1 tfie,Planning.Board acting-.under:Chapter 40A; Section 9,and all amendments thereto of the General Laws"of the Commonwealth of Massachusetts and`the Town of Barnstable Zoning Ordinances,specifically Section 240 24:1 Hyannis�Ilage Zoning Distticts,you are hereby notfied of a Public Hearing to. be"held on Monday,,March•12,2007 at 7:15 PM in the Hearing Room ofthe Barnstable Town Hall,367 MainStreet,Hyannis,MAto consider'Special PermitApplication 2007-02 pVFsuant to Section 240-24:1.4(B)(2)Hyannis Medical Services District—Multifamily housing proposing to create seven or more dwelling units per acre or 13 or more bed- ... robrns per acre and including.at least 25%of workforce housing and totaling.not more than 12 units per acre.'Applicant seeks relief to permit three,one=bedroom apartments on..approximately 10,393 square foot parcel. Applicant is BBSS Realty,LLC and the property location.is addressed 130 Lewis Bay Road, Hyannis,MA, and shown on Assessor's Map 326 as Parcel 108 imthe Hyannis Medical Services:District. Copies'of the applications and plans.are available for review in the Office of the Plan- nin�Board,260 Main Street;Hyannis,MA between the hours of 8:30 AM to 4:30 PM; Monday through Friday. Felicia Penh,Chairman Planning Board. The Barnstable Patriot February 23.and.March 2,2007 AbutterReport Page 1 of 1 s m Planning Board Special Permit Abutter List for Map & Parcel: 326108 Parties of interest are those directly opposite the subject lot on any public or private street or way and abutters to abutters within 300 feet ring of subject property. Close Total Count: 11 _ J_ t✓1ap & Parcel Owners Mailing Ovvner2 }sltlressl Acfr3re�a Z CityStateZip I BAKER, HERBERT P % HYANNIS MARINE 1 WILLOW ST HYANNIS, MA I i 326114 TRS 02601 I BARNSTABLE, 367 MAIN STREET HYANNIS, MA i 326118 TOWN OF(LOG) 02601 %BLANK, BRADLEY K SOUTHBOROUGH,J 326108 BBSS REALTY LLC &SHAY,TIMOTHY D 32 LOVERS LANE MA 01772 &) j i HYANNIS, MA i CAPE COD 342001 HOSPITAL P 0 BOX 640 02601 CAPE COD 27 PARK ST HYANNIS, MA j 342039 HOSPITAL 02601 (I GODDARD, ALLEN C DATER, ELIZABETH A HYANNIS, MA 326120 &THOMAS A& TR 25 SOUTH ST 02601 HYANNIS BLDG & HYANNIS, MA +. 326119 1 SOUTH ST 02601 DEV ASSOC KURKER, DELORES % HYANNIS MARINE 1 WILLOW ST HYANNIS, MA I 326142 TRS 02601 i KURKER, DELORES C/O HYANNIS HYANNIS, MA 326142001 TRS MARINE 1 WILLOW ST 02601 C/O HYANNIS HYANNIS, MA I i 326115 KURKER, WAYNE G MARINA 1 WILLOW ST 02601 ; C/0 HYANNIS HYANNIS, MA I 326116 KURKER, WAYNE G 1 WILLOW ST 02601 i MARINE _ This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 2/23/2007. httD://www.town.bainstable.ma.us/arcims/appaleoapp/AbutterReport.aspx?type=PBSP 2/23/2007 2 FROM r'IE;—LOR BLDG. FAX NO. : 1-508-362-4850 Hay. 21 2007 05:46AM P1 jVWz Town of Barnstable r( Regulatory Services ppA jq: BNRNS'[ABLE BARNSTABLF. Thomas F. Geller,Director Building Division2001 MAY 21 AM 8*1 10 Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 01V. I Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I. as Owner of the subject ptopeny hereby authorize 44�-- to act on ray behalf, in all ratters relative to-work autllo:6,zed by this bui&ng petmit appl can for: (Address Ao'b) /J if mature of Owner Dati �12L print N=e Q.-rOP-k IS:0 VN7-1Z-VRRW2S SIC N r �of'WE r° Town of Barnstable Regulatory Services saxxAW. a M Thomas F.Geiler,Director 9�A 359. `�$ Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 . Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize �i( X�11� &d,&l to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address Job) ' gnature of Owner kDat , Print Name o Loai Q:FORMS:OWNERPERMISSION it v �IJI��C..�m.Zv��b Y►P I ti`l ^- in o� E�1 D ,�, �Jtc_G OV t J� IDz�G I �IKEA Town of Barnstable Growth Management Department-Ruth J. Weil,Director 367 Main Street,Hyannis,Massachusetts 02601 i639. ,0� Regulatory Review Services—Site Plan Review 200 Main Street,Hyannis,Massachusetts 02601 Phone(508)862-4785 Fax(508)862-4725 April 18, 2006 BBSS Realty,LLC c/o Sullivan Engineering,Inc. 7 Parker Road,P. O.Box 659 Osterville, MA 02655 Reference: Site Plan Review 010-06— 130 Lewis Bay Road,Hyannis,MA Proposal: 1 one-bedroom apartment on the 1'floor and 2 one-bedroom apartments on the second floor of an existing structure. Reconfiguration of the driveway and parking area is proposed with on-site drainage retention provided. Existing septic designed for 4- bedrooms. (Revised 4/4/06) Dear Mr.Bill: i The Site Plan Review Committee reviewed the above revised proposal. Please be advised that ' the Building Commissioner,Tom Perry,has issued an administrative approval with the following conditions: • The project shall be consistent with the Design Infrastructure Plan Review by Patty Daley, Director of Comprehensive Planning,dated March 2, 2006 • Approval is based on site plan prepared by Sullivan Engineering,Inc., "Proposed Plan of Improvements at 130 Lewis Bay Road,Barnstable,MA", dated January 25, 2006 and revised 2/27/06 adding flood zone information and again 4/14/06 to reflect revised proposal changing from proposed office use on the first floor to a 1-bedroom apartment and eliminating the proposed septic upgrade. • The proposed exterior access stairs and decks will be necessary as the second means of egress for each proposed 2nd floor apartment. If you have any questions or required further assistance,my direct telephone number is 508-862-4679. Sincerely, Ellen M. Swiniarski Site Plan Review Coordinator CC: SPR File Tom Perry,Building Commissioner i Town of Barnstable Growth Management Department-Ruth J.Weil,Director 1 HARM 367 Main Street,Hyannis,Massachusetts 02601 20 "0 Z 7 PM Z: 15 Al s63p.p�0 Regulatory Review Services—Site Plan Review 200 Main Street,Hyannis,Massachusetts 02601 ""----- •- } Phone(508)862-4785 Fax(508)862-4725 b1 V15 Jj~�`'— "- April 18, 2006 c BBSS Realty,LLC c/o Sullivan Engineering,Inc. 7 Parker Road,P. O.Box 659 Osterville,MA 02655 Reference: Site Plan Review 010-06— 130 Lewis Bay Road, Hyannis,MA Proposal: 1 one-bedroom apartment on the 1�`floor and 2 one-bedroom apartments on the 7secon floor of an existing structure. Reconfiguration of the driveway and parking areas , proposed with on-site drainage retention provided. Existing septic designed for 4- bedrooms. (Revised 4/4/06) Dear Mr.Bill: The Site Plan Review Committee reviewed'the above revised proposal. Please be advised that the Building Commissioner,Tom Perry,has issued an administrative approval with the following conditions: .� • The project shall be consistent with the Design Infrastructure Plan Review by Patty Daley, Director of Comprehensive Planning,dated March 2, 2006 • Approval is based on site plan prepared by Sullivan Engineering,Inc.,"Proposed Plan of Improvements at 130 Lewis Bay Road,Barnstable,MA", dated January 25,2006 and revised 2/27/06 adding flood zone information and again 4/14/06 to reflect revised proposal changing from proposed office use on the first floor to a 1-bedroom apartment and eliminating the proposed septic upgrade. • The proposed exterior access stairs and decks will be necessary as the second means of egress for each proposed 2nd floor apartment. If you have any questions or required further assistance,my direct telephone number is 508-862-4679. Sincerely, N 4 Alen M. Swiniarski Site Plan Review Coordinator G ::5mP�ernryy,BuN ing Commissioner F p')- S W A o , o (0 LOCATIOWOF BUILDING PLUMBER OR GASFITTER LIC.NO. ------------- PERMIT GRANTED DATE,------ GAS INSPECTOR OF THE Tp� The Town of Barnstable * BARNSTABLE, MASS. $ Growth Management Department 1639• $ 1°rFpMpr6. 367 Main Street,Hyannis,MA 02601 Office: 508-862-4678 Fax: 508-862-4782 MEMORANDUM TO: Ellen Swiniarski, Site Plan Review Coordinator FROM: Patty Daley,Growth Management Department DATE: March 2,2006 SUBJECT: Design and Infrastructure Plan Review: BBSS Realty,LLC, 130 Lewis Bay Road This memorandum regards proposed improvements to the property at 130 Lewis Bay Road and the project's consistency with the Downtown Hyannis Design and Infrastructure Plan (DIP). The development proposal includes removing existing concrete and re-configuring parking, adding a second-story deck and stairwell, re-shingling, and replacement of some window sashes. The shingle and window sash replacement will be consistent with the current fagade. The DIP requires that fagade materials shall be high quality, authentic materials (DIP at 2.5.2). Replacement of shingles and window sashes consistent with the current fagade is consistent with p g � I this guideline. Parking will be screened by an existing hedge along the property line. The project as proposed is consistent with the provisions of the Design and Infrastructure Plan. No signage is proposed at this time. Signage must be consistent with the DIP when the �9 proponent seeks future sign approval. Please note that this memorandum does not address flood zone delineation, parking requirements, and other issues that may have been raised during the informal site plan review process. Town of Barnstable Growth Management Department-Ruth J.Weil,Director -.0 zt 1 r= •,r, t -L an KAWL u 367 Main Street,Hyannis,Massachusetts 02601 Regulatory Review Services—Site Plan Review 200 Main Street,Hyannis,Massachusetts 02601 Phone(508)862-4785 Fax(508)862-4725 It,MS I ON March 14, 2006 BBSS Realty,LLC c/o Sullivan Engineering,Inc. 7 Parker Road,P.O.Box 659 Osterville,MA 02655 Reference: Site Plan Review 010-06-130 Lewis Bay Road,Hyannis;MA Proposal: Office area on 1"floor and 2 one-bedroom apartments on the 2"a floor of an existing structure. Reconfigure driveway and parking area, on-site drainage retention. New replacement septic system relocated further from resource area and located outside the 100 foot buffer to(Inner Lewis Bay) Dear Mr. Sullivan: The Site Plan Review Committee reviewed the above proposal. Please be advised that the Building Commissioner,Tom Perry,has issued an administrative approval with the following conditions: • The project shall be consistent with the Design Infrastructure Plan Review by Patty Daley, Director of Comprehensive Planning, dated March 2,2006 • Approval is based on site plan prepared by Sullivan Engineering,Inc.,"Proposed Plan of Improvements at 130 Lewis Bay Road,Barnstable,MA", dated January 25,2006 and revised 2/27/06 adding flood zone information. • Approval is also based on letter from Douglas Bill, Sullivan Engineering,Inc. dated March 2, 2006 stating that the proposed uses,office/apartment,will be offsetting each other in day/evening, allowing for six parking spaces to suffice. • The proposed exterior access stairs and decks will be necessary as the second means of egress for each proposed apartment. If you have any questions or required further assistance,my direct telephone number is 508-862-4785. Sincerely, / G Ellen M. Swiniarski Site Plan Review Coordinator CC: SPR File _m_Pe ry Building Commissioner �tM Town of Barnstable Growth Management Department-Ruth J. Weil,Director • IARMABM • 367 Main Street,Hyannis,Massachusetts 02601 v Mass29V6 APRL 2 0 Pi'll 12 b `b'°�Fo Mpy a Regulatory Review Services—Site Plan Review 200 Main Street,Hyannis,Massachusetts 02601 Phone(508)862-4785 Fax(508)862-4725 April 18,2006 BBSS Realty,LLC c/o Sullivan Engineering,Inc. 7 Parker Road,P. O.Box 659 Osterville, MA 02655 Reference: Site Plan Review 010-06— 130 Lewis Bay Road,Hyannis, MA Proposal: 1 one-bedroom apartment on the 0 floor and 2 one-bedroom apartments on the second floor of an existing structure. Reconfiguration of the driveway and parking area is proposed with on-site drainage retention provided. Existing septic designed for 4- bedrooms. (Revised 4/4/06) Dear Mr.Bill: The Site Plan Review Committee reviewed the above revised proposal. Please be advised that the Building Commissioner, Tom Perry,has issued an administrative approval with the following conditions: • The project shall be consistent with the Design Infrastructure Plan Review by Patty Daley, Director of Comprehensive Planning,dated March 2,2006 • Approval is based on site plan prepared by Sullivan Engineering,Inc.,"Proposed Plan of Improvements at 130 Lewis Bay Road, Barnstable,MA", dated January 25,2006 and revised 2/27/06 adding flood zone information and again 4/14/06 to reflect revised proposal changing from proposed office use on the first floor to a 1-bedroom apartment and eliminating the proposed septic upgrade. • The proposed exterior access stairs and decks will be necessary as the second means of egress for each proposed 2nd floor apartment. If you have any questions or required further assistance,my direct telephone number is 508-862-4679. Sincerely, Ellen M. Swiniarski M Site Plan Review Coordinator CC: SPR File �`TomPeiry,Building Commissioner 7r, Town of Barnstable *Permit# y/oO JP®3 X"PRESS PERMIT Expires 6 months from issue date Regulatory Services Fee Oct 5 6 MAR 17 Z006 Thomas F.Geller,Director Building Division TOWN OF BARNSTABLE Tom 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 Not Valid without Red X-Press Imprint Map/parcel Number Property Address EVResidential Value of Wort n fle Minimum fee of$25.00 for work under$6000.00 4— Owner's Name&Address , t„„% ��. � Lam. ,�o►- o �� o l��-� Contractor's Name gr±—y L�>1 l jar Telephone Number W 7 y1 Home Improvement Contractor License#(if applicable) 11 Construction Supervisor's License#(if applicable) M*orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name ���� Workman's Comp.Policy# OL W C'2 0 :„ �� �(C (Fj ,60 C Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) VRe-side Replacement Windows. U-Value 3Y (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. ome Improvement Contractors License is required. SIGNATURE: Q:Fomis:expmtrg Revise071405 n 0 �aFTMsr� Town of Barnstable ti Regulatory Services g * IWINFM Ix w MASS. Thomas F.Geller,Director 639. a Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property bier Dust Complete and Sign This Section If Using A Builder as Owner of the subject property he by authorize t(CI-ev /�— Mo/Z- to act on my behalf, in aR matters relative to work authorized by this building permit application for. 3 15 Rd PA 4UANoj (Address Of J b) aid 'gnature of Owner Date Tt Name Q:FORMS:O WNERPERMISSION 1� The Commonwealth oj'Massachusetts Department of Industrial Accidents W Office of Investigations 600 Washington Street Boston, NIA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leg Lb Name (Business/Organization/Individual): 1--tv l�� e,,,� 'n Address: � City/State/Zip: ' kM - P one #: 0 "l Are you an employer? Check the appropriate box: Type of project(required): 1.(/I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ ❑ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for mein any capacity. workers' comp.insurance. g, ❑ Budding addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11-❑ Plumbing repairs or additions myself.[No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs_ S insurance required.] t 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 wbo submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such iContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins.Lic. #: C�,yv e--)O ZO d Expiration Date: R Job Site Address: City/State/Zip: tw Attach a copy of the workers' compensation policy Yedaration 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$1,50Q.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 forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certif under the pains and penalties of perjury that the information provided above is true and correct Signature: C Date: Phone#: S)n ��b y`?Ll ' 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 Elealth 2.Building Department 3.City/own Clerk 4.Electricai Inspector S.Plumbing tnsp—ew or jl 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the . receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also'states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-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 , i Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has,been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The'Office of Investigations would like to thank you in advance for your cooperation and should you have any. questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, IAA 02111 Tel. #617-727-4900 ext 406 or 1-077-MASSAFE F a-A r= 617-727-7749 Revised 5-26-05 www.mass.gov/Gia mac'/ Assessor's#office '(:1st floor): T"E / Assessor's map and lot number Toy Board of Health Ord floor): Sewage Permit number ........................................................ +i BA"STADLE, S Engineering Department (3rd floor): r 1639. raoa Housenumber .............................................................. �c MAY APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............ b............................................ TYPEOF CONSTRUCTION ........................:I...L` . :..................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �,�w �s �.�y , ���s Location ...................... .a.... ............................................................. .................s... .... ..................................................... ProposedUse ...��`.......... ....................................................................................................................................................... { Zoning District ' .....................................Fire District Name of Owner �i/l /( 69 ei¢ �l!L/vco o�:S KAddress ...!LP...4.Z.4c_j ....4A.y...)6�1 :............................ Name of Builder .... o 5 ?;c'."� 1' .... ....... Address ................ ....... ....,1.�E ....r . ... Nameof Architect ................./.::/ ......................................Address .................................................................................... Numberof Rooms ................. / ......................................Founda'tion ................. 0 ................................................. Exterior ..:.'.rfos.................................................Roofing ....rn: Sf/rrv .CQ�................ FloorsG`�ol..............................................................Interior ................ ii Heating .................. .......................................................Plumbirig ....................................................................... ....Approximate Cost RUC) oa Fireplace .................�/..................................................... ...................,.......................,:......................... Definitive Plan Approved by Planning Board __________________________ -----f 9-------- • Area ��'f//�..,.... �. ...... Diagram of Lot and Building with Dimensions Fee ......... ..f................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I 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 ................................... Construction Supervisor's Licenseee- .................... HANSEN, WILLIAM & A=326-108 CATHERINE Na ..... Permit for Rcmf..Qvjex..der-k-on rsinle family dwelling ......................... Location ......130 Lewis Bay Rd. jjy4pai�;... .................................. ............................... ............................................... OwnerWillia...................................................... Type of Construction .....frame......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .................klsu..19.........19 ,86 Date of Inspection ......................................19 Date Completed ......................................19 r j • a C 617-775-1 120 roe` TOWN OF BARNSTABLE XMSTAUs ZONING BOARD. OF -'APPEALS - ��o t6JL `�d° 367 MAIN STREET �Q MAY HYANNIS, MASSACHUSETTS 02601 April 8, 1986 Mr. & Mrs. William Hansen 21 Prospect Street Taunton, MA 02780 Dear Mr. & Mrs. Hansen: At their last meeting of April 3, 1986, the Board of Appeals voted to allow you, per your request, to remove the existing rocf and replace with a new flat roof with railing, as indicated on a revised Plan dated August 7, 1985; the only restriction being, that the new roof is not to exceed beyond the bottom of the deck. Sincerely, i Luke P. Lally, Chairman Zoning Board of Appeals LPL:ek - Assessor's # ice:(Nht floor): / f TNE Assessor's ma and lot number ✓ (p..�./...D.. oFTo� Board of Health (3rd floor): fO Sewage Permit number MAG Engineering Department (3rd.floor): 900 039• Housenumbei• .................:.....................................................: oMara• APPLICATIONS PROCESSED 8:30'-9:30 A.M. and 1:00.2:00 P.M. only. TOWN, ,OF BARNSTABL�E RURDING , INSPECTOR APPLICATION FOR PERMIT TO . ' ..�6L�t �y.. xT' "'�-�.....�4.....� Apdru,� TYPE OF CONSTRUCTION ..............................:: ..................................................................................... e ....---...--•--- 1 19 I , TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 2 . Location �J.d..........r..... .s.....04.y... .....:............1?`�! Ni�1�S,../� SS 4a6G/ �Gw /�� .... ......................................................... ProposedUse .... ...D� -................................................................ ................................................:........ ................................... Zoning District �' ....Fire District n �H�`S j Name of Owner ...`t//�l'l4N �i W.... ddress / T O �v(v�4�r�f �!4 ........................ . Name of Builder .................° _::............. ."es.... ........�............Address Nameof Architect ................. / ..........:...........................Address ..................................................................................... Numberof Rooms ..................... .......................................Foundation .................. / ............................. P Exierior ..............5. .... ......5................................................Roofing ............. .............. .. ... ................. ....................... Floors Interior .................y ............ ........................................ ................................. /✓ ...........................................Plumbing ......................� # Heating ................................................... ....................... ............... �o Fireplace � ' ....................................................:Approximate Cost ...............a VDU....... Definitive Plan Approved by Planning Board ________________________________19--------.•- Area ko.AIn/T......C:�� Diagram of Lot and Building with,Dimensions Fee / SUBJECT TO APPROVAL OF BOARD OF HEALTH PERMITS REQUIRED FOR -NEW DWELE•1N S j.OCCUPANCYG hereby agree to conform to all the. Rules and Regulations of the Town of Barnstable regarding the above ~ construction. ` Name .. Construction`Supervisor's License az. .. ................ E HANSEN, WILLIAM & A=326-108 CATHERINE No 29 6.6.. Permit for .Roof..A:crP_x..dec.k..,on s r glp family dwell ng................ l30 Lewis BayRd H annis Location ........................... .......�.....�'................... _ .......... . - ....... ..................................... William & Catherine Hansel -Owner ... ................ ` ..... Type of Construction ............ t.........:....... .......................................... ' Piof'............................ Lot L Permit Granted .................... 19 86 h - _Date'of Inspection ... ... .............. ....19' ; Date Completed .......................... .....19 `? R r t. ` . _ r�.:� + � - des. e � • -y • Asses or's ma and lot number O*THE t0 4ewage! Permit number R?......................................./� ... ;►�BtS House "number .. .. x,. �, 90 `*A8iLN C i639. `e00 TOWN OFJ BA NS'` ABL `i 052, B UILDING 1 -LINS . JJ I� APPLICATION FOB`PERMIT'T�`i::.. y�J�i E. ...;,.. ....!............................ ............................................ TYPE OF CONSTRUCTION . . ... ... ..``` ...................../.......19. TO THE 'INSPECTOR OF BUILDINGS: The, undersigned hereby applies for a permit according to the following information:",, Location ..... I:..u?f� ..... !�✓.. ; ,....: Ay........... .�/ � ............................... s¢ I` r Proposed: .U,se �LD �!'o a�r � �, . E c� /` ..........................�.:. ..:....�.. ........................... Zoning District Fire District r 9 ............................ �, a...l.......................... Name of•Owner :'�r!.1�!?%'� �,: 1, ��'' Addre'3sl u?/... /�/i o f/��CT" J/ 7'/t�'i!!Tt.w«r.......... 1 00 Name of Builder`ay/��T.!.4 .w'i4el.......�f'i o D fl!�Address /P�; Name of Architect' 4 `� 0......�.!�y� .Address �7} h, P.�.¢eG . G✓oo ,/�•,;Z'............. ... Number �f Rooms ...... ... i 8 „. 4?- ........................................Founddtion , �.�?.lY�.r... / .!,�yG Extea for ... !hci.................�d ' ... .... Roofi ' .r!'!' !¢<.�.:.: .:...... . Floors ��r/'!' ?' .9`..h'` ..D. ..... .. ....G�'�r �Qterior ....................... Heating /C•/Ic o .... T G,�!t??�-/c' . ....... .. . .Plumbi'ng .!Q r _ a............................. Fireplace .................................. Apge!6zimate'Cost . �T�.�? ........ i � ..............:... j. . •i. Definitive Plan Approved by Planking. Board _. _______ :_______ 41,119 !__�. � - Acea .. a �.. ... ....5 .. " s Diagram of Lot and :Building >vsith Dirneni.pns F �A ee �.. . SUBJECT TO APPROVAL OF BOARD bf"iHEALTH f , r , Y i III 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 lf...4 C.....s! ....,...... Construction Supervisor's License ...... ..�11d 0 9................. ,. HANSON, WILLIAM ,Or 25228 BUILD ADDITIGN .. Permit.for Single Family Dwelling 130 Lewis Bay Road- ... i j . Hyannis .................................. ... ... ... F . >,aOwner Wi.j, iam...Hans.on........ ....................... .... 4 ` Type of Construction ..Frame ` .............................................. J........................ - ^ - ' ' ��tll Plot Lot Perm it'.Granted .June 22, 19 83 r f. Date'of Inspection: .................. 19 Date Completed 19 0 - ,, 1. Assessor's`bnap and lot number ...�. �!.... ... .0 THE i - OF TO�y s.. 3 3�. Py Sewc,,• a Permit number �..............................:/.....:. Z BAUSTADLE. House number ............................................................. .......... 0 A1639. t �E p M pr TOWN OF BARNSTABLE BUILDING INSPECTOR r APPLICATION FOR PERMIT TO :...1 ....c..-....../:.... ...... .,�. f f! . t_�c -- t•'C,( fi v.�.!/" v c .......................................... TYPE OF CONSTRUCTION Z1 ........................................................ Fa .-- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........./....247......... .............. ' ram. At ProposedUse ............................................................................................................................................................................. ZoningDistrict ........................................................................Fire District .......:.................................................................:.... Name of Owner r �!/1 ......./�AsY�/�i`.'::...................Address A.l...j�/�af��..T;....... '........T.....!'::�...t'.�..../��f! Name of Builder ..... �/ EFo•D• <isGAddress �?Go f'ovft'd..:�.ec......�:.........:....J/?...... f!�<� .Z�, Name of Architect 1 .e.. .....................Address .........�os�". !?: .Z". ................... ............................. ...................................... Number of Rooms ......P.........................................................Foundation ..... /r....................................... Exterior .. !./.,r. .r.........:. .............................�...�..............Roofing .... r'°�`�`.f.. �......................................I............... Floors ��?�"r�'... ..�y,�,c;CJ........�J`.y .`'7..........•.7nterior ��yw� r ? ......................................................... ,4 Heating--/ 9!J X ,o......�• ... ......:: "f ........................Plumbing ��- .. .... ...... ..... .................................................................................. Fireplace ... :..n.......................................................................Approximate Cost ....�.r�.. .....................° `g I. ............. � -� Definitive Plan Approved by Planning Board -----------____---------------19________ . Area ..........�.��....�............. Diagram of Lot and Building with Dimensions Fee . SUBJECT TO APPROVAL OF BOARD OF HEALTH f 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 ..!..... .. ...." ;' ....... m Construction Supervisor's License ...... ©" ............ Y HANSON, WILLIAM A=326-108 T 25228 Build Addition f No ...... Permit for .................................... Sin le Famil Dwelling Location ....130 Lewis Bay Road ..... ........ ...................Hyannis......................................... Owner William Hanson ............................................................ Type of Construction ..,Frame ................................................................................ Plot ............................ Lot ................................ Permit Granted ......June 22, 19 $3 Date of Inspection ....................................19 Date Completed ......................................19 L � 41201,83 FROM ii a�i �� 1�1�0�[�'[?'�R 5 .� _ : DATE GALL To .r���... ...,.,. .. St1BJE.CT � ,dUS ' Joe No. ti �001 11�� ��.,����►�G�. ORDER`N0. .. • .. ,�, , -_ � �f ..$;('7I�YIJ FO.Ft'tRit'f'f'�L 1 M�,��GM1:.►JT�_, 77 ST 17, ir t { , , � -� , . � �. .b y'� ��J�'�; �� ��,�//�p�� _'���OS�D'.��$D1LT�ORG►-•t 1 1 - + r ` ` '} } j ' ASSESSORS REF.: ZONE: Ms �t Map 326, Parcel 108 � t Reference: 240-24.1.4 Ali Area: (min. 10,000 Sr '? {"ia'`+', OVERLAY DISTRICT: Frontage: !n) 50' \ t� AP - Aquifer Protection District Lot Width: min (NIA) t �y 9 Setbacks: r � i ti ,:31? ra As Shown on Plan Entitled Fron t: 20' Revised Groundwater Protection anti ' v }tit J, Overlay Districts' - April, 1993 Redar: 10' a C, Budding Height: (max) 38' FLOOD ZONE: Stories (max) 3 F Zone B Qr A9 (El 10') Lot Coverage (max) 80% O Community Pane! No. 1250001 0006 D Location Map; July 2 1992 1"=2,000t" Dear ner r era Top of Coastal Bonk r MW a�adh e By Town Derrnitlon , /'Or sear raga I r MAP 326 PARCEL 108 "a PARCEL AREA coot ow 10,393 f SF Tern °R- fill r_`1. fTS:-50 E PROPOSED DRADVAroG PR IME I I I \ a IJIJ 11I►� I I I �, € I '�. NOTES Le end: 1. Water Supply For This Lot Is Municipal Water. _iL_ 2. Location of Utilities Shown on This Plan Are Approx. IIIIJJiII I 1 I ® � \ At Least 72 Hours Prior to Any Excavation For This O Manhole Cover Project the Contractor Shall Make the Required J1� r r4r• - Notification to Di Safe 1-888-34-7233 • Component Riser 9 ) ill iil'1� i �ys3o + 3. The Contractor is Required to Secure Appropriate IIIIII I I 1 ?S f6,g >l O CB/OH PermJts From Town Agencies For Construction fY m Dented b This Plan. utility Pole y s 1 4. all Located i Rises With Rms and Covers Risers Finished Grade y,rd if located in Driveway. Install All Other Risers to Within 6' Lewis !lilt/1 ) e3 Deciduous Tree oPFinlsfied.Grode. Bay 1 11/• 1 u�°� f 5 t a vehicular ra�Rc to be Hr 20FL�ingSLtiject 11 1 raejv 6. Septic Systam to be Installed in Accordance With Coniferous Tree 3f0 CMR 15.00 Latest Revision and the Town of Barnstable Board of Health Regulations. fr•`Il Jll/!/ 1 1 1'\ j 7. All Piping to be Sch. 40 PVG Light Post 8 Wherever Sewer Lines Must Cross Water Supply ` .I • Catch"Basin Lines, Both Pipes Shall Be Constructed of C! 150 P ass Pressure Pipe And Shall Be Pressure Tested To ns _`"'rG.'� av o, i —ahw—Over Head Wires Assure Watertightness ll ll 1 \7 !�,~ 9. Septic system design and location based on plans by Hydrant ( t ) q Albert A Person, k PE, dated 511011983 see BOH 3326. k i �� ® Water Gate 10. Per TiUe5, Section 15.301(5) upgrade _fll� \ \1 i \\ of - • ti� If 1 required if the system was desned to accept designs flows resultin from the change in use or/ ? 6 Pere Test g g expansion of use. 1 —w— Water Line —f:— Gas Line (4)-Bedrooms: 4 x.1 10 gal = 440 gpd Design of OmTy Flow= 440gpd ! ll 1 / \\ ��• �,I �+ \ / 1 Ho Garbage Grinder to be Provided in this system. \ _!� / I Septic Tank: / \ / • Used 1,250 Gallon Septic Tank Leaching Area: Wiia` 0 Got Leach Pits Provided Bottom Area = 128 SF x 1 m 128 SF `roy� \� Siciewall = 256 SF x2.5 >.640 SF 354 SF Provided W/Cpaclty of 768 gpd .A Leach Pit Design: V� Used(2)-600 Cal. Leach Pits !�► With 2 /t. of Washed Stone Around ®Pit. r� Proposed Use: 3-Bedrooms (see note 10 above) • / s �r �Oj Ste, REVISION (411412006) Change Office to Apartment. REVISION (212712006) Add flood zone information nTLE.' PREPARED BY. PREPARED FOR: GENERAL NOTES: p Proposed Plan of Improvements Sullivan Engineering, Inc. CapeSury BBSS Realty, LLC 1.) The property line information shown was Road PO Box 659 7 Parker Road compiled from available record information. At 130 Lewis Ba / Rd p Ostervllle, MA Osterville MA 02655 32 Lovers Lane } 2.) The topographic Information was obtained from r Barnstable (Hyannis) Mass. (soa)a28-3.1,.(Sae)4z8-31is rfix (so6)'zo-ssa'(soe)'zo--V."fiox Southboro, MA 01772 an on-the-ground survey performed by CapeSury on or between 11 JUL 05 and 14 JUL 05. Draft. 0W8 Field: K/.PM 20 0 t0 20 40 80 3. The datum used is NGVD '29, a fixed mean W DATE: CALE: „ CompMeview: JOD/PS Comp/Draft: WHK/RRL sea level datum. W January 25, 2006 i =20, Prod >Y 23027 jDrowing I C648G1 in F I I.._- E O pY ASSESSORS REF.: ZONE: Ms Map 326, Parcel 108 Reference: 240-24.1.4 Area: (min.) 10,000 SF OVERLAY DISTRICT. • Frontage: (min) 50' Lot Width: (min) (N/A) AP - Aquifer Protection District Setbacks: As Shown on Plan Entitled Front: 20' "Revised Groundwater Protection Side: 10' Overlay Districts" - April, 1993 Rear. 10' ,r� Building Height: (max) 38' FLOOD ZONE: Stories: (max) 3 Lot Coverage: (max) 807 Zone B & A9 (El 10') t an°mroroi®199BWSidtbwert'mdudiom .. Community Panel No. Location Map' #250001 0006 D July 2, 1992 1---2,000t" ants. over qs Finished GYade f Flier Fobrte \ — (2) 11-1/2'0 HWes 2'Peostone 2X_ ' Esc Double Washed 0 ` 2• s pipe HOPE � Stone Varies Top of Coasts! Bank � •-�..� � \ By Town Definition + "� -'' J \\\ I um + MAP 326 PARCEL 108 r^ 3 600 Pit— Z mil ' o v� ° N� PARCEL AREA T P,w. I ! ° 10,393 f SF Troop eosin 9` ! ! 1 sus o2,30„ ° E PROPOSED DRAINAGE SYSTEM PROFILE r5 SQ NOT TO SCALE 1! fill ' sr NOTES 1. Water Supply For This Lot. is Municipal Water. I ><� i `'=°��.d_Y -�Q ' Legend: 2. Location of Utilities Shown on This Plan Are Approx. r"i ►! << ! ! a,,�°. 14- +eat At Least 72 Hours Prior to Any Excavation For This Project he Contractor Shall Make the Re aired � -�.�a1a•f O Manhole Cover Prole t t q i ! � ►ey�� i '� Notification to Dig Safe (1-888-344-7233) 7e, ', s 1�, — f 0 Component Riser 3. The Contractor is Required to Secure Appropriate £ ! CB/DH Permits From Town Agencies For Construction El£x�stin9 �$ R air �l Defined by This Plan. strVc w/f a`Oz ' w `°�" J -0- Utility Pole 4. Install H-20 Risers With Rms and Covers to Finished Grade if Located 1n Driveway. install All Other Risers to Within 6 of-Finished Grade i �3 Deciduous Tree 5. All Structures Buried >= Three Feet. or Subject .inner l �lI !� // 1. � �� � r Lewis N . I i(lIi/ I , �� �� to Vehicular Traffic to be H-20 Loading, Bay 1 : i!�i ' ... , t N o` 1 rk sJe ° t�+o / 6. Septic System to be Installed in_Accordance With I i i!�f( / o hw„ ° I / 310 CMR 15.00 Latest Revision and the Town of S �J_ „' a _ g � �'�i '�`°"� 3 / Coniferous Tree Barnstable Board of Health: Regulations. Z All Piping to be Sch. 40 PVC. N Light Post 8. Wherever Sewer Lines Must Cross Water Supply 41 Lines, Both Pipes Shall Be Constructed of Class 150 J Jl 11� \ � "� o + / ! Catch Basin Pressure Pipe And Shall Be Pressure Tested To ~.'J l Re� �� / " 1 $ Assure Watertightness. yaw �,� / o, ! b —ohw— Over Head Wires g, Septic system design and location based on laps b .11 /ii \ ` 1 �'a bghh9/ \\ �� �r i / Ar / ,� 1 =�� ° Hydrant P Ys 9 P Y tR l J/J J r b Y Albert A. Person, Jr. PE, dated 5/10/1983 (see BOH#83326). o l,g ipo�ey j U� ® Water Gate 10. Per Titles, Section 15.301(5) upgrade of the system is not r, Mre° required if the system was designed to accept design flows Perc Test resulting from the change in use or expansion of use. l J • \ 0 9S Water Line ei . 1a !i °i 1 � I ,� � . lzo• •,,. t I &V i —G— Gas Line [2s•o`e(u, 1 ! (4)-Bedrooms: 4 x 110 gal = 440 gpd `i i I i 0 �• awn r � . ��. 1 I ' Design of Dail Flow 440 d d / / / � 9 Y 9P No Garbage Grinder to be Provided in this system. 1l I i "� �' �Ro• 0 �� J i Septic Tank.• 1 I ° Gfi I Used 1,250 Gallon Septic Tank Leaching Area: (2)-600 Gal Leach Pits Provided IN, Bottom Area = 128 SF x 1 = 128 SF Sidewall = 256 SF x2.5 ` 640 SF kA OF `'`, �, 384 SF Provided W/Capacify of 768 gpd RICKVIDGAP �,�� fir rewf r� Leach Pit Design: R. g N � � a o-1as1 Ncw Used (2)-600 Gal. Leach Pits �,? " 1�� a (Sli With 2 ft. of Washed Stone Around @ Pit. Proposed Use: 3-Bedrooms (see note 10 above) os- REVISION (411412006) Change Office to Apartment. REVISION (212712006) Add flood zone information TI TLE. PREPARED BY- PREPARED FOR: GENERAL NOTES. Sullivan Engineering, Inc. CapeSury BBSS React LLC 1.) The property line information shown was ,-- .Proposed Plan of Improvements y, compiled from available record information. p PO Box 659 7 Parker Road 32 Lovers Lane 2. The to o ro hic information was obtained from .r0 /`it 13� Lewis Bay Road Ostervil/e, MA 02655 Osterville MA 02655 SOUth�JOrO, MA �� 772 ) topographic on-the-ground y P y P (508)428-3344 (508)428-3115 fox (508)420-3994 (508)420-3995 fax an on-the- round survey performed b Ca eSury Barnstable (Hyannis) M�aSS on or between 111JUL105 and 14/JUL/05. Draft: DWB Field: WHK/JPM 20 0 10 20 40 80 3.) The datum used is NGVD '29, a fixed mean W DATE: SCALE. „ , Comp/Review: JOD/PS Camp/Draft: WHK/RRL sea level datum. January 25, 2006 ^20 Pro # 23027 Drawing # C648G1 __ _ _ ASSESSORS REF: ZONE: Ms tW s � Map 326, Parcel 108 Reference: 240-24.1.4 Area: (min.) 10,000 SF OVERLAID DISTRICT: Frontage: (min) 50' Lot Width: (min) (N/A) I AP — Aquifer Protection District Setbacks: As Shown on Plan Entitled Front: 20' "Revised Groundwater Protection Side: 10' Overlay Districts" — April, 1993 Rear. 10' Building Height: (max) 38' FLOOD ZONE: Stories: (max) 3 s Lot Coverage: (max) 807 Zone B & A9 (El 10') Masao►Torol®t998Wi1dfbwmrP,adxtio�t�.. :� Community Panel No. Location Ma #250001 0006 D p: July 2, 1992 1 2,OOOf" grate over 3 Finished Grade f Filter Fabric o � — (2) 1-1/2'6 Holes 2"Peastona Double Washed o 'V Top of Coastal Bank / \ I 2' 12'HOPE Stone Varies —/ Pipe By Town Definition pa d ; �£ MAP 326 PARCEL 108 } ax aoo Gal o N� PARCEL AREA T Leaching Pit O - Cape Catch Basin Prop- 10, r \ rz�� sP/tad 10,393 f S= trap S7 B 02 30'E PROPOSED DRAINAGE SYSTEM PROFILE SQ NOT TO SCALE 0 Lawn NOTES Lawn StOgFods O 1�— 1. Water SupplyFor This Lot is Municipal al Water. � 4 —,a o Legend. 2. Location of Utilities Shown on This Plan Are Approx. 1 a At Least 72 Hours Prior to Any Excavation For This `III I I I i ' I I I ® ; 9 s"�a• i , a' �' 1b 0 Manhole Cover Project the Contractor Shall Make the Required �Ar, " Component Riser Notification to Dig Safe (1-888-344-7233) '`�'' 416.1 3. The Contractor is Required to Secure Appropriate EX`73a �4$8 R �I CB�DH 2 Permits From Town Agencies For Construction I St'ng ,/ /f Defined by This Plan. Sty w � ROma ' L°r"' l O Utility Pole 4. Install H-20 Risers With Rms and Cover's to Finished Grade Str4Ct✓r/f 4 q r L cygele FxlstG, / oy�,a / l if Located in Driveway. Install All Other Risers to Within 6 so. a'°sea, y I of Finished Grade. Inner ?i f l Deciduous Tree 5. .All Structures Rrrri,orl >= Three Feet or Cv,{,ivr•f Lewis Y �2s2aS' to Vehicular Traffic to be H-20 Loading. Bay i 'l l I'1 I j I --- m• J N o Lawn �� syyt w °� l / 6. Septic System to be Installed in Accordance With /h 1 `'� a l / 31D CMR 15.00 Latest Revision and the Town of \ \ As. °m Lawn 3 1 3_ �. BNoa acprd�9t h \` Coniferous Tree g � A Barnstable Board of Health Regulations. / I r 7. All Piping to be Sch. 40 PVC. lm�ll/I `\ 9 > Light Post 8. Wherever Sewer Lines Must Cross Water Supply l' Ji� _ ° `�$ W I Lines, Both Pipes Shall Be Constructed of Class 150 g'si: / l l J I I j �— ,''.\ , ':o ,��\ 3 La v_�X / ` ,,�J / H ° Catch Basin p ® Pressure Pipe And Shall Be Pressure Tested To R/ Assure Watertightness. —ohw— Over Head Wires 9. Septic system design and location based on plans by Ni ' +�° �� ` l Pro / I ? Hydrant Albert A. Person, Jr. PE, dated 511011983 (see BOH#83326). p y l 10. Per Titles, Section 15.301(5) upgrade of the system is not (z)Fx/e rk+hg oved Z ( p Water Gage required if the system was designed to accept design flows a c 000 9o�y / eo / q y 9 P 9 :� \ �� -2 nadcft%/ $ Perc Test resulting from the change in use or expansion of use. 1 l I I ' 1 �:\ �a zo rD _t2' / /l/'I I —w— Water Line Design DataPer T' S ins ec 13p' `� —G— Gas Line B 12004 (Pam ) a„b o 115.0°Adin !'�1a� I ,:`� — J (4)—Bedrooms: 4 x 110 gal — 440 gpd awn o rt J, ( I 1 f / / ° ' Design of Daily Flow = 440gpd U `�\ J / I No Garbage Grinder to be Provided in this system. Sep tic Tank: Used 1,250 Gallon Septic Tank 1 \ Gad U o \ / Leaching Area: j (2)-600 Gal Leach Pits Provided S9 /° \ Bottom Area = 128 SF x 1 = 128 SF `sod � Sidewal! = 256 SF x2.5 = 640 SF 384 SF Provided W/Capacity of 768 gpd Leach Pit DesicL: ps � o=1o.s1 "cw Used (2)-600 Gal. Leach Pits P;. �t With 2 ft. of Washed Stone Around © Pit. COD`" '•;' -. Proposed Use: 3—Bedrooms (see note 10 above) ' ...,',..'4` '•,� ,�E+ , -----10A REVISION (411412006) Change Office to Apartment. / REVISION (212712006) Add flood zone information TI TLE. PREPARED 8Y.- PREPARED FOR: GENERAL NOTES. r v m nts Sullivan Engineering, Inc. CapeSury BBSS Realt , LLC1.) The property line information shown wasProposed Plan of Imp o e e7 Parker Road Y compiled from available record information. O Po Box 659 32 Lovers Lane At 130 Lewis Bay Road Osterville, MA 02655 Osterville MA 02655 2.) The topographic information was obtained from (508)428-3344 (508)428-3115 fax (508)420-3994 (508)420-3995 fax Southboro, MA 01772 an on—the—ground survey performed by CopeSury Barnstable (Hyannis) Mass. on or between 111JUL105 and 14/JUL/05. Draft: DWB Field: WHK/JPM 20 0 10 20 40 80 3.) The datum used is NGVD '29, a fixed mean DATE: SCALE. „ , Comp/Review: JOD/PS Comp/Draft: WHK/RRL sea level datum. January 25, 2006 1 =20 Proj. # 23027 Drawing # C648G1