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Home My WebLink About0311 MEGAN ROAD ail JncGart/ C�_ ACTIVE E jxj — _ k—t—s� Vic _ 4 Imo. w � -�^�"� I /�X � g lw � 4^ n z � ��-; ` ^�..' i.. _ . - � !'.7 ., a•. � �� .. _ �� F'1�� ,:�' � rr. r Y, ...;� �� s�_ t: �' yF< C r �T G+ - � y� s L � i,� r . r� y Y�_ �` � �c C L' C{-Jam. i � - --_- - i ®a °FIB, Town of Barnstable *Permit# Expires 6 mon ro date Regulatory Services Fee * BARNSTAB MASS' Thomas F.Geiler,Director 9� i639. T• AIEp�: � � . .9 Building Division 0A_46 Q / Tom Perry,CBO, Building Commissioner �f� 200 Main Street,Hyannis,MA 02601 NiST www.town.bamstable.ma.us Office: 508-862-4038 � Fax: 508-790-6230 EXPRES PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint � r Map/parcel Number Property Address 311 M [V"Residential Value of Work -�/Sw; Minimum fee of$2W for work under$6000.00 Owner's Name&Address Fa•A,,jk- 6A&w 311 Me6A J- 90abT 4ma,iAics MA 02/1601 Contractor's Name d o QUI �. .YI— Telephone Number (_tZ ) 771-041 Home Improvement Contractor License#(if applicable) 13 Z bq I Construction Supervisor's License#(if applicable) CS 75000 ❑Workman's Compensation Insurance Ch ck one: 91 am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance - Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) I ❑ Re-roof(stripping,old shingles) All construction debris will be taken to '❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors [( Replacement Windows/doors/sliders.U-Value • 38 (maximum.44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. , ***Note: Property Owner must sign Property Owner Letter of Permission. A co y of the Home Improvement Contractors License&Construction Supervisors License is jre red. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc f Revised 090809 / 1. G The Cornmon}vealth of Massachusetts Department oflndustrialAccidents }� Office of Investigations t' 600 Washington Street 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): S(!p Qi UI � Q— Address: 311 Sf✓a.u1�'Jfilit.H �t��. �Oe..d City/State/Zip: erg k MA 0210Z Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.[9 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 working for me.in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 1 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I Q] Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp, insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for any employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie:#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing:the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify er the pains and penalt o perjury that the'information provided above is trice nd correct. Signature:: Date: Phone#: of 77/—o Lx l Official rise 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 S. Plumbing Inspector 6. Other • Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an eniplo},ee 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-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 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, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia C¢� 0 THE ro Town of Barnstable ♦ r Regulatory Services a AS&M Thomas F. Geiler,Director v� 0.39. b `��' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder L R-4rIL &UPA6 ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. 3it GArJ &AD t�,4gyVIs, MA 0u61 (Address of Job) /0 Si ature of Owner Date �✓An�t. �4Uoo�i Print Name If Propedy Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERFERMISSION Town of Barnstable \� o Regulatory Services " Thomas F.Geiler,Director SA"s"LE, arose. 1639. IN Building Division PIED `{ Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner'assumes•responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings.containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are_assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for licensing Construction Supervisors,Section 2.15) This lack of awareness often results.in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page,of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FO RM S\ho m eex empt.DOC -' Massachusetts- Department of Public Safetl I. Board of Building=Regulations., emulations and Standards Construction Supervisor License f License: cs 78000 I Restricted.to: 00 '; ^�t-�--- SCOTT H. QUILTER , PO BOX 727 f. W HYANNISPORT; MA 02672 Expiration: 2/3/2012 Tr#• 21477 r s pp! 4�� 4 i "5r ' a i � ..n"F"t?Y�,» 'u.Rha "•`n+!` {�y �3k' a c"t1L1') 't (; rIRKGo"j' ff tttl "� Astlyg2 'J'Tlg."t•r W 1 m '�' t• rf a ��,, i _ �5�. �'"a yl,µ1 L�1'�� i4`,''�Lgs�,}y Y•++ �`i, J _ E � � „5,ri _ � • y -'�- Massachusetts- Department of Public SafetN. Board of Buildings Regulations. I and Standards Construction Supervisor License ILicense: Cs 78000 Restricted to: 00n. * x q OUILTER SCOTT H •,$;F; PO BO "x + � X 727 ;. %n : W HYANNISPORT, MA 02672 Expiration: 2/3/2012 C'rimntissiurier:' rr#: 21 an G6 OBI➢%iJYGOP24!!B2 L�2 I ; ward urt r E r tZCoUi tr i+rsz arc�'i;' rds ${ RJ!y�EN,ENT 0(YR f .�70^ + " � 'aG ^:0 v•- '$ �' �i 4 R�{yj .1r-"4KT`Y'S.•i t �ll r'• � (tjr Town of Barnstable pFTHE iqN, Regulatory Services Thomas F. Geiler, Director + BARNSrABLE, 7 MASS' Building Division �A t639. �m 'Fc 39. Thomas Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: (74 z—/O r � LOCATION: UNDER THE PROVISIONS OF 780 CMR, THE STATE BUILDING CODE, SECTION 3400.5.1, YOU ARE HEREBY ORDERED TO IMMEDIATELY DISCONTINUE THE USE OF THE CELLAR/BASEMENT AREA FOR SLEEPING PURPOSES. LOCAL INSPECTOR SIGNATURE OF RECIPIENT ODEM DE SAIDA DATA: LOCALIDADE: DE ACORDO COM O PROVISORIO 780 CMR, CODIGO DE CONSTRUCAO DO ESTADO, PARAGRAFO 3400.5.1, VOCE ESTA ORDENADO DE DEIXAR DE USAR, IMEDIATAMENTE, A AREA DO PORAOBASEMENT PARA O PROPOSITO DE DORMIR. INSPETOR LOCAL ASSINATURA DO RECIPIENTE i °FINE ra,, Town of Barnstable Regulatory Services qB"RN 'MAWg Thomas F.Geiler,Director Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 May 15, 2006 Mr. Francis Balboni 311 Megan Road Hyannis, Ma. 02601 Re: Illegal Apartment: 311 Megan Road Hyannis, Ma. 02601 Map 291 Parcel 254 Dear Property Owner: Our records indicate that your house at the above-referenced location is currently being used as a multi-family home,which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Sigcere L' a Edson Amnesty Program Zoning Officer Building Department gf6rms:zoning3 f Parcel Detail Page 1 of 2 p � sir Lti �p� Logged In As: Parceli Monday, M< Parcel Lookup Parcellnfo ........ ............. ... ........ Parcel ID 291-254 Developer;LOT 10 Lot Location 311 MEGAN ROAD Pri Frontage '81 Sec Road .PHILLIPS ROAD Sec Frontage 100 Village HYANNIS Fire District HYANNIS Sewer Acct. Road Index'1014 Owner Info --._-._...... ... _.__.. _... _ ...._..,.., ,,,, __ Owner'BALBONI, FRANCIS C Co-Owner FJO ANN BALBONI Streetl 311 MEGAN RD Street2 ................. ..._ ..._ . .,,,,,.. .... ..._._... _._...... .. ...... City HYANNIS State iMA zip;02601 Country US Land Info :...,,. ... .w.....,�..,..... ... ,...,,. .,.,,w ......... .,ww„ ..w. ....,,. .............. ....,.�.. .,... Acres 10.23 Use Single,Fam MDL-01 zoning RB Nghbd 0106 ......... ................. ... ........... Topography Level Road ..Paved ...__........ ........ _ ._......................... ......... .... .......................... ..... utilities Public Water,Gas,Septic Location Construction Info .._... ... .. .._ ........... _....................................................._. ......... _ . ...... Building1 of 1 Year •,,.,,... Roof ............. ..... _ Ext Built 119�9 struct;Gable/Hip Wail ;Wood Shingle Effect 1408 Roof AS h/F Gls/Cm AC None Area i _ Cover: P P Type r ......... .............�,. ,.,,. ..,.. .:.,... .........,... ,,,..W...,.,...... .,....., ,,..., .. N3�3 :....3�3 Style!Ranch Int Drywall Bed ,3 Bedrooms Wall Rooms �..... t Model Residential In Floor R Bath 12 Full ooms Total 3 , .,, -..,.,.......... Grade,Average I type Hot Water Rooms'6 Rooms f „t„ Heat - Found- " 1 stones;1 Story Oil Poured Conc. Fuel ation http://issql/intranet/propdata/ParcelDetail.aspx?ID=22799 5/15/2006 f Parcel Detail Page 2 of 2 Permit History ._ ._. __ _...__. Issue Date Purpose Permit# Amount Insp Date Comm 7/19/2001 New Addition 54643 $21,504 1/1/2002 12:00:00 AM BED & E Visit Histo _..._._ ___...... ...._ Date Who Purpose 4/25/2002 12:00:00 AM Martin Flynn Mea./List Bldg Permit Only 2/5/2001 12:00:00 AM Paul Talbot Meas/Listed 10/15/1987 12:00:00 AM IML Sales History ..... ......... ... ....... .. Line Sale Date Owner Book/Page Sale P 1 BALBONI, FRANCIS C C86431 Assessment History _ �_ __... _ __ _... . ........ _. ___....... Save# Year Building Value Xl=Value OB Value Land Value Total Parc( 1 2006 $129,700 $9,200 $800 $162,000 ' 2 2005 $121,400 $9,100 $800 $128,100 3 2004 $98,600 $9,100 $800 $108,900 4 2003 $89,700 $9,100 $800 $29,000 5 2002 $74,600 $9,100 $800 $29,000 6 2001 $74,600 $3,300 $800 $29,000 7 2000 $51,600 $3,100 $400 $18,600 8 1999 $51,600 $3,100 $400 $18,600 9 1998 $51,600 $3,100 $400 $18,600 10 1997 $53,900 $0 $0 $18,600 11 1996 $53,900 $0 $0 $18,600 12 1995 $53,900 $0 $0 $18,600 13 1994 $52,100 $0 $0 $22,400 14 1993 $52,100 $0 $0 $22,400 15 1992 $59,100 $0 $0 $24,800 16 1991 $65,300 $0 $0 $40,400 17 1990 $65,300 $0 $0 $40,400 18 1989 $65,300 $0 $0 $40,400 19 1988 $49,100 $0 $0 $17,500 20 1987 $49,100 $0 $0 $17,500 21 1986 $49,100 $0 $0 $17,500 Photos http://issgl/intranet/propdata/ParcelDetail.aspx?ID=22799 5/15/2006 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Aap Parcel— Permit# Co 3 Health Division % �� _)ffn Date Issued C 1.1 Conservation.Division 5+ //� !b/ i. Fee Tax Collector alliff1 I` 7//3 Zr�OJ � STE�� R.5UST EE Treasurer 'LED IN COMPLIANCE Planning Dept. tJ/,pr (� �l 3/o J tJI"TH TITLE 5 C 'N.RO MENTAL COOS AND Date Definitive Plan Approved by Planning Board O r'M RECULfis uONS Historic-OKH Preservation/Hyannis U4 Project Street Address Village y A N iY S Owner /t 09-/V C i S 3 ,4 c a e iV/ Address 3 ti Aa Telephone - 2 y �� `' C.�°0 Permit Request \/i S'H 7-0 X Ph'ti D T N Tr 4? 1� �:p 2 vd 14" 19 ai/i AD n f} ^7,#S T'6-2 (3 A-T1t Z o o iy i Square feet: 1 st floor: existin proposed a y 2nd floor: existing proposed — Total new 2-4! --',Valuation " Zoning District RE5 totwtOfJood Plain Groundwater Overlay Construction Type 1N o o d FR AM Lot Size 1 1 ?s a Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family(#units) Age of Existing Structure `/fS Historic House: ❑Yes W No On Old King's Highway: ❑Yes Q No Basement Type: 21 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing / new I Half: existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing S new 0 First Floor Room Count S Heat Type and Fuel: ❑Gas td Oil' Cl Electric ❑Other Central Air: ❑Yes A No Fireplaces: Existing New 6 Existing wood/coal stove: ❑Yes allo 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 CS / D 6 N7-r Proposed Use 2F SV Q.t Alrr A-L BUILDER INFORMATION Name W Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 21Z r DATE / r' FOR OFFICIAL USE ONLY - PERMIT NO. i DATE ISSUED- MAP/PARCEL NO...- ADDRESS r Fri\l' VILLAGE OWNER w - DATE OF INSPECTION r ` FOUNDATION - - t FRAME 7 INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - �I GAS: y ROUGH., _ _ Z FINAL FINAL BUILDINGov /�'��/!✓ •`; °.. !9'�_�"/�-�/ � �• .; DATE CLOSED OUT _o ASSOCIATION PLAN NO. • - 4 ! • FEE VALUE WORKSHEET LIVING S (2000 ft or greater) square feet x$115/sq. foot= Q square feet x$96/s foot= f 5 0 Ir (less than 2000 sq ft) Q (affordable housing) square feet x$57/sq.foot= (40B or low income) GARAGE(UNFINISHED) square feet x$25/sq.foot= PORCH square feet x$20/sq. foot= DECK square feet x$15/sq.foot= ALTERATIONS/RENOVATIONS OF EXISTING SPACE . . . . . . . cost=. . . . .. . . . . • • • • • • Total Project Fee Value 1. SU`{ Office Use Only Permit Fee �6 projcost 7=CUR AppoulLix j TibL.tS2.2b(eoamEaaee� h iiatire Pasicaga for wd Twe-Faasill►8esidamzW Hatldla�$eared with Fosdl Ftu MA=um I lIiINIMt1M . maz=g aiaffi8 Ceiiin8 Wall now gases $lsb H�a;rCoci:�: Arm-(%) tl value= R vsiue, R•vaiue� &ValusJ WaH Plains= P�e 1ivaiu� &valac� 3"1 to 690 Heldnx Deem Dam. Q 1Z!'1 I &40 I 31 13 19 1 10 I 6 I Nor�si R iZ". OM ( 30 19 19 to I 6 I Nar=si 13 19 I 10 I 6 I 0 AFUE T 1s'S 035 31 13 23 I . WA t WA I Nor=st U 1S'A 0A6 3s 19 19 to 6 I Normsi V 1s-/. OA4 I is 13 25 I WA I WA ( is AF1E W Is% I am 3o 19 19 I to I 6 I 15 AFUE x 18% I OM I 31 13 2S I WA I WA I Na"n i Y I I OL42 31 19 2S WA I WA ( Normsl Z 12% I 0.42 31 13 19 10 I 6 I 90 AFUE AA IM. ( Wo ( 30 19 19 to I 6 t 90 AFUE I. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3 S 2— 3. SQUARE:OOTAGE OF ALL GLAZING: o� 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see cl=above): J NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUMEM- EATS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: 780 CMR Appendix J Footnotes to Table J511b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors) to the gross wall a= expressed as a percentage. Up to I%o of the total glazing area may be excluded from the U-value requirement. For example,3 RZ of decorative glass may be Occluded from a building design with 300 fl of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Razing Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of glass U-values cannot be used ' The ceiling. R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-38 insulation and R-33 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (If used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roo£ •Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywalL For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-I3 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ce ing requirements. 'The entire opaque portion of any individual basement wall with an average depth Iess than 50% below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U•vaIue requirement described in Note b. The R-value requirements are for unheated slabs Add an additional R 2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to instaII more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest the selected e .. eflicienry must meet or exceed the efftcieary required by package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES. a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 035. Door U-values must be tested and documented by the manufacturer in accord==with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U•value to determine compliance of the door. One door may be excluded from this requirement(Le.,may have a U-value greater than 0.35). c) If a ceiling, wall, floor, basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the arts-weighted average R-value is greater than or equal to the R-value requirement for that component Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). i THE y�P The Town of Barnstable � Department of Health Safety and Environmental Services Eo;p. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no.. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost�!d o 0 Address of Work: 3 / AE A V /y �6�/!//!//5, ZU04 Owner's Name: r�,I..,yGl S /3,4 Lad A, Date of Application:- 2- 2/0/ I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded bylaw ❑Job Under$1,000 ❑Building not owner-occupied ,Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. /,01 Date Owner's Name q:forms:AfBdav , :�` . �:.: -_ The Commonwealth of Massachusetts - Department of Industrial Accidents . `=. -. office of/naest/gatieos -..-�.- T 600 Washington Street .I-I Boston,Mass. 02111 Workers' Com -nation Insurance Affidavit • �% V1,11,11,111/1 a name: Ef/9 I C (S C `J /'L. 13 O // . location: � /� ,1116 G.44�) p D City /� YJ9-/u AJ r 5 phone# 7 7 / - -7 q la d- I am a homeowner performing all work myself. • . ❑ I am a sole proprietor and have no-one worki>i in achy :::::%%%%%%%�%�%%%%%%%%///%////%/%/%%///%%%////%%%%%/%% %/ %%%/%%%%��%%%/%%%/%%/%%%%%%%/%//%%%%%�%%�%�%%%%%%%�%%%%%%/�%%///, ❑ I am an employer providing workers' compensation for my employees working on this job. .... .. cum any name.a ...:::;:;>;>:::::<::....::::. .,.,."..... Q j ...... . ...... :.:::.:: .:.:.... . .... .. .:.:.......::..... ..;:.:.:::::.:::::::.... .....:.... 8ddress.< city: _ .... ;phone#i::;:; ........ insurance co. olie # ,.:: .. . I am a sole proprietor,general contractor, wne circle one)and have hired the contractors listed below who have the following workers'compensation polices: cum any name: .. . ... D >::::::::::.. >:::::;::: address.:: ::.;::>:::.... :.::::::.:::: I I'll ... . ;.;.:.::.;:.:::::. .: .: ::.: .::..::. ..:::.:.;:.:::;..:. :.::;:.:;:.::.;:>:.;:.::::.::.r.::;::.;:..: ... ..::::;::::. ::::::: .............::: a ity: ohont # .; :.;:.;........::.:. .:::...:.:... ......::.: %:. ::::;:.::.;::.;;.,.::,:.:.:..::.::.::.:.:.:::::.:::.::.:;;.:;:.;::.::.:: insnraneeco ,.:.... Olrcv# :::: ::;::;::;::::: .;...:.:.:.... ..i. :.. camnsnv.name.: ......: addrevc ctty: p t(►ne if ... ::: ... ::::::.... ,.:..::-:.. .::...:.:::.::.:.:::::.::..::.. :.. :.::::...::::::.:..:::::.:::.:. .;:.;:•::.;:.;:.; ............ .... ......... .:::.::.::.::.:::.:: ................. ... ...:.......:..........:.: % nsurance co: ><.>.......:<::: oli # ::; ::::;:>::::. ..::.:.:.:::<.:;.;>;:,:;:;:;:.....;:.;::;;.;::>;;::;;.;;::;:.::.;:.:>:: _ . Fafinre to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to.the Office of Investigations of the DIA for coverage verification I do hereby certC4 iffy the pains and penalties of perjury that the information provided above is truo and correct ---- �s`� Q��/Lc.r Z.�-Signature � .Date 37 B J _ Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑checkffimmediate response i9 required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PIA) . Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in'a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Oftice of Invesugadons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 °F tHE The Town of Barnstable • BARtvsrABLE 9�A �0g Regulatory Services rEn tit a Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE:_ZIP/D 1 JOB LOCATION: 3 // /-/ t L}A/ k1 c) yA-Al�/S number street village "HOMEOWNER": FPIA/CiS SAL13dN� name home phone# work phone# CURRENT MAILING ADDRESS: 3 / / /E 6-0 it/ V,� Yof N.r/l /'I j. 0 2-6 O/ city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or . farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN F ILE # C .11 4 CENSUS TRACT # LIENT : A hn Sullivan DEED BOOKCert 86431 PAGE WNER : Frank C JoAnnc A Tlalboni P BOOLOT PPLICANT: Same ASSESSORS PLAN PLOT . MORTGAGE. INSPECTION PLAN OF LAND I N B A R N S T A B L E SCALE : 1"= 30' JULY 17, 1984 N/F JOHNSON LOT 10 �5 #311 0 LOT 9 20'± 1 STORY LOT 11 81 ,00' M E .G AN ROAD THE LOCATION OF THE DWELLING AS SHOWN HEREON IS IN COMPLIANCE WITH THE LOCAL �.. ,.. APPLICABLE ZONING BY-LAWS WITH RESPECT TO HORIZONTAL DIMENSIONAL REQUIREMENTS , THE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF COh1MUN I TY #250001 t.l DATED 10/1/83 BY THE. F , I , A , Land Surveyors Civil Engineers (gibe �Dston Pub �$urvry (go., �nc. 261 �(niun ;*ti ,Nefv �tbfara, C 1 02740 GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortgage plot plan tape survey inspection Bade to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was not made for recording purposes, for use in preparing deed descriptions or for con- structions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished only by an accurate instrument survey. . ,�� •".r+`.l' � sal a` . �. i , 21206 �„�'""'"� TOWN OF BARNSTJ -.permit No117 I. Building Inspector z� siesrr.0 'Cash --- — OCCUPANCY "PERM IT, Bond No .building nor strudture shall be erected, and j10 land, building or structure shall be used for a new, different, changed, or enlarged use- without a Building Permit therefor first having been obtained,from the `Building Inspector. No building shall be'occupied until a certificate of occupancy has been issued by: the. Building Inspector," Issued to Gray-Oaks Development Address Box 957, Hyanrlis lot #16 311 riejzan mod. Hyannis Wiring Inspector _- js `af Inspection date Plumbing Inspecipr/ �� t/ Inspection date s e Gas Inspector � � � Inspection date Engineering Department r Inspection date,% THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NO'i\BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. _..................... �.. ._. . ..._, 1977r 'Building Inspector �� map and lot number 7. SEPTIC r!l MUST B WITH ARTICLE '.*I STATE MAR35TIBLE AWARY CX.: AND TOWN TOWN OF , BARNSTABLE BUILDING -1:1,SPECTOR ..............y..41.2.7. ........19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Name of Owner � �� u�^y..�'� .�—� . .A66,eo ....../3AYL-1.5-J..... ------ | Name -of Builder .................Zu/��F-----------'A66,es ...................... ................................................. | ' � Nome of Architect —''1�.\..L .y.....................Address ---- ^�/L---------_ // Number of Rooms ------��--------------'Foun6o�ion —��/�.��.��/J—..��'—'.------_____ � ---.�-�.///—��—..Lw�..c~�c � _________Roofing ___�� Ex|e,ior ..P1.7.r~_A .z/ ....................... Floors -- �J u.�-�^��..��.//Y.U--------------|ntenior ---.. /J.^�./��\�.'�-- —_--____. /, �- �/ ��~ / � ��.��~ Heating ---' ��------------------.F1um6ing ---.,�...��L—.��/ ...—.---..-----,___ ' ' l Fireplace '----. �-----.-----------.Approximote Cos '..�7 ��..��.— � /, . Definitive Plan Approved by Planning Board lQ----, A,eo ........do ... � | Diagram of Lot and Building with Dimensions Fee ............ ................................. _'__ ' ^ �v~� SUBJECT TO APPROVAL OF BOARD OF HEALTH ,��WvJ�� . - ` � ` � / / | hereby agree to conform to all the Rules and Regulations of the Town of Bornohz6|e regarding the above / construction. Name '�12 ' ��&�--------------. � ~�r � 1 � ' � ' Gray-Oaks Development Corp. family dwelling single � Corp. � � ` � - 9 . . Date Completed ... PERMIT REFUSED ' - � � ' - � ' � .____----------- lg ' � � ' ^ -------------------------- . ` . ----------..--------~.—..--- ` , . �� / and lot numbe 1639* � IMP�c�' r��-��7'l�T �-�� l�� J�T��r�� /� l��l� �� TOWN�� ]� BARNS TABLE ! * | ` � BUILDING NN 0 N D N N�� INSPECTOR �� - - -- - - -- - - - -- /7 APPLICATION FOR PERMIT TO ----/].b./^�./)-------.------.---.~..-.-.-.---.^.--.. , TYPE OF CONSTRUCTION ................. 0......... ............ -7,�..__lg.,,., ` / TO THE INSPECTOR OF BUILDINGS: � The undersigned hereby applies for o permit according to the following information: f4 Location - �/�T�"~ -.// ---��.[��A^.^!--.��. /.i--.- .... ... /v../v...[___.._._..,_______,_______. � r ~ Proposed Use ......... ...--'./'x....�.....�..-------.---------------.-.-------.---------.-- ` � Zoning District ------..—.-....-.---.----.-Rna District ............................................... � < Name of Owner .../'��/�u/..�..�;./��..\-'/��^-. .A66,eou --�}..�.)(-.C��-.`7.. ./�!y�|,_____. ` | ` Nome of Builder -----' . f-----------'A66res ....................... ............................................... � `^ _ Nome of Architect --. ^}./.�. }��'' ------'A66reo ............./7!�/.��....................................................... Number of Rooms ...................// ...............................................Foun6otion ................... ./2../]-.. ....................................... Exierior ---.T -.�./.-'..--. ..'.`/\-------'_Roofing ----- �.}[-' . ..�...-------.- � � Fkmm / .� / ��-.�..!�^(�L------------� |n�vicv .......................... ....................�^ �+ //�/" ' ----� � -' .. .~----------- , Heating ---'1��j�/.�-��--------.------'�vm6ng ---� /..//' -. 7l�-'-_,___________ � Fireplace '-----'r-------------------..Approximote Cost ....... � . � f Defnh�e Plan Approved by Planning 800v6 ---- lQ ' Area -------------- | Diagram of Lot and Building with Dimensions Fee. _______________ . � SUBJECT TO APPROVAL OF BOARD OF HEALTH ' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable � � � ` } � ' ) , ( � ` � � ` regarding the above ` � Nome ....................... ' � ' -----^------^^^^'~ ,' ' � Gray-Oaks Development Corp. A=291~254 2I206 ' one up ~^ No -----.. Permit for -----�.��.'�—..". � ' single family dwelling ' -----^--------------------'' 3lI �oad Location ------- . � --- ..................... ----.----,��uou�u--..---.-----''Date of Inspection Z....................................19 t /EFUEI ' ' ' - ---- -Y, JLL=I" ,21Gur 4L-r--VA-` Oaf elet-Afnnd 4 �L-L • LkTjf ��/J R�� •�Le�.4�-rorJ PAt.53oN1 A-nDlTnnl P�,Aclt,. SCAM APPROVED BY: / DRAWN BY DATH: �.j�/9•af�1 REVHiHD y 514 AAVIJ I I D J1 —-�DH a�S�ii1, 5p8 ,t�i 77�G67y DRAWING NUMBER o d. 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LOAM 8. illL 12" MAX --�•- -- -__ .� .--- c e ^y"°'4.,7 a.=FL' /vim.•y 4 C. 1. 1000 JI DIST II - A I°•°• : � I o , e ! �o-:� •., •i •BOX I i I ••e 1000 GAL. 1• ° ! IO MIN GAL. i �—� -- -—� gee•�oe I PRECAST OR :� � o E` 24 T.-+•= • o I /. SEPTIC BLOCK I. • o ; � MIN t•r TANK s' i °° ; SEEPAGE PIT I V! I i • e 0 e ! 20' MIN:. — -- -"{ ° %� - - - - - - - I '• de I FOUNDATION t �m I I y 1 /2 WASHED STONE ' I ELEVATION SKETCH Io' PERC. RATE _•_� SCALE I = 4 TEST BY TOWN INSPECTOR ____- d.'•�: A_: _ . BACKHOE OPERATOR: _ TEST MADE ON r _ I h/�.�E j •ce/�: r�";r >�/gr cc9 a� es rE rou�G' 7•! ,L.a f ACnj?'r40 _,',V TNA F/.Q:. 1,97f .�r'/v!J .00 e S Go.V.0 d1�cc r* 710 7;A x- r> pPS,¢y I F 1 ..�ram,^. _rr .s-t�+..:.N:.' �...,`�_• .....�„w....-.n....,..,._......M ....._. ........o``, eoAovl .i fie.. J f Forer✓Y3 A?rc��v 1 S r©� : /04,37 Z- a`-ti .•^^' I r rz to, +-' W 4 14 i~,�F..�^k}.b:+.n��we Gii�;..,?:,�; �;::r�.'�5:+�-,��;F; k t r La Cx�4�f!'R/f� r..". - ✓�U G f AA41 ELEVATION SCHEDULE PROPOSED SITE PLAN I INV AT FOUNDATION = /a 'o a 2 tNV INTO SEPTIC TANK = / �, SEWAGE SYSTEM DESIGN N y� 3 INV OUT OF SEPTIC TANK 4 INV INTO DISTRIBUTION BOX = SCALE I" = 19 i 5 INV. OUT OF DISTRIBUTION BOX = /"20• f C - 6 INV. INTO SEEPAGE PIT = Iva. d4 CAPE COD SURVEY CONSULTANTS p ROUTE 132 7. BOTTOM OF PIT = y� `��='' HYANNIS ,MASS.