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0109 SCHOOL STREET - Amnesty & MULTI-FAMILY
i r i i i i P AMNESTY FILE r p a i r I i I� 1 e e i i 4 t qkl" Amnesty Program Helping to make affordable housing possible. i own of Bamstable +� Y _ , Certificate Of Corn lance q p i . This certificate indicates acceptable minimum habitable requirements per Massachusetts State Building Code, and Town of Barnstable zoning ordinances in.accordance with the Amnesty,program. Owner Kenneth P. Kevorkian - ' Location I09.School:Street,°Marstons 1Vlills Unit Ca` acit' One dr P Y O o not`to exceed Two eo I Inspector } �y r r i r •+tiu`h r r t - I .All M/P No 0457012L002 1 Ott- ',2 %'U 61 ,t 1 S -�.8 .i 4 ! I 1 �. r - ��t A7 ,,: �:r s.- ...��� , 2 x ... 11i .P t.;d �..:...� r f i• s. I:.�. .�v�� 5 S�' 1 � Ifr /2�/��{�r,. .�,, � Y :Y .V•) �- I ROW",�!n � Town of Barnstable Building Department - 200 Main Street &ARNST"IZ. # Hyannis, MA 02601 MASS 16gq. . (508) 862-4038 Certificate of Occupancy Application Number: 201305239 CO Number: 20140014 Parcel ID: 045016002 CO Issue Date: 02/26/14 Location: 109 SCHOOL STREET Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: MARSTONS MILLS Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: AMNESTY PARTMENT 02 2 Building Department Signature Date Signed TOWN OF BARNSTABLE B 6ild i n g 201305239 • * BARNSTABLE. Issue Date: 08/15/13 Permit 9 MASS. 1639. A1� Applicant: KEVORKIAN,KENNETH P&MILLER,OLIVIAPermit Number: B 20131936 Proposed Use: SINGLE FAMILY HOME Expiration Date: 02/12/14 [Location 109 SCHOOL STREET Zoning District RF Permit Type: AMNESTY W/CONSTR RESIDENTIAL Map Parcel 045016002 Permit Fee$ 35.00 Contractor PROPERTY OWNER Village MARSTONS MILLS App Fee$ 50.00 License Num OWNER Est Construction Cost$ 5,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND AMNESTY APT. INSTALL KITCHEN CABINETS,GAS STOVE, SINK THIS CARD MUST BE KEPT POSTED UNTIL FINAL I BEDROOM,ADDING SMOKES INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: KEVORKIAN,KENNETH P&MILLER,OLIVIA BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 109 SCHOOL ST INSPECTION HAS BEEN MADE. MARSTONS MILLS,MA 02648 Application Entered by: RM Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET;ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET;OR ALLEY 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 FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION" RESTRICTIONS.' - MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. z 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE.,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). 3 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 t 2 2 'z- 3 - 14 3 1 Heating Inspection Approvals Engineering Dept — 2.cl l `� Fire Dept 2 1- . �n a 1 'z. A S ABo h 2(Zc zoo C co OU I{31 I� t •� Cc9A A �_2 95 15� ! � ' 2 fit" Y ,� � •.:Ws' a a:. i T a IV'. Y' $9::k4 Ra's 1, `�ri'�:, # +E .}« , £ ` '' rf •,:;pT-' _..4 ' } ;,4,�,` ..'F r ` og 41 r s� p�. *: .,...,.f�..., "'��.r F+' :.i°•� gr+ `: - + _ YxE.: iM t• Wig- r,'A�¢.n,�� � � � i�.F it i �"b ib" t\, �" n � .{. " •' �III`�, s: ^fJ is Pr, Y / y� 1ZILA4,1 a � �� ����le � �,., TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map. 6).9 Parcel 0/G ` 04 2- Application 9- t7 00 Health Division 1n Date Issued L Conservation Division Application Feed Planning Dept. Permit Fee t ( _ Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address 107 )�rc QQ C �Y Village , �f����I'05- /7i i//S OwnerKf//�iU. 6-7W 20••� f/dt2iti�.�� Address Telephone__ t�©� � � 5;7eS- Permit Request Ss-�-�L, All Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain 4)0 Groundwater Overlay Project Valuation _ .1761t Construction Type Lot Size 109'e"WS Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family :❑ Multi-Family (# units) __ Age of Existing Structure Historic House: ❑Yes Flo On Old Kings Highway,, ❑ Y_s Flo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other a�w Basement Finished Area (sq.ft.) Basement Unfinished Area Number of Baths: Full: existing new Half: existing nedw Number of Bedrooms: existing 1 new z q -7o „pK Bt7 Total Room Count (not including batf ;); existing new First Floor Room Count Heat Type and Fuel: 4Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑ Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 410 Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: l Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes , No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name � �VtiE' //� -�E=��.@Xi�•c� Telephone Numbers Address /'0 r' SL'4/00z S;- } License# Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C� ice' d� ✓c� �°S SIGNATURE / DATE 44 FOR OFFICIAL USE ONLY APLICATION# r DATE ISSUED j} MAP/PARCEL NO. ADDRESS VILLAGE OWNER " DATE OF INSPECTION: r _ FOUNDATION 'l FRAME INSULATION k l FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDINGne DATE CLOSED OUT } ASSOCIATION PLAN NO. i Town of Barnstable Regulatory Services BARMMASS"JI'$' ` Thomas F. Geiler,Director 1639. Building Division Thomas Perry,CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW APP°'`,zo Owner: /<E yo P—K/R-AJ Map/Parcel: Project Address L02 se-/f aoL Sr. 4(4 Builder: � E The following items were noted on reviewing: i Reviewed by: �!K Date: Q:Forms:Plnrvw q„ T The Commonwealth of MrrssaChusetts DepartmaW of Industrial Accidents Off•ice of Investigations 600 Washfngton Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Blzi-iders/Contractors!Electricians/Plumbers A_PPTi ntInformation PleaseF"rzntLe�zblY Name ($usiness/Org�iz$tian/Fndividc�sl): � �/rJ�� /� / •�'E(/dam' 9iCf City/Sta&Zip: /�s4�S .S �� � /7�� P11one.4: �—Of VZC!F PCS� Are yota an employer? Chetic the appropriate baic FORi--modc1ing ect(required): -] 1.❑ I am a employes with 4- ❑ I am a general contractor and I onstruction employees(fall•and/or part-time).* have hired the-s'ab-contractors 2❑ I am a'sole proprietor or partner- listrd an the attathcd sheet. ship and have no emtplayeesThese mib-rOnlraLtors have S. ❑ emolition wo for me M- capacity. employees and have workers' 9 $fig addition aIIy �"""J� ��,rnern�nrr_,� • [No .atkcnI rQm�.• 10.0 Electricalrcpairs or additions 5. ❑ We are a carparatian and itg 3. I am a hotncowntr doing an wort officors have exereiscd their l l.R Phimbm.g repairs or additions myself-[No workers comp. right 6f exemption per MGL 12❑Roof rrpa„s c m�trrar,r�r . 152, §1(4), and we have no If�(� �-d-1 t employees. [No workers• 13.91 Other czamp,nsuran=rcquacd] kkay"Iicant gaxt check=box ffl meat also fill ovt the sc 6m Yselvwshowing their works='compmsaiion Policy kfarroation- t L-lnmeowoat:Who=nbmrtt this a$idaYit mdimfing jhey are doing all woTtEnd then hire outside eaatiactnrs must cubffit 4 new affidavit mdicafing curb 1CM&3ai ns that ch=V ffiix box umst attached an additional cl=tshowing(he name of the sub-contrar t1=and siafe whetha or not thosd enfibrs have erMloyecs_ if the sub anonactors have=nplvyoea,they--tprovi&then-wmimrs'comp.policy mmnbcr. I am an amplvyer fhaf is providing wurkmw'cotrtperrsaPion:insurance for my employees. Below is the polity aced job site infon naf vm hnunu=Company Name: Policy#or Self-ins.Lic.# Expiration Date: Job Site Address: City/StaitlTip: Attach a copy of the workers'•compensation policy declaration page(showing the policy number and expiration date). 1~ailnre to seise coverage as rm ire:&tmdtr 5eciian 25A of MGL c. 152 can kid to the i�osition of criminal genaltios of a fine tip to g 1,500.DD and/or one-year imprisonment, as well as civil pmaltits in the form of a STOP WORK ORDER and a f ne of up to$250.DD a day against the violator. Be advisDd that a copy-of this statcmcrit maybe forwarded to the Office of A Invegtig,,a v of tho DIA fvr ingarance coves e verification. I do hereby certc;fy rider the ptzzns'•an penalties of perjury that the brforcrradon provided above is frue and correct Si a: Phony Official use only. Do not write in this area, tb be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one); 1.Board of Health 2.Building Department 3. City/Taym Clerk 4.Electrical Inspector S.Plumbing Inspector 6..Dther -Contact Person; Phone#; Town of Barnstable �Or<THE Tti Regulatory Services ' Thomas F.Geller,Director t BARNsrwBLF, t MASSLBuilding Division - Pl�°Np� Tom Perry,Building Commmnissio' er .. 200 Main Street, Hyannis,MA 02601 www.town.barnsiable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Ero 1-EOWNER LICENSE EXEMPTION Please Print DATE: J�Q� JOB LOCAT)ON: ®� .���a�f nllagege number street I yel-How j e f ���'lei �S®d` �'�6 7'�/ "HOMEOWNER"; name home phone# work phone# CURRENT MAILING ADDRESS; city/town state up code i 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 HOMEOSri NTR Persons) who owns a parcel of land on"which.he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling, atta:hed 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 r „ i responsible for all such work perfb=ed under the building nemmit. (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"homeowmer"certifies that be/sbe understands the Town of Barnstable Building Department minimum.inspection procedures and requirements and that he/she will comply with said procedures and requirem ts, Signature of Horrcowncr Approval of Bmlding 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 m "Any hoeowner perfomiffig work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1,1-UCCoEutg of cgnstivction Supervisors);provided that if the homeowner cngzges a pamon(s)for hire to do such work that such Homeownts shall act as supervisor." Many bomeownas who use this exemption ais unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, iris articu Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness ohcn results in serious proble plarly when the homeowner hires unlicensed parsons in this case,our Board cannot procccd against the unlicensed person as it would A*a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeawna is fully aware of his/her responsibilities,many commun ities require,as part of the permit application, ,>4,rt, ,rtifv that hdshe understands the responsibilitia of a Supervisor. On the last page of this issue is a form currently used by # j I Y i.r�s `ti Town of Barnstable Regulatory Services xsxtacE Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-740-6230 . t tProperty OV7n' ef Must Con pRte and,Sig4 This-Section,. ,.. If Using A Builder S , 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: (Address of rob) Signature of Owner Date Print Name . If Property Ovmer is applying forpermitplea-se complete the Homeowners Licetlse Exemption Form on tb.'e reverse side. Bk 27495 P9137 37464 i 06-26-2013 Q 02%05c► i18CIBc9il.�% I ' '.13 I �IY 14 ?? �5 Town of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice Comprehensive Permit No.2012-064 Kevorkian/Miller Chapter 406 Comprehensive Permit Summary: Granted with.Conditions ` Date: April 10, 2013 Applicants: Kenneth P. Kevorkian and Olivia Miller Property Address: 109 School Street Marstons Mills, MA Assessor's Map/Parcel: Map 045, Parcel 016-002 Zoning: RF Zoning District Zone of Contribution: GP Groundwater Protection District Recording Information: Deed Reference: Book 10728 Page 255 Date Application Filed March 27,2013 Date-Hearing Opened Aril 10 2013 p p , Date of Decision(Closed): April 10, 2013 Property Ownership: The applicants are Kenneth P. Kevorkian and Olivia Miller,the owners and occupants of 109 School Street Marstons Mills as evidenced by a deed recdrded'in the Barnstable County Registry of Deeds on May 1, 1997 as Book 10728 and page 255. A copy of which has been submitted for the record. Relief Requested: '. Mr. Kevorkian and Ms. Miller have applied for a Comprehensive Permit pursuant to Chapter 40B of the General Laws of the Commonwealth of Massachusetts,and in accordance with§ 9-15 of the Code of the Town of Barnstable, more commonly termed the"Accessory Affordable Apartment Program". The permit is sought to allow for an affordable apartment accessory to a single family home as provided for in the Code of the Town of Barnstable and restricted to.being affordable housing for qualified persons as required under Chapter 40B. The zoning relief necessary for this Comprehensive Permit to be issued is that of a variance to Section 240-14 (A) Principal permitted uses in a RF Zoning District to permit an accessory apartment unit within the upper level of the detached garage.The issuance of this Comprehensive Permit would allow for a separate, approximately 670 square feet-one bedroom accessory affordable apartment. i t . I Bk 27495 Pg138 #37464 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Per-tit No.2012.064-&Yorkian/Mifler Locus: The property is a 4.33 acre lot that is developed with a 3-bedroom, 2-bathroom-2,505asquare foot,. Cape Cod style family dwelling with a detached garage that sits approximately 100 feet to the right of the single-family house. The locus is in a Residential F, in GP-Groundwater Protection Overlay District. Site Conditions The lot is served by well water. The Town of Barhstable's Health Director Thomas McKean reviewed the application, has no objections to a total of four(4)bedrooms for the entire property. Procedural&Pleasing Summary: A site approval letter was issued for the property by Town Manager Thomas K.Lynch on March 12, 2013 in accordance with MGL Chapter 40B and 760 CMR 56.00. Notice of the site approval letter was sent to the Department of Housing and Community Development in accordance with the requirements of CMR 760 56.00. An application for a Comprehensive Permit was filed at the Town Clerk's Office on April 9, 2013. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the Barnstable Patriot on March 15, 2013 and March 1,22, 2013,and notices were sent to all,abutters in accordance with MGL Chapter 40B. i The Public Hearing was opened on April 10, 2013 at 6:15 p.m.by the Hearing Officer Laura F. Shufelt. The applicants Kenneth P. Kevorkian and Olivia Miller were present.at the hearing. Cindy L. Dabkowski,Accessory Affordable Apartment Program Coordinator was also present. Laura F.Shufelt read the proposed conditions to the applicants. Mr. Kevorkian and Olivia Miller consented to the conditions. Mr. Kevorkian and Olivia Miller gave testimony as recorded in the hearing minutes filed with the Town Clerk The Hearing Officer opened the hearing to public comment. No one commented. The April 10,2013 public comment period was closed by the hearing officer at 6:30 p.m. On April 10, 2013 the hearing officer granted comprehensive permit No.2012-064 with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeals as required by the Town of Barnstable Administrative Code Chapter241, section 11. If after fourteen (14)days from that transmittal the Members of the Zoning Board of Appeals takes no action to reverse the decision,this decision shall become final and a copy shall be the filed in the office of the Town Clerk; (Findings of Fact: At the hearing on April 10, 2013 the Hearing Officer made the following findings of fact: 1. The applicants are Kenneth P. Kevorkian and Olivia Miller who are the owner-occupants of the property located at 1.09 School Street;Marstons Mills,MA. 2. Kenneth P. Kevorkian and Olivia Miller were granted title to the property by deed recorded in the Barnstable County Registry of Deeds on May 1,, 1997 in Book 10728 and Page 255. 3. On March 12, 2013,a site approval letter';,was issued for the property by Town Manager Thomas K. Lynch; in accordance with MGL Chapter 4013 and 760 CMR 56.04(4). Notice of the site approval letter was sent to the Department of Housing and Community Development, in accordance with the requirements of 760 CMR 56.04(2), and no issues were communicated from the Department on this particular application. 2 Bk 27495 Pg139 #374.64 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive PetmitNo.2012.064-Kevo&an,/N ler 4. The accessory affordable unit is approximately 670 square feet in living area and is to be located above the detached garage. 5. The applicants have been informed that the AAAP unit shall meet all applicable health and building codes to be occupied and that the,Building Division and Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes. 6. The house is served by well water and private on site septic. The proposal has been reviewed by Thomas McKean, Health Director;he stated no objections to a total of four(4),bedrooms at the property. i 7. On January 23, 2013 Kenneth P. Kevorkian and Olivia Miller each signed an Accessory Affordable Apartment Program affidavit that commits, upon the receipt of a Comprehensive Permit,to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants, in a form satisfactory to-the Town Attorney;,at the Barnstable County Registry of Deeds. These documents restrict the unit in perpetuity as an affordable rental unit. 8. The applicants are aware that the affordable unit shall be rented to a person or family whose income is 80% or less of the Area Median!income(AMI)of the Barnstable Metropolitan Statistical Area(MSA)and agrees that rent(including utilities)shall not exceed'36% of the monthly household income of a household earning 80% of the median income,adjusted by household size. In the event.that utilities are separately metered,the utility allowance established by the Town of Barnstable shall be deducted from rent level so calculated. 9. According to the Massachusetts Department of Housing and Community Development,as of January 3, 2013 6.62% of the town's year ground housing stock qualifies as affordable housing units. The town has not reached the statutory minimum of affordable housing under MGL Chapter 40B Section 20-23 or its implementing.regulations. 10. The Town of Barnstable's Comprehensive'Plan encourages the adaptive use of existing housing stock to create affordable units and the dispersal of these units throughout Barnstable. i Summary: The Hearing Officer ruled that the applicants Kenneth P. Kevorkian and Olivia Miller have standing to apply for a Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's Accessory Apartment Program. The proposal is deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the Town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed. Conditions: Hearing Officer Laura Shufelt ruled to grant Comprehensive Permit No. 20fM64 with conditions in accordance with MGL Chapter 40B and Article II of Chapter Nine of the Code of the town of Barnstable, more commonly termed the"Accessory Affordable Apartment Program"to the applicants, Kenneth P. Kevorkian and Olivia Miller who are the owners and occupants of the property located at 109 School Street Marstons Mills. As seen on map 045 as parcel 0.16-002. This Comprehensive .Permit allows for a one bedroom apartment unit in accordance with the following conditions: 7: Occupancy of the affordable unit shall not exceed two(2)people. 2. The total number of bedrooms on the property shall not exceed four(4). 3. The accessory unit shall NOT at any time be occupied by a family member of the owners. 4. All leases shall have a minimum term of one year and have provisions that require the tenant to provide any and all information necessary to verify eligibility with the AAAP' 3 i Bk 27495 Pg140 #37464 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Compcehm ivc Pennit No.2012-%4—Kevoddap/Miller 5. On January 7, 2013,the applicants were sent written copy of the inspection findings, submitted for record,that the unit must meet all applicable health and building codes to be. occupied and that the Building Division avid Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes. 6. All parking for the accessory apartment and the principal.dwelling shall at all times be on-site. On street parking for al I structures and use's on this property is expressly prohibited 7. Lodging or renting of rooms is prohibited for the duration of this Comprehensive;Permit. 8. To meet affordability requirements,the rent charged (including utilities)shall not exceed 30% of 80% of the median income for a household for the Barnstable MSA(adjusted for family size). In the event that utilities are separately metered,the utility allowance established by the town of Barnstable shal I be deducted from!rent level so calculated. 9. AAAP Coordinator shall be the monitoring agent for the accessory apartment. Annual monitoring shall include verification of teriancy, affordability,and compliance with Housing Quality Standards (HQS).The cost for HQS monitoring shall be covered by the homeowner. The fee for the initial monitoring of affordability and annual certification inspection of the accessory unit shall be the same as the Health Department fee for the rental registration program. Currently that fee is$90.00 per unit. 10.The applicants shall apply for a building permit for the accessory unit,whether the unit is new or pre-existing. Before issuing an occupancy permit and certificate of compliance,the Building Commissioner shall determine that the unit conforms to the approved plans as submitted with the building permit application and meets state building and fire codes.The Health Division shall determine that the dwelling is in compliance with applicable on-site wastewater discharge requirements. i 11.The applicants may select their own tenant from the prospective tenants supplied by the 'Administrator of the Ready to Rent List. The tenant must meet the requirements of the Accessory Affordable Apartment Program.;The tenant's income shall be reviewed and approved by the Growth Management Department. The applicants shall work with the.AAAP Coordinator to provide necessary information and documentation of tenant income eligibility. 12.The unit shall be rented on an open and fair basis to an income eligible individual. Whenever a vacancy occurs, notice shall be given to the Growth Management Departmentand the applicant shall recuest potential tenants from the administrator of the Ready to Rent List. The applicant shall pay all fees associated with accessing the Ready to Rent List. In the event that the Ready to Rent List is not in effect as of;the date that the Building Department issues its occupancy permit;the applicant may select thetenant after open and fair marketing, providing that documentation of the same is given to the AAAP Coordinator and the AAAP:`Coordinator Approves the tenant selection process 13.Should the accessory affordable apartment become vacant the property owner shall immediately notify the Accessory Affordable Apartment Program Coordinator.The property owner shall also notify the AAAP Coordinator of their request for potential.tenants from the Ready to Rent List administrator, 14. Every twelve months the applicant shall review the income eligibility of the AAAP unit tenant. No later than a year from the date of issuance of this Comprehensive Permit, the applicants shall file with the AAAP Coordinator,as Monitoring Agent,an annual affidavit stating the rent charged and income of the unit tenant. Tke property owners and/or tenant shall provide the AAAP Coordinator any additional information deemed necessary to verify the information provided in the aff'davit and annual monitoring documents. i 4 I Bk 27495 Pg141 #37464 I Town of Barnstable,Zoning Board of Appeals I Decision and Notice,Comprehensive Permit No.2012.064-Kevorkian/Miller i 15. Upon any report from the Monitoring Agent that the terms and conditions of thispermit are not being upheld,the Zoning Board of Appeals or its Hearing Officer may hold a hearing to show cause as to why this permit should not.be revoked. 1 16.This Comprehensive Permit shall NOT be transferable to any other person or entity without the prior approval cf the Hearing Officer or Zoning Board of Appeals. This decision,,the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be recorded at the Barnstable County Registry of Deeds 17.Should ownership of the subject property transfer the permit holder identified herein shall notify the AAAP Coordinator and provide,within 60 days of the date of transfer,the name and current contact information for the new owner of the subject property. 18,This Comprehensive Permit shall be exercised, all conditions met, and the :unit occupied within twelve(12) months of its issuance or it shall expire. I Ordered: Comprehensive Permit number 2012-064 has been granted with conditions. A written copy of this decision was forwarded to the Zoning Board of Appeals as required by the Code Chapter 241, section 11 of the Town of Barnstable Administrative code. If after fourteen 04)days from that transmittal the members of the Zoning Board of Appeals takes no action to reverse the decision,this decision shall become final and a copy shall be.filed in the office of the Town Clerk Appeals of the final decision, if any,shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17,within twenty(20)days after the date of the filing of this decision in the office of the Town Clerk. The applicant has the right to appeal this decision as outlined in MGL Chapter 40B, Section 22. ss— Laura F. Shufelt, Hearing Officer Date Signed i 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; isir9; d6 that no appeal of the decision has been filed in the office of the Town Clerk. � :�'' °• �,� Signed and sealed this 2� day of urwrer the pains an, ; Lin Hutchenri own 5irk t4 j b�, e••yy°yy°.fie/.•° p�_ i i( I f , BARNSTABLE REGISTRY OF DEEDS 6 Bk 27495 Ps 142 0-37465 06-26-2013 a 02.c o5ss REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this 11th day of June 2013,by and between Kenneth P Kevorkian and Olivia Miller of 109 School Street Marston Mills,MA 02648 and its successors and assigns(hereinafter the"Owner"),and the TOWN OF BARNSTABLE (the"Municipalit),"),a political subdivision of the Commonwealth; WHEREAS the Owner has been granted a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations bythe Zoning Board of Appeals to:permit the creation of an accessoryapariment in an owner occupied dwelling which will be rented to a Lowlor Moderate.Income Person/Family(hereinafter' "Designated Affordable Unit");and NOW THEREFORE,in mutual consideration of the agreements and covenants contained herein,and other good and valuable consideration,the receipt and sufficiency ofwhich is hereby acknowledged,the,parties agree as follows: i I. PROJECT SCOPE AND DESIGN: A. The terms of this Agreement and Covenant regulate the property located at 109 School Street Marston Mills, MA 02648as further described in deed recorded herewith as Barnstable County Registry of Deeds Book 10728&Page 255. B. The Project located at 109 School Street Marston Mills,MA 02648 will consist of one.accessory apartment unit which will be rented to an eligible low or moderate income individual or family(the"Designated Affordable Unit"or the"Unit"). C The Owner agrees to construct the Project in accordance with the terms of comprehensive permit Appeal No.2012-064 and any plans submitted therewith and all applicable state,federal and municipal laws and regulations. Said permit is recorded herewith' as Barnstable County Registry of Deeds Book +1 LJ G 5 &Page 3'1 D. The Owner agrees to occupythe principal dwelling unit located on the propertyas'their principal residence in accordance with the terms of the comprehensive permit. i II TFIE OWNER'S OOVENANTS AND RESPONSIBILITIES i A. THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANTS AS FOLLOW: 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to persons earning at or below 80%of the area median income of Barnstable Metropolitan Statistical Area(WA)and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Unit shall be rented in perpetuity to a household with a,maximum.income of 80%of the Area Median Income(AN11)of Barnstable NSA and that rent(including utilities)shall not exceed an amount that is affordable to a household whose income is 80%of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent level. 3. The Designated Affordable Unit will be retained as a permanent,year round rental dwelling unit with at least a one-year lease. 4. The Owner has the full legal right,power and authority to execute and deliver this Agreement. 5. The execution and performance of this Agreement by the Owner will not violate or,as applicable,has not violated any provision of law,rule or regulation,or'any order of any court or other agency or governmental body,and will not violate or,as applicable,has not violated any provision of any indenture,agreement,mortgage, i Bk 27495 Pg143 #37465 shall not exceed an amount that is affordable to a household whose income is 80%of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent level. i 3. The Designated Affordable Unit will be retained as a permanent,year round.rental dwelling unit with at least a one-year lease. j 4. The Owner has the full legal right,power and authority to execute and deliver this Agreement. 5. The execution and performance of this Agreement by the Owner will not violate or,as applicable,has not violated any provision of law,rule or regulation,or any order of any court or other agency or governmental body,and will not violate pr,as applicable,has not violated any provision of any indenture,agreement,mortgage,mortgage note,orother instrument to which the Owner is a party or by which it or the Owner is bound,will not result in the creation or imposition of any prohibited encumbrance of any nature. 6. The Owner,at the time of execution and delivery of this Agreement,has good,clear marketable title to the premises. 7. There is no action,suit or proceeding at law or in equity or by or before any governmental instrumentality or other agency now pending,or,tb the knowledge of the Owner,threatened against or affecting it,or any of its properties or rights,which,if adversely determined,would materially impair its right to carry on business substantially as now conducted(and as now contemplated by this Agreement) or would materially adversely affect its financial condition. B. COMPLIANCE The.Owner hereby agrees that any and all requirements of the laws of the Commonwealth of Massachusetts to be satisfied in order for the provisions of this Agreement to constitute restrictions and covenants running with the land shall be deemed to be satisfied in full and that any requirements of privileges of estate are also deemed to be satisfied in full. C. LIMITATION ON PROFITS 1. The Owner agrees to limit his/her profit by renting the Designated Affordable Unit in perpetuity to a household with a maximum income of 80%or'less of the Area Median Income(AMP of Barnstable Metropolitan Statistical Area(MSA)and that rent(including utilities)shall not exceed an amount that is affordable to a household whose income is 80%of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent. 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent,as designated by the Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units. Such,information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of the dwelling unit or units by a new tenant. The Owner shall notify the'Monitoring Agent,as designated by the Town Manager,within thirty(30)days of the datc that a tenant has vacated'the Designated Affordable Unit. III. MUNICIPALITY COVENANTS AND RESPONSIBILITIES 1. The MUNICIPALITY,through the monitoring'agent designated by the Town Manager agrees to perform the duties of verifying that the Designated Affordable Unit is being rented in perpetuity to a 2 f { Bk 27495 Pg144 #37465 household with a maximum income of 80%or less'.of the Area Median Income(AMA of Barnstable MSA and that rent(including utilities)shall not exceed an amount that is affordable to a household whose income is 80%of the median income of BarnstableUSA.In the event that utilities are separately metered, a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent. IV. RECORDING OF AGREEMENT: i Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to be recorded with the Registry of Deeds for Barnstable County or,if the Project consists in whole or in part of registered land,file this Agreement and any amendments hereto with the Registry District of the Barnstable Land Court(collectively hereinafter the"Registry of Deeds"),.and the Owner shall pay all fees and charges incurred in connection therewith. Upon recording or filling,as applicable, the Owner shall immediately transmit to the Municipality evidence of such recording or filing including the date and instrument,book and page or registration number of the Agreement. V. GOVERNING OF AGREEMENT: I This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must be in writing and executed by all of the parties hereto. The invalidity of any clause,part or provision of this Agreement shall not affect the validity of the remaining portions hereof. VI. NOTICE: i All notices to be given pursuant to this Agreement shall be in writing and shall be deemed given when delivered by hand or when mailed by certified or registered mail,postage prepaid,return receipt requested,to the parties hereto at the addresses set forth below,or to such other place as a party may from time to time designate by written notice. VII. HOLD HARMLESS: i The Owner hereby agrees to indemnify and hold harmless the Municipality and/or its delegate from any and all actions or inactions by the Owner,its agents,servants or employees which result in claims made against Municipality and/or its delegate,including,but not limited to awards,judgments,out- of-pocket expenses and attorney's fees necessitated by such actions. VIII. ENTIRE UNDERSTANDING: A. This Agreement shall constitute the entire understanding between the parties and any amendments or changes hereto must be in writing,,executed by the parties,and appended to this document. B. This Agreement and all of the covenants,` agreements and restrictions contained herein shall be deemed to be for the public purpose of providingsafe affordable housing and shall be deemed to be,and by these presents are, granted by the Owner to run in perpetuity in favor of and be held by the .Municipality as any other permanent restriction held by a governmental body as that term is used in MGL Ch. 184, Section 26 which shall run with the land described in deed recorded herewith as Barnstable County Registry of Deeds Book 10728 & Page 255 and shall be binding upon the Owner and all successors in title . This Agreement is made for the benefit of the IViunicipality and the 3 i Bk 27.495 Pg145 #137465 Municipality shall be deemed to be the holder of the restriction created by this Agreement. The Municipality has determined that the acquiring;of such a restriction is in the public interest. The Municipality shall not be subject to the defense oflack of privity of estate. The covenants and restrictions contained in this Agreement shall be deemed to affect the title to the property described in deed recorded herewith as Barnstable County Registry of Deeds Book 10728&Page 255. IX. TERM OF AGREEMENT: i The term of this Agreement shall be perpetual,provided,However,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted Comprehensive Permit and the terms and restrictions imposed herein. Such cancellation shall only take effect after: 1)expiration of the lease terms entered into between the Owner and Tenant occupying said unit and 2)notification by the Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date certain and the recording of said notice at the Barnstable County Registry of Deeds or Barnstable County Registry of the Land Court as the case may be,thus rendering said Comprehensive Permit void. Upon the cancellation of the comprehensive permit,the property which is the subject matter of this restrictive covenant shall revert to the use permitted under zoning and the restrictive covenant shall be rendered void. i i f t X. SUCCESSORS AND ASSIGNS: A. The Parties to this Agreement intend,declare,and covenant on behalf of themselves and any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns(i) that this Agreement and the covenants,agreements and restrictions contained herein shall be and are covenants running with the land,encumbering the Project for the term of this Agreement,and are binding upon the Owner's successors in title, (ii)are not merely personal covenants of the Owner,and (iii)shall bind the Owner,its successors and assigns and inure to the benefit of the Municipality and its successors and assigns for the term of the Agreement. XI. DEFAULT: If any default,violation or breach by the Owner of this Agreement is not cured to the satisfaction of the Monitoring Agent within thirty(30)days after notice to the Owner thereof,then the Monitoring Agent may send notification to the Municipality that the'Owner is in violation of the terms and:conditions hereof. The Municipality may exercise any remedy available to it. The Owner will pay all costs and expenses,including legal fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that the Municipality and the Monitoring Agent will have a lien on the Project to secure payment of such costs and expenses. The Monitoring Agent may perfect such a lien on the.Project by recording a certificate setting forth the amountl Of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of the Project or any portion thereof will be liable for the payment of any unpaid costs and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof. 4 I I Bk 27495 Pg146 #37465 X.H. MORTGAGES CONSENT: i The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and`to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. IN WITNESS WHEREOF,we hereunto set our hands and seals this May of , U n g�. _2013. OWNER BY: Signature Printed: Kenneth P.Kevorkian i COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss: On this!Im day of U Q 2- 2013 before me,the undersigned notary public,personally appeared Kp rt YtP J�j P. 1 Cf VD y K i C.t y1 i the Owner(s),proved to me through satisfactory evidence of identification,which were IM D r l VP a Llc. S. 1-7 of 1(01 S3 ,to be the person(s)whose name(s)is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. otary Public Printed: C 1 n _ k 0 JAM,k 1 My Commission Expires: o� of lb CIN Aexows�ci Notary Public COMMONWEALTH OF MASSACHUSETTS " My Commission Expires Februaty 29,2016 f I I [ S I Bk 27495 Pg147 #37465 I The Owner represents and warrants that it has obtained the consent of all ei isting mortgagees of the Project to the execution and recording of this Agreement and,to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. i IN WITNESS WHEREOF,we hereunto set our ha'nds and seals this icday of Lyn e" MD. i OWNER BY: CL. Signature ?rinted: �21 r.U16- { . �!1(2dr' Olivia H.Miller i COMMONWEALTH OF MASSACHUSETTS County of Barnstable ss: On this day of yr1& 2013 before me,the undersigned notary public,personally appeared n 11 y 1 a- 1 LP_V ,the Owner(s),proved to me through satisfactory evidence of identification,which were ':,MA 0If ikg rr �Ic Z S?y-7 S"i I 2iS ,to be the person(s)whose name(s)is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. i �1 Nota Pu(hc Printed; 1,I hcli j L )1 a6KUI'Sk—(' My Commission Expires: o� of f b i i 6 ! ! I f Bk 27495 Pg148 #37465 i TOWN OF BARNSTABLE BY: Ile r� Thomas K,Onchl r TOWN MANAGER i COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss: i On thise'day of 2013 before me,the undersigned notary public,personally appeared htm L ,the Town Manager for the Town of Barnstable,proved to me through satisfactory evidence of identification,which were i7ersexally/'(/jPQjj ,to be the person whose name is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. Notary Public Printed: i(.�INAq I`, 4J#6eL16 ) My Commission Expires: Clad Ft WHEELDEN NVARY PUSUC CO UNOFY=XflUXM �b &*UF&7.2014 i i 1 i 7 BARNSTABLE REGISTRY OF DEEDS I J, '�J, C C®D INSULATION :�EA � E ®® q IielR OLASS Sk-11C:S SPRAT FOAM SUSPEN040 RATTS G 1'1 CNf INSU'"T CIILINOS ! 1-800_696-6611 n Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: e.X311 �-- Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village ke rw, fit kg voe-1&✓i 10 Sc.kool S� Ina'Skl)5141 h Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings CtIli�9 Slopes ( ) ( ) �- ) ( (_A ) Floors Walls N-7,e-A Sincerely He y E Ca sidy r, President Q� a Ca e Cod sulation, Inc. 1_ 2- t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 45 Parcel Fig i Application #VAl Health Division Date Issued Conservation Division Application Fee Planning Dept. `, Permit Feef_a Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address IZ6 Z Village Owner 44 4V e7e4 lcflP rg 4/ Address Telephone :Z 2 Permit Request 4Aly Z %�fs zq,4-IL-6 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ,/.#-//D, d Construction Type_1,41662M7f'W Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 4a-' Two Family ❑' Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes l-lo On Old King's Highway: ❑Yes 2-N-o Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address �9�rhDc�T %�� License # , d 0 y rP 0C.", �/✓� Home Improvement Contractor# Worker's Compensation # kLCX®®, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE .t FOR OFFICIAL USE ONLY ~APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE `+ -OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ate'\ ° V/ :.HDGiC�l�u�r/I/GfI' c t/ 1 C . - 10 Park Plaza - Su1te 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 F Type: Private Corporation Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION INC 1r HENRY CASSIDY �I 455 YARMOUTH RD. HYANNIS, MA 02601 i 4 , — - - -Update Address and return card.Mark reason for change. Address oRenewal F Employment Lost Card .- DPS-CA1 0 5OM-04/04-G101216 office o umer Affairs us ne Regul•ition License or registration valid for individu!use en.!y 4 HOM� rBC �HelXE � before the expiration date. If found return to: Registration: 153567 Type: Office of Consumer Affairs and Business Regulation A _ . Expiration: 12/15/2012 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 OD INSULATION INC,,__, tf HENRY CASSIDY ` ' 455 Y A R M 0 U T H RD HYANNIS,MA 0260>1� Undersecretary Atalid ith t A tune IN1Assatchusetts-d)epartntent of Public Safeti Board of Building Regulations and Standards' construction Supervisor License License: CS' 100988 HENRY CASSIDY 8 SHED ROW WEST YARMOUTH, MA 02673 + .. Expiration: 11/11/2013 Tr#: 7620 f The Commomt)c,.Elth of Massachusetts Department of Industrial Accidents v Office oJ'Investigations A 600 Wa,,-IEEn ton Street h g - g Bos c:n, AAA 02111 c� ♦q WVVl1'.IiIi,ESs.gov/dla Worker's compensation Insurance Aftiiu ,vit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name.(13usI tie ss/Organization/Individual): � Q �..Y . ,Address: Cilyl'Slalc!Zip:IYC"t'✓ O L� 61'A 026, Phone#: f q`�j6 — Z T Are you an employer? Check the appropriate box: — Type of project(required): NX 1. l ant a employer with____ 4• ❑ I am a<<n ral contractor and I have 6. ❑ New construction eutpluyees (fill] and/or part-time).* hired the sub-contractors listed on 7. ❑ Remodeling the attach,,d aIheet.$ - I aut a sole proprietor or partnership These sub-Contractors have 8. ❑ Demolition and have no employees working for employet:s aiu9 have workers' comp. 9. ❑ Building addition me in any capacity. [No workers' insuranc:.:J: 10, ❑ Electrical repairs or additions comp insurance required.] 5. ❑ We are a corporation and its 11. Plumbing repairs or additions 3. ❑ officers have•exercised their right of ❑ I an!a homeowner doing all work exemptiin! per MGL c. 152§(4),and 12. Roof repairs myself. (No workers' comp. we havee net employees. [No workers' 13. Other insurance required.] 'r comp. iusur:inre required.] x. ^Any applicant that checks box#I most also fill out the section below showmw their workers'compensation policy information. I ttunrcowncrs who submit this affidavit indicating they are doing all work:m.l then hire outside contractors must submit a now affidavit indicating such. 1Co111ractors that check this box must attach an additional sheet showing tht n:um of the sub-contractors and state whether or not those entities have employees.if the sub-contractors have employees,they must provide their workers'cotup.policy number. 1 ran an employer that is providing workers'cornpensation insurunce for my employees.Below is the policy and job site information. I,, /� Insurance.Company Name: Afl ►I +C: �� I�Q�e-6, C_ c, Policy#or,Self-iris. L.ic. 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 itnp isonrnertt,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.Be advised that a copy of'this statement ma e forwarded to the Office of Investigutiom of the DIA for insurance coverage verification, I do here c i under the ins and penalties of'perjury that the information provide above is true and correct. Signature: G Date: T -7 Phone#: Official use only. Do not write in this area,to be completed bY ciry or town official City or Town: Permit/License# Issuing Authority (circle ogre): L1,..,,1B,o,a.tof Health 2.Building Department 3.City/'Town Clerk 4.Electrical Inspector 5.Plumbing Inspector erson: Phone#: Jul. 2. 2012 3: 17PM No, 1605 P. 1 V. Client#:4597 CCINSUL ACOR&, CERTIFICATE OF LIABILITY0702/INSURANCE UAT/02/ 01YYYY) 2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURFR(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the cartlflcate holder in lieu of such endarsemenl(s). PRODUCER CONTACT NAME: MaY aret Young Rogers&Gray Ins.-So.Dennis ac°NNa Exl:508-760-0602 FA/c Na: t177-816-2156 434 Route 134 E-MAIL South Dennis,MA 02600-1601 INSURER($)AFFORDING COVERAGE NAIC 8 508 398-7980 INSURER A:Peerless Insurance 18333 INSURED INSURERB:Evanston Insurance Company Gape Cod Insulation Inc 455 Yarmouth Road INSURERC:Atlantic Charter Insurance Hyannis,MA 02601 IN9URERD:Commerce Insurance Company 34754 INaVRER E: - INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE I-ISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE: INSURANCE AFFORDED nY 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. LT TYPE OF INSURANCE ADOL SUER POLICY NUMBER MM10DY" MMIOCDYNYYY LIMI75 A GENERALUAelU7Y CBP8263063 4/01/2012 04/01/2013 pEAACCH�GOE a OCCURRENCE $1 OODOOO X COMMERCIAL GENERAL LIABILITY PREMISES Ea cTurr°ence $1 OO OOO CLAIMS-MADE ER OCCUR MEO EXP(Any one pereon) $$000 PERSONAL&ADVINJURY S1 OOOOOO OENERALAG WEGAT& $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PIP. PRODUCTS-COMPIOPAGG $2000000 POLICY PRO- LOC $ I] AUTOMOBILE LIA61LITY 12MMBCKVMK 4/0112012 04101/201 F°"eD SINGLEIIMR nII 1 000 000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY Pet BCCidenL S _AUTOS AUTOS ( ) X HIRED AUTOS X NON-OWNED PROPERTY OAMAOE AUTOS S B X UMBRELLALIA13 OCCUR XONJ453512 4/01/2012 041011201 EACH occuRRENce $1 000 000 EXC1=5U LIAR CLAIMS-MADE AGGREGATE $1 00O 000 —FOE D X RETENTION 10000 $ C WORKERSCOMP03ATION WCA00529902 6130/2012 06/30/201 X WCSTATU• OTW AND EMPLOYERS'LIABILITY y I NFR ANY PROPRIE70(ypq(� NE 7 ECUTIVE E,L,I1tCN ACCIDENT 1 OOO OOO OFFICER/MEMBER E)(C1lJ0T& � N I A (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE $1 000 000 Iryae,describe under - DESCRIPTION OF OPERATIONS btllnw �r E.L.DISEASE,POLICY LIMIT $1 OOO O00 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES(At(aah ACORD 101,Addlllonal RomarkS Sghaduls,if more appCe Is required) "Workers Comp Information" Included Officers or Proprietors Certificate Holder is Included as an additional insured under General Liability when required by written . contract or agreement. CERTIFICATE HOLDER CANCELLATION Cape Cod Insulation,lnc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NoTIcE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVIsIONs. AUTHORIZED REPRESENTATIVE ®198 -2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S03849IM83848 MHY OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at 105 5c400l 51 . 11 (Property Address) ��STGGh �lf ,,o�' , 7— tf (Property Address) hereby authorize UL - p (Su tractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature .711 Z/Lai 2� Date t' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � M dyJp Parcel � Ap`i�io #t I Health Division Date issued ( �- Conservation Division Application Fee Planning Dept. Permit Fee Z Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address / Q SCLOv Village ` a'(,"!:1+00S 1) IS Owner keh kewc lAn Address Log -5ckool S- ' MAcs Telephone Sole 776, 7375 Permit Request l pjJ ALL &L.Lstf n 6uA) -r Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain ,, Groundwater Overlay Project Valuatio UO oConstruction Type fie rZllol� Lot Size q 33 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure /�� 9 Historic House: ❑Yes U_I�o On Old King's Highway: ❑Yes ZNo Basement Type: ull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) 2 Z 2 Number of Baths: Full: existing new Half: existing Df3w Number of Bedrooms: existing —new Total Room Count (not including baths): existing 7 new First Floor'Rbom Count) Heat Type and Fuel: E(Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood coal stove: U es ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing cO neon size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use = APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name A-S� S�D7S Telephone Number Sd$� Z-3-r 3 92 Address ��D Gf�g cs �� License # G �9 4AN1 S O2 60 ( Home Improvement Contractor# t o D 3� Worker's Compensation #QcG50®y llol2w IL ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO jg&:;9'A31-C SIGNATURE DATE S/2�/����✓ ' FOR'OFFICIAL USE ONLY APPLICATION# , DATE ISSUED _ MAP/PARCEL N0. ADDRESS = VILLAGE- -r OWNER r DATE OF INSPECTION: " FOUNDATION ' FRAME ' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL } FINAL BUILDING s DATE CLOSED OUT ASSOCIATION PLAN NO. The Com-ozonwed,1z gfMassaehwe& �rL _..�� �gatkiis 600 Aashka&j%,&meet BoSfolzJ Ham 02JI1 wI'W-w=-avldia Workers'CfflHpm9aUM bmraMe AfHavit l - -uffders/Co� aactonMec msfflhmbers _A�PTtc �f©r�€ion PleasePifn ly t Addre$S_ CILyI €atelZIp: �'- { Are you an emploger?Check the appropriate box-- TYPe of LJ�,l am an emplayervvith 7 t-G I am a Qenerai conicacior audI project( ;red}= employees(i M and/or parttime) havehiredthe sab-c 6_C New construction -� propnetgror a t 1 am a sole p ._ IL Qn the attached sheet 7_-3 Remodelmg ship and have no employees y�rb coIIhactars have woddng forme in any capacity _ 3_0 Demolition aemployees and have workers- jlvoworkers-camp_insurance - _ - a _ comp_rnSllFdnCe_;. 9 �Bmldtn,addition Ie �] 5L We are -acorporafroa and its.. 10_D Electrical repairs oradditions I am a homeowner doing all workofficers have exercised their myself[No worker'eomp- right of exemption perm MGL I I_0Plrunbina rr�pais gr additions insurance required]= C.I52 s 1(4).and we have no I2.=i Roof repairs employees.[no workers' comp_insurance required.] I3.X Other >G I o, �•tfLr L`t 7r77 t&—Dy appGewttnatcbecL-5 bos;<I mustalso iR eatthesecSon belowshmingtheirwarbere compeusafwa Policyinformauoa_Homeownerswhosabmittlnsai$davrtiad'tcatm�,they wedam,-a1lworbanddheaterseoutsidecomractusmustsubmitaamafudav,T sucb. =_contactorsthatchecktbisbosmastattach2naddifionaisheeravWneffie name ortbesub-c thesub-amtmctmshave vees,the♦must -de onriryetossandstatcwheHderaraotffioseeffitieshaveenplayee�1-r Iaiheu-wm*er�rnm C.n�� �Qt7l M2 evg&ye r tzwf iSprovLAWworkers cotes an7wToS gLSTF}'Weefor )emplrlF2F�$dory Ls&epo&y Qiidjotb-We ifOI711tflIOIZ _ hisaamce Company-Narrre_ ' PobCy=orSe3€-�Ij.Icq� iC�C_L._S(L t�.�l✓� 1 V a 3 ry i-a1 only �-���[ems t �-' .iob SiteAddr-asS7 l U l J C t G y15 ok 174/14, melt a Copy of the Worlrere rompensat3Qn policy declara#iog page(showiM9 the Pow umber and�(date) Failure to secure coverage as required under Secdon 25a of MOL 152 can lead to the imposition of criminal penalties of a fine up to S1=500.00 aud(or one yearr imprisonment as well as civlH penalties in the form ofaSTOP WORK ORDER and a fMe of S'50.00 a day against violalor_Be advised that:a copy of this statement maybe forwarded to theOf oflnvestigatio�off DIA_for caver�Qe veriflcai4on. i daAerby mzdiefg fkep�s mzdp.,",o.fpeitay ffiat&e ittfmww injzprovz&Aalwve"tare and rorreZ 10- 1', illsanre In i0j9kial use ozrly D a no,-write hz Jzis area to be completed by city or town offzcial City orTo-vn- PerrniMeense- 7 'IIaa s�g�p�(esrcle OIIe} i.Board ofHeath 2_ Building Depariureddt 3_City/Town Clerk 4_Electrical luspeetor i Phruzbin�hmsnedb r t 6.Other �ontnetpp*T _ Pb:one i=� r l Client#: 18348 2E2SO ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE10112D/Y 05 01/2012 2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling&O'Neil HcN;Ext:508 775-1620 FAX 5087781218 a/c,No Insurance Agency EMAIL 9731yannough Rd., PO Box 1990 ADDRESS: Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Acadia Insurance INSURED E2 Solar,Inc. INSURER B:Associated Employers Insurance Jason Stoots INSURER C: 120 Chase Street INSURER D: Hyannis,MA 02601 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. INS TYPE OF INSURANCEADDL SUB POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER MM/DD MM/DD LIMITS A GENERAL LIABILITY CPA033453212 4/22/2012 0412212013 EACH OCCURRENCE $1,000,000 X CMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES F.occurrence $250,000 CLAIMS-MADE l OCCUR MED EXP(Any one person) $5,000 OM PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2,000,000 POLICY FJ PEC LOC $ A AUTOMOBILE LIABILITY MAA033967112 4/22/2012 04/22/201 Ea accideDISINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per a.d I A X UMBRELLA LIAB X OCCUR CUA033453412 4/22/2012 04/2212013 EACH OCCURRENCE $1,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $1 000 000 DED I X RETENTION$0 $ B WORKERS COMPENSATION WCC5008041012012 3/16/2012 03/16/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500 OOO OFFICERIMEMBER EXCLUDED? y N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE s500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 V' DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required). Alison Alessi and Gregory Gorman are excluded from the workers compensation policy. Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Ken Kevorkian SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 109 School Street ACCORDANCE WITH THE POLICY PROVISIONS. Marstons Mills,MA 02648 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights:reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S95507/M95504 LS1 i, ✓�c �oornrxo�uurrrr!l�,n•�..•!r!rx��ac/ndatti 1,il`L-isc.or registrntion vnlid for individul use,ogI'Y Offiec of consumer Affairs&11%1s less Regulutlou HOME IMPROVEMENT CONTRACTOR i bdforc the expirntion dote. If,fount) return:, t 55 ! -Q r1ce of•consutner Affnirs and Business Re' ttl'ntiou Registrations 160350 Type: i 10 1iu It 1lnzn-Suite 5170 DBA Boston,MA 02116 Expiration:. 7L16/2012 ' E R 1 JASON STOOTS 120 CHASE ST -�e9a Br ---------- I HY.ANNIS, MA 02601 No v lid without signuturc Massachusetts -Department of Public Safety $ON $LOOTS Board of Building Regulations and Standards JA Construction Supervisor License: CS-090293 n ' ' ► , ,SF. i•'•Inc JASON D STOOTS-- /? Photovoltaic Installations 120 CHASE ST = 120 Chase Street HYANNIS MA-02601 Hyannis MA 02601 t MA CS License 090299 cell:508.237.3892 NAB09P It 938085 nunhnmmmnnttco,dW— office/fax:508.775.1385 ri+," Expiration Jason@e2solarcapecod.com 04/28/2014 www.92solarcapecod.com Commissioner r, >. tar ' ' Photovdltaic Installations. E2 SOLAR INC 120 Chase Street Hyannis, MA 02601 0:508.775.1385 C:(508)237-3892 CS License#CS090293 Home Improvement Contractor's Lic. # 160360 iasonO—e2solarcapecod.com Contract for Photovoltaics (SunPower Lease) OWNER'S NAME: Ken Kevorkian PROJECT ADDRESS: 109 School St. Marstons Mills MA 02648 1. PARTIES: This contract(hereinafter referred to as Contract ) is made and entered into on this 19t' day of April, 2012 by and between Ken Kevorkian(hereinafter referred to as "Host Customer"); and E2 SOLAR INC. (hereinafter referred to as "E2Solar" or "Dealer/Installer"). WHEREAS, Host Customer seeks to have one (1) 7.848 DC KW _grid tie solar Photovoltaic (PV) system hereinafter called "the system" professionally designed and installed at the above-named project address. WHEREAS, Dealer/Installer agrees to install the systems .in accordance with all local code requirements and in accordance with current National Electric Code. WHEREAS, Dealer/Installer agrees to install the systems in a professional and courteous manner, leaving the job site secure and clean at all times. THEREFORE, In consideration of the mutual promises contained herein, Dealer/Installer agrees to perform the following work: 2. GENERAL SCOPE OF WORK DESCRIPTION 2.1.) System Specifications: The 7848 do Watt PV system will consist of twenty four (24) Sun Power 327 Watt Photovoltaic modules mounted to south facing roof area The photovoltaic modules will be mounted to the roof using Unirac mounting system All roof penetrations will either meet or exceed the local building requirements In addition the system will consist of One (1) UL listed SunPower 7000m inverter to be installed adiacent to electrical panel The AC disconnect will be located on the exterior the house, near the service entrance, with all appropriate signage posted as required by the utility. This system will connect to the electrical grid via the grid tie inverter. This system will not include a battery back up system, meaning the system will not produce power in the event of a power outage. THE EXPRESS WARRANTIES CONTAINED HEREIN ARE IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, HABITABILITY, OR FITNESS FOR A PARTICULAR USE OR PURPOSE. THIS LIMITED WARRANTY EXCLUDES CONSEQUENTIAL AND INCIDENTAL DAMAGES AND LIMITS THE DURATION OF IMPLIED WARRANTIES TO THE FULLEST EXTENT PERMISSIBLE UNDER STATE AND FEDERAL LAW. 8.5 PERMITTING Dealer/Installer agrees to apply for and secure the necessary local building and electrical permits required to perform this work. All work performed will be done in compliance with the requirements of the local officials. 9. ENTIRE AGREEMENT SEVERABILITY AND MODIFICATION This Agreement represents and contains the entire agreement between the parties. Prior discussions, verbal representations or written memoranda of any kind by Dealer/Installer or Host Customer that are not contained or referenced in this Contract are not a part of this Contract. In the event that any provision of this Contract is at any time held by a Court to be invalid or unenforceable, the parties agree that all other provisions of this Contract will remain in full force and effect. Any future modification of this Contract must be made in writing and executed by Host Customer and Dealer/Installer in order to be valid and binding upon the parties. The parties have read and understood, and agree to, all the terms and conditions contained in this Agreement. Z Date J00n Stools for Solar Inc., Dealer/Installer AdWIL 0 Zo/Z e Date Ken Kevorkian Photovoltaic Contract Page 8 of 8 E2 Solar Inc.,Dealer/Installer Ken Kevorkian,Host Customers co 0 � O LL Z N O g w � Q � � t 14'-6" ? Y U ol U U) 0 O Z 20 o YUN o Z � � W Q TITLE: G 2X10 RAF PLANS & 6"OC ELEVATIONS (24)PROPOSED e SUNPOWER 327 WATT (24)PROPOSED g -E SUNPOWER 327 WAT PV MODULES:TOTAL �� a ARRAY-7.848 kW PV MODULES:TOTAL w _ ARRAY-7.848 kW a g Q O N� N (n'6�M N aZnui UZCM r-o c�v>oo 2 N i n N 2 ROOF PLAN 3 EAST ELEVATIONol lqty 24'-8" GENERAL NOTES: 1. PANELS ARE ATTACHED TO EXT'G ROOF STRUCTURE WITH 1A"X 5" SST HEX LAGS,48"OC. (24)PROPOSED TYP. SUNPOWER 327 WATT 2. ALL RAIL AND MOUNTINGS PV MODULES:TOTAL Data: 05.06-2012 ARE RATED FOR 125 MPH WIND ARRAY-7.848 kW sheet: LATERAL LOADS 3. EXISTING ROOF FRAMING CONSISTS OF 2X10s 16 OC A- 1 • i PARTIAL SOUTH ELEVATION S U'N F JZ • • PANELS t~ 20% EFFICIENCY SunPower E20 panels are the highest �■.®® efficiency panels on the market today, ■■�� SERIES providing more power in the some amount ■■■ of space �■�� TRANSFORMERLESS MEN ��® INVERTER COMPATIBILITY ■ MAIN Comprehensive.inverter compatibility ■o ensures that customers can pair the highest- 110� efficiency panels with the highest-efficiency OEM■■■ inverters, maximizing system output POSITIVE POWER TOLERANCE 01 Positive tolerance ensures customers receive the rated power or higher for every panel RELIABLE AND ROBUST DESIGN THE WORLD'S STANDARD FOR SOLAR'"" SunPovrer's unique Maxeon"^cell. SunPower' E20 Solar Panels provide today's highest efficiency and technology and advanced module performance. Powered by SunPower Maxeon' cell technology, the E20 design ensu-e industry-leading reliability series provides panel conversion efficiencies of up to 20.4%. The E20's low voltage temperature coefficient, anti-reflective glass and exceptional low-light performance attributes provide outstanding energy delivery per peak power watt. SUNPOWER'S HIGH EFFICIENCY ADVANTAGE - 15% --- .._ --- • ` 10% - 5% -- _ _ _ _._ �THIN FILM CONVENTIONAL do E E�,l�{!j MAXEONTM CELL SERIES SERIES SERIES ATk TEC�INOLOGY Patented all-back•contact solar cell, o w e C E F PV CYCLE providing the industry's highest `a.oaoa�� \OV efficiency and reliability. z",W ER E20/333 and E20/327 SOLAR PANELS S U N MODELS: SPR-333NE-WHT-D, SPR-327NE-WHT-D ELECTRICAL DATA IN CURVE Measured at Standard Test Conditions[STC):Irradiance I000W/m',AM.1.5,and cell temperature 25°C Nominal Power(+5/-0%) Pnom 333 W 327 W 7 ._tpayti/r C' Cell Cell Efficiency ry 22.9% 22.5% 6 1000 W/m2 Panel Efficiency ry 20.4% 20.1 % 5 _ Q 4 800 W/m? Rated Voltage Vmpp 54.7 V 54.7 V L 3 Rated Current Impp 6.09 A 5.98 A j -'W W/o _..._..-_.. 2 Open-Circuit Voltage Voc 65.3 V 64.9 V Short-Circuit Voltage Isc 6.46 A 6.46 A 2WW/mx _ _...._. 0 \ Maximum System Voltage IEC 1000 V - - - - - .- 0 10 20 30 40 50 60 70 Temperature Coefficients Power(P) -0.38%/K Voltage M Voltage(Voc) -176.6mV/K Current/voltage characteristics with dependence on irradiance and module temperature. Current(Iscj 3 5mA/K NOCT 45°C+/-2°C TESTED OPERATING CONDITIONS Series Fuse Rating 20 A Temperature -40'C to+85°C Limiting Reverse Current(3 strings) IR 16.2 A Max load 550 kg/mz(5400 Pa),front(e.g.snow) . _ .._.. __. Grounding Positive grounding not required w/specified mounting configurations 245 kg/M2(2400 Pa)front and back(e.g.wind) ELECTRICAL DATA - -- _.- _ - - _ Measured al Nominal ratio Cell Temperature N - Impact Resistance Hail:25 mm at 23 m/s Operating Pe l an:Imadionce 800W/m',20°C,wind T m/s- Nominal Power Pnom 247 W 243 W Rated Voltage Vmpp 50.4V 50.4V WARRANTIES AND CERTIFICATIONS, Rated Current im.pp 4.91 A 4.82 A Warranties 25-year limited power warranty OpenLircuit Voltage Voc 61.2 V 60.8 V 10-year limited product warranty Short-Circuit Voltage Isc 5.22 A 5.22 A Certifications IEC 61215 Ed.2,IEC 61730(SCII) MECHANICAL DATA Cells 96 SunPower Maxeon'"cells Output Cables 1000 mm cables/Multi-Contact(MCA)connectors Front Glass High-transmission tempered glass with anti-reflective(AR)coating Frame Anodised aluminium alloy type 6063(black) Junction Box IP-65 rated with 3 bypass diodes 32 x 155 x 128 mm Weight 18.6 kg ! /NS DIMENSIONS MM (A)-MOUNTING HOLES (B)-GROUNDING HOLES I--- `sY 0[7.0') --------�-!�---- (IN 12X 06.6[26] IOX 04.2[.171 dC[!.IBi - ^'-- 'X S77i 2^.70i c0(i.07j - IL-- I --P 32212d>?t 4:{ { I i i 1 j I BOTB �o H `? END i I TI_ L i 1A1 1535[V].CSi ----_--_---�+ Please read safety and installation instructions before using this product, visit sunpowercorp.com fir morn Anfni)c E2 Solar Inc. 1 508 7751 38 5 p.1 Y�LC_NAJ i C_ was A� sc TV) s� 1 F I Ai lQ E2 Solar Inc. 1 508 7751 38 5 p.2 James A. Marx,Jr.P.E 10 High Mountain Road Ringwood,NJ 07456 E-mail:jamlight@verizon.net October 14,2011 Unirac, Inc. 1411 Broadway Blvd.NE Albuquerque,NM 87102 To: Building Department or Others: RE: Engineer's Notice of Evaluation for UniRac SolarMountrm Universal PV Module Mounting System for application to One and Two Family Dwellings in Massachusetts Dear Sir: I have reviewed Unirac SolarMountrm"Code-Compliant Installation Manual 227", and certify that the information and results are accurate_To determine the design level forces, the appropriate wind speed shall be determined as prescribed by local jurisdiction requirements and applied in accordance to the Eighth Ed.of the 780 CMR Massachusetts State Building Code(One and Two Family Dwelling) & Massachusetts Amendments (2011)requirements where the Massachusetts Amendments contains replacement Table R301.2 for wind speeds and ground snow. The 780 CMR requires that wind loading be determined based upon International Building Code-2009 or International Residential Code-2009-and ASCE 7-05.Unirac's Manual 227 utilizes ASCE 7-05 for which Unirac Table 2 is based upon,and that is dependent upon conditions of spatial form,height and other structure parameters that are specified in the code provisions for determining the applied wind loading pressures imposed onto the Unirac SolarMountTM rails supporting solar panels.The SolarMountTM railing and anchorage requirements for the installation are properly represented in the Installation Manual 227. For other conditions,the determination of wind pressures should be determined by the aforementioned International Building Code 2009 and ASCE 7-05 procedures. The International Building Code requires that wind loading be determined based upon ASCE 7-05 Simplified Method 1 or ASCE 7-05 using Method 2,that which is dependent upon conditions of spatial form,height and other structure parameters that are specified in the code provisions for determining the applied wind loading pressures unposed onto the Unirac SolarMountTM rails supporting solar panels_ E2 Solar Inc. 15087751385 p.3 4 James A.Marx,Jr. P.E. Page 2 of 2 The design verification is based on: I. ASCE7-05—ASCE Standard II. "Steel Construction Manual," 13th Ed,AmericanInstitute of Steel. Construction, Chicago, II.,2005_ III. "Aluminum Design Manual",The Aluminum Association, Washington D.C., 2005. IV. Mechanical Properties and Static Load Testing of Unirac extruded rails and related components obtained from Dr.Walter Gerstle,PE, Department of Civil Engineering,University of New Mexico,Albuquerque,NM Use: Unirac SolarMountrm is evaluated for use in locations where wind pressure requirements do not exceed 50 psf or snow load conditions do not exceed 50 Psf ground snow loads. For loading in excess of either of the above stated conditions,Unirac,Inc. should be contacted for suitability of installation. By this letter, I certify that the Unirac SolarMounfrm assembly,when installed in accordance with the Installation Manual 227 will meet the requirements of the building codes adopted by Massachusetts. Others should evaluate the structure to which the Unirac SolarMountTm system is to be connected on a case-by-case basis,per Part I— Installer's Responsibilities of the Installation Manual,to ensure its adequacy to accept attachments and to support all applied loadings per the building code. Please call me if you have any questions or concerns. .SiacerelyL ; Jr- ..James. Marx,Jr_ ft,f ssional Engineer MA License Number 36365 4 cc:James Madrid,Unirac f - -'- :::f:tf-� �-_ ._ �.• x:t[:s.i�:r.>- :f_.-- ='_ r•t 1 r=r: _•,:-_r:rr:1- =.:Y_�r R :-•St t:-f :;Y: - ..7:.7., __ ]. _ _ .- ^_itf;::[:1:Cif t.i_t _ _,._... __ _u�f�:-:rc.:rs��-• =r r_;xt_: 3�'• .i�l :��i.ur. :' xr r_ -xc=.,. _. F::- —x:�- r--rr• !!=3:-- l fas gnu[-: ate.-;:.' "..: - _ .T:t:r .•..-11:1':1 x:f2 :!:r'.:- :{ :i.f11::i::r:i 7•: c-�-.f:Sl ll'•_ i:=S-� 2.1:�:7 t�' 'l::i::t I"+.T7� t'71 ::Y .fi lnr L- U,:r ��— -s:f •:Y_11I1Y_ -.� � '�AII:L::• Y1iI 1f2r-• - - x. -- ___.._J ___..-�._—>_-��c._ _._.-t,— -mac• _ - _ _ __ _ __ . _ "UN IgoI RAC SolarMount Beam Connection Hardware SolarMount L-Foot Part No.310065, 310066, 310067, 310068 • L-Foot material:One of the following extruded aluminum alloys:6005- " T5,6105-T5,6061-T6 • Ultimate tensile:38ksi,Yield:35 ksi • Finish:Clear or Dark Anodized • L-Foot weight:varies based on height:—0.215 Ibs(98g) -' Allowable and design loads are valid when components are Bea assembled with SolarMount series beams according to authorized Bolt • UNIRAC documents . L-Foot For the beam to L-Foot connection: A ' k =`. •Assemble with one ASTM F593 3/"-16 hex head screw and one enated ASTM F594 3/"serrated flange nut Flange Nu f4 � •Use anti-seize and tighten to 30 ft Ibs of torque • Resistance factors and safety factors are determined according to part 1 section 9 of the 2005 Aluminum Design Manual and third-party test Y results from an IAS accredited laboratory X NOTE: Loads are given for the L-Foot to beam connection only;be sure to check load limits for standoff,lag screw,or other attachment method 3.01 Applied Load Average Safety Design Resistance 3CSLQi FM i Direction Ultimate Allowable Load Factor, Load Factor, %Hal WAM Ibs(N) Ibs(N) FS Ibs(N) (1) 2-01 Sliding,Z± 1766(7856) 755(3356) 2.34 1141 (5077) 0.646 Tension,Y+ 1859(8269) 707(3144) 2.63 1069(4755) 0.575 Dimensions specified in inches unless noted Compression,Y- 3258(14492) 1325(5893) 2.46 2004(8913) 0.615 Traverse,X± 486(2162) 213(949) 2.28 323(1436) 0.664 r STANDARD RAIL L FOOT 3/8-16 X 3/4 HEX HEAD BOLT 3/8-16 FLANGE NUT O 48 17 00 Q OO10 installation Detail @2008 UNIRAC, INC. SolarMount Rail 74:'1 OMMDWAV eum NE !-Foot Connection A[BUQUERQUE, NM 87102 USA PHONE 505242.6411 UNIRAC_COM URASSY-0002 r FLANGE NUT END CLAMP 0 OP MOUNTING FLANGE NUT CLAMP MID CLAMP T-BOLT 0 UGC-1 CLIP T-BOLT SOLAR MOUND RAIL 0 �----T-BOLT UGC-1 . CLIP _..�---RAIL 000 00 Installation Detail ©2008 UNIRAC, INC. SolarMount Rail 1a-11 GROADWAY OWD NE Top Mounting Clamp AMUOUERQUE: NM 87102 USA PHONE 505.242_6411 Universal Grounding Clips UNtRAC.COM URASSY-0006 loll i;rar} C.- _L[R'SSY-030E—S313� Mlount R uil—UGC-1 Clip—Top 11cun' Clomp_�ua, /22/ZOl)S �_a?_ AP6 ( I i h1' ' '•''r 1 I 11 .,I r;1}Z !M•�47 +' (1 {ii hn1,\1'i �! 1. ,( f•it I bar � ;� v „ ,, This is to certify than/„ L ... Jason Stoot � i ? 120 Chase Street, Hyannis, MA 02601 I has s iccessfidlly completed the 8-hour coaerse Renovator Initial English Pursuant: to 4.0 CFR Part 745.225 Course Location p' Shepley Window.Showcase !, .� 15 Ben Franklin Way Hyannis, MA 02601 ? June ?_ 2010 June 07, 2010 Course Dates Exrgirriination Date. R-1-18398-10-OG939 �1:Y u 1e!07' 2015 Certificate Number '[Uplration Datc Training Director r ilk (: ( '16 Up' 1/G'r v/Ilt/1111J1:OI17 �n7 t Cl•),.�13�' Jl'•?rl,:�J•IIUI"Ih �;7�3 LtJr{L�7r��L. 'd+/LV{AJ Il"�?l 'l:i f t JI l 1.11'I ' i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION -�t Map Parcel . eo _ Application # Q ( 6 (14 S Health Division Date Issued Conservation Division Application Fee • Planning Dept. Permit Fee 6 Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis cRroject- t Address ,—Village=- 6Ji42 S NON r M 111C r --`Owne'�r"'�'&_A)A)E 7'i/ 4 • 1�E✓Ge 4l 14A) '%dr-e`s —TeI phon"`e""'�C t-IZ o - ge�j S7�X— 7 74 - 7 Y 7V (^P41/,L£ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay ePro_je_ct+_Valuation� �7 Construction Type woad Q,giy� Lot Size 4•• 3 q 4C,<£S Grandfathered: ❑Yes -�&No If yes, attach supporting documentation. Dwelling Type: Single Family J& Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes Flo On Old King's Highway: ❑Yes ANo Basement Type: ❑ Full ❑ Crawl �IlIValkout ❑Other Basement Finished Area (sq.ft.) '/0 AeoAd sC'-2) Basement Unfinished Area (sq.ft) Z;004'-, Number of Baths: Full: existing Z new 0 Half: existing new a Number of Bedrooms: existing 6 newf Total Room Count (not including baths): existing �' new d First Floor Room Count Heat Type and Fuel: AGaS ❑ Oil ❑ Electric ❑ Other ....._ Central Air: Q-Yes ❑ No Fireplaces: Existing New Existing wood/coal stove:,,❑Yes 4 No Detached garage: 06 existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing L jypew µsize_ Attached garage: A existing ❑inew size _Shed: ❑ existing ❑ new size _ Other: UN E D /Z Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes �.No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) CNZF� NE't'iy e VOW,( /4 ` Telephone Number Addr ss `je .7 License# 14,f2 r>e,Ur 1,11/1S Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S G TUBE �� �`• DATE 12- D Ld/D - t li FOR OFFICIAL USE ONLY y ARPLICATION# i DATE ISSUED _I - I MAP/PARCEL NO. " ADDRESS VILLAGE OWNER it c DATE OF INSPECTION: FOUNDATION."' FRAME R or a6 A�sc ' INSULATION-..;' L X� FIREPLACE ELECTRICAL: ROUGH FINAL f - PLUMBING: ROUGH FINAL 1 GAS: ,,. ROUGH r ' - >: FINAL ;FINAL BUILDING `R't t .f . DATE CLOSED OUT sASSOCIATION PLAN NO. S , t r Town of Barnstable : Regulatory Ser�4ces < g,lHTt3TA9L'E'. Thomas F. Geiler, Director MASS . wilding DI-vision Thomas Perry, C140,Building Commissi'ner 200 Main Street, Hy�s,MA- 02601 www.town.barnsta ble.ma.us Fax: 508-790-6230 'offim 508-862-4038 PLAN REVIEW � a /Parcel: e�Vs- 616— Mp DD2� Owner: Builder: Project Address /OI The fallowing Rem were noted on reviewing: P�NZ Z ,dsrlcrN� �3 ��4W7r'Sf�A� 4 �� u/2 � eo Reviewed by: ,.pate: 1 The Commonwealth of Massachusetts 1 Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation.Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A„ ppl'icant Information Please Print Legibly �Na—me ('Business/0rganization/Individual): Audd-re"-ss? CC ty/Stato%Z-ip �'►/�A�S TaN S 1ti1 /��S Phone #: V e 1129 - 9GS-5 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 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their 10.El Electrical repairs or additions required.] —3.[01 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §](4),and we have no 12.❑ Roof repairs insurance required.}t employees. [No workers' 13.0 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: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL a 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 cerd under the ains an penalties of perjury that the information provided above is true and correct. -nature: /"`t c-Date? Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions 1' 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-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: ' f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-8.77-MASSAFE Revised 5-26-05 Fax # 617 727-7749 www.mass.gov/dia Town of Barnstable col•THE Tp�y o Regulatory Services 'r BARNSrABLE, Thomas F. Geiler, Director . Y MASS. 1659• Building Division �rFDy a Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 WWFV.tovvn.barnstable.ma.uS Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 10B LOCATION: ��7 �CO�� yTi9�$ number-- '1. Q f street village "H MEOWNEft": /Cl�I/v�1`� /-• /�'E✓E���C/ SZ�� �Z� '�G name home phone# work phone# CURRENT MAILING ADDRESS: "#4 f n'I /Vol 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 supervise . DEFINITION OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner, Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building pemut. (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 requireme s. Signature-of Homeowner3 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." supervisorMany 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 H4th 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. �op If-HErC '� Town of Barnstable r y� Regulatory Services snxxsrnsi.E, s; nuss. $ Thomas F.Geiler,Director .prfn 5 " 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 ust Complete and Sign his Section If Us in A uildP_r e as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work autho by this building permit application for: ( ddress of Job) Signature of Owner Date p r Print Name If Property Owner is applying for permit please , 1 ; Homeowners License Exemption Form on reverse side. Q:F0R-MS:0 WNERPERMISSION . 5D•'st vaaN w�Mga�o. lb .'.:a�n.:°' 1�.0. 4'.p°' �rru d 4'•o w • w �e�svtnu�r ' q wf�iiiiii: lit• � • 4�d'M•fltoaRw! ��y, •', wl/t4.• '� mow •. �� fAT fMY.I D(K AlW�� • w R(tt H� •.ar p01't• :V - --9rwr cwcu a rw}r 44 A ra.TO�n Q TtlIO•y7 p..o•i.VA w y� ' / ruts, ss� 2�4 v�0w. �'�,RsR°�t''ewr►t'K.+�tw+a ~ w•a1 yy5���4' S'-5�' s'-$' ' 6'.n�' '-tP 5= 6ii• oR'.WI ,�gORwhtit ,'„•'!pK ' , '�'�►'`.a irR j' to T_ .s u•(o -— Well aa+r J •i�at "`sew 1p --- a Y-�qqq+����rr•..u•d\ Goy.>• w kh foci ♦/ ` �'A Mo M O br w►G4s ,COI �+�oor o • \�o �►e �� ... a • N f_!. ..I_- 'fit."(-OMG 6LA6 N - - *4 C• s�` x� i 0 @� d • _ N Ilk n K" ',p" • � '�� V To1of• I - pRO \ ? MOift W �•cv•"kw IO�-O' �n.� s►f _ J1 24t-d ith� T. 6i-d v s �C1 ' O• O`O• •�Q b�GSE� �� NT7AT1dN M14 • �. VWa�•.p► ��/t7RKtAN 'RIC'flatGNGERtC•fla1GNGE 4GeHC7t.ST t-SMSTOW6 ntu .�..�y & r Kenneth P. Kevorkian Olivia H. Miller 109 School Street - Marstons Mills,MA 02648 508.428.9059 r; , [ OD TO: Robert McKechnie Building Inspector,Town of Barnstable rr- Gri 9`t FROM: Kenneth P. Kevorkian & Olivia H. Miller DATE: 7/26/06 RE: Permit#B 20060248 —Affadavit We understand that second sinks are not permitted in a second floor detached accessory structure, and we will comply with this bylaw. We will not install a second sink unless we obtain the necessary permits required by the Town of Barnstable. Kenneth P. Kevorkian Olivia H. Miller AUCE A STINSp No7-AR, Commo pUBt IC My com N nwealth of Massachusetts mission Expires APrit 19 2013 Cv��vv�W e� dZ1G.��c.Li ltiAc G—Zo �G2�L�ft S S . e 7 l �� vh tie2 Ki e44 CA �t�✓✓� . IJ60 P(q V �40 lJ�joSP �IG�e,e �3 Sl �r� cv1 2 �l Co Cga co Gkb S `7 d4blr� �pFtNEip��p� The Town of Barnstable RARE. MASS P y Department of Health Safety and Environmental Services . � 1659. �0 pTFD MAC A Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Xk Location 10 ? C-V000 1 7r &V Permit Number _ 0 b Co 2. j Owner k !' .JQX aG I 410 Builder One notice to remain on job site,one notice on file in Building Department. The following items need correcting: CorrW' ' -r P( LtYc ta�c� y�u� C 6EZ) CUI "� � t✓�64-G � �-�Sod2 �T4�1���u�E. rs` 0 "CA Lev/D GCs' -2 7 vas Please call: 508-862-4M- for re-in�spectio Inspected by Rl& . Date -7 /6 b TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION . Jr f;l,_ a ..,i.ram w Map 0 �� Parcel ��f ©G K Application# ®6 p2 S6 VHealth Division sion Permit# Tax Collector ,�� /O ti �� �~ L�`y l.,r��, +-�-D'ate Issued Treasurer �( Application Fee c90 Planning Dept. Permit Feed ° Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address /01 � o .��-- Village 4.es- Owner & AJ F T: , ro'ct Address _ fG��' .��6f`Ga t- .��' Telephone �np `12-Fgorq ,� ,f'�� S�3Z 7U Z 0 C4o, Permit Req est ^�°� ?� cy 0'r Square feet: 1 st floor:existing � proposed CWVA16f 2nd floor:existing ylaU proposed y/o a Total new or-,A�l Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size 3 y' A. Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Z 5>£. X Historic House: ❑Yes ,$4'No On Old King's Highway: ❑Yes $((No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other (5Ae4&�' Basement Finished Area(sq.ft.) ® Basement Unfinished Area(sq.ft) o Number of Baths: Full:existing d new Half:existing new Number of Bedrooms: existing new O Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: KGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 2(No Fireplaces: Existing New / Existing wood/coal stove: ❑Yes 4No 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 40 If yes, site plan review# _ f Current Use Proposed Use 4el/y- arx-lee-Ae-if�GrM�� BUILDER INFORMATION jz�e 7"76._7Y-7Y fie,�J Name /4�_A) •N)Icy elelW Telephone Number .SOS �eY2:?oeo (4 Address il1!° S - o o e r License# �M� ©li/�✓ Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE X� DATE FOR OFFICIAL USE ONLY e f r " WRMIT,NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: , FOUNDATION FRAMEii!—�k:�be,&=gS� T -- INSULATION 1-4 d er to!k xte c�""Row-lee i FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r Y FINAL BUILDING 1 DATE CLOSED OUT i ASSOCIATION PLAN NO. The Commonwealth of Massachusetts .fment o Department Industrial Accidents P Office of Investigations 600 Washington Street Boston, MA 02II1 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Informattion Please Print Lezibly Name (Business/organization/Individual): ,�je J✓AJ6-Tip/ �E=ye,W Address: le rr' f0,1Gaz .F7-- City/State/Zip: II9,,1 f Phone#: fo f 2- 30 2 Are you an employer? Check the-appropriate bog: 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 Remodebn 2.❑ I am a sole proprietor or partner- listed on the attached sheet I g 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 ' required.] officers have exercised their 10.❑ Electrical repairs or additions 3.54 I am a homeowner doing all work right of exemption per MGL 11.❑ Phunbing 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 ❑ er comp.insurance required.] *Any applicant that cheeks box#1 must also fill out the section below abowing their workers'compensation policyinfomoation.' t Homeowners wbo submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit mdicsting such %Contractors Ist check this box must attacbed 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 thepolicy and,yob site Information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and pe alties of perjury that the information provided above is true and correct; Si afore: Ob Date: 06Z-e— Phone M f Vol?— &. Z 2 -'20 2® Official use only. Do not-write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority (circle one): I.Board of Health 2.Building Departrnena. 3.City/Town Clerk 4.Electrical inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,.oi-al 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." Addition0y,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic 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 permi0icense number which will be used as a reference number. In addition,an applicant that must submit multiple permit4icense 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. 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. r 617-727-4900 ext 406 or 1-1077-MASSAFE Fax F',"617-727-7749 Revised 5-26-05 WVvw.IIIaS5.c0V/C'11a 1 r t °FzME►� Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME FVQROVEMENT 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:!l f,c/ Z -f1 o,C- &19Q Estimated Cost �®!04U Address of Work: 0A9 Owner's Name: )&Xl l r,-'� Ve7--e"11W Date of Application: l e/L Co I hereby certify that: Registration is not required for the following reason(s): E]Work excluded by law ❑Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO 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. OR Date Owner's Name Q:formslomeaffidav RESIDENTIAL BUILDING PERMIT FEES Y APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 Alterations/Renovations $ 50.00 Change of Contractor/Builder $ 25.00 FEE VALUE WORKSHEET NEW LIVING SPACE ©C� square feet x$96/sq.foot Coo x .0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq. ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq,foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 M CAR Appendix J Table J5.Llb(continued) Prescriptive Packages for due and Two-Family Resideotlal Buildings Heated with Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement - Slab Headng/Cooling Area'('/o) U-value2 R-value' R-value' R value° Wall Perimeter F.quipmau Efficiency' Package R value° 1.value' 5701 to 6500 Headug Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 036 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 1 N/A N/A . 85 AFUE W 15% 0.52 30 19 19 1 10 6 83 AFUE X 18% 0.32 38 13 25 N/A N/A Normal Y 18% 0.42 38 19 25 N/A N/A Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: /V)fLeS>WA)S 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: -7sZ 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table A2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. '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-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as.unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement &-scribed 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 install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.la NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels. R value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement 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(0.3.5 for doors). 43 Town of Barnstable pIHE Tp� Regulatory Services sAMS-tAMX, ; Thomas F.Geiler,Director MAss. v� 16.39• .0� Building Division s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 4 4 JOB LOCATION:_ number ,Q J� street village 'HOMEOWNER": ph�ne name home phone# work # CURRENT MAMING ADDRESS: sre-vs 471115 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 requireme ts. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a,person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma O Parc �� z- '' 7// rI p 1 b Permit#RR Health Division C� RS- �7 g f; I RAFlUeTls�uLe� _ 7-�a� Conservation Division � , 0A��/,d� ?90 A IJ Go 3 j Alp,, li tioTee Tax Collector J Permit Fee � � 2 Z2 Treasurer VdLuplt -- - �- Planning Dept. �i'# =SEPTIC SYSTEM LIMITED TIO.M BECIROOMS Date Definitive Plan Approved by Planning Board -. �� CI ``c `^ Ive Historic-OKH Preservation/Hyannis Project Street Address Village �l/�`9�X� A)S /�I r �4-S_ Owner KE^AJA) nV/P Address lee, reZXa,0e_ Ste- /�. /�•-I, Telephone 5,?N� �Z� cG r-'�7 J-22 z/7 2- _ le Z 6 Permit Request Ad If T,/A1r1 / ?v f4/d& W11441dt/ AS AleedW) WF AA9 Square feet: 1 st floor: existing/6'D0 proposed J?z SJ 2nd floor: existing 65Z proposed 6f ,ov6t Total new�S'� Zoning District Flood Plain Groundwater Overlay Project Valuation oc 60V Construction Type eJ41-0_1) Xe�9A4e Lot Size �1,?-3 4C',&T Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family lL Two Family ❑ Multi-Family(#units) Age of Existing Structure *4 S' Historic House: Cl Yes XNo On Old King's Highway: ❑Yes 5.No Basement Type: ❑Full ❑Crawl Walkout ❑Other Basement Finished Area(sq.ft.) O Basement Unfinished Area(sq.ft) 96® J-k Number of Baths: Full: existing new Half:existing / new Number of Bedrooms: existing_ new 0 Total Room Count(not including baths):existing new 7 First Floor Room Count Heat Type and Fuel: CGas ❑Oil ❑Electric ❑Other Vrj /.- n Central Air: XYes ❑ No Fireplaces: Existing / G,�'" New Existing woodL66 I stovYes,4� iANo Detached garage: -existing ❑new size,�O G6 fl:❑existing Linew size xistingew size Atta hpd wage:Jd existing ❑new size &4<7O existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes iallo If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name C�d(/1 �7/C� i9�/ Telephone Number Address ; / �0,41e e Z_ i License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �-12 A 6 FOR OFFICIAL USE ONLY. >r 61 PERMIT NO. =f DATE ISSUED h MAP/MRCEL,NO. ADDRESS VILLAGE OWNER' DATE OF INSPECTION: FOUNDATION j&Lad // FRAME INSULATION 1 FIREPLACE l ELECTRICAL: ROUGH FINAL,' PLUMBING: ROUGHrnFINAL l t 'l GAS: ROUGH,,. FINAL, r ., FINAL BUILDING 1 w DATE CLOSED OUT ASSOCIATION PLAN NO. ' f __ _E �`_ The Commonwealth of Massachusetts Department of Industrial Accidents 600'Washington Street Boston,Mass. 02111'. Workers'. Com ensation.Inmrance Affidavit-General Businesses /% +,r rr•Xy y .�.,fv�;at;�S,'./j//]:.t•Ma.-,ap�r"zt•4/..—• l ,ti. •..y+... .•'.c' � .:�+:s'VS / address; , ; C T/1A /''1�1� sfate �'1 I} zip'®26 Si`p• phone# %W city site lOcatioIj full address ® ®� �' work • [] I am.a sole proprietor and have no one Business Type: ❑Retail❑'Restaurant%Ba=/Aat7ng Establishment working in any capacity. E] Office❑ Sales* (mcluding•Real Estate, Autos etc.) I am an em toyer with em'lo ees(full& art time): ❑ Other 01171117111 I am ployer providing:Yorkers' compensation for my employees working on this job. art, ,.�•.:.ii�'<f,rl:s:' ?r; -.:.�: '3'i•'',M,'+`,•�.,5: ::,'i. :i`�,•.::' w .:•.i�i:�:`l:rr �;1t1':+::;i^i. ;�. :•:.: ,'' :.i to t. '. -. . COID 3II�.naMII - '•,;' •,r., ,j.. .u, ' ':{'fir,=:•'' ;::' r;';`'•' rr " • '!•. - ..� +:s �.,�,�1•r.•• .+±. .5::•[:.,.i..:ir ,:+,ii.:. _. .i... t...•. ;'j.:n. .3°'.: ,:,re¢'l; sn+i. •'t.:� ,t'�r'.:!r• �.: :3tidress: ''�'• .+ :�,,. s �r?.. =tr •'+; •"+. :t,.• ••' .: :t . '4: 's. 'rX;'�rr•; �,r,,4i•'' 't '• hon:;'' :i' ..r ��•'! •{,� •,;r•, 1 Y; e#•". '�^ :.j,• a. r r! •S• '<.' is� 3'l'•r.. - 011c. .�'• :•;i.:� c••v!" Alisurancec [] I am a sole proprietor and have hired the independent contractors listed below who have ttie following workers' .compensation polices: Com 9II nflnS�: , •1. :r•i• n.ti%a.,y;' ,'fit, A: :�Li , •�.- !s '.r y,. .1^•i:.�-t• 1.:fr-%'l;l w '1•.:•- * rF .1. ..`;�,p..',• ,.r" ,.Yy• sddressb. :� : +,...•�r ;• •' ,. _ y! r!':a x..,h•:•.•- :$y'}'.. :�.':.t _ x'• J. .i�,• "t':r..�••. t:, .'r�: `i+ •'ter .•- :',.:; :•t."' rY•• :'tr•. v;.e,.'r ;rk::i'•.''{� f•, .c':' ,+.••• r.a;.•:•, ..: insiirance-co. - - i. "'• %�/� /%%//.+V 7/1 , .!% ?�•,a 'i: 'ti• �<�. ixi i•.' '- ri'� '•.4'• �•..' •r•.s"]+,i'�, ',;1'� ,zi" 1.4i:C t iy�i. :i•: •.�.YS�' •• ♦:V.coin an, naafi '. sadf6s:. . .+ u i.'. :'•. ;-Tit e.•°, -. : y orie#:' t ,• mac;.• •.i.i .:f-s+:;, :'4: ih,•r.S, �•'�' •i �:y'•`•5.`r' .fr.�'':� ,•Tyi�,�:. ':1:;'�j '�:..:5•.:f.� e •a, f''1 •4 �•'!.;�, :9•.r. ':1:• :a�:is•..ri• +.'. •;S .,u;t.� �OZiCV.# r ,,t •f4rr•.f �.,,•.! •?:.!• �' iIISurancet i , Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or. one years'imprisonment as well as civil penalties In the foim of a STOP WORK ORDER and a fine of siouo a day against me. I understand that si t ma be for-warded copy of this statemen to the Office of Investigations of the DIA for coverage verification. to hereby certi un er the pa' s an �erjury that the information provided above is tru ftec�t DateI` Sigaatu-e r. Print name Phone# K official use only do not write in this area to be completed by city or town official permit/license it ❑ Dep Building artment city or town: ❑Licensing Board - • -check if immediate response is required ❑Selectmen's Office ❑ �Hea]thDepartmaat , Phone#; - []other contact person: _ a (ravged Sept 2W3) _ Information and Instructions. �Iassachusett$General Laws chapter�152 section 25•regees all employers to provide workers' compensation for their. to h As quoted from the law', an employee is.defined as every person n the service of another under any contract Y )f hire; express or imp .lie•d; oral or written. , association, corporation or other legal entity, or any two or rnqre of kn employer is defined as an individual,partnership, he foregoing engaged in a•joint.enferprise, and including the legal representatives of a deceased,employer, or the receiver or Z.stee.of an individual,partnership, association or other legal entity, employing employees. 'However the owner of a Swelling house havmg'not'imre than three apartments and-who resides therein, or the.oceupant of the dwelling house of another who employs.Pe sons to do.maiutenance, 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'staies that'every state'or local licensing agency shall withhold the issuance or renewal of a license or pertnit.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 dence of compliance with the insurance requirements of this chapter have been presented to the contracting acceptable evi authority. PIN + • Applicants Please fill in .the workers' compensation affidavit completely,by checking the box that applies-to your situation•:Please ddress and phone numbers along with a certificate of insurance as all affidavits may be submitted supply company n'arrie, a artrnerit•of Industrial Accidents-for confizmation of insurance coverage. Also'be sure to sign and date the - to the Dep 'The The affidavit should be-returned to the city or town that the application for the permit or license is being artment of Industrial Accidents-. Should you have any*questions regardin�'the""law"or if you are requested, not the Dep lease call the D artme:at at the number'listeA below. required to obtain&;workers.'•conTensatioupohcy,p ep ' City or Towns Please be sure that the affidavit is cbmplete andprinted legibly. The Department has provided a space at the bottom of the affidavit for you to'fft out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill.inthe perrrnnt/licens.e number.which will.be used as a;reference number. The.affidavitsMrnay.be.retumed to the Departmentby. or FAX.unless other arrangements have been made. _ The Office of Investigations would lie 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 Ma of WesfiNtfens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext:406 t , ypp%ME p down of Barnstable ' Regulatory Services . a� $ Thomas Z Geller,Director '�� ses9• k1� Building Division tFp MA•{ • Tom Perry,Building Commissioner ' 200 Main Street, Hyannis,MA 02601 , office,: 508462-4038 Pax: 508-790-6230 • Pernitno, • Date A WIDA IT HOME ROR0'VEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION • MGL a 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, • -improvement,removal,demolition,or construction of an addition to any pie-existing owper-occupied . bo&ug containing at least one but notmora than four dwelling units or to structures which are adjacent to • such rosidence or building be done by registered contractors,with certain exceptions,along with other requirements, ; • Type of Work: zioAJ Estim�tedCost 2� � Address of Work: /O l� ��ic,IG'�C> •5 r /�i9�S7� �' l��S' owner's Name; �f%�/.� �`�'� KP✓�l C / �C/ Iwo of Application: • ' I Ureby certify that: Registration is not required fox the following reason(s); ' QWork excluded bylaw []lab Under S 1,000 ' []Building not ovtner-occupied Mbwner pulling own permit , Notice is hereby given that; , OWMRS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLIC4.] E HOME nOROYEMENT W ORK D 0 NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY P'M UNDER M:GL c.142A. bIGNED UNDERPENALTIES OF PERNRY Thereby apply for&permit as the agent of the ow4er: Date Contractor Name Registratioallo. • ,/ OR n Owner's Name , ' oFt�T� Town of Barnstable regulatory Services BAWMABIX : Thomas F.Geiler,Director .�� Building Division rfDMAYa Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 wwwAown.barnstable.ma:us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION / Please Print DATE: Z6 , O 4 ,�r� JOB LOCATION: �Q dzf, aL �% l/�'/l'9�cSMV,s ///S /��/g + number streetp�/ ` village "HOMEOW UNER": y-(-� e,`p —j'Qf,�7 �6)k VL?2 —-7 Z� name home phone#n work phone# CURRENT MAlLlNG ADDRESS: .2l city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwelling of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official.on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum' ection procedures and requirements and that he/she will comply with said procedures and reqtt Signature of Homeowner Approval of Building Official r>n s 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 d:]� 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 fomn/certification for use in your community. Q:forms:homeexempt G _ r ------N3SWr?,ti' �T-7-?--•,:�f b'Q 11�' �,LI��f� �%%�x� S'cr'--0at 1S'Vd 20 Is, A7�I�3��It%'1C1�d 9900-8ofi 791 12 WHIRI tAl 6"I 0t4'IY4'OZ ,yfZL OL 1 d0,_4V0,; r�t'1�c0 S" 'l1% S77I1�' S_�IIOLSd yltr - ----- A ZT 1vol-fls Od S;L.dr C,roil A All sj (Evl 90/1 'Z JINI1 �'�9c �k'0�7 0 d •`��� as ������ :�1OH.�' Sb' Q:-11'?+:��10 ,91I<I; IVO 61,VY 17007 SI iVOIL I1"CTA0O,l S.L.IV f77I T 1 A100 A-7A Y115 SSXN V,� 3A 09V N-11 ,-L bHJL AZIJ�1_7J I _ V 1 A :1:77,7_.—. t/609°Y,79 '7d n c t f_77VJS—_ ,�78t�L��l11�d81�1�OI, _KVOZ 5YY�11�OIL �,Jl� ' ,L( ,'�A� ..�'�r01�L CZAj 1 ---._, JNOZ C007,1 0' d Nl'l% SUO,sSYS3V U 107 sr `ti df fti' Se�OSS�SSN • \1 Jt'•lac, /i/� o i f.'9 1,0'7 9to 3did r r I I !, 107 ' C f,, UOYP d z 01 J 07 9t- dViV SNUSR SSe r 1107 SYOSS3&S . r� t, w 0 11 �� GI•��'� .�� Win? C 9-il 1O7 9t> ti d b'!ti SN4SS;�SSb` ,t�6�7 -CT L 07 9!5 1 i RESIDENTIAL BUILDING PERNUT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE ao square feet x$96/sq.foot= / yd x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.R.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf - 50.00 >750 sf- 1000 sf. 75.00 >1000 sf= 1500 sf - 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck.._. ... _ x$30.00= (number) Fireplace/Chimney . x$25.00= (number) - Ingrodnd Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Pmjcost Rev:063004 Permit Number REScheck Compliance Certificate Checked By/Date 1995 MEC REScheckSoftware Version 3.5 Release le Data filename:Untitled.rck PROJECT TITLE:KEVORKIAN RESIDENCE CITY:Marstons Mills STATE:Massachusetts HDD: 6137 CONSTRUCTION TYPE: Single Family DATE:08/28/04 DATE OF PLANS:AUGUST 21,2004 PROJECT DESCRIPTION: NEW MASTER BED ROOM DESIGNER/CONTRACTOR: OLSON DESIGN ASSOCIATES 28 BARNSTABLE ROAD HYANNIS,MA.02601 COMPLIANCE:Passes Maximum UA=73 Your Home UA=67 8.2%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Cathedral Ceiling(no attic) 348 30.0 0.0 12 Wall 1:Wood Frame, 16"o.c. 382 19.0 0.0 19 Window 1:Wood Frame:Double Pane with Low-E 58 0.340 20 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 348 19.0 0.0 16 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 1995 MEC requirements in REScheckVersion 3.5 Release le (formerly MECchecl and to comply with the mandatory requirements listed in the RES checkInspection Checklist. ' Builder/Designer e�' ~����� Date e'2'- Q 1 REScheck Inspection Checklist 1995 MEC ` REScheckSoftware Version 3.5 Release le DATE:08/28/04 PROJECT TITLE:KEVORKIAN RESIDENCE Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: B-asement Walls: [ ] 1. Basement Wall 1: Solid Concrete or Masonry,8.0'ht/0.0'bg/8.0'insul, R-0(uninsulated) Comments: Windows: [ ] 1. Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ] Yes[ ]No Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a 3"clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ J Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-6.5. Duct Construction: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. i Table 1: ]Minimum-Insu` don Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: ]Minimum-Insulation Thickness for HVACPipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 .1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) s p 1 v.z xu -Se , � gul y } Department'of = _ Regulatory Services F 1*F BA ffrABLE, # MASS. i639' Al�� :� n:; BUILD G DIVISION_ BY f2`ltelk— THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL,AS DEPTH AND LOCATICN OF PUBLIC SEWERS MAYBE OBTAINED FROM THE'DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION.RESTRICTIONS. +I MINIMUM.OF FOU RCALL INSPECTIONS REQUIRED FOR ALL.CONSTRUCTION WORK.: ._ APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE SEPARATE I.FOUNDATIONS ,:OR FOOTINGS THIS CARD'KEPT POSTED UNTIL FINAL INSPECTION E HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU PERMITS ARE REQUIRED FOR. 2 PRIOR TO COVERING STRUCTURAL MEMBERS ELECTRICAL,PLUMBING AND MECH , (READY TO LATH): PANCY IS REQUIRED,SUCH BUILDING SHALL'NOT BE ANICAL INSTALLATIONS. `- 9 INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN.MADE. 4 FINAL:INSPECTION.BEFORE OCCUPANCY. :. all Ole] 16-11 {. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 v 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT t e i 2 f '>, BOARD OF HEALTH' x OTHER: SITE PLAN REVIEW APPF � 4 s conaactin9 wrth un 91steredt ntractots —Ol<' do riot have access to the guacantpxfund L5 i (as set forth in MGLc 142A) oy-jy-0( I oos WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME.NULL AND VOID IF CON. . INSPECTIONS.INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION:WORK IS NOT STARTED WITHIN SIX. CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC MONTHS.OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. f" y NOTED ABOVE.`: TION. x TOWN, OF BAR STABLE 2014 H9 27 M : 51 11 o o v � o � t 0'*1NE rO{'4 The Town of Barnstable '• BABVSTABLE.� Department of Health Safety and Environmental Services Y MASS. 0a 4'p t639 �0 Building Division . 367 Main Street,Hyannis,MA'02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: dn,l�- /V Map/Parcel: ��b6 �- Project Address:. SG//�L Ste-r, Builder: Ow x6-4Z T following items were noted on reviewing: �— �� 'e�l el- oxTia �),,4pn A), 0 3z.a(-tes G/y i P 0,= 7-OP/1'%r,- fG�zrizS /Jr�w�� �r <G r �i� T G mtis �s SFF0 w rc q) y X LI ?0 5 T5 %o 4r)er 6 i7a S 7-5 WI rNfz �2r�-ter O P-.-yj�C�71 .�+�—�-L�2 6,1vn asjlsi ps^ 0i m a 1361-75 l Reviewed by: Date: d - q:building:forms:review 0 w, JOB TAYLOR DESIGN ASSOC., INC. SHEET NO. OF y 28 Barnstable Road _ HYANNIS, MA 02601 CALCULATED BY PHONE & fax:(508) 790-4686 CHECKED BY �q R. 10 l µm p Cr 'Tpry�) 1 l/LL.S SCALE T LQA v wy AL Cn .27770 CzIt �.�t-�.e-� ae, ....... \.. ..........: t It tt ........... ........... ........... ... .... . _ .. ... .... ._..... L l.. .= 4_ ..................... . l7 _ ....... .. c,c' _ 114 .......... .............. Z. so ....... ........:._ .... ..... G 3. '7� �Zl 38, o2J�',.J� _5 - _ 3 ..... . .. __ __ ......... .. _ . _ . . 9 � .... ... . ........ .... _ _. . ....... _._ _. _ _. -4. .._..... ..... . _.. . __ ..... _ ......_.__ _- _ .. PRODUCT 204-1(Single Sheets1205.1(Panned) T �v TOWN OF BARNSTABLE,BUDDING PERMIT APPLICATION Map + Parcal Permit# Health Division d2lS�S7 Date Issued ." Conservation Division C.�Z- • Fee- '3 02 �, _ � P�rF a-Do Tax Collector Treasurer SEPTIC SYSTEM DUST BE INSTA=psi COMPLIANCE Planning Dept. WITl�i TiitE 8 Date Definitive Plan Approved by Planning Board IWIRONNEWAL CODE AND TOWN REGULATIONS Historic-OKH Preservation/Hyannis t Project Street Address /e�i S'el-10 Q L S'r Village �/VI Owner ,(���N.)�_7z1 )o• -y'e1,ekt14,J Address —Lae,- _01• ee- ST— Telephone Permit Request Z C1W Y 3,0 Square feet: 1st floor: existing proposed 7$O 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction TypeL�[?Il �9/�1�v Lot Size q•3 196• Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family �i Two Family ❑ Multi-Family(#units) Age of Existing Structure S Historic House: ❑Yes & o On Old King's Highway: saYes U4 Basement Type: ❑ Full ❑Crawl W Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) c,l E4 a, Number of Baths: Full: existing Z. new Half: existing near ' Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Co nt Heat Type and Fuel: &Gas ❑Oil ❑Electric ❑Other Central Air: 2rYes ❑No Fireplaces:,Existing 64,5 New Existing wood/coal stove: ❑Yes Detached garage:❑existing U(new sized 6 � 0 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 VJo If yes, site plan review# Current Use Proposed Use CAV 66 I� BUILDER INFORMATION Name 1 eCd )t i71/ /°- )Vt d402,Y/M-) Telephone Number Address l>oy_ ( /UGG License# M.gkQ Se`600 'r NI. kc Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE NJR �� 0 Z,- U FOR OFFICIAL USE ONLY PERMIT NO. = DATE ISSUED t ` MAP/PA?RCECNO. ' ADDRESS ' y f VILLAGE OWNER , DATE OF INSPECTION: F FOUNDATION 7 ME ��Nl �iL 61f 0l aS A,%- INSULATION FIREPLACE = - ELECTRICAL: ROUGH FINAL T PLUMBING: ROUG4S�q FINAL 4 . � re , GAS: ROUGI—a FINAL _ FINAL BUILDING in - i-i t' , i�tA "7 00 i DATE CLOSED OUT �« ® { C ASSOCIATION PLAN NO.�' inf cattier �\ The Commonwealth of 1lfassachuse= � _ Department of Industrial Accidents id E Olf ervt1aYOSI/98ffcas -' 600 Washington Street Boston,Mass 02111 Workers' ens Ca a ' Insurance�davi m - t name: location city phone# yZ P_ a I am a homeowner performing all work mysei£ ❑ I am a sole aroanetor and have no one wmtinzin anv mvidtv ❑ I am an employer providing workers' comaeasatien far my employees wanang on this 'ob. {'4t rh ...}r...-0ONAti:•••••: ..................... ..::•........:w.v... ....vwv:::..:.v:•....... ... v. ;ii:�:i�:�:•i?i?}`:;: ';'�'�}:; ; ;:;:; .'i : : : :>i:��:�:5�>::::::; .............. ....::•.:: ...:::.;..;....::::i}}:..}:•}:tid}}}:{+S•}ii44 4:}:•}::•:v:•:v}}:}}.h..:^\Hk.-.. ... :.......v.:::.vvv::••.:v::....:C?t.::••.v::?v..... ........................:v.:v:- v..... ::...:. ... .:.:v.v.::r...... ........:.::::.......:.........:::x ...... ..:.•........... w}.-:^:^.v:-.:... .. ...1...,,,t::?v......,......w:::-.}•.vwvr{{{i:::::.v::::::::v:.v:::.{•.}}'•?::•}:.:YJii:4i:`:�}::Cii:L:J:-: i?kii?:�:�::�: .....:v:�::::v.:�::wv::v.v::�:.:v:.............:::v::?.::::::•n::•v:::::::::?.};::::4•: �:G6.S.h•r�!•A:x r.......v'�:�Yp}h::::.w:.xv..v::w::.....:::.vv::::.�::..........:.....::.:.... 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Y..::::`�? i?:?::�: iasmaace'ro. . ......... ..} Farm a to aceozs coverer as Isg1ed..1 of MGL M=kad to tM imposdim of—*--i peaalties of a Bna ap to S2.500.00 zzWO am yeas'hapwo==as weH as dTII peoaltin in the form of a STOP WORK ORDER sad a fma of SIOU.00 a day asatatt me. I uaderstsad 11 a ea"of this state—=zy be forwarded to the OMce ofInvesdgxdow of the DIA for coverage Teriiltadon. I do herhy certify uf der the panzr=fP=aU=ofPm7wy that the information provided abvw is nw and correct r s Sigaaz� h Date rl, pant name ��NN oindal use only do not write in this area to be eompieted by city or town omdal city or town: pemdocense 0 ❑$uad Deparstneld ❑Ilcensm;Board ❑chuck iflamtediate response is requited ❑$eleet:nea's Otace ❑Health Department contact person: phone li•. ❑Other all I •� 1 1 1 �_ • • �•. • e 4 ••/• • • • M..1. • • s • • . •.l1• 1 .•.•• • "also • • • �• • •1119 • o % / / •�•II• �•, :• • � •• • • •• •• •. .•r • a •w • •1• • • •.• •r. :•.Ill • :sues • It• i...I. • • �{ • ' • so . l• •�• • / • iM••1• • .�• .1• • •Iota I 1..6 I.1•... . •Y •II ■ •M•.1• •1 • I • •. •II • • • • • •• • .Il l • 1• • • • •�1t. •1 I Ala I . I . • •«K• • • • woos. • •.wII • •mow.•�• • • rI .••sl. • .• t. • •.• mow• a• • cool.. •• .t .•. I' / / • v r I • 1 • •11 1 1 I .It • 1 'll1 -.. / ■J • / . / r • 1 • • U. 1 •1 1 11 1• 1 • I 1 ' . • • : • I I • a • • • : • • - • r' I 1 III• 1 I / II II 1 r 1 ' .lu•u sl• • �% 1 • 1 •i .II • •1 le. •• /■ r: '11 ••s • `• .1• I I w.l•w sel•• ..• • roll/• •.'. • • • .1 M.11s1. .I. • I.• /1 n slr.•Y �• //• w..w•r\ • •.1 Me.s•• s •soft 1• /• •.1f.�«A .•1••1.w• '•-..• •11 less • • 1 r.11ll• .•{ • • as ..► silks .!. • w. I• • II \Ia• .••.Il .II• •t•• a• • r•Itel. .n • •Y.•II.� ••I �y .•• . e ale-fi IIssee latit1• ' 1.1 ai•e•✓..• •1 •• •• .r• I toll IA e•. • e .!••NH.• a. l• •.. Ua w•1 el IIIH•♦\.•Y. r« •well. 1•i .•n•e U.I Niels 4F4 safe• ••.:•/ r. y 1 0/ 11 • /. U e •1 •/ I ,• •.. .111 sai. • 1 • .• w08161 w•6 lob 11 «1 .I 1• • /• .. •e J. . Y 1. .1• 1•e 11 •w•IIU /I 1 ••1/• w. • L• • 1I its• 1 loos.••w•1 .1 I .II ■sY. - .•« /wa{. 11 • e . • • • / .II • • /..� . •1/ wY• •III • 1• .1 •••• w• !• • . 1:•1• 11...wA •'•non-.•wY..• •n . . . v I •I • 1 " I a I• •e .• It .o• • r•II••• w{ .l• • .I .II/�• w.J e ..�� I �• o loll.. .1 .. . . • ._. .. .. .. ....I.. ff o. • I siowl prow.. .,I as•/1 II It 1 wH •t i• Y sl 1 •—`I. •J:I• .1./. • t• r.1•Ie^. w • • . ••yy •1 YI •III • •• .I. • l►T1/I • •. •• f•I 1• .• ..soot/! Yw• •U•JI •�. •• •1 «. •• I e 1 v_• �••�. • eU•oo .w I ■f.. •. sIY. . .elf• • f / • b• •1 l • l•. •1 to • • . .— l ter. • p • I ..•• •You sl• • •a a •• ae a •I1• • • .••Y pl •. I r•.• .0•N .II• 1• • • o n • ••• • •• •w\lo•.•/ • ,46 rs I 1 • It 11 t 1 I � 1 •, oil ! l o • • 1 i t 1 1 I • 1 1 - a I I I • I / 1 ESTIMA TED PROJECT COST WORKSHEET f LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot (average construction) square feet X$57/sq. foot= • F GARAGE (UNFINISHED) 7J?0 square feet X.$25/sq. foot= /I, PORCH square feet X$20/sq. foot= ' DECK 600 square feet X$15/sq. foot= 3 OTHER I10&V square feet X$??/sq. foot= atiU Total Estimated Project Value 7/, 5PV , „Sr„B, : The Town of Barnstable Regulatory Services 8, Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or-construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: 2 (,kk al)_k4 G Estimated Cost 30i ff Address of Work: Owner's Name: & �j#J-t* V e-yo' ki/,4. Date of Application: 2 © , I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied [aOwner.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. Date Owner's Name g1orms:Affidav P`QF tHE Tp�� The Town of Barnstable NW �� :9 BARVSTABLE.p A Department of Health Safety and Environmental Services 1S5. 0 t63q. Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: k',P �65 Map/Parcel: 415'e//G 7-- Project Address: ler! Scf/oze— S`?' Builder: 64,uNF!2 The following items were noted on reviewing: _ o r- Oiv %o P 0i rb iolrl Iz PG I riz 5' 3g rw,-,v-�r 3) ' Toa s s 571{d&(->/'( Clf A;7-1VG 6 y X L-1 ?a 5 T S 7-0 Y 6 ;�'a S 7-5 LUG rN k-ul"4 r D Ire4 'Ir14--o 1� e' F4le el J s r IV/J-GI 5-7-?,A l 0 7 to )6'/y DS- Ii m di2 rYa e, 136L 7-5 0vOn y D Trl'IMIL, Reviewed by: Date: �D -- r gtuildinglorms:review SCHOOL STREET ASSESSORS MAP N8733 30"W 46 LOT 13-,2 17.94' ASSESSORS MAP 46 LOT 13-3 23' o S7617 59 W o ASSESSORS LOT 12 ASSESSORS MAP 46 LOT 12 z PARCEL 'A" - AREA=188,728-& 6 0 1 64' Cl- p �_ 7 rn �z LOT 7 o. ASSESSORS MAP �lk 45 LOT 54 p 0 25.3' 1 c 2Q.5 26 W 0 I.PIPE ASSESSORS MAP C 45 LOT 53 6,43,w S8B 4618E S72 49 34 - ASSESSORS MAP 45 LOT 11 ASSESSORS MAP 46 FLOOD ZONE "C"_ FO LINDA TION CERTIFICATION RES ZONE' "RF" TO AN.BARNSTABLE SCALE. 1"=50' PL.REF. 52914 7 ELEV N�A I CERTIFY THAT THE ABO VE YANKEE SURVEY CONSULTANTS FOUNDATION IS LOCATED ON P. 0. BOX 265 THE GROUND AS SHOWN, ,AND { ��`� of ���� IT'S POSITION��--___ PAUL UNIT; 1; 40B INDUSTRY ROAD C A. MARSTONS MILLS, MASS. 02648 CONFORM TO THE ZONING LAW MERITNIEW TEL: 428—0055 SETBACK REQUIREMENTS OF 0. t EARN, TABLE �, 9fcis ti���� FAX 420-5553 -- L .L-. ---- �OS1 GR19S PAUL A. MERITHEW DATE. 7127198 1vJUMaER51439FND N� The Town of Barnstable • i • 1AIt1YSr'ABI.E. • • . �' Regulatory Services Eo ►+°�� Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: O J �^/d 0 4- number /J street ,/ village "HOMEOWNER": yerxjt) /t'f�/G�,(�/�� ,fU� 7`Ze��/�B `��2 time �� home phone# work phone# CURRENT MAILING ADDRESS: 9 ��e`'Yd a�- J✓ M1fAj_s)'dA_,)s MIME- /V,� city/town state rip 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. DEFE41MON 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 proced es and requiremergs. A 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 perfornung 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:EXEMFM jRESIDENTIAL BUILDING PERMIT FEES ' APPLICATION FEE New Buildings,Additions $50.00 / Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.f y , >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= i STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney. x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) �' ,2-77; Permit Fee projcost TOWN OF BARNSTABLE -.- CERTIFICATE OF OCCUPANCY PARCEL ID 045 016 002 GEOBASE ID 35434 ADDRESS 109 SCHOOL STREET PHONE MARSTONS MILLS ZIP - LOT 3 & 4 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 38281 DESCRIPTION CERTIFICATE OF OCCUPANCY PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: COND .00 � CONSTRUCTION COSTS $.00 �Q^ 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P:<, STAB ; G. MASS. g I 039. A1� ED M1�►1 BUILDIN�GfDIVISION BY DATE ISSUED 05/10/1999 EXPIRATION DATE . J THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A , m / �0(�"-J IL DATA w -r TOWN OFF BARNSTABLE BUILDING PERMIT � zo ,PARCEL ID 045 016 002 GEOBASE `ID 35434 _ ADDRESS 10�3 SCHOOL STREET PHONE. MARSTONS MILLS LIP LOT 3 & 4 BLOCK { LOT SIZE DBA DEVELOPMRI 'T DISTRICT CO PERMIT 29106 DESCRIPTION BUILD''N.EW 3 BDRM HOME SEW_PT_096--1579 PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: PROPERTY OWNER Department of Health, f ARCHITECTS: P t , Safety i and Environmental Services TOTAL FEES: $403.00 THE .00 CONSTRUCTION �" STS —$130,00BOND 0.00 101 SINGLE FAM HOME DETACHED 1 PRIVATE P '�,1) .AX- * •ARNSTABLE. • MASS. i639. A�O� BUILDINGDIVISIPN BY .� / 1 DATE ISSUED 02/24/1998 EXPIRATION DATE �'� ,BUILDING PERMIT PARCEL ID-046 03.3 002 GROBASE Ill 3,5434 ADDRESS 109 SCHOOL STREET � Pt-On" MA,RStONS MILLS ZIP 1107.` 3 & 4 BLOCS 4 � . LQT S1 ZE DRA ft DEViLOPMEN`I' w DT,STR1c c. � PERMIT d; 'OG DE;CPIPTION BUILD NEW 3 BDRM HOME SEW.PT_09 -3.579 PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDC :PMT CONTRACTORS: P1110PERT'Y OWNER Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $403.00 {' BOND $.00 THE CONSTRUCTION COSTS $130,000..00 �7 � 101 SINGLE_FAM-HOME DRTACH p 1, PRIVATE ,P;f* ?E - * BARNSTABM • ti MASS. MA'S BUILDINGDIVISION BY e .� A DATE ISSUED 02/24/1998 EXPIRAT,10N DATE � '• �' �.'`� '- �.�� _ r i THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY 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 FROWTHE CONDITIONS.OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS .ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTILFINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS t2-25� - 0 ol 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT AP `woo Cws 2 BOARD F ALTH 16"Q9� OTHER: SITE PLAN REVIEW APPROVAL GC n, WORK SHALL NOT PROCEE UNTIL PER IT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA ` �TION. NOTED ABOVE. TION. BUILDING PERMIT 6 , , ` u 4 ` Effective Date: February 17, 1998 6 fi F Western SuretyCOMDany, . _ . LICENSE AND PERMIT BOND t, F KNOW ALL MEN BY THESE PRESENTS: G BOND No. 68697762 ,.. , "That we, Kenneth' P. ~Kevorkian 6 , of the City of Marstons Mills , State of Massachusetts , as-Principal, and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State of ll 6 9 Massachusetts , as Surety, are held and firmly bound unto the Town of—Barns_t-able , State of Massachusetts , Obligee, in the penal sum of One Thousand and 00/100 DOLLARS (—$1, 000.00 ) lawful money of the United States,-to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives,jointly and severally by these presents. THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the said Principal has been licensed Builder by the said Obligee. NOW THEREFORE, if the said Principal shall faithfully perform the duties and in all things comply with the laws and ordinances including all amendments thereto ertainin to the license or PY � g � -pertaining permit applied for,, then this obligation ,to, be. void, otherwise .to remain in full force and effect until; � 1`7th ` i. ' '� 1999 ' 4 , unless renewed by Continuation Certificate. 0 A,la�hond me,#v term_mated.at any time by the Surety upon sending notice m writing;•by certified mail, to c�er a It e M-66al Subdivision with whom this bond is filed and to,the Principal; addressed to them at c -F. ♦a ;tl� �olical�Sum naliled'herein, and,at the,expiration of thirty;five,(35) days from the mailing of said notkc� his bond'slilrpso facto terminate and,the Surety shall thereupon be relieved from:any liability for any aC yooiissi s oP -4q_Principal subsequent to said date. SD eci txis 1° g day of February 1998 ��......... cam-.._ � ` Principal Principal Counters' ed WESTERN/,SURETY C O M N Y By . Resident Agent Stephen T.Pate,President ACKNOWLEDGMENT OF SURETY (Corporate Officer) 6 STATE OF SOUTH DAKOTA ss County.of Minnehaha; 1 A 6 F On this 17th 1 'day of February' 1998 _ before me the undersigned officer, G r .1 is *€S 11 at. is q II r r 6 , personally appeared t.-_ r r ,uf Stephen T. Pate_ , who acknowledged himself to.be the aforesaid- u officer`of WESTERN SURETY COMPANY,.a corporation, and that he as-such officer, being authorized so to F do, �executed'the foregoing-instrument for. the purposes therein contained;;,by,signing°.the name of--,the' , corporation"by himself as_s&h officer. . 1; '-`r WITNESS WHEREOF, I have.hereunto set my hand and official seal / . . } _ }ggggyhghgghgh�bghgghh�bggh f g • B.THOMAS c s ^ NOTARY PUBLIC s SEAL SEAL s Not 'Public—South Dakota s SOUTH DAKOTA s G Form 532-9-95 y My Commission Expires 6-2.2003 8 " }yy�oy4h0yh�,h�,yy4hyhhh4hh} , G J G G ACKNOWLEDGMENT OF PRINCIPAL (Individual or Partners) y G F - G STATE OF r• _ p •!: ��' S .:-� u � .,. t,aFz .t '.;.�c. �:.j. t iai C'. il p County of L p il On this day of ,before me personally appearedy f p 7 n u 6 9 c 3ii'.\11�i�f 9 G known to me to be the individual described in and who executed the foregoing instrument and acknowledged tome that —he executed the same. My commission expires n Notary Public - r ACKNOWLEDGMENT'OF PRINCIPAL (Corporate Officer) . STATE OF s County of On this day of ,before me personally appeared ,who acknowledged himself to be the of , a corporation, and that he as such officer being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himself as such officer. My commission expires Notary Public G >1 rt f � r 6 P � 4 G G H p v � n n l p r G n O n U a r F z q A a r \ N Z � r f O p n r a WPQ .A r (p 9 e C o w z aai a w > p U o r �ME r The Town of Barnstable BA MASS. MASS. A Department of Health Safety and Environmental Services 0 t639• Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection q Location 0q �(.� OL �� INL Permit Number / Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: L2.�t Aoc C`, t Xs x _ t Please call: 508-790-6227 for re-inspection. Inspected by ,}~ Date ' (� Engineering Dept. (3rd floor) Map 61 Y S Parcel_191 6 /�„2Peri�# g0 House#. /® 9 6` Date Issued 2qp Board of Health(3rd floor)(8:15 -9:30/1:00 Conservation Office(4th floor)(8:30-9:30/1:00-2:00) .,, SEPTIC Planning Dept.(1st floor/School Admin. Bldg.) I��,ST BE TALL PLIAN Definitive PlarrApproved by Planning Board oZ _ 19 `� l ����� CE No" Q �, 5 L P NVIRON 0 D E a�,N TOWN OF BARNSTABLE Building•Permit Application Project Street Address /�� SL7,/OpL Village • /�6W_,f)-o nl C /'Y)i L LS Owner �E.y.)erz/ '2/®.Q,�/ /9il,e Address , Telephone YLO (yJ 5�3L -�a20 (40) C _ Permit Request �yic.��.�1� x� *4 ��� _ 4s)✓`1 _ .S 1 I e Foc�_ t n ® - (u First Floor /Vp 00 square feet Secon Floor 6 O G square feet --Construction Type �,�Si�fiJT/�YL_ GJ�0,alfi'!f�` Estimated Project Cost $ ��0� �© ®• ' Zoning District 10,00C.17 F1ood.Plain `' D Water Protection Lot Size /7/5— 4 Q Grandfathered ❑Yes ❑No i Dwelling Type: Single Family Q--,Two Family ❑ Multi-Family(#units) .� Age of Existing Structure k)O V ' Historic House ❑Yes ❑No On Old King's Highway ❑Yes p No Basement Type: ❑Full ❑Crawl alkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New L— Half: Existing New / No.of Bedrooms: Existing New 3 Total Room Count(not including baths): Existing New (, First Floor Room Count "4 Heat Type and Fuel: bras Ll Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes p No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) Attached(size) c7wie ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) " Zoning Board of Appeals Authorization ©Appeal# lf5?7— 29 Recorded UP-`- Commercial ❑Yes 34NO If yes, site plan review# �t Current Use Proposed Use Builder Information Name 0 Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE _ DATE_ /�2 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) . FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED .MAP/PARCEL NO. ADDRESS. VILLAGE OWNER DATE OF INSPECTION: • o - :.. -9 y FOUNDATION Z,� FRAME F INSULATION• 1 � � � `' - - - . F ., '. _- . , `• _ i --- FIREPLACE ; ELECTRICAL: ' ROUGH FINAL + r PLUMBING: ROUGH FINAL 9 . In, GAS: '', iiMbUG�P r. FINAL FINAL BUILDINGS "7 �. t�f :2, S�1 t P t i --. 4 _ y f e y DATE CLOSED OUT' ASSOCIATION PLANVO.�' (c) S S a_- CERTIFICATE OF LIABILITY INSURANCE;ID 02 D05/2ID/9 &EFO-1 05/28/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McAlpine Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE John Mcalpine HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 20D Post Office Sq ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Centerville MA 02632 COMPANIES AFFORDING COVERAGE John McAlpine COMPANY Phone No. 508-771-0105 Fax No.508-771-1258 A Trust Insurance Company INSURED COMPANY B Savers Property&Casualty Ins C A&E Forms Inc COMPANY. Tom Williamson C Trust Insurance Company 32 General Holoway Rd COMPANY So Yarmouth MA 02664 D 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 Ol HER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MMIODIYY) DATE(MMIDDIYY) GENERAL LIABILITY GENERALAGGREGATE $ 1 000 r 000 i A X COMMERCMGENERALLUIBILITY TMP 1004786 07/10/97 07/10/98 PRODUCTS-COMP/OPAGG $ 1 00O 000 CLAIMS MADE FX OCCUR PERSONAL&ADVINJURY $500 000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $500 000 FIRE DAMAGE(Any one fire) $50 000 MED EXP(Anyone person) $5 000 f: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ C ANY AUTO 12/31/97 12/31/98 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $250 r 000 HIRED AUTOS BODILY INJURY NON-OWNEDAUTOS (Per accident) $500 r 000 PROPERTY DAMAGE $100 r 000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ i ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ I EXCESS LIABILITY EACH OCCURRENCE $ Z.. UMBRELLA FORM AGGREGATE $ O T HEH THAN UMBRELLA FORM $ WORKERS COMPENSATION AND X TORY LIMITS OER EMPLOYERS'LIABILITY EL EACH ACCIDENT $100,000 THE PROPRIETOR/ $ X INCL WC 0000530-00 06/03/97 06/03/98 EL DISEASE-POLICY LIMIT $500 000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ ZOO 000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS Concrete forms CERTIFICATE HOLDER CANCELLATION K, OVI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Ken Kdvorkian BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 27 J.B. Drive Marstons Mills MA 02648 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE John McAlpine i ACORD 25-S(1/95) ©ACORD CORPORATION 1988 1 r • TOWN OF BARNSTABLE ' BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. • /DATE - /JOB. LOCATION /O'i QO.Ale©e_ r �i¢. �ii�cS' Alle A "' Number Street address Section of town - "HOMEOWNER" Name Home phone Work phone PRESENT MAILING ADDRESS 2 7 ✓• U£ _ City town State Zip ccd The current exemption for "homeowners" was extended to include owner-cccu= dwellings of six units or less and to allow such homeowners to engage an i, dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to side, on, which there is, or is intended to be, a one or two family dwellinc attached or detached structures accessory to such use and/or farm structur:, A person who constructs more than one home in a two-year period shall not } considered a homeowner. Such "homeowner" shall submit to the Building Off *- on a form acceptable to the Building Official, that he/she shall be resmo::;. for all such work performed under the building permit. (Section 109 . 1. 1) The undersigned "homeowner" assumes , responsibility for compliance with the Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirewen and that he/she will comply with said proc' dures and requirements. 30MEOWNER'S SIGNATURE LPPROVAL OF BUILDING OFFICIAL dote: Three family dwellings 3.5., 000 cubic feet, or larger, will be require:. 00 comply with State Building Code Section 127. 0 , Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which,:,a build-; permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that is Home Owner engages a person (s) for hire to do such work, that such Home 0W shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulatic:: for . licensing Construction ' Supervisors, Section 2. 15) . This lack of iwarer often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the 4nlicensed person as it would with licensed Supervisor. The Home "Owner ac= s supervisor is ultimately responsible. _o ensure that the Home Owner is fully aware of his/her responsibilities, M. ommunities require, as part of the permit application, that the Home Owner ertify that he/she understands the responsibilities of a supervisor. On t: ast page of this issue is a form currently used by several towns. You may: ,are to amend and adopt such a form/certification for use in your eommuni . h- SCHOOL ,STREET ASSESSORS MAP N8 46 LOT 13-2 _.7 33 30"W 17.94' ASSESSORS MAP ` 46 LOB' 13-3 w�_4 4� 0 o Z'o cr ASSESSORS LOT 12 ASSESSORS MAP 46 LOT 12 121 PARCEL 'A" AREA=188,728E 6 0 1 76.4 p,0 0 0_ ti6 LOT 7 o- 0 ASSESSORS MAP 45 LOT 54 0 25.3� 10 26 0' � 0 I PIPE ti ASSESSORS MAP C 45 LOT 53 6,43' S88 4618"E S72 49 34 ASSESSORS MAP 45 LOT 11 ASSESSORS MAP 46 FZOOD ZONE "C"_ FOUNDATION CERTIFICATION RES ZONE.- "RF" TO WN.BARXSTABLE SCALE:1 "=50' PL.REF.-52914 7 ELE V N�A I CERTIFY THAT THE ABOVE YANKEE SURVEY CONSUL7ANTS FOUNDATION IS LOCATED ON � OF P. U BOX 265 THE GROUND AS SHOWN, AND UL G UNIT 1, 40B INDUSTRY ROAD ITS POSITION __LQ=----- , CONFORM TO THE ZONIATC LAW E3 RITHEW y MARSTONS MILLS, MASS. 02648 0. `' TEL: 428—0055 SETBACK REQUIREMENTS OF � � FAX 420—5553 BA ENS L_E ` , ,c1�>s� JOB PA UL A. MERITH W DATE.'7Z27198 NUMBER 5_1_4--_39FND Od Assc^sor's Office 1st floor Ma Lot Permit# O }onsc vation Office 4th floor �2 Date Issued 7-'Board of Health 3rd floor LEngineeringiDept. Ord floor) House# /to 1/ )JS � N�t a.,, �•�o d�. E 1 � Planning Dept. (1st floor/School Admin.Bldg.) TOE : d 14 6�zi/� ,SEPTiG NSTALL ANC; Definitive Plan Approved by Planning Board 19 (Applications processed 8:30-9:30 a.m.& 1:00-2:00p.m.) ENVIFiONME ODE AND MWN REGULATIONS TOWN OF BARNSTABLE Building Permit Application Pro'ect Street Address ® I�� ®G b �iq Villa e _ 6 Fire District I I 1 (hvncr Cc b R iq tf Address Q A,1 Q (A6 Telephone Permit Request: tl R E Zoning District Flood Plain /" Water Protection Lot Size .. L t78 /�O,P C- S Grandfathered Zoning Board of A is Authorization A&Ya S_ Recorded 5"30— S 136 66 7 E' Current Use u' W06A PrODOsedUse 7 - Construction X (a2 Existing Information Dwelling T Single Family Two family Multi-family " � � ctt A e of structures G Basement U lS W�` Q I Historic House r Finished Old Kings Highway t, Unfinished L- Number of Baths 7 No. of Bedrooms Total Room Count(not includingbaths) qq First Floor Heat Type and Fuel PO-R&*k t iM IFtI 01 f Central Air V Fireplaces Garage: Detached Other Detached Structures: Pool li Attached �' Barn None Sheds Other,Vl'1p h�13s6- Builder Information Name ( Q P W Telephone number (68 C). Address License# Home Improvement Contractor# Worker's Compensation NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO KProject Cost Qs AM 6 Fee 7 IGNA DATE L4 6" 5 j iA, BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 5 +ky - 1' _Dt`z.K6°4' CA-OA4E — 763 BPERMT 6 Z-6(g - 045.016.002 FOR OFFICE USE ONLY #7209 AD&ESS 109 School S_t-reet--- ; VILLAGE Marstons Mills, MA 02648 OWNER Melton Frahmann' "L -� } DATE OF INSPECTION: FOUNDATION ! _ - 1 FRAME t t INSULATION I FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL � f R / GAS: ROUGH FINAL FINAL BUILDING: , DATE CLOSED OUT:; '' 3 ASSOCIATE PLAN NO. �Z The Cunnnntt h of:1lassuchusets Deportment of luditsrrial Accidents r •, t - office dinyesagallons 600 !f'a-vkht tutt Street Bunton.Maur. 0 111 Workers' Compensation Insurance Affidavit •AlinliEnn mformation• Plc�sePR(NTIe� -lijE name' Incitinn• 27 Q Croy S- /�/�- ��� B ✓nhttnrl<�c��/ 7" ��� I am a homeowner performing all work mvself. . d am a sole proprietor and have no one working in any capacity _ _. ,.�e.,�.,-.. arc s�---."'-,.�'�`•--r....�.,-.�..�--�,...��.�.—.,—��--s------r-•----: •---• .. 71 .1 am an employer providing tivor tiers' compensation for my employees working on this job. \, cnntnnnv name- i J" address- city nhnnc#• - nailer f!insnra incc Co. [� I am a sole proprietor. general contractor or homeo��nee ircic arc) and have hired the contractors listed beiow who na%e the following workers'compensation polices: comnnnv name: �( cirt•. nhnnc tl• ` incurincr rn noliev# contninv nnmc• nd(Irescr rin•- nhnnc itr incurnncc co nniic� t! Attach additional sheet if necessary :% _ --+� ^-T "" ''^r'" '• '^"" "—� Failure to secure cm-crnt:e:u required under section 25A of 111GL 152 can lead to the imposition of cnMin21 penalties of a lineup t S1.500.UU ndiur une tears'imprisonment as�ccil as cit•ii penalties in the form 0172 STOP«`ORK ORDER and a fine of 5100.00 a dad•against Me. I understand that n cop) of this statement mat be funvarded to the omce of Investigations of the DIA for coverage verifteation. !do hereh[•ccrrifr filler ire pains•end pengities jperjurr that the information provided above is true and correct. Si^_nature Date Print name Phone* ' official use univ do not write in this area to be completed b% cit<•or toe•n ofTciai •` city or tntvn• permit/license 0 _rIguilding Department ❑Licensing Board L 1] check if immediate response is required ❑ Scicc[mcn's Uffice r (:stealth Department . contact person: phone is• rj0Ihcr g. Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers* cnmperfsatian for employees. As quoted from the an einploree is defined as every person in the service of :tnt)ther under any contract of hire. express or implied. oral or written. An emphover.is defined as an individual. partnership. association. corporation or other legal entity. or an}, two or me 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. Howevcr owner of a dwelling house Raving 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 dwelIinu ii. or oil the_;rounds or building appurtenant thereto shall not because of such employment be deemed to be an empio� MGL chapter 152 section 25 also states that eveti•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 been presented to the contractinc authority. Applicanats Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation all,-' i Supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date tite 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 require 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 bottorn the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pl be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returner 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 questic please do not hesitate to _give us a c--ll. F. The Department's address. telephone and fax number: The Commomvealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone `: (617) 72---4900 ctt. 406. 409 or 375 Febuary 18, 1998 To. Town of Barnstable Building Division 367 Main St. Hyannis, Ma. 02601 From: Kenneth P. Kevorkian 27 J . B. Dr. Marstons Mills, Ma. 02648 428-9059(H) 432-3020(W) Dear Mr. Crossen, Serving as Construction Supervisor/Homeowner at 109 School St. Marstons Mills. I would assure you that I will Comply with all laws pertaining to the hiring of subcontractors at the above site. I will require current Workers Compenstion Insurance policy numbers on all contractors hired by me. I intend to abide b requirements Y q nts of MGL 152 section 25A. Currently I am still recieving bids from subcontractors and I have not selected anyone yet, as soon as proposals are signed I will be prepared to provide your department with the required information. Sincerely, . _ J • F Kenneth P. Kevorkian /117 TOVM OF WNSTABLE BUILDING DEPT. FEB 2 7 1998 E C E I v E 3 1/2"steel columns r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - r - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1 I I I I I ' ' 8" foundation wall I I typ. @ 4' 4" c c. slab conc.@ 3000 psi pitched to doors m 8"x 16" footing typ. I I � I I I I I I W 12x30 1 I I ; steel beam I I I I L _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - J I I I L _ - _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ J 7'-0" 26'-0" KEVORKIAN RESIDENCE O GARAGE FOUNDATION PLAN DATE: 2/27/98 SCALE: 1/8"= 1' 1 fN.,Se LADOO GHIM40Y. UHIfF-6LAp 4411' ' I O R\,THTQOOM �sPualt SulK4l.cs A.R44sr CCf' So YK-IA . "....__ I 1 lz -Mr.. _ - - -- - Awn 4vTfEcc 4 T7b�+Nbiwfo IK4�RKYZE fb0-1+�$1'#{rLM 6L2 �.Ai•f� 9wOW. • �� GLLpmcKlcD•.f+�ONt ONLY. �. - I.r•- IK4 IdON.�. .. 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Z%(i gnw L44LL YTL.GaL� /G YIQ N!�mlGaq; IF MIN Nb.C.- IZI • 12'-O" 12Lo 2.t 0 FULL.♦+T•y�et�R TA4 Scup WALL Q'n-tsa Rn.j - TY1,-vole w JL-,I.ca fA.►7.Rr1. Z>e P-T.SILL • CSgi iV11.i1.JI.N� $ �••• 6uL 71121 R.1.taaof roN- 019 fT�ri � 1� n'0CD-R''' -f4t?- ad'X3d'xIo'9 qA.c-sw+(ecoNo� r•�ya«,N., Gartc•fT4 O rL . . - KtEvorz►cl.ar� R�It71ENG1E . xucx��sT., tTAlRSTOW.- lLL4", MA. __..._.. YPlGAL fRAVIINGI _l-25GTION wsNorrm ....��..: o...... v� ZI_Cy rrRlv4t 12�0" j�pq,C V4dt (LEGR)IR,lD Z x 12 ..ZZICC�IG Bo — 2K LAN It:'C.0 S'rRa?CrURA�r uR 2slvn / �x poseo 4•K 8"orc�A F_e,�r _ 12 . �12 NON ST>`UG-TUKAI_ U12.FXtIjt. .. �XPp6C0 x I-L 'Rtbf 9APr>f ,& \ -3 - INSULA4IUN- K- o-'MDoaR vltrrt'Reouuucv_ �h Ic141v wsu�. 11C 6 6TCP4 a 2'"04. C�KI•Ir o.GrR.. ( smr ArPIMCy trZC !.� Rw4.TV DC P"mM WI PA.*MM0.• R Wt.TO MATCH 3 `b Houk 14P.-6omfl fi sc&v r. 3 L" tY +I GREaT. Koon (1'fdI�OU I�RO�.rno) - I INSIxi.^r�oN Ax Li F1w.fu.C!? @ MOVSY m¢.c.KIT dR�A7 OF C(,Rf T Rn.POw - - AT bTcP Ow STtil BI'1 On''sF-c LPre rZ I-0' �I -rrP• FON.�fooTlHq� _KAMIfJG 4rGTION e 'FAMILY ZDOM _ _ I _ . BA„� ,� P -- -- - 1619 Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal Number 1997-29 Hamblin Modification of Variance Number 1995-44 Summary Granted with Conditions Applicant&Owner: John F. and Jeannette M. Hamblin Applicant's Address: 109 School Street, Marstons Mills,MA Assessor's Map/Parcel: Map 045, Parcel 016.02 Zoning: RF Residential F Zoning District Applicant's Request: Modification of Variance 1995-44-Bulk Regulations, Minimum Lot Frontage Variance Ir Background: On May 2, 1995, the Board granted a Variance No. 1995-44 to the site for the Minimum Lot Frontage requirement of the Zoning Ordinance to a parcel of land. That variance permitted a 7.58 acre site with 5.50 acres of upland to be buildable with 17.94 feet of frontage onto School Street. The petitioner is seeking to modify that variance granted to the lot to permit the lot to be changed to a 4.5 acre lot. The applicant wishes to preserve the bog area with neighboring bogs they own and operate. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on February 12, 1997. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened March 19, 1997, at which time the Board found to grant the modification with conditions. Board members hearing this petition were Emmett Glynn, Gene Burman, Richard Boy, William Garreffi. and Chairman Gail Nightingale. Attorney Arthur Hyland-represented the petitioner before the Board. Hearing Summary: Attorney Arthur Hyland described the natu;e of the request citing that it is a modification of the 1995 Variance granted by the Board to John and Jeannette Hamblin. He stated that the Hamblins own the surrounding bogs that are harvested for cranberry production. They would like to retain ownership of the bogs within the 7.58 parcel referenced in Variance No. 1995-44 for cranberry cultivation. That would change the area and shape of the lot that was granted in the 1995 Variance, from a 7.58 acre parcel to a lot with 4.5 acres. Therefore the modification is being requested. The public was requested to comment. No one spoke in favor or in opposition. Findings of Fact:. Based upon the testimony given during the public hearing on this appeal, the Board unanimously found the following findings of fact: 1. On May 2, 1995, the Board granted Variance No. 1995-44 to the locus for the Minimum Lot Frontage requirement of the Zoning Ordinance. That variance permitted a 7.58 acre site with 5.50 acres of upland to be buildable with 17.94 feet of frontage onto School Street. The petitioner is seeking to modify that variance granted to the lot to permit the lot to be changed to a 4.5 acre lot. Ik. 107 2 2L e=* 2:3-?2 Town of Barnstable-Zoning Board of Appeals Decision and Notice Appeal No. 1997-29 Hamblin - Modification of Variance Number 1995-44 2. The proposed parcel is in Marstons Mills off School Street and contains 4.5 acres of land. 3. The parcel is located in a RF Zoning District which requires 150 feet for frontage whereas this parcel only has just short of 18 feet of frontage. 4. The access to the property is a 640 foot panhandle strip of land. It is the only access to and from the property. 5. This lot is unique as it is unusual in shape and configured unlike any other lots in the area. 6. The Granting of this modification would not be in derogation of the spirit and intent of the Zoning Ordinance given that the modification of the lot from 7.58 acres to 4.5 acres removes wetlands that can not be built upon. The granting of the relief requested would not be det�menYal to the neighborhood involved. Decision: Based upon the positive findings a motion was duly made and seconded to grant the modification of Variance 1995-44 as requested with the following conditions: 1. All conditions of Variance Number 1995-44 shall remain UCC ect with the addition of the following condtion. 2. The proposed buildable lot will be reduced to 4.5 acres from its original size of 7.58 acres as per plan entitled "Plan of Land located in Marstons Mills, MA prepared for Mary Hall Hamblin dated November 14, 1996 and drawn by Yankee Survey Consultants. The Vote was as follows: AYE: Emmett Glynn, Gene Burman, Richard Boy, William Garreffi, and Chairman Gail Nightingale. NAY: None Order: Appeal Number 1997-29 is granted with conditions. Appeal Number 1997-29 allows the modification of Variance Number 1995-44. 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 made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17, within twenty (20) days after the date of the filing of this decision in the office of the Town Clerk. 1997 " Gai Nightingal Chair an Date Si ed .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 in the office of th Town Clerk. Signed and sealed this day o 1997 under the pains and penalties of perjury. C/w- 7 OF WE A The Town of Barnstable a + + BAMS!'ABLE, + 9e� `� Department of Health Safety and Environmental Services 'OrEOMo�°' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner January 30, 1997 G.Arthur Hyland,Jr. Murphy and Murphy 243 South Street Hyannis,MA 02601 Re: 169 School Street,Marstons Mills,MA 7 Map/parcel 045/016.002 Dear Attorney Hyland: Your question involving the seven acre parcel with a variance has been relayed verbally and should be followed up in writing. In order to split up the lot,a modification of the variance should be generated by the Zoning Board of Appeals. If the split up(Form A)has already taken place,the building permit will have to be surrendered and/or all work stopped and a Zoning Board modification to the variance obtained. I hope this answers your questions.You may appeal this decision if you so choose. Sincerely, Ralph M.Crossen Building Commissioner RMC/km Zee-, �e orJ� . ec �397-19 00 tD RE/MAX L BERTY Gel 1 W L I,S� f i 5qwi. G1 i T i'di f ,t� �'+i' 't`'�` �, LIA. if `,w,?4?- d� ar,.4 hit.q;,. � ,t1.`' � a,r xt x'�... �37�•y'+,�.: W �>�"�' r'�q�h�Y��*'4 Z�'. F } xs»+ 1 tY'q,i4r;�f5 s }y, & # �$ 5 ' t .. +}' t ' M r 4�L3j' y 'fit c ' _>:s, �4,�,Town of BersnatbJe�4tnsf3 a� � �',°Et a - _ y w ,� x ,tea Yboing Board of, pf eats F` a�� f� 1 d4.�`,� pocJelon And APPeaJ Number 1998-" HembJ T i/alJantl9 11//nlAw1n L 'F� . -Bu►k ReguhWan* o f «y:. ; �• '`' 1-;r � � r Y �r.,f'ff'. � ti f', xH o�Y� 5 �.+h,. 'v,�l nj .]' . . - } �}1r�yta i �'�v+� �t� f•yC n x ,� � ,tr-rs�f - Summary GfMded With Coudidm ��ar r i���rY� r AppU=w OwnerJohn F. me and han ga M.Hamblin A scasst s Address ' l09 School Sttieet, �lhg� .. -•. ' .Kr. 1,s.�..,.�r , d'��7i.3'�At`"T ASmmes bbww 04S'Ql� n� Z + ` ( vt eve iy ya W t Tif7t S�i •t^} �• t1F Reside ntiah F Zoning DMIKft r5 4tfi. tit r $t N ??f a � 7 6 v U4Y w r �W yrr r h <r d ariaaoe to t�acdoq-41-1 4(3)t3ssttt a- am go to allow j 'Aff a RK with hu than ft required 130 ErectofftoMp t0 ba bua&blc z; x M NckgroundIufarmatioa. 4�..' v Sit �4. fTtS' ' This Petition is fbi a Variance to it e4` hrr+oatag�e to allow fbr a Iot with leas than ilb��Bootion 3.1:4(�l�R Miuirqum I�t� 4 mquked 150 feet of sge to be baildabhe fbr a singio fi0mily d og 'i'be lams is a 7.38 acre vacant lot WM 3. The 6�dabte potttoae of the �w located llom 3choW Sum by a 17 94 wide pandtoai' length �� �� � ...aq�7 sn,4M - Tba appUawthas rogleated a Vaii9noefrom the nDgairOd LV foot umW taquh6neik to+epee the lot to be buffftle wuh this,mnedng froatsm 4 rimid 9atn . 5 t 'a appca!wan feed at tfie Town Clraic s Qhtice and at tbo! of the Zoning Baatd of hear Appalls ou March 03, 1995. A pnbtic liming was befbt+e the Zening Hoa rd of esk sad notice App �to ail absntess: in aooandanca with MGL Chapter 40 A. A p d&bearing wan opened on April 19,1995,a<which ruse the Board mpade its decision to FM the petition wit*h�eoaMons,/BBaamdd nswo,�e'r'eRdaws on thispaprat were: y{�](�]���i��Hi�,E MNIR�Glynn, �1,p� y�Chaiti an Gan 1�{� --/ �+.�..��, �.. `" n m /t+hee p�Etitlonm ge Sabm<ttldS in Jbhn �fflh bm e. A 9 Crw dncamed thR mttam atlas 7eiild sotigg that t�applicant the Pedtion gab R0ty singe the late 1970'a and mw wbrh to sett it to�ihe`F ''1'fie'``�' and sift a purchase gremneat ea the lot, � era¢ .. �.' t A Y r ., .�:;1�F. ";; w d;��F �. t , t C � a♦,� !•y r '7,�+ "�'� ° of�X T ^x y " k., - The pmpo�de 110 t0 be bunt i9 shown on the plan Stbe P1a11 of Land fa Maesfnns I1BIls ray v y S, prepared fig btr.✓A Mrs.It kkm IL Fmbasam dated Mach 3191995euld meesuKa 46 fbe[by:W 1G 101 Race the how WY rTwith011t 0a lire ap +oYe1 of the ' Cpmmisawn duo the th0 of Ih0 lot. � : Al �cp� n4a`.+haw'�ila` mii eu$gest that rho of tis is �a + 11amb1imt sltapa ot not the zoning Pict. rM parcel eon but W cnnditfoII that eihou thin patWl,aoolaatvCly butaorea which iR a Aim XMW of a ^F veriasscx to the ntquired�nt�e tb is tof is unusable.The dCvatopiaeat atthhs petal` �r ', aabatial datrsmeot to the sad d dero8atioa Sntn the s ill anti"intent c�Gtttsr ing T`'S',�, `k�"�'Yn"' u - �w? - The h if the"�"•+"' f M Onto►Sc�Pb001 sty ' : a•.. g`-,{P3 - 'kv S' a,-.r.t ""..+,. �pt] a t ��wr � WOtt� s �4,t�1fb"guess , th0� � t ' g ( Ej1p�� aj�W imJ t f ]nuT1 lQ t�I t law r v51N., .Flf`d i n �i� of Id..YM1Mvt`�+ii,'1.r 4y ✓Lf C limited to Ono drrdling OA;llu 7.S`saes aml that the paaha�k �Y the only dray. He slated that preanty it is oNYebk by cros car b�that the 1.7 het lift fhr the , ` �w5.., 2 r2 `a JAN--13-1997 19s51 hwc�� a....•.4,..w.s,...,..,...«w:ax. �.as:,;._...,.:v:.:.»kn .::.il.n.aw,s-....M. ., z .�,+. dt 'a«r«„�,i�:.ra4.v+kk.� -+ ,r ,. 3aoci'2laxs�u+u x.. ,;s r s: ,a yr �:, Mm No. 379 01/13 197 19:00 ID REiI`IAX LIBERTY E s, � r �,' �� �` � y *FA( 3 t 4 S �y�E - n .. ..�., , .r•ii' .e,�,[F��ti�kw .eta " - 'i'" � y I ,h ✓-..X4 4 K++� �F 4: L !�v 5{ YSF �'�" 14�'F a't .}?.- Y.#4xAi "tr{su �iis Zoning Board of Appeals-11._.�on and Nance A , �, �� Appeal No 1993-44•Hamblin r r >s r ,? , f � -.= enlbe length and it is ac*=e for C veLicia. A ocmdltion regarding the thioopey eae�ce would ; ,4' ` be adhered to No other lot is served by the driveways ° t '� t " t ` ,.N•,,. .. � :: } f t. Ys'� -.�E.y'� o -: ....� ?s�}�n i �•} -�{r, The � a te�ltfy are�in n is the pditiom. rN* 2r�rq r ..� ."wr r �{'�Y,^r.•$ �- -�# !.r 5�1 t �++�fr' r if31,7� 1��'a .'zY+"4�,N•�f lv,J��,r .�1 S Finding of Facts: ; rT n Y.. r° A� N f f 9 y.,t'a ! ..a•a, r alb,�f rv�y r 'ry t,0uK�, Based upon the Uetimony tw&ft the Pei haft on this petitiM the Board >s tonne i �� Me ibiiowing BMW of Am- � Y ;x,�tr .. {n,b ' Tdt � y "v'.Efa fy z4 1 'L+pl ? k 3 44 r� 3t 7.'.j {f z, she.t- YYr r1.tt,: 5- x ' 1. The part el i8 in M8tlitOnB Mi118 tiff 5cdtool Street turd OOQtlalms 7 amd U2 areas ifland. 2. Tyb�o�p�aYaet is located in s AF Zoning D•isUiet which regattas in het Rn a wlsmw this pararl ONy has jUSt Slut Of 18 of Mlle u y L7 M y r w7 k�`x ,pk �i1 1l�l n tL} c ' 3. The away to the popaty le a 640 root Ii is the crag eons:1a and The • :,*.. --w"�x'fi�'+�ikj� hA3 ` fv1 'i i, 4. This lot iB unique as it is unusoai In shape and cottBglu+od t any aher'lou im the arm. F S. Conting of this permit would not be in derogation of the sprrit and rent othhe Zoning 1 4 Y ; Ordirana. w4f � a, e a" Ya i tul'�d Ykr+ "3+f sky f t+n�� Dwision '�,:`.�e ) �!,�f�. 'ir A z .pd Xy. 1q rm.,1,�, ar ,` 'Y f #,+tG,,� ,,,�.'*•�i[f - , i �' ?`�wdrh➢ Uf '','i'+Fx�'q, �i ' Baled upon the positive flmdinga a tmdnn was duly aatda and seoondod to t; a.Yari�oe gram Section 3• a ° � 1.4(3)Hulk Regolattons,Minimum Lot Frontage ao requested with the tbUowiog ocindittans� M �,�F".,�n`�t�`;1 ttT•�'r r3?'at r a-F..<i T ys •r-z. :��^xai. -•. #, 1. Om single ihatily resident dw ial elling and only one It cot d on die Objed parcel 2. Corapllame whh atl Bowl of Health Regulations earl Co��oa C a astxHdane is .�t 3• il, ��17�1 jo aapplliimt must makewesum the the tIG�pCii i9 le�dily$Ysileble 1`OC E�tal�/VQIIiCICi titre� `� J `, „ t whained at all tinter otttte q.; r4 year. 1 MM You Was as fallows: AYE:8mnmett 41ynn.Dexter'Bliss,Riahatd By►.Ron 7snsson and Chairman s;w " NAY: None nl1A Order. Fotidon No. 199.%"for a variance from n dmom lot fimu ie has boa granted with conditions. This decision trust be recorded at the Registry of Dodo The relief authorized by dds vadaaoe decision must be excmiAdin oat year. Appeals of this 4=isiom,if any,shall be�to the Barnsmble Superior tbtut paaatatn MG.Chapter 40A,Station 17,within twenty(M)days v1W the date of the Hltng of this&clslon in the afice of the Town �?;T - �.•� . hs• a n«Y�'� yA�t A�j n ' � ..� � '�,, a�kk Y''�"�'�S t tonEs a i � � A•, •n. w + -:ak,2 1 Linda Leppmtary Clerk aft Town of bwy aadfy that twenty(Zt))days taw a spaed since rho Zoning Board of Appeals Bid this iioddliiind that no appear of $ the decisiom ho been filed in the once of iht;TOM CIO& ;'. �,�� Signed and waled this" day ofjo f ) ry 4 14 JI�rY• a �� � t � � _, r """ i ,'^ r -•.e � !f �'S'?"�.'Y lr s !t i ! ,Yam,Cs 4.,+ -1 r 1{�'4� cs lam- �1''a�ez�. t} r ,. p �..,i •.. a � i" c r�i ' � '#' ��,}v s:'+e i `� �x 4 71 4 .1 `krT; r .a � s 4 n Y •. 1 '* , F,�.��9�cw� a ��� �1, ,�'� �7`� t t .,. .. - ... 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AL LOT+4 APAUCANr.• ASSMAF YAd+ es far u ASSXMMW L0Y'1 AM2 N FRAfA�A�NN` `Fa iuw )IMME SURVEY CONSUL TAN 75 , P.a 8"265 UNIr 5 40B /NDUSTR YR0A0 �j IPAAUIL �� x MARSrONS MULLS. MA.=0264 8 4` - PH.(")428-0055 - FAX(508)4?0=5553 - g GRAPHIC SCALE BID Jqo 3 SCALE.• 1�8O' OA7E REV` RE IN FEET } .ro ky 1 inch = 80 et, B NQ 508B5Z SHEET / OF 3 . `= Y ti f LU A r; RARNSTA�lE TOWN Building- Department=_. n atio.n . ermi t J Date Name FRA JjAn&k.I&j o . , Location JAQ CAW,# S:Mcw_ ,IT .�. w w CO LA Insp. of BIdgs. ra Lq U_ i ti / I bc ,6-Ij ld � rg U g, "ON) TOWN OF BARNSTABLE Building Department-Foundation Permit � Dateapt Name � • ► ��. � �.`.Location' , S^ -=teems ST�`cET Insp. of Bldgs. 1 A D6(A V, Ru., I;j ;loco I � dt j)eP3&4-f r, TOWN OF BARNSTABLE Building Department-Foundation Permit Date Name rRAti M* AAi&l Location L S;MCA=Aft T- 10 �J,5 na-1 Insp. of Bldgs. PO-i�NE �°ALL•:; 1 A.M. FOR DATE /IE P.M. IM �.�` PHONED O�=4 RFC U`1,�EC1 PHONE AREA CODE NU BER EXl NSIO MESSAGE rl/ C �, p4 WILL CALL ry WA CAME TO SEE YOU is S, TO SIGNED I lfjniv4rs(al' 03 NOTES_- 1� IG�ju , e� iws �1r . )5fz4t-4-J di p- S'r u g G ci MA ell_ INh .............. TOWON OF BARNSTABLE Building Department- Foundation Permit t, Date 61,Z-6 /_9 � Name 14 LOCatl0p ' �' � Insp. of �Bldgs. TOWN,OF BARNSTABLE BUILDING PERMIT PARCEL ID 045�O16 002 GEOBAS►E ID 35434 ADDRESS 109 SCHOOL STREET PHONE Maratonv Mills ZIP LOT 3 & 4 BLOCK LOT SIZE DBA DEVELOPMENT. DISTRICT CO � PERMIT 7209 DESCRIPTION NEW SINGLE FAMILY DWELLING -- 2 STORY PERMIT TYPE BUILD � TITLE NEW RES/COMM BLr�epa tment of Health, Safety � CONTRACTORS: PROPERTY OWNER and Environmental Services ARCHITECTS: TOTAL FEES: 179.88 BOND 00 a Oki CONSTRUCTION COSTS $75,000 00 101 SINGLE F H0 DE i CHED 1 PRIVATE P j t t`� * BARN3TABLE. • ' MAS& OWNER4fi 1639� WNER FRAHMAN M T 1 fi E� A ADDRESS 55f3 NEW SIN D MARSTONS L S ' MA BUILDI , V SIO�T DATE ISSUED 06/26/1995 EXPIRATION DATE BY f. t DIVISION APPROVALS FOR CERTIFICATE OF�OCCUPANCY TO BE SIGNED BY EACH DIVISION HEAD UPON COMPLETION Y t :w BUILDING _ `= DATE: ,f e. COMMENTS.- PLUMBING '+'` S '_ + DATE: COMMENTS ' :.l ELECTRICAL: DATE: COMMENTS: GAS: DATE: COMMENTS: CONSERVATION: DATE: COMMENTS: OKH: DATE: COMMENTS: HISTORIC: DATE: COMMENTS: FIRE DEPT.: DATE: COMMENTS: OTHER: DATE: COMMENTS: TURN THIS IN TO THE BUILDING COMMISSIONER AFTER ALL SIGN-OFFS ARE COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED AT THAT TIME. 'sr' I �C�1�� I �. T t- w�V � i s J TOWN OF BARNSTABLE , BUILDING PERMIT [DRE EL ID 045 '4I.3 002 GEOBASE ID 35434 SS 109 SCHOOL S'Z-REE`, PHONE Marstons Mills ZIP 3 & 4 BLOCS LOT SIZE DEVELOPMENT. DISTRICT CO IT r ' 7209 DESCRIPTION NEW SINGLE; FAMILY DWELLING - 2 STORY PERMIT TYPE 'BUILD TITLE NEW RES/COMM BLDG PERMIT , - Department of Health, Safety CONTRACTORS: PROPERTY OWNER . . . .. �. and Environmental Services ARCHITECTS: TOTAL FEES: BOND 3 $.00 CONSTRUCTION COSTS �75,000�_,00 Qi► 101 SINGLE FAK HOME DETACHED 1 PRIVATE PI'tp ►>EwsrABLE, • OWNER FRAHMANN; MELTON �z jEp 39� ADDRESS 558 NEWTOWN RD MARSTONS MILLS MA BUILDIN V IO DATE :ISSUED 03/23/1.995 EXPIRATION DATE BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-. CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY 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 FROM,THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS, MINIMUM OF FOUR CALL INSPECTIONS REQUIRED I FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR I 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4,FINAL INSPECTION BEFORE OCCUPANCY. • , • :14 • BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I 1 1 1 i I 9 I I I I 2 2 2 ' 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH ` I OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY. VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA_ TION. NOTED ABOVE. TION. 508-79076227 I I I I I I I I I I i i I I I I ' I � - I I I I I I f 11/02'94 17:02 V6177277122 DEPT IND ACCID z 0C Cotlunonuueait{i. o � adjac{zusetti oJJaParfrrienf o�.>'•nc�fria�.�iccic�ents 600 Way ' ton., hf t i .lames J.Campbell i�olton, ///awac"Ib 02 f f f Commissioner Workers' Compensation-Insurance Affidavit CIL CL�f with a principal place of business at: Ant ® �S do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers compensation.coverage for my employees working on this job. Insurance Company Policy Number O I am a sole proprietor and have no one working for me in any capacity. O I am a sole proprietor, general contractor o homeowner-(circle one) and have hired the contractors listed below who have the following wo ers' compensation policies: Contractor . Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number () I am a homeowner performing 2II the work myself. I understand t`at z copy of Lhis s:.atement will be fo:vrzrded to d:e Office of Invesdrations of the DTA for coverage verification and that failure to secure ccverage as rec--ired under Section 25A of MGL 152 can lead to the Imposition of criminal penalties eonsisdn¢of a fine of up to S 1,500.00 znd/er cr. years' impriscrr„ent,s well as civil penalties in the form of a STO P WORK ORDER and a fine of S 100.00 a day against me. ne is day of IS� C- 19 �� Ucenseelpertni A ee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOWN OF BARNSTABLE BUILDING PERMIT .4 TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE b" JOB- LOCATION M ( ® - Number Street address Section of town "HOMEOWNER" 4�1\,�MRQIJ Name Home one Work phone PRESENT MAILING ADDRESS �U City town State Zip eode The current exemption for "homeowners" was extended to include owner-occupiec dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six 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 Offici on a form acceptable to the Building Official, that he/she shall be responsib for all such work performed under the building permiL. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the St. Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "ho owner" ertifies that e/she understands the Town of Barnstable Buildi D ar 't minim ins ection procedures and requirements and that he/she will p it ro dures and requirements. HOMEOWNER'S SIGN TU APPROVAL OF BUILDIN OFFICIAL Note: Three family dwellings 35, 000 cubic feet,. or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The coffe state that: "Any Home Owner 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 Home Owner engages a person (s) for hire to do such work, that such Home Ownei shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for .licensing Construction Supervisors, Section 2. 15) . This lack of awarene: often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the .inlicensed person as it would with licensed Supervisor. The Home "dwner- actir. as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, man communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. I- `j 3 r I S 0 rL. �GQ 68 pr IV D. FORM NO. F-153 ADJUSTERS SUPPLY CO. I 1 NOTES. Inn purcft a of trex alaro Is resoollslble lar twrialla W Itn al l boat bul lalno Wags ana OrMYC".NeithW AILen$.Os0oba or parttotpatinp aesipners may be held responsible for stte Mditl(M.ar lilt U.T KI •.e&Wings Outing emstructlpn.Purellaaer Is rnpomlble to vex IN all alamenb Of these plans for aesgl.aoc wv.arid size prior to actual colrstrucllan. If LM L L-1 :1 1'11lII�r'111,r I1'7}II'II}I 1 1 El MM-1 . .. ..... :.. --- -FEE WIK TI<I ==�-__' -------'- 4 off: ME�� µMAt1.� flLLEN B. OSGOOD, C.P.B.D. PO Box 735- 10 Charles Street _ � \A5 �a E ��_ 1-�� - -1 Sandwich,MA 02563 (5O8}-833-1620 4cAV�T ldoF�'� 01 Lf..{�fD'OEar✓ vn Z++�Fu w' J - _- I•r..vKdG�.+a 1 �/4-°=I = • I RLLEk ®. 0S613®D, C.P.E0.O. , PO Box 735- 10 Charles Street Sandwich,HA 02563 (508)-833-1820 1 . Fes'=MEL#Gs�ol,�AFIMAI.lt� I tfe►mrtee7er Of trt!e Plan!r_re-OW.Iok for CMPIIW"with all Wal DU11Wrgceor!yla .. w.�'I oe mior �[ �(' .O I`P 1"1/2 Lvnr-roc+e �91e^��Mrrv.r when a.G�ooa or orticlowlro aeswers men aoarl mw far slu OM1IQl'Om-wtTa"oftew Or3wlrq:Curing mrmi—tCm.►uro1 wCrCm tak to _ Ov ell rk�t.d ihe�R aIT*f(l*'M1Swn.tlmra'V.rw1 frll�M'�M Rival MNru('I Mn E�/�I KiT.j J o—�—6�J r 1 r' -1-4' tt c' m.Ywt'GccK- o� g 31 it LT S4 I � I i 27f>> µ. a Mo�t2, u.w . •IJ03 IZ',r19• -,o I I ''$ ------ _ - Irv+ • wa'-#' _-_-'";u�� try+-v �Q,�R � �r)yfqu vi-a W/v-7c• �•t GL. 1�'r." j` PRTc� _� s��r.� lxait GV•Lw.l- � I salve u.441• I g L9 _ 9 � I - i (Z) IX *AP-,s6E 14 I'�f{.v1 1-.L� C.YI�._. F..rfr ¢__ ' - - �V F/w•i2 aF if Gd .r y-lo' sf-,f.w !w!G 9liYN�-diYl0�4 - 9 U-'1 Y� �.ur� I• RLLEN B. OS6000 C.P.0_0. tp PO Box 735- 10 Charles Street 9 IU'�11" 1 f b c. I Io.c I� 3 Sandwich,HA 02563 I JJ ee (508)-8833-1820 7EyD•("�{u rfol I yblu u w 0 i�T� a, a�LHN >440 1 1 - esSl�,ppM f tea-a. -o GO-o' • X � the puE h—l-of tla plan Is t m wisiblo fu wiip an with all l"t buildily.uYas&4 4 Z m*mn=.Neither Allen b.l 5WW or perllciDoUM oesitlners me,be held responsible for site S uwltlons.or the use a these drawings Arun constructim Purchaser is responsible to jer Ifi all elements of these plans for deslph,accuracy,and size pr for to actual eonslrucll✓. 0 3 ;s z s � " s a y 3 ) g }Xv a W. Ak 14 y i a ° I �,'•aa--� Oelet^•lluc CYOI�L'Gt+ft�l-li; Id hlZfr l�.iOltc/+'+L*ihtG Iq7 'Ic 10" I #� vla•If+-sew fsNr La4m.GP yl "1-0e flt-.09 1 _ ip'.c+ ..4-0° {.uv,YdL.I�L�Gufp,�l-9E+� . I I ' Z•)^A.FLM'q& 6.tr•fD 4.0 0•r Lr .. 1 ww i.w,t. b �.d u'I•r,�.. it — r G'[b>' �•=a= ?h4-+_—_ 3•) rls�wlel�•.s�p.L Fyw Flit 7e = _ ' •, I I Ih11u•�-tJ'Q�.ybl Blrsl[; i .�.rEwN- dWt- I , . qe— - A"10IT Se• -J L/'�pa U'�L"' L•'-F� G''_Gs U'-4a 4''1!a I Q 1, T'{ '/I�FCfr1Q7"'v �N ids•J�jj.yI hM1 w�cl In � I v f -� r- -� I _ `_�_ _r J +ui+c• I 11 _ L I l� 1f it 2iM FoE e0 I ( 6�/ttp1F. i_� 6 { ��— (Aix.11� h wtlel L �- , i I I C I WX fW k." HLLEN 0. 0S6000, C.P.0.0. 1'.lo•t�ttc•w'+.t4 M 'O.G yew PO Box 735- 10 Charles Street � _ _J i Sandwich,MA 02563 h - I (508)-833-1820 Fol�:Gam- M 6l- F?WIA A+J t4 I fTG1 l Pt f+J - �% �Yi =1'-0• bad AND- ffPMlNei ---� & o� Town of Barsnatble Zoning Board of Appeals F Decision and Notice Appeal Number 1995-44-Hamblin 32 ryll0i' �3 2 Variance-Bulk Regulations, Minimum Lot Frontage Summary Granted with Conditions Applicant&Owner: John F.and Jeannette M.Hamblin Applicant's Address: !I=E-1-09S9c-hoo1 A`Stree4,MRWn—SNffs,--M-"A Assessor's Map/Parcel: 045-0160-2 Zoning: RF Residential F Zoning District Applicant's Request: Variance to Section 3-1.4(5).Bulk Regulations,Minimum Lot Frontage to allow for a lot with less than the required 150 feet of frontage to be buildable Background Information: This petition is for a Variance to the Zoning ordinance, Section 3-1*4(5)Bulk Regulations,Minimum Lot Frontage to allow for a lot with less than the required 150 feet of frontage to be buildable for a single family dwelling. The locus is a 7.58 acre vacant lot with 5.50 acres of upland. The buildable portion of the lot is located from School Street by a 17.94 foot wide panhandle of 640 feet in length. The applicant has requested a variance from the required 150 foot frontage requirement to permit the lot to be buildable with the existing frontage. Procedural Summary: This appeal was filed at the'Town Clerk's office and at the Office of the Zoning Board of Appeals on March 03, 1995. A public hearing was before the Zoning Board of Appeals and notice given to all abutters in accordance with MGL Chapter 40 A. A public hearing was opened on April 19, 1995,at which time the Board made its decision to grant the petition with conditions. Board members sitting on this appeal were: Dexter Bliss,Emmett.Glynn,Richard Boy,Ron Jansson,and Chairman Gail Nightingale. Attorney John Creney represented the petitioners. He submitted a memorandum in support of the petition and plans for the home. Attorney Creney discussed the nature of the relief sought noting that the applicant have owned the property since the late 1970's and now wish to sell it to the Frahmanns. The parties have a purchase and sales agreement on the lot. The proposed single family home to be built is shown on the plan titled Site Plan of Land in Marston Mills prepared for Mr.&Mrs.Melton R.Frahmann dated March 31, 1995 and measures 46 feet by 26 feet The lot can accommodate the home without infringing on the setbacks or requiring the approval of the Conservation Commission due the the size of the lot. The Hamblins suggest that the shape of the lot is the special condition that effects this parcel exclusively but not the zoning district. The parcel contains 7 1/2 acres which is a significant size. Without the grant of a variance to the required frontage this lot is unusable.The development of this parcel would have no substantial detriment to the neighborhood nor derogation from the spirit and intent of the Zoning Ordinance. The Board questioned if the limited frontage onto School Street would present a problem with access to the lot and public services(fire and police.).Is any other access provided to the lots? Attorney Creney stated that development of the lot would be limited to only one dwelling on the 7.5 acres and that the panhandle is the only driveway. He stated that presently it is only passable by one car but that the 17 feet exists for the r Zoning Board of Appeals-Decision and Notice Appeal No 1995-44-Hamblin entire length and it is adequate for emergency vehicles. A condition regarding the driveway surface would be adhered to. No other lot is served by the driveway. The public was asked to testify and no one spoke in opposition or in favor of the petition. Finding of Facts: Based upon the testimony given during the public hearing on this petition,the Board unanimously found the following findings of fact: 1. The parcel is in Marston Mills off School Street and contains 7 and 1/2 acres of land. 2. The parcel is located in a RF Zoning District which requires 150 feet for frontage whereas this parcel only has just short of 18 feet of frontage. 3. The access to the property is a 640 foot panhandle strip of land. It is the only access to and from the property. 4. This lot is unique as it is unusual in shape and configured unlike any other lots in the area. 5. Granting of this permit would not be in derogation of the spirit and intent of the Zoning Ordinance. Decision: Based upon the positive findings a motion was duly made and seconded to grant a Variance from Section 3- 1.4(5)Bulk Regulation,Minimum Lot Frontage as requested with the following condition: 1. One single family residential dwelling and only one be constructed on the subject parcel. 2. Compliance with all Board of Health Regulations and Conservation Commission's condition is required. 3. The applicant must make sure that the access is readily available for emergency vehicles and is maintained at all times of the year. The Vote was as follows: AYE:Emmett Glynn,Dexter Bliss,Richard Boy,Ron Janson and Chairman Gail NAY: None Order: Petition No. 1995-44 for a variance from minimum lot frontage has been granted with conditions. This decision must be recorded at the Registry of Deeds. The relief authorized by this variance decision must be exercised in one year. Appeals of this decision,if any,shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17,within twenty(20)days after the date of the filing of this decision in the office of the Town Clerk. 9 G Nightingal hairman Date Signed I Linda Leppanen, 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 in the office of the Town Clerk. Signed and sealed this oC day of 19 r th ainsand penalties of LindaLeppanen,Town'Clerk 2 PAR: R045 016.002 PAR: R045 049. PAR: R045 050. KEY: 354342 TAX CODE:300 KEY: 368131 TAX CODE:300 KEY: 368140 TAX CODE:300 HAMBLIN• JOHN F 9 JEANETTE RAVITA• DOMINICK Y JOAN 8 CULLUM• ROBERT R i SUZANNE 558 NEWTOWN RD 261 SCHOOL ST P 0 BOX 973 53 SHERYLES WAY MARSTONS MILLS MA 02648-0000 COTUIT MA 02635-0000 MARSTONS MILLS MA 02648-0000 PAR: R045 054. PAR: R045 053. PAR: R045 052. KEY: 368186 TAX CODE:300 KEY: 368177 TAX CODE:300 KEY: 368168 TAX CODE:300 YACEK• CHESTER 111 & ROGERS• RICHARD BANCROFT• JANES A 6 CYNTHIA TACEK• SUSAN MILL LANE 60 SHERYLES WAY 74 SHERYLES WAY , ''o8 SHERYLS WAY MARSTONS MILLS MA 02648-0000 MARSTONS MILLS MA 02648-00.00 ,YARSTONS MILLS MA 02648-0000 'AR: R045 011. PAR: R045 026. PAR: R04S 012.OD2 :EY: 26956 TAX CODE:300 KEY: 27107 TAX CODE:300 KEY: 411619 TAX CODE:300 ,iAMBLIN• SETH R HAMBLIN• MARY HALL MCMANAWAY• ALEXANDRA W NEWTOWN RD 611 NEWTOWN RD bT 806 RD fARSTONS MILLS MA 02648-0000 MARSTONS MILLS MA 02648-0000 MARSTONS MILLS MA 02648-0000 1AR: 9045 C16.001 PAR: R046 015.002 PAR: R046 015.003 :ET: 354324 TAX CODE:300 KEY: 368104 TAX CODE:300 KEY: 368113 TAX CODE:300 PITH• ALTON D 8 LAURETTE L CAIN• ROBERT Y & CATHERINE CAIA• CONRAD 6 DENISE 23 BOG RD 23 SHERYLES WAY 32 SdERYLES WAY ARSTONS MILLS MA 02648-0000 MARSTONS MILLS MA 02648-0000 MARSTONS MILLS MA 01 648-0000 AR: R046 015.001 PAR: R046 015.004 PAR: R046 132. ?Y: 368097 TAX CODE:300 KEY: 368122 TAX CODE:300 KEY: 28552 TAX CODE:300 ATHIESON• EDWARD L 8 JOAN FERIOLI• RONALD J i MARTHA GLHDON• JON ANTHONY ET ALTR SHERYLEGS WAY 52 WINCHESTER RD GLYMAC—REALTY TRUST ;RSTONS MILLS MA 02648-0000 S DENNIS MA 02660-0000 P 0 BOX 28 W BARNSTABLE MA 02668-0000 :R: R046 106. PAR: R046 002. PAR: R046 003.002 :Y: 28295 TAX CODE:300 KEY: 27330 TAX CODE:300 KEY: 372849 TAX CODE:300 RWIN• STEPHEN A 8EVIS• ROBERT M BOHNENBERGER• KRIS J '0 FAIRHAVEN SVGS BANK BEVIS• ELIZABETH A P 0 BOX 3405 5 WASHINGTON ST TAX OPT 76 SCHOOL ST WAOUOIT MA 02536-000C IRHAVEN MA 02718-0000 MARSTONS MILLS MA 02648-0000 R: R046 003.001 PAR: R046 013.003 PAR: 4046 013.002 r: 372830 TAX CODE:300 KEY: 372876 TAX C06E:300 KEY: 372867 TAX CODE:300 :SLER• JAY K KENNEY• STEPHEN M i DIANE J LANOJE• JEANNETTE L ) SCHOOL ST 115 SCHOOL ST 149 SCHOOL ST ?STONS MILLS MA 02648-0000 MARSTONS MILLS MA 02648-0000 MARSTONS MILLS MA 02648-0000 R046 013.001 PAR: R046 012. PAR: R046 011. 372858 TAX CODE:300 KEY: 27429 TAX COOE:300 KEY: 27410 TAX CODE:300 :OUE• RUSSELL R 8 SAWAYANAGI• JUNICHI 8 3INNETT• HARVEY F OUE• JEANNETTE L PAUL• SANDRA S 193 SCHOOL ST SCHOOL ST 177 SCHOOL STREET MARSTONS MILLS MA 02648-0000 STONS MILLS MA 02648-0000 MARSTONS MILLS MA 02648-0000 R046 010. PAR: R046 009. PAR: R046 008. 27401 TAX CODE:300 KEY: 27394 TAX CODE:300 KEY: 27385 TAX CODE:300 NETT, HARVEY F LEWIS, CHARLES R NAILOR• ERIC C NE M SINNETT 239 SCHOOL ST PO BOX 113 SCHOOL ST MARSTONS MILLS MA 02648-0000 COTUIT MA 02635-0000 STONS MILLS MA 02648—OODO /'j-?Aa&j 045 012.001 HELENA C. PETROVITS 15 BOG ROAD MARSTONS MILLS, MA 02648 045 012.001 HELENA C. PETROVITS 15 BOG ROAD MARSTONS MILLS, MA 02648 PAR: R046 007. KEY: 27376 TAX CODE:300 dATES• GEORGE M 8 ELIZABETH 231 BOG RD MARSTONS MILLS NA 02648-0000 r r TOWN OF BA 1 ALE ZONING INEETING OF �� NOTICE OF 13U 19. loss TINDER PlIBLIC.IH)�ING 711E ZONING 0RD1NANCE To all pets". fatted by the Board Sated or af: Vpaltoof Chap.a 0A Of s'under Sec. General Laws of the amendam is and all tied that: yOU !by rrot4;; APPEAL NO. 1 -` t" APPEAL NO. 1995.48 V RoaaWM Shen On Co. Tres 093-0 Sim Shen :.� Inc. .. Board of Appeals appeale tD.��n�rg � Roasters,Inc,has appealed to the Zoning" accordence Pedal Permit In i Board of Appealsfor a Variance to.", tlon 4.42 E�sion ofa Off•sec.. Zoning Ordinance.Section 4.3 7.Signs In a'. Section35,216WLct NOn°eonhdtyand� i HighwayBusinessDistricttopemdtanover- water ProtecUm Cw'9*8ineGround.. _ sized sign. The property le.shown oq. ct to an Increase of Ind lCoverage from:• ' Assessors Map 209 as Parcel'13. can; the erdsting 759'o to 8.996. :. `': nny addressed as 1648 Falmouth Road heard with App� aPPeal l.to be �o� Centerville.MA,and also known 22 and 1995-23.The '2i•IN& as Store No.4 In the Center de Shopping Assessors arty Is shown an. DIP sam'In a HB Highway_Bualness:Zordrr� Map 311 as parent! 17. corn• U. : ,. . Hyannis. MA In a addressed HS gh Road.: 1. '890yareou , a Pubiia Hearing vvnl b•held on tlei4 • ZoninDI cL ;.,•,, *mw Braun sa appeal at paw g sbi • .ts .r�n-.:�,;�,.�...,. -••.-.•.,-:.:.-.� ,:..&00 _ A Public H appeal ate*milm held on Hde, APPEAL NO. 1095.47 SP Coll APPEAL NO. ', : ': S 7i00 P'm Pierre M.Con.Trustee of Darhya Trust has John F.,and Jeanie ts 5�44 V Hand.. n appealed to the Zoning Board ofAppeals tqr Petitioned the Zoning Board have' . a Special penrot in accordance with the Penance to the APPedafare' Zoning Ordinance.Section 4.1.1 Non-con- 3-1.4(5) Bulk Re Oonq. ��ng Uses to verity that the use of the Frontage to allow fora lot wit kdmurn La h lase than structure is a legal two fandy dwelling uraL required 150 feet of the - The Property is shown on Assessors Map for a sin a hOnn9e to be buikiebla: 307 as Parcel 129.commonly addressed as shown � The property�. ` 15 Dartmouth Street.Hyannis.MA;,kx�ted 2:•;ccm Map 45 as Parse!16. s within a RB.Residential B molly.° ,ad:109'�cbcd: A Public H el District. Street.Marstons mills,In a AFfl caries vvU1 be held on this • Zoning DlsmcL tlal F• appeal at 8813 A Public H8 `.:�' ;'�; i • These public hearings will be hold in the Petition at 8 wnl 1MId all". Hearing Room: Second.Boor. New Town APPEAL NO. 7885.43 y 7C 3 Pam. Hd:367 Main Street,Hyannls.Massachu. ratan Pontiac) 8ett8 an Wednesday. April 19.- 1995. All William H.Gqe,T �''z Plans and applications rustee'of J.G. may be reviewed at. has Petitioned the ZoNng Boand salty Tnrst , Zoning Board of Appeals Office in the For a Variance to the BoApt' planning Department. 230 South Street. Section 4.3.7 Sign Regulations.to allow for MA. Zoning •• signs greater In cumber for Gail Nightingale.CHAIRMAN l�dby���gZa ing ` ZONING BOARD OFAPpEALS PmPsThe signs will be for purj _ L Barnstable The Bestable Patriot . �Y s"nonly addresaed School Road.. . as 90 High, { April 13. loos Assessor's Map Mph 26S nd' located in a Usst"CL . Urban BusinessZoning:. 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GENERAL NOTES THE GENERAL CONTRACTOR AND ALL SUB CONTRACTOR SHALL VERIFY ALL SITE CONDITIONS AND EXISTING CONDITIONS AND ALL DIMENSIONS AND NOTES ON ALL DRAWINGS IN THIS SET PRIOR TO THE START OF ANY WORK AND SHALL NOTIFY THE DESIGNER OR ENGINEER OF ANY DESCREPANCIES PRIOR TO THE START OF ANY WORK. THE GENERAL CONTRACTOR AND ALL SUB CONTRACTORS SHALL INSURE THAT ALL WORK AND MATERIALS USED CONFORM TO THE LATEST MASSACHUSETTS 17'--7 13l16' STATE BUILDING CODE ( SIXTH EDITION ) AND ALL OF THE LATEST LOCAL BUILDING CODE AND ZONING CODE REQUIREMENTS. 4 8'-9 15/16' THE GENERAL CONTRACTOR AND ALL SUB CONTRACTORS SHALL BE RESPONSIBLE FOR C❑-ORDINATING ALL WORK i I RIDGE VENT W/ BETWEEN TRADES AND- SHALL CONSULT THE OWNER WI H I BUG FILTER ANY QUESTIONS WHO IF NEED BE WILL CONSULT THE 2 X I a 16' I DESIGNER AS REQUIRED. ALL WORK SHALL BE PERFORMED R- 30 MIN, INSUL. 2 X 12 RIDGE BOARD 16 0' w/ PROPER VENT :� �, II N A WORKMANSHIP LIKE MANNER, 1 X 3 STRAPING 12 - -- -- @ 2'-0' O.C. + ! ��;' &;.�', i 2 X 8s @ 16' O.C. F J W/ 1/2, GYP. BD. 7 ��(; ;r I �S "�, 0 1/2' CDX SHT'G. OR EQ. ; '2'. Tom. ' 3 15 FELT ` `------------ -- CIEL. ' I ° ASPHALT SHINGLES TO MATCH EXIST. �� PLATE______ _________ -------- ALUM. DRIP EDGE --.`--- ,� I X 8 FASCIA BD, 1 X 8 SOFFIT BD. W/ { CONT. VENT - 1 X 6 FREIZE BD. OR MATCH EXIST. DETAIL ) 5 1/2� 5 I/2' 7'-O'CLR. WALL INSIDE FULL HT.FDN. .y T / 2 X 6 STUDS @ 16' O.0 3'-6' 3'-G' 1/2' CDX SHT'G OR EQ. 12'-1 n/3r ; TYVEK & CLAP BD. O; VERIFY THIS DIN.AT SITE EDGE OF EXIST.VDV WALL . 2 X IOs @ 12' CORNERS TO MATCH EXIST. EXI TIN OUN A I N ABOVE EXIST.yoW. q W/ BRD'G. MID SPAN INSIDE EXPOSURE 7' O'DIM. 1/2' GYP. BD. @ INTER. 3/4' PLY WD. SUB. FLR. GLUED & SCREWED ' R-19 INSUL. MIN. 3` I — / P.T. 2 X 6 SILL W/ ----- SILL SEAL IN. I/2' DIAM. ANCHOR DRILL 6 RlOUT •2 a'E - n BOLTS @ 6'-0' O.C. MAX. VERE DOWELS a z-w ac. �c H 1 X 3 STRP'G. @ 2'0' O ° W/ T-111 SHT'G. DRILL as T. c AT FULL HT 2' DIAM. HOLES FOR "I To ALIGN EW/EXIST, e ROUND VENTS AT EA. 8' THK. CONC. FDN. WALL FI FLRS FLUSH �;'• o+ - ( DROPS TO BE FIELD LOCATED ) � � tFr AT SITE END OF EA. FLR.JOIST q EXIST.BACK BAY. 1 X 6 PERIMETER ^ T 4 2 FFDN.WALL LINE TRIM ; ° ; ` ? DwWEELS B�0'O.C.— 3 1/2' - 4' THK. CONC. SLAB .'�a DRILL EL FLUSH z ON WELL COMPACTED SOIL _i�_ :L /TOP Gr EXIST. e 2 FIN. GRADE VARIES w, T_� 16' W. X 8' D. X CONT. / ° + CONC. FT'G. W/ FORMED 4d` �< —VERIFY FDN. DROP KEYWAY - BTTM OF FT'G. f DROP FDN 5 z o 4'-0' MIN. BELOW FIN. p TYPICAL T.! LOCATIONS AT SITE GRADE V L ° • �, -D' ' 6'V. FM 8'II x MCow.Reow-FT'G. ___.___ 0 o A I ' _ _ GRADEMIN BELOW FIN .T DIM.TO NEV FDN. IS'-6' q ALL CLING SHALL BE. Fy 3p00 PS.I.e 28 DAYS Fy . 40,000 PS.L EXIST.FDN DIM. IE'-0' ALL REBAR SHAM BE. TYPICAL FRAMING SECTION EXIST.FON. USE Nam SHRINK GROUT END WALL— USE 1/2'DIAM GALV• 7,_4 ails- ANCHOR BOLTS OR i APPROVED EOUAL AT 6'-(r O.C.MAX. ./' TD.DROP RIFLEDLOCATIONSAT SITE BE VERIFIED R SITE V/EXIST.GRADE FOUNDATION PLAN CONDITIONS ADDITION TO, ScQIe 1/4' = 11-0' KE�/ORKIAN RESIDENCE SCHOOL STREET,MARSTONS MILSS,MA SCALE AS -__LE _ I'ApWVrff D.a DATE g/21/Q4 j REVI$EO —"--"—OLS❑ S�C ATES 28 BARNSTABLE ROAD, HYANNIS, MA. 02601 FOUNDATION PLAN rDR7IVi�DETt--- L--_- TYPICAL FRAMING SECTION Scale 1/4' I'-D• 24.36 @ 1/4' e t GENERAL NOTES THE GENERAL CONTRACTOR AND ALL SUB CONTRACTOR ROOFING AS DISTURBEDREE IDLE VENT SHALL VERIFY ALL SITE CONDITIONS AND EXISTING AT OVER CONDITIONS AND ALL DIMENSIONS AND NOTES ON ALL CRICKET MATCH EXIST, DRAWINGS TO DRAWINGS IN THIS SET PRIOR TO THE START OF ANY EXIST.KIM WORK AND SHALL NOTIFY THE DESIGNER OR ENGINEER OF ANY DESCREPANCIES PRIOR TO THE START OF ANY WORK, THE GENERAL CONTRACTOR AND ALL SUB CONTRACTORS —JFa;EDETAIL SHALL INSURE THAT ALL WORK AND MATERIALS USED CONFORM TO THE LATEST MASSACHUSETTS BOXED OUT - STATE BUILDING CODE ( SIXTH EDITION ) AND ALL OF VDV. MATCH EXIST.slnlNc THE LATEST LOCAL BUILDING CODE AND ZONING CODE REQUIREMENTS. I — — THE GENERAL CONTRACTOR AND ALL SUB CONTRACTORS SHALL BE RESPONSIBLE FOR CO-ORDINATING ALL WORK — IN GRADE BEYOND BETWEEN TRADES AND SHALL CONSULT THE OWNER WITH -- -- ANY QUESTIONS WHO IF NEED BE WILL CONSULT THE VDV.RELOCATED DESIGNER AS REQUIRED. ALL WORK SHALL BE PERFORM D IN A WORKMANSHIP LIKE MANNER. — — 1�1—z TEPPED FOUNDA7117N -f 1 ----- OX.EXIST. FIN GRADE ! 3'-0'RIDS OVE 5'-0'PAIR AT DOORS I FIBERGLASS D4S. I I \EXISTING HOUSE r - L - - -- -- - - - - I.---- - - - - - - L - - J = � � ! REAR ELEVATION SCa1e 1/4' t'-0' OVERLAY CCKE 5/d' RIDGE VEN BEYOND ry \ ASPHALT SHINGLES TO MATCH EXIST '-d 1 10'- 12 -----E T ALL DISTURBED E% \\\\ 1 1/2' 7 + __ it/ ST.T.SIDING AS RED. 1 __ _ MATH EXIST.FASCIA/\\ tNA --`----` T�= SISFIT DETAIL EXIST.V.I. E%[ST.M BA - -- \ - MATCH EXIST.SIDIN _ I I t 12-1 It/32' 16 VERSY THIS DIM. w PTO CLEAR VDV.TRIM — E S I I r Bikssl [\ RELOCATED VDV. -�— \�y �'• -EXISTING HOUSE APPROX.EXIST. TAIN.VgI.L OR AS I BEYOND 12'-t 25/-2• FIN GRADE l SELECTED[HY OWNER ~ \ FIR GRADE BEYON i i NEW BED ROOM - CATN CIEL. MATCH EXIST. I STEPPED FOUNDATION i EXIST. CK z IVDVS. SIDE ELEVATION s VDV. r Scate 1/4' = 1'-0' .o OWNER ADDITION TDd iKEV❑RKIAN RESIDENCE [SCHOOL STREET,MARSTONS MILLS,MA. I 1---ALE A 1!7T APPROOEIf-- B A r DO—� [REVISED FIRST FLOOR PL �--- ! - - -'- 4-ring N TES ,. r-` "� I 28 BARNSTABLE ROAD, HYANNIS, MA 0 601 L -- ---"""----ca e — — —EL-EVATIONS—'-- Da 71 t FIRS FLOOR PLAN I 1 1—..— _,--.--"" '—._-- ---_—'--.—.----`--_"_ Scnte t/P= 1-0' 24>t36 Q 1/4- q f pt } GENERAL NOTES THE GENERAL CONTRACTOR AND ALL SUB CONTRACTOR SHALL VERIFY ALL SITE CONDITIONS AND EXISTING OVERLAY CRICKET CONDITIONS AND ALL DIMENSIONS AND NOTES ON ALL _ `M DRAWINGS IN THIS SET PRIOR TO THE START OF ANY I2 WORK AND SHALL NOTIFY THE DESIGNER ❑R ENGINEER 7 +r-- OF ANY DESCREPANCIES PRIOR TO THE START OF ANY WORK. MATCH EXIST.FASCIA, _ - - - - THE GENERAL CONTRACTOR AND ALL SUB CONTRACTORS SOFFIT DETAIL SHALL INSURE THAT ALL W❑RK AND MATERIALS USED CONFORM TO THE LATEST MASSACHUSETTS MATCH EXIST.SIDI STATE BUILDING CODE ( SIXTH EDITION ) AND ALL OF THE LATEST LOCAL BUILDING CODE AND ZONING CODE REQUIREMENTS, APPROX.EXIST. I THE GENERAL CONTRACTOR AND ALL SUB CONTRACTORS FIN.�A f SHALL BE RESPONSIBLE FOR CO-ORDINATING ALL WORK — — I BETWEEN TRADES AND SHALL CONSULT THE OWNER WI H ANY QUESTIONS WHO IF NEED BE WILL CONSULT THE FRONT ELEVATI❑N I DESIGNER AS REQUIRED. ALL WORK SHALL BE PERFORMED I I Imo--EXISTING HOUSE �j IN A WORKMANSHIP LIKE MANNER. I 16•-0� ib-1 s.e• I— — — — — — — o i ---- --------------------------------—- I li !I I XISTING F rtr I 27/32' j ROOF LAY CRICKET i i TYP:B'COW- EXIST NG ASEMEN OVER 1-RANING BELOW ' BELOW J - SHOWN DOTTED IfI I TYPICAL-2%6 WALLS BEL V � i �Q :•rl 9 i %10 RAFTERS a I6' 1..NEW 2-2 X 10 AS RED. PATCH WAALLLEV/ b � EXIST. X 12 RIDGE BOARD ,(y GIG T ,'4 > /. VEXALL AT ILI ® I AC SROVIDE ��� \ ppp W/2 VDV. 0 11ASSEMENT BE Y'LC DOOR lb - _ •• e ,X 6 STUDS may 1 e 16.O.C. ,P� STORAGE UNHEATED TYP;2%6 P.T.S EXIST.2 X 6 ST � s .-; TYPICAL 2 X IOs WALLS B0.0V / 0.• l V/SILL SEAL EXISTING RAFTERS 4'THK.COME.SLAB CRICKET R IDv aVERLAY CR ICI�T US 'ICE R AT-ALL ROOF VALLEYS AND WALL 2-2 X 10 M �/ '�.. BELOW AT VDV. , TYPICAL-GALV.SIMPSON BOX VDV. '•-0. ANGLED RAFTER TIES """ ABOVE BOXED VDV. ' e'-0' BELOW-FACE VERIFY CONSON R SHED R(X1F \ V BA FLUSH f PRIOR TO CONSTRUC. V/FASCIA B0. •{� � �• ABOVE L9., Q �TYP S. �Y MATCH E ISTT. TYP.-2 X 6 S I" TP:D•CONC. ICAL B' SOFFIT WALL BELOW ON.BELOW 3'-B 5/16 ROOF FRAMING PLAN FLOOR FRAMING PLAN LaCATED WDW. Scale 1/4' = 1'-0' BASEMENT FLOOR PLAN Ca e = - ADDITION TO, -- SCHO❑L STREET, MARSTONS MILLS, M . �S[AL[Tis-ROTED---IAP�PR1fJED--------------DRAWN BY Da DATE B/21/Oi J REVISED OLSON DESIGN ASS C ATES 26 BARNSTABLE ROAD, HYANNIS, 4A. 02601 BASE'MENf-"�CART'F"RIINT"-ELEPATT01�8a,�� FLOOR 2 ROOF FRAMING PLANS f1 2 -- Scut. 1/4._I'-o' Z4.36 a 1/4' I' a ..yz,rrv,•r;,t;.rr.Tr-,y ^"'" .'S.,.s,�^n'Ip°-. +m•,r,<--r,r,....,«+rg","'F„"r""•",....."' :.::.". - £ .. „ - - abr r,�°'"' 'r,.> . 1.C` Y i i , .:t� a a . t t ,... , 1r =t„ru C .✓'; ::y 4 t t rF:. Ck s z x r*' „ a ,,3sS [[ - ,t 74 sa :r 4"-4; k, «w T: . " 1_ 1• .ern 1' i I 3, :w �i�, ti; hz{ .r r i F•, t '1 _ ,}.i 'C_!i U _ ,,' G /•>�'/t`,. s %.i ,! ..t $•x•: `'� Ewa ...,,1. ,_. , r _ N V _ Ir'. .. c' ,^'."i :F :' „ ., -.. .rf, 1_ " - - .Kr J-:` 4 .� . - - -!:o r'.$ _._. "� �{e � ..wt .tf`.. - n ..r .. i. a4. *u �f 1 ' ' , «. x - .. ) :a;.. ,,. ..7....10:'... ..< .,...r. .7. SQ 1=4fi, sit .'} t. t +<, .r•` t. i r: :-.. _ ra:., i r .,.. ,. 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NOTE: A SEPARATE PERIM I IS- REWIRED FOR THE INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL a� I r -- : �. —i e� 1• PERMIT DOES NOT SATISFY THIS REQUIREMENT. :4 �►�(_o l L - Gam~ a O V lbryl v y�Nt-1 K>TG_N�N � I ♦�o►I 4� s 5KMK fAlgl �' "BLS p u�� 1 Lill e, �kotr , �,� IMPORTANT � 7 P ANY CONSTRUCTION THAT INCREASES LIVING SPACE BEYOND 1200 SQ. FT. PER LEVEL MAY REQUIRE THE ' �'RS I 1an t Copy t ea , h O. iM� 4'•fi � � O ' 7 �c� 7 INSTALLATION OF ADDITIONAL SMOKE DETECTORS. _ NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL ec.o- n � �•J PERMIT DOES NOT SATISFY THIS REQUIREMENT. ` A.c 2344 p►c�6 � �''' I W�� ( A i>!''t � � H�N �-- I rorwla' � l ��(ew�� •�,t� � . . S- J • �• p-` i 5:8- I a-a I• 1 G A o,�r.� 8�f� f��A4* _ I I '"` �� ✓ ""'a►► f v',~+ / SMOKE DETECTORS REVIEWED ' M► • dYi ck' .a.,-R,��aa, ,. fig.. BARNSTABLE BUILDING DEPT. D' AT E go OV6 r FIRE DEPARTMENT DATE SOTH SIGNATURES ARE REQUIRED FOR PERMITTING G' ?A'- �I1CST �tJI.N G+1�.�L ST- P'Ut RSTOt�!"L M tins, F'1.C. fi eST fLGor ?LA I q Gi4 I DO O CU I" -� L� _ �s sasct• (R � - � 8-4' � 1 1 c 2446 EL R,o.,<40 (omm T saLow) M 4 d ,ems •�--- �• ./`t ,� e . I w ' goy r Lit r- ,Z•CWM� N -7 . �i1cGONp �N su�E- 11402 1=o• �C�Vf01Z�r1 �filfl�E .64HOO-lox-. •ws; .AS ww,w•oow: Orw w �d AM GENERAL NOTES THE GENERAL CONTRACTOR AND ALL SUB CONTRACT❑R SHALL VERIFY ALL SITE CONDITIONS AND EXISTING CONDITIONS AND ALL DIMENSI❑NS AND NOTES ON ALL DRAWINGS IN THIS SET PRIOR TO THE START OF ANY WORK AND SHALL NOTIFY THE DESIGNER OR ENGINEER OF ANY DESCREPANCIES PRIOR TO THE START OF ANY WORK. THE GENERAL CONTRACTOR AND ALL SUB CONTRACTORS SHALL INSURE THAT ALL WORK AND MATERIALS USED CONFORM TO THE LATEST MASSACHUSETTS 17'-7 13/16' STATE BUILDING CODE ( SIXTH EDITION ) AND ALL OF THE LATEST LOCAL BUILDING CODE AND ZONING CODE REQUIREMENTS. 8'-915n6' THE GENERAL CONTRACTOR AND ALL SUB CONTRACTORS SHALL BE RESPONSIBLE FOR C❑-ORDINATING ALL WORK RIDGE VENT/V Buy FILTER W/ ANY QUESTIONS WHO BETWEEN TRADES AN I F NEED BE W SHALL UILL CONSULTLT THE ETHEI H 2 X .Ss @ 16- a DESIGNER AS REQUIRED. ALL WORK SHALL BE PERFORMED R- 30 MIN. INSUL. <. 2 X 12 RIDGE BOARD W/ PROPER VENT IN A WORKMANSHIP LIKE MANNER, 1 X 3 STRAPING 12 r :�.\ r I __-- i A 2 X 8s @ 16' O.C. ;_f_ @ 2'-0' O.C. 7 s• W/ 1/2' GYP. BD. +�—/� y°y 1/2' CDX SHT'G. OR EQ. ------------ --------- --------- i��. '�,� � ���_'.,���./�.01 3 15 FELT CIEL. i' ;a I ^ ... ( ASPHALT SHINGLES TO MATCH EXIST. PLATE________________ DRIP EDGE I X 8 FASCIA BD. 1 X 8 SOFFIT BD. W/ CONT. VENT E I 1 X 6 FREIZE BD. _ OR MATCH EXIST. DETAIL ) S 1/2- * 7'-O'CLR. WALL INSID� 2 X 6 STUDS @ 16' ❑.0 " FULL HT.FOR 3'-6' 3'-6' 1/2' CDX SHT'G OR ED. j r-i 2T/3r J I IE TYVEK & CLAP BD. VERIFY THIS DIM.AT SITE TRIM AT EXIST.VOW. pj WALL _S 1 8•, EDGE OF EXIST.VDV. 2 X lOs @ 12' ;CORNERS tE EX MATCH EXIST. j EXI TIN OUN A I N ABOVE W/ BRD'G..MID SPAN \r ( INSIDE EXPOSURE - 3/4' PLY WD. SUB. FLR. OT 7'rG`DIM. 1/2' GYP. BD. @ INTER. — - _ -- GLUED & SCREWED P.T. 2 X 6 SILL W/ R-19 INSUL. MIN. /--SILL SEAL j ;DRILL S.GROUT 02 o � IN. 1/2' DIAM. ANCHOR DOVELS a 2'-0'O.0 s < BOLTS @ 6'-0' O.C. MAX. VERT. T _ •Yj ^C 1 X 3 STRP'G. @ 2'0' a i i T C Al FULL W/ T-111 SHT'G. DRILL 3 0, FD TO HE ADJUST. 2' DIAM. HOLES FOR 8' THK. CONC. FDN. WALL Fa ALI W IST' > �I it R FL ROUND VENTS AT EA. a C DROPS TO BE FIELD LOCATED ) IFY AT SITE i END OF EA. FLR.JOIST c, FF--EXIST.BACK BAY, I X 6 PERIMETER ^ `\ DRILL a GROUT 02 ; TRIM o m �FON.WALL LINE ' - - s e o•Oc. 3 1/2' - 4' THK. CONC. SLAB r I VVERT. r- fy Y iu ON WELL COMPACTED SOIL \ TAG EL.=FLUSH TO 4 V/ P OF EXIST. b / ' E—� --------------- FIN. GRAD � � _ o - r - - ---��� - - 16' W. X 8' D. X CONT. VARIES " ' •e1 -'---------------------------•-.--------------J CONC. FT, G. W/ FORMED I ., .• � a� ( VERIFY FDN. DROP KEYWAY - BTTM OF FT'G. DROP FDN.5' �C• z e•` 4'-0' MIN. BELOW FIN. s LOCATIONS AT SITE d, TYPICAL-8'THK.FDN GRADE WALLS[IN 16,V.X e'3 x CONT.eONC.FT'G. 4•-0'MIN.BELOW FIN GRADE `T TO NEV FDN. 6- ___..___'J__� ___________ ____ ol� ALL CONC SHALL BE- DIM. y % Py=3.000 P.S.I.a 28 DAYS EXIST.FDN DIN 16'-0' ALL REDAR SHALL BE- Fy=40.000 PSI./ USE NON SHRINK GROUT TYPICAL FRAMING SECTI❑N EXIST•uL� f \t USE 1/2'DIAN GALV. END VA 7'-4 9/15- BOLTS OR APPROVED EOUALL a e AT 6•-0' O.C.MAX: i FD DROP LOCATIONS TO BE VERIFIED AT SITE V/EXIST.GRADE F❑UNDATI❑N PLAN ADDITION T CONDITIONSTO, SCQIe 1/4' = I'-0' KEVORKIAN RESIDENCE SCHOOL STREET,MARSTONS MILSS,MA SCALE AS NOTED�A6P-RGV��— DRAWN BY DII DATE 8/21/04 REVISED —�'"----OLSO SN DE TGN-AMC ATES 28 BARNSTABLE ROAD, HYANNIS, MA. 02601 ---..._ -------DRxvINBek- FOUNDATION PLAN -- -- _- --- TYPICAL FRAMING SECTION -'---- — -- ------- --stole va•= r_m 24.36 I GENERAL NOTES THE GENERAL CONTRACTOR AND ALL SUB CONTRACT❑R ---- INIFING AS REq ➢ --RIDGE VENT SHALL VERIFY ALL SITE CONDITI❑NS AND EXISTING AY OVER CONDITI❑NS AND ALL DIMENSIONS AND NOTES ON ALL cRlaEr S Ex SHINGLES L "GGLEs To MATCH DRAWINGS IN THIS SET PRI❑R TO THE START OF ANY EXIST.SIWORK AND SHALL N❑TIFY THE DESIGNER OR ENGINEER OF ANY DESCREPANCIES PRIOR TO THE START OF ANY WORK. — -- — THE GENERAL CONTRACTOR AND ALL SUB CONTRACTORS \ SOFFIT➢ETAILASCIA/ i SHALL INSURE THAT ALL WORK AND MATERIALS USED CONFORM TO THE LATEST MASSACHUSETTS Boxltn OUT STATE BUILDING CODE ( SIXTH EDITION ) AND ALL OF VDV. MATCH EXIST.SIDING I THE LATEST LOCAL BUILDING CODE AND ZONING CODE REQUIREMENTS. THE GENERAL CONTRACTOR AND ALL SUB CONTRACTORS ' SHALL BE RESPONSIBLE FOR CO—ORDINATING ALL WORK GRADE BEYOND SHALL TRADES AND SHALL CONSULT THE OWNER WITH �f -- ANY QUESTI❑NS WHO IF NEED BE WILL CONSULT THE WDW.RELOCATED j DESIGNER AS REQUIRED. ALL WORK SHALL BE PERFORM D IN A W❑RKMANSHIP LIKE MANNER. — _ I --ff / TEPPED FOUNDATION ---------------- EXIST. FIN.GRAVE 3'-0-ROOF OVERHA '-0'PAIR AT DOERS I FIBERGLASS DP,S. i XISTING HOUSE ; I t� L - - - -- - - - - Z----- - i- - - - E ! REAR ELEVATION iScale 114' i CKET '- CRII RIAY ' IG0' 2o'-t 5/B' RIDGE VE I BEYOND j — ASPHALT SHINGLES TO \\ ! MATCH EXIST _ TCH ALL DISTURBED 1/2' -B 1 10 I2 / ST.SIDING AS REG. i 7 � EX \ ` MATH EXIST.FASCIA/\\ - EXIST.V.I. EXIST.M.BA T` -- -- ---------1 --�--- ` SOFFIT DETAIL 1 I ! MATCH EXIST.SIDI II 1 i I 1 j i i rq i VERIFY THIS DIK �PTO CLEAR VDV.TRIM E S. ¢ 70RES I RELOCATED WDV.-1� 1 (�� TAIN,WA �L OR AS I �E SR7IING HOUSE APPROX.EXIST. SELECTED:BY OWNER l2'-1 25/32' FIR GRA _ {I ! S BY OWR o \ — v .VERI FY I i oQ SWING , FIN GRADE BEYON . -------------- NEW BED ROOM CATR CIEL MATCH E%IST, _STEPPED FOUNDAT.- EXIST.tC.1 SIDE ELEVATION � r vnW. 4� Scale 1/4' = 1'-0' b. OWNER ADDITION TO, B D �`'�' iKEVORKIAN RESiDEfJCE !SCHOOL S TREE T,MARST❑NS MILLS,MA. SCALE AS NOTED 1WRIIVI'D— D AVN BY[AO. - I DATE D/2VO4 IRCVISED I C ----�— ---- L ON Fi SIGN A ITES 1 FIRST - FLOOR PL T'-49,:6 1 ca a 28 BARN---- ROAD, HYANNIS, MA. 02601 L ---- -- I ELE`•JATiONS -------- R�T7iNE-ROFB' FIRS FLOOR PLAN �H I —_----.--_ --_— ---_—._--___._— ----_ -�—_—.--_ Scale 1/4'=t'-0' 2406 B 1/4• L GENERAL NOTES n THE GENERAL CONTRACTOR AND ALL SUB CONTRACTORS SHALL VERIFY ALL SITE CONDITI❑NS AND EXISTING OVERLAY CRICKET CONDITI❑NS AND ALL DIMENSIONS AND NOTES ON ALL ROOF_ DRAWINGS IN THIS SET PRIOR TO THE START ❑F ANY 12 _ WORK AND SHALL NOTIFY THE DESIGNER OR ENGINEER 7 +p— OF ANY DESCREPANCIES PRIOR TO THE START OF ANY WORK. MATCH —EXIST.FASCIA THE GENERAL CONTRACTOR AND ALL SUB CONTRACTORS SOFFIT DETAIL -- -- SHALL INSURE THAT ALL WORK AND MATERIALS USED CONFORM TO THE LATEST MASSACHUSETTS MATCH EXIST.SIDING- STATE BUILDING CODE I SIXTH EDITI❑N I AND ALL OF THE LATEST LOCAL BUILDING CODE AND ZONING CODE REQUIREMENTS. FINRGR EXIST. i r THE GENERAL CONTRACTOR AND ALL SUB CONTRACTORS f i SHALL BE RESP❑NSIBLE FOR CO-ORDINATING ALL WORK BETWEEN TRADES AND SHALL CONSULT THE OWNER WI H ANY QUESTIONS WHO IF NEED BE WILL CONSULT THE FRONT I ELEVATION I DESIGNER AS REQUIRED. ALL WORK SHALL BE PERFORMTD i ! 4EXISTING HOUSE I IN A W❑RKMANSHIP LIKE MANNER. ca e = - I — _---- f 16-V 20--i 5/8' 1- — — — —1 L — — — ---- - ----------------------------------- I � II II `rF •� 1 I` .I EXISTING ROOF t li II I) FUN. i IF-it 27/32- v{ li II iI ---OVERLAY CRICKET I ROOF YP-a ONc EXIST NG ASEMEN ' DDIT.ROOF FRAMING BELOW i It I�i f SHOWN DOTTED _-____--_--" -"_.___ "___- TON.BELOW 1 I I TYPICAL-2%6 WALLS BELpV /--- _—_-_.— � II I iI it A iJ WDW.REMOVED 1 I !� �� It; `2 �• I X 10 RAFTERS 8 16.0. NEPA W 2-2 X 10 //— i EXIST. I I! I� ll- a�I �1 / 'HDR.AS RED. ,O/J/ v INSl1L.6AMATEIL ��: 1 �';' X 12 RIDGE BOARD tt BELOW % � SKYLIGI{T I I IT -�� / �T.IN FDl I TO BE SELEC. O. 1 j OP'G I j I`.: ,�, _ 'i WALL AT - OPT.PROVIDE •4 I� ACCESS DER �� EXIST.VDV. . / TO BASEMENT W/2 X 6 STUDS / STORAGE UNHEATED m i J'q'f' ." TYP.-2 X 6 P.T.S 6•_0' m -- �i�r' -� TYPICAL 2 X IOs EXIST.2%6 S O ,Qa J'/. // // ( Vf SILL SEAL EXISTING RAFTERS I l I WALLS BEI.OV //' j Q // / �. 4'INK.CONC.SLAB BELOW OVERLAY N CRICKET USE'ICE 6 WATER /-! �> c,-w -\�. _ j �qk ,� I /•a.. �, AT ALL ROOF VALLEYS /.! I �• AND INTERSECTIONS j 2-2 X tO T M W I` /���!i /:" :• i I / 6 a 0• ^ i BELOW OW. I i P• TYPICAL-GALV.SIMPSON ! BOX VDV. I '.S BOXED VDV. j I B 9'-0' ' ANGLED RAFTER TIES ABOVE � I BELOW-FACE ,.) VERIFY SIMPSON B OF BOX FLUSH ;/` o' PRIOR TO CONSTRUG / /y�/ ; SHED ROOF V/FASCIA BIL `� 'I, N / ABOVE TYPICAL B'SOFFIT 9 6'- — Ir OVERHANG OR MATCH EXIST. 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MARSTONS AfILLS ScHo OL STREET 46 LOT 13-2 — I.PIPE N8 7 33 30 W ASSESSORS MAP 9 r 17.94' 46 LOT 13-3 '57617 5CV1 OL o �, {d Vv GW PARCEL "A „ o .� o zv J AREA==188, 728± zv a� / 0 0 �� FENi J LOCUS 11g 116 0 �����N of , �. 20 a, - 114u4 D ci VERITHEW RIVER ROA I.PIPES OSED / I 110 / LOCUS MAP j� O P 108 10 ASSESSORS MAP 46 LOT 12 G w �� � \ �� �1g ,tio5 10 06 PLAN REF. 529147 Ito `� i i f?; O g j � `��4g� y.j�y. 0 j / RES. ZONE.- RF" LOT 7 1 P "' ASSESSORS MAP / c� \ �, J / O 45 . LOT 54 0 10 C� �� PROJECT L OCA RON TP2 �, 96 ti�� ti LOT 3 . SCHOOL STREET 1 3.S � BENCHMARK. 10. 38. ___ ,, �R y _ / 6 — MARSTONS MILLS, MA. TOP OF CONC. BO UND �U� _ / ELEV. = 105(ASSUMED) 2O 2 / '—j ,,_`_94 _ i APPLICANT. 10 PROP. "LS 02 ,` 1 1- v 1 G f " 150, — I.PIPE K 1V EARN �" sE' IVE'TH P KE' OI�KIAN E - -_ _ R 38 / _ , 8 /� 92 /100 _ _ _ 90 YA NKEE SUR-VE Y CONSUL TA N TS ASSESSORS MAP c.B � — / P. O. BOX 265 45 LOT 53 106 \ _ — -- / UNIT 5, 40B INDUSTRY ROAD � / TR i MARSTONS MILLS, MA. 02643 6 43W 00 %�5884618"E ^. PH. (508)428-0055 — FAX(508)420-5553 2.49,3 66 04 BRUCE SCA L F. 1 "=30' DA 7E j G. ASSESSORS MAP �/ �/ I 7 No.749 REV. 1/31/98 [REV, 45 LOT 11 [TOY T,�t�� NO. 51439 SHEET 1 OF 2 113' TOP OF FO UNDATION 20' MIN. 10' MIN. CONCRETE CO VERS 4" SCHEDULE 40 P. V.C. MIN. PITCH 118 PER FT. 2"LAYER OF CONCRETE COVER 118 _I12 VENT WASHED STONE 105' EL. EL.=106 4" CAST IRON PIPE (OR EQUAL) MINIMUM PITCH 114 ' PER FT. CLEAN SAND 9 MIN. FLOW LINE 45 EL=100 INVERT 1 10" 14" 'T" - 104' MIN. EL.- _-- GAS INVERT LEVEL °o °oo° ° INVERT BAFFLE EL =103.25' INVERT 6 SUM INVERT o o °o °®o a o EL.= 103.5' EL.= 101.25' EL.= 101'_ EL.= 98.5 0 0(TO BE PLACED ON FIRM BASE) DISTRIBUTION MECHANICALLY COMPACTED OR 6" OF STONE IBOX 1500 --GALLONS TO BE WATER TESTED 11' X 38' TRENCH FORMATION ,SEPTIC TANK IF MORE THAN ONE OUTLET PLACE ON 6" STONE 31.4" TO 1-1/2" SOIL ABSORPTION d PROFILE OF WASHED STONE SYSTEM SAS) "'H 2O " SEWAGE DISPOSAL SYSTEM BOTTOM OF TEST HOLE OR USGS° PROBABLE WATER TABLE ELEV. = 94 NOT TO SCALE NO OBSERVED WATER TABLE 4 5 95 ELEV. =__94- TEST HOLE 2 TEST HOLE I EL. = 105 EL. = 112 SOIL LOG TOP SUB J. LANDERS-CA ULEY, PE SOIL - WITNESSED BY: EDWARD BARRY GENERAL NO TES 5' 5' HE TH OFFICER PER TAKEN AT 5' MEDIUM TO PERCOLATION RATE < 2_ MIN./ INCH 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. COARSE SAND W/ P# 8499 TITLE 5 AND THE TOWN OF -BARNSTABLE__-- RULES AND TRACE AMT'S OF GRAVEL REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. EL. =94 i` 11' 11' DATE 4/05/95 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" NO WATER NO WA TER 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 1%'T OF DRI VAS OR PARKING AREAS: H-20 LOADING SHALL BE DE,, I AI CA LCULA TIONS. USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL NUMBER OF BEDROOMS . . . . . . . . 3 BE MORTERED IN PLACE. TOP LOAD 5 ,INFILTRATORS WITH GARBAGE DISPOSAL . . . . . . . . . NO 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH 4' STONE SIDES AND ENDS TOTAL ESTIMATED FLOW DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO 11 ' X 38' X I ' ( 110__GAL./BR./DA Y x 3___ BR.) 330 GAL/DA Y OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. "H'=20" REQUIRED SEPTIC TANK CAPACITY 1500 GAL 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCA VA TION CONTRACTOR SOIL CLASSIFIC 4 TION . 1 IS TO CALL "DIG- SAFE" AT 1-800-322-4844 AT LEAST' 72 HOURS PRIOR TO COMMENCING WORK ON SITE. DESIGN PERCOLATION RATE . . . . . < . 5 MIN./IN. 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS LEFFLUENT EACHING LOADING RATE(AREA X RATE) 38 4 GAL/DA Y/S.F. SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ) GAL/DA Y 8) PARCEL IS IN FLOOD ZONE C . RESERVE LEACHING CAPACITY . 381 GAL/DAY 9) LOT IS SHOWN ON ASSESSORS MAP 45 AS PARCEL _16=2__ (38XI1X. 74)+(38+38+11-/-IIX. 74) SHEET 2 OF 2 JOB NUMBER _ 51439 o 2 7 -10 f �'-io'' 4'' -- - ; j � „ �od- Nc 4,<4 P-T Flo N — fi► i o v 4L 4' .. — 0 �T__ - ___ - - - fz � I _ --- 7u'Z44L Tu-) j �1 -wc 6,C! Qrj ILl 1 ` ' G�•I 8 �,1 1 '-�$ �G Ct'fF F�7.G� G f;i l_.• __ _ -- i z- \Il TW2 y ! In1 uP I&K j 1 Ln i Ij tc ALL LA j I - ! 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