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0063 EAST OSTERVILLE ROAD - Amnesty
�3 �fu+ Qcle�ville o OF1HE1 Town Of Barnstable ELAMNSrnscX, : Building Department- 200 Main Street 9$A '�. - Hyannis, MA 02601 TEDM Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-18-1588 CO Issue Date: 8/1/2018 Parcel ID: 122-098 Zoning Classification: RC Location: 63 EAST OSTERVILLE ROAD, OSTERVILLE Proposed Use: Name of Tenant: Sprinklers Provided: Gen Contractor: Permit Type: Residential - Single Family w' Type of Construction: Design Occupant Load: 0 Comments: Amnesty apartment Studio Building Official Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 8th Edition r° Town of Barnstable B1111CI1ri �. Post This'Card So That it is1/isible From.the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Posted BARNSfABLE. v "'"� $ Until.,inel Inspection'Has Been Made Permit Where a.Certificate of Occupancy is;Required,such Building shall Not be Occupied.until a Final Inspection has been made Permit No. B-18-1588 Applicant Name: RANGEL, MIRIAM B Approvals Date Issued: 07/02/2018 Current Use: Structure Permit Type: Building-Amnesty with Construction Expiration Date: 91/02/2019 Foundation: Location: 63 EAST OSTERVILLE ROAD, OSTERVILLE Map/Lot: 122-098 Zoning District: RC Sheathing: i Owner on Record: RANGEL, MIRIAM B Contractor Name: Framing: 1 Address: 63 EAST OSTERVILLE ROAD Contractor License: 2 OSTERVILLE, MA 02�655 Est.'Project Cost: $ 1,500.00 Chimney: Description: Upgrading smoke detectors amnesty appartment.Close Entrance to Permit Fee: $110.00 house frame a wall on porch to separate tenant area Insulation: P P Fee Paid: $110.00 Project Review Req: 2 layers 5/8 inch drywall for seperation walls and ceiling >01 Date: 7/2/2018 Final:�i �C�J�.YtM � 251 0- Plumbing/Gas ,,qq Rough Plumb ingQ7�G�YJ Building Official Final Plumbing:C7 M This permit shall be deemed abandoned and invalid unless the work authorized:by:this permit is commenced within six,rnonths after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application an<he approved construction docurrients;for.which this permit has been granted All const uction,alterations and changes of use of any building and structures shall-be in compliance with the local zoning b%y.-laws and codes. Final Gas: This permit shalkbe displayed in a location clearly visible from access street or road and shall be maintained open for public'inspection for the entire duration of the work until the.completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1. Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: ~f :j 0 jg 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5. Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy — Health 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. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.1.42A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT- ISSUED RECIPIENT Town of Barnstable Building B .'sue_:'" .. ��' �+e.. 3"� .:.,;i�. .�� .. : .- . .e� Y= .`:. °P stT.hisCardSo That rt is Visible From:the Street' 'A rovedPlans.Must be=Retained on°J,oband thisCard Must be`Kept s BARDWABLE. $ Q ��.z w , ..: a. "r'.' pI ," ;. � k ' '' t 0 6 Posted UntlluFinal Irspectlon Has B,een�Made 5 � � �;, �*` � ���_�Z, �, � � �s, � , M �,; m k Permit r Where a Certificateof Occupancyrslteguiretl;suchBu�ltlmg shall Not be Occupied until a Final Inspection has been made Permit No. B-18-1588 Applicant Name: RANGEL, MIRIAM B Approvals Date Issued: 07/02/2018 Current Use: Structure Permit Type: Building-Amnesty with Construction Expiration Date: 01/02/2019 Foundation: Location: 63 EAST OSTERVILLE ROAD,OSTERVILLE Map/Lot 122-098 Zoning District: RC Sheathing: Owner on Record: RANGEL, MIRIAM B Con'tractor'Name: Framing: 1 Address: 63 EAST OSTERVILLE ROAD Contractor License . 2 y. OSTERVILLE, MA 02655 Est Project Cost: $ 1,500.00 Chimney: Description: Upgrading smoke detectors amnesty appartr"n-t.Close'Entrance PermrtgFee: $ 110.00 to house frame a wall on porch to separate tenantarea Fee Paid:, $ 110.00 Insulation: Project Review Req: 2 layers 5/8 inch drywall for seperation walls and ceiling Date : 7/2/2018 Final: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application„arid the"approved construction documentsfor which Chit permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by51aws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or'road and shall be maintained open forpublic inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures bythe BuildmgandIR .Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work:,` 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 1 Town of"Barnstable ' == i Zoning Board,af Appeais �0 f ' p c•a ix�; Comprehensive;Permit Decision and Notice , Accesso"ry Affordable Apartment Programs Cl Comprehensive Perini INI 2018 017 itange1, `jCr Decision: Approved with Conditions Appilicarit:1 Miriam B.Range. Property Address:; 63 East Ostervllle Road' Map/Parcel 122/09$ Zoning;. RC..Residence C Zoning,District Summary: Allow the>conversion of 351square feet to.a one-bedroom accessory,affordable apartment .located in the:attached garage.with;in-theexisting principal dwelling pursuantto.ffie Cotle of theTown of`Barnstable,Ch'a009 Articlell Deed Reference: Book 28843 Page 22:6" a Applicant/Site:Contedl I The Applicant is Miriam 8,Rangel :the owner a'nd occupant of property addressed as 63;East O terville Road,. Ostervill"e MA. 'The Applicant has; been the owner of the 'property since. IVlay 2015, as evidenced by'a deed' recorded at the Barnstable County Registry of Deeds on; Book 28843 Page 226,recorded May 4, 2015. Asignedi Affidavit dated October 2,2017, declares that:63 fast Ostervilie:Road;bsterville MA; is the.primary residence of 1 Miriam B. Rangel: locus The subject property is a .41:acre lat a,ndIronts to;.fast Osterville Road. The prope.rty is improved with a 33 744 { gross square>foot three bedroom single family.dwelling (1,760 of living:-area) constructed in 1577: Theaccessory apartment is none-bedroom uriit.located'in the principal residence, previously a garage. It,is served by public water and anon-site septic system... Background Miriam Rangel:seeks to convert,350 square feet of area.within the existing dwelling to-a Accessory` Affordable Apartment by a Comprehensive Permit pursuant to,.Chapter 40B of the General, Laws of the'- Commonwea.1th of Massachusetts,;and-in.accordance with § 948 0#the Code of the Town.of 6, hstabl: more j commonly termed°the•"Accessory A#fordabie°Apartment;Program",. Procedural&;Hearing Summary Miriam Rangel submitted an application fora Site Approval Letter as prescribed in;the. Code of iVassa.chusetts= Regulations 760 Section'56.00 and'provided for.within the Accessory Affordable Apartment Program of the Town of Barnstable, The applicatio was. ubmitted as a local. nitrated Chapter 40B, Notification of the application was submitted to the Department of'Housing:and Community Development: A Site.Approval'Lette r was issued to the Applicant'for the subject property by Town Manager; Mark Ells, on November 27., 2017, Notice of the Site Approval Letter was:sent to the,Department-of;Housing.and community Development in:accordance with the requIrernents.of CMR 160.56 00 An appiication:for a Comprehensive,Permit was filed at;the Town Clerk's Office on;February'26,2Q10. .A public; hearing before the Zoning "Board 'of Appeals Hearing Officer was. duly advertised in the Barnstable Patriot on. March 9, 2018' and March 16, 2018 and notices were-se:nt to al'I.abutters in accordance with Section� 1,of MGL: Chapter.40A. F'Y Town of Barnstable Zoning Board of Appeals Decision&Notice C6'mprehensive Permit N'&2018-017—'Rah el. Findings of fact At the headn&,6n;Marbh128,2018 .the,'Hearing""Officer macie.the:'folloinringfln ings of'fact` Concerning standing;the right.of the,applicantto seek a;comprehensive permit,the HeanngOfficer`found The Applicant; Miriam B. Rang el,:is the owner and occupant.of the property;'located at 63:East O'stervikle Road;. Osterville, MA; as eviidenced"by"deed recorded-at the Barnstable County Registry ofDeeds on,Bbok U43'Page 226 recorded May 4t 2Q15,. A signed"Affidavit:dated October 2, 2017, declares that 63:East"Osterville Road; Osterville MA the primary residence of Miriam:B.FRan.gel. 1. The application for a comprehensive permit was made in accordance with'thoTown.of Barnstable'&"Accessory Affordable Apa"rtrrient:Program, Chapter 9 Article II'of the,Code of:the Town of Barnstable That progra'rri"is structured as a self-regulating income-limiting local`initiated housing program; a qualified funding program accepted :under the Code of Massachusetts .Regulations 760 Section 56.00 that•,governs grant Hof comprehensive permits: I. In; :accordance with MGL Chapter 40B and 766 CMR 56 04 (4} a site Approval Letter was issued. to"th'e, Applicant:for""the subject,property by Town Manages, Mark Ells on-November 27, 2017 Notice ofthe Site Approval.Letter' tias.serit to the Department of Housing:and':Community"D"eveloprrient,,;n accordance with"the requirements" of. 7ti0- CMR 56 04 0 and no issues were communicated from the "Department on this ap'lica"tion: Regarding consistency with local needs, the Hearing OM.6er found;: 3. The Applicant is proposing to concert an area within ttae existing dwelling" to an Accessory Affordable Apartment. Theapartment is 350 square feet, one bedroom,and located in.the'.princi`paI dwelling at.'63.:East Osterville:'Road, Osterville.To.permit the"apartment as an accessory affordable.unit:under Chapter 9 Article 61' of the Code would re`present:no perceivable change in ., e;neighborhood, 4. The Building Commissioner performed an initial review.of the property:and determined that an,accessory, apartment unit can be,created':in conformance with applicable state building codes. Prior to'occupancy, a building permit shall be required and; hardwired smoke detectors:and .carbon monoxide d etectors shall be upgraded/installed and;the unit s 11 hall meet"'all riequirernents of the Building Code: 5. The-property is: erved by an on-site septiasystem adequate,to accommodate the.addition"of.a,6ne-bedroom'. unit on"the property with a restriction from'the Health Department'if required,; 6. Th'e Applicant has;been informed that:`building and occupancy permits shall be obta,ined,;prror to occupancy ofi the accessory apartment: This step"is required to assure:final appr..oval that the apartment unit:conforms,fully to all"applicable building;fire,,and hea'Ith co'desYand,this decision:; Z. "The,Applicant has been:informed that.upon certlf cation"' V is Co ppr ns!ve"Permit:t3y the e To"wn Clerk,a; Regulatory"Agreement and Docla,ration of Restrictive Covenants; restricting-the accessory.apartm"ent<unit in perpetuity as"an affor,,da;ble,rental"unitshall be.executed..Thereafter both:the Comprehensive Kermit a.nd"the Agreement shali be recoiled at the"Registry;of Deeds as binding co.."venants on"tfe property.. The documents; limit the apartment to'that of an affordable u.nit rented to a person orfamily.whose income-Is 8Mo.or less of the Area Median Income;(AMI) Of4hel Barnstable=Mbtropolitan Statistical Area {MSA} and cap,the monthly rental income (including;.utilities)to not exceed","of:the monthly household income of:a.household earning 8091.of"the median income, adjusted by household size. InAhe event that utilities are sepa rate ly"metered' the. utility allowance established.bVAhe Town of Barnstable"shail be deducted'frorn' "rent leve(so calculated 8° According to"the Massachusetts Department of Ho:uS�ng and:Community Developmen.t; Subsidized Housing Inventory,:the Town o.... stable has 7,14% of its year round housing.stock qualified as affordable.housing units: The"town has;not.reached`the;>10%",statutory minimum affordable housrt`g required in MGt Chapter 406 or met any of the Statutory Minima prov'►ded foran 760 CMR 56,03(3)':; 2. i Town of Barnstable Zoning Board of Appeals Decisions&Notice-Comprehensive Permit No2018-017 Rahk6l,, 9. The Tow.n;of Barnstable's Comprehensive Plan.ensou.rages the adaptive..use,of existing housing,stock fo create: affordaf;le;units`and the:dispersal"of these units throughout Barnstable." This application and the locationof the.unit conform to thatrob ct ve: Based'upon"the findings,the Hearing Officer ruled thatthe application of.MIriam B. Rangel s,-d.eemed:consistent" With local needs because it.adequately promotes the objective of provitlmg-affordable h`ousmg for,the Tgwn of Barnstable without jeopardizing the health'and safety ofthe oceupants;p,rovided eertain:cond'itions are:imposed: Decision&Conditions: The Hearing.Off►cer ruled to grafit IComp'rehe'nsive.Perrnit No..2018=017;to Miriarri..B.•'Range.for'63 East Osterville` Road, Osterville, to all, the, conversion of the area .of the principal dwelling, formally•the garage, to ',a one bedroom affordable;apartment unit°at�63 East Ostervill'e Road, Osterviille as, rovided for in Chapter'9, Article'li,of the Code of1he"Townof Barnstable and in conformity to'the following conditions and restrictions;: 1. Occupancy of:the'affor.,able unit shall;not exceed.t o'(2)',persons '2. Th.e num'ber'of bedrooms in the Accessory Affordable Apartment shall be Irmited to one 3 Family mernbers of the applicants/owners shall not at anytime occupy the accessory unit, 4. :Al[leases shall:have a minirnum'ter"m of one year'.and Have,provisions that requir...e the tenant;to provide any, and'all information necessary:to verify eligibility with the Accessory Affordable Apartment Pro..gram including income in formation'ofthe tenant and rent:and utility payments. 5... .All parking for`the "accessory apartment-and the principal. dwelling shall be on site, Overnight or-s"treet parking is-e14res sly,prohibited:. 6. "Accessory lodging or resit" of;'rooms s,prohibited1o'r the duration of this`Comprehensive Permit. 7. The applicants shall, after certification of this Comprehensive Perm t.by the Tawn<Clerk:. a.: execute,.a Regulatory Agree.ment.•and Declaration of Restrictive Covenants, as approved by.the Towr Attorney'sOffice,a( b maim application fora building permit with'the Building'Division'for the;accessory.apartment Work: 11 required to bring the unit,into coffi liance'vuith present.day code,standards shall be.completed pno:.r.: to issuance of'a Certificate of Occupancy for the accessoryapartment:, 8: It is the explicit intent that,the applicant secure an`occupancy permit"and the."unit be occupied;by qualified tenant(s) as restricted by this comprehensive perrriit within'one-year of the"ce"rtificat-" of the permit. The; Building Comrnissioner and/or monitoring°agentmay extentl'"this time for good cause;:;; <9. To meffor m rged ( ncinlitiy h es) s" al hot, `30% of 80%,othei median:income for the;Barnstable MSA,;adjusted for family size, as-calculated and published annually by the Town of Barnstable. In the everit that utilities are separately,metered,.the utili yall,owance"established b'A he towh of Barnstable shall be deducted from rent level'so calculated `10. The.applicantsh:all engage"inoperrand fair marketing bfthe unit and provide documentation,0 A e actiriity to the Housing Coordinator/Monitoring,Age,nt: 11. Information regarding the income level of any prospective'tenant shall'first'be submitted to and ap pro ved by -the,Housing Coordinator/Monitoring Agent before any lease is signed;. 12. Annually; the applicarif shall' work,with ithe, Housing Coordinator/IVlonitoring Agent,to provide necessary information and documentation of tenant income eligibility-and.conformance rwith the Accessory Affordable Apartment Program: 3 •The Applicant must register the urnt with the Regulatory Services Department at 200 Main Street, Hyannis: 3: I Town of Barnstable Zoning Board of'AppeaI Decision&Notice-Comprehensive Permit No: 2018-0.17.-A bgel; :14. Whenever a -vacancy :occurs; notice. shall be given to the Housing Coordinator/Whitoring;Agent;before re" aging the tenant selection process previously;c ited. 15 Annual ln.came,fa determine"p:rog,..-eligibility,wilLbe calculated per,24 CFR Parts,; 15. The Housing Coordinator of the Planning and:Devel.opmenfDepartment shall be the monitoring agent fo-the accessory apartrnent._Annual monitoring;sfi0, l include verll cation of tenancy; affordzi ility; and con;pliance vu tfi.Comprehensive Permit. T.l a homeowner shall be responsible for th°e fee fo.r Housing quality Standards (HOS) inspections: 17. Every twelve months the applicant shall revieW, the income eligibility of tie tenant of he Accessory Affordable Apartment unit. No,later than,a, year fro,`n the date of issuance ofthis Comprehensive Permit,the applicant shall file with the Housing Coordinator/Monitaring Agent an annual. affidavit stating the rent charged.and income of'the unit tenant along with all req'uir"ed;supporting documentation. The p;r..operty owners and/or,tenant small provide, .aIhy additional information deemed.:necessary to verify the information provided;in the;affidavit and annual monitoring docurents . 1g. Upon any yreport from the Housing Coordinator/Monitoring.Agent that the terms:and cor}ditions of this permit are not being upheld., the Hearing,Officer'.of:'the Zoning;Board"of;Appe. I may.hold a hearing to revoke this permit or'cause enforcement action to`be taken for;compliance; I% This Decision, the Regulatory Agreement and Declaration: of Restrictive:Covenants and all other necessary documents shalt be recorded at,the Barnstable County Registry of Deeds prior to a"ppiication'fo"r'a,building p.e:rrnit: 20. Should ownership"of the subject property transfer,."ttie pern it holder identified herein:shall notify the:`Housing Coordinator/Monitor'ing-Agent and provide, within 60 days of the date;of t"ransfer,. thei e and current contact"information for,the new owner of the ubject property. ,21 This Comprehensive Permit.shall be exercised`as conditioned herein or itshall expire: Ordered `Comprehensive Permit No.201M..17 is granted with conditions'to Miriam B Rangel for.property.addressed as 63 .East Qsterville Road,Ostery lle MA:This permit is.not trarisferabae without prior permission of the Hea irik Officer. The zoning relief issued in, this Comprehensive' Permit is that of a' variance to::Section 240=;13(A} Principal permitted uses in'.t4o RC'Zoning Districts to"permit a ane-bedroom"accessory.affordab!le apartmcnt unit within the principal dwelling; A written copy of=this decision Will .be%forwarded to the Zoning Board of Appeals as required by the'Town of Barnstable Administrative' Code Chapter 241, Section,11 If after fourteen (14) days from:that.transmittal and provided that the members of the Zoning Board'of Appeals take no action to reverse.the decision, this decision shall be filed'with the Town Clerk`s 0`ffiM, It shall then become final only after 20 days has expired and certified by the Town.CI0Vth6t no.appeal was,filed,(in the 'on.. Appeals of tlii's,decision,.!f any, shall be:made to the.Barnstable Supe,r,ior Court pursuant to:MG t Chapter 40A Section 17,within,":twenty"(20)days:after the`date of the filing,ofthis decision in the o..ffice:of the Town Clerk. The .applicant has the right ci appeal this decision as outlined;' MGL chapter 40B,Sb-ction 22.. A x o.dolaliis, Hearing Officer Da , 5igrit,d' 4 ToWn of Barnstable Zoning Board of Appeals Decision&Notice Comprehensive'Permit Na.'2018-OI7--R,og.el; 1, Ann Quirk,.Clerk of-the-Town Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty(20) 'days have elapsed,since"the Zoning Board of A"p;peals.fi.led this�:decisivn'and:'that nq appeal of the. decision ha been filed inJ4 'office of the To 1n Clerk:: g y under the pains and pe'nalties.of sined and`s.ealed this da of pe`rju'ry. ' : ,.0E •�*, .Ann Quirk;TownCle"rk kw'a >i d'v 4 • w� i ' t/111o1:1a%A BARNSTA�LE REGISTRY O'F'dEEGS John 'F. Meade, Register 1 � 1 i IIIREGULATORYAGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS 1T j1S REGULATORYAGREEMFsN';I'and DI✓CLt1ItATION"OFF RFSiRICTIVE COVE I'S; s made; this,: 28 day cif :March 2018 ,by and uehveen;Miriam`B..Rang61 of 63 E'asti. Osterville Road,:Osterville-MA<an'cl its:successor5 an. ,ass,gn`s;:(hereinafter the"Oivner'�,and the TCjWN OF $A1tNSTABI F (the"Mlicipahty'�,a pohacal silbdivision of the Cnrrnoliwealtli )NIFREAS the Owner has been granted a Comprehensive Permit under Massachusetts:General:Law;Chapter 408;and local regulations b'y the Zaning.Boa d of Appeals to permit the creation ofan`access.oiy apattm-edi.in an owner occupied dwellin wlucl.will'lie;iertte'd' a':.!low or M-6- to Income Person/Family(hea e naftcr 'Designated Affordable,tke);and„ NQW THEREFORE,in mutlial,onside"ration of the a'grcemcnts aild cavenai ts-contained herein,arid;other good and valuable consideration,the,recept andau£ficiency of which is;hereby:acknowledged,;the harxes agree; as follows: I:. . . . PROJECT:SCOPE AN]a MW"N; A. The.terms:of this Agieemenf.and.Covenant regulate tl%property located at 63 East OstervilleRoad,. Osterville,MA,�as°further described in.a deed recorded herewith as Batnstable,County Registry o :beeas 1.Bob'k 28843-Page 226.; B: The Project located at 63 East Ostetville Raadi Ostetville,I1'IA.will;consist of one,a'ccessory apartment unit which will be tented to a ,eligible low or moderate income individual;or fajt*l (the"Designatiecl, Affordable,Unit";or the C. `I`he"Owner agree$to construct the Project in accordance wl''l the terms>of CotnjWehensiae Permit Appeal No 20WQ17 and,any plans submitted tl efewid and all applicable gate, Federal and municipal laws and.. regtilztions Said permit is recorded he"rewtth as Barnstable.,:County Registry of Deeds Book�" Page ' _. D. The Owner phpc welne . ipa. uioaeonhe y a , heir prncipn l. resi e dence iri•accordance with the terms`of the comprhensive permit..., 11. . THE OWNER'S COVENANTS AND.RESPONSIBIM!tSi A. THE O\XINMAEREBY REPRESENTS,COVENANM AND WAItIttTNTS A5;1 OL T.:QW 1 In receiving,the comprc lierisive permit to crea'tc.the Designated Affordable unit,the Owner agreed that the Designated;Affordable U,riit-,shall beset aside In perpetuity for the,p zblic purpose of prnv ding"safe and decent housing.to persons earning at or'below.80%oftl e area median:income;of Barnstable Mettopc4tan SEatistical Area(1vSA)and-that th'e-Designated Affordable Unit shall be deemed"to be impressed with=a public trust: 2. The Dcsignated,Af.£ordabie Unit shall be rented-in perpetuity to a household with a.maximurrr income of 80 6 of the Area Median Income(AMl)-of Bairnsiable;MSA and that rent(including utilities);shall not exceed an,ainount that is affordable to a,lou'sehold whose',uacome`is 80%of the median'income of Barnstable MSA: Tn: the event that,utilit es are:separately metered,a,utility allowance estsibli.. .d by the Batnstable_Housin,Authority �ihall be deducted from.the rent.level f e 3,. Th.'e'Desig fated Affordable Uiutwill be.tetained as:A.permanent,year round rental dwe,lling.untt wtth At; least a one;-year lease. 4. "fhe'Owner has fhe'f iu legal right,po-,ver'atid authority#o(!xecute,and'-deliver`this Agreement: 5: The execution and performance of this t�greement UyFthe Owner will.not`violate oi;as applicable,.,ha's not violated any provision of law,rule or,;tegulatijn,ot,atiy oraei of any.court"ox other agenry"oi governmental body aand i11 notyiolate;or,as:apt}Iicable,has no.t violated any provision of.any tn4leriture,agreement;mortgage; mortgage note,or other.instrumerit to which the Owner i a-party or Upwhicli It Ovthe Owner is bound,will:'not xesul"t,in the creation or irripositi' i of aiij prohibited encumbr"ante of a iy nature, :6,: Th Owner,at:the tune;of execution and;delive y of this Agreement;has gogii ;cleif inaiketal le title to the,prernises 7; Tfiere is rio action;,suit or proceeding a,.ha ..o-r in equity or Uy of before any governmental: instrumentality or other agency now pending,'or,'to tile,Isnowledge of tie Owner,threatenedaainst:or affecting it,:or any ofispoeie -o .right ,whchjaveelydtermid,wood hp migt to cury on: business substantially as`now conducted(and as now totltemolate&by this Agreement)F or would materially, advcisely affect its;financial condition:; 13. -COMPLIANCE:: The' Owner hereby agrees<that any and all iequiremenis.of the laws of:the Commgn'wpalth of { Massachusetts"to..be satisfied in ordi.r for the provisions o£tlus Agreement to constitute resfrictions'and 1 covenants running with the land shall be deerned'to be satisfied in fullatid that;any req'i ements'o.privileges of estate.are also deemed to be satisfied n frill: ! C. LI;Iv r=,ON:ON P.ROJI 1. The O"whex agrees;to itmztItis°jher pr"ofif:by renting theDesignated A f fordable.LJnit;in perpetuity to;a household with a maximum"income of`80%or le"ss of the Area,Median Income;(AMI of Barnstable: Metropolitan Stat stJcal Area(MSl) and.tliat rent(including utilities)shall not a eceed wamount that s': a££otdable to a household wlYose"income is 80%of the friedian income of Barnstable MSA Iri the event that utilities areasepatately.metered,.a utility allowance�establisI d by%the Barnstalilc,TIousing Authority shall be deducted,from thejrerit< 2 The Owner shall artnually;deli ver to the.Mpnicipality aizd to the`Monitoring 1lgent;as,designat'&by the Town Manager,-proof-thaf the Designateti,Affor iable'Uriit is rented,the tenant's income verification,;a copy of` the;leaselogmement and the rent,,charged.for the unit-or units. Such.infurmi ion shall;;also,.be forwarded to the j Monitoring Agent within Ab Aays of the occupation of the dwelling unit or units by,a.newunant The Owner ! shall nofify'the Monitoring Agent,'as designated by the'Town lvlanager;.within:thirty,(30) days:of tite;date that;a I tenant has vacatedthe,Designated;;Affordable Unit: III: MUNICfPALUX COVEN AN:I'S AND Rt8j?'b S11 ILI'IM 1. The MUNICIPAT ITY;through.the.moritoring agent desigmated by;the Town;Manager agrees to, perform.the duties:of verifying that the Designated Affordable-1 is,tieing rented in,perpetti ty to a household' with a maximum incorrie of$0%,or less .the Area Meehan Income(tj MI)of.I3arnstal l'e MSA and that rent � (including utilities);shall not exceedan amount that,is.affordable to a household whose income is 80%of":the median income of BarnstableNSA.In the event that utilities are'separately.metered,;a utility`allowance established_by the Barnstable Housing,Autho'rity shall be deducted from the.rent 2' a d I 3 e ' i 0 Y IV REGORDING.OP AGREEMENT: Upon execution,:the O\VN.ER shall,iintnediaiely cause ft si Agreementand.an arnendments;hereto to be.recorded with khe Registry of Reeds for Barnstable County i,`i£the Project,consists in whole or,ui part of registered land,,file,;tliis Agreement and.any amendments hereto:with the I2egistigllisf act ofilie Barnstable; Land Court{collectively,hereinafter,the"Registry of=Deeds"};and the;Own' hall.pay all,fees,and,charges incurred in:connection iherewitli. Upon ecord ng;or;fiU ng,,as;applicable,the:.Owner shalriinniediately transmit to the Ivluncipahty'evidence of s,"ach rccordtrig;or fiImg including the date and instrument,book and page-oi registration number of the.Agreenent:; V. GUVERNING UN AGItl~EMENT- This Agreement shall lie;governed by the laws of the Commonwealth of IVIas..sachusetts. Any. a-mendmerits"to t1us,.,, greement trust bt:>iti writing and executed by all;of the parties Hereto. The invalidity of any clause;part qr or Of this Agreement shall.not id ct`ihe validity of the xeina nmg portions hereof: VI. NONCE: All notices;to be giyeti pursuant to This Agreement Shall be in vri- ng and shall be,deemed giveirwhet delivered by hand or when m0el d by certified or registered mail;postage pzepa d,return,receipt requested,to'the parties hereto at flic addresses sefi Forth below;of to such other place as a party may from time to titre designate by written notice; VII. HOLD HARMLESS: The Owner hereby agrees to iMemnify;;and hoI.d hairriless.the'Municipality and/or its delegate frotri any and all actions,or.inactions.by.the Owner;its agents,servants.ovemployees which result in clairxis made against Mtirucipality and/qr it's delegate;including but not linSited to av�ards,judgments,out-of-pocket expenses and- attorneys fees necessitated by•such actions.. V11I. ENTIRE UNDERSTANDING: A. This Agreerrieut;;shall constitute the entire understanding behvecn the parties and any amendments of changes hereto must be in'wiiting executed by.the parties,,and,a ende&wi,'d-Ais document, 13 This Agrcementand,all of the covenants,agreements and restrictions'contained,:herein"shall,-be deemed, to he for the"public piitpose of.providing safe;affordable housing and shall be deemed tg be, and by these presents°are,granted by the Owner to can iu perpetuity in favor of and,beheld by;the Mtinicipahty<as:any other. permanent>restri"coon hdd bya governmental body as that.tertri is used in MG11L 184,)Seaton 2 which:shall` run with the land._described in a deed recorded 11crcwith ks Barnstable,,Caunty Registry of Deeds Book 28843 Page,.226,and shall be binding upon "the,Che er and all successors in title: This'Agreexrtent is.made for;the: benefit of the Municipality and the Municipality. shall be deemed to be the;Bolder,Of the:restriction created by this Agreement 'The Municipality liar determined-that the acquiring of such a;restriction i5 in.the Public interest:: The Munid ality,shall ip be sulilect to theAefense of lack of`privity of estate Thc:covena#its and s, fici ons; contained in this Agreement shallft,be deemed to affect the title to:,lie property desci7bed in a:deed recorded' herewith as. Barnstalile.Couiity Registry.of.Deeds'Book 28843 Page:22G': IM TIJR -01 AGREEMENT Th teriii:of this Agreerr%nl sh4be per 'tuaI provided,however,that die U:wner df a Designated' 3 f 9 1 Affordable Unit or'Units;may volunraiily'cancel the gy aifcd Compxeh�nsive Permit aril the terms and restrictions imposed herein ,Such.cancellaton shall only.take effect after 1) cpixation of tlielease teriris; entered into bet%ve.en the ONvncr and Tenant ocetipyigg,said unit and 2}notlficafion by the Owner oEsaid. dwelling to:the Zoning Board of"Appeals'of his%her'desre to`cancel thi'Comprehensive permit"upon a date certain and the.rccordiiig of said notice at the Barnstable County,Re'gistry of Deeds,or$ainstable Cotrity Registry of the Land Court as the;case.may be;thus rendering said Comprehensive.Permit void;`Upon,the. cane"ellatioh of the comgtehth-sl:'Vt pe'rmlt,li.the property which"is,the"subject matter-of this.resttictive,covenant shall,revert to the use petutted under zoning anti the restiictrve covehant shall be rendered void; X: SOGCESSORS AIJD ASSIGNS, A. The Parties to:.this"Agreeinent,intend,declare,a cl cower anion behalf of theinsclves,aiid any'successors and-assigns:their rights and dunes as defined in this Regulatory-Agreement"and the.attached"comprehensive eriit; B. The Owner iiiti nds,declares,and coveiants on behalf of itsel f and its successors and assigns(i) that'this Agreement and Che,covenants,agreements and restrictions.contained her shall be and are covenants running with theland,encumbering the Project for'the term"of't u Agreement, and ate binding upon the Owner's.. successors_in,title,.(ii}are not merely personal covenants of the Owner;and(iii}'shall bind thc.Ownei;its successors:_atxd assigns;and inure to the"benefit of the Municipality and its successois.and assigns for the tetin.,of' =the:Agteert erit XL, DEFAULT': Ifany default,Violation ot'breacli'ty die Owner of this Agreement is not"cured.to,the satisfaction of the, MonitoringAgent«iithin thirty(30} days after nonce tQ the Owner thereof,then the 1Vlonttorirg.A'gentmay send; notification,:to"the;IVlunieipality°ihat the.Owner-is in violation,of the>terms and::conditions'hereof. The Municipality"nxay exercise any remedy available to it. The Owner will.pay"till costs and<expenses,:including legal fees,incurred Uy'the M 'oiing;Age.nt in enforcing this Agreement and the Owner hereby agrees"that the Municipality and fficl.loci toning Agent will have.a hen o.. t1ie.P oject to secure paytiierit of such costs and; expenses: 'I9ie Monitoring Agent;may,perfea-,such a lien:on.the Piojectby recording a certificate setting forth: `the amourit of the costs and expense due and owing in the Registry of Dccds or the Registry of"the I iSt'riCtLand Court far I3arnstlble County. A purchaser of the Project or an}%portion thereof will be liable'Eor.the payment of anyunpaid.rosts.and expenses thatwere the subject o£a;perfe'cied lien prior to the purchaser's acquisition of the Project or•portion thereof, XII. MORTGAGEE CONSENT, The Owner;represents.and warrants that it=has obtained the consent of all existing:mortgagees of thesProject to the execution and reIr" rig,of this Agreement and to the teams and conditions here'f and that all.sueh: mortgagees have executed.consent<to this Agreement.:. IN Wfl'NESS WI I'RFOF,tve;hereunto set obf bands;And seals this, "28 day,of `March 2018 OWNER: BY. Signature Pinted�Name` �1rc.t�.v�' •�� �°'����' 4 cbm ONVUEALTH"OF WSACHU9kl n Courity ofBarnstable,ss:. On this ,28'___. ..; day of` .. :March: _ 2018 before trig;the undersigned ncitary pulilic personally appeared Miriam B :Ran el the Owner(s),prayed to. me through Satisfactory evidence of tdentification which were ,to be the persons)*hose names)fs signed'on the;;preceding of:attached'documcnt a aclstiowleclged"ko lie that li@,fis +tit signed it volunta*,for"the stated p " oses. �.�- NotaryPuUlic Printed:' ft {'1IVNIy Commission Expires: !., •..««««, �jt. Cry+, API4A bAldHAM Notary,Pubttc , co�atoi�a�uTM a't My Cbrantah /�E��kas! `I'OWN OF BARN "Llt.l BY TO COMM CENiVLALTH Ole MASSACI�JSE 1"1'S County of Barnstable,,ss: On this '.day.of 201 Before ne,;the undersigned notary public,per`,sonally appeaxed the Town Manager'for the Town of Barnstable,proved to me through satisfactory evidence of tdenttficatton,.which were ' _ th /124 Ao Q - to be tlie:person whose name is sgn'ed'on the preceding or attached document a ckno�?vle ged"Eo be that h ihellslgncd.it yoluntarily'for thel stated. purposes Not ublic / Prirted: tl1lIv1y,Goti�mission Expires:. t 0 A SHI ,LEE MAY OA € w ai Notary PuGuc COMMONWEALTNOf MASSACt� 7 W Commission Expi.. `p4lP ,.4_ •.�' March i. 20a.: a:rt���!►IIItU►���� sit Iy_. BARNSTABLE REGISTRY orFjlbl EEDS John F. Meade, Register The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/OrganizationJlndividua : )Address: 4 City/State/Zip: Phone#: '�'� ' Are you an employer?Check the appropriate bow Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I . employees(full and/or part-time). * have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers'comp.insurance comp.insurance., required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions ysel [No workers' comp. right of exemption per MGL 12.[ Roof repairs once required.)t � c. 152,§1(4),and we have no 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 state%yhetber or not those entities have employees, if the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is the policy anal job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: - Job Site Address: City/state/zip:- Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisomnent,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 thepains and penalties of penury that the information provided above is true and correct. Si afore: ate: X Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: PermifILicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: FT1iE�i- , TOWN OF BARNSTABLE stixx�.,�y BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY Date '2� number - 8 Building Permit application map/par k ���—'�► Address of structure Area of structure C.O. will be issued to Name of TenantAlAnAgql (v Edition of Building Code Use and Occupancy Classification Type of Construction Design Occupant Load Is the facility licensed by a State agency Yes ❑ No If yes If yes, name of agency Relevant Code of MA Regulations (CMR)that apply Automatic Sprinkler System Sprinklers provided? Yes ❑ No Sprinklers required? Yes ❑ No Building Department Use only Special Conditions: IKE "18 O AppJ1C3ti0IINllII1bCC... ..: ts....,OEK ......:..................... ZV* BAPIOUBM Permit Fee.... � ••••••Oth=Fee... .5.6.4 'Ip KA99. 6396 OD ETotal c ......................... ...c. .. TOWN OF BARNS TABLE Permit Approval 1y.... .......I....Or4.... .... ....� BUILDING PERMIT k P .............��� 1,asp........._.......................... ........... APPLICATION Section 1— Owner's Information and Project.Location n �� Villa,, s�w Project Addresse Owners Nameowners Legal Legal Address City P State � B Owners Cell 4 �-� � 1 E-mail Section 2—Use of Structure E Use Group ❑ Commercial Structure over 35,000 cubic feet .yam ❑ Commercial Structure under 35,000 cubic feet D gle Two Family Dwelling �.� Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate n Accessory Structure ❑ Change of use—-' m ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm � Rebuild ❑ Deck Apa rtment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 -Work Description 3 f. P T mct mxd,-ded-2/9/2018 Application Number............................... Section 5—Detail Cost of Proposed Construction l7 Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design i Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression 3 ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom j I i Water Supply ❑ Public ❑ Private i Sewage Disposal ❑ Municipal ❑ On site Historic District [] Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes 0 No a 1 Section 7—Flood Zone Flood Zone Designation y Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section S—Zoning Information a Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No 3 Lastimdated:2192018 Application Number........................................... Section 9—.Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell#. I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section.10—Home Improvement Contractor Name Telephone Number Address City State Tip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town ofBarnstable.Attach a copy of your IUC... Signature Date Section 11—Home Owners License Exemption Home Owners Name: t-Bk%A 9-z L Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Constriction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the constriction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date S a Print Name Telephone Number �- � 5 �- E-mail permit to: T n..4 n/nnni o Section 12—Department Sign-Offs Health Department © Zoning Board Cif required) ❑ Historic District ❑ Site Plan Review(if required ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire deparhnent for approval Section 13—Owner's Authorization L , as Owner of the-subject property hereby y be in all to act on m authorize � matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date i Print Name Last undated:2/92018 Town of Barnstable Building .y Post' his Card So That it is Visible From the Street Approved Plans Must be Retained on Job and this Card Must be Kept .Posted Until Final Inspection Has Been Made T iPermit Where a Certificate of Occupancy is Regwred;such Building shall Not be.�Occu ied unt I ayFinal Insertion has made . P P x Fs , Permit No. B-17-4391 Applicant Name: RANGEL, MIRIAM B Approvals Date Issued: 12/28/2017 Current Use: Structure Permit Type: Building-Stove Expiration Date: 06/28/2018 Foundation: Location: 63 EAST OSTERVILLE ROAD,OSTERVILLE Map/Lot: 122-098 Zoning District: RC Sheathing: Owner on Record: RANGEL,MIRIAM B Contractor Name:,:4. Framing: 1 Address: 63 EAST OSTERVILLE ROAD Contractor License 2 OSTERVILLE, MA 02655 - Est Project Cost: $0.00 Chimney: Description: used wood stove ' Permit Fee: $35.00 Insulation: { Fee Paid: $35.00 Project Review Req: ,m ' Date ,. 12/28/2017 Final: ff Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: ' 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ev Town of BarnstablePermit: — VE '4 Building Department Services Date: Brian Florence,CB0 ` BAMSDU" Building Commissioner ee: � 200 Main Street, Hyannis,MA 02601 /�/�'� j h, www.town.barnstable.ma.us ,�� Office: 508-862-4038 Fax:'S`UR17,� -6230 TOWN OF BARNSTABLE ` /" SOLID FUEL STOVE PERMIT Owner: 'M Phone: - S-C)L I Install at: - Village:n S4f-'f�I Map/Parcel: Date: Stove , A. New(/Used B. Type: Radiant/Circulating C. Manufacturer: is f n-4C 4.5r��`t. Lab.No.A h�1 /U/ D. Model No.:W j 1-4 -1 h( Chimney A. New Existin ,(Il f existing,please note date of last cleaning j J ('e B. Flue Size C. Are other appliances attached to F ue? D. Pre-fab Type and Manufacturer C 1, r' E. Masonry: Qin�enlinea Hearth A. Materials: j; B. Sub Floor Construction: A Installer Name: _ Address: PhoneC--5 Location of Installation: e�Gw H.I.0 Registration# Construction Supervisor# OR check_Homeowner Installing, no license required _ LICENSED INSTALLERS SIGNATURE:. APPLICANTS SIGNATURE: ,, APPROVED BY: Please make checks payable to the Town of Barnstable *This constitutes an o icial stove permit after inspection,photographed, and approved by the •Building Inspector Q:forms:stove Rev:08/16/17 F. Town of Barnstable f Building ]Department Services Brian Florence,CBO r< Building Commissioner 200 Main Street, Hyannis,lvlA 02601 MASa. www.town.barnstable.ma.us 1659. Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: , 1 Please Print IN JOB LOCATION: V� •' � number street village "HOMEOWNER": name home phone# (' work phone# CURRENT MAIIdNG ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license;provided that the owner acts as supervisor. DEFINMON 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 Dmemrmit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply,with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. . To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page 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. Q:IWPFI1XS\F0RMS\building permit fornuE)TRESS.doc 08/16/17 Town of Barnstable Building Department Services K" Brian Florence,CBO %63k�� Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, ,as Owner of the subject property hereby authorize to act on my bebA in all matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date QTORMS:OWNERPERMISSIONPOOLS Rev:09/16/17 I The Commonwealth of Massachusetts Department of Industrial Accidents - Office of Investigations 600 Washington Street Boston MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly_ Name(Business/Organizat on/Individual): or,_V-� Address: cs�� C60 A • oz 3 �j City/State/Zip: �� �•. M+- Phone#: `�O �"__0 C) U Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. EP I am a general contractor and I employees(full and/or part-tL-ne).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y P -tY• # 9. ❑Building addition [No workers'comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#I must also mil out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have emplcyees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration ate: Job Site Address: (oQ � � City/State/Zip: G 2, S_ 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 penalties of perjury that the information provided above is true and correct~ Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 15.2 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate.a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in__(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commo;nwQalth of Massachusetts Department of Industrial.Accidents office of Investigations 600 Washington.Street Boston.,MA 02.111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#61.7-727-7749 Revised 4-24-07 www.mass.govldia Town of Barnstable Building BA"STAI" Post This Card So That it is Visible`From the Street Approved;Plans Must be Retained on,Job and;ths Card Must be Kept Posted Until Final Inspection Has Been Made �� ,bP a:.% . ...,': , . .. 4 \• k Permit rr� WhereFa Certificate of Occupancyis Required,such Building shall Notrtbe Occuped�,until aFinal Inspection has been made Permit No. B-17-4219 Applicant Name: RETROFIT INSULATION, INC. Approvals Date Issued: 12/26/2017 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 06/26/2018 Foundation: Location: 63 EAST OSTERVILLE ROAD,OSTERVILLE Map/Lot: 122-098 Zoning District: RC Sheathing: Owner on Record: RANGEL,MIRIAM B Contractor NaM`'-,v;RETROFIT INSULATION, INC. Framing: 1 Address: 63 EAST OSTERVILLE ROAD Contractor License 160461 2 OSTERVILLE, MA 02655 Est ,ProJect Cost: $7,220.00 Chimney: Permit Fee: Description: Weatherization $86.82 Insulation: Project Review Req: Fee Paid` $86.82 �,- Final: Date 12/26/2017 xF r� Plumbing/Gas J Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authoriiecfby this permit is commenced within sizmonthsj,after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application'and the approved construction documents'for v✓hichth`s permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by law•�s;and codes. This permit shall be displayed ima location clearly visible from access street or road and shall be maintained open for publicnspection for the entire duration of the work until the completion of the same. ,F � � y�I , � Electrical o a =< P Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Official-. re provided on t'is permit. Minimum of Five Call Inspections Required for All Construction Work: Y, Rough: 1.Foundation or FootingM _ 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health 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. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 1qW TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 3 ;RNSTABLE Application # Health Division - r. j j. _b Date Issued I° /7 eA&X_ Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning�Board , Historic - OKH _ Preservation / Hyannis �� Project Street Address t7-A S-1— GS1Z:62cA'1(C �j(',� ��/f� ��j'-� ad6i—ice Village r Owner G1"ZA^ CCc►2 Address Telephon -2Lo rj-1 Permit Request 1 r ft Z our kC } S `(u Ce,((�t G N -i AC�i-) FA_,C_, e__.)45:> 1. are feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family kr'-- Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: .❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) 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 ❑ hew 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 (B/UILDER OR HOMEOWNER) /, Name �(� �.!-�S {�cn / ��1,, Telephone NumberCiu) 6 YX Address License# Da ?-2 V\AA ? I Home Improvement Contractor# Email xl rem. �1 C1 7 YYP 7 4 Cy,�.� p V`��C�� / Workers Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO M6 Ot4p a'=X I `y`I" JI)A aV44- /k-/. 6--7'dlCoA e), r1�- SIGNATURED!A-(,(CDATE / l r f r FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. i ADDRESS -_ VILLAGE i j OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston, MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. .TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leeibly Name (Business/Organization/Individual):RetroFit Insulation Address:PO Box 105 City/State/Zip:Seekonk, MA 02771 Phone#:508-989-6436 Are you an employer?Check the appropriate box: Type of project(required): 1.�✓ I am a employer with 10 employees(full and/or part-time).* 7. ❑New construction 2. I am a sole proprietor or partnership and have no employees working for me in ❑ . 8. ®Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.01 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 4.O I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.t p 14.DOtherWeatherization 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:STAR Ins. Policy#or Self-ins.Lic.#:V9WC802160 Expiration Date:8-2-18 Job Site Address:63 East Osterville Rd. City/State/Zip:0sterville, MA 02655 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.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 sins and penalties of perjury that the information provided above is true and correct. Signature: Date: 11/29/17 Phone#:508-989-643 Official use only. Do\#@44wWe in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: . Town of Barnstable Regulatory Services Richard V. Scali,Director 9, Building Division Paul Roma Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section I, MIRIAM B FERREIRA as.Owner of the subject.property hereby authorize to act on my���� � �sVSJ`c�`�y' behalf, in all matters relative to work authorized by this building permit application for: 63 East Osterville Road Osterville, MA 02655 (Address of Job) Signature of Owner • Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form. 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I — RETRINS-01 DCARVALHO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 07/27/2017 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 have ADDITIONAL INSURED provisions or 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 License#1780862 CONTACT Diane Carvalho NAME: HUB International New England PHONE FAX 222 Milliken Boulevard (A/C,No,E:t): (AIC,No): Fall River,MA 02721 E-MAIL diane.carvalho@hubinternational.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:SeIBCtiVe Insurance Company of South Carolina 19259 INSURED INSURER B:National Liability&Fire Insurance Company 20052 RetroFit Insulation,Inc. INSURER C: PO Box 105 INSURER D: Seekonk,MA 02771 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR IN D WVD MM/DD/YY IDD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FV_'OCCUR S 2187653 08/15/2017 08/15/2018 DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 I GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 2,000,000 POLICY a JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT 1,000,000 Ea accident $ ANY AUTO A 9100182 08/11/2017 08111/2018 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY Per accident $ X AUTOS ONLY X AUOTOS ONEY PROPERTY DAMAGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS UAB CLAIMS-MADE S 2187653 08/15/2017 08/15/2018 AGGREGATE $ 1,000,000 I DED I RETENTION$ I $ B WORKERS COMPENSATION I STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE H _ AND EMPLOYERS'LIABILITY ❑Y/N j V9WC802160 08/02/2017 08/02/2018 E.L.EACH ACCIDENT $ 1,000,000 _ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes.describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE National Grid THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 40 Sylvan Road ACCORDANCE WITH THE POLICY PROVISIONS. 02451 AUTHORIZED REPRESENTATIVE . . ............ .......... . . .. ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ApplicationA—� 7 Health Division. Date Issued -(? p Conservation Division Application FWX_nJ,6 -,. 6 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board `�`'`'e Historic - OKH _ Preservation/ Hyannis Project Street Address 63 r2 e!�! Village �_S' y e 41-e- Owner N[AtAd R0+Pv6,C--L Address 3 �GLz, Telephone ?7 -5 Z l -7 7/7 Permit Request <?aev T -,7-4 ��-yZ-C=2����✓iyC�d �m c��-r -��� � i� � �.�--�1 �®m ry ,/-��.17 Square feet: 1st floor: existing 2! proposed _2�d 2nd floor:.existing proposed Total new Zoning District R Flood Plain Groundwater Overlay Project Valuation s`-�-_�3wa�,_IConstruction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure ® Historic House: ❑Yes ,XNo On Old King's Highway: ❑Yes 'No Basement Type: AlFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing -2— new / Half: existing new Number of Bedrooms: ,3 existing _new Total Room Count (not including baths): existing 46 new 7 First Floor Room Count Heat Type and Fuel: A'Gas ❑Oil ❑ Electric ❑ Other Central Air: N[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:A existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded 0 ND#V, Commercial ❑Yes ❑ No If yes, site plan review# �C�� . Current Use Proposed Use POj7 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 4c-,S' Telephone Number Se,-9 776 el G" Address /3a< fO License # C 9" �Z:3:3 0�,44/7 Home Improvement Contractor# /7 �" Email 6i1,1r2l-le—%�) oqaA,0W& 72,0��� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ��?-/� �-Coy`�-Lz T•�A-�/S C=,�,�" S Tod-%��.� SIGNATURE DATE I FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. I ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 1e' /? 1?FAA I DATE CLOSED OUT ASSOCIATION PLAN NO. 27ze Comnionwealtit of_ffasserr<ltrmdit Department c►f rndizutriall4ccideTdg Office-of bnmfigatigns . . 600 Washington,Street some rna_vs.gDv1dia -INrurkers' Calmpensaffan Insurance Affidavit$cdlderslC"antracturs/Elechicians/P h mbers Applies Info;rmatian. Pleas Print Le. Name(BusinesstOrg Y_ lii t-24 C S 1, Address: 12 o X /2(O ' !�?lv.� Ci1g/stage/ 4o't 7,1//,ej P�% Phone 4','-_' Are you an employer?Ch eck.the appropriate bni ' Type of project(required): 1.❑ I am a employer with. 4 ❑I am a general contractor and I 6. ❑New consiractioa employees(full andfor part-3ime * 1=e hiredtha salt-condxactors 2_ I am a sole proprietor orpartner- listed an the attached sheet. �. Remodeling ship and have no employees. . These smb-confrac-tors have 8..❑Demolifioa wart;ing for in an employees andhace wo&ers' b Y wance= corn insuranml 9. ❑Building addition [Ido�i-o�ers camp.irssurance F- � . required_] $- ❑ We are a'corporafionand its 10:❑Electrical repairs or additions 3.❑ l;�x I am a homeowner doing al work officers have exercised their 1L❑Plumbing repairs or adcli lions. _ Tight of exemption per MGL set€ o vi oikers'-gyp c.152,§I(4h 17. and have no ❑Roof r repairs insurance required t employees:[No workers' 13.❑Other comp_in.smauce required_ji #Anyap uc=tdmtcfieckmbox91msutelsaffiontthcsectioabeTawshmdngtheircxor)sedecrmpensatinnpo&cyinfotmaoart I Hntneoarnerstyho subs ffais iffida['u indicating tha_y RmAM^g sgwak=46—MM ontsidecantnctarsamst MBM3tanewaffidXzft iadieatinp SUCIL rCG=Rctors-dmd che&*&bmc mast attsdnd xv.addibnnsl sheet shoningthenzme of the sn�cc�scfio-ts Lei stye vr}�ether ornotr3nse�titi�shase employees.Ifthesub-cantadaesluzeemplgeas,they nnutpmuide"theu uvrkea'wmp.policy nznber_ I arrt art eutplvy�r flsrttirprat-zdux��varl�ets'conip�resr�ort i�eszirrcnca,�nr rrt}t~ncpin}�ees $eIoav is il��poficy turd jQ�s'rf�r in,f ormatiom Insurance;Companyy.Ma:me: - — Policy,4 or Self--ins._Uc.IlkF pirationDate: Job Site Addtesm city/StateE2' p:. Att2ch a copy ofthe werrke=re compensationpolrcy-declarat ion page(showing the policy number and espiraEon date). Failure to secum cov trage as req*ed under Section 25A of MM c 152"can lead to-the i mpasition of criminal penalfi s of a fine up to$L500.00 sadder one year imprisonment as well as civil penalties in the farm of a STOP WORK ORDER and a fne of up to$250-00 a day against the violater. Be adx'ised#hat a copy of this statement maybe foiwarded fa the Office of Iraq esfsgafians of the D-T for Mi si uraace covet-age mriff-catia L Tsio&ersby c f E�r�arltRY tTxB plrl7LS IQI!h?.S of urlr fhatfa'ts irifor nzedioul? tidied abme is,bars zd correct Si2Rature_ Date- / Phone ik ojld L use anfy 17er nat aFrxta idr tf trx€a,fir be carrsp�etr�d by city r�rfan�u n,f jrciat City or Town: PermitMicense# Bsuiag Auflmr€fy Cdrele one): 1.Board of$ealth 2.Building Department 3.City1rown.Clerk 4.Electrical Inspector 5.Plumbing inspector 6.Other Contact Person: PhonL#- L - _ ; a xna an an Instructions Massachase#is Geneaal Laws chapfar 152 reqaires all employers to provide workers'compensation for fhek employees_ p �this fie,an m?Iaprr is defined as"_.every person in file setPice of another tin der aay contract of bn e, empress m implied,'oral or writb� An�Ivyer is defined as"an indiviffiA pMf aers�,association,corporation.or other IegaI entity,or any two or more of the foregoing engaged is a Joint e0t q)Ii=,aad mcbidfng the legal representatives of a deceased employer,or the receiver or trustee of as individual:par acmbfp,association or other legal entity,employing employees_ However the owner of a dwelling bonse having-not more than t3a•ee apartments and who resides fh=in,or the occugsant of the- dweIIing house of mofher who=ploys pem=to do main�ce,consfzuctian or repair wo-on such dweIling house or on the grotmd9 or bmldmg apP��thereto shall not because of such emplaymnnt be deemed to be an employer MGL chapter 152,g25C{6)also stems that"every state or local ficensmg agency shall wit�ihold the issuance ar renewal of a license or permit to operate a business or to construct b•oildings is thin commonwealth for any aPplicant who liar notprodamd.acmpta-ble evidence of compliance with thie bisur n ce coverage requiredf AddiionaIIy,M(ff cuter 152,§25C{7)states Neither the comet aaPeala nor gri of zfr poll ical subdivisions shall enter ink any c�nftact for the performance afpublic wotic uaf�I aLcepiable evidev ce of campliancey�iih the �.- rtTnrr-mef's of this chapter have been presenfnd to the confracfiagg m th orb_" Applicants Phase fiIl oil the workers'compensation affidavit comple#nly,by chfm. the boxes ffiat apply to your situation and,if necessary,supply s❑b-confracfor(s)name(s), add-ess(es)�dphonenamber(s) aImgVitlitheit cerbfc�(s)of �ja ce. Limited Lia, iMfyy Companies(LLC)or Linuted I bbfiity Parfnerships(LI P)wfthno employees other than the „ members or partners,ate not rbgaimd to carry workers'comp ensaliou i os c:e If a a LLC or LLP does have employees,¢pokey isrequired. Be advisedthat this afFrdayitmaybe snbmitfr--dta thD Depa-Ltm nt of Industrial Accidents for confirmation of insnz-an ce coverage Also be sure to siga and date-the affidavit The affidavit should be•refcrmed to the city or town that the applicafion for the permit or license is b eing regnested,no t the D epadmmf of L-,d ct,[:jal Accidence. Sbauldyou have any gIIesfions regatdmg tfic Jaw or ifyon are regoaed to obtain a-workers' c(:impensafioupolicy,plmse caathDDeparfine±atthammnberlistr-dbelow Self-insaredcallIPanies should eaiertiieir self--i Wince licensent�ber®the appropriate line. City or Town O$icials Pleasebesru that the affidavit iscompleteandpriniedlegibly. TheDepmtneathasprovidedaspaceatthebottom of the affidavit for you to fill Ott in the event the Office ofTnvesdgations has to coafiactyou regarding the applicant P leas e b e stir e to fill i a the pMm�cmSe'Mmber which will be used as a reference ntmlber- In addition,an applicant that must submit mulfiple P emlifllicense apphca#ions is aay given.year,need only submit one affidavit mdir t rnrrr�t policy infor matiom(if amm-sazy)and tinder"lob eta A&—mss"t3i a applicant should tie"all loci ns II (crLy or frown)_'A copy ofthe-affdavitf3iathas been officially stamped or madced bytite city or townmay be provided to the applicant as proofthat a valid affidavit is on file for ftte'pmmits or.licemM A new affidavits be filled ovt earn. year.Where a home owner or citizen.is obtaining a license or permit not related to any business or commercial vanburo e or permit to bum Ieaves eft.)said person is NOT rMloa-d fir ctl (ie_a dog licens raplein ties affidavit TheOfficeofInyesff�wouldhlmtoffimakyoumadvaaceforyourrooperafianaadsbfluldpouhaveaayq¢mions, please do not h.es>fatt'to give us a call The I}ep_arf acuf s address,telephone and fax number: Ike CGMMMWMME of massachuaetfs Depadment C&1>zdusf dal AGI,-iJau-t3-3 Of ace.of kVe Vg1ktio--- �man Stet Bow MA f l 11 -` eL 1617-727-49W cmt 4-06 or I-9 I&A.3 E Fax#617` 27-7749 Revised¢24 D7 �- -T TowA of Barnstable Regulatory SekTices Richard V.ScA Director BandIag D"Ion Paul Rome,Building Commissioner ZOO Wk W=4 Hyant,MA M601, Office 509-9624059 Fax: 509-790-6230 Property Owner Must Complete and Sip This Section If-UiWg A Buider a Owner of the subject pwpaty tQ act on my behalf, in PI=atan relative to work authotited by this buflding permit application for. (Addtess of Job} **P0DI fences and g,I1,ffn ate the responsibility of the P001S an not to be Oned or utilised before fence is installed and all flag inspections are performed Ind accepted. skmamm ofow= Sipatuee of Applicant Print Name Nnt N=0 E a. .: OS Y� 4 t,� f �I�v 73 ------------ { d . r " 1 7 k At --5 3- :X 73 k t a �fi�*t✓"" "�^,yam,,n pyM 1 PA 73 k ' J r . re;R, .. .- • 'fir/ ."x.F` . *t "ra4 roo1w 1 1 Massachusetts Depadtmerlt of Public Safety Board of Building Regulations and Standards License: CS-086733 Construction Supervisor CHARLES PISACAIJO a PO BOX 126 ' HYANNIS PORT;MA,. Expiration: Commissioner 07/29/2017 Construction Supervisor Restricted to: Unrestricted-Buildings of any use grou less than 35,000 cubic feet(9 p which contain space. 91 cubic meters)of enclosed Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit: WWW.MASS.GOV/DpS --------------- Vhe (pomunco�rcweaC�•c a�C-%UGada¢c6[�rleG�b - Office of Consumer Affairs&Business Regulation License or registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration41,79053 Type' ' 10 Park Plaza-Suite 5170 Expiratfo 18 Individual Boston,MA 02116 CHARLES PISACA M j R i _ CHARLES PISACAIAil 73 HARBOR BLUFFSRff- :;•'' _a x,. >__`itr..---- HYANNIS,MA,02601 Undersecretary Not valid without signature �. I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 099 Alication Pp 1 XW Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fees 5 U Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis C/wt C4,,'1 7� Project Street Address j_3 oe,—�_W.5 l ©5 7"�2 1,1/4 Village 0.97;5-2 P// I-L C-- Owner I!ZlZ!els4M l2/-��/� C-1 L Address (®Ci?5T Telephone Permit Request 1GTG" % G /y✓S 7-12-�, 1* 7-/OIV 4V-' A ;2 X—e' ev-W/) -3 A2GUrDv'SL.� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new �(n Zoning District (�i Flood Plain Groundwater Overlay Project Valuation 57'�,construction Type Lot Size p Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 1�la Historic House: ❑Yes/4 No' On Old King's Highway: ❑Yes WNo Basement Type: A Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 2 new Half: existing new Number of Bedrooms: .3 existing _new Total Room Count (not including baths): existing _5' new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other (� ��• tukuoa n Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/1r oal stove: ❑Yes ❑ No �� Q Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size VA oexisting ❑ new size_ Attached garage:J0existing ❑ new size _Shed existing ❑ new size �Ofher ctie` ?`,r �� Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT IiNFORMATION (BUILDER OR HOMEOWNER) Name (,7,dl sa-/Z4G_s Telephone Number 77! 1f5e4` Address // ,�c�G / License # G5- 486733 / i n�'d✓/S��a/L% �-(✓,� OI z-0 917 Home Improvement Contractor# Email .tic�f�d��� %lZ=S .e0141 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO T/Q,- / SIGNATURE �� DATE FOR OFFICIAL USE ONLY APPLICATION # fi DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Towns of]Barnstable E Regulatory Ser0ces Richard V.ScA Director Building Division Paul Rome,Building Commissioner zoo Main Sweet,Hyannis,MA 02601. www,town.barngtable ma,us Office: 508-8624038 Fax: 508-790-6230 Property.Owner Must Complete and Sign This Section I I'Using,A Builder I 3 j A r5, as Owner of the subject property hereby stAotize 2"a-z.cy /�i5 n�y to act on my behalf in all mattus relative to work authothed by this bw7ding permit application for (Address of Job) "Pool fences and alarms ate the responsibility of the'applicant Pools ate not to be tilled or utilized before fence is installed and all final inspections ate performed and accepted. Signat=of Owner 1 Signature of Appflcaat i A ( (- "Acr) Print Name': Print Name Date VOWAS;OWMPERIYUBSTOWOOIS • �I `i i :i is 3' �l 27m C'r mnfornwakh ajfMassr dhmetfs DVark>fent r fIFt ctriatAccidadg - - fce a '�gatEcrns ` 600 Washiugion S'treet Boston,LM 02111 ttwn masmgorldia Wkw1mrs' Campensat mtInmmnce,dffdavit BmlderslContractursfElechi,rLmLsJPtumhers Apphc.-n# / PleasePiinf Le��F • �Zffi,!e I�3..cinr_cc��3a�6.� �/7�2��s' /l$����� Address: / 6 Phono-,"k' Are you an employer?Cherkthe appropriife ban ' Type of project(regui m4-- L❑ I am a employer with 4 ❑I am a general coafraatar and I 6. ❑New consbrudian employees(full andfot:part-ime * havehiredthe sub�cwkracfoss 2. I am a sale proprietor orpar Her Pied ou.the attached sheet. �- ❑R odelsag ship grid have no employees Thy sob-contractors have 8..❑Demolition. worlrYng forma in any capacity= pomp-Mrs aadhace o err g. Epildiug addifion�. INo�ia�ers' CAnlp_irec�tranre CQS111?_�rtm J`'' re ;red] $. ❑ We are a corpomfica and its 10:❑Electrical repair or adclitious 3_❑ I am a hameovmer doing all;work officers have exercised their 1L❑Plumbing repairs ar additions. myset£[N8 ' - Tiot of won per MGL 1'❑Roof rep-aim imurance retp icedl f c.152,§I(4�and we have no employees_[Nd wodwrs' 13_El other cane-ittsurmmraequired.) `�Y aP'F&tmt�at cFie�'5ax�l mad elsa fffi��e sectioabebax�smvng�ei�rwoil'cet�'campeasatiaupoTicgi�o�ao_ #ffnmeoarnersubo snb=a ffm tffidarit inaadng they im lain=aUwc*au-d dLemb¢e Gut dgrontuclarsamst mbmit anewaffidw indiestino sadi rC0E=Rcf0n-ffi tcbecYiwi box must w=clud sa addifirmal sheet dwwl=gthen—of t}ie sub-ccmtmcdomaod statewbelhet ornot•rhase ead*sba%qe empivye�.Ifthesu5Laat rsha�eempIo s;tfieY�stpmtddetbe'usrarkm'—p.policya> M I arc Orr elltp�r f7eaf;it prauitiu�;ti�orkets'cotrrperrsrrftart insriranca�nr rrr}T earplQ}�ee,� $etaov is i�TtepaFic�•rind job site Fiz�ornzrrlian. - ---- Imuzance company Yams 'Poficy�or Self-ins.Iic_� F�piaatiaaDate: �� Job Re Address: citpf5tatelzip: Af#ach a.copy of the.workers'eompensafiQnpoTrcy-declaration page(sh%wiug the policy number and expiration date). Fail=to secure coverage as required.under Section 25A of MW-r-1Sf can lead to the imposition,of criminal penalties of a fine up to$L50D 4U andfor one-year imprisvumeuk as well as civil penalties in$te farm of a STOP WORK ORDER and a fine of up to$250-00 a dap against the violator_ Be adsdsed#fiat a copy of this sfatemennt=ay be fxwuded fn the Office of Inesligatiow ofthe DFA,far iflstmince coverage verification_ Ida hereby certitif Hader fhs pains and uat€ces a�f� crg 8ratfTrs ucfarzssa#rara prw'&d above is bars and carrect Phase iz Qjgkiid use a nry.. Do jwt wrke in this area,to be wimpTeted by c.fty artown offi fat City or Town: Perumf lcense; Luning Audwr€ty(chrje one): L Board.of Head 1 Buffirmg Departrnent 3.OitylTown Clerk 4.Electrical Inspector 5.Phuribmg Lnspector CL Other Contact Person: Phone#: information and Instructions ions Massacho G_-t ral Laws chi 152 reqmies.all miplayers to provide WD'kT 'compeSion for fb r emploYees- P=SU,-Mt-•D this fie,an aZ47LV=is defined as":every Pisan in.die service of aaoi3�er mld=any cOmtmd oflin e, egress or implied,oral or " ar(n assoriaiicfn,crnporajion or other legal entity, any•a or 'CwD DI more . An envk yer is defined as an kffiv dnal,p �, of a deceased employer,or iiie of the foregoing=gaged is a joint ,and inch-ding tiie legal Wives received'or trastee of an bXNidna?p21t0=ShIP.amoeiatim or other legal entity,employing employees. However the owner of a dwelling house having not more than fhree apartments,and-who resides therein,or the 0acopaat offize- dwelling house of another Who employs persons to do mace,consf uct on or repaff wolk on such dwe Ding house (hereto shallnotbmaIIse of such emplcym Abe deemedtn be an employer." or on the grounds or building aggur[rua� - MGL chapter 152,g25C(G)also sees that"evexysiat-.or local Ticemt-mg agency shall withhold$ae igsaance or renewal of a cettsa or permit to operate a business or to contract bnrldiags is the comrnonyealth for any applicantWho has not produced.acceptable evidence of cumpBabce Wft1t tlYe in`mrance coverage >ted" requ Additionally;Md a�p�152,§25dM states-NDitherthe nor;'ay ofitspolitical subdivisions shall eotcr- into any contract for the perf=ancd o fpublic Work——acceptable eviden ce of eompliap ceYlith the msm'�ce. rcTn emus of this chaptEr have hem preserved in the conraciiBg anfhouty." AppHc-aats ... Please fa o:Ct the wo&='compensation aiT:Ldavrt completrly,by chec&mg the boxes that apply to your Mfnakon and,If necessazY,supply sub-cmftact°r(s)name(s), address(es)and pacimnumber(s)along wiflt9=oertfcHtzCs)of h=ra .ce. Lmmitsd Liability Companies(LLC)or Lnit:ed Liability Parf mmhips(LIP)Wnno employ=other than file members or partners,are not rbquired to campy worice&crmzpensalicn insurance. l an LLC or LLP does have eam.PIoY=s,a.policyisrega:ked. Be advised that lhisa-Mdayit maybe snTmz fed to the.De,-parfmcntof Industrial Accidents for conf=atic of iosurance coverag. Also Be sure to signs and date the affidavit: The affidavit should berefzrmed to$e city or town gist the application for the pemit or license is being rmjaestA not the Department of Turin cfi l Acp dam. nouldyou have any Question regarding the brw or ifyon are requi-ed to obtain a workrs' compensation policy,plmse call the Degartcamd at the amberlirstnd below: pelf-insured companies shanId eft their self-insurance license oumberr on the appropriate line. Crty or Town OfElaals f Please be sure that the affidavit:is complete and priatcd legibly. The Department has provided a space at the bottom ofthe affidavit for You to fi 1 out hlthe event the Office ofinvm-dgetions has to cozdactYoaregazdmgthe applicant= Please be sure to f Minthe peami'llicersenumber which wMbe;used as art&=ce comber. In addition,an applicant ffiat must submit malfipIe p emntllicense apphbations in any give•ycm-,need.only submit one affidavit mdica±mg cu,�ens policy inforosation (iEnecessaiy)and under`club�e E�_dc�sess"tie applicant should wrhe:mall locafkns in ( Y Gz town)--A copy of the�afffidavit thathas been officially sfmnpped or monied by size city az frown maybe provided to the ' applicant as proofthat a valid affidavit is on file for fa zxre'pe1zts or.licenses Anew a$davis or c m fill-d 1.T ea.cb. Year.Where a home owner or citizen is obtaiIImg a license or peunitnot related fD any bnci„�c or-vit zial v (ie.a dog liens-or pe�zt to bum leaves etc.)said person is NOT >=d to coznplefn taus affidaYit 'lieOfficeofInvestigationswoulclhlmiothankgot�madvanceforyourcocpeaafionandslmuIdYonhaveanyq �. please do not hesBzte to give us a caIl. The Department's ad&=,telephone and fox Tha canmm d*of Iassc1insettg - D �c�fladm�zalA�i�.ents • . f��e af�tg�tig�tio� Baste M&0�111 Ta 4 617-' -4900 i=t 4--0.f or 1477 IA SAFE Fax#617 727-7M Revised 424-07 �r� 63 East Osterville Road, Osterville, MA 02655 1 RealtyInSite Page 1 of 5 5-OP U9° 63 East Osterville Road, Osterville, MA 02655 I ## A i r 3 r � z 7 4 r - ill M1 oa `p � MA 02665 j I , (https://maps.google.com/maps/@41.6544528,-R@,,%Wo&%Qft,�7itlo§394,W#y li�d&dIG1�ZK��13fJildfdSfltlllB§� ��S094QdiRip�R3�f-uMulSw&chp=1,308.928„1,-o.�$b2�h1�6rPB8f Click to view the Official Assessors Field Card f (http://www.townofbarnstable.us/Assessing/propertydisplayscreenl6.asp? ap=0&searchparcel=122098) OWNER INFORMATION Owner 1 Miriam B Ferreira i Owner 2 Owner's Address 63 East Osterville Rd Osterville,MA 02655 + l MARKET SALE INFORMATION Most recent sale date 9/11/1997 Previous sale date 9/11/1997 Transfer document# 10947-65 Previous transfer document# 10947-62 Grantor Keane,Florence L Previous grantor Keane,Florence L&Norma F j Most recent sale price $114,500.00 Previous sale price $0.00 SITE INFORMATION Property ID 122-098 Lot Size 0.41 j Use Code Residential,single family Zoning !f Building Style Ranch Number of Rooms 6 Stories 1 Number of Beds 3 Year built 1977 Number of full baths 2 IIII Condition Number of half baths 0 Finished Area 1452 Number of Kitchen Gross Living Area 3340 Number of Fireplaces Bsmnt Floor Number of parking http://www.realtyinsite.com/cma/63-East-Osterville-Road-Osterville-MA-02655/BARNST... 1/6/2017 63 East Osterville Road, Osterville, MA 02655 RealtyInSite Page 2 of 5 i Interior walls Drywall Floor type Hardwood Solar Hot Water No Roof structure Gable/Hip Heating type Hot Water Roof cover Asph/F GIs/Cmp Heating fuel Oil Frame type Air Condition(%) Sidings Wood Shingle ASSESSMENT INFORMATION Fiscal year 2016 Land value $110,200.00 Total value $263,900.00 Building value $111,400.00 Estimated tax $2,456.00 Yard improvement value $42,300.00 H Print Map(../../Repor s/Viewer?type=printMap&id=BARN STABLE$122-098&sessionId=005ed686-eda0-4600-8d7c-2b43813100be) CZ Zoom Level:Property 0 Map:Street Map 0 Show:Address Comparable Properties ` 04 Mailing Labels(../../Reports/Viewer?type=printLabels&id=BARN STAB LE$122-098) $ Valuation Report I 0 View:General Info http://www.realtyinsite.com/cma/63-East-Osterville-Road-Osterville-MA-02655/BARNST... 1/6/2017 f - - A . Town Of BarnstableZ.�( CY'?��C� �oFrr�r'okti Permit# � Regulatory SeExpire"pires no�r1/is ran issrte dntr rvices Fee * �gRVSTA.BLE, ' y dAss. $ Thomas F. Geiler, Director (A Building Division v Tom Perry, CBO, Building Commissioner 0 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY /Val Valid witkour Red X-Pres•v Imprint Map/parcel Number15 Property Address 0—; 05tp, U lVe-- QS-�- 1� 1. ,Residential Value of Work ® 5o' Minimum fee of.`635.00 for work under$6000.00 Owner's Name & Address M R r`l II Sm&(CL Contractor's Name IV 1 Telephone Number Home Improvement Contractor License #(if applicable) Construction Supervisor's License#(if applicable) � .�y � z,�a O ll � ❑Workman's Compensation Insurance Check one: I am a sole proprietor o 1. � - - C � f 0.10,.. I am the Homeowner 'TOWN OF BARNSTABLE I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request (check box) ❑ Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to Re-roof(hurricane nailed)(not stripping. Going over existing layers of rood Re-side #of doors Replacement Windows/doors/sliders. U Value A��01freN (maximum .35) # of window *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License & Construction Supervisors License is 1. -required. Q SIGNATURE --------------- ; ):\WpFILESIFORMSIbuildingpermit formslEXPRESS.doc n'71110 . The Commoirlt'ealth oflAIassachitsetts -- Depmrtin.errt of IndustrialAccidews Office of 17mestigafiaris 600 Washington Street Boston, JV4 02-1-1-1 s ►vtvt .rrrass.gov dia Workers' Compenubon Insurance A_ffi.dm it: Builder:s/iC'ontractorsJElectlicians/Pliimbers Applicant Inform.atio:n Please Print Leobly Na:t�ie(B•t ssrnevs/'Orgaui7a6ou.qndividnal): M11900 A- ci /slate/Zs. 6 s s e tY p:�� � 0 OZ Phone Are you an employer? Check the appropriate.boa.: Type of project(required): 1...❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part=ti�.e). * have hired.the sub-contractors 6 ❑.I few constnic.tiou I❑ I and a sole proprietor orpartneT- listed on the attached sheet- T ❑Remodeling have no employees These sub-contractors,have strip aremployees $. ❑Detuo.lition working :for me in any capacity. p-employees and have Workers' fv� .insurance.., p. ❑Building addition worlcers' comp.instiran.ce coin 10.❑Electrical repairs or additions(� .tluired.] 5. ❑ We are.a corporation.and.its E3. I am a.homeoumer do ng.all work ofyscers have e-ercised their 11..❑Plumbing I'epaus of additions myself. [No workers'comp. right of exemption per NIIGL 12.Ej Roof repairs insurance:required.]r c_ 152,§1(4), and we have no enTloyees- [No workers' 110 Other comp.:irrsurance required.] 'Any appticaut thatdwc4zs box#1.mast also fllout the sectioa below,&bowing ih.eirworkers'compeysati:on policy infonwtian- t Homeowners who submit this affidavit indicating they are doing all nrorlC and then hire outside contractors trust submit a eety affidavit indicating sadL =Car&ac.Inrs that check this boos inust attached an sddidonal:she.et showing then sme of the sub-contrcctars ao.d stale whether or not'ihose emitees have employees. If the sub-c.ontxactors_have employees,.ihe.y.must provide their workers'comp.po q-number. T trrn Ru urptol r tdtrrt is prvt idirrg rt t+. ��rs':corrcpeatsrth'on rts�trvrrrc�for rrty eltrpla�ess. BelOW is the p.olic.,p,and job site iq jbrAntT. v& Insurance Company Naive: Policy#or.Self-ins.Le. Expiration•Date: Job Site Address: City/State/Zip: Attach a copy of.the ivol-kers'compensation policy declaration page(sh-mving 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 pemalties of a fine up to$1,500-00 and/or one-year unprisonmen.t,as well as ci-tril penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the vioLitor. Be advised that a copy of this statement may be fbmarded to the Office of Investigations of the D.IA for insurance coverage verification, I do Itr�by r.,ertify tartden-the prrirts a,trl(per.tattres of perjerry drat the it forrrarrtivlt prot7rlerl.abot��cs tret.a aEtd�c)orrect. S Emature �Plwne#: l—lZv 3 FBoard only. Do not ijvite in this area,to be contpleted by cit1 or town ofcial n: Perinit/L.icense# hw ity(circle one): Health 2. Huiltiin.g Department 3. CitytTown Clerk 4. Electrical Inspector 5.Plumbing Inspector on: Plione M NEr, Town of Barnstable ' Regulatory Services M k `I$AssB '$� Thomas F. Geiler, Director ,639. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www,town.ba rnsta ble,ma.us Office: 518-862-4038 Fax: 508-790-6230 HOME,OWNER LICENSE EXEMPTION Please Print 1 OCATI.ON� � I y�I kb �?WA)6t&8 1A ]number street � village GhIOMEOWNNER // '� � T name home phone# work hone# CURRENTM`A'IL'NG ADDRESS: ✓ �" '�-- O� (f t tty/town 's tA e zip CAFE 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.I) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. �g`nature of-Homeowncr��`--`� 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 ofconstRtction 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 cannotproceed against the unlicensed person as it would with alicensed 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:IWPFILESIFORMSIbuilding permit formslEXPRESS.doc Revised 072110 1. of THETA * BARN5TADLE, 9� "SS s6jq: Town of Barnstable �� pTfD MA'S n Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town,barnstable.ma.us Office: 50.8-862-4038 Fax: 508-790-6230., Property. Owri ,r Must 4; , . Complete and Si This Section, p g S row If Using uilder ........ ..... .. I as Owner of the subject property hereby authorize to act on my behalf, , in all matters relative to work authorized by hi bt ding permit application for: (Address o job) Signature of Owner Date Paint Name If Property Owner is applying for ermit, please complete the Homeowners License Exemption Form on the reverse side. Q:\WPF(LES\FORMS\building permit formskEXPRESS.doc (0 Town of Barnstable Approved _I Regulatory Services Fee ' 'I0 Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 3 Home Occupation Registration Date:Name: CAC(�I /( 6 060�,/y,,/ /� 2 Phone#: -5Qr `� ��✓/ Address: 6"/ Village: 0 ucz r't III e, Name of Business: � / C� Type of Business: P�1 ��'V(T Map/Lot: l ` Zoning District l Zoning Districts RF and RC-1 require Special Permit from Zoning Board of Appeals. INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there Shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a reLld�ntial use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration, smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation, and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No persons all be employed in the Customary Home Occupation who is not a permanent resident of the dwelling t. I,the undersigned,ha ead and agree with the above restrictions for my home occupation I am regist/ring. Applicant: Date l Homeoc.doc 1.2.2 Assessor's map and lot 'number ....... p� f A1L SYSTEM MUST EIV1 M BE •= Sewa a Permit number ''. ...............:................; E INS LE® IN COMP Wt .............. NCE g ` _ WITH ARTICLE-II STATE i ofTHEro ., TOWN OF BAI Itt-EwN „S Z EAWST"LE. i t` — 1'1 .. ,e.j .) �) 9 *AOL039 B G ' INSPECTOR 'E0 YPY Or ' r t r` APPLICATION FOR° PERMIT TO ................... ....................................... a-........... fi... . ........ .'J TYPE AF CONSTRUCTION ............... .. ............................... :. .............................. 19. °"'` 'TO"THE--INSPECTOR`OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Locationf... .... ...l.�.. .. ... ...... .. ........��............ ......... ,...l............................................ Proposed Use ........ 4�..................... ... ................................................................................................................................... Zoning District ........�`.C...,<.................................................Fire District ... ...C/ Name of Owner ..... . ...........` :4%-......... �!l/%...................Address ............. r........................................... /r � lr Name' of Builder ....................................................................Address .................................................................I................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ........Foundation ° Exterior ............... !/�....................................................Roofing ................... ............................................................... Floors4�.41i..Cx..................................................Interior ...........,. .... ............................................................... Heating ......Plumbin .........�„�../T..Nye.. l�...Lll./.................... g ........... ................................................................. Fireplace ...........1 ��t."42. ........................................................Approximate Cost ..... .................................... Definitive Plan Approved by Planning Board -----------__ ��pf.o.... ------------------�9--------. Area Diagram of Lot and.Building with Dimensions Fee -�' .• SUBJECT TO APPROVAL OF BOARD OF HEALTH 1, F I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above. construction. Name .. ............... .. ...... .... ................... Capewide Dev 122 98 No19.803....... Permit for ....-DwelLing.............. ............................................................................... Lot 1� a;t Osterville Rd. .fiLocation ..... ............................... Osterville ................... ............................... ..... ....... ............. Owner ............Cap.ewide...Dev............................. ...... .......... ...... . Type of Construction ...............................Wood n Frame....... ................................................................................ Plot ............................ Lot ...........1A................ Permit Granted DeMP-M. ex..2.........1977 .Date of In spection ........ ...................19 Completed ...Date Com ... .............19 37.... PERMIT REFUSED .........k...................................................... 19 ((.................... ....................................................... ...................... ................................................... ................... .................................................. ............................................................................... Approved ................................................ 19 . ................................................................................. :.......... ..................... .......................................... Ito GAtZ7E? Cart ern r�P rtG -1-A>,iK = 3�0� iSG % - 4-95 6.F.0. � 3'Z a2 USA- loco �� F'I-(" I,SE IC>00 t11r✓Wd t_l_ AZE.A = l50 s.t=. I��n SF 2.S = S-7 G.P.D. f �- �-oXA .aef=-a _ C:-:;;O r ToTat_ 4'Zs G•Pr:>• D Bax �_,� (,J CA 1 p,T ��fLGDLL�TIC1�.I I?l�T� � 11.1 �..�r(I►J 02 L>✓SS. d'•. o 04 do 5 F ' �!�``���, 4 , `� _ _ •mac' - -- - - _ 'ti . ao EL Tes7- Tor rN 4 n = o c,.C. L 9' -47 iPE 91 o �.r. a+H P loco IW. 4'�p� DtST. IW. GoL. 9G-q -Box 9L51 ScQr{c Io ��, ,J INV. 'TANVC I oop �5 6 t�Nv, I A4 W ru i WASHED Cr--tZTtF1TrD pLC>-T- PL- /,I-j Ptzo F- t L� L o GA T I o" E2 VIA I C_i:iz�r►�=ter i't-tA-T' TtaL �-nUWr��.;'1otJ St-lorv►J PL4t�.l 2r--1=ER.Ek.ic_E-.. t-il i•_'t'.:lyt�l Gt:.+.r\1'L�(a �h/ t'1-t� Tt-1c= �jiL�C 1.._tl-�� ,, �„OT � i � t.;t.� •.�.•rt .r.ctC S:r_1Y�1�cn��:+�T� or TNt:� Pc.A�.! �-a� ' y -R, ...... a --t+'� P�=T�'�'7f 1► t::QTC,p lzoi•tIGWj 1 Ir`t"i1 B A, kTC_1Q, v Y G TE v1t...1 il.j• ( �,' :.'l{ _I,j�' �:+:_�/l=�" �1i (.�FiJ'J.►��t) sit.{I.EJl�17 p ?1_1 rA"!-�.(T_� , owE I+.t&& Fmxc Rwrr�r. , t 4s e 249 ft` G 3 E yC s JE•'i , j _ 4 ft2 ' r ,v 77 7 a - 2f7f3 . ._ II ba r 'i �� 20Sft` �II� � � 7 �1' e - �. .- •. - - .. •m �� • _ � ,� a -.�. - - � - �� .... °� � _. _ �. , s _ 318 fe 03 _ -^^ -¢.=— :tag. _- _ •- - k - y LrJ 3 2m t -ra ;s CJ v cp 3 '244{t= v 1 , t , 13• ri,C01. . ��.__ � --- :LE'It' SMOKE DETECTORS REVIEWED • ; f a # j BARNSTABLE BUILDING DEPT. DATE' FIRE DEPARTMENT *DAT BOTH SIGNATURES ARE REQUIRED FOR PERMITTING � F f EXIST. EXIST- rr GARAGE HOUSE EXIST. HOUSE NEW 3R_ UNHEATED ON. 20 t 1.' EXISTING SUNROOM DN. 20"t 4 . n r. 10'a'x80" W� SLIDING DOOR EXIST.FLAGSTONE FLOOR 17 ON EXIST,GRADE.INSTALL U NEW 4"CONC.SLAB W/6 1 AND. x w MIL POLY UNDER OVER NEW EXIST.FLAGSTONE FLOOR SAY ;w,y EXIST.FLOOR OR ON v ON EXIST.GRADE.INSTALL N WINDOW r'a STRUCTURAL FILL ` LAUNDRY NEW 4"CONC.SLAB ^I MIL POLY UNDER r DN Imo. `-4 OPTION:INSTALL A P.T. EXIST.P:T.4 x 4 POSTS ON 12" W 1 `0 2 x 6 SLEEPERS W!A 3/4" DIA.CONCRETE SONOTUBES _ POURED 8"CONCRETE WALLS y o 13 (; PLYWOOD FLOOR&RIGID INFILLED BETWEEN SONOTUBES TO 4'0"BELOW GRADE AT I' 3'0"x 6'8" STEP iD Z o If INSULATION 8'0"o.c.MAX. = ON 5" DOOR c 1 AND. AND. AND. AND. AND. AND. AND:- AND. AND. , 6'0"x 6'8" AND. AND. AND. AND. AND. AND. "r 2846 2846 2646 846 2846 2846 2846 2846 3056 SLIDING DOOR 3056 2848 2846 2846 21M6 1846 ' A B k Al f Al f. - !_,. _. 2'4" 2'-10" 5'�" 2'-10" 5'-1" 2'-10" 4'-it" 2'-1a' 4'-8" .;\ i1 1 6'-6" 5'-11" 4'1" Z-10" 4'A(Y' Z-10" F-8" T-3" 7^0" NOTE: FIRST FLOOR PLAN 3 THIS ADDITION WAS CONSTRUCTED BY THE PREVIOUS OWNER WITHOUT BUILDING PERMITS. THIS PLAN SHOWS I ALL EXISTING CONDITIONS'AND REMEDIES SPECIFIED t' BY THE STRUCTURAL ENGINEER. TYP. ROOF CONST. ' = INSTALL SOLID-BLOCKING INSTALL SOLID BLOCKING ¢ P -2 x 8 ROOF RAFTERS @ 16"o.c. RAFTERS ATTACKED TO BETWEEN EA2.A TI TER BETWEEN EACH RAFTER -5/8"COX PLYWOOD ROOF SHEATHING EXIST.FASMA BOARD W/ &SIMPSON H2.SA TIE EXIST. ATTACHED W! &SIMPSON H2.5A TIE NOTES. -ASPHALT ROOF SHINGLES 2 x 8 LEDGER.USE(2) 12 2 x 6 LEDGER USE(2) 12 �`- -15LB.FELT PAPER LEDGERLOK SCREWS AT LEDGERLOK SCREWS AT -ALUMINUM DRIP EDGE EACH RAFTER TAIL EXIST. EACH RAFTER TAIL EXIST. 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS ' &DIMENSIONS IN THE FIELD tT INSTALL NEW SIMPSON 12 i, INSTALL NEW SIMPSON 12 e' H2.5A TIES AT EACH RAFTER 2 Q H2.5A TIES AT EACH RAFTER 2 3; 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, 1s' DETAILS,&FINISHES IN THE FIELD WITH OWNER 2'A VS@ Xgs Cdl l6 0. 3. ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS � ' 2 x 8 HEADER iiETWEEN �yll wb STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 EACH P.T.4 x.;POST WI O 2x860LTEDONTOFACE EXIST. EXIST. d 4.) 110 MPH EXPOSURE B WIND ZONE USE(2)TIMBEIILOKSCREWS HOUSE HOUSE @ 16"o.c. 3.1 5.) FOLLOW ALL REQUIREMENTS OF THE IECC2012 RESIDENTIAL ENERGY o Y Y EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION F- S NEWJ �� " ' NEW INSTALLER/CONTRACTOR. E UNHEATED 6.) SEE CERTIFIED PLOT PLAN DEVELOPED BY WARWICK ASSOCIATES z 4 WALL INFILLED SUNROOM m LAUNDRY r BETWEEN POSTS 2 14 WALL INFILLED `r FOR ALL PROPOSED&EXISTING DETAILS BETWEEN POSTs <: 7-) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL SIMPSON COMPONENTS a' P.T.4 x 4 POSTS ON 1T' EXIST.FLAGSTONE FLOOR DIA.CONCRETE SONOTUBES ON EXIST.GRADE.INSTALL P.T.4 x 4 POSTS ON 12" ; EXIST.FLAGSTONE FLOOR 8.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS TO 4'a'BELOW GRADE. NEW 44CONC.SLAB Wl11 ID DIA.CONCRETE SONOTUBES ON EXIST.GRADE.INSTALL I= TO BE 3000 PSI W!SIMPSON ABL144 MIL POLY UNDER T04'a'BELOW GRADE. NEW 4"CONC.SLAB W716' 9.) VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE wi SIMPSON Aeuaa MIL POLY UNDER DURING FRAMING CONSTRUCTION POURED CONCRETE WALLS INFILLED BETWEEN SONOTUBES3 03 POURED CONCRETE WALLS 10.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE INFILLED BETWEEN SONOTUBES k 11.)FOLLOW ALL REQUIREMENTS OF THE 110 MPH CHECKLIST SUPPLIED Lr IECC2015 RESIDENTIAL ENERGY EFFICIENCY DETAILS CLIMATE ZONE SA(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION TABLE 402.1.1(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS n S E CT I O N @ NEW S U N ;OW r^,' n S ECTI O N (&- NEW LAUNDRY FENESTRATON 6KYllGMT CEIl1N0 WOOD FRAMED WALL FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE 1J' U-F. U-FACTOR R-VAL11E R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE Al - I1 ����,.//////''��� •`1 ' 0.32 0.55 48 1 20-6 30 15118 1014 FT.DEEP) 15119 1'- NOTES: eo cf) �d I 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. - _ ..►+ (,- y 2.15/19.MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR OF THE HOME OR R=15 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL ) 3.REFER TO IECC 2015 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS t- 4.20-5 MEANS IRS CONTINUOUS INSULATED SHEATHING ON THE WALL EXTERIOR •F &R20 CAVITY INSULATIONI _ tr THE DESIGNER SHALL SE NOTIFIED IF ANY 1 ' , S BQ� COTUIT BAY DESIGN, LLC CNTBU o'�BUIaNGCGGNM TOR NEW ADD ITION/REMONELING FOR: �`J SCALE : DRAWING NO.: THESEDRAWWGSPRIORTOSTARTOF INILLSE _ _ _ /1 1 11 N THESE ORAYANGS FNSIBIL FOCONSfRUCT10N r p/,''n`'u7 � S�U -I,L 1/4 1 -0 43 BREWSTER ROAD COMMENCES WITHOUT NOTIFYING THE 1'10 ° MASHPEE MA. 02649 TM SENDRAWINGSSARESo EL FOR SE RAN G E L R E S I E)E N C E PH. (508)) 274-1166 OF THE OWNER NOTED.ANY OTHER USE OF 1 g81I° DATE : FAX (508) 539-9402 ACTOF, NGS REQUIRES THE NTdTTEN 63 EAST OSTERVI LLE ROAD OSTERVI LLE IVIA "6'2017 Al CONSENT OF THE DESIGNER UNDER THE -I„{ ARCH ITECTURALCOPYRIGHTPROTECRON t I ASPHALT ROOF SHINGLES Y TO MATCH EXISTING ASCIA,FRIEZE,&:SOFFIT BOARDS - TO MATCH EXISTING z f }` FFH H I I I FFH FM R - - - 111 11111 1 1 i. El LLIJ F• F; F" REAR E L E VAT I O N NEW SIDING&TRIM TO MATCH EXISTING � � t.. P 12 12 a Pa EXIST. EXIST. f. 12 12 ' Q 2 2� FT ® s i% RIGHT ELEVATION LEFT ELEVATION VERIFY EXISTING DOOR HEADERS x� ' IN THE FIELD&UPGRADE IF THESE 4 SIZES ARE NOT FOUND CL 211. 2-2X8HDR. ✓'�! '� fV �' Ge" W Izz 0 I N O x m � I s �i i 1h A ROOF FRAMING CLAN B 2 STALLSIMRAFTERS O H2.5A SOLID 2 x 8 BLOCKING IN THE OUTSIDE INSTALL EACH R N ER f A TWO RAFTER&CEILING JOIST BAYS Q 4&"O.Q.ALLOW SPACE FOR AIR Al Al TIES AT EACH RAFTER i> FLOW ON THE UNDERSIDE OF ROOF 77-0" pp SHEATHING LA to THE DESIGNER SHALL BE NOTIFIED IF ANY yS F ERRORSOROMISSONSAREFOUNDON $FT E��� SCALE : DRAWING NO.: r; B Q COTU IT BAY DESIGN, LLC CONSTR CCTIONGTHEBULLiHNOCOCONTRACTOR N E W AD D I T 10 N/R E M O D E L I N G FO R: 43 BREWSTER ROAD WLLSENEEPONSIBLEFORTL¢OONTENT g �uar� 1/4" = 1'-0" s IN THESE DRAWINGS IFCONSTRUCTHE 0/f '� SOU TT4 S' COMMENCES WITHOUT NOTIFYING THE J NO'� p K DESIGNER OF ANY ERRORS OR OMSSIONS. A Q' y MAS H P E E ,MA. 02649 THESE DRAW NGS ARE SOLELY FOR THE USE RA N G E L RESIDENCE EGIS� PH. (508 274-1166 OF THE OWN ER NOTED.ANY OTHER USE OF I �FssroNw DATE : {k THESE DRAWINGS RED ANY THER USE N FAX(50�) 539-9402 ARC RECTURALCOPYRGHTPROTE oN 63 EAST OSTERVI LLE ROAD OSTERVI LLE M 1/6/2017 ACT,) 19W. 1