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2000 MAIN STREET - Amnesty
gIle a o F A ij 1 1 r ° s L7 `�SEttS1OI STERMENs Sine 1963 Cell Phone:508.367.0757 obstem+en•ca� Phone: 781.545.6984 Fax:781.545.7837 x' f/v Rosle.K billylister1956@gmail,corn Barnstable 8 Otis Place Scituate MA 02066 r x Ipl� o M1 4 Q eF I Amnesty Program Helping to make affordable housing possible. i own ofBarnstable Certificate of Compliance This certificate indicates acceptable minimum habitable requirements per Massachusetts State Building Code and Town of Barnstable zoning ordinances in accordance with the Amnesty program. Owners William Lister Location 2000 Main Street, Marstons Mills Unit Capacity Studio Accessory, Unit shall not exceed (2) Persons Inspector M/P No. 078/105 7/17/2017 '"E'er"o„ Town of Barnstable 31-Qlk- a Building Department-200 Main Street °.EOMACA`0 Hyannis, MA 02601 Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-17-706 CO Issue Date: 7/14/2017 Parcel ID: 078-105 Zoning Classification: RF Location: 2000 MAIN STREET (M.MILLS), Proposed Use: MARSTONS MILLS Gen'Contractor: Permit Type: Residential -Singe Family-2 Units Comments: Amnesty Apartment 1 Bedroom Owner Dwelling 2 Bedrooms 7/14/2017 Building Official Date: Edo -r TOWN OF B STABLE BUILDING PERMIT APPLICATION Map Parcel C Application # ce Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board j` Historic - OKH Preservation / Hyannis Project Street Address 6610 M a-/ A Sr Village U' `q s on Owner J11/i i �p��ja L Address 2 Telephone V D :/ 6 7" d 7WSJ7 \ Permit Request n 5 4 Ida �� ��'7 f !�/ Q co Square feet: 1 st floor: existing J�aproposed 3S0 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type - L Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Z Historic House: YYes ❑ No On Old King-s Highway_ ❑Yet ❑ No Basement Type: ❑ Full 'e'Crawl ❑Walkout ❑Other 7i 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: EfYes ❑ No Fireplaces: Existing New Existing wood/coal stove: UdYes ❑ No Detached garage: 2/existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: W 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 +hl Proposed Use APPLICANT INFORMATION BUILDER OR HOMEOWNER) Name Telephone Number S 0$ Address 5 , License# h,c 115 4 a. Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS-PROJECT WILL BE TAKEN TO , q SIGNATURE DATE AV/7 ,-r { f FOR OFFICIAL USE ONLY a APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINALBUILDING � DATE CLOSED OUT ASSOCIATION PLAN NO. h ' P-k 308 6 1F^su 1. t `70 . f 1 1 m:.1. 1.ca Town,of larnstable i Zaning Board of Appeals Po : comprehensive°.Permit Decision and Notice Accessory Affordable;Apartment Program :Comprehensive.Permit.No:1017-006-;Lister fa�;ld,M 4 � 3i 11 i ri d Summary: Approved with Conditions :Applicant; Willi.i..am Lister Property Address: 2000iVlain.Street,'Nlarstons Mills,IVIA �j �� =iA 6i P1 U . Map/Parcel;; 078AQS5 :Zoning: RF—Aesidence F.Zoning=District, Resource P"rotection Overlay District Summary# Allow a one=bedroom studio accessory affordable:-apartment loeated.w thin the principal' dwelling.pursuant tothe,Code of:ehe Town.,of Barnstable,;Chapter 9,Articleill beed`'Reference Deed:Book 9 -12 Page 202- Applicant/Site witrol The Applicant is William Lister,owner and.occupant of property addressed 2000 Main Street,,Marsto'ns Mills;"Ma. The Applicant has been the owner of the property since 1994,as=evidenced by a deed recorded at the Barnstable I.Eounty Registry of Deeds on June 101994 as Book;9232 Page 202. A signed Affidavit dated Septemter 2$;,2016 i declares that 2000 IVfam Street,,Marstons Mills is he primary residence of,William lister;, Locus 'The subject. ro ert -is a 15`acre lot,60bted b a 1961 ten recorded at the Barnstable Count' Re ist of Deeds 1 p p Y Y p y g rY as Boo".k 161 Page 3T The;lot fronts onto both Ma h Street and"Cammett Road. The property is improved,With a 354,gross°square foot four bedroom:single family dwelling{1491"living area}`originally constructed in 1935.but: damaged by:fire in 20�16. The property also contains an:accessoryabove-ground swimming pool and a detached } accessory building: It is served by public,,water'and anon=site septic system;; Background Mr, lister seeks to convert 350 square feet of the second ffoor.of,the existing dvvelhng to a studio.Accessory: Afford6151e Apartment by a Comprehensive:Permitpursua'ntto,.Chapter40B.of the General Laws of the i Commonwealth of Massac.hu'setts,=and in accordance with §945�of the Code of the'Town of'Barnstable,more :commonly termed:the"Accessory"Affordable Apartment"Program". Procedural&Hearing`Summ.ary 1 :S.eptember 28;,2016,William Lister submitted an application for a Site Approval Letter as prescribed sin the:Code of Massachusetts-Regulations 760 Section 56.00 and provided for within-the Accessory.Affordabie Apartment Program of the Town-of Barnstable: 'The,app,ica. ionwas'submitted as a local initiated Chapter 406 Notification of the application was submitted to"the Department of Housing and Community Development A.Site Approval Lett&was issued to'the Applicant'fo`r the subject property by Town Manager, Mark Ells on November 8,20I' Notice of the Site.Approval Letter,was sent,:to the'Department of''Housing and Community Development in; .accordance with the..,requirements of CMR760.56:00`. An a.pplica.tion fora Comprehensive Permit.was'filed at the Town'Cl6.t '. Office;on DecembeY'12,20.16.: NIP ublic he.aring,before the Zoning Board of Appeals Hearing.Officer roasduly advertised in the Barnstable Patriot on December 23�and 30;,W16 and notic&mere sent�to all abutters in accordance with Section 11 of MGL Chapter i 40A., .. Tow of`BArnsta'ble Zoning'Hoard of n Appeals. S3(i Decision`&Nofice--Comprehensive Permit Na.2017-006 Lister' The Hearing officer, B,ri4rifidrence open MAN PuO Hearing on;January:l"1,2017 at 6:30,p.m Present at the hearing was: Findings of Fact At the hearing an January'11,2017,the Hearing Officer made,the following fmd'ings offact: Concerning standing,,the,right'of the applicant to seek a comprehensive:permit the Hearing Officer found; 1. The Applicant,William Lister, isthe owner and;occupant of the property located at 2000'Mam Street, Marstot s`Mills,"MA, as.evidenced by.a deed recorded at the Barnstable.County Regisfry of Deeds on June TQ 1994 as:Book 9232 Rage202'k A"signed Affiday.'it dated September..28,2016 declares that20Q0 Mam Street; Marstons'Mills is the primary residence of 1/Villarn Lister, 2 The application for'a.co"mp"rehensive.permit was. ad in accordance with. he"Town of BarristO e`s,Accessory Affordable,Apartment Program;;Chapter 9 Article II of'the Code of�the Town 6 Barns a,,e. Thatprogram is structured as a self,regulating"income-lirriiting`local initiated housing program,a quafified;funding program' accepted under the Code of'Massachusetts Regulations 760"Section 56.00 that governs grant of CcI npreh.:e:nsive.permits: 3. In accordance with"MG'L Chapter 40B"and 760 CMR 56 04(4);a Site Approval Letter was issued to the Applicant forthe s6bj6d property by Town Manager,;Mark Ells on November 8,.2016. Notice of the Site::" Approval Letter"Was sent:toth' Dep6ttment of Housing and;:GommunityDevetopment,in accordance with the requirements of 760 CMR 56 64(2),and no issues.were communicated from"the,Department on this application. Regarding consOtene with,local needs,the Hearing Officer found: 4 The,Applicant is proposing to"convert 350 square feet on the second:floo.c to a studio accessory'apartm.ent; within the principal dwelling. Ta•permit the apartment as an accessory.affordable.unit under Chapter 9 Article 1,11 of the Code would'represent rio perceivable change in the neighb;grh' d. 5." .The Building Commissioner performed an initial rev%ew of the property and determined that an;accessory apartment umt can be.,created"in conformance with'applicable state:building codes. Prior to occupancy;a building permit shall be,requiretl and;hardvvired smoke detectors and carbon monoxide detectors shal( 'e upgraded/install'ed and the unitshall'm;eet all requirements:of the Building Coded 6. The property is served by an on-site septic.system.adequate to accommodate'the:addition of a one-bedroom unit on the pe.6perty:. 7. The Applicant'has been informed that building.and-occupancy permits shall be.obtained prlor to;occupa.".ncy of I the,accessoryapartment: This step isleawredao assure final approval that the apartment.unit conforms fully to;all applcable;;bullding fire, antl heafth.codes and this decision, 8,' The Applicant has;been informed that upon'certipcation of this Comprehensive Permit byahe'Town Clerk,;a' i Regulatory.Agreement and Declaration of RegridiVe Covenants, restnctingahe accessory apartment unit in perpetuityas anafforda'ble rental unit= hall be executed. Thereafter both,the Comprehensive Permit and.the. Agreement shall be recoiled at the Registry of:Deeds as binding covenants pn the property: The:documents limit:the apartment tc that of'a'n.affordable unit rented to a;person',.or'family whose income is.801Y.6or less,of the Area Median Income`(AMI)of the 8'arn"stable Metropolitan Statistical Area.(MSA),and`cap the,monthly' ren1wI`Income (including uti lit,les)to°not,exceed 30%of the monthly`household income of''a household earning 80%of the median income;-adiusted by household..size. In the event that utilities are separately metered,the Utility allowance established py the'Town of B' stable.shall b.e deducted from rent level so calculated: 9 Accordingao the,Massachusetts'Department of Housing and'Community Revelopment,Subsidized Housing Inventory,the Town of Barnstable has=b 6%of.Its'year round housing stock qualified as affor,"dable housing 2 l I T.ownof garnsiable16ning B"oard'of Appeals Decision'&Notice--Comprehensive permit No:2617-60:6—Lister units. The town has not reached the'10.%,statutory=n inimum affo"rdabie housing required in MG'L Chapter ,405 or met any of the'Statutory Minima,provided forjn 7,60 CMR 56 03(3): 10.. The Town of Barnstable"s Comprehensive Plan-:encourages-th.a adaptive use of existing housing stocktocreate. affordable units and the dispersal of these:units throughout Barnstable. This appl cation and,the loci."tion of the unit conform to that:objective: Based upon the findings,the:Hearing Officer ruled1ha Ahe applicationrd William Lister.is deemed consistent with ,Focal needs because:itadequately promotes the objective.of providing affordable housing for.the Town of Barnstable without Jeopard zing the�health and safety of the occupants::provided c—ta n conditions are imposetl: 'Deacon&Conditions:;; The Hearing;Officer ruled to grant:Comprehensive'Perrnit'No,.2017=006`to W.illlam Lister for,200p Main Street,: ., Marstons M!I s-ta allow the creation of a one bedroom`studio aff.,ordable apartment upit within the existing dwelling as provided`for. in Chapter 9,Article Il ofthe Code ofthe,Town of Barnstable'and inconformity to the following conditions and restrictions, 1 Occupancy of the affordable unit shall not exceed two.(2)person .. 2. The number of bedrooms in the Accessory Affordable Apartment sh:all.be limited to`one(1), family members'of the applicantsJowners�shall not atany time occupy the:'accessory unit.. 4 All leases shall have a minimum term'bf one-year and have provisions that require the tenantao:provide any and all information necessary to verify eligibility with the Accessory">Afforda'ble Apartment Program including income information of the tenant'and,rent and utility'.payments, 5. All parkin gfor the accessory a,partrnent and the principal dwellingshal) be,ion-site. Overnight on-street parking is expressly prohibited:: 6 Accy enngof:roomssphibi m e Pemit:o ; r v 7,41 The applicantssh..all,,after certificationof.this Comprehensive Permit by the TowneClerk a. .execute a:Regulatory Agreementand Qeclaration of:Restrictive Covenants;.,as,as by the Town. Attorne,6 Office,and l i b: make application for a-building permit:with the Building Division for the;accessory apartment. Work required to bring the unit.into corn'pliance with present day:code standards shall be complefed`prio;r to issuance of a Certificate of Occupancy for,the accessory apartment 8 It is the e licit intent that the;applicant'.secure an occupancy permit-and the.unit'be-occupied by.qualified j tenants)as restricted by this compreh nsiue..permit within one year of the certification of the PT he l Building Com'miss over pn or`monitoring agent may extend this time for good ea-use.. 9: To;meet affordability requirements,the rent:::charged=(including utilities)shall not exceed 30%.'.of`80%of the median income for the Barnstable (VISA,adjusted for family-size,astalculat6d and published ann`uaily.by the Town of"Barn`stable.:In the event that'utihues are`separately metered,the;utility.allowance estaglished"uby the town of`Barnstable shall be deducted from rent level so calculated. 30. The applicant shall engage m apen andfair.,marketin;g of the unit and provide.,doeumentation ofthe -tivity to; the Housing Coordinator/Monitoring:Agent i i 11, Information regarding the income leve "of any'prospective tenant shall first.be submitted to and approved by the'Housing Coordinator/Monitoring;Agent before any lease is signed. i E i 4 3 i 7 I Town of Bamstable Zoning Board,of Appeals Decision-&Notice—Comprehensive Permit No.2017-006—Lister ' 12. Annually;the applicant°shall work With'the Ho':u"sing Coo"rdina or/Monitoring Agent'to provide necessary information and documentation of tenant income eligibility and conforrnance with the Accessory.Affordable. Apartment-Program. 13. Whenever a vacancy occurs, notice shall be given to"the Housing:Coordinator/MdnitorihjM6ht"before. reengaging the tenant selection process prevtoy.,y11 ited, Annual'lncome,to determine-program eligibility,will be calculated per 24 CFR Part-5' 15. The:Housing Coordmator.of the:Growth Management Department`shall be Ahe monitoring agent#or the: accessory:apartrri'erit.Annuai monitoring shal'I include verification ofteriancy,affordability,and'compliance with Comprehensive Permit.The horneowner:shall be responsible for the fee for Housing Quality Standards (HQS) inspections:, 16. Every twelve months the,applicant sh'a;li review the income eligibility of the tenait.oftheAccetsory Affordable Apartment unit. No,later than a year from the date of issuance of this:Comprehensive Permit,the applicantsMil file with the Housing Coo rdii a#or/MonitoringAgent h annual aff"rdavit.stating the rent charged and mcarn"e"of the unitlenantalong with all required supporting documentation.': The property owners anal/or tenant s(jall provide any additionaFinformation deemed necessary"ta ve"r'fy the information provided in"the affidavit and annual.monitorii g:documents; 17. Upon any rep% ort from th:e Housing Coordinator/Monitori ig Agent thafthe terms"and conditions::of this permit are not be-ng upheld,the Hearing Officer of the Zoning Board of`Appeals may hold a hearing to revoke"this permit or cause enforcement actionto be.taken for compliance. 18". Th;is Decision,the°Regulatory Agreement and Declaration:of Restrictive Covenants and':ali other`necessary documents.shall be "recorded at the Barnstable:County Registry of.Deeds prior to.application for a building permit.,; 19. Should ownership of the subject prope"rty transfer,the permit holder identified harem shall notify the Housing Co'drdrnator/Mor itonngxAgent and provide,within 60'days of;the date of transfer; he name and'current contact information for the:new ownerof the subject property.: 20. This Comprehensive"P.e.rmitshail be exerased,as conditioned herein;or it;shail expire. Ordered Comprehensive Permit No..2011 006 is granted with conditions to William Lister for;property addressed 2000 Main Street, Nlarstons Mills, MA.This perm;itis not tran'sferable.without'prior permission of,the Hearing Officer;, The io`ning relief issued in this•Corriprehensive Permit is that of a'variance to Section 240-11(A) Principal permltteduses in the.RF Zoning Districts:#o permit a one-bedroom accessory afford able"apartrnentunt within the principal dwelling. A written'capyof this decision will,e forwarded to the Zoning.Boardof Appeals as required by the Town of Barnstable administrative Code Chapter`241,Section 1"1, lf�after fourteen(14)days from that transmittal and provided that the members�of theIdning Board of Appea s"take na action to'reverse the decision,this decision: shall be filed with the Town Clerk's Office, It shail`then become final only after 20 days.has expired and certified' by the Town Clerk that no appeal was filed on the::decision: Appeals of'this decision, if any,shall be made to the Barnstable Superldr Court pursuant to MGL Chapter 40A, Sectiort'17,withln'twenty(2p)days after"t"h..e date of the filing of"thrs;decislon;in the office of the.Town Clerk: Th.e applicant has'thewright.to,appeal this decision as outlined iin MGL Chapter 40B,Section 22: Brian Florence, Hear" g,Officer Date Signed i 4 i I Town of Barnstable Zoning Board of Appeals. Decision&Notice—•Comprehensive Permit No.201M06—Lister I;Ann quirk,Clerk of the Town;of Barnstable, Barnstable County, Massachusetts;hereby certify that twenty,(20,): days.have elapsed since theldhing Board f Appeals filed this.deci"sion and that no appeal of the.decision has been fried in the,office of tW fdw.n Clerk: -Signed.and sealed this 10 day afi ��� :�� under the pains and,penaltles of perjury:: iii" ljlia64 4 ; ��,.•• .••;�6�¢ Ali Ann Quirk.Town Clerk i t z • i :BARNST WLE REGISTRY`.OF DEEDS .John F. Meade, Registef 5 'REGULATORY AGREEMENT AND DECLARATION OF RESTRICT.I't�E'=COVENANTS THIS kEG.ULATQ YA.GIZSEMENT:arid DECLARATION OF RE STRICTIVE.COVENANTS„is rriade' ��:day"of ,20 by';and between William Lister of.2000,;.Main Street,lVlarstons, this:. , Mills,MA and its'successors nd'assigns;(hereinafter the"Owner'"),and the`TOWN OF BARN. (the "Mutucipali:ty"),=a pohttcal;subdivision oF.che Commonwealth;` WHFREAS'the.O.wner has been:granted:a Corripre'h`ensivePerniit under Massachusetts General Law Chapter 40B and local regulations by the Zoning Board of A l ppeas to permit th el;'creatior i of an accessory apartment in an owner occupied;dwelling which will berented.to a Low or Moderate Income:Person%Family(hereinafter i Tesignated Affordable Untt");.and ,NOW TFIEREFORE,in,rnutual.consid�ation of the agreemen:tis an'd coverianfs contained herein,and other >good and valuable consideration,"the receipt and'suffidency,of which is hereby acknowtedged,the parties agree as followss I.. ..: PROIECT:SCOPE AND`D SIGN4, A The terms<of this Agreement and Covenant regulate the property'Iocated at 20;p0 Main Street, M-arstons Mills,MA,as fuither,described in a-,deed recorded`"lierewiih;as Barnstable County Registry'f Deeds Boak 9232Page 202 and shown on Plan Book 161.Page.3.7: B. Tle Protect located-at 2000 Malri.Street;Marstons Mills,MA.will consist„ofrone accessoiy'apartment unit which.will,be rented i:o an eligible,low or moderate,income individual or family(the"Des ignated..Affordable Unit" or the"Unit': C: The Owne agtocostucth Pr .jectnaccordcihe terms ofcomprehnve permit Appeal Noll 2017-006 and:any'plans submitted therewith.and all"applicable state, federal and municipalJaws and : regulations. Said permit is recorded'herewith:as Barnstable;County Registry of:Deeds Book r Page_ 'i� ' D', The"Owner agrees:to occupy th.a principal dwelling uni"t,locatec;on tlieproperty as..their principal .residence:an'accoidance with the terms of the.camprehensivc,permit;: II: THE OWNER'S:COVENNMN AND RESPONSIBILITIES;. ,,A: THE OWNER HEREBY REPRESEms,COVENANTS AND WARRAN'T'S AS FOLLOW; ,1 -in'reeeiving the cor'nprehensive permit to create the Designated Affordable unit,Ifie Owner agreed.that ihe'Designatcd AffordableaZnit sh4bc set asidie in perpetuity for the pubhc,purpose::ofproviding safe.and decent housing to persons'earning at or below 80%of the area median income;of Barris,'table lYletropolitan Statistical.Area NSA) and that,tlic.Designated Affordable tJ shall be deemed;to.be.impres.scd with a public trust. 2. The Designated Affordable Unit.`shall be re'ntedn perpetuity Ed a household with a maximum;income of180%of the Area'Mediari Income(AMI) of.Barnstable MSA and that:rent(i cluding tldliti_e',$)shall not exceed an.amourit that is affoi.dable to a'•.ousehold whose4ncome i5.80%of -the median.income of:Barnstable.MSA-. In the;event,that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority: shall be deducted from.the,rent"level: 1 3: 'The�Designated:Affordable Unit:>vill be retained;as a permanent,year round'rental dwelling unit with at least a one-year lease. 41 'The Owner has the full legal right,power and authozity"to execute and deliver this a Agreement. 5., Th:e`execution and performance;Q'f this Agreement by tl;e Owner will notviolate or,as applicable,has not.violated:any provision of law,rule or regulation,or any order of:any court.o'other:agency or4governtrientat body,and;will no'tviolaf&.Or,,as applicable has not violated any provision of any indenture,agreement,mortgage; h s mortgage note,or other tnstrumcnt to�ylZich theOwner is a party or,.by,`whtch:it or the Owner>is bound,,will not= :result in the.creation or imposttion.of any;prohibted encumbrance of'ariy nature, j G: The Owner,at the>time of execution and='delivery of tli'.Agreement;.has goodi clear marketable title'to the premises 7: These is no action,suit or,proceeding at law or iti equity or by or before any:governmentat instrumentality or other agency now pending,or,to the�knowledge of the Owner,threatened against or affecting it,or any of its prop"erties-or rights;which;if,adversely determined;would materially itripair its right'to carry or business substantially;as.now,'conducted(and as how contemplated by-this Agreetiient):or would materially: • adverselyaffect its'financial,.,conditon l : CQMPLIANCE The Owner hereby agrees;ahatany'and all requirements of.the Iaws of the CommoniveaIh of` lvlass'achus:etts,to be.saiisflcdin;order for;the,proviJ.sions of this Agreement to constitute restrictions and covenants;runningiwith the land"�shall.be Aeemed to be satisfie'd,n£ull and that any requrrerrients of pr vileges;of` estate tie also'deerned to be,-satisfied in fi ll. C: LIMITATION O.N PROFITS 1,, The Owner agrees to limit his/her proftby renting the.Designated Affordable Unit in,perpetuity to. hou'sehold:.with a Makin urn income of 80%or less of the Area Median Incorrre?(AIvIIj.of Bari stable: Mettiopolr'tatr Statispcal Area (MSA)and that rent(including utili shall;not exceed anramount that is affordable to a-.household Nvhose' ncorne is 80%_,d the median..income.of Barnstable MSA. Ln the event that- utilities are separately'tiie'keredi autility allowance establistied:by the Barra"stablesllousing Authonty shall'be deducted.from the-rent: , 2;; The-,owner shall annually deliver to'the:Tvlunieipality and.to the_Monitoring Agent,as designated by`the Town Manager,proof that°the Designated Affordable Unit is rented,the tenan:t's.mcomewerification;'a-copy;of the lease.agreetrient and the rent charged_for the unit or units. Such rnformatiorr shall also be forwarded to the Iylonitoring Agent.wrthin 30"days of the occupation of the dwellitig unit or units by a.;new tenant. The Owner 1 shall°notify the Monitoring:Agent,-as designated by the Town-Manager;.within thirty(30) days'of , eAati`thifa tenant has�=acated the Designated.Afford'able Unit. M. 'MUNICIPALITY_COVENANT- SAND.RESPONSIBILITIES` 1, The MUNICIPALITY,through.the monitorme.agent designated by the Town>Manager agree''to; perform,the,dunes of verifying that the Designated Affordable Unit ts,betng Tented to perpetuity to a Household: wiih:a maximum°,income;of 80%or less of-the Area Median'Incorne(AMI)-of" arnstable-IM A and.that rent (includingutihties) hall.not exceed an:amount that is affordable to a,-household,whose::income.is 80%of the med an.income of:Barnstable ivISA In the event'tha't utaittes are"separately met"ered,a utility allowance established by the.Barnstable 1I.oustng,Aut Ontt shall be deducted from the Merit: .IV: REC, RDING,OF AGREEMENT' Upon execution,the OWNER shall immediately cause this Agreement and any arrtendmenks hereto Eo be:recorded`with the Registry of Deeds forBarnsiabit.County or,if the,Project consists in whole or:in part of . registered land, file this Agreement and at y amendments hereto--with the Registry District of the Barnstable Land Court:(collectively perermfter the.s`R' * try 'f Deeds"),and the Owner shall paji all fees;and charges: incurred in connection,therewith. Upon recording or; rig,as,'app-cable, 'the Owner shall u4=ediately transmit,` to the Municipality evidence of such recording or filing including the date and instrument,book,and page or, tegist rat ton number of,the'Agreement: 2. 3 V GOVERNING OF AGREEMENT. s � This Agreement:shall be.governed by the laws of the Commonwealth of Massachusetts Any amendments to d b this Agreement must bein writing and executey all,of the parties.hereto:The invalidity of any clause,paYt-or provision of this Agreement shall notaffect the:valid'ty o£tlerernainfng po'rtions.heieof,. VI.. NOTICE: All notices.to lie given pursuant to tl ' Agreeinentshall be.in writingfand shall be deemed given when; delivered'.by hand or whcn_mailed'by certified or registered mail;.postage.prepaid,return receipt requested;to'the parties hereto at the addresses set forth below,or to such other::pI ce-as a pafty-ni y'frditm time to time designate by written notice. VII: HOLD HARMLESS: Tl e Ownct hereby agrees to,indeinnify .and hold harmless the Municipality and/or•its:delegate from-any and"all actions or inactions by the:Owner.its agents,servants otemployees which result in claims made against Municipality and/or its delegate,including but no.t limited to,a�va ds,judgments;out of pocket..;expenses;aril attorneys"fees necessitated by such actions':;. VIII. ENTIRE UNDERSTANDINGt A. This Agreement shall constitute the entire.understanding beriveen the parties:and any,amendments:.or changes hereto must be iii writing;executed by the parties;and appendedIto this document.. B. This Agreement and All of the covenants, agreements and restricttons contained herein shall be deemed: .to'be for the public purpose p. providing safe affordable housiiig and shall be deemed t' be, and by these`. presents are,granted by the Owner to iun.in perpetuity in favor of and;be.held by the Municipality as any other permanent testric6 held by a govern"mental body as thAt.terrim:`is used'm MGL Ch. 184,Section 26 which:shall it i wroth'th"e land d..escr-bed in a:deed recorded herewith as R i table''Coun, Registry of Deeds Boole 9232 Page 202 and:shall be binding.upon the Owner arid,tall'successors.in title. This Agreement is made for;the benefit of the Municipality and'tl e.Municipality shall be:deemed to be the liclder of the restriction created by this-Agreement The Municipa11 . determined that"the acquiring of_such_a restriction is in the public interest: The Municipality shait not be subject to.the defense of rack of pimvity of estate The:covenants and restrictions' j contained in this Agreement shall be deemed to affect the:title to the.property, described in a;deed recorded herewith as Barnstable County,Regiary of.Deeds Book 9232 Page IX. TERM OF AGREEMENT: The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Ad& aUle Unit or Units may .vol intarily'caricel the gran.0- Comprehensive Pezmit aid the terms and restrtctions;irnposed herein. ,SuchXancellation shall only take efkaafrer: '1) expiration of the;lease terms entered into between the Owner and Tenant'oc'cupying;said unit.and Z.notification bythe Owner of.said: dwelling to- he Zoning Board,of Appeals:ofhis/her desire to cancel the Comprehensive peiriut mapori'a date certain and'the recording o£said tottce,at tine Barnstable County Registry of Deeds,or.Barnstable County` Registry of the Land.Court as the case may be,thus rendering-said,Comprelmens veT . 'it,void. Upon the cancellation of the:comprelmensive permit;the property which is tlie"subject matter of his resti ctive.covenant sha.11'revert to the use pe rnitted under zoning and the restiictive co eriarit shall be rendered void. X: -SUCCESSORS AND ASSIGN'S: The Parties to this,Vgemen.iritend,.declaie,and covenant,oi :behalf of themselves and ariy successors anel assigns their lights and duties as defined in this Regcila(ory Agreei ient.,and-the,attached ca n)rehensive... permit:. 3 Z. Tl e Owyper intends,declares,and covenant behalf of itself and ts;successors and-.assigns(i) that this;;. Agreement'and the:covenants,agreements and restrictions contained herein shall be"and are,covenants running. with;the land,encumbering,the Project for the term'of this Agreement,and are binding upon the Owner's successors intitle,(it) Art.,not merely personal.covenants`'of the Owner,and(iii):sha11 bind the.Ownerits sucuessofs;and assigns 'and,"inure to,the benefit o£the Municipality and its successors.Arid assigns for:the term of the Agreement XI:. DEFAULT; If:any default,�violation or breach'by-the O\vner'of this Agreement is rot..Cu the satisfaction of'the: Monitoring Agent Nvi,.I. thirty (30)days after notice to'the Owner thereof,then the 1Vlonitox ng Agent may send, notification,to.th'e Municip I that the CQ�vnei:is in violation.:of the terms and conditions hereof-. The Municipality mayexercise`any remedy available to:it. The,.Owner will pay all costs-and expenses,includingaegal fees;incurred by the Monitoring-Agent in enforcing thisaA eeinent and the O.ivner he'r"eby agrees thaw the, Municipality and the,Montoiing Agent will,hay..e:a lieti on the Protect,to'secure payment of such costs and: expenses". The Moriitoring Agent may perfect such a imon.theTroject by recording a;certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of thePi oleet or any portion thereof will be,Iiable for the payment of anjT,unpaidicoS: and expenses.that were the subject of a.-perfected lien prior to the purchaser's acquisition.of the Project ox portion, hereof.. x Iv10RTGAGEE.COKSIFNTi The Owner.::iepresents and warrants thatit has obtained the consent of all eaisting,iiiorkgagees o£the'Pzoject to the.execution atld,ro:ti ng of this Agreement'and to the terms•-anti conditions:her .4and that all such. l mortgagees, have executed>consent,to thisAgreemeit. " LN MTNESS WIIEREOFiVe hereunto set our.hands:and seals.:" day of. . . Lzaad 20 QWNER >BY: E li Signature Printed Natne.. ` 1l.f rf7 .:COMMONWEAL.TH=OF MASSACAUSEM, County of Baros,table,:s..s On:this / day of 201 before'me,the undersigned notary public;;personally appeared , the Owrier(s},proved,to,M' e'through 'satisfactory evidence of identificadon,.wlnch were ,to be the persons) whose names)is signed on the preceding,-or Attached.do_cument.and acknowledged to be that�he/she signete,ll voluntarily-for the stated purposesW Fk,4x*'0. `O v Notary rublic . o?:' rL �,'�^ `. ;. y.Corntrussion Expires: . '� N° p�r,•° C y���i •C AN Notary Public 4' My Gomrnlaeicn Eiiplre. S+epuat 21 ..xOtp;' r TOVt{N OF BARNS T ABLE ' BY: . NAGER. :;:.. COMMONNVEALTH OF Mt1SSACHUS'LTMS Comity of Barnstable,ss; ri this{ q-%a of ' 20. before mc, the undersigned notary;pubhc;, ersonally-appeared + ,th`e Town Manager for"the 1o�un of Barnstable;proved'to me through satisfactory evidence of identification,which were. L , to bc:the per"son whose name is signed on; the preceding or:attached umeti an acknowledged tc be tliarhe/sheaigned.irv.oluntaiily:fcar thestated• purposes,., Notary Pub Printed `-'` My Commission Expires ` 1. SHIRLEE MAY OAKLEY Nolan:Public 1 CUMMONYVEAITH()F'MASSACtiUSETTS My Cominisson`Expiies March tt 2022 • _ j t f { f f1! 1 S { { j { { { 1 i5 SARNSTABL REGISTRY OF D pS` 100 F. Meade, Register Bowers, Edwin From: Grossman, Michael <mgrossman@commfiredistrict.com> Sent: Friday,June 16, 2017 2:20 PM To: Bowers, Edwin; Lauzon,Jeffrey Cc: Shea, Sally Subject: �2000'Main StWlarstons',Mlls Passed smoke/CO inspection 6/16/17 Sent from my Wad 1 HEATLOK610.0 Company Name CAPE COD INSULATION Phone Number 1-800-696-6611 01-09-2017 Kyle Pratt Installation Date lobsite Address 2000 Main Street, Marstons Mills A-Side Lot #'s PA86001560 Permit Number B-Side Lot #'s P3147933216 Tom„ I ` 3" R-21 1,900 square feet Walls Cathedral 611 R-44 400 square feet Crawl Slopes www.Demilec.com cBDEMILEC AGRIBALANCE 0 10.0 Company Name CAPE COD INSULATION Phone Number 1-800-696-6611 Kyle Pratt Installation Date 01-09-2017 lobsite Address 2000 Main Street, Marstons Mills A-Side Lot Ws ORY1000475 Permit Number B-Side Lot Ws P3101426316 e e eC�QA e � ul�Jl'��l� ' • • o ' �'• Roof Line V R-40 1,000 square feet Blazelok TBX Attic 23 mils wet, 15 mils dry. www.Demilec.com cBDEMILEC TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a Parcel Application — ) � Health Division Date Issued /0 1�16 4�1111t_ Conservation Division TOWN Q�- rt'% w p.ij 4 Applicatio Planning Dept. B Permit Fee Date Definitive Plan Approved by Planning Board nr 1 2 2n�6 Historic - OKH _ Preservation / Hyannis C:MA%TA13LC_ Lj�-flj TOW% Project Street Address cZ0 00 k4 a i!J Village �_l a r_5_ vy nS Owner W i I I l Cf m W. L,S Address Telephone Permit Request r'm 4D act 1— r KAAz� c VJ s C�izP.z- l� Square feet: 1 st floor: existing 11q proposed 0 2nd floor: existing proposed Total new Q Zoning District F- Flood Plain Groundwater Overlay Project Valuatior�� �:�-mot 000 Construction Type Lc �me Lot Size 5 i9cres Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes � No On Old King's Highway: ❑Yes )9)No Basement Type: ❑ Full ��rawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) VOO Number of Baths: Full: existing new Half: existing 1 new 0 Number of Bedrooms: existing -Onew Total Room Count (not including baths): existing new 0 First Floor Room Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes /Qq No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: Xexisting ❑ new size—Pool: ❑ existing ❑ new size _ Barn.Xexisting ❑ new size_ Attached garage: ❑ existing p new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes MNicjr If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION _ (BUILDER OR HOMEOWNER) Name J Co-�+ ��� �-U Telephone Number 5-0E- 9, Q Address _1 C�yCO J�1 C(/✓) # License # C.s '- ©�1 L4 SOD S.le r✓f / 4 1�414 OQ(e S_ Home Improvement Contractor# S1 3 v _ Email 5�-��'� �eac. �e r I ZGY►,rr�f' _ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO IOW, ? Of VarY-kLdUY k_ SIGNATURE DATE D Z , FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED } MAP/ PARCEL NO. ADDRESS VILLAGE i OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL FINAL BUILDING s . DATE CLOSED OUT i ASSOCIATION PLAN NO. r ACC)o® CERTIFICATE OF LIABILITY INSURANCE DATE A E(MMI201 ) 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 CONTACT NAME: Germani Insurance Agency PHONE 508 428 9194 a/c No: 508 28-3068 908 Main Street E-MAIL Osterville,MA 02655 ADDREs :certs@(iermaniinsurance.com INSURERS AFFORDING COVERAGE NAIC If INSURER A:SAFETY INS CO INSURED INSURER B Scott Peacock Building&Remodeling,Inc. INSURER C P.O.Box 171 Osterville,MA 02655 INSURER D:Granite State-AIU Holdings 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. IN SR ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INM MD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A x COMMERCIAL GENERAL LIABILITY BMA0022118 7/5/2016 - 7/5/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ pGEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑PROJECT ❑ LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ D WORKERS COMPENSATION WC 005-81-5464 6/22/2016 6/22/2017 PER OTH AND EMPLOYERS*UABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? F`N] NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I 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 Scott Peacock Building&Remodeling,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 171 ACCORDANCE WITH THE POLICY PROVISIONS. Osterville MA 02655 AUTHORIZED REPRESENTATIVE - ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Town of Da rnstable - y M1L\:Lti- L egnlatOlCy Services --_ Thomas F.Ceiler,Director Building Divisi6lk Thumas Perry,CBO Building Commissioner 200 Muin Street, Hyannis,MA 02601 www.tuwn.barnstable.nia.us l>Il ica: .'.0N--862-40J8 Fax: 508-790-6230 Property Owner Must r Complete and Sign This Section If Using A Builder r ,as Owner of the subject properey Il'rebv at)Clio F1*.'.i: SC(,f L ctCGelL �1ii��i/J� � P rr►c �i to act on niy.behalf, In At rr�atf�is r�laeivc: co wk)rk authorized bythis building pelnut appLcation for: (Address of rob) Sltz' Al-un' 'o L.%V11c.1- Nauic. :IFVI'PII-.IiS1r�r?R.1\•Iti'�Iluilllii�l;pc;i��iit li:u-rnslGXl'IiEiSS.duc 1�evisc020111ti i , - i i y Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachsetts 02116 Home Improvement O'gtractor Registration 4= Registration: 151853 y m Type: Private Corporation =" i Expiration: 7/7/2018 Tr# 419291 SCOTT PEACOCK BUILDING & REMOD I A JAMES PEACOCKS =� PO BOX 171 OSTERVILLE, MA 02655 Update Address and return card.Mark reason for change. SCA 1 0 20M-05/11 Address Renewal Employment Lost Card Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-094500 Construction Supervisor JAMES S PEACOCKF PO BOX171 OSTERVILLE MA 02655r . Expiration: Commissioner 07/22/2018 r C�/v � .n,�ryrrr.�rroauac�all�a��f/�at�ac�rc�e�. 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: Registration:,,-.!�j°51853 Type: Office of Consumer Affairs and Business Regulation Expiration 7/7t201:8 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 SCOTT PEACOCK BUILDING:'& REMODELING INC 'p JAMES PEACOCK 1046 MAIN STREET SUITE�- � OSTERVILLE, MA 02655`' -~ t Undersecretary Not valid without signature I ®Boise Cascade Double 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Floor Beam\F1301 BC CALC®Design Report Dry 11 span I No cantilevers 1 0/12 slope September 23, 2016 12:16:24 Build 4516 File Name: BC CALC Project Job Name: Peacock Description:2nd floor girder A Address: 2000 Main St Specifier: City, State,Zip:Marstons Mills , MA Designer: Customer: Company: Code reports: ESR-1040 Misc: I I I I I—I I I _ - ;,.b sa ,; .*„• .&. '. '� ern.. w * ., BO 14-03-00 B1 Total Horizontal Product Length=14-03-00 Reaction Summary(Down/Uplift) (lbs) Bearing Live Dead Snow Wind Roof Live BO,3-1/2" 3,420/0 1,739/0 61,3-1/2" 3,420/0 1,739/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 2nd floor Unf.Area(lb/ft^2) L 00-00-00 14-03-00 40 12 11-00-00 2 wall Unf. Lin. (lb/ft) L 00-00-00 14-03-00 0 80 n/a 3 ceiling Unf.Area(lb/ft^2) L 00-00-00 14-03-00 20 10 02-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 17,215 ft-Ibs 80.9% 100% 1 07-01-08 End Shear 4,231 Ibs 53.6% 100% 1 01-03-06 Total Load Defl. U274(0.603") 87.5% n/a 1 07-01-08 Live Load Defl. U414(0.4") 87% n/a 2 07-01-08 Max Deft 0.603" 60.3% n/a 1 07-01-08 Span/Depth 13.9 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Wall/Plate 3-1/2"x 3-1/2" 5,159 Ibs n/a 56.1% Unspecified B1 Wall/Plate 3-1/2"x 3-1/2" 5,159 Ibs n/a 56.1% Unspecified Notes Design meets Code minimum (U240)Total load deflection criteria. Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Page 1 of 2 ®Boise Cascade Double 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Floor Beam\F1301 Dry 1 span No cantilevers 1 0/12 slope September 23,2016 12:16:24 BC CALC®Design Report Build 4516 File Name: BC CALC Project Job Name: Peacock Description:2nd floor girder A Address: 2000 Main St Specifier: City, State,Zip:Marstons Mills , MA Designer: Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure b —d Completeness and accuracy of input,must aa be verified by anyone who would rely on output as evidence of suitability for • • • particular application.Output here based on building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered • • wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum=2" C=7-7/8" (800)232-0788 before installation. b minimum=3" d=24" BC CALC®,BC FRAMER®,AJS- Member has no side loads. ALLJOISTO,BC RIM BOARD-,BCI®, Connectors are: 16d Sinker Nails BOISE GLULAM-,SIMPLE FRAMING SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIMOO, VERSA-STRAND®,VERSA-STUDOO are trademarks of Boise Cascade Wood Products L.L.C. ®Boise Cascade Quadruple 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam\FB01 D 1 span No cantilevers 0/12 I Dry I P I I slope September 23, 2016 12:16:54 BC CALC®Design Report Build 4516 File Name: BC CALC Project Job Name: Peacock Description: 2nd floor girder A Address: 2000 Main St Specifier: City, State,Zip:Marstons Mills , MA Designer: Customer: Company: Code reports: ESR-1040 Misc: i 2 1 I l l l l I mi JJI < n r BO 14-03-00 131 Total Horizontal Product Length=14-03-00 Reaction Summary(Down/Uplift) (lbs) Bearing Live Dead Snow Wind Roof Live BO,3-1/2" 3,420/0 1,790/0 B 1,3-1/2" 3,420/0 1,790/0 Live Dead Snow wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 2nd floor Unf.Area(lb/ft^2) L 00-00-00 14-03-00 40 12 11-00-00 2 wall Unf. Lin. (lb/ft) L 00-00-00 14-03-00 0 80 n/a 3 ceiling Unf.Area(lb/ft^2) L 00-00-00 14-03-00 20 10 02-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 17,387 ft-Ibs 62.3% 100% 1 07-01-08 End Shear 4,418 lbs 35% 100% 1 01-01-00 Total Load Defl. U278 (0.595") 86.3% n/a 1 07-01-08 Live Load Defl. U424(0.391") 85% n/a 2 07-01-08 Max Defl. 0.595" 59.5% n/a 1 07-01-08 Span/Depth 17.4 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Wall/Plate 3-1/2"x 7" 5,2101 n/a 28.4% Unspecified B1 Wall/Plate 3-1/2"x 7" 5,210 Ibs n/a 28.4% Unspecified Notes Design meets Code minimum (U240)Total load deflection criteria. Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Page 1 of 2 I ®Boise Cascade Quadruple 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam\F1301 Dry 1 span No cantilevers 1 0/12 slope September 23, 2016 12:16:54 BC CALC®Design Report Build 4516 File Name: BC CALC Project Job Name: Peacock Description: 2nd floor girder A Address: 2000 Main St Specifier: City, State, Zip:Marstons Mills , MA Designer: Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure b d Completeness and accuracy of input must be verified by anyone who would rely on a output as evidence of suitability for • T• • particular application.Output here based on building code-accepted design c properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with • • current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum=2" c=5-1/2" (800)232-0788 before installation. b minimum=2-1/2"d=24" BC CALC®,BC FRAMER®,AJS- Beams 7 inches wide will be assumed to be either top-loaded only,or equally loaded from ALLJOISTO,BC RIM BOARDTM,BCi@, each side. BOISE GLULAM-,SIMPLE FRAMING Bolts are assumed to be Grade A307 or Grade 2 or higher. SYSTEM®,VERSA-LAM®,VERSA-RIM Member has no side loads. PLUS®,VERSA-RIMOO, VERSA-STRAND®,VERSA-STUD®are Connectors are: 112 in. Staggered Through Bolt trademarks of Boise Cascade Wood Products L.L.C. i ®Boise Cascade Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SID Floor Beam\FB02 BC CALC®Design Report Dry 12 spans I No cantilevers 1 0/12 slope September 23, 2016 12:23:22 Build 4516 File Name: BC CALC Project Job Name: Peacock Description:floor beam B Address: 2000 Main St Specifier: City, State,Zip:Marstons Mills , MA Designer: Customer: Company: Code reports: ESR-1040 Misc: 4 I I I I I I I I 2 1 I l l l l l i t I 1 1 l ! l i l l l l l l l l l l i l l l l 1 131 11 1 1 1 1 1 l l ! l i l l s l l i l l l l l l l ! l i l l i1 I l l l i 1 1 ! 1 1 1 1 06-10-00 B1 03-08-00 B2 BO Total Horizontal Product Length=10-06-00 Reaction Summary(Down/Uplift) (lbs) Bearing Live Dead Snow Wind Roof Live BO,3-1/2" 2,092/159 957/0 B1, 5-1/4" 6,517/C- 3,283/0 B2,3-1/2" 3,050/730 1,200/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 2nd floor Unf.Area(lb/ft^2) L 00-00-00 10-06-00 40 12 11-06-00 2 wail Unf. Lin. (lb/ft) L 00-00-00 10-06-00 0 80 n/a 3 ceiling Unf.Area(lb/ft^2) L 00-00-00 10-06-00 20 10 12-00-00 4 Reaction from Desi... Conc. Pt. (Ibs) L 08-10-00 08-10-00 3,420 1,790 n/a Controls Summary Value %Allowable Duration Case Location Pos. Moment 4,676 ft-Ibs 33.5% 100% 3 08-10-00 Neg. Moment -5,343 ft-Ibs 38.3% 100% 1 06-10-00 Neg. Moment -5,343 ft-Ibs 38.3% 100% 1 06-10-00 End Shear 3,115 Ibs 49.3% 100% 3 07-10-02 Cont. Shear 4,471 Ibs 70.8% 100% 1 07-10-02 Total Load Defl. U999(0.05") n/a n/a 2 03-02-12 Live Load Defl. U999 (0.037") n/a n/a 5 03-02-12 Total Neg. Defl. U999 (-0.005") n/a n/a 2 07-10-08 Max Defl. 0.05" n/a n/a 2 03-02-12 Span/Depth 8.3 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Wall/Plate 3-1/2"x 3-1/2" 3,049 Ibs n/a 33.2% Unspecified B1 Post 5-1/4"x 3-1/2" 9,800 Ibs 17.8% 71.1% Versa-Lam 1.8 B2 Wall/Plate 3-1/2"x 3-1/2" 4,250 Ibs n/a 46.3% Unspecified Notes Design meets Code minimum (U240)Total load deflection criteria. Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Page 1 of 2 ®Boise Cascade Double 1-3/4" x 9-1/2" VERSA-LAM®2.0 3100 Sp Floor Beam\F1302 Dry 2 spans No cantilevers 1 0/12 slope September 23, 2016 12:23:22 BC CALC®Design Report Build 4516 . File Name: BC CALC Project Job Name: Peacock Description:floor beam B Address: 2000 Main St Specifier: City, State,Zip:Marstons Mills,MA Designer: Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure b —d Completeness and accuracy of input must be verified by anyone who would rely on a output as evidence of suitability for particular application.Output here based c XXon building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered a wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum=2" c=2-3/4" (800)232-0788 before installation. b minimum=3" d= 12" BC CALC®,BC FRAMER@,AJS-, ALLJOISTO,BC RIM BOARD- BCIO, Calculated Side Load=598.0 Ib/ft BOISE GLULAMT°",SIMPLE FRAMING Connection design assumes point load is top-loaded. For connection design of side-loaded SYSTEM@,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIM@, point loads, please consult a technical representative or professional of Record. VERSA-STRAND@,VERSA-STUD@ are Connectors are: 16d Sinker Nails trademarks of Boise Cascade wood Products L.L.C. ®Boise Cascade Double 1-3/4" x 14" VERSA-LAM® 2.0 3100 SP Floor Beam\FB02 BC CALC®Design Report Dry 11 span I No cantilevers 1 0/12 slope September 23, 2016 12:25:11 Build 4516 File Name: BC CALC Project Job Name: Peacock Description:floor beam B Address: 2000 Main St Specifier: City, State,Zip:Marstons Mills , MA Designer: Customer: Company: Code reports: ESR-1040 Misc: 4 1 I 121 h.I=_ I . I � 3 � I I I I l i i ! I i l l 11l I7 I ! 71 BO 10-06-00 1'1 B1 Total Horizontal Product Length=10-06-00 Reaction Summary(Down/Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live BO,3-1/2" 4,070/0 2,057/0 B1,5-1/4" 6,700/0 3,431 /0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 2nd floor Unf. Area(lb/ft^2) L 00-00-00 10-06-00 40 12 11-06-00 2 wall Unf. Lin. (lb/ft) L 00-00-00 10-06-00 0 80 n/a 3 ceiling Unf.Area(lb/ft^2) L 00-00-00 10-06-00 20 10 12-00-00 4 Reaction from Desi... Cone. Pt. (Ibs) L 08-10-00 08-10-00 3,420 1,790 n/a Controls Summary Value %Allowable Duration Case Location Pos. Moment 16,460 ft-Ibs 56.7% 100% 1 05-10-01 End Shear 8,444lbs 90.7% 100% 1 01-05-08 Total Load Defl. U640(0.185) 37.5% n/a 1 05-04-08 Live Load Defl. U999 (0.123") n/a n/a 2 05-04-08 Max Defl. 0.185" 18.5% n/a 1 05-04-08 Span/Depth 8.5 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Wall/Plate 3-1/2"x 3-1/2" 6,127 Ibs n/a 66.7% Unspecified B1 Post 5-1/4"x 3-1/2" 10,132 Ibs 18.4% 73.5% Versa-Lam 1.8 Notes Design meets Code minimum (U240)Total load deflection criteria. Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Page 1 of 2 ®Boise Cascade Double 1-3/4" x 14" VERSA-LAM® 2.0 3100 SP Floor Beam\FB02 BC CALCO Design Report Dry 1 span No cantilevers 1 0/12 slope September 23, 2016 12:25:11 Build 4516 File Name: BC CALC Project Job Name: Peacock Description:floor beam B Address: 2000 Main St Specifier: City, State,Zip:Marstons Mills, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure b d Completeness and accuracy of input must be verified by anyone who would rely on a output as evidence of suitability for c particular application.Output here based on building code-accepted design properties and analysis methods. i Installation of Boise Cascade engineered a wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum=2" C=5" (800)232-0788 before installation. b minimum=3" d= 12" BC CALC@,BC FRAMER®,AJS-, ALLJOIST@,BC RIM BOARDTM" BCI@, Calculated Side Load=598.0 Ib/ft BOISE GLULAM-,SIMPLE FRAMING Connection design assumes point load is top-loaded. For connection design of side-loaded SYSTEM@,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIM@, point loads, please consult a technical representative or professional of Record. VERSA-STRANDS,VERSA-STUD@ are Connectors are: 16d Sinker Nails trademarks of Boise Cascade Wood Products L.L.C. S BoiseCascade Triple 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Floor Beam\FB02 Dry 11 span I No cantilevers 1 0/12 slope September 23, 2016 12:25:31 BC CALC®Design Report Build 4516 File Name: BC CALC Project Job Name: Peacock Description:floor beam B Address: 2000 Main St Specifier: City, State,Zip:Marstons Mills, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: a I I 1 1 1 1 1 I 1 1 1 1 l l l l l 1 1 1 1 131 11 1 1 I i I I I I { i I f l l l i i l 1 1 1 i l l l l l l l l l 111 I I 7I i l l ! I I l BO 10-06-00 Bi Total Horizontal Product Length=10-06-00 Reaction Summary(Down/Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live BO, 3-1/2" 4,070/0 2,077/0 B1, 5-1/4" 6,700/0 3,452/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 2nd floor Unf. Area(lb/ft^2) L 00-00-00 10-06-00 40 12 11-06-00 2 wall Unf. Lin. (lb/ft) L 00-00-00 10-06-00 0 80 n/a 3 ceiling Unf.Area(lb/ft^2) L 00-00-00 10-06-00 20 10 12-00-00 4 Reaction from Desi... Conc. Pt. (Ibs) L 08-10-00 08-10-00 3,420 1,790 n/a Controls Summary Value %Allowable Duration Case Location Pos. Moment 16,505 ft-Ibs 51.7% 100% 1 05-09-03 End Shear 8,645 Ibs 73% 100% 1 01-03-06 Total Load Defl. U585(0.203") 41.1% n/a 1 05-03-08 Live Load Defl. U884(0.134") 40.7% n/a 2 05-03-08 Max Defl. 0.203" 20.3% n/a 1 05-03-08 Span/Depth 10 n/a n/a 0 00-00-00 %Allow %Allow- Bearing Supports Dim.(L x M Value Support Member Material B0 Wall/Plate 3-1/2"x 5-1/4" 6,147 Ibs n/a 44.6% Unspecified B1 Post 5-1/4"x 5-1/4" 10,152 Ibs 12.3% 49.1% Versa-Lam 1.8 Notes Design meets Code minimum (U240)Total load deflection criteria. Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Page 1 of 2 I (98olseCascade Triple 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Floor Beam\F1302 Dry 1 span No cantilevers 1 0/12 slope September 23, 2016 12:25:31 BC CALL®Design Report Build 4516 File Name: BC CALC Project Job Name: Peacock Description:floor beam B Address: 2000 Main St Specifier: City, State,Zip:Marstons Mills, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure b— Completeness and accuracy of input must i d be verified by anyone who would rely on a o o output as evidence of suitability for c particular application.Output here based J on building code-accepted design , properties and analysis methods. e o Installation of Boise Cascade engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum=2" c=3-7/16" (800)232-0788 before installation. b minimum =3" d= 12" e minimum =3" BC CALCO,BC FRAMER®,AJS-, ALLJOIST®,BC RIM BOARD-,BCI®, BOISE GLULAM- SIMPLE FRAMING Calculated Side Load=598.0 lb/ft SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIMOO, Connection design assumes point load is top-loaded. For connection design of side-loaded VERSA-STRAND®,VERSA-STUD®are point loads, please consult a technical representative or professional of Record. trademarks of Boise Cascade wood Nailing schedule applies to both sides of the member. Products L.L.C. Connectors are: 16d Common Nails ®Boise Cascade Quadruple 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam\F1302 Dry 1 span No cantilevers 1 0/12 slope September 23, 2016 12:25:55 BC CALC®Design Report Build 4516 File Name: BC CALC Project Job Name: Peacock Description:floor beam B Address: 2000 Main St Specifier: City, State,Zip:Marstons Mills,MA Designer: Customer: Company: Code reports: ESR-1040 Misc: a l i l l l i i l l I I I I I i I l l l l 2 I I l I l I l l ! l i l l l l l l l l l l I I I I 31 I { I 80 10-06-00 - Bi Total Horizontal Product Length=10-06-00 Reaction Summary(Down/Uplift) (lbs Bearing Live Dead Snow Wind Roof Live BO,3-1/2" 4,070/0 2,083/0 B1, 5-1/4" 6,700/0 3,458/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 2nd floor Unf.Area(lb/ft^2) L 00-00-00 10-06-00 40 12 11-06-00 2 wall Unf. Lin. (lb/ft) L 00-00-00 10-06-00 0 80 n/a 3 ceiling Unf.Area(lb/ft^2) L 00-00-00 10-06-00 20 10 12-00-00 4 Reaction from Desi... Conc. Pt. (Ibs) L 08-10-00 08-10-00 3,420 1,790 n/a Controls Summary Value %Allowable Duration Case Location Pos. Moment 16,521 ft-Ibs 59.2% 100% 1 05-09-11 End Shear 8,859 Ibs 70.1% 100% 1 01-01-00 Total Load Defl. U399 (0.298") 60.2% n/a 1 05-03-14 Live Load Defl. U603(0.197) 59.7% n/a 2 05-03-14 Max Defl. 0.298" 29.8% n/a 1 05-03-14 Span/Depth 12.5 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Wall/Plate 3-1/2"x 7 6,153 Ibs n/a 33.5% Unspecified B1 Post 5-1/4"x 5-1/4" 10,159 Ibs 12.3% 49.1% Versa-Lam 1.8 Cautions Member is not fully supported at post B1. A connector is required at this bearing. Notes Design meets Code minimum (U240)Total load deflection criteria. Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Page 1 of 2 ®Boise Cascade Quadruple 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam\FB02 BC CALC®Design Report Dry 11 span I No cantilevers 1 0/12 slope September 23, 2016 12:25:55 Build 4516 File Name: BC CALC Project Job Name: Peacock Description:floor beam B Address: 2000 Main St Specifier: City, State,Zip: Marstons Mills, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure t►i lb d Completeness and accuracy of input must — be verified by anyone who would rely on a output as evidence of suitability for r particular application.Output here based on building code-accepted design c properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum=2" c=5-1/2" (800)232-0788 before installation. b minimum =2-1/2"d= 12" BC CALC®,BC FRAMER®,AJS-, Calculated Side Load=598.0 Ib/ft ALLJOIST@,BC RIM BOARD- BCI@,BOISE GLULAM-,SIMPLE FRAMING Connection design assumes point load is top-loaded. For connection design of side-loaded SYSTEM®,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIM@, point loads,please consult a technical representative or professional of Record. VERSA-STRAND@,VERSA-STUDS are Beams 7 inches wide will be assumed to be either top-loaded only, or equally loaded from trademarks of Boise Cascade Wood each side. Products L.L.C. Bolts are assumed to be Grade A307 or Grade 2 or higher. Connectors are: 1/2 in. Staggered Through Bolt Boise Cascade Double 1-3/4" x 16" VERSA-LAM® 2.0 3100 SP Roof Beam\RB01 Dry 2 spans I No cantilevers 1 0/12 slope October 5, 2016 06:52:37 rc)C CALC®Design Report --- Build 4516 File Name: BC CALC Project Q et7 Job Name: Lister Description: eidge beam Address: 2000 Main St Specifier: City, State, Zip: Marston Mills, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: �0 12 BO 16-00-00 15-06-00 B1 B2 Total Horizontal Product Length=31-06-00 Reaction Summary (Down / Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live BO, 3-1/2" 845/0 1,598/0 B1, 3-1/2" 2,643/-0 4,657/0 B2, 3-1/2" 802/0 1,538/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf. Area (lb/ft^2) L 00-00-00 31-06-.00 15 30 08-00-00 Controls Summary Value %,Allowable Duration Case Location Pos. Moment 7,381 ft-Ibs 17.2% 115% 7 06-07-00 Neg. Moment -11,337 ft-Ibs 26.4% 115% 9 16-00-00 Neg. Moment -11,337 ft-Ibs 26.4% 115% 9 16-00-00 End Shear 1,832 Ibs 15% 115% 7 01-07-08 Cont. Shear 3,129 Ibs 25.6% 115% 9 14-06-04 Total Load Defl. U999 (0.113") n/a n/a 7 07-01-13 Live Load Defl. U999 (0.079") n/a n/a 10 07-03-11 Total Neg. Defl. U999 (-0.005") n/a n/a 7 17-03-08 Max Defl. 0.113" n/a n/a 7 07-01-13 Span/ Depth 11.8 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x w) Value Support Member Material BO Post 3-1/2" x 3-1/2" 2,443 Ibs n/a 26.6% Unspecified B1 Post 3-1/2" x 3-1/2" 7,301 Ibs n/a 79.5% Unspecified B2 Post 3-1/2" x 3-1/2" 2,340 Ibs n/a 25.5% Unspecified Cautions For roof members with slope (1/4)/12 or less final design must ensure that ponding instability will not occur. For roof members with slope (1/2)/12 or less final design must account for Rain-on-Snow surcharge load. Notes Design meets Code minimum (U180)Total load deflection criteria. Design meets Code minimum (U240) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Page 1 of 2 I st Boise Cascade - Double 1-3/4" x 16" VERSA-LAM® 2.0 3,1100 SP Roof Beam\131301 --AC CALCO Design Report Dry 2 spans No cantilevers 1 0/12 slope October 5, 2016 06:52:37 _.__ Build 4516 File Name: BC CALC Project Job Name: Lister Description: edge beam Address: 2000 Main St Specifier: City, State, Zip: Marston Mills, MA Y p� Designer: Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure "-' b r —d—►1 Completeness and accuracy of input must be verified by anyone who would rely on a I output as evidence of suitability for T particular application.Output here based on building code-accepted design c properties and analysis methods. Installation of Boise Cascade engineered f_ _ wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum = 2" c= 12" (800)232-0788 before installation. b minimum = 2-1/2"d = 24" BC CALCOO,BC FRAMER@,AJST"' Bolts are assumed to be Grade A307 or Grade 2 or higher. ALLJOISTO,BC RIM BOARDT-,BCI@, Member has no side loads. BOISE GLULAMTM'SIMPLE FRAMING Connectors are: 112 in. Staggered Through Bolt SYSTEMO,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIM@, VERSA-STRAND@,VERSA-STUD@ are trademarks of Boise Cascade Wood Products L.L.C. ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Q� A lication # pp Health Division Date Issued Conservation Division R5��`' ®� Application F eVIC Planning Dept. V; Q1V Permit Fee k Date Definitive Plan Approved by Planning Board -�2— Historic.- OKH _ Preservation / Hyannis Project Street Address �ody Village Owner X 1-�G Address s �n Telephone Permit Request Tle " ,- ,- e11 tr -? GLo ` Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new 0 Zoning District Flood Plain Groundwater Overlay Project Valuation J�o Ot 3 Construction Type Rwo%A Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure IV `+ ' 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 0 new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: was ❑ Oil ❑ Electric ❑ Other Central Air: 'Yes ❑ No Fireplaces: Existing New Existing woo d/coal stove: ❑Yes ❑ No Detached garage:texisting ❑ new size_Pool: ❑ existing ❑ new size _ Barn: 'existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: xisting ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes &lo If yes, site plan review# c Current Use �� G Proposed Use �w..Q APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name � a-Telephone � q Number �� Address License # �- Home Improvement Contractor# Email ��® �`�Vzr Z 3N Worker's Compensation # k/c ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO \ O i P SIGNATURE DATE { r l r FOR OFFICIAL.USE ONLY APPLICATION# -,PATE 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. CERTIFICATE OF LIABILITY INSURANCE' DATE(MMIDD/YYYY) 07/22/2016 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 CONTACT NAME: Germani Insurance Agency PHONE FAX 908 Main Street 508 428-9194 A/c No: 508 428-3068 E-MAIL Osterville,MA 02655 ADDREs :certs@qermaniinsurance.com INSURERS AFFORDING COVERAGE NAIC 8 INSURER A:SAFETY INS CO INSURED INSURER B Scott Peacock Building&Remodeling,Inc. INSURER C P.O.Box 171 Osterville,MA 02655 INSURER D:Granite State-AIU Holdings 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE iNqn wvn POLICY NUMBER JMM/DDfYYYYI IMMfDDIYYYYILIMITS A x COMMERCIAL GENERAL LIABILITY BMA0022118 7/5/2016 7/5/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLAUAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ D WORKERS COMPENSATION WC 005-81-5464 6/22/2016 6/22/2017 STATH AND EMPLOYERS'LIABILITY Y/N LITE ER - ANYPROPRIEfOWPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Scott Peacock Building&Remodeling,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 171 ACCORDANCE WITH THE POLICY PROVISIONS. Osterville MA 02655 AUTHORIZED REPRESENTATIVE _ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD r, The Commonwealth of Massachusetts Department of IndustrialAccidents 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/Organization/IndividuaI): Address: C) a l r\ City/State/Zip: Vv\� Phone#'S6 F-R)S —Q 60 (� Are you an employer?.Check the appropriate bog: Type of project(required): 1.�am a employer with 64. [] I am a general contractor and I have hired the sub-contractors 6. ❑New construction employees(full and/or part-time).* ' 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• 0 Demolition working for me in any capacity. employees and have workers' coin insurance.t 9. El Building addition [No workers' com ur p.insance P required.] 5. Ne are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l 1.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required_]t c. 152, §1(4),and we have no employees. [No workers' 1311 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: _�;� Policy#or Self-ins.Lic.#: w c - 1 5' 6 L Expiration Date: / '" LJ�— Job Site Address: �ot)O City/State/Zip: N� 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 Iead 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and naliies of perjury that the infatmrdion provided above is true and correct Si mature: - — Date: a"Z — 16 Phone#: 6CJc Of use only. Do-not write in this area,to be completed by city or town official City or T-o*mw 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#: ♦ T Information and Instructions Massachusetts General Laws chapter 152 requires all'employers to provide workers'compensation for their employees. . Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments-and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also"states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 1.52,§25C(7)states"Neither the commonwealth nor any of its.political subdivisions shall until acceptable evidence of compliance with the insurance enter into any contract for the performance of public work requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. B e 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 PIease 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 permitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in, (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future.permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like t_o thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number: The Commonwealth of Massachusetts- Deparhnent of Industrial Accidents Office of Investigations 600 Washiugton Street Boston,IAA 02111 Tel.#617-727-4900 ext 406 or 1-$77-MASWE Fax#C 17-727-7749 Revised 4-24-07 VAYWmas5.gov/dia Massachusetts Department of Public Safety Board of Building Regulations and Standards L?Icense: CS-094500 Construction Supervisor JAMES S PEACOCK PO BOX 171 EF'� OSTERVILLE MA 0265'5 - y 1+Y Expiration: Commissioner 07/22/2018 r CT �.�/e rryutrrroicccecc�f�a����aJa�rr.LuiJe�iJ _ Office of Consumer Affairs&Business Regulation License or registration valid for individual use only -P HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration 1°51853 Type: Office of Consumer Affairs and Business Regulation Expiration...iF-3 7/2018 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 SCOTT PEACOCK fUlLDING&.REMODELING INC df E,$ JAMES PEACOCK 1046 MAIN STREET SUITE OSTERVILLE, MA 02655 Undersecretary Not valid without signature Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration == Registration: 151853 Type: Private Corporation t9•ter w , tY Expiration: 7/7/2018 Tr# 419291 SCOTT PEACOCK BUILDING & REMQDE1 'u JAMES PEACOCK PO BOX 171 OSTERVILLE, MA 026554' , Update Address and return card.Mark reason for change. SCA 1 C. 20M-05/77 Address Renewal ❑ Employment Lost Card V�(� ((.'O I/G9Y/OU2Ll!P,CLlIl1 O/�V�;000dC/,C�GL:IG�td i 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: Registration:;;4''151853 Type: Office of Consumer Affairs and Business Regulation Ex iration: W-/-2018 Private Corporation 10 Park Plaza-Suite 5170 p :, -, Boston,MA 02116 SCOTT PEACOCK 66ILDIING'&BEMODELING INC ire TO JAMES PEACOCK fr" 1046 MAIN STREET SOITE 7 OSTERVILLE,MA 02655' Undersecretary Not valid without signature I Cape Cod Insulation Inc CAPE COD Keith Presswood 18 Reardon Circle INSULATION S Yarmouth,MA 02664 l 111 1 a qi PIBSA OLAS3 $LAMUM SPBATIOAM' MPYNDW Tel:508 7751214 6ATT3 Gunfts MuunoH CERINOS, 1-600-696-6611 www.capecodinsulation.com keithpresswood@capecodinsulation.com Barnstable Building Department. 2000 Main Street, Marston Mills. This is a water damage / Fire job which is exempt from the 2012 IECC energy codes. Cape Cod Insulation will be insulating this job with open and closed cell spray foam from Demilec USA. We will be getting it as close to code as possible. Keith Presswood Town of Barnstable Wins. '�N -+o-s9•. -�� Regulatory Service's 'Thomas F.Geiler,lDirectur, Buildhig Divisimi Thunias ferry,CBO Building Commissioner 200 Main Sti-eet, Ryannis,MA 02601 ww�v.tuwu.bt►rnstablc.ma.us Fax: 508-790-6230 Property owner must Complete and Sign Tl'liis Section If Using A Builder ---------------.__-.-- ,as Owner of the subject property "Orcky.audim-CXA. sue- c _ to act on nay behalf, in;�Il trtatte r,; relat.iv : to Work authorized bythis building perun t application fop. 11 c (Addiess of job) Ol L.wn.cr ate paril'Mime -�Y K :11VPPI1..151F(11t.A'tS\bi�il4in(�,pc:rrnit fnrmslC:a:1'121�iSS.doc Revise02101 os, t _ ¢cis(ST 60 1, SMOKE DETECTOR'R REVIEWS cbQ'o A6 BARNSTABL BUILDING DEPT0, pA E W FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING --------------- BUILDING DEPT. SEP 02 2016 TOWN OF BARNSTABLE m QTU, TER CIVIL �oWN Page 1 of 1 Coyle, Brenda From: Cadrin, Arden Sent: Monday, September 19, 2016 3:22 PM To: Roma, Paul Cc: Coyle, Brenda; Buntich, JoAnne; Puckett, Carol; Jenkins, Elizabeth; 'billylister1956@gmail.com' Subject: 2000 Main St Marstons Mills Hello Mr. Roma, Bill Lister, owner Of 2000 Main Street Marstons Mills will be contacting you to schedule an inspection as a first step in the accessory affordable apartment process. This house recently had a fire and is currently under construction. Arden .Arden R. Cadrin Hou.sing Coordinator GROWTH MANAGEMENT G OAOITMEN`i Town of Barnstable 367 Main.Street Hyannis-MA 02601 arden.cadrin@town.bar.nstab.le.ma.us (508)862-4683 9/20/2016 THE►b,,�� Town of Barnstable 4 � • - Regulatory Services BARNSTABLE. 7 MASS. 16yq.6. Building Division rf0 MAC � 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection ��APl f l f/ TWo u 7- PEti? )I'll YP P Location Z C16'0 M,47AJ S� 1� Permit Number Owner Builder One notice to remain on job site,one notice on file in Building Department. The following items need correcting: r ,� r- A) r ✓� � n., y t,7"v H ry b 1( E-�5- f)P-P v-K U 1A J 0 GnuE57i '67T5 Please call: 508-862-4� e r eefi n. Inspected by e �/ ' Date i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Q�Narcel BUILDING DEP Application# 7 Health Division FEB 22 2016 Date Issued Conservation Division Application Fee Planning Dept. TOWN OF SARNSTABLE Permit Fee 0� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 2Qiio 62A "s t— Village A2 U S Owner t-t�t���S ear- Address Z.oDo „`Sa�5t N�i LS,Y& Telephone -7 Permit Request _ .1-K.S-FmQL CL. IZ' k(eo` 4 p U.Ll._6U�-e_-I-Z5 6&_J5A-_- 4--5 ✓� 4Lko ers1.0 � sel-0c IIIS ��i 4(2 �e flu g Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay .Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Er' 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 ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name a+►v— Telephone Number Address �License # D f7Z9 / Home Improvement Contractor# 1 fit°3 g� Email Gn4--Worker's Compensation # wL 3b0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A 6 - 4C� SIGNATURE All DATE zz- / f FOR OFFICIAL USE ONLY -APPLICATION # F 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. ,per V 71B Office of Consumer Affairs&Business Regulation j License or registration valid for individul use on] U OME IMPROVEMENT CONTRACTOR y 2pj before the expiration date. If found return to: egistration: {0638fiType: Office of Consumer Affairs and Business Regulationxpiration: 73 :g._ Private Co P o atior 10 Park Plaza-Suite 5170 AMERICAN MOBILE'H S N s Boston,MA 02116 FRANCIS WARD 51 MOORE RDHr I E.WEYMOUTH, MA 02189' Undersecretary Not valid without signature i I' Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-057291 Construction Supervisor FRANCIS V WARD-,)II 51 MOORE RD WEYMOUTH MA,02 89. ' I Expiration: Commissioner 09/17/2017 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/Organization/Individual): American Mobile Homes, Inc Address: 51 Moore Rd City/State/Zip: weymouth, ma 02189 Phone#: 781-331-0333 Are you an employer?Check the appropriate box: Type of project(required): 1. ✓ I am a employer with 12 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling, ship and have no employees These sub-contractors have g• Demolition workingfor me in an capacity. employees and have workers' Y P tY 9. Building addition [No workers' comp. insurance comp. insurance.* required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. 1 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 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: Granite State Ins. Co. Policy#or Self-ins. Lic.#: we 3603470 Expiration Date: 8/12/16, Job Site Address: 2000 Main St. City/State/Zip: Marston Mills 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 u r the p i s d pe alties of perjury that the information provided above is true and correct. Si ature: Date: 2/22/16 Phone#: 81 331-0333 11 Official 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#: I Town of Barnstable & Y Regulatory Services * TARNSTAUE, MAS& Richard V.Scali,Director a639 .� Building Division �DMA'ti Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1, William Lister as Owner of the subject property hereby authorize lAmeriGan Mobile Homes,Inc to act on my behalf, in all matters relative to work authorized by this building permit application for: MainMarston Mills (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 i ns are erformed and accepted. Sign e f Owner gnature of Applicant L�L Print Name Print Name � -aa- Date i_ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYY`) 108/10/15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Paul MaCElhlney Duncan MacKellar Ins. Agay., Inc. PHONE Fan (A/C,No,Ext): 781-335-1170 (A/C,Ne).781-331-6507 835 Broad Street E-MAIL ADDRESS: E. Weymouth, MA. 02189 INSURER(S)AFFORDING COVERAGE NAIC 11 INSURER A Scottsdale Ins. Co. INSURED INSURER B Granite State Ins. Co. American Mobile Homes, Inc. INsuRERcArbella Protection 51 Moore Road INSURER D E. Weymouth, MA. 02189 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. ILTR INSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE (MM/DDlYYYI� (MMIDD/YYY1� GENERAL LIABILITY BCS0031390 02/04/15 02/04/16 EACH OCCURRENCE $ 1,000,000 A COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 100,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $ eXcl PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY JECT LOC $ AUTOMOBILE LIABILITY 1020014697 02/26/15 02/26/16 1 000 000 (Ea accident) $ r r C ANY AUTO BODILY INJURY(Per person) $ ALL OW SCHEDULED BODILY INJURY(Per accident) $ AUTOS Fx AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS - (Per accident) E $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ - $ B WORKERS COMPENSATION - WC 003-60-3470 08/12/15 08/12/16 X W TIMIT ER AND EMPLOYERS'LIABILITY Y/N - TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000. If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Rental of Mobile Homes CERTIFICATE HOLDER CANCELLATION STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE DEPT. OF ADMINISTRATION THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN f CONTRACTORS' REGISTRATION AND LICENSING BOARD ACCORDANCEWITH THE POLICY PROVISIONS. ONE CAPITAL HILL AUTHORIZED REPRESENTATIVE - PROVIDENCE, RHODE ISLAND 02908-5859 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Ir f y _ .•psi AT K` #' 1 Ar AW In s § �t �O t±+ • y+ 3 F� Samuel F. McCormack Co., Inc. Insurance Adjusters and Appraisers Samuel F.Wormadc Co.,Imm A111111Ae ANe All"18ENe February 16, 2016 ? Barnstable Town Hall D` r_ Building Inspector 367 Main Street --fl Hyannis, MA 02601 :7 RE ASSURED: William Lister LOSS LOCATION: �200-0=Main--t.K�/afsf0E1§:Mills,— _MA 02648 POLICY NO: 1318515 TYPE OF LOSS: Fire DATE OF LOSS: 02/15/2016 OUR FILE NO: 16-00448 To Whom it May Concern: Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 38, is appropriate, please direct it to the attention of this writer and include a reference to the above- captioned insured, location, policy number, date of loss and claim or file number. Thank you for your anticipated cooperation. Very Khea.., Patric Adjuster pts@mccormackadjuster.com cc: Board of Health 42 Holbrook Avenue,Braintree,MA 021841-800-972-5399(781)843-1222 Fax(781)849-8191 One Jonathan Bourne Drive,Suite 7,Pocasset,MA 02559(508)403-2600 Fax(508)403-2602 www.mccormackadjuster.com Town of Barnstable *Perini 0 Expires 6 n 1hs o►rt5 r Regulatory Services Fe e �� • �tvsrnsLE. • MAIM i639. Richard V.Scali,Director p� Building Division Tom Perry,CBO,Building Commissioner V�a _ 200 Main-Street-Hyannis MA-02601 — -_ _ `- =-www.to_wn.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number //J� =Property Address ,��� �6 1 /r6/ ale v /0� 5 R esidential Va1ue•of� `S �o Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address—,-a// C�i CS Xx Ala Contractor's Name Telephone Number J (� Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Worlmtan's Compensation Insurance ©ffi%sm [peg , Check one: ❑ I am a sole proprietor MAY 0 2016 (VI.amIthe Homeowner ❑ I have Worker's Compensation Insurance TOWN OF BA fl n n 111 l ST B L C C Insurance Company Name /-1 Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit RegAt(check box) , UTr-oof(hurricane nailed)(stripping old shingles) All construction debris will be taken 'Z❑:Re r o((hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Acothe ner must sign Property Owner Letter of Permission. Home Improvement Contractors License&Construction Supervisors License is SIGNATURE:QAWPFILESTORWbuilding permit forms\EXPRESS.doc Revised 040215 Tlie Commomvealtih of-MassarItnsetts IFDepartment ofIndus Acdderr#s 0,f -cue of'�ga iom 600 Was1F utgt=StMet Boston, A 02111 mmmass gorldia orkeiis7-Via.. . - Bm�ders/Ciantrr�cfirslEIr«n- --. . Sr�IiIl1�]eT5 Colt 111fdTaLa 071 Please Prinf- cityfsta 0 s �i g 8" �%G D 7 6- Are-gaII anan employer?Check the appropriate boxi Type of project(required): I.❑ I am a employer with 4_ ❑I am a general contractor and I employees(full and/or part-time).* have hired the sub-,= d ctors 6. ❑New consiucfion 2.❑ I am a sale proprietor orpartaer- I listed on the attached sheet. 7. ❑Remodeligg sh�p and have no employees . Ikese sob-conimctors have 9- El Demolition woudng forme in any capacity. employees andhue,wo&ers- Ra W06MM'Cps-iievisanre comp.menranM f 4- ❑Ruildmg additim _ d 5. ❑ We are a corporation and its 10.El Electrical repairs or a�fiions ,41 3 am a homeowner doing all work officers have esescised their 1L0 Flumbingrepairs or additiaas insuro work=' es of eMpti=per MGL e=e equire&]F c.152,§1(4h aadweha�veno 12 El Roof repairs employees.[No woxkem' 13-0 Other comp_msmmme required.] ; nYappticsn2ffistcbecksboxffl—stalsoffioufthesectimbeTowshovdagtheuwoatereco®pr¢saticnpoHUiaf=MJd= Rameowaen Who submit ibis E5d2vit muffUtiag they are doing sit wal and then him outside contmctarsrrmst submit a new affidarat h dicatieg sndi fCaa>zac I lb=cbeck this boa mast attache, sa additiaaat sheet sh0ormg the asmeof dre Sob-f:on=CfiK and stae Whether of not those entities bzve employees.Ifthesub-cootmamshsveemptayees,tftegmmpzovi&their werke&c=p.palignumbm Ian,an Below is thepa cy=d jab site inforraatiom Insurance Company Name: Policy 41.or Self ins.Lic. Espindon Dafe: Job Site Address` city/Statel7.rp. r1t#at h a copy of the work-ere covapensatioapoEcy declaration page(showing the policy number and respiration date). Failure to secure coverage as required under Section 25A of MGL c.1572 can lead to the imposition of criminal penalties of a fine up to$15-4a Oa andror one-year imprrson<neut,as well as civil penalties in the fond of a STOP WORK ORDERand a ire of up to$254.00 a clap against the violator. Be adhdsed first a copy of this statement maybe Ekwarded to the Office of Invesfigations the DIA for insurance coverage verification. I do here G a s 4'perfury that the infor�imr provvirT a rs is haze and correct Sitazratiuc: y,_ G Plrane-aF� fT -2 . Ojyk al am only. Do slat write in M&area,trr be wmpletcad by city ortenm offictaL City or Town: Perm ttr.;cense# Issuing Authority(tide one): I.Board of health Bu l ling Department 3.CitylTown Clerk 4.Electrical Inspector S.Plumbing hLspectcr 6.Other Contact Person Phone#: _ 6 ormatian and Instrnc ions MassachBsefi s Ge=nl.Laws chapter 152 regmres aU employers In provide warkeas'compensation for their employees. ' PurMM3t'to this sib,aa.M�7Iayee is defined as.`-.every person in$re service of another udder nay contrad of hire, express or implied,oral or wiifirm" An evsloyer is defined as"au inckidnal,partnership,associaizans crnpOra dOn or other legal entity, or any two or more of the foregoing engaged in a joint cmtm7:ise,andinclndmgthe legal esentafives of a deceased employer,or the r=dver or trustee of an mdividIIal,pmtaersbip,association or otherlegal entity,employes employ- However fhe owner of a dwelling house having not more than tbree aparhn=d7g and who resides therein,or the occapant of the - dwelling house of anolher who employs persons to do mat t=on=,caush cti on or repair work on such dvleIEag house or on the grotmds or building app thereto shall not becaase of such employment be deemed to be an employer." MGL chapter 152,§25CC-6)also sites that"every state or local 1irP�agency shall withhold ffie issuance or renewal of a license or permit to operate a business or to construct buildiags in the cornxnonwealth for any a-pPficantwho has not produced acceptable evidence of cdmpliance with the insurance.covetrzge required." Addit onalb,MOIL chapter 152, §25CC7)states Neither the conimgnwr--alth nor;iay of its political subdivisions shall enter into any contract for the performance ofl n lio wotic until acceptable evidence of compliance,with the fner�ncd. requn-ementrs of this cbaptea have Been presented to the coutrar authority_" Applicants ' Please fill out the woiiceas'compensation affidavit completely,by checkiag ib e boxes!hat apply to your situation and,if necessary,supply sol- ont=actor(s)name(s), addresses)and phone numbers).along with their cerfificate(s) of mm:um„ce. Limited Liability Compames(LLC)or Limited LiabU4 Par[mershrps CLEF)withno employees other than the members or pa=tnexs,are not required to cany wa dceas' compensation insurance If an LLC or LLP does have employees, apolicy is required. Be advisedthatthis affida:Vrtmaybe 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 retried to ffie city or town that the application for the permit or license is being requested,not the Department of ' Isdusirial Accidents. Should you have airy questions regarding the law or if you are regmred to obt am a workers' compensation police,please call the Department at the number listed below. Self-insured companies should enter 1hair self-ice license namber on the appmpridn Ime. City or Town Officials . f - Please be sui a that the affidavit is complete and printed legibly. '1be Department has provided a space at the bottom of the affidavit':for you to fill out in.the event the Office oflnvestigaiios has to contact you regarding the applicant Please be sure to fill i a the pennitllicense number which vM be used as a reference number. In addition,an applicant that must submit multiple penmVHcense application in any given year,need only submit one affidavit indicating cDII p olicy inf b=nation Cif necessary)and under"Job Site Address"tine 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 to may be provided to the ' a applicant as proof that a valid affidavit is on file for Rdmi a permits or licenses- A new affidavit must be f Mcd oil each year.Where a home owner or citizen is obtaining a license or permit not related'o any business or commercial venttae Ci-e. a dog license or permit to burn leaves eta.)said person is NOT required to completer this affidavit The Office of Investigations would like to tbankk you in advance for your cooperation and should you have any questions, please do not heshzLtr to give us a call The Department's a.d Rc telephone and fax number Depaitnw cif 11admtial A=denta l Q M&Ell I Tr1.#617 -4900 i:,-xt 406 or 1-V MA,3 AFF Fax 9 617-727 7M $evisexi4-24-07 rria. gavIdTa f Town of Barnstable Regulatory Services �oF rO�ti Richard V.Scali,Director Building Division Tom Perry,Building Commissioner s639. ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: G ( p�� //!� C T//.� JOB LOCATION: Z O �'11�/r[ J YrG vL/�-'J lls �I ber_ - street, village . "HOMEOWNER": d/Gf T1,5 -36 7-0 s"� s home phone#T' ` '�w� f—work_phone_#_.- CURRENT MAILING ADDRESS: L 1�`L� �6 � /rn M(•f * a25fog 5 M,`�`s �ity/town. �---`state ____zip coded Y The current exemption for `homeowners was extended to include owner-occupied dwellings of six units or -and to allow p y-��Vr 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' arcel 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 homein a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules an regulations. der a"hom er"certifies that a understands the Town of Barnstable Building Department minimum inspection oc Kt6ements and that he/she will comply with said procedures and requirements. Signature of Homeown_r Approval ofBuilding 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 &Regulation's for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. . To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILESTORMS\buildmg permit forms\EXPRESS.doe Revised 040215 A + n F -ASS Town of Barnstable Regulatory Services Richard V.Scali,Director ---- - — .___. Thomas.Petry,_CBQ. -- 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`Z7sing A Builder I� subject as Owner of the su ro l P PAY hereb authorize to act on m b i Y Y eh4 in all matters relative to work authorized by this building permit application for: 4 2 bbD r i (Address of Job) � 1 t Signature of Owner D to W/Via I Gt/'. Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPMESTORMS\building permit forms\EXPRESS.doc Revised 040215 p . _ ��:._ :i. ,ic.^..�Yl'..". . � rr- ab"+J--^ .-•i`..+jy�•^-ry•�f�� y'• ..i,1 .�. ..SaN.•..� , �.,•l - - - -Assessor's office(1 st Floor): - y _ Assessor's map and lot number /" .2 /):1 1 + y �Q�01 T E Boardof Health(3rd floor):a., % d 6 Sewage Permit number o �1-S• '" 2 BABa9TABLL Engineering Department(3rd floor): � S MAsa House number i639- Definitive Plan Approved by Planning Board 19 �o rar a APPLICATIONS PROCESSED 8'.30-9:30 A.M.and 1:00-2:00 P.M.only V j; TOWN , OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Re-Construct Barn to Dwelling (Living Area) TYPE OF CONSTRUCTION Post a Beam and ,Gonventional IT* Y-' Maxch 27 - s 19 8 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: x � QQS Main Street Marstons Mills , MA. Location 4 • Proposed Use R"esidental Home ~x Zoning District Fire District usa�. MAIla6f7 Name of Owner Edward F. Barry ` Address 1995 Main Street Marstoms Mills Name of Builder. E.R. 0'CONNELL Address 1112 Main Osterville MA. =Name of Architect N/A Address Number of Rooms 6 Foundation Poured Concrete/Masonry Blk Exterior Clapboard/ Shingles Roofing Asphault Floors Wood Interior Drywall/Wood Heating Hot Air by Gas Plumbing PVC/Copper Fireplace Brick/ Stone Approximate Cost $ 459000 Area ,7, 2, 7 ' / [ a Diagram of Lot and Building with Dimensions Fee SEE ATTACHED OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name � C Construction Supervisor's License Ili1 BA -Y,--E.DWAR4D--F & MARGARE T M. A=0 7 7-0 2 8 Y � No 32.934 Permit For Re-Construct Barn to Dwelling/ Single Family Location 1995 Main Street Marstons Mills Owner Edward F. & Margaret M_ Barry Type of Construction Frame Plot Lot Permit Granted May 31, 19 3 9 Date of Inspection 19 \ Date Completed 19 FS y / ' . os Assessor's map,and lot number ...... C� :. • � � ... CF THE H Sewage Permit. number .................................j................:..... Z BARISTAXLE, i House number .........................:.............. ro If t.......................... rasa po,1639 00 �F�MPV'a' TOWN OF: BARNSTABLE ' BUILDING.. INSPECTOR APPLICATION FOR PERMIT TO'. .. .11(f....:...s' '.......lr�........�ral!................r...:.:. /..`.................................. • t r� TYPE OF CONSTRUCTION: ............................ ...................:............................................................................... L ............... 19. 3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit'according to the following information: Location ....... �JO..c�...�'!aj '�..%5 ...:..1....�.�:� .. /J 5...(..►. LLS.................................... ................................... Proposed Use ........AJ(. �"''�„P�.. .... .............................:.... Zoning District ..............R:.e.....e.......................::.:.....:.....::.Fire District ?o.,�T�:.;< Name of Owner �la/6!Zc . Jf?�� ?�..........Address .�7� �� `�.� / vf..'f. `r���'�s Name of Builder ......F ' ....Address .............. Nameof Architect ................:..........................:......................Address ..........:.......................................................................... Number of-.Rooms ..::.................................: ............Foun`dation . , Exterior Roofing . .......................................................... ........ ......................................................... Floors .....Interior .......... s. Heating ......................................i.................... ......................Plumbing ............................,....................( .......................... Fireplace ..................Approximate. Cost ......4t. 1,. .. .......... . .... Definitive'Plan Approved by.Planning Board -----------_------_-----------19________. Area .. ....... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD. OF HEALTH , • . t � a OCCUPANCY PERMITS REQUIRED.FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. R Name.'..... . ...... ... . ...... Construction Supervisor's License " w BARRY, EDWARD F. T _ 5, 25927 �' Move Barn No - ........ Permit for .................................... .> Storage & Animal Use - - - ... ............. Location .2Q00 Main Street ' Marston Mills _ ' ........................................................................... • �h . ' { * `. +.4'' 'Y Owner ..Edward F. .Barr .....:............:�.......... r e ' Type of Construction ..X ...... ....... . ..}.. ..................... .;.. r_ Plot ............................ Lot ......................... Permitn4irante'd ........Dec 291 r 1.9 83 +J . ........ .............. Date of Inspection ........ .... ....19 =+ Date Completed .... ......19- [ ] [R078 105 . ] LOC] 0311 MAIN STREET OST. CTY] 03 TDS] 300 qO KEY] 41270 ----MAILING ADDRESS------- PCA11041 PCS100 YR100 PARENT] 0 LISTER, WILLIAM W. MAP] AREA] 12DC JV] MTG] 2012 2000 MAIN STREET SP1] SP21 SP31 UT11 UT21 1 . 50 SQ FT] 1993 MARSTONS MILLS MA 02648 AYB11925 EYB11960 OBS] CONST] 0000 LAND 34500 IMP 53900 OTHER 17500 ----LEGAL DESCRIPTION---- TRUE MKT 105900 REA CLASSIFIED #LAND 1 34, 300 ASD LND 34500 ASD IMP 53900 ASD OTH 17500 #BLDG (S) -CARD-1 1 53 , 900 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 17, 500 TAX EXEMPT #PL 2000 MAIN ST MM RESIDENT'L 105900 105900 105900 #DL LOT 1 OPEN SPACE #RR 0953 0080 0216 0338 COMMERCIAL #SR CAMMETT ROAD INDUSTRIAL EXEMPTIONS SALE] 06/94 PRICE] 82000 ORB] 9232/202 AFD] I L LAST ACTIVITY] 11/22/94 PCR] Y R078 105 . P P R A I S A L D A T KEY 41270 LISTER, WILLIAM W. LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RF 34, 500 17, 500 53 , 900 1 A-COST 105, 900 B-MKT 91, 500 BY 00/ BY /00 C-INCOME PCA=1041 PCS=00 SIZE= 1993 JUST-VAL 105, 900 LEV=300 CONST-C 0 ----COMPARISON TO CONTROL AREA 12DC -- --MAY NOT BE COMPARABLE-- NEIGHBORHOOD 12DC MARSTONS MILLS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 345001 LAND-MEAN +0% 1059001 64985 IMPROVED-MEAN -170 2506 ] FRONT-FT 11 100 DEPTH/ACRES TABLE 02 10001 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] f R078 105 . 0 P E R M I T [PMT] ACTIO [R] CARD [000] KEY 41270 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT J IOPERTY ADDRESS I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS PCS NBHD RCEL IDENTIFICATION NUMBER KEY NO. 0311 MAIN STREET OST_ 03 RF 300 03CO 07/09/95 1041 'Jil 12DC R078 1GS. 41270 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T,, UNIT ADJ'D.UNIT Lana By1DaIe s�:e o�men�on LOCJYR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Desclipron L 15 T c R. W I L L I AM W. rMAP- CD. FF De mrAc;es E #LAND 1 34,500 CARDS IN ACCOUNT - 10 18LDG.SIT 1 X . 1 1 =10 100 29999.9 29999.99 1_00 301900 #JLDG(S)-CARD-1 1 53.900 01 OF 01 11 1RESIDUAL 1 X .50 =100 150 6000.00 9000.00 .50 4.500 #OTHER FEATURE 1 17.50E#PL 2000 MAIN ST MM �6Sf_ ARKET 91500 (BATHS 2.0 U X C= 100 700D_C 7000.00 1.00 7D00 ;3 XDL LOT 1 NCOME A .40BSMT S X C= 100 7.2 7_20 867 6290-:3 IRR 0953 008D 0216 C3:38 MIU� SE A RG1 DETGAR S 16 X 24 197 F= 84 19.3 34.04 384 13100 F #SR CAMMETT ROAD {APPRAISED !SHED S X j 196- F= 63 9.4 12.50 354 4400 F IA 105.900 I U I PARCEL SUMMARY S II(ILAND 3450C T I IHLDGS 539C0 M i i to-IMPS 1750C OTAL 10.5900 E aU CNST T I I DEED REFERENCE TyPa CATS geco•tlwtl PRIOR YEAR VALUE Book Pag� 1iiS1' I MO. YI.D S.lef Friq. �1 AND 34500 SI i 9232/202, I06/94 L 82000 PBLDGS 71400 9165/0951 104/94 L 9200 0 OTAL 10590C 2631/58 :go/C0 BUILDING PERMIT Numoe• Dele 7y- LAND LAND-ADJ i INCOP•iE ISE SP-BLDS F'EAIURESl BLD-ADDS U41TS p'�pnl I 34500 17500 800 Consl, Total Yea;Built Norm. Obsv. Class Units Units Base Rale Atll.Rate A 1 Age Dep• Contl. CND Loc 4p R Ci Repl Cost New A01 Repl Velue $tones Neigbl Rooms Rms.0atns •Fia. Ponyw.11 F.c. I01C 000 1D0 100 58.65 53.65 25 60 34 56 100 56 96161 5390J 2.0 6 4 2.0 8.0 • DescnplW Raid Square Feel Repl.Cost MKT.INDEX: 1-DD IMP,BY/DATE. / SCALE. 1/0 D_6 9 ELEMENTS CODE CONSTRUCTION DETAIL 13AS 15 58-6.5 867 5D850 6 3 SINGLE FAMILY DWELLING CNST GP:00 FOP 35 20.53 16 328 *-----19-----* STYLE 10 LD STYLE 0.0 -- -- ----------------------F 9 *-5-*---- 52.79 164 8658 FSF-27--*----* DESIGN ADJMT 00 0_„ FSF 90 52.79 95 5015 01 WJ006 FitAly_E______ G_0 820 60 35.19 867 30510 • caT/AC TYPE 02 "AS 0_0 ! ! 15 - ER- FIN[---SH_- OU -------------------0-.0-- ! IN T . - lNTk>?_LAYQUT 01 ------------------ 0.0 - • ! INT c-R��lUALTY 02 -Aih-E--AS E-X-T-ER_----D-_D *--9---* 30 FLJi)i2 ;iTRUCT -00 ------------------p.q1 - 0 W SASE ! EFLOJR COVER DC---- -- - -- ------- O.UI E TglalA,das An. _ 16 Bard = 1126 R JIF TY?E---- -JO ------------------ D.Q ---------------------- BUILDING DIMENSIONS ! ! ! c L c C T R I C A L -DU _ _ 0_0 TIBAS WD9 SJ3 FOP S02 W08 NO2 E08 1Fs 12 ! FUUJDATION Ju 99.9 A 17 ------- - -- - -- -- FSF SD2 E16 N17 WD7 S12 W09 ! ! ------- ----- S0.3 .. SAS W14 N18 W09 N15 E05 ! ! ! - - -NEI-GWJ0RNU06 17DC--M-ARS TON 5-W LLS L FSF N05 E19 S05 W19 .. BAS E27 ! *--9--X ! LAND TOTAL MARKET S30 .. *---*-8--* FSF ! PARCEL 34500 105900 . *FOP-*----16----* AREA 2096 VARIANCE +0 +4952 STANDARD 25 I RESIDENTIAL PROPERTY MAP NO. LOT NO. 311 FIRE DISTRICT SUMMARY STREET Main Street & Cammett Rd. Marstons Mills ;7,r LAND 78 105 r' BLDGS. OWNER J� TOTAL D U RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: Lp t ] BLDGS. LAND TOTA: ._.:,..,___..,.�,.,..., ._.._..._...,.r.�:::._... 6 2 6 26 .. LAND 01 BLDGS. Form M-792 TOTAL — — /�O OO L'. IrNNN/- n1/1, CRcckf0r LAND Ls m Frank W. & Sharon A tens ent 12- - 2631 8 u./ :o'b extrix. BLDGS. TOTAL MAIN ST MAkSTOAJS LAND BLDGS. at TOTAL LAND OI BLDGS. TOTAL LAND BLDGS. TOTAL J' LAND INTERIOR INSPECTED: 0) TOTAL DATE: LAND ACREAGE(COMPUTATIONS rn BLDGS. ND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOU O !1 . L — �`�J LAND CLEARED FRONT BLDGS. REAR Z�Ov G v J TOTAL WOODS&SPROUT FRONT LAND REAR O) BLDGS. WASTE FRONT TOTAL REAR LAND O1 BLDGS. TOTAL LAND 5 0) BLDGS. LOT COMPUTATIONS LAND FACTORS - TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEW R LAND ROUGH TOWN VAT R 0) BLDGS. HIGH GRAVEL RD.,, TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. FOUNDATION BSMT. & ATTIC PLUMBING PRICING LAND COST ' Cone.Walla Fin. Bsmt.Area Bath Room Z— Base Cone.Blk.Welts Bsmt. Rec. Room St. Shower Bath 6LDG. COST Bsmt. D PURCH. DATE t^ Conc. Slab Bimt.Garage St. Shower Ext. 7 Walls PURCH. PRICE. � . 7. � Brick Walls Attic Fl. &Stairs Toilet Room Roof RENT zl g S r /`� Stone Walls Fin.Attic Two Fizt.Bath 1. 3 Piers INTERIOR FIN SH Lavatory Extra Floors I� 8'© ' ly' 3f 33 Bsmt. F 1 2 3 Sink Z. ' Attic s/� r/t r/� Plaster J/ !� Water Clo. Extra EXTERIOR WALLS Knotty Pine Water Only / CGArV. rpt� Double Siding Plywood PI No Plumbing Bsmt. Fin. Single Siding Plasterboard Int.Fin. U Shingles TILING —/ Conc. Blk. _ G F P Bath Fl. Heat /Ltl Lf Q Face Brk.On Int.Layout / Bath Fl.&Wains. Auto Ht.Unit a d 3 L Veneer Int.Cond. Bath Fl. &Walls Fireplace. ' Com. Brk.On HEATING Toilet Rm. Fl. IG— Plumbing 9 5l D S J Solid Com. Brk. Hot Air Toilet Rm.Fl. &Wains. O0 Tiling '9 6 Steam Toilet Rm.Fl. &Walls �0 Blanket Ins. Hot Water St. Shower 7 Roof Ins. Air Cond. Tub Area Total J(o4 Gip Floor Furn. 5 17 ROOFING COMPUTATIONS Asph. Shingle Pipeless Furn. S. F. oC O r� ��— Wood Shingle No Heat / S. F. 7 Asbs. Shingle Oil Burner // S.F Slate Coal Stoker (O S.F. Tile Gas S. F. OUTBUILDINGS ROOF TYPE Electric Gable Flat S. F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED Hip Mansard FIREPLACES S. F. Pier Found. d Floor C ly w fi; �},l Gambrel Fireplace Stack Wall Found. 0.H. Door LISTED FLOORS Fireplace Sgle. Sdg. Roll Roofing Conc. LIGHTING Dble.Sdg. Shingle Roof V ✓ p Earth No Elect. DATE Pine Shingle Walls Plumbing Hardwood ✓ I% ROOMS Cement Bik. Electric ✓ ✓ 0 � i TOTAL Brick Int.Finish 0 0 0 OWED Asph.Tile Bsmt. 1st .3 is� Single 2nd 3 t� 3rd FACTOR y d REPLACEMENT l U Sf n i OCCUPANCY CONSTRUCTION C ON STRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VVAL.. Phy.Dep• PHYS. VALUE Funct.Dep• ACTUAL VAL. DWLG. Fla —1 / / w/�0 F / 0, OOP GRI?,qaG « 20 390 ; F' ;r a >5C-) �l S // 5 0 2 Sf/L-U / —4i. F/Z S' 98Z- y °% c,c,� o s '2 J 41 S' l 6 U Ole,As s-0 3 SHED s F R, ax/2 70 -sF_ 4 5 6 7 8 9 10 TOTAL I 9l/BL/b :31V4 „a _ MN US NMVN(3 ■ ZI91 :gof I '' i CD , S OKE DETECTORS REVIEWED s do s 133"9 BARNSTABLE BUILDING DEPT. DATE cn s0-,b V3 a i FIRE DEPARTMENT O O DATE O D BQTH S/GNATURES ARE REQUIRED FOR PERMITTING _r I -f1 NUN . 3z (D I r (A U I O an c � � �v 3'�QI CI ISa V• b� _ s 4 L 1' ll t ¢ --__ D 3* ' 50lN07 7 01 ns 6 J M l Na S3 1� � T s� i l xy a � ',u ■, N3wNoa Q3MS M3N - -, i i M0139 MOQNI I /M Nt)F* N9MOCNIM l ■L-,bl I } I 1 1 i PQ Q _ V s o® ® LH df w ~ EXl5TING FRONT ELEVATION SCALE: 1/4" P-O" Q W W N J _ — Z Z — N to O Z Q W O3 Q W I-- p -� Nn � w -► Q fIESHEET I OF 5 �r tr; 14 7i Al ,i EXI-STING REAR ELEVATION SCALE: 1/4" = 1'-0" JOB: 1612 1 DRAWN BY: KW DATE: 9/28/16 IEEEEl LU LL V1 � ® ® 11di EXISTING RIGHT ELEVATION SCALE: 114" V-O" IL w U W O N J Z - - NZLU O 4 p L00 L - w o � w N n � w E SWEET 2 OF 5 EXISTING LEFT ELEVATION j` SCALE: 114" = I'-0" JOB: 1612 DRAWN BY: KW DATE: q/28/16 'il 17 NEW DOWNER p ■ 1�1 F11 I I r NEW LEFT ELEVATION SCALE: 114" 1'-O" t(2) Y3/4'xli'xLiklls1RUGTURAL:-RIDGE E NEW O HED ROOF $..e 2x10. • Ii' O.G. ; `} 5/8' PLYWOOD SHEATHING/ ASPHALT SHINGLES 2x89 .:Is, O.G. 7'-6' DORMER WALL EXISTING —T axa - 6-G KNEE WALL a O_ PST DN 0 RAFTER9 FROM m,; V �c- L EXISTING � TO GONRCREfEi � KN WALL W �- EE N V a) W An - c� Z W Q � EXISTING. AggoD FLOOR (y- N O w O O O O Q N N w n ac W EXISTING FIRST FLOOR i SHEET 3 OF 5 A3 ri n - ii SECnON i SCALE: 114" 1'-0" JOB: 1612 DRAWN BY: KW DATES 9/28/I6 i NEW D DORMER z IE MS •_ PQ ® W GE k r NEW RIGHT ELEVATION SCALE: 114" V-O" ' E r - v NEW SWED DORMER W fr N _J - Z ® ® W Z V )L Q _ WaF J ci tu - -- 4 pIESWEET 4 OF 5 i NEW REAR ELEVATION SCALE: 114" V-0" JOB: 1612 DRAWN 5Y: KW DATE: 9/28/16 (e 1 I ALIGN W/ ALIGN W/ WINDOW BELCIIA HINDOW BELOW i b' 0° NEW u SHED DORMER � f ON ___ _ N� x4 PST ON •�it4 STRUCTURAL RIDGE PST DN FROM RIDGE PST DN FROM RIDGE TO CONCRETE TO CONCRETE 0 a � Cd Lo ID w I • z _ _ IT w � N N Z w UP ' Fo � Z � wow Q � J Nna C J a O no SWEET 5 OF 5 ,I 9'-O° 22'-6° d JOB: 1612 DRAWN BY: KW DATE: q/28/Ib