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Home My WebLink About0107 ABBEY GATE lad � bb �t`'�e �� i .14 . / I ��!� __ ;�`+ �� .. �.-�-ter,-�.... ..�.�..�+.�--w.- ..,ter-. _. _.......�.- _ � _ �_ / :'ti .� , Application number. PER ) Fee .................... r..:. .. MAM OCT 1 2018 Building Inspectors Initials.... ................................ I TABLE Date Issued...../Q.I.I7)11............. TOWN U� RNRNS ............................. - Map/Parcel......�..................®......CP\C............................ i TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: [0 7 67C ti &ATE mati- NUMBER STREET VILLAG Owner's Name: f�y� a/� Aim Phone Number (7 7 Y( 27 o - (o 7 q Email Address: u 3 A*(-CPK--L 0� CTMftL-CAA Cell Phone Number Project cost$ 1 y+2So• Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize At""D r�-1L- }Kd�iE.Y to make application for a building permit in accordance with 780 CMR Owner Signature: Date: 10 I I-7 '(8 TYPE OF WORK ❑ Siding ❑ Windows(no header change)# ❑ Insulation/Weatherization ❑6Doors (no header change)# Commercial Doors require 4an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to Dm9sxx CONTRACTOR'S INFORMATION Contractor's name 414"bNz- (1-Af&t Home Improvement Contractors Registration(if applicable)# `t4 q 7 5 2 (attach copy) Construction Supervisor's License# (�0 °/ (attach copy) Email of Contractor 941N,4 94MtiUW,Qr l Phone number 0la 737-168 3 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATIONNUMBER............................................................. *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attachXoarate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of eac tent must be attached. ovide a site plan with the location(s)of each tent Fuel source being use P tank 20 lbs. or> Ye No ,if yes, a gas permit is required. ANatural Gas Yes No ,if yes, gas permit is required. Iffood is bein erved at your event p ase obtain a Health Department approval between the hours of 8:00am-9 0 am or 3:30 pm-4: m. Commercial events may require Fire Department approval. *W OD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type .. < < Testing Lab Offsets from combustibles: front back left side right side r i HOMEOWNER'S L NSE EXEMPTION Homeowner's Name: Telephone Number ZZ Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date All permit applications aresubject to a building official's approval prior to issuance. RANNEY + Ma Box 816 Marstons Mills,MA 02648 Tel 508.428.7147 RIMINGTONinfo@thecapecodcarpenters.com Fax 508,428.7167 RENOVATIONS ADDITIONS-CUSTOM HOMES TheCapeCodCarpenters.Com October 16,2018 ESTIMATE -Addendum Site: 107 Abbey Gate,Cotuit; Louis and Kathy Baccari; 774-270-1034;LCBACCARI@gmail.com Emergency Roof Replacement Work to include: File(building/electdcal/plumbing/health/historical)permit with Town of Barnstable in accordance with MA State Building code 780 CMR,including inspections and plan review meetings. Roof:remove existing roof shingles; install `ice&water' to all valleys,rake edges,vent pipe collars& skylights(if applicable)to give protection against leakage; seal lower edge of roof in accordance with manufacturer's specifications: install shingles starter strip along all eave edges&roof to provide a watertight and wind-resistant termination for the roof, install new drip edge to all bottom and rake of roof to prevent leakage and rot;cut ridge approximately 2-1/2"on each side for proper ventilation if needed;install cobra ridge vent;install 15 lb felt paper; install Certainteed Landmark Pro Metric Max- Def roofing shingles(Color:P*wWrwov&)using 1-1/4' galvanized nails with rust-inhibitive coating. CA•rtaRl At, C yf J� TOTAL LABOR& MATERIALS $ 12.250.00 Payment Schedule: Initial deposit requested to schedule work $ 4,400.00, Due upon receipt of permit&ordering materials $ 4,000.00 Due upon completion $ 3,850.00 Please note our standard contract • This estimate is valid for 30 daya. • No additional work is included in this estimate unless described in writing • Deposits and payments are not refimdable unless otherwise noted • Conuacmr is mot responsible for any damage to lawn or plantings around demolition area Connector is not responsible for any damage to interior Aunishingt that may need to be moved to complete work. • All construction waste and replaced items(mdudng cabinets,windows,doors&appliances)will be considered disposable unless other indicated by property owner. • Property owner is responsible for all costs associated with hamrdous materials lead,mercury storm water pollution discharge or costs associated with American Disabilities Act requirements if necessary. • Any repair.moving or inundation of alarm system for security of firdsmoke is the responsibility of the property owner. • Customer is to supply all paint if any is being used(unless otherwise specified) • Property Owner agrees that Ranney&Rimingmn Custom BWtdtas may display a small sign on the property during the donation of the work and one month after completion. • Property Owner is responsible for any and all engineering cons and site plan ifnecessary unless otherwise noted Conservation,Zoning andlor lftstorical coss necessary in association with obtaining any necessary permits unless otherwise noted • All home improvement contractors and mbconoaams shall be registered by the Director and any inquiries about a contractor or subcontractor relating to a registration should be directed to:Director,Home improvement Contractor ReostratimL One Ashburton Piave,Rm 1301,Boston MA 02108 • The property owner has thee&day cancellation rights of this contract under M.G.L.c.93,48,MG1 c 140D,10 or NCGL c.255D,14 as applicable.After 3 days all deposit and special order payments are non- refimdable. • All wan, es and property owner's rights are under the provisions of 780 CMR 110.6 and MGL a 142A • Any alteration or deviation from above specifications involving extra mats will become an extra charge over and shove the estimate at f75.00 per hour plus tamales If east of materials and already described labor mss dn®ges,this estimate may increase no more than I S%without written notice. • R is the obligation of the home improv®eat contractor to obtain any and all necessary contstruation4dated permits;in the event that the property owner secures their own construction-related permits or deals with unregistered contractors they will be exduded from the guaranty fiord provisions of Iv GL a 142A.Work will begin no later than six months from the issuance of any necessary permits and will be completed no Inter than two years form the issuaom of necessary permits. • Property Owners faitu s to make payments for work duly performed may result in alien against the hmneowner's property.Owner is rt a, ble for any legal fees and court toss Ramey&Rimington may incur to collar the monies doe an this estimate The connector and the property owner hereby mutu8ly agree in advance that in the event the cormw or has•dispute concerning this w tim—the contractor may submit such dispute to a private arbitrative service which has been approved by the secretary of the office of consumer affairs and business regulations and the consumer WWI be required to submit to such wbitmdon as provided in Iv1.GL c.142A. • DO NOT SIGN THIS CONTRACT IF YOU HAVE NOT READ IT OR IF THERE ARE ANY BLANK SPACES r--' 10/16/18 Ranney&Rimington Custom Building LLC Date roperty Owner ate Home Improvement Contractor Registration#144752 RAMEY RIMMOTON CUSTOM RunMERS Proud Member of National Association of Home Builders-Home Builders Association of Massachusetts•Home Builders&Remodelers Association of Cape Cod•Better Business Bureau The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. V Applicant Information r�„� Please Print Legibly Name (Business/Organization/Individual): 1'-tn"NCt( + W�0 6-M4 C�ti�� 8MU�1G_. (,LC Address: qbq MAVi S T' City/State/Zip: 05r*4L(. t MA 074S5 Phone#: 9 U3 9 7 Are you an employer?Check the appropriate boa: Type of project(required): l.O✓ I am a employer with to employees(full and/or part-time).' 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I IQ Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet 13,1 ) ',00f repairs ¢ These sub-contractors have employees and have workers'comp.in6rrancO �L O 14.❑ ther 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: (PS� 0 U\3 q F &S 7 7 9'q ( 8 Expiration Date: U I 19 Job Site Address: Wz "P CY IU->, City/State/Zip: CQ'KJ$iTt MIA Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Date: �0 1 Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town' Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• �e�o„u,w,traca�f�of C�1��aarrr�rrdeffd Office of Consumer Attalm&Bustness Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only e: LLC before the expiration date. N found retum to: Expiration Office of Consumer Affairs and Business Regulation = 10 Park Plaza-suite 5170 t4752 11ID112018 goon,AAA 02116 Ranney+Rirnk.W k, Building, LLC',-k AkmanderRanng Thankiui i 1 =_ Cotvit,RM 02635- , _` Undersecretary Not valid without signature r . I I Commonwealth.of Massachusetts j Division of professional Licertsure Board of Building Regulations and Standards Constr rli!§iApervisor C5-088595 ices:04/1612020 ALEXANDER M RANN v ; 239 SCUDDEIIVENIE HYANMS MA 02W Commissioner l Construction Supervisor Unrestricted-Buildings of airy group which contain less than 36,000 cubic feet(991 cubic meters)of enclosed space. Opt Failure to possess a current edition of the Massachusetts State Building code is cause.for'revocation of this 6c��' For information 7 2-3 00 or visit ww"ass'govidpl ' Call(817) ' .a►c®O� CERTIFICATE OF LIABILITY INSURANCE FDAT8107/2018 1� os/o7nols 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 eartiffeato holder is an ADDITIONAL INSURED;the policyges)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 c Tammy Home ROGERS&GRAY INSURANCE AGENCY INC PHONE SOB 7605745 c E-MAIL , thome@rogersgray.com 434 ROUTE 134 INSURERS AFFORDING COVERAGE NAIC# SOUTH DENNIS MA 02660 INSURERA: HARTFORD UNDERWRITERS INS CO 30104 INSURED INSURER B: RANNEY&RIMINGTON CUSTOM BUILDING LLC INSu C: INSURER D: PO BOX 816 INSURER E: MARSTONS MILLS MA 02648 ]INSURER :J COVERAGES CERTIFICATE NUMBER: 300993 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 LTR TYPEOFINSURANCE POLICYNUMBER POLICY E F POLICY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES Me cowrrence) S MED EXP(Arry oneperson) $ N/A PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICYEl jE LOC PRODUCTS-COMP/OP AGG $ OTHER S COMBIAUTOMOBILE LIABILITY sod ntl G g ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) S AUTOS NON-OWNED PPRaOr PER aT DAMAGE g HIRED AUTOS AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE N/A AGGREGATE $ DED RETENTIONS $ WORxERSCOMPENSATION x PSTER OTH- AND EMPLOYERS'LIABILITY ANYP ETE TOR/PARTNER/EXECl1TIVE YIN E.L.EACH ACCIDENT S 100,000 A OFflC13R/MUMFJMBEREXCLUDED7 WA WA WA 6S60U89F85778918 08/06/2018 08/06/2019 (Mandatory In NH) E.L DISEASE-EA.EMPLOYEE $ 100,000 0 yes desa@e under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMB $ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remaft Schadule,may be attached U more apace Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the Insured hires,or has hired those employees outside of Massachusetts. This certificate of Insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/twd/workers-componsetion/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 'D...-F CAS' Daniel M.Cl y,CPCU,Vice President—Residual Market—WCRIBMA 01988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD PATRRIM-01 UM CERTIFICATE OF LIABILITY INSURANCE D 0 08/061201 Y 8 06128 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 pollcy(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 oendorsements. PRODUCER CA WE Rogers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 (A/C,No Ixl: arc No: 8T7 816-2156 South Dennis,MA 02660 SS:mail@rogersgray.com INSURERS AFFORDING COVERAGE NAIC# INSURER A-Main Street America Assurance Company CompaLiy 29939 INSURED INSURER B: Ranney&Rimington Custom Building,LLC INSURER C: P.O.Box S16 INSURER D: Marstons Mills,MA 02648 INSURER E INSURER F: COVERAGES CERTIFICATE UMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A XI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE F—X] DAMAGE OCCUR MP076069 08/21/2018 08/21/2019 a:o=rD S 500,000 MED EXP(Any oneperson) S 10,000 PERSONAL S ADV INJURY g 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ ,2,000,000 POLICY[K za E-1 LOC PRODUCTS-COMPIOPAGG $ 2,000,000 S AUTOMOBILE LIABILITY !Fa ocdd.ni) COMBINED SINGLE LIMIT S ANY AUTO BODILY INJURY Per erson OWNED SCHEDULED AUTOS ONLY A�UpTNOpSyy p BODILY INJURY(Per accident S AUTOS ONLY AUTOS ONV Pe�adent AGE S UMBRELLALIAB OCCUR EACH OCCURRENCE S EXCESS LJAB CLAIMS-MADE AGGREGATE S DED I I RETENTIONS $ WORKERS COMPENSATION PER ER OTH- AND EMPLOYERS'LIABILITY ANp ICERqO//PMMRIIMgO�Rf AARCTLNUDEERI ECUTfVE Y❑ NIA E.L.IN EACH ACCIDENT $ ?19.'Cd tory In NH) E.L DISEASE-EA EMPLOYEE S If es,describe under D SCRIPTION OF OPE T IONS below E.L.DISEASE-POLICY LIMB DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If morespace Is required) Certificate Holder is an Additional Insured on General Liability on a primary&non-contributory basis when required by a written contract or agrement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C 0/4-4 ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD II Town of Barnstable Building Post This Card So Tliat it is Visible From ahe Street-Approved Plans Must be Retained on Job-and this Card Must be Kept Permit • uuvsrwBtF { Posted Until Final Inspection Has Been Made.=- � i63P h�� Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection hasrbeen made _ Permit No. B-18-2900 Applicant Name: Ranney+Rimington Custom Building LLC Approvals Date Issued: 10/09/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 04/09/2019 Foundation: Residential Map/Lot: 02.1-022 Zoning District: RF Sheathing: Location: 107 ABBEY GATE,COTUIT Contractor Name: ALEXANDER M RANNEY Framing: 1 Owner on Record: BACCARI, LOUIS J JR&CATHERINE H Contractor License: CS-088595 2 Address: 27 HARRINGTON RIDGE RD Est. Project Cost: $9,840.00 Chimney: Y SHERBORN, MA 01770 Permit Fee: $125.18 Description: Remove Exiting Wood Beams in Living Room.Add Ceiling Joists as Insulation: Fee Paid: $125.18 per plan to create valult instead of Cathedral Ceiling(all interior) Final: Date: 10/9/2018 Project Review Req: construct using revised plan submitted 10/4/18 Plumbing/Gas �-� Rough Plumbing: Building Official Final Plumbing: i Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Final Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Electrical This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: - - - 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Application ...... r r ; r � M►8s. Total Fee Paid...... .Permit Fee........... .............:............Other Fee.................:...... ..1..9 .... ......................... ..... .... j OF BARNSTABLE Permit Approval by....... .................on....... :�I. TOWN .. BUILDING PERMIT aj.....................?MCCL.. 2'� APPLICATION Section 1—Owner's Information and Project Location Project Address UZ �� G vnmge ' Owners Name lA i S GAf.C�f P fT Owners Legal Address e' City State Zip Owners Cell# �-74 _.-L-7c) �i3o Frmail G��CLOkr �/ W►A co;* Section 2—Use of Structure Use Group �` ❑ Commercial Structure over 35,000 cubic feet) z ❑ Commercial Structure under 35,0001 cubic feet Single/Two Family Dwelling =� Section 3 —Type of Permit k ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structtae) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ R", mina wall ❑ Solar C�Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 -Work Description -'� WKr- - t_ C� I i TAct nndated:2192019 Application Number.............................................. Section 5—Detail Cost of Proposed Constmctio 9 0 ' Square Footage of Project S� Age of Structure 3) y,(,T Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ---- ❑ Smoke Detectors ❑ Plumbing - ' ❑ Fire Suppression ❑ Heating System _ --"ram ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private 1 Sewage Disposal ❑ Municipal '❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: rou-w S Trek-- I an using a crane ❑ YesZ(No Sec 'on-T::=Flood Zone Flood Zone Designation Within or adj to a wetland, coastal bank? Yes ❑ No ❑ 3 Section 8—Zoning Information Zoning District Proposed Use Sr Lot Area Sq.Ft. , Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No 3 Last imdatm 2/9201 S Carter, Jeff From: Carter,Jeff Sent: Monday, September 17, 2018 10:05 AM To: 'alex@thecapecodcapenters.com' Subject: ViewPermit, Permit No:TB-18-2900 Good morning, Please be advised that we are currently reviewing your permit application for 107 Abbey Gate. Based on the information submitted this is a plan that would require engineering. Please provide a stamped plan from a structural engineer for us to continue the review of this permit. Call or email if you have any questions regarding this request. Thank you, Jeff Carter Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508 862-4035 i rt�f 1-6 MCe[- 06LJ Cob . WC WUL NW- 9fi6Ludr AA1 CNGSWO�;�2 a SA►► (ZkGt✓ R-t�,rvN'f`3 to i q 118 i AC® CERTIFICATE OF LIABILITY INSURANCE DATE8107/2018 ) OB/07I2018 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 tho eartifictito hofdar is an ADDITIONAL INSURED.the policy(les)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 Ileu of such endorsements). PRODUCER NAME cr Tammy Home ROGERS&GRAY INSURANCE AGENCY INC fM_PHONE , 508)760-5745 FArc Ne ED&Ess: thome@rosersgray.com 434 ROUTE 134 INSURER(S)AFFORDING COVERAGE NAIC# SOUTH DENNIS MA 02660 INSURER A: HARTFORD UNDERWRITERS INS CO 30104 INSURED INSURER B: RANNEY&RIMINGTON CUSTOM BUILDING LLC INSURERC: INSURER D: PO BOX 816 INSURER E: MARSTONS MILLS MA 02648 1 INSURERF: COVERAGES CERTIFICATE NUMBER: 300993 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. SUBR INSR TYPE OF INSURANCE L POLICYNUMBER MMMfOorinCY MPO CDI EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S DAMAGE TO RENTEE) CLAIMS-MADE OCCUR PREMISES Es oearrence S MED EXP one arson $ N/A PERSONAL&ADV INJURY S GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S POLICY E J jECOT- LOC PRODUCTS-COMP/OP AGG S S OTHER: BINED AUTOMOBILE LIABILITY (EaC0accidentSINGLEUM1T S ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED NIA BODILY INJURY(Per accident) S AUTOS AUTOS NON-OWNED PROPELdent DAMAGE $ Per acd HIRED AUTOS AUTOS $ UMBRElJAL1AB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE N/A AGGREGATE $ DIED RETENTIONS $ WORKERS COMPENSATION X STATUTE ETH- AND EMPLOYERS'LIABILITY Y I N A 0 FCER/MIEMBEREXCLUDED?EC�� WA NIA WA 6S60UB9F85778918 08/06/2018 08/06/2019 E.L EACH ACCIDENT $ 1DD,()00 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 100.00.0 IF yes,desrnbe under D gas, OF OPERATIONS below EE.L.DISEASE-POLICY LIMB $ 500,000 1 -a N/A DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule.may he attached H more space Is Mulred) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the Insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workere-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ---- �D.v� C ' --- Daniel M.C� y,CPCU,Vice President—Resltlual Market—WCRIBMA ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD QX 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 mot, Please Print Legibly Name(Business/Organization/Individual): i y '1 1��+'�—GTa N G UCAY� '�Ul kb*G Address: q6q MITE" ST., City/State/Zip: (311flW"XZ_ Ali' UtOr Phone#: �9 q z-c`3 ^_7 (q 7 Are;( re on an employer?Check the appropriate box: Type of project(required): l I am a employer with-1(3 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.XRemodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance I required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself (No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#I must also 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. , ,,,d Insurance Company Name: {{t't t'�I�I d � 8S,77951 � �2 s UT��• G� Policy#or Self-ins.Lic.#: &S 696 V r3 q I- ®S,7 7 9 51 1 9 Expiration Date: E3 ` (q Job Site Address: l 0-1 Ngog / &AfV_ I (AI I'VT City/State/Zip: W Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided abov r is trzw and correct Si ature: Date: 1 L rJ Phone#: 6;4) '+Z -11 C4 7 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public-work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly..The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pennittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mm.gov/dia PO Sox 816 ?'PININGTON �� + Marstons Milis,MA 02648 Tel 508.428.7147 info@thecapecodcarpenters.com Fax 508.428.7167 RENOVATIONS•ADDITIONS•CUSTOM HOMES TheCapeCodCarpenters com August 13,2018 ESTMATE RE--L_. Site: 107 Abbey Gate, Cotuit;Louis Baccari;774-270-1304;1cbaccari@gmail.com Install 3 new terior doors,trim doors,windows,and sliders in living room and foyer,approz, 1801f • Install 3 c r supplied single two-panel solid Masonite interior doors in existing openings'(bedroom approx.RO 3 1"x80"/panel 29 3/4"x78",office approx.RO 31"x80"/panel 29 3/4"08",and 15asement approx. i 29"x80"/panel 27 '/4"x78'D including customer supplied standard brush nickel hardw e;install interior door,window,slider trim,and foyer closet on living space side; all trim to be p'. with Stafford profile Door&trim subtotal $1,140.00 Remove existing beams in ceiling and install new higher vaulted ceiling • Provide detailed prescriptive frame plan of ceiling for Town of Barnstable as needed......... $ 250.00 • File building permit with Town of Barnstable in accordance with MA State Building code 780 CMR, including inspections and plan review meetings ..................................................... $ 200.00 • Electrical allowance included to remove existing lighting and install recess lighting .......... $ 1,000.00 i • Build temporary walls as needed for support; deconstruct & demo existing ceiling as needed per plans, including removing beams, some gypsum wallboard and some insulation; (any additional work to provide proper venting, if necessary, is to be determined while ceiling is open), dispose of construction waste....................................................................................................... $ 2,000.00 • Construct new rough frame as per plans and floor plans in accordance with MA State Building Code 780 CMR, including ceiling joists to create vaulted ceiling ..............................................$ 3,000.00 • Install new gypsum wallboard on all new construction ceiling in preparation for plaster................................................................................................... $ 1,100.00 • Tape, comer bead,and plaster new gypsum wallboard and any repair spots; blend into existing plastered ceiling to painter-ready .............................................................................:..... $ 1,150.00 Vaulted ceiling subtotal $8,700.00 TOTAL LABOR & MATERIALS $ 9,840.00 Payment Schedule Iruttal:deposit requested to schedule vuo�„ . $2000 00; Due upon receipt of permit&ordering materials $3,000.00 Due upon completion of rough frame $3,000.00 Due upon completion $12840.00 .1 +==WMN CUSM a BUUM MS 1 i Proud Member of National Aston of Nome auWers•Home BwV,,A—c a-of Me—whuseus•Home 80dem&Remodelers AwomWon of Cape Cod-Better Business Bweau i a M ANHET „� BOX 816 ' WHINGTON rstons Mills,MA 02648 Tel 508.428.7147 info@thecapecodcarperlterscom Fax 508.428.7167 RENOVATIONS•ADDITIONS•CUSTOM HOMES TheCapeCodCarpentemcom Baccari—interior work-revrsed Please note-our standard contract • This estitnale is valid for 30 days. • No additional work is included in this estimate unless described in wiling. • Deposits and payments am nor refundable unless otherwise noted . • Contractor is nor responsible for any damage to lawn or plantings eonnd demolition area. • Contactor is can responsible for any damage to interior fiunishings than may need to be mad to complete wort • All construction waste and replaced items(including cabiaets,windows,doors&appliances)will be considered disposable unless other indicated by property owner. • Property owner is responible for all tests associated with hazardous materials,lead,mercury storm water pollution discharge or costs associated with American DisebWdes Act requiremaas if necessary. • Any repair,moving or installation of alarm system for security or firetsmoke is the rtsporm'btTity of the property owns • Customer is to supply all paint if any is being used(unless otherwise specifies • Property Owner agrees thu Ranney&Rimington Custom Builders may display a small sign on the property during the duration of the work and one moab after completion. • Property Owner is responsible for any and all engineering ccets and site plan if necessary unless otherwise noted Conservation Zoning a dfor Watmical eat necessary in association with obtaining any axessasI permits unless otherwise armed • All home improvement contractors and subcontractors shall be registered by the Director and any inquiries about a convector or subcmmactm relating to a registration should be directed to:Director,Home Improvement Contractor Registration,One Ashburton Place.Rm 1301,Boston,IAA 02108 • The property owner has three-day anedlation rights of this contract underMGL r-93.48;NLG.L a 1401).10 or h-G.L-c.255D,14 as applicable.After 3 days all deposit end special order payments am non. refundable. • All warranties and property owner's rights are under the provisions of 790 CMR 110.6 and MG_4 a 142A • Any alteration or deviation from above specifications involving eaten coats will bamne an extra change over and above the estimate at S7500 per hauplus materials if cost of mateiials and already described labor costs changes,this estimate may increase no more than 159'o without written notice- It is the obligation of the home improvement contractor to obtain any and all necessary comouaion4dated permits,in the event that the property owner scones their own canstuctioo-retnted permits or deals with unregistered eoaoactors they will be excluded form the guaranty fiord provisions of M.GL a 142A.Work will begin no law than sbr months Bnrm the issuance of any necessary permits and will be completed no later than two yeah fiom the issuance of necessary permits • Property Owner's failure to male payments for work daily performed may result in a lien against the homeowner's property.Owner is responsible for any legal fees and court orate Ramey&Rimingmn may incur to collect the monies due on this estimate.The contractor and the property owner hereby mutually agree in advance that in the event the contractor has a dispute eoaoemivg this estimate:the contractor may submit such ZiRiin ice which has been approved by the sea"of the office of consumer effdm and business regulations and the consumer shall be required to submit to such arbitration as provided in • IS CON CT IF YOU HAVE NOT READ IT OR IF THERE ARE ANY BLANK SPACES 8/13/18Custom Building LLC Date 40wner Da Home Improvement Contractor Registration#144752 RANMY+BIIMWMN COMON.111MDERS 2 Proud Member cxf Nadorrat Asaxfatine of Home BUMers-Homo,8wVers Association of Msssachusotte•Home Buffdam 6 Remodeftars Association of Cape Cod•Better Business Bureau Commonwealth of Massachusetts ( Division of professional Licensure Board of Building Regulations and Standards Constr ftrs't4p�rvisor CS-088585spices:04/16/2020 r' r ALEXANDER-M RANNEY 239SCUDDEKIAVENC>E-� ` L� HYANNIS MA 02601 . Commissioner Construction Supervisor Unrestricted-Buildings of any use group which contain less than 36,000.cubic feet(991 cubic meters)of enclosed space. 000 Failure to possess a current edition of the Massachusefts a State Building Code is cause for revocation of this license- For information about this license govldpl Call(617)'127-3200 or Visit www. , 1 �fze�arrzzzzazzracat'f�i ('rji�aaln�uaef�d Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only Type: LLC before the expiration date. If found retum to: istration Expiration office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 11/01/2018 Boston,MA 02116 Ranney+R'irnj'gtCtpt ' Building, LLC',; Alexander Ranri 157 Thankful ' ~--Cotuit,MA 42635 ` "= J Undersecretary Not valid without signature i i • r i E Application Number........................................... Section 9-.Construction Supervisor Name thug D► - R-AW C f Telephone Number 5 0 7 T f Address 7 3q Sc u)bN z }-/f, City LH p Jay State tAO _Zip 6 Z�V License Number 0 9 F3555- License Type U Expiration Date LO(O 20 Contractors Email �6NF.,16bCfIf,4�N'� ?-5'aCoc'� o Cell# (SO2)) 7 33-4(b$3 I I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 -- CMR the Massachusetts State Building Code. I understand the constriction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Bamsta a copy of your license. Signature Date ( g Section-10-Home Improvement Contractor Name_L2-p±�r'�,y CLWA 3dX)1 T lephone Number • (5-09) 4 7 (q1 Address q ( Il W 57, City 85VzVakF- State MP Zip OZ 6 r5- RegistrationNumber W?S 2- Expiration Date 1 l I l I I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the constriction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your EUC... Signature Date lqll8 _.._ Section 11-Home Owners License Exemption Home Owners Name: K64AJP( %C-t Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Bmldmg Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date qlql(S Print Name kge'4"f;E- � Telephone Number (5L)O,)-733 -48 3 E-mail permit to: co PCAW r-,KS1(z-5 . Co u--, Section 12—Department Sign-Offs Health Department ® , Zoning Board(if required) ❑ ' Y.. Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the f re depardnent for approval Section 13—Owner's Authorization as Owner of the-subject property hereby authorize i : - _to-act on-my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner ` date Print Name ` Last=dated:2/92019 'd�✓1�Od/rl�os-vZt�,� 1S M077i/y g '�'�-�2lZl��' I',�`3 7 9 d1 :1'0 lvlwOl gA.11 =eO H1/Af kVa'O-v',,"V'O C 1VV/vMOHS Sb' aa'CO S/ NO/117J07 /VO/1 V(71W70-Y 9N/ O 1S/X7 �ff1 1 V HJ- A ll1l ,;70 GCB?a'gH f W poi Is 601D ! iv/ rvn'f D S .5 d V® -L 0 7 IVV7d �_� �1tdC7�, -� -77t 'OS a SS V" r1/f 0-o :NO/1 b'J07 r '- N V 7d . Z 0 °7®/ CZG'OL3 7/109d 1 � ------^�.� 77/s` i CXp \� oj' 1 d � tj tf J o Pot - 02 Z 1 07 f � o z .A .. n Assessor's map and-lot number ....`:....... .. r� SEPTIC SYSTEM 'MUST BE ' INSTALLED IN COMPLIANCE Sev/age`Kermit number ...................................1.................... WITH ARTICLE I'I STATE L SANITARY C fiiE N O LZ TOW O� RARNISTX# y .. j N BA"STABLE; • ;-5 `"� " ` 41.1 LDING INSPECTOR . . Apo,s6�9. `00 c„.2 Q M N ti w ti �; —E M APPLICATION FOR"'PERMIT TO .e&'X'2 4�C:./... ........1...... -��IR.1..........�� +in N� ....... .... .. ...... 1 TYPE OF CONSTRUCTION ��..................... . -... . ?...................................................................................... ............v U.1V A.....30 197Z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according/ to the following information: Location 4e-7 ..eA...... �. ...1................................................ j �� / Proposed Use .�,�1.'�.�rL.F->4.r.�.l✓...�'�........../`................��..,�.... �.T.......................................:...................................... � � ZoningDistrict ... .. .........................................................Fire District . 1.... ........................................................ Name of Owner ...... J� /.�1..G-�.l:.�::........Address .................................................................................... Name of Builder ....� .... .............Address > . - � 40 Name of Architect ........... .. ..... ...................................Address Number of Rooms ... .........................................................Foundation f('..... � 7�/.... ✓ �-%,�� ..7T-... Exterior .....- 1 �/.".��".......................Roofing .-5 / `/�J ../.................................................... Floors 01 P �� ......... ..... /p .�.......................................................Interior ..7.�.'..-:-.�..�.�..-�ti�r.z.f'�....................................... — - ...Heating / / /a !`....:.ffx.....,�� ....................Plumbing c ..�?. ./..�w....��` /..//' �''�'CG�/ f.... .................. �.1.. ./.�. � Fireplace .... �� Approximate Cost .,., `.� TJ Definitive Plan Approved by Planning Board -----------____----------------19--------. 1 O Area l ........ .. .............. Diagram of Lot and Building with Dimensions �5 ZS 9 9 Fee .................... .•..,.r.............. SUBJECT TO APPROVAL OF BOARD OF HEALTH G I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ` Named/`'f/ �...(,/Gt.�1/✓ %!r ri .. Farrell,, James ell% No 9461 one story ............. Permit for .................................... . ......�ingle family diielling ........................................................................ Location,10..AbbeyGate 'Lane • ....................................................... Cotuit ............................................................................... Owner .......................................James Farrell........................... Type of Construction ..........frame ................................ ........ ..................................................................... 1��1 ell bPlot ............................ lot 8....A ................. August 2 77 Permit ranted ............. ........ ............19 &Date of Inspection ......1/1-; 9 Date Completed .... .. .................. .....619 PERMIT REFUSED Z7 ..................... ..... 19 ../.............................................I.................................... *................. ..............................:,:%.................... f. ............. - .... ............... J\N ' N t `�� .......................... ............................. ................ Fill" Approved .,..................................... ...... 19 ....................7:�................... V ......................................................../1........ j/ ..... ............ Assessor's map and lot number .................. Sewage Permit number ..................................../...................... °`T"E TOWN OF B•ARNSTABLE �Q o� i BASHSTODLE, i 9 BUILDING . INSPECTOR 0 Mwf a' _ s APPLICATION FORS PERMIT TO ....... as'... � � TYPE OF CONSTRUCTION dd ��1/11-.•.............................................................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Locations/..... ...... '. .... T �° �.... '. A .. �a/./ , ..'............................. ProposedUse `... � ......, z.cx�-......... ....... ......................... ...................... ZoningDistrict ... .:F.........................................................Fire District .... ...................................................... Nameof Owner 159�- ...... �R�.. , .::........Address .................................................................................... Name of Builder -T)6�FA .. �/` , �1/.........:.Address ? f�d/� A �F f` .: ... Name of Architect ..................................Address �({1� / ' � ..... f� 5%.................... Number of Rooms Foundation ... v Z Exterior ....!.....A1f11`. .� ...Roofing 6.�A.t��.4 .............................................. I - Floors ,;• Interior E •! � ,.�'� 1 ..................................... ......................................................... ....................... . = — ,Heating `y , k '. .t....................Plumbing ..�` (.��y.T..� w�,....................... 9 Fireplace �...�;. . pp... .....:...........................................:.....:.........A' roximate Definitive Plan Approved by Planning Board -----------_______-----------19_______ . � �Area r .` .. 4p..... Diagram of Lot and Building with Dimensions Fee ...................., l..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH RAJ I hereby agree to conform to all the Rues and Regulations of the Town of Barnstable regarding the above construction. Farrell$ James A=21-22 19461 one story No ................. Permit for .....:.............................. -single family dwelling Abbey Gate Lane Location ................................................................ s Cotuit • ............................................................................... James Farrell � e ' Owner frame Type of.Construction .......................................... ................................................................................ Plot ............................ Lot • Permit Granted .. ....August 19 77 Date of Inspection .. .... . Date Completed ..........:. ......................... P 4T REFUSED } . .......I. ..�. . .7..... :............ ...................... ............................................................................. Approved ............................................................................... . o . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel'. Application 'Health Division Date Issued 9..n Conservation Division Application Fee Planning Dept. Permit Fee Jr- .0 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Stra@t Address Village Owner --)A- , ta C Address Telephone 60 Permit Request '.C'�W1tifk �� T1C7Y1 SCE J\ `1 Slnc�i {- es , - s �s m► Yla bP (A S bac Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new (:Fize istrict Flood Plain Groundwater Overlay V luatio* ) Z 1 �° �9 Construction Type Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) sy C Age of Existing Structure Historic House: O Yes ❑ No On Old King's Highway ❑Yes ❑ No Basement,Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(Sq.ft.) Basement Unfinished Area (sgft) Number of Baths: Full: existing new Half: existing I new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas 0 Oil 0 Electric 0 Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing 0 new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: 0 existing 0 new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded 0 Commercial ❑Yes ❑ No If yes, site plan review# 'Cufrent-Use- Proposed Use ✓ Pl APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number CJM) Address GLicense # V Home Improvement Contractor# AM 40 Email. y� r Worker's Compensation # tA'J A ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0 SIGNATURE!�/� ��— DATE 'Qb 1 { FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS - ' VILLAGE I v OWNER r DATE OF INSPECTION: FOUNDATION FRAME ' INSULATION + FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL x• , GAS: ROUGH- FINAL FINAL BUILDING { DATE CLOSED OUT f ASSOCIATION PLAN NO. The Colrinmmves"of'MassaaAwsc� DeIPUMMM9 aflNdUS&WAcddejW 1 C01wrm S&M!4 SR*100 Bestegr MA 02114-2017 wok's'Compesaatiaa Iosoraaft q WWUh�'/dia TO BE FILED W]'j) THE pp AfG A U7�OItt1'Y. Nam(ftsi OFWi3ion)lndividual).Insulate 2 Save, Inc Address:410 Grove Street Clty/So+e/Zip:Fan River,MA 02720 F2.�O as Phone#:508-567�06 �+'Cbeeh tdle aPP+Mete bou: a Moyer with ZD_eeaploYees(fWt and/or Part time).• '�!� a sole Proprietor or Of MONO� ' capacity INo P and have no employees workin for me in 7• ❑New COn • I am a comp.inwranee required.) 8 8 R��iog Mer dD*all work myself.(No wiringorkers' 4. I am a comp.„ssur""ce required.]r 9• ❑�O11tI0rl er m Ofther have mc� a all work on my p e !will )a1�ldft to p no employees. naatia or are sole addition 5C3 I atn a lDeat�l 11.�Ekcww•Isere Wand I have hired the sub oontraCmrS listed on the L 2. Or atidipp>l� �ptoyees and have workers' 1ed sheet. repaits or a6.❑We ate a emp�andits .�•imQ.: •Q:PIU:Mb* M f 1(4•).and%e have no MO YM.have o nosed their right of Mq ti.Per MGL c. `f�' ttiat ehaelts W11111,111111 (NO workers COMP-!antraoce req""td.1 awn » davit md�oor the Sectionbelow showingfo el�eir Do .�ee�ched an atatft��doingall work and then I ietl&M if the have. showing the name of thew meet se bu*a am stmwft- !am �altoapt ,t Pm+idttheir wedetts' and recce whether Ornottboae mbomftb , oon insx�cc for -- • ;IMmum Comfy Name:Li ' Y°a Beisw iit>llfk Yttal Insurance �'�h8aitle PolicY#or Satf_ias.Lic.#:Xft•56418741 Job Site Addt�: Expj I?8tt:12/1Q115 Attae&a copy of Werj*lSI tom failure to secure �� po8c3'declaratdoe City/sue R andJor one-yew �'�as requite Under MGL c. 152, ie(showing the Po� a *4ay aping � .as well as civil §25A is a c �er.alsd1iaedate� ;Oovthe violator.A penalties in the form of a S7ipp iol�on PunisbaMe by a up I v�fication, ��of f natement may be'forwarded to the ORD>3R and•a fine of too Sm. trnatter Ofl�cc of In 5250.00 a Ita<tep��+d motions of the DIA for Peres of p� ,diaat Me�loranomre� nth BID 7-6706 arare eee Baer 1 City Town: >esnle'h tits to be or CO&Weftd bydey town 7 ft A ��Ne aft). Pe6'Omer o i Zr a Z DVXlease raalEent 3• City/Town Cleric 4.Llee Coles pin: Mcsl LraPecter 5.p Pboee#: i ACO,RjaeCERTIFICATE OF LIABILITY INSURANCE °�'�( "'°°^ ) THS CE"FrA 121 R: IE IS ISSUED AS A MATTBI OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDE /TIJS 4 CSt WRITE DOES NOT AFFT "r%fELY OR NEGATWELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW- TM CERTIFICATE OF MuRAlICE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING, INSURER(S), AUTHOI�ZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. IM ISNT: If the hotdfr is arl ADDlT10NAL I URED,the olic le$ must be endorsed. ff SUBROGA ON IS W ' the tlerna and catdijam of the p � ) subject to Prey,W*na policies may require an endorsement. A statement on this certificate does not confer cesrtll�Ee holder in lieu of such eldora�nlon ��to the I PRODUCER CONTACT Ant.hon>r F. Cordeico Insurance NallE_- PHONE (SO$) 6'17-0407 ' FAX - 171 P1C'•aSatit Street E�taL . (508) 677-0609 Fall Raver, MA 02721 ADOREss: hsouza@Cordeiroinsurance.com INSURERIS)AFFORMNG COVERAGE _— NAIC C INSURED INSURERA:L.ib_arty Mutual insurance Insulate 2 Save INSURER L, •• �- _ Inc. -- •- --- 410 Grove St. INSLIRea c: --• i Fall River INSIJRfit o: - . Imo, 02720 —• - _.•. LIST R ER E: — -- INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES OF INSYJRANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM,OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTEICA' TE.MAY BE ISSUED OR MAY PERTAN, THE INSURANCE AFFORDED BY THE- POLICIES.DESCRIBED HEREIN IS SUBJECT 'IC ALL THE CERMS• ! EXCLUSIbNS AND CONDITIONS OFSUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 7A1 - ''TY/E OFINSURANCE_--- PC41Dl�t1_ POLICY NUMBER :fYMIWlY IDIYI7YY i LINTS OEl1�hLLJABSJTY Y Y (HKS 56418741 12/l0/14: 12/10/15' 1 EACH OCCURRENCE s 1,000 000 I X C6WERCIALGENE13ILLIABUTY , I DAawGETD KtNTED I s 300 000 i CIAMMSMAD'c 1 X 1 OCCUR ) NEDW4"ore perm) ;s 51000 i PERSOML&AOV INJURY •. S 1,OOO,000 ,—._ i GENERAL AGGREGATE_i$ 2,�0 D,0 0 0 ,JJ ^PLAGGREGATELM9TAPPLIES.PER ( ! )PRODUCTS-OONFJOP AGG is 2,00 0 .Q POLICY;I PRO-ZCT I LOC I I ! :� A AUTOIWOa.E L1A&%M 1 S f �T3AA 56418 741 12/10/141 12/10/15i 10EeaeeeMrt) LMR ,s 1,009,000 AIiIY AUTO 1 ;BODILY INJURY(Per.persor:) S A;LOWIED scMEOULED 1 AUTOS X AUTOS i i BODILY INJURY(Per ao6a9m) ! X HIREDAUTOS X NAU ON SWNED I r 1 aoeaeYi+ti --:S — 1 1 is A iX uONIELLALaB IjX OCCUR ; Y Y 11USO 56418741 12/10/14; 12/10/151EACHOCCURRENCE s 2,OQ01000 ELcss uAB I CLAIMS-WIDE i i i AGGREGATE �s D USOR 0 S i :s A IvORPWO / i 'XWS 56418741 12/10/14; 12/10/1s2 wDr?A R�' o'H•' ��POPRE �� T7\IE YIN, : . r$_�. OpF1CpRq,EY�tEXCLUDeD? INIA E.L EA_CbACgDENT .5 SOO.000 I Olarminy.ln NH) E.L DIS tr CaYQioe wider I EASE•PA ENP LOYEE 5 5 d 0,0 0 0 N OP OPERATIONS defer EL.DISEASE-POLICY LMn'+S 500,000 • i ( DE OPOPERAT10NsILOCATIONSIVEIscLI!5 (A=WhACORD101,Ao66onalRenarksschedwe,if mom spaceisregdmd) . Proof of Insurance. I I I CMTIF"TE MOLDER CANCELLATION 1 SHOULD ANY OF THE ABOVE DESCRIBED POUCES BE CANCELLED BEFORE I 1 THE;. EXPIRATION DATE THEREOF, NOTICE'WILL BE OEUVEREO IN 1 ACCORDANCE WITH THE POLICY PROVISIONS. ' 1 I t AUTwoR¢Eo 0e09ESournTfvE='i45C=�� I ©1988-2010'ACORD CORPORATION. All righLsreeerved. ACORD g5(2010/06) The ACORD name and logo are registered marks of ACORD Phr%nP• Fax: E-Maii: Office of Consumer Afffairs and Business Reg-ulati 1 1011 10 Park Naza - Suite 5170 Boston. Nlassachusetts 02116 Home Impi-ovemen! Cb'titi"'actoi-'Rei,,Ist-i-atioii Registration: 180747 Type: Corporation xpiration: 12/29124016 T 261507 r-- INSULATE 2 SAVE , INC. F7 ROLAND LANGEVIN 410GROVE ST FALLRIVER, MA 02720 U ate micirvs.s and,return mu eturn cart!.Mork ;full.chans"e. pil, SCA 0 20k~ ArlclrtN!, Renewal . IAiployinem Ulm Curd Urc.u-,e or retiwutimi%-:ili(i for imlividul use only (-)tfjcc orCortt--vmcrAfrsir� j1iq,iav%t jtrE!iiIa6oi OME IMPROVEMENT CONTRACTOR before the expiration date. Jf found return to: agistration: 4W47 Type., Off-ice of Consumer Affairs and Husineoi Regulation Expiration:, corporation 10,Park Pin/,n-Suite 5170 Boston,NIA 02116 INSULATF 2 SAVE.* ROt-AND LANGEVIO 410 GROVE ST FALLRIVER,MA 02720 Not valid withoul'sif-maturt VSkilassacht'"t's r)ePSrtrnwnt of Public Solely oard of Suildlr#q Reputations and St.in -' tis License, CS-1034961 Construction Supervisor ROLAND LANGEVIN 66 HI'GHCREs I ROAAU� FALL RIVER MA 027% Expiration 'orllmlss;014,- 08t24/2017 , I Federal ID#05-0405629 RISE Engineering RI Contractor Registration No 8186 MA Contractor Registration No 120979 A division of Thidsch Engineering CT Contractor Registration No 620120 5 Dupont Avenue,South Yarmouth,MA 02664 �®�� R I S E 508-568-1926 X-6610 FAX 508-568-1933 ENGINEERING Page 1 PROGRAM THIS CONTR ET ACT IS ENTERED INTO BETWEEN RISE Ci.GRCS ENGINEERING ANDTHEWSTONERFORWORKAS DESCRIBED RFLOW CUSTOMER PHONE . DATE CLIENT P WORK OROER Catherine H Baccari (508)655-;183 10/07/2015 117127 0000 SERVICE STREET BILLING STREET 107 Abbcy Gate 27 Harrington Rides Road SERVICE CITY.STATE.ZIP BILLING CITY,GTATE.71P Coluii.MA 02635 Sherbom,;MA 01770 JOB DESCRIPTION PHASE,ONE-Proposal for this calendar year. S0.00 AIR SEALING:Provide labor and materials to se l areas of your home against wasteful,excess:fir leakage. This work Will he performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can include caulkS,foams,weatherstripping and other products. Primary areas for scaling include air Iwkage to allies,basements,attached garages and other unhealed areas(windows are not generally addressed.) (7)working hour.". A reduction in cubic feet per minute(cfin)of air infiltration will occur,but the actual number of-fin is not guaranteed. $539.00 ATTIC ACCESS:Provide labor and materials to insulate the back of(I)attic hatch with 2"rigid MTlermax board.Weatherxn'ip the perimeter. SS5.00 ATTiC ACCESS:Provide labor and materials to install(1) easily moved,insulating cover for the attic access folding stair. A small flat surface of plywlmld will be cTeatcd around the opening within the attic. 'ihis Will allnw the cover's intcor::l Weather-stripping In Ii,uict air leakage. S237.65 COMMON WAI.I S:Provide labor and materials to install 2"FSK faced semi-rigid fibergdass board insulation to(104)square feet of common wall area. S344.24 - iNCE•NTI'VE:RiSE Engineering will apply all applicable.eligible incentives to this contract. You will he billed only the Net anitium. Currently,for eligible measures.the Cape Light Compact offers 75%incentive,not to exceed 54,000 per calendar year,and an incentive of 100%for the Air Scaling measures. For the safety and health of your home's indoor air quality,we will he conducting:t blower dale diugnatitic of Ile available air flow in you,-home- both before the work is begun,and after the weatheriration work is Complete.We will also conduct a full assessment of the combustion atety of your heating system and water heater.This has a value of S90 and is at no cost to you. $90.00 I Federal ID#05-0406629 RISE Engineering RI Contractor Registration No 8186 MA Contractor Registration No 120979 A disision of Thielsch Fnginecring CT Contractor Registration No 620120 5 Dupont Avenue,Stluth Yarmouth,MA 112664 CONTRACT �MV� R I S E 508-568.1926 X-6610 FAX 508-568-1933 ENCINEERINC Page 2 PROGRAM RISE C 1,C•R C..S ENGINEERINGCAND THE CUSTOMER FOR WOR+K AS DESCRIBED BELOW CUSTOMER PHONE DATE CUEIn's WORKORDER Catherine H Baccari (;gX16i I X 10/07/2015 1 17127 0000 SERVICE STREET GILUNG STREET 107 Abbey Ciate 1_7 Harrington Ridge Read SERVICE CITY,STATE,ZIP BILLING CITY,STATE.21P Cotuit.MA 026') Sherborn, N-1A 01770 JOB DESCRIPTION Total: $1,295.89 Program Incentive: $1,129.17 Customer Total: $166.72 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF "'One Hundred Sixty-Six&72/100 Dollars $166.72 U 1 FINAL INSPECTION D APPROVAL BY R GINE .CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY O.BAUWCE AFTE DAY&S FOR IMPORT/iT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING.AND CONTRACTOR REGISTRATION. V T SIG HIS CONTRACT IF THERE ARE ANY BLANK SPACES ED SIG14ATUp6 RISE EngirwnlY CUSTOMER ACCEPTANCE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF EXECUTED WITHIN \/DATE OF ACCEPTANCE �( ACCEPTANCE OF CONTRACT•THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE DAYS. SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED PAYMENT WALL BE MADE AS OUTLINED ABOVE r"a lit l S E ENGINEERING OWNER AUTHORIZATION FORM l (Owner's Name) owner of the property located at: (Property Add ss) (Property Address) hereby authorize __L 1 Z (� AP (Subcontractor) an authorized subcontractor for RISE Engineering; to act on my behalf to obtain a building permit and to perform work on my property. This form is only valid with a signed contract. Owner's Signature Date i RISE Engineering 5 Dupont Avenue South Yarmouth, MA 02664 f , VAE Town of Barnstable Regulatory Senices q Richard V.Sc*Director i6sp. �0 } Building Division Tom Perry,BuHding Cominissioner 200 Main Streit,Hyanais,NLA f 12601 Si,Wmtown ba'rnstable_fPa.us Office: 508-862-4038 Fax: 508-790-6230 Property O tier Must Complete and Sign. Tlas Section f Using),.A;:BujIder « as QCEr Of the SLl )CCL praNen:y nearby authorirx act on mybebaLr, in aU matters relative to v-ork authorized by this balding pei a application for: t,4� s° Jobj "Pool fences and aknms are the respons.MiM of the applicant. Pools al-e not to be f lled or utiliied before.fend: is installed and all-final. inspections are pei.4ormed and accepted_ Signature of Owner Sigaai:.7re o � plica,nt \l lot-(' P.17 sL� Print Name 1 I7AC�l3rrK Date Q:FORMS:O�V)\TF��$,T•tISSf.ONPpULS E� f Town of Barnstable Regulatory Services TOWN OF R,,ARNISTABIEE Richard V. Scali,Director ` B"M `A Building Division nm mAY 23 A 1 8: : : iOrE1639 p- Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# c::,?0I VO .3 FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less /o %66 cm rf Location of shed dress) Village La 6L(*s U-rl 24 cca o, . ,l n -771/-a 7o-/00 Property owner's name Telephone number FxI( - L)- a / vaa Size of Shed Map/Parcel# S- a�7 1 ign Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:040914 --- ---- -- --- --� �� , - 7�9,/.-r7 �o 3A 0 ` 32 't 26 oc, ! G V 2Gi20 c..,.J ? Q l6 y �% l 6'o ,t '�•';�,,� r Q ,' vJ � - - _ ! / �-'J/n✓/ni! U N9 ��C`��•I c-:�=•�-�.� ��0 S/L L f1_E.lV__l-- F 7- 400✓E P0,4D O 7 F'�- m" PL A IV l-) T- /S S/DG E ,� LoCAr/on/ Co7`U/ S'. SCALE 2 �� PLAN 2E FL-QL-A./ (� ti BY CE�T/FY TI-!A c, T TyEr- �� /4NS GS NOUDA /O_DOCI /O /, Fv OvzleE S CONFO,eiy W1r "!"+;;Tr.��•^ T.�-/E SU/L DING .5E Tl3AC.�.�f�7C/iQE M�,t/7 OF T.'/E TOi /N O c B,q/2 nl.5 TA 3 L E �/�E-C..L �- 3 S/ .�eo w�[•� a T.a Y�02 co.��? oh-76 3 - ' .5 Town of Barnstable *Permit °`�� `3� Regulatory Services Fee 6 0 da g ry �[[ • BAMSfAHLE, r MAC' $ sa19. Richard V. Sca►i,Interim Director �0 Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 1kt Va1id without Red X-Press Imprint Map/parcel Number 0`a 1 o a a L Qf �/ Property Address /0 7 bhec GQA rd, Cd't v ❑ Residential Value of Work$ /U, Yap Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Sat pn ,e Contractor's Name_0tt,,z Telephone Number S Of .L;1L! 1L 5'.1 / Home Improvement Contractor License#(if applicable) /4p 7&2P l Email: n/UL L/N R 00 F IAuC,® GM A!L Construction Supervisor's License#(if applicable) /jO 410 orkman's Compensation Insurance Check one: ❑ I am a sole proprietor 1' ❑ I am the Homeowner 02013 ❑ '.O I have Worker's Compensation Insurance W V 0 Insurance Company Name Z v R 1 C K FaA0n/SrA Workman's Comp.Policy# e�F Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) side e Replacement Windows/doors/sliders.U-Value�l►de�S01! 9a6 SQ(maxunum.35)#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: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: QAWPFILESTORNIMbuilding pe rmAEXPRESSoc Revised 061313 'Email: L The Coasmomslealth ofMassachusetfs Department of Iiudw&ia1 Accidents Office of Investigations 600 Washington Street Boston,h9A 02M wnw.7nass.gov✓dia Yorkers' Compensation Insurance Affidavit:Birilders/Contractors/Electricians/P'lumbers Applicant Information Please Print Leeibly Name(BusmesglO�ganization/inaividnal)= '/ ./ i�%� Address: -7 City/StatrrzLp_ w_ one 47 sore- a Are you an employer?Check the appropriate box: T of. o ect r � 4: I atn a contractor and I I� � 3 (��- I.�am a employer with 7 ❑ 1 6_ ❑New construction employees(full and/or pait4ime).* have hired the sub-coat<actois 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling strip and have no employees These sub-contractors have g_ ❑Demolition working forme in any capacity employees and have wozicers' 9 ❑Building addition [No workers' comp.insurance comp.mcnrance.1 reclaired] 5. ❑ We area corporatioaand its 10-❑Electrical repairs or additions 3-❑ I am a homeowner doing all work officers have exercised their 11-0 Plumbing repairs or additions myself[No workers'comp- right of wm- tica per MGL 12❑Roof repairs insurance required.]3 c.152, §1(4),and we hati'e no employees [No workers' 13.❑Other comp-insurance required-] *flay appEamt that checks boa#1 umst also fM out the section below showing their voAers'compensation policy iaftrrmatiooL T Homeowners who submit this affidavit indicating they are doing all war k and then hire outride contractors mast submit a new af5dnit ind caring swat tContcactors that check this boor must attached an additional sheet shaming the name of the sub-comr2cton aad state whether ornot those eandes have employees. if the sab-cout mctors have employees,they rou provide their workers'comp.policy number. I am an employer that is providvrg workers'compensation insurance for my employees Below is Ste policy and,job site information Insurance Company Name: U 1 Policy Expiration Date: Job Site Address: 16 7 14 R d& Y 49,4 74 Rb City/S tatelZip: d d77i /T JAJ A 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 31,500.00 and/or one-year impri5o�as well as civil penalties is the form of a STOP WORK ORDER and a fine of up to$250-00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify under the pains and penalties ofperjury that the information provided above is bus and correct Sitmature �%s ��. Date: Phone#• SOS' a)t I 8 S/"/ 0,jkial use only. Do not write in this area,to be completed by city or town official City or Town: Permitf icense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/town Cleric 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone!#: 6 Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 Iocal licensing agency shall withhold the issuance or -renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required_ Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-ii=ed companies should enter their self-insurance license number on the appropriate lime. City or Town Officials Please be sure that the affidavit is complete and printed legibly, The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for firtui-e permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Depaximeut of Industrial.Accidents Office of kvestigutions 600 Washington Street Boston,MA 02111 Tol.#617-727-4900 W 406 or 1-977-MASWE Revised 4-24-07 Fax# 617-727-7749 www.mamgov/dia r authority in connection with the performance of the Work and the Contractor's obligations hereunder.' Insurance. Contractor acknowledges and agrees that Customer or Owner shall not be obligated to carry any insurance in connection with the Work for the benefit of the Contractor. Contractor's Insurance. Contractor shall at all times maintain and keep in full force and effect, at its expense, any and all insurance coverage which is prudent, necessary or desirable for the protection of the interests of Contractor. Contractor shall furnish to Customer certificates of insurance for the following types of insurance. a. Commercial General Liability Insurance; b. Workers' Compensation Insurance to cover full liability under the Workers' Compensation Laws. IN WITNESS WHEREOF, the parties hereto have executed this Contract as of the day and year first above written. Cu o r Contractor Company By: Prin . accari Mark Mullin Mullin Roofing & Siding, Inc. 7 Connemara Way, W. Yarmouth MA 02673 508 221 8591 Address: 107 Abbey Gate rd. Cotuit, MA Date: 10-9-13 Date: 10-9-13 Phone number: 508-655-3183 License No. CSL#104076 HIC#167281 Email address: Icbaccari@gmail.com Email address mullinroofing@gmail.com I ® DATE(MMMDIYYYY) ACORN CERTIFICATE OF LIABILITY INSURANCE ' 1i4i13 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-ISSURTG—INSURER(S)—AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT .NAME: Margaret J Grassi Ins Agency PHD"E (508) 295-2007 FAX No: (50e) 291-1707 1188 Main Street E-MAIL : debm'gins@comcast.net West Wareham, MA 02576 INSURERS)AFFORDING COVERAGE NAIC# _ INSURER A:Allied INSURED INSURERB:Colony Insurance Agency Mark M Mullin INSURERC: 7 Connemara Way INSURER D: West Yarmouth, MA 02673 INSURERE: 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 POUCY EXP LTR TYPE OF INSURANCE POLICY NUMBER M/DD/Y MM/DD/YYYY LIMITS B GENERALLIABILITY GL3818794 1/5/13 1/5/14 EACH OCCURRENCE $ 11000,000 }( CONNAERCIALGENERALLIABILITY DAMAGE TO RENTED $ lOO OOO CLAIMS-MADE1-1 OCCUR ME EXP(Arty one person) $ .5 000 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2 000 000 GEN'LAGGREGATE LIMITAPPLIES PER PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY PRO-CT LOC $ JLEAUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a accident $ ANYAUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ - AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS _AUTOS .,accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION 6ZZUB-4083P83-4-11 12/8/12 12/8/13 X WCSTATU- DTH- AND EMPLOYERS'LIABIUTY ANY PROPRIETOR/PARTNER/EXECUTNE YIN NIA E.L.EACH ACCIDENT $ 1,000,000 OFFICERMIEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Ifyes desaibeunder DESG�RIPTIONOF OPERATIONS below E.L.DISEASE-POLICYLIM IT $ 1,000 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space isreguired) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHO %REPRE ENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: .:� : e pomznnoouuea �dack' aeCld - 7 Oftiee n Consumer us&Basmess.Re ulition ` Aft g • ' License or registration valid for mdividul use only flEN COiNI1iACTCP.. I before the expiration date. If found return to: erglstryon fe7k2g1 a TYhe r' - Office of Consumer Affairs and Business Regulation , xpiration:.8/30l2f14 DCiA; , ; 10 Park Plaza,,Suit 5.17 Boston,-MA 02116 MULLIN ROOF AD SIDING li•. MARK MULLIN., � 7 CO�NNEMARA I�VAY � Y:�'W.YARMOUTH,MA 026�3 t '" .`: Undersecretary Not valid.without signature ; Massachusetts -Department of Public Safety Board of Building Regulations and Standards Contitruction Supervisur License c,C �10iY076 iVIARIC 1VIMiJLLI�1" , . ,. 7 CONNENIARA>jVAp s / West Yarmouth NIA 9541, � .,r+5�`� Expiration Commissioner 09/07/2015 a .. Town of Barnstable 'Perualt# � Q. xvires J"onthifmin thus dote t tiwitttt►rwtau, o Regulatory Services Fee a S 00. Thomas P.Geller,Director m� Building Division S Tom Perry, Building Commissioner 200 Mein Street, Hyannis,MA 02601 �qY 9 Office: 508-862.4038 TO14/N.�F n12003 Fax: 508-790-6230 eq/,� PAL EXPRESS PERT APPLICATION - RESIDENTIAL ONLY /STgB` MI Not Valid without Red X-Press Imprint Map/parcolNumber oar Proptarty Address . l0� n esidcntial :F�--e 1 a�� V�e f Work acx�c� Owner's Name&Address J �! t 07 4b Contractor's Name Qaz_r, GC L)(+ ¢j X?R—s Iy�i Telephone Number 0 0 I-A act ' \7 7 Home Improvement Contractor License N(if applicable) Construction Supervisor's license#(if applicable) -aCO 325 f9Workman's Compensation Insurance Chock ono: ❑ I.am a sole proprietor k.. ❑ lam the Homeowner [ I have Worker's Compensation In=aan�c-�e^ Insurance Company Name I Vr�j V�`L F5 J_-f O t?..1'�C1 �C� G W orlanan's comp.Policy _(P,1 U g—q'a-a x Q � j - 50� Permit Rcquest(chock box) 6Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) 'Where required: Issuance of this permit does not cxempt comphaaccanth other town dcparbuent regulations,i.e.Msurrie,Conservation,etc. Signature �C .Q:ForrTts:exprntrg Ravised111901 T n Payment to be made as follows: 1/3 due with signed contract, 1/3 due when job is half done, 1/3 due upon completion Credit Cards Acce ted Mastercard, Visa Discover All matter is guaranteed to be as specified. All work to be completed in a skillful manner according to standard practices. Estimated by: Mike Alden agreements contingent upon strikes, accidents, or delays beyond our control. Owner is to carry fire, tornado, and other Note:This proposal may be withdrawn necessary insurance. by us if not accepted within 30 days crcce &Uwe of.Iwpoocre Customer Signature The above prices, specifications, and conditions are C�c satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment to Date of Acceptance 0S��Ua be made as outlined above. , Please Sign and return one copy to contract job Toll-free in NIA: (800) 698-5569 Osterville: (508) 428-1177 Orleans: (508) 255-5569 Fallnoutli: (508) 457-1141 Nantucket: (508) 228-5911 Fax: (908) 420-4555 One Ashb nt,� . .��, �•. I; ,t.iui I:; ul-to ��Ct, �-�1 Ost011 7 0 �i�l;j-I�f�UCI-10f4.:_;U1='F_hVl:�;ol: l_IC1= � Mc�. 0 L!v...'I �•I �:; Ilirllliklh: is /.'W;r,r A`/`1:/\t ll. i li:'t ' • :':I, Ir�i, Irrr ir:t.r:lirl .u111 r.i,.ni•; � trl .IrLli r.•. nrililir..rlruil. ./I.: lit(.•//r•///Il//.:.�',/!.// DOAKD.;01= UUJI_1/1Wt_: Ill_C;UI_i\I'IUtI;;. Lir;ullLu: COJV;i'rl<UCI•IOIJ ;�lll'I:INI;,I rl:• � CSirtllUa:u:.i�pl..:)/IJ:,:1 ExpiruN:::10l10/;:OG;, Ilustrictud::00 1'nUL J cALLAUI_•r 1565 MAIN -I- O;,rEl-ZVILLU. NIA 0tG55 ( � /l✓_ 1. i�r.lrnnn:.tr:11p1 _... . Board of Building RegL11 eons and Standards One Ashburton Place - Room 1301 Boston_ Massachusetts 02108 Home Improvement Contractor Registration Re ist alio—1037'14 Type: Private Corporation Expiration: 7/9/2004 PAUL J. CAZEAULT & SONS, INC. Paul Cazeault P.O. Box 2781 _. Orleans, MA 02653 Update Address and return card. Mark reason ror change. Address 1 1 Renewal I Employment Lost Card :�/�/: Cvinaurann,e//IlI r�..:l!`/JJ//cI/tJe!!J lio:lyd of Ituildiug Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 103714 Board of Building Regulations and Standards Expiration: 7/9/2004 One Ashburton Place Rm 1301 . Type: Private Corporation Boston,Ma.02108 CAZEAULT&SONS, INC. mault -3h fad. L,/ �yeru•i 4--C 0A I I IM -ORD- CERTIFICATE OF L1AB' I*LffY INSURANCE IA l I ; CI'HTII:ICA'I 1: IS, A fvl/V1 IT.1; ()1: 11,11:'0I;Nj,N I it IN, Insurance Agency, Inc . C)1,11-Y AND CONFEHG NO I1IC1II'l`- UPON TILL CIAIT111C.'Ni; '%9 1-dairi 1'trE!E.-t, Suite 10I.D[Fi. 'I'llIS CERTIFICATE DOE ; NOT AWIND. L1\61-ND CoVI-'RAG1 i3y 02655 D.8::.4.2 0.-.9 0.11 INSURERS Al-TORDING COVLI(A(.;I' FiLD Pau J Cazeault & Sons Roofingj,,, . rrJOU II A Itoy.al SUnCXjjjAjjCj Roofing, Inc . Travoje:cz; 11-1dClIulity Co of 1031 Main Street 0-' Lervill6-, Ma 02655 JERAGES IE POLICIES 01:INSURANCE LISTED LIELOW HAVE BEEN ISSUI-I)T(XFHI:IWIA1141:1.)HA6,11-0 ABOV11-401i-l"I""I'OLICY I'VI-IR0 IN L)I(:,N,f I-1) ,IY RI:0IjIREMj'-'f\Ij-, rl-:Rm OR CONDITION OF ANY CONTRACT ol'i NY A . - 01,11L-1 IX)GIjul I'll W�11 -1 HI:sI,I-C"' - W I11711 I I If:, I I FIFIGA 1 1. MA Y W, '')LPERTAIN. IH- INSURAMCCI-OFORDEDBYTHFPOLICIES )F:;Clil1:1 1-0111111 CI- ( A11- IIILIU1mv;. ANI)CtjiMIqIl�Nl;*.(ICICS AGGHEGAIF SWi, j/W(HAVE LIKEN HI-DI jf,I,I)p,, ()I.IN:AJHA;I G I 1101ACY"UNII'll it I',IIICYI 1(1'lIIA11()tI GI-MCIIAL LIAIIII-ITY !L II- I?jmLI lip."Y) t . I ACI I k(!(;111111 N(:I 1, ,SiII( 000, 0011 t ''Ill (A,,V..-•Inrl Nil 1)1 XPJAnV,-.: PAC5912908 04/30/02 04/30/03 1:;(INAI.&A0V IN.It Illy 0.0.0, 000 'I APPI -FI .It C-VNI IIAI Ai(.'Ill 0--All 000, 000 101 IGY C 11,A)VAC.C. 000, 000- IOC LIAIJILIVY ANY AU IQ III-)I WANC.1 1.1 11,111 ALL OWNED AU 1-03 GCIILDUI.1:10 AUTO;; 01):I.Y IN.11,111Y lilliED AUros NON-OW I'll I li(.)1)11.y IN, P1101-1 IIIN'DANAAGI: LIALIILITY CARAGL ANY AW 0 I AIJ 10 otil.N1 I A A(:Cll)l_t\i ()fill It IIIAN I AA(:(; EXCLGS LIAUILITY AU 1 4) ......I OCCUll CLAIIAG MAI)C an 11: It:'[I-N I ION s WORKERS COMPENSATION AND EMPLON'LliS'LlAUILITY 7PTUB-9227,653-502 NY W Of,' .1.0 02 08/10/03 1 1 1 Af:I I A,',,AIN 1.)1 1.100, 000 $10 It .0 000 I ION OF OPL-IiATIONS/LOCATIO- 'Mt:l PROVISIONS NSrVEIIICLES/EXCLUSIONS ADDED IJY INDOIISL 'F--RTIFICATE HOLDER 3C.1 ADDITIONAL INSURED:INSURER LETTER: CANCELLATION SHOUIA)ANYOV TIIC AIJOVr D[SCIjjUI*_I)p0-.I(:11.!;IIF lHOil-OV. 111L. INI;UH111i W111 I.ND1,AVoij it.MAP- 1 C) 0AN:, fI0IICL 10 I1II:CLHTII ICAILII0LULIifIA.At.0 I[Ill'LIA-1.13111 1 AILIIIII:I I.)fit I "'li'05t.110 OtJLIGAIIC)lj Oil LIA1,111-Ily 01:ANY ':,1341ATIVE5. UPOWIIII:IN!,jlIjI.It,W;AL,CtW-01; 11141E---------------- AU I HoRlif.DRIA-ItE-Etir ACORD CORPORATION �r Barnstable ABIdDe Approved by: (5) 12d nails (5) 12d nails Permit : 15 CENTER OF RAFTER 21 I 12 Q6 tb ":r L iosTr .s, �G r� 7'-4" 10'-6" 7'-4" o n 'T7 � N o 26' 4 C E I L I N ST FRAME DETAIL t.•J 1 I j GENERALNores: NOTE: DRAWING NUMBER: Cape C AD CEILING J O 1ST FRAME D ETA i L FOR• I ALL DIMENSIONS SHOWN ARE FOR REFERENCE ONLY THE PLANS ER ND ARP THE SOLE PROPERTY OF SCALE: CONTRACTORISTO VERIFY EXISTING CONDITIONS THE DESIGNER AND CANNOT D,COPIED,AND DIMENSIONS IN THE FIELD PRIOR TO START OF REPRODUCED AND/OR ALTERED,USED FOR PERMIT B AC C A RI RE S I D E N C E k AND/OR PILING WITHOUT THE EXPRESS WRITTEN 1/4t, 1 1 2.THE GENERAL CONTRACTOR SHALL BEAR SOLE CONSENT UN THE DESIGNER,PATRICK WRITTEN RESPONSIBILITY POR MEANS AND METH005 OF De,514an I O 7 ABBEY GATE CONSTRUCTION AND SAFETY ON THE JOB SITE. 3. ALL WORK SHALL CONFORM TO THE M EDITION) AND ALL STATE BUILDING CODE(LATEST EDITION)AND ALL OTHER ACTOR SMALL CODES. Approved for-fili n C OT U I T M A 4•IF APPLICABLE,CONTRACTOR SHALL IDENTIFY ALL �� g DATE: EXISTING LOAD BEARING ELEMENTS PRIOR TO COMMENCING WORK AND SHALL DESIGN AND PROVIDE p �/ 9 - SHORING AS REQUIRED TO SUPPORT LOADS DURING 0 8/2 6/2 018 P.O. BOX (506 CONSTRUCTION. MAR5TON5 MILLS, MA INTn ANY SHALLLBEe o°GnTTOT AND/OR OMISSIONS Patrick Rimington OF THE DE51GNER PRIOR TO COMMENCEMENT OF SO8-280-7�74 CONSTRUCTION. PROCEEDING WITH CONSTRUCTION CONSTITUTES ACCEPTANCE OF THESE DOCUMENTS AND ANY DISCREPANCIES,ERRORS AND/OR OMISSIONS BECOME THE R1!5PON51BIUTY OF THE BUILDING CONTRACTOR. a