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Home My WebLink About0130 ABBEY GATE f L TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION f , •0 Map 00 ( Parcel QSS Application� �( Health Division Date Issued 3 Conservation DivisionIC Application Fee �v Planning Dept. Permit Fee U Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address /ga Amex PT KA Village (� Owner Address� RRy /✓� ��"�� Telephone C/ Permit Request ND 0� gAiT gdOA kop 40gl lU2 AS P, 7k PI AIV Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new \ Zoning District KF Flood Plain C Groundwater Overlay Project Valuation Construction Type 0000 Lot Size VIDIr Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 37- Historic House: ❑Yes U/No On Old King's Highway: ❑Yes U No Basement Type: RI Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new 0 Half: existing 0 new Number of Bedrooms: 3 existing _new Total Room Count (not including baths): existing A new © First Floor Room Count tl Heat Type and Fuel: l/Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ® No Fireplaces: Existing / New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: LRxisting Wmewc--�ize_ Attached garage: 9/existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: tn- Q-3 o Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ t Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use NOMR r' APPLICANT INFORMATION (BUILDER OR HOMEOWNER) u Name /i� r Telephone Number �d /02"'57 =Address T•0, 8//k b_( License# (i S L1W u IT t /44• M,?5— Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 7IRLE rMt�P� ok A.)Rt) WRIeD ►u9� SIGNATURE ft2 DATE �1,41113 Vfl GC)^^- FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED - t MAP/PARCEL NO. ADDRESS - • VILLAGE OWNER " DATE OF INSPECTION: FOUNDATION FRAME Q c1 q 11,3 INSULATION(® o - FIREPLACE y ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING � L0I13 DATE CLOSED OUT `0 s ASSOCIATION PLAN NO! r 1 Deparonent oflndustrial Accidents Of�`ice oflmestigations- - . 600 Washingtoiz Street Boston,MA 02.11.1 _ www.mass govli is Workers' Compeiasation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information PIease Print Legibly Name 9hu;inessJ0 nTza on/FndMdwd): 1 �� .Address: �.�e Ci /state i aA N6 Pbonnk 5X__IVt_7Q Are you an employer? Check the appropriate bog; Type of project(required), [2. .❑ I am a employer with 4. []I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6 Q ew construction [ I am a sole proprietor or partner- listed on the attached sheet 7. Remodeling shipand have no employ*ees These sub-contractors have �P Y S, ❑Demolition working for me in any capacity, employees and have woikers' [No workers'comp.-mFurance comp.insurance.$ 9. ❑Building addition mqu red.] 5. ❑ We area 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 msurance mquir•ed.] t. c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other 77- core.insurance required] *Any applicant that checks box#1 must also BE out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors mnst submit a new affidavit indicating such, tContraclnrs that check.this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have -oployces. If the sub- ontractors have employees,they must provide their workers'comp,policy cumber. 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-i-as.Lid.# Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as rmpir•ed 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 and penalties of perjury that the information provided above is is true and correct. Date: . - l Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permi�tUcense# Issuing Authority(circle one): 1.Board of Health 2.B.nildingDepartment 3. City/Town Clerk C'Electrical Inspector. 5.'PlE__ns � 6. Other Ctnztgct Person: Phone#: �. �� . . �. ,. I i the rpm 1 VF'Y11 Vl17dllI:aLQfil1C Regulatory-S.er_wces . nAss Thomas F. Geiler,Director :y39 ply ram" Balding Division Tom Perry,Bailding Commissioner 200 Main Street,Hyannis,MA 02601 w w*.to wn.b arnstab le.ma.us Office: 508-862-4038 Fax 508-790-6230 Property Owner Must - Complete and Sign This Section If Using A-Builder as Owner of the subject property hereby authorize / �/`l/�/1 �W �IL to act on ray behalf, in all matters relative to work authorized by this building petmit lap ABBE &OZ` -AD.*- . C�OC (Address of Job) 'kPool fences:and alarms are the responsibility of the applicant. •Pools are not to be filled or utilized before fence is installed and all final inspections are performed and.accepted. Vl��"mil Sig at=c of Owner Signature of Applicant .. Print Name Print Name Date Q-FORMS:0VNERPERMISSI0NPO0LS 62012 i V Tru VA: .jaiu�taivi�. . ��ram, = Regulatory Services " E � F Thomas F.Ge1er,Director " Building Division ' Tom Perry,Building Commissioner. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us . Dffide: 508-862-4038 . . Fax: 508-790-6230 HOMEOFPNER LICENSE EXEWTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER name home phone# work phone# i CURRENT MAILING ADDRESS: city/town state rip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or faim structures: A person who constmcts more than one home ina two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building'Official,that he/she shall be responsible for all such work perfonned•.uader the building permit (Section 109.1.1) The undersigned"homeowner"assunies responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official y• Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is*uiied shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner.engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use-this exemption are unaware that they are assuming the responsibilities of a supervisor(see:Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly I when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed . Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsbrlities,many communities require,as part of the permit application, that the homeowner certify that helshe understands the responsibrlities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fomi/certificationfor use in your community. Q:forms:bomeexempt i iVlassachusctts- Dcp:u-tmcnt of Public Safety Board of Buildin Re-ul:itions and Stai,,ifards Construction Supervisor License License: CS 47667 PHILLIP M VOLLMER PO BOX 64. COTUIT, MA 02635 j Expirati•n: 9/1/2013 F' �nmissi'ner 598 OW&M, alb,a141-1 otc/�raeCta; `License or re istration valid for individul use only Office of C sumer Affairs Business R' ulatio' g Y OME I ROVEMENT CO RACTOR= :before the expiration date. If found return to: egistr ion: ,-jb9558 Type: `.Offico of Consumer Affairs and Business Regulation xpira on:F 9/2172614, Individual t,? 1.0'Park:Plaza-Suite 5170 j = 7 Boston,MA-02116 MARK VOLLMER (y MARK VOLLMER j� rifi 1455 SANTUIT NEWTQWN COTUIT,MA 02635 r l Underseereta '+ Not valid without signature I 1 -. •1 Telephone: 508/563-6049 COLONY INSULATION, INC. 28 Jonathan Bourne Drive, Pocasset, MA 02559 CLOSED-CELL FOAM INSULATION SPEC SHEET CONTRACTOR: Um tLM_aj--t' 50v,,5 JOB SITE ADDRESS: ISO 0 466Y gA,.� 9A aA DATE: 1011113 1113 AREA THICKNESS R-VALUE Ceiling Cathedral Ceiling Garage Ceiling Basement Ceiling i Slopes L Exterior W all iy Garage Hse. W all Walkout Wall Cathedral Wall Blockers +t Overhang Stair/R isers z All R-values and thickness measurements are deemed to be accur y the follo ing installers: TECHNICAL DATA FOR MATERIALS IS ATTACHED TO THIS FORM , 3 :mafl: C) JI Commonwealth of Massachusetts heetMetal Permit Map `7f Parcel �1f _ z _ Date: SEP 2 4 2013 Permit# r ' Estimated Job Cost: $ � Permit Fee: $ Plans Submitted: YES NO Reviewed: YES NO Business License# Applicant License# Business Information: Property Owner/Job Location Information: Name: ,� j� , ��I^ Name: Street t Z Y 9 (Zr 2_8 r$ Street: l 3 U I�'��5� t{ City/Town: v ad 2 City/Town: V �� 3 �13 Telephone: � 4 pj ,�'�j � y/ Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES--kl'NO stag Initial J-1/ uu restricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept. Approval Institutinal_ Other Square Footage: under 10,000 sq. ft. /over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: ✓ Renovation: HVAC t/ Metal Watershed Roofing Kitchen Exhaust System i Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: 5 I�A Ct C) vel-po'/I 141'w Y NSURANCE COVERAGE: have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes No ❑ f you have•checked YgZ indicate the'type of coverage by checking the appropriate box below: k liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Oassachusetts General Laws,and that my signature on this permit application waives this requirement Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent 3y checking this box[], I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and iccurate to the best of my knowledge and that all sheet metal work and Installations performed under the permit Issued for this application will be n compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: y Master Ile ❑ Master-Restricted ityfTown . ❑Joumeyperson Signature of Licensee armit# /y ❑Joumeyperson-Restricted Licens umber. V :e$ Check at www.mass.gov/dpl soector Slonature of Permit Aocroval The Commonwealth of Massuchusefts .uVDepartment ofTndusuial Ac' cidents Office of Imestigafiorrs- '600 WYashiagton S!&ee , ' Boston,MA 02111 www.mass gavldia ' Workers' Compensation Insurnn_ce Affidavit;Buffders/Contractors/Electricians/Plnmbers A £icantInforniation Please Print e ' Name(Business/Organizedmdudivi&al); 7,)A r Yea.f ` ,< *4 Ati Tess: '/ Z z1 . - /Z T 28. City/State/ l/4I G OZ 5 3yphone.# S �6, A.re yo employer? Check the appropriate bow177 , 4. I am a Type of project(reg fired):' 1. I am a employer with_ ❑ general compactor and T employees(roll and/or part time).* have bored fe sh]}contactras 6 ❑New construction . 2.❑ I am a'sole pioprietm or partner- hsted on the-aftmhed sheet . [ REmodeIing ship and have no employees These sob-contractors have S. [�'Demnlitian worlQng for me in:any capacity, emPmye6s.and have w 3 [No workers' comp.msurauce comp-insu anceJ 9 ❑ g addition required.] 5.❑'We area corporation and'its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing ill-work officers have exercised their 11.0 Plumbing repairs or additions myself [NowoL=l couzp. right of exemption per MGL 12.0 Roof repairs morn ce regQIIed-]t p. 152, §1(4), and we have no . employees. [No workers' 13.[] Other camp.msoramce regnired] *Any applicant that chocks box#1=at also fill out the section brlow showing thca'waa=-compensation policy information. t Ha=,%uc s who suhmt$is offAwnt indicating they ate doing all work and then hire outside cantractnrs must submit a new a{davitmdiratmg such. :k-=ba-t -, that check this box mwt attached an addibffial sbeet showing the name of the sub-contractors and state whether oruot those entities have � es.IoYc If the sub-contracivEs bane cr�lny_,they mnstprwidt:lhe¢warlazs'comp.policy I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. iusom.=Company Name: g l/�5 /`'1 Sy r'eih Cr U Policy#or Self-ins.Lic.#:_ 4012 7 l y I I gx Date: Job Site Address:_ 464 1� Attach a copy of the workers' compensation policy decLzt afian page-(showing the policy number and eapirafion date). Faihzre to•secure coverage as regained under Section 25A of MGI c. 152 can lead to the imposition of crim penalties of•a fine up to $1,500.00 and/or ore-year noprisomneat, as well as•civil penalties in the form of a STOP WORK-ORDER and a fine of up to$250.00 a day against the violator. Be advised that a cagy of dais st lz m may be Ra warded to the Office of igntggions of the • IA for ie coverage �� I do hereby c the pains:and penalties of perjury that the information provided above is true and correct; Site: Date: Phone FOZ only. Do not write in this are;tb be coarpleted by-city or town official :Zr-ty Permit/License# (circle one): Health 2.Bmldhig Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone#: J i �I"E, Town of Barnstable Regulatory gnl r9 Services r L$NbTASLZ, + 1619. $ Thomas F.Geiler,Director _ D► `'' Building Division Tom Perry,Building Commissioner 200 Man Street;Hyannis,MA 02601 Www.town.barnstable.ma.ns Office: 508-862-4038 Fa2c 508-790-6230 Complete and Sign This Section If Using A.Builder AAA &I*f �,I,) ? r '�' , a_s C�w�t of the subject ptopetty hereby authorize— �Q.lto� o e° /� �. '�1��S to act on my beb.4 in all matters tekt v-c to wotk authotized by this building p=:lit / 3c A _:>6 (Address of Job) Pool fences and alatms are the responsibili f th �o e applicant. Pools are not-to be filled-before fence is'installed and pools are not to be Utilized until all final inspections are performed and accepted. � v Signat,�re ofr6 u S" tore of Applicant Print Name Print Name Date Q FORJYfS:O W NER PERMM SIONPOOLS IHE Town of Barnstable L ' Regulatory Services Wtrrsx"r.t, Thomas F.Geller,Director s glees. $ 659. M.a� Building Division Tom Perry',Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town..barnstAb1e.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE-- JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MA -ING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval'of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction ControL HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that ifthe homeowner engages a person(s)for hire to do such work,"that such Homeowner shall act as supervisor." . Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15).This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannotproceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt ® Y DATE(MMIDDIYYYY) A v CERTIFICATE OF LIABILITY INSURANCE 9/23/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATNELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION.IS WANED,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). PRODUCERSCONTACT MELANIS IOs'EFE C.L. HOLLIS INSURANCE, PHONE FA- (781)344-8578 4NC N. WX (781)361-0124 140 NIARION RD tut Ag)MESB.HELANIE@insureholl3*.S.COM INSURER(S)AFFORDING COVERAGE NAIC H I WAREHAM Ida 02,571 INSURER A-ValleyPore Insurance Co 20508 INSURED tusuRERB:Twin City Pire Insurance Co 29459 JADES DIEDE DBA INSURER C: DRT HEATING b AIR CONDITIONING INSURER D: PO BOB 666 INSURERE: BUZZARDS BAY M 02532 1 INSURER F: COVERAGES CERTIFICATE NUMBER.CL1391200767 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 INSURANCIE 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 TYPE OF INSURANCE D POLICY NUMBER MOLICY EFF IMMIODNYYYI CY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTE13 B COMMERCIAL GENERAL LIABILITY PREMISES fa o cunence $ 300,000 A CLAIMS-MADE aOCCUR 017719112 /12/2013 /12/2014 MEDEXP one person) $ 10,000 PERSONAL.&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 B POUCY PRO- LOC $ AUTOMOBILELWBIUTY C:. ddaD SINGLE LIMIT 1,000,000 A AN AUTO BODILY INJURY(Per person) $ ALL OWNED B SCHEDULED 4016640007 /4/2013 /4/2014 BODILY INJURY(Perat) $ AUTOS AUTOS B HIRED AUTOS B NON-OWNED PPROPERTY eracdderm DAMAGE $ AUTOSS UMBRELLA LIA OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION B WC STATU 0& AND EMPLOYERS LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE® NIA A SWSCTR6573 E.L EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? /13/2013 /13/2014 (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 10t,Additional Remarks Schedule,If mom apses Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN TOWN OF BAIRNSTABLS ACCORDANCE WITH THE POLICY PROVISIONS. BAR'NSTABLE, 14A AUTHORIZED REPRESENTATIVE b4alanie Keefe/NEX ACORD 26(2010106) ©1988-2010 ACORD CORPORATION. All tights reserved. INS025 oninmi ni Tho A(.nRn name and Innn arw ranieforaA wmAre of Af nian 16 G88 k r ✓ •9 r { � I�SrS U E S��TH`��F 0 L L OW�IiGr aL 1V0 E+1�5� j .1 A ME S 'DR=T v 9`. I vk �isli3 CAPE COD INSULATION cam ®®® PISES GLASS SEAMLESS SPYATPOAM SUSPENDED SAM OUTTEIS INSULATION DIIlINOf 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis,MA 02601 Date: o Dear Building Inspector ector -� Please accept this Affidavit as documentation that Cape Cod Insulation, Inc:performed& completed the insulation and weatherization work at the property listed below Cape Coil Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance nstitute _ (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. CD Property Owner Property Address Village Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ) ( ) ( ) ) Floors ( ) ( ) ( ) ( ) ( ) Walls Sincerely REass y Jr, President Cape Cod Insulation, Inc. e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION p �. � � � ` f Map 7 Parcel implication # Health Division Date Issued 1, Conservation Division Application Fee Planning Dept. Permit Fee �Gl Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis �J Project Street Address Village [ 6 _ Owner Ll/L l�' - C1�' � Address Telephone ? Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 11000 • Construction Type 104A- /j�vh,01 — Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kin ighway"a+0 YR ❑ No Basement Type: El Full ❑ Crawl ❑Walkout ❑ Other ' Basement Finished Area (sq.ft.) Basement Unfinished Area (sq. ) co �v Number of Baths: Full: existing new Half: existing rry Number of Bedrooms: existing _new w rn Total Room Count (not including bath.,): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas 0 Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization A�u/thorization ❑ Appeal # Recorded ❑ Commercial El Yes o If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 64�(,!/d Telephone Number - 75'/ Address License # 100T L*5 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO aV ham, SIGNATURE DATE �� J -f W' ;1 FOR OFFICIAL USE ONLY 3 APPLICATION# ti 1 DATE ISSUED 3 MAP/PARCEL NO. s. ; ADDRESS VILLAGE OWNER ,T s DATE OF INSPECTION: y , _FOUNDATION F ' FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING f . r DATE CLOSED OUT ASSOCIATION PLAN NO. 1 • 1 Massachusetts - Department of Public safet\ Board'of Buil'tlinh Regulations and Standards, Construption Supervisor License Licen CS 100988 4 HENRY CASSIDY 8 SHED ROW WEV IARMOUT.H, MA 02673 Expiration: 11/11/2013 (',rnunissiuncr Tr7#: 7620 _-`�\ ��re• �pa�n�nua�u�ecr/�� CiG�c��a�i��e�� Office of Consumer Affairs and Business Regulation - - 10 Park Plaza - Suite 5170 s, Boston, Massachusetts 02116 Home Improvement Contractor Registration - Registration: 153567 Type: Private Corporation Expiration: 12/15/2b14 Tr# 233831 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE a:; . : . ---- --- ----. — -----... SO. YARMOUTH, MA 02664 `` = • Update Address and return card. Mark reason for change. SCA 1 Ej 20M-0511 I Address Renewal O Employment host Card I A C'J��rs�o-nr.rreoracaetx�/l o�C%ljrd�nc�u�eCt Office of Consumer Affairs& Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: e istration: Office of Consumer Affairs and Business Regulation - � 9 153567 Type: g 7 xpiration: 121,15/2014 Private Corporation 10 Park Plaza'-.Suite 5170 Boston,MA 02116 CAPE COD INSULATION;.':•INC: HENRY CASSIDY 18 REARDON CIRCLE �� ;_ SO.YARMOUTH, MA 02664 L' Undersecretary Avaho t Wat \� The Commonwealth of'Massachusetts Print Form lr 1,. Department of Industrial Acci[tents L,. l—k=� Office of Investigations 1 Congress Street, Suite 100 �^' , : ' Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/.Plumbers Applicant Information Please Print Le gibl Mamie (13usiness/(_)rganization/Individua1): la a Addivss: 16P &wdol& �4yde, ay1LnJL WA- Phone #: J2_0� 1Z I — - ;are you an employer? Check tile appropriate box: 1. I ;tin a untployer with 20 4. ❑ l am a general contractor and 1 Type of project(required): rniployeea Mull and/or part-time)... have hired the sub-contractors 6. ❑ New construction a• I ;ant a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees 'These sub-contractors have 8. ❑ Demolition working Ior tr:e in any capacity. employees and have workers' t 9. ❑ Building additionworkers' comp. insurance comp. insurance. re(luircd.1 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions J.❑ I ant a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions nlyscl l'. I No workers' comp. right of exemption per MGL 12 ❑ Roof reps rs instn'arlce required.] 't c. 152, §1(4), and we have no �Q employees. [No workers' 13.� Other ��q6V1zih0 comp. insurance required.] ':\ny applicant that chccks•box //I must also fill out the section below showing their workers'compensation policy information. 1lnmcOwncrs who submil.this aliidavit indicating they are doing all wcrk and then hire outside contractors must submit a new affidavit indicating such. ;Conlrtctors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not(hose entities have cinplo)ecs. II'Ihc sub-cuntraclurs have employees,they must provide their workers'comp.policy number. I ant an employer that is providing workers'compensation insurance for rtty employees. Mow is the policy anti job site infitrtttation. Insurance•Company Narne:__ Iavl�C_ Ouvhv Policy li or ticlf-ins. Lic. #: WG ODzj 2� �DI Expiration Date: �- .luh Site Address:_ 4City/State/Zip: Z��' Attach a copy of the workers' c m 04,49,pensation policy declaration page(showing the policy number and expiration date). I'aifurc to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties ofa tine up ut $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a tine 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 ofthe DIA for insurance coverage verification. I do hereb) d )enalties u/ erjttq that the inrorrnution provided above is rue and correct. aitdure: t'` ; Da te: UJlicial use only. Do not write in this area, to be completed by city or town offtciat Permit/License# Issuing Authority (circle one): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 0. Other i.'ontact Person: Phone#: o N S U I,. CERTIFICATE OF LIABILITY IN-5URANCE LJA I't tKIN110tv)I 111 L 01021110-1-2 R T�J UPON THE 'LJ-RY FZ—I 111—, ,i Ll E0 AM A MATTER OF INF0Ti0A71'111N-6N*LTAN0 CCI�F (:C�"IIMC-ATFOOES NOTAI- - -a"NW71. .XfENU OR ALTERTi-IC COV12RACE AFFORDC-D Uy T1114-POLXIIF.-� QR NEGAI'IVL-.Ly F OF INSURANCE DOES NOT CQN,,I I i if I F.A CONTRACT 1 A I I V I-': (.')1--t p I j 1, rQL-1-1-11F.,CERTIFICATE IIOLLICIt. BE I WLEN'I I-JE: UI NG IN,;U AU I I IQK14LL) JOLICI::k, A I1QIdtjj 1,, Lill A50ITIONAL IN,'iUKt 11 poll,y, 11 IICI till. .......... 41001'4tillusitt.A tili(t,111,111 of vildul Col C0111-41 IlVIlt-4 I.If,,; .......... I S it; NAW Mal Zvel y -vI 11,C. - — v_ ,f,1: uuull 508-760�jJG02 FAX it, E-M,IL 19il 1) pjI P, W! 1 1.1 � - ki .............. ............. .1"', I M LI I'll I I U t, NIA o2V)U-I p kl k.-'Ll,I IF-ICATC NUMUCR: RI-VISION 14 IJIVI I.-]L.:i t. T011-JE Out) WKNI OR VION OF ANY CONTRACTOR OTHER L)O(,Uhll--Nl' WITH '1-0 '611 "I'lAY I"C-ATAIN. THE INSURANCElwr'-'(IJEQ by Td�POLICES OESCRIOF13 1-11-REIN IS RJ ALL. 11-11; lr1Wzi, 111). ANO (,'('JMMVIOW; ()I- SUCH POLICIES. LIMITS SHCiIA-1, Y IIAVI�BEEN RIEOLICH) BY PAID CLAIMS I-epi Jt yy� 1hIJ1Lf_y-yjY LM)";.LI.I.ItAL I IALlk,lI f ( a CaP8263ow, GI:NI-I(AL1,IA0ILIIY MAUI,- I. M 1 0,A0V IN JIM(Y bl'000L�100 sy,Udo.ouo . .......... I 2MMBCKVnwI\ st:II tJ)ul 60 US x N,)"-(JVVNH.j AL)I oj t iml L -1011LUL01,111LILI, OCCUR XONJ4535 1-1 fiACH OCCURNI-N C.......... K N I'll'i 0)HUi'UAUKA Iy VVCA0052l',u'2 h"..110 1.1c.tiw --"' -f/P4 1. N I A r.L,LA0 I I A!, ---------- or"Vr'c"I IC)N"'I L 0 C:A I'M N S I VE 111 Cl.L7;(All-1,AC OF4LI 10 1.Adj", ............ 14-lutilillyu) m-i all 'Idditiondl illswicid WIL1111 t"wilut'alLiaoilitywiluji ro(Itilrocl I)y written I WK WL CANCELLATKIN G'qyo G(ji.j SHOW3 ANYQF THE AIJC)Vt,:i3F"4CRIfJE()P(JLIC.jki';0h QAK-1;I1111 Ohl Vk THE EXPIHA'rioN DATIE THEREOF. NC)'I'IC:r WILL bL IN ACCORDANCE WITH THE POLICY PROV12ION3. ........... A�J 0,1014,`'I U ACID RD CORP 0 HATI 0 M All OgI H j I v-,lvi votI. ("'jj I uffutl) I (it 'I 11w ACORL)1181110 Lilld 1000aiu rifol.,aarod imarki;O(ACORD mky ' •�y.uw,rao PAAttQiMG mass Save ®R PERMIT AUTHORIZATION FORM owner of the property located at: (Owners Name, printed) (Property Str t Address) (City/Town) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. Oi er's Signature Mg Date FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass:Save Home Energy Services Participating Contractor to the above referenced project: C&,ae- 6d � 3 d Particip ing Contractor Date Rev.12132011 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , A Map Ga Parcel 0 SY Application '# o Health Division Date Issued 1 h Conservation Division Application Fee �>V Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 130 4 86 Y C TF- Village (�OTQ (T Owner SANDRA W ID -FRA 12F Address 130 Ae `�' Pk�� Telephone— Permit Request &A946-6� A-MiT-10/1 COUFA60 PORL1, /)e'W CoVEREO FROAT 1Fti1_RA1J(e_ — AS P97K f)-ft/V Square feet: 1 st floor: existing Ay proposed Iy 2nd floor: existing proposed Total new O Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size St / Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family ® Two Family O Multi-Family (# units) Age of Existing Structure 3 �`�. Historic House: ❑ Yes ®il/No On Old King's Highway: ❑Yes 0 No Basement Type: Full iCrawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) gJYD 5k Fr Basement Unfinished Area(sq.ft) �S0 Number of Baths: Full: existing new Half: existing new Number of Bedrooms: -a existing _new 1 f Total Room Count (not including baths): existing b new First Floor Room Count G� 7 Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes U(No Fireplaces: Existing J__New Existing wood/coal stove: ❑Yes m No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Bafa: ❑ existi% ❑J4w size_ Attached garage: ❑ existing ® new size _Shed: 5dexisting ❑ new size _ Otl �. a M ca Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # :4 Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Q c� Name �i - �� _ Telephone Number Address f 0' N k r' q License# �CTu IT MR! O�6 Home Improvement Contractor# f0-7,5 9 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE "0� V� DATE NO ` FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED. ye _ wWAPJ PARCEL NO. ADDRESS VILLAGE OWNER, A ' DATE OF INSPECTION: ', FOUNDATIONJj OIG FRAME QIne r _ • `'INSULATIDNFj&,Am o r2-�ILt FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r ,GAS;:;&lj ROUGH t, .•,r: FINAL �I�'rl2yl�o� .FJNAL,BUILDING'L 5 � ►`�t p g: 05 DAT:E_CLOSED.DUT ASSOCIATION PLAN NO. i The Commonwealth ofAf=sachuse&s Department of-rndr &idA=idents O.frce of1m es4ations 600 Washington SYreet Boston, MA 02III wwrt.maSs got►1dia Workers' Compensation Insurance Affidavit: Buflders/Contractors , ectticians/Pi tub ficant Information ers Please Priat Letfbiy Name (Bnsin=s/org on/FndN;duaI);_ �I ARK V��>u� Aatmss: P 0. S-Ok 6� City/State/Zip: 1MA, ( b�J Phone Are Yon an employer? Check the appropriate box: I.❑ I am a=3ployer with 4. I am a Tppe-of projcJ ❑ general contractor and I 2.Zemployees (hf and/or part-time):* have hired the sub-contractors 6. [ New c I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remod slip and bave no employees 'These sub-eaatrect=have working for me.in any capacity. employees and have wmko:, g• ❑Demoli [No workers'comp.ins a camp.insmmnce.t 9• ❑Boldin5. [] We are a corporation and its 10.0 El=tdc additions 3.[Q I am a homeowner doing all workofficers have exercised teir myself [No workers' conq, right of exemption per MOL1 LD Pkmnbinadditionsiztmmmce required.]t c. 152, §1(4), and we have no12.(]Roofrep employees. [No workers' 13.❑ Dfher •msurance required.] tAay OPPR=w=rs that❑ bmi box#1 must also fin out the section be]ow showing their wp Homeowners who sub>mt ties e�ndsvit' 'Mmpeusation policy iafurmatioa xCoahscfaiy that ehec�this box most attache$eaea �j�-M wo&and thm hue m bidc contractoa mast submit a new a�aavk indicating�rh or not el'PIDY s• If fac sob-contract=have ] ,o&tTw ,a,,of the sob- m stalz whether those entities have crop oSees,they amstprD,idc their wod='comp•policy mimb¢. I am an employer that is providug workers'coo pensakon insw-ance or information. f m}'employees. Below is the poficy grid job site Imm nnce Company Name: Policy#or Self-ins.Lic.# Expiration Date: Job Site Address: Attach a copy of the workers' core Pi2Cation Policy city/5�� P P cY deckamdon page(showing the policY number and expiration date). Fm n to sec`= coverage as mgrried under Section 25A of MriL c. 152 can lead to the ' o 'fine up to$1,.500.00 and/or one-year iE risonment, as weIl as civil srf;on of cziummal penalties of a Of up to$250.00 a clay P=ahi s in the form of a STOP WORK ORDER and a fine Y rt viokatar. Be advised 23at a copy of this statement may be forwarded to the luvesdgations of the DIA for insurance coverage verification. Office of I 1110 hereby cer�t]ify�under the airs and penaffzes o -/r/� II�n�.A/ fPeT�'�the irifornzafion Provided above is true and correct Sitmatiae, t2 �i�r�(U�1 Date: Phone FAaxthority nly. Do not write in this area; to be completed by city or tm m ofzcz.L : Permi:tlLicense# oritY(cu tle oaej:ealth Z.Building Department 3, CitY/Town Clerk 4.IIectricaI Fnspectnr 5.Plumbing Fnspe ron: Phone#: Of f��nCo Office of nsu9°'ie''�'hairs- ,�urs"iness ' gq�� License or registration-.valid for iridividul use on - = HOME IMPROVEMENT CONTRACTOR befofe the.exptration date..If found return to: 10955�. n ' Ypg Offico of Consumer Affairs and Business Regulation .Expiration 9/ 112012 Ind 10 Park,Plaza=Suite 5170 �' N1 VOLLMER,,-, `Bosfon,MA 02116' MARK�VOLLMER 1455 SANTUIT NEOVyc7►ytRDa j �COT01t,MA 02635 `��' %/ . }� Not valid with signature a += Massachusetts- Department of Public Safet,* Board of Buildino Rc,,ul.ttions and Standards I Construction Supervisor License License: CS 47667 PHILLIP M VOLLMER PO BOX 64 COTUIT, MA 02635 Expiration: 9/1/2013 Tr#: 598 ('onuuisviuncr . VRE Town of Barnstable .j EL Regulatory Services mesa $, Thomas F.GeUer,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.tQwn.b arnstable.ma.us Office: 508-862-4038 j Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder - I, ;RR� KIWI A 97A/51441ZF , as Owner of the subject property hereby authorize /IW K (Ot UYF7 to act on my behalf, in all matters relative to work authorized by this building permit application for. 430 4W C-19-7F RI4D (Address of Job) r ' i ignatzzre of Owner Da Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:F0RIvMS:0 WNERPERMISSION s _ Town of Barnstable Regulatory Services t Thomas F.Geile 3•�*+�•� : r,Director ' Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office'. 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. / The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and fr requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages'a person(s)for hire to do such ' work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt PROJECT NAME: o� Cow ADDRESS: %30 PERMIT# a 0 I ? 006� PERMIT DATE: M/P: LARGE TROLLED PLANS ARE IN: SLOT Data entered in MAPS program on:. IBY: i `pFtHE ipk�� 'Town of Barnstable ' Regulatory Services BARNSTABLE. 9 MASS. t679• Building Division piFD MPr a, 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location Cn� 2zTerrmt Number „?D 0Od 7Z — Owner Builder One notice to remain on job site, one notice ori•file in Building Department. The following items need correcting: �IVz e O,Dre—- /PE �P ��S �rto��c T i' { 1 O , Please call: 508-862t4�-38=€or re-inspection. Inspected by Date A M • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map s Parcel 05-r Application # Health Division Date Issued 3 Conservation Division Application Fee Planning Dept. Permit Fee , Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address )3D A 6 9EY 64-tt-_ 9 Village CM (� h�14 r 3 S Owner W-KY ` SAP)DY k4OC-_ Address Telephone 509-:.SV33 `�3I q Permit Request f:►A)b/f AMP• 1ISD S&.`-T OF ftel? FOP- 5FW LV G- &aag— Square feet: 1 st floor: existing proposed 2nd floor: existing,!ff/proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation /000. Construction Type MOD Lot Size �5 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ® Two Family ❑ Multi-Family (# units) Age of Existing Structure _;S' AS Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: Full Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: .3 existing _new Total Room Count (not including baths): existing new First Floor Room Count; 4] Heat Type and Fuel: V/Gas ❑Oil ❑ Electric ❑ Other � o Central Air: ❑Yes ®(No Fireplaces: Existing New Existing wood/coal stove: ❑,Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑'existing -�0 new size_ --• cry Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: w 0 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) U,G Name IVWN Telephone Number 6r5-`"%0��✓l�L� Address I rD• 6"I License # 4�5 q el; rr , MA� =95' Home Improvement Contractor# / . .� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO &*Mw � SIGNATURE vo/�_ 944 DATE FOR OFFICIAL USE ONLY z. 'APPLICATION# ` DATE ISSUED ` MAP/PARCEL NO. - ADDRESS VILLAGE' 1, OWNER DATE OF INSPECTION: t FOUNDATION FRAME cce cc rL � ' INSULATION G FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' L GAS: ROUGH FINAL ' p J r FINAL BUILDING .D :4 DATE CLOSED OUT ! r; .'t , r ASSOCIATION PLAN NO. .-.1 y i A The Commonwealth of Massachusetts ^; I Department of Industrial Accidents I e y i t. Office of Investigations ' 1 . i 600 Washington Street `;;• / Boston;AM 02111 r www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information n Please Print Legibly Name (Business/Organization/Individual): nV IL VOU/�"1.i"il Address: City/State/Zip: OM- OW 35� Phone #: 6Vt—W"1V Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. # . ? ❑ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for me in any capacity. workers' comp, insurance. 9. ❑ Building addition [No workers' comp, insurance 5. El We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1 l.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.❑Other *Any applicant that checks bona'!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. tContractors that check this box,must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. Iam an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.06 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 ains and penalties of perjury that the information provided is true and correct Signature: /r' (l/f� Date: 01!/J-�I Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town:. Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5, Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152.requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not'produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out.the workers' compensation affidavit completely;by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial„ Accidents for confirmation-of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant . that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future pen-nits 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 5-26-05 Fax # 617-727-7749 www.mass..gov/dia IKEr, Town of Barnstable Regulatory Services MxxsrABL.E, . y R AE& � Thomas F. Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, ► �(� �-' .�i f ( '� S , as Owner of thebject . subject.property hereby authorize 011II&K UP-Uffi OL to act on my behalf, in all matters relative to work authorized by this building permit application for. f�0 (Ad ss of Job) Signature of Owner Date Pnat Name If Property Owner is applying for permit please complete the Home owners"Lic ens e Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION Town of Barnstable o Regulatoty Services aAxxsrwst> Thomas F. Gei)ei•,Director '16.19. Building Division PrFo Ma's" Tom Perry, Building Commissioner 200 Main-Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name bar=phone# work phone# CURRENT MA1LiNG ADDRESS: city/town state rip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does Dot possess a license,provided that the owner acts as Supervisor. DEFUVMON OF HONfEOWhER Persons)wbo owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such u se and/or farm structures. A person who constrgcts more than one home in a two-year period shall not be considered a bomeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that be/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that.he/sbe understands the Town of Barnstable Building Departrnent minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that "Any homeowner performing work for which a building pernvt is required shall be exempt from the provisions of this scction.(Scction 1 D9.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a pa-son(s)for hire to do such work,that such homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are usurmng the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Scction 2.15) This lack of awareness often msults in serious problems,partircularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisar. The homeowner acting as Supervisor is ultimately responsfble. To ensure that the homeowner is fully aware of his/her responnbilitia,many communities require,as part of the pa-mit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forr•ns:h om ccx cmp t �°"�' f 'f3, � '^ License or registration valid for individul use only Office o onsu.er airs mess u an a g TV0M HOME 1PREMENTCONTRACTORbefore the expiration date. If found return to: egistration: >109558 Type Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expiration: J%21/,2012 Indiviiva(` Boston,MA02116 LLMERt;',t `" - = 4 :` MARK'VOLLMER� � { =1455 SANTUIT NEINTOWNRQ' ` COTUIT, MA 02635 Underseeretary Not valid without signature �'Iass;r - chusetts- pc Boar rat'Buil tmcnt o} dinti Re, public S,tletj Constructio ``U.1it ins an Lice n Supervisor d St`I-r"dar(jti ns: 0 47667 Lice Restricte nse'� d to: 00 .. • POILLIP M VOLLMER BOX 64 COTUIT„ f ' MA 0263,5 �°nwussioner Expiration: 91,1201, Tr#: 2260 0 24' CARBON MONOXIDE ALARMS MUST BE INSTALLED PER MASSACHUSETTS BUILDING CODE loset N Finished Area Sewing and Craft room N Mechanicals Stairs and Storage Closet /YFr 40 16' 32' .01 I t ISO AW i>x BY: DRAWING NAME: Volmer And Son Construction DRAWN Peter Vollmer Basment Floor �U�Id in & remodel in DATE: A 1 � � 2/14/1 1 REV: SCALE:- 3/16 =1 SHEET 1 OF 3 i 62' Dining Kitchen Living Bath a N tairw y s. 21' Bedroom Formal Living 32' i I I I it f't 13a A8&y 69r' RD brut Cf Vollmer And onsruc Son Cttion DRAWN BY: DRAWING NAME: Peter Vollmer First Floor Q [3uildin� & Femode inq DATE: 2/ 4/ REV:_ SCALE: 3/ 6��- SHEET 20F 3 /� 12' 12' 40 Bath Bedroom °° Bedroom 0 N �! CD N � Stairway 32' Vo mor hJ 5on Construction DRAWN BY: DRAWING NAME: Peter Vollmer Existing Second Floor Q [3u i ink & �emode ink DA1E 2/14/1 1 REV:_ SCALE: 3/1 6 1 � SHEET 3 OF 3 / \ ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map CR I�Parcel d 5S - Permit# Healtfl'Division A- Date Issued o 9 G Conservation Division ? JO Z Application Fee0`2 S, d Tax Collector, Dr-- ff •f N Permit Fee p 3 a 'Treasurer p K-- M X1(\ SEPTIC SYSTEM MUST E INSTALLED INS�CE Planning Dept. � Date Definitive Plan Approved by Planning Board ENVIRONMEWAL CODE ANG TUwi REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address Village 09 Q 1 t Owner 4YAW il�l2l: Address �f I.DS I' ILI. OP, 1M011�Ay NOI • Telephone 5N7^ Jr3 3 7'31Q Permit Request REMODI.E 1 I Lt{ Iy + 1 F1-0Ok, Q Or7 'r' kAnrk Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District 4 Flood Plain Groundwater Overlay Project Valuatiorf Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. .D'welling Type: Single Family Q' Two Family ❑ Multi-Family(#units) / Age of Existing Structure Historic House: ❑Yes VNo On Old King's Highway: ❑Yes o Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) - Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new D Half: existing new Number of Bedrooms: existing new _b Total Room Count(not including baths): existing new O First Floor Room Count �/ Heat Type and Fuel: O Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes U(No Fireplaces: Existing I New Existing wood/coal stove: U(Yes o Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existi g ❑new size_{_ 0 Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: S� n o Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ D g Commercial ❑Yes O No If yes,site plan review# N D - Current Use Proposed Use coo w rn BUILDER INFORMATION Name M � UOl�1'��Y� Telephone Number Address ��. �X �� License# CS 0ll lT , M i-�, CA(035- Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO IJSTA W5 TAAA)5 IVA SIGNATURE llf If�.ir DATE fo1 0 FOR OFFICIAL USE ONLY PERMIT NO. - DATE ISSUED MAP/PARCEL NO. _ ADDRESS _. VILLAGE .> OWNER DATE OF INSPECTION: FOUNDATION C. FRAME Q INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH- FINAL FINAL BUILDING DATE CLOSED OUT a an, ASSOCIATION PLAN N.Qrs, °F,ME, Town of Barnstable Regulatory Services BAWMABLE. ` Thomas F.Geiler,Director 9`bA039. a`0� g Buildin Division . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT 1 HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other � requirements. a Type of Work: � �- jf� C DR1 Estimated Cost 1�, Oa- Address of Work: Owner's Name: Date of Application: 16L IWO 2 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: p l oq 5yy i Date Contractor Name Registration No. OR Date Owner's Name Q:forms:hcmeaffidav The Commonwealth of Massachusetts • =--- Department of Industrial Accidents ,� '==� Of/Ice o//asestigstioos 600 Washington Street ` Boston,Mass. 02111 aayoiiaaiaiiaiaaiaaaaiaiiaaiia�i%/%%%%/%%/%Com nsation rance Affidavit name I"LKIC 1�tt�l'�G location_ 13-0 rCU.T ✓ AD ci Tk r phone# ❑�a honieowfier performing all work myself. 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Fai {i T: ��?'z�:;•..................... Ill •.•:#{'�':i??<::i�:��:�>+:�M1:�i<i}:�Y�:�iiii:•:?j:}}i}:3:•:vv:<:i:�}}i::yi;i::�`}i::?r:n•.;;.::`:r:n..:::.:....... ricunreuc one ye rs secure coverage as requited raider Section ties in the f form of of a STOP WORK ORDER and a tine ofGL 152 can lead to the imposition of�$10 0 a day against me: I understand that ar one years'tmprlsonmeat as well as civil penal copy of this statement may be forwarded to the Office of Investigation of the DIA for coverage verification. I do hereby certify under t and penalties of perjury that the information provided above it truop correct � Date nbv Signature ,,�� • Print name f'1�- V�� Phone# � official use only do not write in this area to be completed by city or town offldal city or town: permit/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office _ []Health Department contact person: phone#; der Uar;wd 9195 PJA) I ' Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. �. An employer is defined.as an individual,partnership, association, corporation or other';legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides occupant of the dwelling house of _therein, or the o dwelling house or on the grounds or another who employs persons to do maintenance, construction or repair work on such building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the,insurance requirements of this chapter have been presented to the contracting authority. Applicants y Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate-of incnrmce as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of innuance coverage. Also be sure to sign and is date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you. are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permi cense number which will be used as a reference number. The affidavits may be retar ied'io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions• please do not hesitate to give us a call. . The Departmeent's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents • Me of Inves[19ations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $5 Alterations/Renovations 25.00 TO O Building Permit Amendment FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x .0031= plus from below(if.applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE . square feet x$64/sq.foot= • 000 •oox .0031= 5 7- o2 d plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x .0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= ` (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) 7, 0 Permit Fee BOARD OF BUILDING REGULATIONS ` II License: CONSTRUCTION SUPERVISOR 11 gip. Number GCS i 047667 • Birthdat-- e_ 1/_1956 Y, Tr.,no: 4178 I u �P�,09/01/2003 PHILLIP M VOLLMERr PO BOX 64 COTUIT, MA 02635 "` .ems' Administrator ki 1 1 ,p� GTfee'C�ammwnuiea�l�i a�.�c�clwQel� �\ Board of Building Regulations and Standards HOME IM�,ROVEMENT CONTRACTOR Re9�Is'af. Plo�.nOr; "d vidual MARK VOLLMER MARK VOLLMER'", � PO BOX 64/1455 NEWTOWN RD G�4 COTUIT,MA 02635 Admioistratux Y .__ ._.......:_ _..._....._.__.._-- -. . . rat . �oFst .r Town of Barnstable *Permit m# { Ex 'es.6 onths from issue date X. 0. , . Regulatory Services t 1A32NSTABLF -� 1 h Thomas F. Geiler, Director Building Division PIED MAI a. 8 TOWN OF Tom Perry, CBO, Building Commissioner ,11� 8ARfvSTABLa 200 Main Street, Hyannis, MA 02601 r www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5087790-6230 EXPRESS PERMIT APPLICATION . - RESIDENTIAL ONLY ] Not Valid without Red X-Press Imprint Map/parcel Number 0 I 05-5 .f 4n p7� i-u rr Property Address • J© � ��)�:1 [7 Residential - Value of Work a��s Minim-um fee of$25.00 for work under $6000.00 Owner's Name A Address J• w1z'uNEF � SRAti/D1ZA FRA1211& Contractor's Name MARk -VOLE Ng Telephone Number /ptr�--�J 1E1 Home Improvement Contractor License#(if applicable) ❑Workman's Compensation Insurance Ch ck one: 91 am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-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/doors/sliders. U-Value (maximum..44) *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 is required. SIGNATURE: Q;\WPFILESTORMMuilding permit forms\EXPRESS.doc Revise020108 a ypM Fl � A? MpRy 'gist, tatyol� r oMFNT Cp k 9s T fl1gRk OZ44 Tye 9/2 1�sss I/0 4 4f, f -A ndw12o10 R qN FR dU COTUi TV1T � e T N £ w.,� I 2�389j berorhse M.q or r Ft 2635 ��O�!iy' Boa e the eb'istr' • �.`�;RO� O . rd or ekaplr atio. . ,n<" e negs 8p;1 ation vaid Oslo 664r ding date Por . sr�at;• 30t d retuse Sta -" o. t - � adards Ii • t valid iv;th �-b optSi4r e f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Mgt 02111 . www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PI mberg Applicant Information Please Print LedbLy Name (Business/Organizalion/IndMLivan: MAPt VA `Eli Address:_VA tox i-q - City/Statdzip: 00tu ft MA; Phone.#: der: J� Are you an employer? Check the appropriate box: FE roject(required): 1.❑ I am a employer with 4_ [] I am a general contractor and I w construction f employees (full and/or part-time).* have hired the sob-contractors ® listed on the attached sheet modeling I am a sole proprietor or partner- ship and have no employees Thcse�-contractors have cmolitipnemployees and have workers'working for me in any capacity. uilding addition[NO workers' cOn2p.m�trranr.0 Comp.in urance.$5. We arc a corporation and its ectrical repairs or additions r&jE&td_] officers have exercised their I L ]Plumbing repairs or additions 3.❑ I am a homeowner doing all work myself [No workers' comp_ right of exemption per 1vIGL 12 ❑Roof repairs incrnanCC required]t in. 152, §1(4), and we have no 13 t Othr-r �ZE7 5110F employees. [No workers' comp.inm rance required-] *Any applicant that cbeckc box#1 rust also R out the section below showing their workers'mt gxnsatian policy infmTr atiotL t Homcownctt who submit this a$davit indiealing facy m-e doing zM vm&znd thin hire outside contractors must submit a new affidavit indieatin9 such tContractnrs that ebeek this box nest attached an additiona3 sheet showing the name of the sub-aofraztDn and statr-cvhcthcr or not those entities have ranploycrs. If the sub-ccnt:actms have employees,they truest provide:their workers'rnmp.policy number_ I ant an employer the is providing workers'compensation insurance far my employees. Helow is the policy and jab site information. Insurance Company Name: Policy#or Self--ins.Lic.#: Expiration Date: Job Sites Address: City/StaSrJZip: Attach a copy of theworkers' compensation policy declaration page(showing the policy number and expiration date). Failure to secrete coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crizrarial penalties of a fine tip to 31,500.00 and/or one-year imprisonmLnt, as well as civil penalties in the form of a STOP WORK ORDER and a fi of up to$250.00 a day against the violator. Be advised that a copy of this sta =zrc t may bo forwarded to the Office of IUvesti tuns of the DIA for insurance coverer e vczificaticm- I do hereby certify under the pains"andpcnaldes of perjuiy that the information provided above is true and correct Si Datc: l/okr — — Phone# i-O&I O 151 l O facial use only. Do not write in this area, tb be completed by city or town ofjx aL City or Town: Permit/License# Tssvd.ag Authority(circle one): 1.Board of Health 2.Building Department 3. City/Towu Clerk 4.Electrical Inspector S.Plarobing Inspector 6. Other Phone#: i �pFTHEr Town- of Barnstable . t Regulatory Services �RAMSrAE F- Thomas F. Geiler, Director �prE0;�,�a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ' as Owner of the subject property hereby authorize �� //"If/l to act on my behalf, in all.matters relative to work authorized by this building permit application for: A-re-_ a (AddiVss.ofJo' b) *1amre of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. .: •a L, Town. of B,arnstable �pp1Ht3 rp�y Regulatory Services swtws-rwsr e, Thomas F.Geiler,.Director .• �p 059. a�� Building Division Tfo l`U'� Tom Perry,:Building Commissioner . 200 Main Street, Hyannis, MA 02601 K ww.to-A'n.b2rnsiable.m2.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: . / /a_.. JOB LOCATION: l , f5 G number street village "HO MEOWNER'. 1 u ( /C home phone# work phone# CURRENT MAILING ADDRESS: -1 I l�ST I L�,L— city/town U state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as - supervisor. DEFINITION OF HOMEOMS ER Person(s) who owns a parcel of land on'which he/she resides or intends to reside, on which there is, or is intended to- be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1,1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she-will comply with said procedures and require nts. r Lure of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will'be required to comply with the. State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors):provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a forrr✓ccrtification for use in your community. T. s I I • No J AA l �� _ (i Qsessets map and lot number ........0 o - 'BE--TTIC SYSTEM Sep a e'FPermit number ........ ALL MUST BE g o EC IN COIYIPLIANCE t... WITH ARTICLE II STATE A �� THE roe o TOWN OF R TA TowN i BARNSTODL$ i o Ya. z B,UILDING INSPECTOR APPLICATION FOR PERMIT TO .... ol�si.T./�IJC�°/'... .�iL?�' . .. ......................................................... 0 r- TYPE OF CONSTRUCTION C�G.�C1tJC...... ..�'c .* .........7. .....19.74? TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accoording� to the following information: l Location ...... 2. ....# ... ...� Te...1// ... !!��?C�15. 1Cn?llf �.iSJ��?fC�S,J.. D). CIJ.. ................ ProposedUse .......��. )"Oe..,f1/.Yf ................................................./..................................................................................... Zoning District .... .. .�.�z .ew.../..a?2 .............................Fire District Name of Owner ............Address . 1�...I-lar. Nameof Builder /....................................1�.............................Address .................................................................................... Nameof Architect ..................................................................Address ............��....................................................................... ..............Foundation .... aXc*"f'L'Number of Rooms ............... ................................ . .. . ................................................. 4-Exterior ( ..........Roofing ........ 5 �f"L ............................................. < l Floors ... G�C ..I/f�c�,!< ..................................Interior ........�y.).%'. ...G�C711............................... � y Heating . .......41 /.L Plumbing /�(�ll .. Fireplace ...........0..............................................................Approximate Cost ............0�. ............. 710 T, Definitive Plan Approved by Planning Board ---------------____-----------19_______. Area ..-. ....... --r.... C/...jLf-..- Diagram of Lot and Building with Dimensions Fee �- SUBJECT TO APPROVAL OF BOARD OF HEALTH a�� a 62 �77 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name DiPersio, Carlo M. 1' 1 .91 1 1/2 story, No, ................ Permit for .................................... t single family dwelling ............................................................................... Location �3v Abbey Gate Drive Cotuit ............................................................................... Carlo M. DiPersio Owner .................................................................. ,aR Type of vconstruction frame s .. ...................................................................... #62 Plot ............................. Lot ................................ 'Permit Granted .........August 16...... ........................19 76 Date of Inspection Date Completed ..ia.�. 0 / ... . 19 PERMIT REFUSED .......................................................� .. 19 ....................... ................................................... "y ............................................................................... ............................................................................... Approved �= .................:... .................................................... , .v"+-w+„•-rwe�y +-r•�a+w.+•.'�r+I�T...T..,�.��a�,ti.^^�..^..r�+,�...r'�Y�++.�.r T'^Y_�..f+�^^�.."'.��'r.ri'�'•r �'.•�/^{+r-�..+r.-.._.f �.� Assessor's map and lot number ...!q.- See Permit number ..................................... ....................... .{ TOWN OF BARNSTABLE BA"STAnL& • i� rb 9 BUILDING INSPECTOR APPLICATIOWFOR"'PERMIT. .TO .......::��.� .20 , TYPE OF CONSTRUCTION /,1�.��...Tf��7,�-;P.... . ............� ................................................... y, ................................................................................. ............................... r.....l 9J7f? TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following information: Location ........`.:r� �I? Y ! .� iF' /cif vz �c /��•�47�rG7-:� ......�..: i .7 .............. / ;......... , ................ �. ........... Proposed Use ........ / i/.1...........................................................p .................................................................................................. ..... Zoning District c� � ...........................Fire'District ....f............/1 ,Name of Owner • / it~Y��, �7............Address ..��...�Lvr/ % f7i .7��/�l�;,r�`j ............................ .. ....................... Nameof Builder ..........................................................:........:Address ...........................................................:..................... Nameof Architect Address.................................................................. .................................................................................... Number of Rooms ................ ................:...........................Foundation / i��>�� P Exterior ........................:...........:. .....,... .......Roofing ................................................... Floors //� �/ / iP7 ��;�/............:.....................Interior .......... / 1.7./1/............................................ ................................. Heating ,!//� / �%/.............................Plumbing .............................../Y,c /,�,fr�............................. ............................ ......... . Fireplace ....................................:.............................................Approximate Cost ...... . ....................................................il - Definitive Plan Approved-by Planning Board --------------____-----------19 . Area7 " ` J...... :... Diagram of Lot and Building with Dimensions Fee 4� SUBJECT TO APPROVAL OF BOARD OF HEALTH 7r � �� ; 1 �• del I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above' . •construction.. l/.1.�� / � Name ............................ ........................................... DiPersio, Cabo M. A=21-55 _ 1 2 story, No ...1::. ....:... Permit for ..1................................. single family! dwelling S ................... Location/3O Abbe Gate Drive ................... . ...... .........6................... t Cotuit Owner Carlo M. Di rsio .................................... Type of Construction ..........f r.Tie..................... #62 = Plot ............................ at ................................ August 6 � 76 � - _ - • . Permit Granted- ....19 s r_ 1 Date of Inspection ....................................19 s., Date Completed ............. ..................19. } PERMIT.REFUSED - ...................................�.!. 19 Z .................................... ' ...................................... ......... ......... ........... ................................. Approved ' �. FWE f Town of Barnstable *Permit �y } ��{.O Expires 6 month rons issue date t•'r1 ..T7� �: : ,,,�,,�,,BtE Regulatory Services Fee v MASS. t639. Thomas F.Geiler,Director O l a /of �A p�0 'fo►�,y Building Division X-PRESS PERMIT Peter F.DiiMatteo, Building Commissioner 367 Main Street, Hyannis,MA 02601w AUG 2 4 2001 Office: 508-862-4038 Fax: 508-790-6230 ;TOWN OF BARNSTAKE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Mapiparcel Number F �Z/ l Property Address ( 3 IT g C /� �► ' L W ` U ' ResidentialValue of Work 0 0 Owner's Name&Address 51�_N v 6: kl�)Sa{Q Ll (_t jQi_i v -'_ S-3 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) r ❑Wor-knian's Compensation Insurance - Check one: ❑��a sole proprietor L2 1 the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) [�Re-roof(stripping old shingles) �❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (mum•44) ❑ Other(specify) *Where required: issuance of this permit does not exempt compliance with other town department regulations.i.e.Historic,Conservation,etc. Signature lip` I Q:Forms:expmtrg:rev-070601 I I I j 'I I: 9a zo •r 0 I—� s I 1 f� t� 04 < (3)IA"K IVVLVLS:GLUT, GCR2 10, f • ' f pp ( ��i'Al�q•I:VL•L CONE.H6AD6R 23:6"LfiNSTH no z ; IQ a � u• I £< e I �. ��•� I �I'�9' 9.6Y tii-6 � 9?6''do••DROP �f�9" - i I 1 f `AF F od uhad p— N. ale .b\FtMoa\,h1-6(ylM__—_ I ____._It'...n0.1P CAGE Note:TO PL/•TC.ILVEL�.:� � .1 ilLirM.(%\IP ErJSE .. ad m- a1.3'o.c ble'TlS.Sur..PtaoR TUO OL 4n.4AG6 4u6..FLOOR ! /.C�)M•4URE.0. E%M OF r OR O. VIEW OF4VITER. GARAGE PItGSuic1TW/VEUT _ ,v.- "LLcox PAY.':SIS'ti'/.S.cfiiu/ �G MIQ.E to/•M I = _... i\wCIL 6Cf. P,O,ST GPT Noileddal ad common 4+.G P-T:USEP a13•o.0 I 1 - SOFA(T MTtii(-G"L`:,_o ) :I A PA _c.5uwC1Ps oN SC0.EEN P01.3CJ•I..SSJFF..1T I�LT�(t_ Ca,-,.:o") - i 11 Ii ' - I /� I ;b19`@ ANCN04 BOLTS \�/7•..!'�4.a`T1..t PI.tfL�20-;0-[ !7 • G413T.++5 RIOGE UUE 7_14 11 I it I U&%G.RLOS!b Nc,412k G• OVIf0.20A�5 G!e P1Gr-� 7- lap ♦AV- ❑nE4, _ __ ___ .10 \ Ka M _ ..' �• "\ Vi 3NEATNICKI ON 2..0 RAFTr P.5, ••- 61e"IIi5 SNE„T„1 2,ejo\3T5(-,•j '..1.14 NAI(yr4�ON SMENN C� ' --. 56E Poww FIN16N 011.T0.qt 9JTCTT'TRTAR_ .. :: .. : .. �]si'_OTVJS.CG'O G.'- -' 4.301w SU4 CV T•�J \.SyTRnPPVS S, P! w we.c.5 I V 'IC�N\yN'u.wat ¢ I .Ca)Ip'.�If r4'L1A-`"BtAK b\6"G•4 Go 3MEETRO Ic 5 PSON H-0 UPi(.N P.) .� 'dVt.!tdlL ;2+46WI 5,lG"O.4 _ - _ is -� slu TR .. ROOF.FR/�./�ISNOi Cu•.I.o-) I PO}Z,CU$lLL_nETiltL UYY.1.o"� ._.--c,.. SECCION /�_� �..4._,o••� SeCTI,QN B .(1_r4.el.o`� 3UTO P:RA.Kb:SYc' EPTMY 6nr)(Ti ON B'ruc c Devlin of\a A3 NxEn ..P oP.: .DlcsD wn:ILj u.(a:oll yF �nmteco 77+23"773 130 AR9£Y 4 cTE RpAn _. .. ow..ra.o fn.oen COTUIT ,hM. . AZ W3 s APPLICANT TO COMPLETE A SUBMIT WITH PERMIT APPLICATION a AWC cafdc fo Wbprr Cer'rnrcrion in High Wind Ardn'.:'I/o rt ph W,.d Zore .. .,. , if 11Rssachusetts Checl(list for Com,Qlfancc(7BnC;gi_n t,,;.I-.t). ��Q 'AN'CCuh/elo IYpod Collllri ciiolr in High Irru/Arrns:/r0.mph Wed Zolle cemw"� Massachusetts Checklist for Conil)liancepao'c,mn s3ol.r.l.p' t.t SCOPE ..�.....--....-.. ....-..........-..�...-....�....._-,-.� . .........:.................................... lal.ai,a N 6d common no. ._ _..._.. bl Wind SPnea(3:aee.9asll..........::....._.....:......_...._.._.................. 1t0. p oa _...._._ ..."'"'...CSAP._..t•+�.1.E..._.._..... ag cmnowone .,;t4 aobCn' Wag Con-dons Wind Exposure Catogo/Y........................................... � (nn9 r Lalmat of lyd canon.,as)........._.........__...._(Tole B).....__._..__.._-.,..._.._.__._.� _V t.2 APPLICABILITY - Load Beeline Wag Openings(record longest opening put Nte JI We Inns br iota llia.•^�b TaMe e) . Number of Stolle'(o root which exceeAs B M 13 slope shah be considered v atoll 1 S_stories S 2 stories Head.Spans ..._......-_.._...._:....._......._..._�(Tonle 9 �._..__ R 6-b.S 11' ..................._.........._._..............,...IF,,g 2)......._..........._:.........._....._ 10 S 1213 SIO Pble$Ovn3 _....__........_......._...._.:....__....._...(Table 9._............._...._..._.. n, in.S IV Roof Pit6h.......:_............... - 6 Mean Roof He ..............:......_................._....._...(FlB21....._................................ Q0.11.533' FW HNght SIuds(no.of Nuds)...................__.._._..._(Table 9)..._...._..._.._._._._._..._....__._.._.� Building Width.W........................._................................. fFig 3)................ ..........._........ •t�- h S BO' _J�. Non-Lood Bearbg Wall OPnnings(rowan Iarpesl Opening,bul C:Kh all ononings 1.c.np".'atm•^Tado 9) Building Length.L ......................:....................(Fig'3).._............_................... yq: n ......_._.._.._..._........_....- _ _ . s ao --`•y,- Head.Sporn..... .:.....:(rode s)9°D.:M I)UUf .4 rt.a.k:.s 12'. ✓ Banding Aspect Rotloll/W)..._..�..............................._(Fig 4).._....... 1.0.„s a:' �3L sill Fl61. Panc......__..__...... 9).-1CLs.LL4T__. Nominal Height of Tonrst Opening .._...._..........._..........IFig a).....: l.0 o�r+.0(t01}+a 6'b" �/ FW Htighl Seats(ga:,olstuds)-----__...._,_._._._...._(Taco ................. ..-_s"L ✓ ExW Ia,Wall ShoWhing W Fk"V upon and Shear S-Wlan-Ill . l.3 FRAMINGCONNECTIONS Mtn-8unding Dimension.W' Gen.ol compliance Mlh Imming conneclio...................(Table 2)--.--..._....................._....._.................. Nominal Hi hl.of Ta0ds1 O t _ � 6 ts_S s'B' 2.1.FOUNDATION _ -T __' __ g parvng 'Sheatltkg Type_..._ .-�•.. !rote 4).•.... .... ...._• Edge Nag Spbang. ....... .-(Tubb 10 or able 4 d less) _... �-ln.. ✓ Fo0neo0on Wall,meeting rs;Wren'.W Va0 Ch: I04:1 •LTeid NQg SP"nB .. nple,t0}_ �L con.era.................................................. .... ........... . si.ear eonneulan(ro.a 1 sd m,tngn non: tide to.-"-=--•--' -T// CoAcrete Mason ) --.__•-;z•- 1 ✓ ry......................_._. ........._. Percent Fli0.HogM ShnaOri^8.:..--:--:._.-(Toda tO)-...____.._--_.-_.__.(.Wlr .y�• 11 ' S%Additbrol SheaNing for Woo MT Opening s 813•(Daslgn Cor,cepa).._.:_ , j. _ 22 ANCHORAGE TO FOUNDATION" Maximum Bundi Ol-ton.L _ - S,B.MCho/BOIL'imbedded or 5/B"Propdelary MOMonieaf Anehon es eAoltemaliw In con.No onh( m N.MnW Height of TWites Opemngt_._..__......................:.QLy.�)W01�__,..-....Z 68 _,._, -1• 6.1Z.Oig_general......................................._(Table 4)................._........._ ____ tjQ ) - Sheathing Typa.._....__.............__._...._....,(note 4-.:-___._.__-_��L4YLS � _ aolt 6pecing Rom eneirroid o/plate....................__.(Fig 5)-...._.._.__..._._.__ CZ I,M1.S IS'-12' .�f Edge Nan Spndrg_-___..._........_--(lbbb tl.nole4Ubss)__.__-�_I, Y Boll Embedmenl-ean.Ne........_...._...._...._.._.__..(Fig 5).........,__........_......_..__._. ii In 27' �/_ Reid Nan Spodrg__._..________.._(Tobb BollEmbedment-masonry--•-•-+--....-_........__.....(Fig 5)......_....._.................... 'Ito-1n 2IS- Shoo,Cann.Aon(ro-of l60 mmrtron neAs)(Tade ll}.__._____._-...... Photo Washer................. _........................_.,_.........(Fig.S)._.................._ .........23'x3•'x Y' FSW%MAlOaOgiUtio nSaRl mSNteianNgI_^_g_t.Was_M_a(iT OableN 1n1p).._.6_'_a.".,(Desip..n.:_'G.�onc_a-pe.)_.._._.-:._ .3.1 FLOORS Wag Claddino / _ . Flo.fmmi-Q m -Wb spans eheNred....__..:._.............(p.700 GMR Chap-55)...____. ........._... Ratod 1o,Wind Maximum Fool 6paning Ointnnsion.............. :...__..._..(Fig Full Heighi Wall Studs at Floor Openings less Iran 7 from Ext.ior Wall(Fig 6)...................................... �.yC 5.1 ROOFS - Maxfla m Floor Joist S.M.6,e /fl Sd Roof hombgmeenb.spans.hocked7........._._...._(F.RaRnra use AWG Snnn T,W1.' eBORS Wea'le) --" Sapponing L.Wbearing Wags or Shes-IIII..__.........(Fig 7).............._,...................._....... ,_ Roo(Overhang (Fgwe 19).._.......-. " net ol2'or tJ3 r . ...._......_.............._..................... ..stall T AC" ,Mvdmum Gantileveied Floor Jolsis - - ^ Truss 0,Raho,Co Anon al L.Wboarirg Wall. ' Suppolong Loadbearing Walt'or Sheon all......._......IRS a}....._...................._............... /A s.d• PmPriebry Can- , Fbor Bandng of Endwells.._.........._.............._........__...(Fig 9)_..._...._._.._............_.._....._.._......_... •✓ (per 7B0 CMR Chapter 55)..._..._._.._ _. Upon______.___.-...-.....__.-(Table 12)._-__._._..__,_._..._.._V=-7.aP l . Flow Sheathing Type............._.............._.............._... ...... - (Table t2)_.__.,._._-._-___._...._L= ptl Floor Sheathing Thirlmess..._...._.........._....._.........._;..(Per 780 CMR Chapt.55....._._...__ !L �/ ___-_______ ___...... - Fbaha unin FoitoWn (Table 2)..gd nails at'din odge 1-2 b bald ^a/ sneer..... ..:.. (�Tabb R .- 5- B 9..................•........................:_ 510' Rxlgv strap,Cone li.rs..ifoa0ar ens not aserl Par pogo zt_.Rnble l3) of 2.w /2 4.1 wa:Ls Gable Rake Outlooker._.._._...:...._:._..........._.(Figure 20):.-._.. s small.N7.or ill. Wag Neigh' / Teas w Rants Conneclians at Non-Loadboaling Wells ......(Fig to and Table S)_._.._.___. 8 li ✓ - Proprietary Coru,aere s - -saVbtieap9.wSin......_._....._.........-.-...._...__. _�-- (Table,tq:_-_' NonlamtlbeanrgsdMs_....__......._._......:.__._.....(Fig 10 and Table S)....._._____.. 1 _R 620 L'� tita sloe sparing I IU'vaemi(r,o.or lid e.wmnrans)_(Y r4}._.._...:__.._......._..._:._�aJaQm. ...._...._................-.._......._........IF,to and Table 5)_,_.....__._Lin 524'.v:c Wallp Slpr)v®ftzpb .(Fgs 7 8 B)_....___.;.. R?C• Rool SMaddPg Type___-._____..___...(p. CMR Chapt.s Sa gad 59).._.....: ..............._....__..._.._.... ....... _ Roal __ _ __Y 42 EXTERIOR WALLS' Ndes:'Rool.Sheaadog FD,rt6Mng____--____..(Tv 2}._ �_'C.In-27/16 WSP Wood Snr3$ ✓ stall W mean its the - b 2.'b Mtn tie of , .Iwdbeadh Its........._...._._..__...._....................ITadoS)_;!CP.cht2'a7__..2a G' e, `0 / '•1. Th'¢Ntocklt9211'I v.celY.�gl9 spleaaly1th pn.r led oonhyy rpgar.ttno 9 ts'4 - - .._ - -P� 780 CMR 53g1 lam:f-t in.C,Cdtf I L met in Its enfrelyStlan t e Id1ar4)g meta'.bays and hob dwni are rest . alonL.Wb-Inn wells..____..._._._._.._._. .(Table .........:2.- -a .!n. __ ,d�tl WFCN 1 t0 mph Guido:' Gable End Wag Bnacing' ��ii �',jLaa(({4,�y aw,Par Howe - Full Haight EndwagStuds..............:...._._.......___.._(FB t01...._..._.................._....�._...._.. 5 _ r a. S WSP An ic Flo.Length......................._._.........(Fig ..............__._.._.....:.__CR2VJr3 � b. 20 Gage Slaps par Figure ll' __. _. .. _ - um(sli 'Len h,IWSPnot-a (Fglt)..._....__.._..._............___.%n24aW 'U � �1 . GYPS n9 9t ( )_.._..-_... Ag a 17 4 c ... 'd.. o. :. ..._i it. p.._. e: Coma!Sad rights 6(tli o 8IL sthW too and f�q lab' _ I� �J and 2 x 4 Continuous Lateral Brace @ s R as--(Fig 11j....._....._. � �'V ' or t x 3 ceJnng!wring atlpz�1G sparing min with 2 x 4 pbexing®4 R spaang in.d)o1A 611 ss bays:_ -N, _ Claude Top Plate '^^O sf . of Is 1 stag De perry when5%Is addeA Io Ua D.ceM fu0-holg shed - S ace Length (Fig l3 end Table 6)_........._...._._._....... fl t� 3L The be-a s�In nitaeTable O end 11: u . _no.Or........_..._....-.._..:_...._.._. � -/ ...3. The O011om rm b eid.br wags shag De a.'calm m 2 in:nhonNnatdtidcrtess pressure bawled p2�inde• Splice Gar e5tion(no.of lfd common naik).........._(YaUe b)................... Ovg FZEI�g_CS_�y�T t O NG\v CRY l�c.T��t_S c'u•.,'o- .. '. 110 MPH EXPOSURE B WIND ZONE Table Z General Nailing Schedu)o ) `;:•.��. gLL_LQ tyocicfwq ( .JOINT DESCRIPTION Number of Number of Nall Spacing 1;wt�aoN R.9 r�avc nspl'ALx 6ut.hgLE5 Common Nails Box Nails �� 2i:4 NA:u.L`ti alit Exist: but<ki`q' t ROW Framing .. luJN.rM...FS14E ..i.. 1P etoddng to Rather(loe-nalled) '2-8d 2-10d eaten end ! RM Board to Rafter(End ringed)- 2-16d, 3-16d each end (3)z;.V 5 V-I, P�`4 i ruJN.cyRER . .... .. .. _._ h Wall Framing FA.SC.Trt AL . ... Top platcas Stud(n(ereacbru:(Face-nailed) 4-18d 2-160 24 intso.c, W l bcN�tT r+T 2.--B.R%SF_T_G.Rs.. Stud b Sled(Fawahglleen 2.16d 2-16d 24'o.a ( r d Heaeb Header(Fam+iailad) C1+1tO RtT14t1 ... 16d 16d 16'o.c-along edges f To qE T)E'1FRI PC-� ._ I (( I I 6lccP60 wl Ia[q PCfiT • , FloorFtammg - Joist to Sgl,Top Pletti cr Glider(Tne-NaW(Flg.14) 4-8d 4-10d plerd - S Bbn9Jolst fraeaielted) 2-8d 2-10d eateM W b m 1' [o..E µcxflhv Blocdng.to Sm w Top Plate(Tgeriaged) 3-15d 4-16d each block. I ll A:c-a- Ir aox Cn'Jr R'F..h:S£.%V.- _ Ledger Strip to Beam or Girder(Fece+halied) 316d 4-16d each Joist ROOD FR )�!G- ensli � 16ii5 par W' ( it Send Joist dsf(Ende edj(F14) 3.16d 8d PP--)o G � .Band Joist to Slli or Top Plata(Tola4laged)(Fig.14) 2-16d "3-18tl per loot � I N.. 1. 'Real Sheathing - ` I � 'I ... . -_ � -- Wood Struclured Poet. . Rafters or trusses Spaced up to 16'all. ad led'. tredge/6'field Rafters or busses spaced over 18•o c,' ' 8d 1Od ..4•edger 4-field. - G8410 end•:al)rake or take truss Tar whe gablq ove, g. 'Bit 100 B•edge/8'field tN.6ti1..5TG T.LIU.M.En �', -- Gable endwall take or rake buss w/sWliural out took eta 84 „ led 6•�B'field .Gable indwag rake awake truss w/lookout blocks 8d led 4` 4'gold .eyjy J_i Q� e/4'T�G WbClL3Oti - 1' CJIL'Z�mtEl.TiL2S. ery�9r e 8 P.T. JU Ceiling Sheathing Sd Coolers77. . Gypwm Wallboard reldge/10-1i .. 4+4 vosT:o.T.__._. _ - _. ..- b1UliT BuwryD Wa118heeNlsg Wood Structural Panels ..... Iz•'nlA.'b/G•radr' tlts_:ts!.'z. _... - Sods spaoed up to 24'o.0 ad led 6•edger 1Y f eld./ - ' 1 `. X'end 25rJY Fiberboard Peneta 8d('1) 3'edge/4 field' - SFLosuV C6tQ04-e7 et FCAOtt fl '�11�1Ct X'GypsumWagboa f 6d000leta ledgert0 gall oaFyswcc l Floor Sheathing Ya: 7s I •WoodStmcl%iralPanels - ;•�'> 'jr,,,,� t•or less ate led 6'edge/tY riw , ..•- .:;�.;. ,. I I 1 - Greater thin 1' 1 10d 16d 6'etlgPJ 8'/1eM ./ Il "rt c c>Ft"6tcrt oN•EucaY (-1)Corrm"resistant 11 gage nails and 16 gage staples are permitted;check IBC for additional requirements. I Il'ntA-'8tG-t•WT'buF+o TVpA.y Nail:Unless otherwise stated,sizes given for nails ate common wire sires.Box and pneumatic nails tb equivalent Cp,z PAtVvi)4e•-µw. EL[h✓ 1 '' diameter and equal realer le eq or pedf w red mman nail.may be substituted unless otllerwLsa _prohibited_ g-. length then 1 .• SONOTIMe L-/YoUT ._... ,. �ri�FiCGE"�•NL�/".C-C:R'Vty rCrlri.l'j'.l"ON r �� y � �.•a a1a i nER'729f1- aev,stm !3 - 11.0 1,py fie q/LTE _R.OxD- wa.a ��_INA/ n3 dG 3 sb..p aeoakutri/slww,eoY Y.e a.ev5 110 MPH EXPOSURE B WINOZONE Table 2 Gerlerel NaLm S ftedrrle �- L, - - - - --- JOINT DESCRIPTION Number of Number of NalIS ea.-eno Gomm6n Nails Box Nails Roof Fmming 2-ad 2-10d e4ch end �`(q��{ ' Rkrl Bogald Ra0er(E Mild rd lWled) 2-18d each d - 'l Wall Framing , y P _.-.'. TStud op po Studt Fero Bled) ceM(Fea6a1) 416d 6.16d aljNnb S Header tz,14-der(Fecealalled) 16d 216d 18-o.n-along edges ;�3\ ILfI•i6cIG��4rY5't�w 2.e ts-meA AE Floor Fr4mtng _ pwoTeRS I Joist fD Si4 Top Plate or Girder(foe-tlaged)(FIg.14) � 4-Sd 41 od Bklcdrlg in JoL4(Toe-naffed) 2�d 2-100 eaW end \ 2-e 4l.J011T!A+D45 Ft16TJ4 / Bioddngb$IAor Tap Fuld(Toeacomna 316d 416d' each We& / II dlina dY1NQt45. . . Ledger SlrWmBeam or Glider(Faceaa6- 316d 4-16d eaM Joist / - p•se waw...o,� Jolstoo Ledgerro Beam(Tee 38d 310d Per low II 7inm.aaC Band Joist el SW of TBand Jolstto op Plate(fob.Umd)(Flg.14) 2.16d 316d portent (peAeT1..14 Kv1Cli_._ o-m 1..p 6TMPDIy�y {>L ',a\MPsth .0'ty10 - Z rrL-slRe� K - .. Roof Sheathing . ;,�'a•uua W�Stuoouil Paneb '2.id- g7.Fo'nw,a+wu4 .. 1 Rafters of htmsos spaced up to 18'ae Sd 100 6'edgd 6'no }.La JTNADwIVS p1 .a Stx.•w tT�W vevT Rafters w trusem over 1B'o.c.. Sd tOd 4-edgel4'field z�6YfleTROCK. Gable andw4 rake or rake hues w/o gable overhang Sd 10d 6-WON 8-field /// i I �' •Game rood ell rake o rake truss w/slmUural aul looker Bd 10d 6'WON Or field Gable andwee rake or rake truss wl lookout Weeks Sd 10d a'edgef 4'field ccmng Sheathing txeeljl e,__ ,(fitmwammw Sd 000l- Tedgd l0'Few cloeq .. .-_______._.... ••� , Wag Shealhin - Wood Stiucturai Panels -i6 V;1v CIZT`h°.:•p-) i Sluts spnoed up to 24•o.c 6d lod 6-edodirffeld ,, W and 2&Sr Fnwboerd Panel, ed(f) W edge S•field W Gypsum WellboaN , gd 000ler Ted 10-field e..m,w .......—.-5 Roar Sheathing -wood$Wdurl PwRls - • 1'or less ad 1m 6-edge)12-fmld Grater elan i- 10d 16d 6•edpirfield RooF-FpJR CI FI _ -_ 5 (T)Corrosion resistant 11 gage nails and 16 gage staples ar poerklad:check ABC for addldonal repkements. Nail Unless odlerwise staled,sUps given fro nags are common wke saes.Box and Pneumatic na{b of equirJent diameter and equal or grater length to the spedfled oonorlon malls may be suhs8kded unless otimnyt e weWbned_ - La=0_now.00.sxTCYnsaolr - � + cin5'rvq I�aw.twgl.ada, I KT 3NlNCLG! / •N __- -__ _ 1 -� __-�_. ...._ .___ .�1�TcN.EA15T.Vy 11�j.1/ , - . I IY1 _ I +--'-�^�f-.' I i 1�ll lr !'II,I:.II II1 ILL �1111� •T '' t ic' I' , Il•,I- - �. III li'I I �.0 8--L r`J o4 II I!- 6 2 - I I l I•III 11 -i-f T"I-1 Twaw Cos 1 T.opt.) , onK RCaA. � I � � ,I I � r'-ri. l I .�I 141 •.I Pap.. 1�I�Y I. ! I �aavlbvy_nno6y Nn. _EXl-sRT,IC:_'t£�1ZOOf..� :. ... 2.1c1a"C}:yc,8Fl]ROOrt•l I _�-n-�I I'I'I,1' I '• i i NOTES. Q E�el5TN5��eIIA- � It)incpVE L a•LaLhC6 ti�nbbg5 -. 'Rp;KGnaa.. eTnrAa bxKTgLatioy alwe KLu 61-ROS .. COI•rtCtC117R CY�t.$):r.vcJUJI.UiRmERsy,�30_vETuwY!�LL__nIME4 elOas oN ercE ._ .. ... 5 N1A'tZG)OR httEiLi�T10tVS±.FU7Qq'PlitN: ii3.iE: >7CII2tiaE .t�.TER/TIONs R EICLESJOSION•FtDO 4 C_41py+ET}N_fM14.GOOM:.42.414K./In'ntGP.�La'�-r/6 Bruce R .VTLT1nP'/r4TlCY�V_, V.IN.LL�L—.. ... Devlin • Desiguill W1C! ''K�'S39ra ••walen 774231"773 A15 bey Rann conz 7.r_x PERCENTAGE OF LOT COVERAGE LOT 68 LEGEND LOT AREA 22102t S.F. CATCH BASIN ® � � �---- �• ' EXISTING STRUCTURES 6.9% GAS SHUT OFF EXISTING PAVEMENT 2.4% LOT 69 ® _ PROPOSED STRUCTURES 3.4% LOT 63 ? t , TOTAL STRUCTURES 10.3% 62� LOT 62 LOT 60 CD 0 SQ'3 Feet 22101 .9 SO. FT. �: I 0.5 ACRES T LOCUS MAP LOT 61 PLAN REF: 271-56 DEED REF: 14072-302 ASSESSOR'S MAP: 021-055 Z ZONING: RF o SETBACKS: 30'-15'-15' FLOOD ZONE: C s SHED u� PANEL NUMBER: 250001 0021 D DATED: 07/02/1992 9 OVERLAY DISTRICTS: MASS ESTUARIES, N AP, RPOD PROPOSED O � N ENTRANCE 130:;s%%. DEC Q� # PLOT PLAN OF LAND Eti 501 LOCATED AT: Tr.- 130 ABBEY GATE ROAD J PROPOSED PORCH Y C O TU I T, MA ��. � PREPARED FOR: MARK VOLLMER PROPOSEDoe GARAGE NOVEMBER 15, 2011 a �NOF""!4c\� REV: JANUARY 4, 2012 P 4 �'Z.Q W n e off° s'�a, �� ® REV: �S9p0' _ / S �g'00�5 \�I {�� o PSTEPHEN �N H AM v V ' REV: � 1 G a Do's YANKEE LAND SURVEY CO, INC. GRAPHIC SCALE 11 11 (J�� 1`� 4 �F "•,O��Q. �' 30 ° 15 30 60 � v °o�9N s ° 119 ROUTE 149 vm� MARSTONS MILLS, MA 1 inch = 30 ft. TEL: (508)428-0055 FAX: (508)420-5553 yonkeesurvey@comcost.net www.yonkeesurvey.com NOTE: SEE PROTECTIVE COVENANTS AND RESTRICTIONS IN BOOK 2315 PAGE 181. SHEET 1 OF 1 Jpg#: 54775 SH