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0023 BRITTANY DRIVE
�� y t2r o e`\ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 64 Parcel D 3 TOWN OF SARNSTABLE Application # Health Division �?;h3i _L� Date Issued 5< 18� Conservation Division Application Fee Planning Dept. �,, � . Permit Fee ��• Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village —11,/ Owner �1/¢VOY- /� 9- 4AW 6 011ief Address Z'3 Telephone �o �� /��`�`7` �a � �o-IUIV-1 A14 Permit Request AeIreve- 13ilic,L aN L j. i114/tlz-y �0Wh To 3diG/L five qT /to®F Ae !/ 1:74J 111'04 AMW J1,41 Leii e, e l¢ee. viJ_IvrfPd_ 11e le-c.e, "o 6 cl���ve Square feet: 1 st floor: existing /_1 _proposed 0 2nd floor: existing o proposed y 'Total new.if Zoning District Flood Plain N 14 Groundwater Overlay Project Valuation 61000,00 Construction Type 1(�U Lot Size d• Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Y�__Two Family, ❑ 'Multi-Family (# units) Age of Existing Structure 117Z' Historic House: ❑Yes ClTlo On Old King's Highway: ❑Yes ❑ No Basement.Type: YFull ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) 4 ~ Basement Unfinished Area (sq.ft) Y�A Number of Baths: Full: existing °2 new 4 Half: existing 0 new �• Number of Bedrooms: existing d new Total Room Count (not inc uding baths): existing new (I First Floor Room Count Heat Type and Fuel: gas ❑ Oil ❑ Electric ❑ Other Central Air: Wes ❑ No Fireplaces: Existing / New 0 Existing wood/coal stove: ❑Yes ❑ No Detached a e: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ AttachedVa a existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑ Yes q40 If yes, site plan review# Current Use �-e4 c •t�TfA I� Proposed Use J^ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �� `d� '� Telephone Number Address - Rj License # e Home Improvement Contractor# 007 Y0 Email J1 M C'�p,22� uire- Itux Worker's Compensation # J.72 vy ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU !zL' .e t,I) -rU -en/-!l �' Cff� OY�e. L 0 irar .f FOR OFFICIAL USE ONLY APPLICATION# ,DATE ISSUED r •MAP/PARCEL NO. ADDRESS n VILLAGE v ` OWNER i DATE OF INSPECTION: — >� FOUNDATION— _ _.- --} _ FRAME INSULATION FIREPLACE f r ELECTRICAL: ROUGH FINAL k PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT — ASSOCIATION PLAN NO. _ r Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-076261 2 yam, vi l Construction Supervisor ; J [� �. + JAMES MCCORMACK C 6 U 73 FEARING HILL ROAD ; WEST WAREHAM MA 02676 i Expiration: ! Commissioner 11/13/2017 License or registration valid for individual use only before the expiration date. If found return to: _. Tice of Consumer Affairs&Business Regulation OME IMPROVEMENT CO Office of Consumer Affairs and Business Regulation fit ^10 Park Plaza-Suite 5170 ' ' NT Boston,MA 02116 RACTOR ,?. F Registration: 100740 Expiration: .6j2312018 Type: CAPIZZi HOME IMPROVEMENT,INC. Supplement Card JAMES MCCORMACK No valid without signature 1645 Newton Rd. Cotult,MA 02635 �``' ^- - Undersecretary i ACOREP� ' CERTIFICATE OF LIABILITY INSURANCE DATE(MM,DD/YYYI� 12 29 2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(iss) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER CONTACT NAME: ROGERS &GRAY INSURANCE AGENCY, INC. PHONE AIC No: 434 Route 134 MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# South Dennis MA 02660 INSURERA: AmGUARD Insurance Company 2390 INSURED INSURER B: CAPIZZI HOME IMPROVEMENT INC INSURERC: 1645 NEWTOWN ROAD INSURERD: INSURER E: COTUIT MA 02635 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE A D S BR POLICY EFF POLICY EXP LIMITS LTR POLICYNUMBER MMIDD MM/DD GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY -PREMISES REM SEII S Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S POLICY r PRO- LOC $ AUTOMOBILE LIABILITY E acccid DtSINGLT E I ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION I WC STATU- OTH- A AND EMPLOYERS'LIABWTY Y/N R2WC655250 12/25/2015 12/25/2016 X• ANY PROPRIETOR/PARTNER/EXECUTIVE 7N N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 107,Additional Remarks Schedule,If more apace is required) CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hyannis, MA 02601 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED ©\1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD The Comwnwealth of Massachusetts Department of htdumWalAcddents I Congress Street;Suite 100 Boston,MA 02114-2017 www mass gov/dia Workers'Compensation Insurance Affidavit:BaildeWConhractonMech ldana/Plamben. TO BE FILE13MV1THTBE PERNWI'TINGAUTHORITX Ant,Iit�L��ailon Please Prhrt I ' Name(BusiaesslorganiZation/Individual)'C���HOME IMPROVEMENT INC Address:104P NEWTOWN ROAD City/State/Zip:COTUtT,MA 02635 Phone#:608-42"518 Are you ffi employer?Cftwktte appropriate box Type of project(requir4: 1.21I am a employer with 40 employees(itdi.and/orparbt=).• 7. []New Gon8l Ucdon 2.QI am a sole pmprtemr or pmtwm*sndhave no employees wmdft tbrme in 8. 13 Remodeling aw capachq'•[No wwkere gyp•insurance revhed] 9. ❑Demolition 30I em a homeawner doing all work rayself.DTo workers'comp.insurance mPhed l t 10[]Building addition 4.[3I am a homeewner and will be hhtng coubuctam to conduct all work on my property. I wlri ensure that ail eoniraam either have worl=W cmmPeasation bm=nce or are sots 11.0 Electrical repairs or 8clditions proprietors with no employees• 12.[]Plumbing repairs or additions s.a I am a gmmd ronmunr and I have hired the sabrcontra*mlbW m the attached sheet 13. 0frgWn Mwe sdKxaftactoz bm cuploym andbave vadme camp.twumaca 14. Other 6.QWeareaemlpwdon and imofficemhaveeserciWtheirrigtrtof®ae Vdm Per MOLc- 1s2.§1(4),end m bave w employees.WO Mince comp.Wwom required.l W y appliceatihat chub box 01 must also fill=t o andon below ehowing1heir worlaera'wmP021e2don policy information. t Homeawmrs who aob &brie ai33davitindieeting they am Was all wank and than bite outside coaham=mat a newailldavA iadicetmg each. %Cmnatan that eheckUs box must attecbed an addidonal sheet showing the name ofthe ssr 4m=cM eind state w2ugdier or notthom WWW have employees Tfihasubrcoatracborehaveempboyeas thaymnetprEv e.UWk wolimW comp.poliaynamben I an an employer that 1s provldLVworkers'compensation Insurame for nw employees. Below is the policy and fob sW Inforrttalton. Insurance Compa�}+Name.AmGUARD INSURANCE COMPANY R2WC527200 nation DgW:1212512116 Policy#or Self-ins.Lic.#: �P Job Site Addme• 3 8 Vi W.A f tj V City/stawZip: �G�U eta Attach a copy of the workers'compensation policy dedarifou page(showing the policy number and expiration date). Failure to secure coverage as required under MOL c.152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or aria you imprisonment as well as civil penaides in the£can of a MP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy offt statement may be foswsrded m The Office of Investigations of to DIA for k mmce coverage verlfic don- I do hereby we A 0 ai andpeaaldes ofperJary ad the ln,fornratlon provided slave 1s trueand coned t�p�A p A� p Dt.iav iP-508-428-9518 Offldal use only. Do not write In this area,to be completed by dry or tam oQkkL City or Town: Permit/Lhense.# Issuing Authority(circle one): L Board of Health 2.Building Department 3.City/Town Clerk t Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Page 7 of 7 Capizzi Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I/WE, W��/ � �� , OWN THE PROPERTY LOCATED AT P23 ���'� 4�y�' IN i 1/i ,MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit,MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: �i t:�tir •` Ili,, � f - - - ....�•, �,,,1 '�1 �,t,-,tom:,; '",��, .� " z 11M�r e y 1,7 � •.� 4Y��.,, }• tea ' lie rrir �z * - Me ��Sr�rt�w � C.��ti�S �.r4 t � � ,�''► .�3��>�--�".?��v"� t�deF �-�r ,:A.. .'.•1✓ _y T r1 ..•��-�'{'..�: .ems. 9��'��4�. --:�, ���K�a.�'��� X�7�>•,�'''—=�' r .t of Town of Barnstable *Permit# p Expires 6 months from issue date Regulatory Services Fee_ems BMWSTABM i639. �0 Richard V.Scali,Director �J Building Division JUN 1 4 Tom Perry,CBO,Building Commissioner T® 2016 200 Main Street,Hyannis,MA 02601 � ���`' i www.town.barnstable.ma.us �`l AI • C ��pp I Office: 508-862-4038 Fax: 508-79 6230D�C EXPRESS PERMT APPLICATION - RESIDENTIAL ONLY Map/parcel Number d-1 D 3 f/ Not Valid without Red X-Press Imprint Property Address 'Z 3 a XiWAN% Dyi V-e Ce7-ulf Residential Value of Work$ J'/ 000- Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 'W4`/V, ?. 9Z A V y e B qv/fyES 3 B/1/¢q4 AJY P 4'1 a&- C oTut � /yq O z 6 3 J' u Cowactor's Name Clli Z 2l' 1/0m e ZW1?O ve 1Yf1Vr -ZA`f_ Telephone Number ` AMOS 1cLox n44c1e- L Home Improvement Contractor License#(if applicable) I QM�0 Email:�e R M t T e Construction Supervisor's License#(if applicable) C s U 7 6 'Z 6 1 14orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ am the Homeowner have Worker's Compensation Insurance Insurance Company Name Ain u UAX P ZAIJ URAAA-P- Workman's Comp.Policy# W g,-0 C Ste°?7a 00 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side .(e t t 14tj it eup zU)L S ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\Decollik ata\I,ocal\ 4icrosoft\Windows\Temporary Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 :r i Page 7 of 7 Capizzi Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT 146ImeS D I/WE, W � �J� f��'�� , OWN THE PROPERTY LOCATED AT ,)3 1�-'1#ate '.IN 6�lyi � ,MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: ) /����, OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: �'��c`(fir+inlnri!ll,Ctr�/�c��'-ll�lJJcrr�ll,Ir//J Office of Consumer Affairs&Business Regulation License or registration valid for individual use only I` _ ''OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 100740. Type: 10 Park Plaza-Suite 5170 p - .6j2312018 Supplement Card r Expiration Boston,MA 02116 CAPIZZI HOME IMPROVEMENT;INC. JAMES MCCORMACK 1645 Newton Rd. _. ,L z_�-s• Cotuit,MA 02635 Undersecretary No valid without signature Massachusetts Department of Public Safety : j Board of Building Regulations and Standards License: CS-076261 ri Construction Supervisor JAMES MCCORMACK 73 FEARING HILL ROAD WEST WAREHAM MA 02576 „An CA _ Expiration: '. Commissioner 11113/2017 r The Commonwealth of MassachwaU Department oflndustrialAccldents 1 Congress Siree4 Suite 100 Boston,MA 02114 2017 www.massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Medddans/Plumbers. TO BE FILED WITH THE PERA91TING AUTHORITY. Aoulicant Information Please Print LesiblY Name(susiness/0rganization&&,,idual):CAP(a(HOME IMPROVEMENT INC Address:1645 NEWTOWN ROAD City/State/Zip:COTUIT,MA 02635 Phone#:508-428-9518 Are you an employer?cheekthe appropriate box: Type of project(required): 1.21I am a employer with 40 employees(frill and/ar part-time).* 7. ❑New construction 2.13 I am a sole proprietor or partnership and have no employees working for me in 8. Q Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition I[J I sm a homeowner doing all work myself.DIo workers'comp.insurance required.]t 10 Q Building addition 4.Q I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that ail contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions Proprietors with no employees. 12.Q Plumbing repairs or additions s.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.QRoof repairs These sub-cofactors have employees and have workers'comp.insurance.= 14.*Other 6.Q We are a corporation and its offlcers have exercised their right ofw=3ption per MOL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill outthe section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they ate doing all work and then hire outside contractors must,submit a new affidavit indicating such, tContraetora that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees Ifthe sub-contractors have employees.that'mustprovida their wor>me camp.policy numben I am an employer that is providing workers'compensation insurance for ny employeeL Below is the policy and job site information. Insurance CompanyNamAmGUARD INSURANCE COMPANY Policy#or Self-ins.Lic.P R2WC527200 Expiration Date.121251201 B Job Site Address: City/StatelZip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c.152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of tine DIA for insurance coverage verific afi= c I do hereby ceWfy under the pains and penalties of perjury ad the infornmWon provided above is true and correetV S35n-'-M: Date: -- Phone#-508-428-9518 0 0JJkk1 use only. Do not wrhe in this are*to be completed by city or town ofjiclaL City or Town: Permft/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#' DATE(MMIDD/YYYY) ,aco CERTIFICATE OF LIABILITY INSURANCE 12 29 2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemengs). PRODUCER CONTACT NAME: ROGERS &GRAY INSURANCE AGENCY, INC. PHONE FAX A/C No Ext• V No): 434 Route 134 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# South Dennis MA 02660 INSURERA: AmGUARD Insurance Company 2390 INSURED INSURER B CAPIZZI HOME IMPROVEMENT INC INSURERC: 1645 NEWTOWN ROAD INSURERD: INSURER E: COTUIT MA 02635 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I�iRR TYPE OF INSURANCE ADDL SUBR im POLICY NUMBER MOLDDY EFF MM POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 112`01M MERCIAL GENERAL LIABILITY DAMAGE (RENTED PREMISESS Ea 0....) ccurrence) $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accdent ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PR PER acddentDAMAGE $ HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- A ANDEMPLOYERS'LIABILITY Y/N R2WC655250 12/25/2015 12/25/2016 X — ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? a N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 11000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hyannis, MA 02601 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED* ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION• Map UZ� Parcel�� � " B, - Application # Health Division Date Issued %1/j� !S Conservation Division Application Fee . //J`.�, Planning Dept. Permit Fee -C Date Definitive Plan Approved by Planning Boar'd '�-ti Historic - OK _ Preservation/ Hyannis Project Street Address 23 bf —, , A ),Y r Village C,oTU 17 mA OwnerAmi + i zwd HOLMc`S Address 23 N'e, A,ay /yZ Telephone 4 L 6 6799 Permit Request 6oT /Ze-,1ioVV- J AJC 0 iz 2,► `�`v/a ti>�� 3&,x - m t A c,rc..- N Sl y vcoi'�? -� / QA&AC '�� ( F:Aopl k+—' t Square feet: 1 st floor: existing I,5,V,V proposed 2nd floor: existing A)(/?-proposedO I IN- Total new Zoning District Flood Plain Groundwater Overlay Project Valuation /!3- _Loo' Construction Type �A jl o►J Lot Size IA_ACJZ Grandfathered: ❑Yes XNo If yes, attach supporting documentation. Dwelling Type: Single Family ' Two Family ❑ Multi-Family (# units) Age of Existing Structure Z2," Historic House: ❑Yes A No On Old King's Highway: ❑Yes No Basement Type: 0 Full ❑ Crawl ❑-Walkout ❑ Other Basement Finished Area (sq.ft.) NDJC Basement Unfinished Area (sq.ft) Number of Baths: Full: existin new ,— Half: existing A)IA- new Number of Bedrooms: 3 Oxisti —new Total Room Count (not includ' g baths): existing ,S new d/A-First Floor Room Count Heat Type and Fuel: ®'Gas ❑ Oil ❑ Electric ❑ Other c.12Li'�D har Z l Central Air: P Yes ❑ No Fireplaces: Existing New Iry Existing woo coal stove- 0 Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garagel" existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use _ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name .5-04,J -50Qh ALA Telephone Number _9J0 Address `T WOLF H I UL License #CS_L�.,� E��2�JI a2 MA- 0_. S. '7 Home Improvement Contractor# _kli c- Email SSVOMALA- c) C R CA,S-, - NLT Worker's Compensation #Glue-_3Z7&-3vo 9n,7[--Z1v/s ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO R i' OiJ COS ,�10 L ON- V, Z SIGNATURE DATE /I bhs' FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ' 'MAP/PARCEL NO. 1 r ADDRESS VILLAGE OWNER ' r r. DATE OF INSPECTION: 4 J FOUNDATION T _ FRAME INSULATION 12JI115- FIREPLACE ' c . A' ELECTRICAL: ROUGH FINAL ~ 1 PLUMBING: ROUGH FINAL t r GAS: ROUGH FINAL r I � FINAL.BUILDING -l2-3/1; a t I DATE CLOSED OUT ' ASSOCIATION PLAN NO. i i ?lie Cotrtutvlafveaith ojfMassacirusetfs D4 spar rrfezit ofIndusaid AccideTds . Offl-ce af.£ntesligtztians 60.0 Mashingto>•i Street ti Britons M4 02HI nFtn iFnas g&v1dia 'Workers' Cmmpensatian Insurance Affidavit:13,uilders/Cantractur&fMecfr ciaas(Phimbers Applicant Infaafian Please Prim Le�ibIy rm Name(HusiaffmUrganirid llndi�idnal� J o1f� �yt�t AC A � ��4�,.��Z'J2�y }e.o/t.`• �o�,�.i 1 o�S J v C, Address 4 City/StatetZip:_ �- _SA `JI C 1� M Mangy 4 Ar�ja employer?Checicthe appropriate bo=: ' Type.of project(required)c 1. em to z a 4- ❑I am a general confractor and I P �`�r wjthL 6_ ❑I`Iew construction employees(lull aacd br part-time)-* liavelured.tFte sub-contractors 2_❑ I•am a safe proprietor orpartner Listed ontlie attached sheet. I ship and bate ao employees. These sub-contractors have 8..❑Demolition. lo wooing fm in-ifl any capacity eomp.yetu attdhace wot9cers'msaraac�� 9. El Building addition INo•R,vrlo'is' rainy.insurance corny. . re ed_ 5. ❑ We are a-corporation.and its 10-❑Electrical repairs or additions 1 3-❑ f am.a homeou=n:er doing all work ofr'scers have exercised their 11_0 Plumbiagrepairs or additions myself[No wo6:ers' _ right of exemption per MGL 17❑Roofrgndrs insurance required-]Y c.152,§1(4),andwe have no employees-[No workers' 13.❑Other comp.insurance required_] 'Any W icsnttbatchedsbox rl Est else fill out the secdanbel wshordng ilie¢n=offine cmnpeusafianpaTicyinfoaMsaan- ffnmmamrawhu sntmsst his affidac in citing tLey an=dmng s1Ewad[aa� hii2 autsde eaatxacincsnmst snhmit anew afiid2vit indicating sorb rCantmct=feat the 1rt1vis bmi must attarH as additional sheet shaming the•nameof Ime sub-contncctam and state whether at not those endtiesham � e�3o}Rey.Iftbasuhtaat>aetoesh�eemglaFt tfieymusYgmt�detheir srorke&mmp.policynumber_ I ant an einplal.wr flux!;is pratzdirg workers'campe-wi iae inszirtut ca or m}J entpla}�es $eloty is riTte policy rtftd jeFa ado information Insuratzce:Company Fame: M4 'Policy or pelf--ins_Zic_ (,� C C — ��a �� `�0o�,2(o �i�oa Die: Job Site Address: 'y @� r—r�l 7�t' �,�2 ei rstatel�.tg: CCTU t r- M9 Attach a copy of the workers'compensationpolicp-declaration page(showing the policy number and expiration date). Failure to sew coverage as requiredunder Section 25A of MGL c- 152 can lead to the imposition of criminal petralties of a fine up to$U-0D:Oa andfor one-yearimprisoanent as well as civil pensWes n ihe form of a STOP WORK ORDERand a fcae of up to$250-00 a day against the violatoed that a copy of this statement maybe forwarded to the Office of Investigations ofthe DIA for insurance caVerification- 4, : T da hereby cetiifjr azuder e s andahEies afFsrjur}'t h attlte ir��ortsxtrfirTri prm i&d aban,e is bars and correct Sit�atur� � � - looter / 1— Phone i Off . y al use Do itat write in this=q,to be completed by city artown aircrat City or Town: PermitIT;cense ii Issuing Aafhority(tacit`one): L Board of Health Buff Ting Department 3,fftylTown Clerk 4.Electrical hispector S.Phtmbing Inspector *Other Contact Person: Phan=#: — -- --- -- - - 6 . ormation and lastructions h s,ac�etts Geheaal Laws cJiaptur 152 requires all employees`to provide wozkeas'compensation far their employees. pursu,mt-to this sue,an=Tkyce is defined as.¢.11.;vt2ypmson ih.tiie sacvice of another under any contact ofh>re, express or IMPliaA oral or witty.." An emrplaym-is def fed as"an and rld aI,partnersh�p,assmiali on,corporation or other legal entity,or any two or more of the foregoing engaged is a Joint eoferpase,and including the legal reju sca a&es of a deceased employer,or the receiver or trastee of an individual,partnership,associafion or other legal entity',employmg employees. However the owner of a dweIliazg house havmgnot more than three apa dments and who resides therein, or the occupant ofthe - d9mMaghouse of another who employs pesons to do maintenance,con_straction or repair work on such clweRing house or on the grounds or building appurlena�thcmto shaRnotbecanse of such employmentbe deemed to be an employer" MGL chapter 152, §25C(6)also sfaE: dint"every state or local licensing agency shall withhold fhe issuance or renewal of a Ticen e or permit to operate a business or to consfi-act buildings-k the commonwealth for nay applicant Who has not produced acceptable evidence of compliance wn fibre hasa-an ce-coverage req ed-- AdditdonaIIy,MCrZ chapt e 152,§25C(7)states aldeither the commoaweaM nor�y of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the,in s,rrance.. regzrirements of this chapter have Been presented to the contracting anihorzty." Applicants , Please fi l oiat the workers' compensation affidavit completely,by checking me boxes that apply to your situation and,if necessary,supply s'ab-contractors)name{s), addresses)and phonenumber(s) alongwitTlthekcmrtificafe(s)of ' binzance_ Lira t Liability Companies(LLC) or Limited LiabMty Partner& ps(LLP)with no employees other than the members or partners;are not required to carry workers' compensation insa-zace- If an LLC or LLP does have employees,a policy is required. Be advised that thisaffidayt maybe submittedto the DepartmentofIndustrial Accidents for confsmation of msnrmce coverage. Also be sure to sign and date the affidavit The affidavit should be-retnme:d to the city or town that the application for the,peuait or license is being rrxfa= A not the Department of LrIn rial Accidents. Should.you have any gnestiow regardmg the law or if'youu,are rcgc±-ed to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter Chair self-insmmce liccrose number on the appropriate lime. City or Town Ofa—cials Please;be sure that the affidavit is complete and prided legibly. The Deputncat has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investi gation has to comact you mgmdmg the applicant P leas e be sure to f M in the p ennitllicrose number which will be used as a reference number. In addition,an applicant that must submt multiple p eanitlUcense applications in any grvea year,need only submit one affidavit mdicat g current policy in6nnation.((if necesssary)and under"Job Site Ad+ess"the applicant should Fate"all locations in (dY or A copy of the,affidavitthat has been officially stamped or mucked by the city or town may be provided to the applicant as groof that a valid affidavit is on file for fu are'pmm#s or licenses.Anew affidavit must be fillcd.Ott each year.*Where a home owner or citizen is obtaiIImg a license or permit not related to any business or commercial ventLUD. (ie- a dog license or permit to bum leaves et--)said person is NOT reg died to e ompIeta this affidavit The Office of Inns would lske to ffiank you in.at&mca for your coopm aeon and should you have nay gncstions please do not hcsifate to give us a c ]L The DcppaItmenfS address,telephone and faznumber 'F e f:a�c�nii�of 1�Iassaahns�tfs - - - _ Bep3itMM±cif 1adutial AacidaUta cdrl=OnIvadgatio= 6w Ti nstl-ld T(,-1.4 617- -490Q e~xt 4-06 Qr 1-377- AISSAM Fagg 617 727 7749 R.eviscd 4-24--07 i ART guide to [Food Construction iri Higtt end Areas: 11 D tnph Kind Zone Massachusetts Checklist for Conipfiance(780 CiMIZ5301.Z.1.1)l Loadbearing Wall Connections - Lateral(no.of 16d common nails)__..................:......".(fables,0........__.__......_...._.._....._...... __.. Non-Lwdbearing Wall Connections Lateral(no.of 16d common nails).._.---.----.._...-.--•_--(Table 8)--------_----------------------------------------- - r Load Bearing Wall openings(record largest opening but check all openings for compliance to Table 9) Header Spans ....._---------_-----_.__..._.._-......:......(Table 9).............._------------ __.__It rn. 11 I Sig Plate Spans ._.................................----•__.(fable 9)....._.._.__..................—ft in.s 11' Full Height Studs (no. ofstuds)............. .._-.�--......(Table s).-..--..."._----------..----------------------_ Non-Load Bearing Wall Openings(record largest opening brit check all openings for compliance to Table 9) Header Spans.:.......... --------- (Table 9).................._.............._ in.512' f{ in.512' Sill Plate Spans.... -----•-----.---- (Table 9)........- --:.. — Full Height Studs(no.of studs)..._....._......._.-----------(Table 9)---------------------------------__._................. Exterior Wall Sheathing to Resist Uplift and Shear Simultaneous[y4. Minimum Building'Dimension,W Nominal Height of Tallest OpeningZ .......................................................... _.__...._..._.._ SheathingType-------------------------------------------(note 4)::,--------------------------------------------------- — Edge Nail Spacing-------------------------------------(fable 10 or note 4 if less)-------------_-_-----. Fieid Nail Spacing................. -=-: - -....(Table 10)---------------------------------------------- in. Shear Connection(no.of 16d common nails)(fable i 0)._.._._....._- Percent Full-Height Sheathing--------_........:---(Table 10)..........................._.......................—% 5%'Addibonal Sheathing for Wall with Opening>6V(Design Concepts)---.._............. Maximum Building Dimension,L Nominal Height of Tallest Openind......................................................................___5 SheathingType-•..............................._......(note 4)......................--------------_....._...... Edge Nail Spacing.-______(Table 11 or note 4 if less)......_.._._.._... in. Feld NaD S acin ._.:__....:_ able 11 ........ in. " Shear Connection(no.of 16d common nails)(Table 11)........ Percent•FuIF-Height Sheathing._,_.__(Table l l) 5%Additional Sheathing for Wall with'Opening>6'8'(Design Concepts)_---------__._:.. Wall Cladding Ratedfor Wind 5peed7._._._.._..__.._�_____.._..-..............___.....__.....��._...__._._..._._ ' 5.1 (ZooFs ---• f� Pa ) Roof framing member spans cheda'd7._._.._._:.._ . (For Ratir'rs use WC Span Tool see BBRS Websife I' Roof Overhang .._••--_•.................._........__..__.......(Figure 19)-------- ft s smaller of 2:or 1.13 Truss or Rafter Connections at Loadbearing Walls Proprid!tary Connectors able 12 ..__._._U= plf . Uplift..-•---•----.....---•---_.__.�.-•-- (T )........_---...-•---...._._. - tateral....__.__....__........-.........(Table 12)...._..___----•--------......_..__._L= pff Shear-_._._..._._..._.-------:. (Table 12).__...._._.._.....-----. .__._5= ptf. .�..... •-•- Ridge Strap Connections,if collar ties.not used per page 21... (fable 13)._____......_...........:_T= plf. Gable Rake Oudooker.................:............__._.(Figure 2D)............—ft s smaller of 2'or L12 Truss or RafterConnec Bons at Non-Loadbearing Walls' Proprietary Connectors Uplift-- - .........:......-.._.__.-_..(Table 14)._..__.____._..___r._..___U= lb. Lateral(no.of 16d common nags)_.(fable 14)...................................._L= .Ib. - Roof Sheathing Type (per 780 CMR Chapters 58 and 59)............ Roof Sheathing Thidmess in.>_7/16'WSP ' Roof SheathingFastening................__....._�......-(Table 2)_...._..._.__.:........_,__........_.....___ - Notes: •1. • This checklist shag be met in its entirety,excluding the specrF' c ex=.eption noted in 2,to comply with the requirements of 7B0 CMRMDlZi.1 Item 1.If the checldist is met in Its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure b. 20 Gage Straps per Figure 11 r- Uprdt Straps per Figure 14 ' d. All Straps per Figure 17 e. Camer Stud Hold Downs per Figure 1Be and Figure lab Z 'E=e0on:Opening heights of up to 8 ft shall be permitted when 5%is added to the percent fuMelght sheathing 'nequ'rrwffwrt shown in Tables 10 and 11. 3. The bottom sill plate in extirior walls shall be a minimum 2 in. nominal thidmess pressure treated#2-grade; ' AWC Guide to Wood Construction in HVz Wind Areas:110 mph Find Zone Massachusetts Checklist for Compliance(78o c>vrlts3ol•?r.l)' - R1 ci= . • Complizn= 1.1 SCOPE Wind Speed(3-sec.gust).._........._..._......................_......._...........__ ..._._. _.__.110 mph WindExposure Category...._..............__.......---------.._._................................................... --...._..----.._...B Wind Exposure Category................Engineering Required For Entire Project........................................0 12 APPUCABILITY Number of Stories(a roof which exceeds B In 12 slope shall be considered a story) stories _<2 stories • ' Roof P"ri>:h ...................................................-•--(Fig 2) ....... ............................ _1212 Mean Roof Height•-..........._........-..._.............--_....._.......(Fig 2)............................................. _ft 33 Bulding Wdth,W ........_ -._......._...............-_._.__:..(Fig 3)............................................._ft 5 80, Building Len L _ ' Building Aspect Ratio(LAAI) ....................................._.......(Fig 4).......--................ - -= _._.. <_3:1 Nominal Height of Tallest Opening2 ........................._.._-...(Fig 4)----------------._....---..-----------_._..__- 5 6'B" 1.3 FRAMING CONNECTIONS Gerieral compliance with framli ig cflnnec ions.....__...........(Table 2).._......._.........................._..._.:_....._..:...... 2.1 FOUNDATION - Foundation Walls meeting requirements of 780 CMR 5404.1 ConcrLge...................................................:........................................................................... ConcreteMasonry __. _.....-..-....................._..__....------•---------......... - --= .-.__.-... 22 ANCHORAGE TO FOUNDATION''' 5/8'Anchor Bolts•imbedded or 518'Proprietary Mechanical Anchors as an alternative in concrete only Solt Spacing-general................................. (Table .._...._._....____ in. .... __._ Bolt Spacing from endrofnt of plate.._......._..._____._(Fig 5)........._.....:_: ..._. in.:5 6'-12'. Bolt Embedment-concrete__......._...---._----•_---.._......(Fig 5)......................_........__.__.---__. in.i 7- Bolt Embedment-masonry................._......._...:....-_(Fig 5)_......_.r..................... in.a 15' • Plate 3'x 3-x 7,. . 3.1 FLOORS Floorframing member spans checked ._—.._.____._.__(per 780 CMR Chapter 55) (Fig 6' Maximum F7oorOpening pimensfon._:._......._.-----•-••-- ( )....._..__:__......__.._.-.-----............. ft_-5 12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........................... ......... Meximtim Floor Joist Setbacks Suppoiting Loadbearing Walls or Shearwall..._.........(Fig 7)............. ..._._._.-._.._.- ft 5 d Maximum Cantilevered Floor Joists -- - - T Supporfing Loadbearing Wals'or Sheanrall........-_-(Fig 8)_................_._. .._............_ft 5 d FloorBracing at Fsdwalls_........_..........__:.._........__... --�9 9)-.--_---..............._........._.................._. Floor Sheathing Type .._....__.........._--.:_.___..._._._...__(per 780 CMR Chapter 55)...................:_......._ Floor Sheathing Thickness_._..._._.._..._..__..__..__:.._(per 780 CMR Chapter 55)....._.........___.. in. Floor Sheathing Fastening_.._...._.___....__.__........_:......(fable 2)_ d nails at in edge/ in field 4.1 WALLS ' Wad Height • Loadbeadng walls....._...._...___._—._......._.._._.(Fig 10 and Table 5)_..__.._...•..._...—ft 510, Non-Loadbearing walls (Fig 10 and Table 5).._.._..._...._..._._ft'S 21r . Wad Stud Spacing ._.__..__._:.....-;._. ._....__..:._(Fig 10 and Table 5) ......__—In.524'mr+ • ' Wall Sbtiary Offsets ..__..:_.__..._..........:.___......—.:-(Figs 7&8)_._..,........__......__.__..._ft 5 d 42 O ER1OR WALLS Wood Studs Laadbeariag walls...._..._.._...._._._...__. (Table 5�..__._........._.._._.,2x - ft in. Nan•-oadbeanng watts (fable 5)._.._._.�.......___..2x - ft In. ' Gable End Wall Bracing' •-. —_.........M____.__._._ — — •— Full Height Endwrall Studs..____.:..._.------_._._..__(Fig 10)�...._...._.,.......__..._._ _.._ WSP,Afiic Floor Length _..._. .----'(Fig 11)_—.�...._..... __...... ~ ft zW/3 Gypsum Caging Length(rf WSP not used)_. _..:.(Fig 11) ._... _........- —ft>_0.9W ^ - • . and 2 x 4 Continuous Lateral Brace Q 5 ft.mc._(Fig 11).......................................................... . or 1 x 3 ce9mg timing strips 16'spac min.with m with 2 x 4 biocJdng @ 4 tt.spacing in end Joist or truss bays Double Top Plate - Splice Length ..__—...:.:.._...__..—._. _.._.__.(Fig 13 and Table 6)_._._..._....._.__._._—ft Splice Connecffon(no.of 16d common nails)__....__.(Tabie 6)_._._____......__..........._._...__._ 1 • AWC Guide to Wood Comutrrrctiorr in Hig-lr Hrnd.4reas: IIO rrtptr fYrsdZorze = Massachusetts Checklist for.Compliance (7s0 chiR 5301 J.'I)' 4. a. From Tables 10 and 11 and location of wall sh'eathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b.. Wood Structural Panels shall be minimum thickness of 7/16'and be installed as follows: ! 1. . Panels shall be installed With strength axis parallel to studs. 8. All horizontal joints shall occur over and be nailed to framing. Ill. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top•member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. V. Horizontal nall spacing at double top plates, band joists, and girders shall be a double row of 8d staggered 9t 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection: a)new house or horizontal addition—required if project Is 1 mile or closer to shore(generally,south of Rte.28 or north of Rte.6) b)vertical addition—not required unless there is extensive n novatlon to the first'tioor c)replacementividdows—needs energy conservation compriance only(chap 93) _ 6.Wood Frame Construction Manual(WFCM)for 110 MPH, Exposure B may be obtafned from the American Wood Council (AMC)website. Wi-t3tTHs�EF�S'rs off • EVALW=t15Esd NAlrS • ATG'D= • n 1I ,I ,r 9 .4 t H 1-t t• y t 1 .. a tt•p t • u 11 n � t i r }• r 1 , u C t r !r It • 1.. it 1 lilt ' n �1 to al t► 1 4 !a , 1 w u tr , a l i i t7[ II Ir. 1 I A. FRAL I 1 G 6dE]I r W ; I j �r , f 1 ®GEb[ 544E UR 11 1! •0. tI N� J 1, to 1 I 1 p f 3`Mt+L _ 170d1$lF�G� t 'STRGGEZED . NaE'S?AC kdC' p _ , T�40.Pl�Tii3�t i PARa �y PAM-1 IDGE Q0U3LENAtLE=ESPACr4G DEML See Detail on Naxf Page ' Detail Vertical and HDftr[al NaJUng Vertical and HoAmntal Nailing for Panel Attachment for Panel Attachment ' Town of Barnstable o� ` Regulatory Services i F t RARNSMABIP s MAsc� Richard V.Scali,Director i639 .� Building Division Tom Perry,Building Commissioner 200 Man Street Hyannis,MA 02601 www.town.barnstable-ma.us Office: 508-962-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property- hereby authorize to act on mybehaY, in all matters relative to work authorized by-this bwldiag permit application for: (Address of Job) `Pool fences and alarms are the responsibility of the applicant. Pools are not to be fled or uy7ized before fence is installed and all final inspections.are performed and accepted_ Signature of Owner Signature of Applicant Print Name Punt Name Date . Q:F0RMS:0WNM2ERIMSI0NP00LS Town.of Barnstable Regulatory Services of Toryy Richard V.Seal%Director t Biding Division 33.Ia::sz•R*A Tom Perry,Building Commissioner p M a� 200 Main Street; Hyannis,MA 02601 www towu.barnstable.maus Office: 50 8-862-403 8 Fax: 50 8-790-623 0 HOMEOWNER LICENSE Fur EN=ON PlczscPrint DATE: JOB LOCA.TIOK nnmbc strut "IiONIEOWI�R: ' namo borne phone# work phone# 7 CURRENT IAAU-JNG ADDRES S: city/lnwn stair' 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 HOMFAWNER 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 constricts 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 Bolding Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signahum ofHorocownc Approval of BnUding Official Note: Three-faunily dwellings containing 35,000 cubic feet or larger will be required to comply with the State-Building Code Section f27.0 Consraction Control HO'MMOWNER'S EXFIV rnON 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 109.11-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 responsibiffties 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 hues 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 for currently wised by.several towns. You may care t amend and adopt such a form/certification for use in m your community. Q:\R'PFII�51PDR2.2S�bm7dmg parmit�sl;�CPRFSS.doc Revised 061313 BID PROPOSAL `° '" " t m •ry 4 Wolf Hill C.S.L.#082712 E.Sandwich,MA 02537 �!. iS i R _! H.I.C.#160825 508-274-7553 jsuomala@comcast.net To: Wayne Holmes Job# 3534-1443 23 Brittany Dr Cotuit,MA Date 9/25/2015 508-428-6798 Project Description: Bathroom renovation as described below ITEM DESCRIPTION TOTAL I BATHROOM RENOVATION is,zoo.00 * Mask and protect all floors and carpet during construction * Cut and remove drywall surrounding tub as well as ceiling above. NOTE: Drywall will only be removed up to radiant heat grid * Tear-out and discard countertop/sink,vanity, and toilet. Seat cover to be saved. * Existing medicine cabinet and light above will be left as-is * Cut-up and remove 6'Jacuzzi tub as well as all associated wiring * Cut and remove vinyl floor as well as underlayment below down to original subflooring * Cut and partially remove subflooring under tub as needed for plumbing access/reconfiguration for new shower * Cut and remove all water feed lines as well as sewer waste lines in bulkhead area below bathroom. Existing lines and drains are poorly done, and do not meet current codes. All lines to be temporarily capped * Installation of two(2)new 2xIOxI P long floor joists with hangers, sistered to existing weakened joists of floor. * Re-install original subflooring with opening below for new shower drain and trap * Construct new 24x36 deep linen closet framing against outside wall. New shower supplies, valve,and vent stack to be run in wall between shower and closet. NOTES Quotation Total: 1) Contract does not include permit fees Acceptance: Valid for30 days 2)Debris container to remain on-site throughout project Owner: 3) Contract does not include painting upon completion. Date: 1 4)Project duration: approx 34 weeks 5)Payment schedule: 1/3rd at acceptance, 1/3rd after drywall Contractor: repairs, balance upon completion Date: jT7 i Page 1 ID PROPOSALEok or ' 4 Wolf Hill C.S.L.#082712 E.Sandwich,MA 02537 T�� a �N H.I.C.#160825 508-274-7553 © jsuomala@comcast.net To: Wayne Holmes Job# 3534-1443 23 Brittany Dr Cotuit,MA Date 9/25/2015 508-428-6798 Project Description: Bathroom renovation as described below ITEM DESCRIPTION TOTAL * Plumbing to include: * Tear-out and replacement of all water supplies and drains below bath to meet code * Purchase and install one(1)new shower valve of choice($200 allow) * Installation of new water supplies, shut-off valves, and drains for sink * Installation of new water supply, shut-off valve for toilet * Purchase and install one(1) Sterling 4-pc white 36x48 shower enclosure w/door($1200 allow) *'Purchase and install one(1)high-boy toilet,round bowl of choice ($300 allow) * Purchase and install one lav faucet of choice($250 allow) * Electrical wiring to include: * Tear-out of existing 220 circuit,temperature control for Jacuzzi tub * Purchase and install one(1)Panasonic "WhisperJet" fan w/light over shower($180 allow) * All drywall to be repaired using moisture resistant 1/2" drywall,taped and sanded smooth to blend. Ceiling popcorn to be repaired to original condition * Installation of three(3)fixed plywood shelves in linen closet. Painting by others. * Purchase and install one(1) 1'6x6'6 solid pine 3-panel door for linen closet. Door to be trimmed using clear pine 2-1/2" Colonial trim. Louvered door not recommended due to cost. Staining by others * Purchase and install one (1) 36'wide x 30" tall bath vanity of choice($350 allow) * Purchase and install one(1) Wolf combination sink/countertop of choice ($450 allow) * Installation of new 3-1/2" Colonial clear pine base trim around perimeter of room. Staining by others NOTES Quotation Total: 1)Contract does not include permit fees Acceptance: Valid for 30 days 2)Debris container to remain on-site throughout project Owner: - 3) Contract does not include painting upon completion. Date: ' 4) Project duratiom.approx 3-4 weeks 5)Payment schedule: 1/3rd at acceptance, 1/3rd after drywall Contractor: repairs, balance upon completion P 1� P Date: Page 2 BID PROPOSAL t , ,RED 4 Wolf Hill C.S.L.#082712 E.Sandwich,MA 02537 H.I.C.#160825 508-274-7553 jsuomala@comcast.net To: Wayne Holmes - 23 Brittany Dr Job# 3534-1443 Cotuit, MA . Date 9/25/2015 508-428-6798 Project Description: Bathroom renovation as described below ITEM DESCRIPTION TOTAL * Installation of new vinyl flooring of choice upon completion($350 allowance) 2 Angies list labor discount -250.00 NOTES Quotation Total: $14,950.00. 1)Contract does not include permit fees Acceptance- valid for 3 days 2)Debris container to remain on-site throughout project Owner: 3)Contract does not include painting upon completion. pate: I 4)Project duration: approx 3-4 weeks 5)Payment schedule: 1/3rd at acceptance, 1/3rd after drywall contractor: f repairs, balance upon completion �;�'w' Date: C� Page 3 r Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-082712. I Is JOHN E SUOMAIA "- 4 WOLF HILL E SANDWICH Na 02 ,l ���` �� . Expiration Commissioner 09/21/2016 !%/,e Fn;,rurn;zueir/C/a�'Ci��cc eccc/rrr�eC/3 License or registration valid for individul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: a_ — OME IMPROVEMENT CONTRACTOR Type: Office of Consumer Affairs and Business Regulation }Registration: :;1a0i325 10 Park Plaza-Suite 5170 Private Corporatic• q( - Expiration 812612016 Boston,MA 02116 ENGINEERED HOME SOLUTIONS INC. =r JOHN SUOMALA 4 WOLF HILL E.SANDWICH,MA 02537 ' Undersecretary No ali without signature 05-14-'15 09:36 FROM-G. H.Dunn Ins. B.B. 508-759-7177 T-489 P0001/0001 F-915 A k'G�'� '� CERTIFICATE OF LIABILITY INSURANCE DATG(MW0 THIS CERTIFICATE 13 JSSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE R LbM THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A Statement on this certificate does not Confer rights to the oertificafe holder in lieu of such endorsement(S). Paooueea G.H.Dunn InsuranceAgency,Inc. 64 Fairhaven Roadr lam PO Box 497 Mattepolsett,MA 02739 I A: MAIN STAMERICANASSURANCE 29939 INSURED Engineered Home Solutions Ine John Suomala . AIM U00000 4 Wolf HUI Rd East Sandwich,MA 02837 INWHER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HMIN IS SUBJECT TO ALL 7HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. IADM SUN N TYPEOFMURARGE S McER 12AMLIMPIM LItNT$ A GENIkM WBILITY MPT2927H 02/26/20116 02/2St2018 CCURReNce t 1,000,00 COMMERCML ORAL LIABILITY a 500.00 CLaMs•MAM [2 OCCU(t MEOEXPVknyam22LsM $ 10,00 ERSONALaADVNJURY $ 1,000,00 NERALAGGREGATE 3 2,000,00 GENLAGGREGIITE LIMIT APPLES PER P -t:OMPIOP f 2,000,001 POLICYI IP tAG i AUTOMO8ILP�LIABI LITY (Ea amiitm l ANYAUR7 800ILYINJURY(ParPftWA) $ AUTOS OVYWDBODILYIWURY(Per900mrd) S HIREDAUYOS Z+QDULED WNEDrQR 1PP=.yrAMzi S UMMELtALIM OCCUR EACHOCCURRENCE ExcE6SL1Ae HCLAIMSJ=E. AGGREGAT a _ TENTIDN$ _ B YIIORxERSCOMPE MTtoN W13C-500.5009026-2015A 04126NO15 0425J2 18 8 �Lr- OTH AND BWLOYEW LIABILITY ra=w�qII�psus y L.EACHACOWNi 900.001 OfBERF%CLUoEO? Y N/A udr .DISEASE-EA EA PLOYEE $ 500.00t N OF OPARATtONA boft EL,018eME.POLICY LIMO' $ 800,00( DESCRIPTION OF OPr-RATIONSI LOCATIDNS IVEIO"L:a(Anub ACORD tot,AdoMal Remedle Sehedute,it etme apace la ttqutco) John Suomaia is excluded for coverage for wort(ere compensation CERTIFICATE HOLDER CANCELLATION Fax 1P(608)6 8-4no SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Falmouth THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Depart ACCORDANCE WITH THE POLICY PROVN310N$. 59 Tbwn Hall Square Falmouth,MA 02540 ALTNORIZED REPRESENTATIVE 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010105) The ACORD name and IDgo are registered marks of ACORD 0 CZ 2z' (... . �B 3 - _ QS wd 2 2 i �7 x vi Ld OO. Q jj U - d- o o cam. r .A-,t . 3 o 411 - :� 0 r 1 ` VN �. 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SEPTIC SYSTEM MUST BE �OF THE INSTALLED IN COMPLIANCE o � Sewage Permit number ........................... .. ...�............ WITH TITLE 5 r EAR BITABLE,EINVIRONMENTAL CC" ,; MAS& )House number ...................... .................:........................ TM/M P >>"a �c c �O t639. `e0� IV �E'p YAT p. TOWN OF ' BARNSTABLE BUILDING INSPECTOR Q 'I/ // APPLICATION FOR PERMIT TO ...!�..0�L 0 �� / �t � `�............................... ................................................ TYPE OF CONSTRUCTION ............lAMK.D........... ...................................................................... 19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... 3 1� . �_�"/✓y �� ' G �J�—V 1.� ' ' ......... .......... ................................................................................................... Proposed Use . GQ .� .................................................................. ,/� .......................Fire District 6 �U � �Zoning District /4�.............-.....n...p................................. Name of Owner/ '��`�-tn QS t!.✓� Y/Ud� HGL/7�`5 2 3 ���C 7�NY �'✓�l_ CO'7—v / ............................................ ...........Address ..... .... ...................................................... .. Name of Builder � � ... /�! /yl .�ll� ress .I SPy� !✓� ee✓°v...e..'4..........D`T-l!.7.�...�� Nameof Architect ..... . .................:......... ......................Address .................................................................................... Number of Rooms .Foundation ................................................................. ..................................................................... Exienor i�l7 U .................Roofing ../....'..� � /7 L� Floors C.eNLK '...................................................Interior ...�1,P�... ....................... I...... ........................................................... Heating .....k4v1E.................................:..........................Plumbing ...... 1/5t�� /........................................................... Fireplace ........P.YVL......................................................Approximate. Cost .....J... .. ......................................%................. Definitive Plan Approved by Planning Board -----------____--_-----------19_______ . Area ..�70.. .......... ...... Diagram of Lot and Building with Dimensions Fee 4J rv. .......... SUBJECT TO APPROVAL OF BOARD OF HEALTH L� •i Z Lf Z r f ` y ' Z4 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the T,,w7rnstable regarding the above construction. /Y1 � Nam .. .. ............... ............. .................................. Construction Supervisor's License ... .. .Z1 �..�......... HOLMES,- WAYNE A=2-6-30 No .2124A. Permit for ..Ac-ceszor.y...to.. ...dwe,l.linq....(.2....car....q�k:KAgq)................ ....... .. .... .. Location ....... ..Pri..ve .. ................ ..............cpt-:qi.t.................................................. Owner ...Mr. & Mrs. Wayne Holmes .............................................................. Type of Construction ..................frame........................ ............................................................................... Plot ............................ Lot ............ ................... Permit Granted ................Apr.i.1...1.0...19 85 Date of Inspection .....................................19 Date Completed ....... ............................19 Assessors map and lot number . • PLO`7ME r0� Sewage Permit number ... ............. Z BIBBSTABLE, i House number ..................�. ............................................ w 9 ruse � r 00 1639. 00 p�pY M1 TOWN OF BARNSTABLE BUILDING INSPECTOR C'i4eZ G �1�/9.G� APPLICATION FOR PERMIT TO ... 0 TYPE OF CONSTRUCTION ...............19........ TO THE INSPECTOR OF BUILDINGS: s The undersigned hereby applies for a permit according to the following information: Location 9/� ���/U y !��'c C G-1�"v 1T t� . ...... .............................................................................................................. ................................................. Proposed Use,'(s- �.A ........................................................................... PZoning District ....... ...............................Fire District .4!. U � . Name of Owner/,97 j -s (,✓% )11w /1k)-1, -5 213G� /T7-/�iv/ />� C�T0 i Address ...... ................................................ .. Name of Builder ��,G�/2,z� l Gi?i T/yJ�.f'ad�"�''/-'.�i ���`5"/��``.. Name of Architect 2�O � ......`.::.../?1 C�EdI✓�.. Address'..................................................................................... Number of Rooms Foundation O>v _ . T • � .E......�.................. ..................................... 141 L e k `7 Exterior ......wQ,�J..................................................................Roofing ...........�....... ........................................................ ......Floors Interior S....• ... ........................�..-.. .4. .. .ewer . , .. .......•.............Wl✓�......••• .......• Heating / t.�} ..Plumbing ....../VG6�/� Fireplace N.. ..........Approximate. Cost. . .................. Definitive Plan Approved by Planning Board -----------_--_--__--_- 19 Area ................/........... Diagram of Lot and Building with Dimensions Fee ? ......j r.. _ ...r. _. v ......... SUBJECT TO APPROVAL OF BOARD OF. HEALTH 2, csxAG-F OCCUPANCY PERMITS REQUIRED,,FOR NEW DWELLINGS I hereby agree' to conform to all the Rules and Regulations of the Town-of-Barnstable regarding the above construction. G.Name .4........................e. .:........... ................................. Construction Supervisor's License ... ........ A=2.6-30 No ..2.7.7.40.. Permit for AcrzesaQry...to.... .dw.p (.2...cax...gar.a.ge).... ... L I ocation ...B.rrt.tz.i.ny..piiY6.................. . .. ....... ... Drive .........................C.Q.tui t...................................... Owner Mr.....&...Mrs.....Way-ne-.E1Q1mes-.--. Type of Construction ............ r.ame................. ............................................................................... Plot ............................ Lot ................................ Permit Granted ................Aprl,1-1.0...19 85 Date of Inspection ....................................19 Date Completed ......................................19 17 —S-s, r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map—iQ Parcel Permit# i Health Division Z 3 f/ —d Date Issued 1 Conservation Division Fee � 3 7,.2 9 i Tax Collector ��.����� •�`� � ��p 41f ' ,.tea 03e.-aG�-o-w•A SEPTIC SYSTEM MUST DE Treasurer INSTALLED IN COMPLIANCE WITH TifLE 5 Planning Dept. - ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic;OKH Preservation/Hyannis Project Street Address 1� Zoy� vZl S Village j Owner ur '4 N:9-f- 14 C LIW.t_s Address ,?S Mtn IicY DR_ Co7UT� Telephone d !1411? 7-41a f Permit Request AD P., �'X 13� Rts,rl K o oAs� altir 1(> FX/ST/ /y c, D�frcl 3 S�kS �t 4��b 1 Square.feet: 1st floor: existing proposed 2nd floor:existing proposed Total new r�SvZ Estimated Project Cost I DOa Zoning District Flood Plain Groundwater Overlay v Construction Type Lot Size Grandfathered: 0 Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family VTwo Family O Multi-Family(#units) Age of Existing Structure Historic House: ❑ 'I�o Yes O On Old King's Highway: ❑Yes 9-hto' Basement Type: O Full O Crawl ❑Walkout ❑Other JBasement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count not including baths): existing new First Floor Room Count Heat Type and Fuel: O Gas ❑Oil O Electric 0 Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes O No Detached garage:0 existing O new size Pool:O existing O new size Barn:O existing ❑new size Attached garage:0 existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded O Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name�e�os1-���nJ�e4 xa -/ �e �� (�t�, �4hrs�Telephone Number I Address 432,&0 FAQt\ouTr t RD License# ob_ ?.21P C'o•Tw rr Home Improvement Contractor# 6.2v/ Worker's Compensation# V��poop ism ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO hySTA-21yff 7A*,vsf�R SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT ENO. vb DATE ISSUED ?� MAP/PARCEL NO. �F ADDRESS � H VILLAGE OWNER. t DATE OF INSPECTCON: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUaGH� %-, �� FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN Nd. U V - The Commonwealth of Massachusetts t` = • - Department of Industrial Accidents 600 Washington Street -Boston,Mass. 02111 Workers' Com ensation Insurance Afridavit name: WAY NO location 23 J520Tl4N S/ b f- city GbT t T __ Qhone# ❑ I am a homeowner performing all work myself.. ❑ I am a sole et or and have no one worlds in airy capacity % � �%D/////%%%%%%////%///////////%/%%//��'/////%/0�7/////00//iy///////,%///J///O/%%%/OD%�''/////.0////,O//////%%% I am an ens 1 roviding workers' compensation for my employees working on this job.:.::.::::: tAIItp anv n `> addre one�^� h Q CitV'' jzC :::. ::;>::i::::i;:;::;:;::>:s:;::;>:i;:;:;:';i:;: :;: :`;i•::;:>ir;::;::::;::•::::::::::;::iiri::;:;:;:'>;:%;:::i:: ltisurance co:: //%/ ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the followingworkers' compensation polices: ..................:.......................................................................................,::.::...:::::..:.:::.: "::•: . ........... consanv nam :::::::::::..::::: :.::. a ... :::.... ' ::;.;: `acre ............:::::::::.,.:: .::::::.:.:::::::.::::::.:::::::::::.:::::.::::::::::::::.:::::::....:::.:.: ............ .. �'"ne:<_�iho ...... ............ ................................................................................................................. ....................................................................................................................................... .......................................................................................................................................................... .: v.�::.:':^i}i:•ii:ryrii:i•:i•?::v4.i•:L:::i:::^::4ii:.i:•ii:iii:::?it::isi^::.i:.ii::ii:;:^:;n,:.:w:y..�::•::.�:v.:�::::::::.:�:::::::" �1," ......:.:::.:...:::.�:::;.;:::.;•:�. iesnrance..ca:.... .............. ...................: ::.::.. anv n ad...:dress: "ue 8 ''tt Failure to secure coverage as requiml under Section 25A of MGL 152 can lead to the impositl°n of Criminal penalties of a fine up to s1,s00.o0 and/or one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of s100.00 a day against me. I understand that a Copy of this statement maybe forwarded to the Once of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is trw and correct Signature Date Print name M a•R „ N^, = Phone# V.2,f official use only do not write in this area to be completed by city or town ofndai city or town: permit/license# ❑Building Department ❑LicensingL d ❑check if i nmedLite response is required ❑Selectmefi1ce _ ❑Health Dment contact person• Phone#; ❑�er� — I UrAud 9/95 PJA) 1 III i VWit ux ijrax»icatoiL 4 Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 BuiIding'Commissione: Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION i 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 its exceptions,along with other requirements. . Type of Work: �QDiTt ON 3 st ltgnr 3 SuuKno K Estimated Cost Address of Work: a 3 13 K i 7TAric ti QQ f Owner's Name: Vvgyvr F -+ kN is µot ME.s . Date of Application: /I — Lt.--Q I hereby certify that: A Registration is not required for the following reason(s): ! i E3Woric excluded by law C3Job Under$1,000 Building not owner-occupied Downer pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY t hereby apply for a permit as the agent of the owner. I i-`f 4 9 /MAK f, 4WIve— 4'/f%1 E9 "7-e- Date Contractor Name Registration No. _ OR Date Owner's Name q:fortm:Affidav i:'', � �ooylbillo�lulea.�A�t o�';..>%�aeaaa�ueeAd OEPARTflEN� Of PU8l1tSAFEIV F 1 , COHS1RUt.�.IQN SUPERVISOR I�CENsC mob `�'�'.'..' Ex04as9 fltrlhdakei I C 1201 R3 f 211195b � l►11OR� .!'�A�EARIERE �' E fhlNOUTN; NA tA36 l i 162009 Rrsir)rlcd To: A8 I� . 0 -35*# of enclosed space 1 196l C.112 S.691) lA - Masonry only 16 • 16 2 family Nome; 1iilure to bossess a current, Hit loll of �4 flassach sett; slate Bu)ldino code 1s cause for revocatlon of this llcrnsp. iJ�re TDO�N'+ I I HOME IMPROVEMENT CONTRACTORS REGISTRATION I Board of building RegUiations And Standards One Ashburton Place Room i30i I. Boston ; Massachusetts 62108 '' I I HOME IMPROVEMENT CONTRACTOR r-`------ Registration iiO30i Expiration i0%i3%00 Tyke — PRIVATE CORPORATION � I � ����� ,_ I HONE INPROVEHENT t*hAt1DR I ReglsCrACion iib301 bECOSTE REMOD & DES CENTER LTD j Type = PRIVATE CORPORAfiION MARY A . GAUTHIER I Expiration 10%13%00 4380 f=ALMOUTH RD COTUIT MA 02635 j DECOSTE hEN06 A DES CENTER LT R A. GAUTHIER fA f ALNOUTN RD ' ADMINISTRATOR COTUIT HA 02635 - i r Z a a ------------ IT 2 a- aa e a = o r . o o O 0 .=s a 7. _ T N Lin IND zro - J� 4 LA C O o CD m o o 0 o a A x o p x z 3 0 a o CDcn n n c 5 m v o ='CD — _ ^ _ 3 " z v c< a o 33 z v ova a a A o c o o T oo 2 � ✓1 Z In i - iio CL i i k 0 i I _ Cb I I I •; i ' 1 Vl ' LO , •.�$�n,.E�yw�-a.�*'t'.W";'kti:""+s� A Z;�•v�r--?'L�..� ,_ --_-� vYy;. -�;<.�_.'a? ,rx ...�...;'.a... ..w.- .. �}� , SERIES'230 PATIO SHADE ROOM EXPLODED DRAWING FRONT, ROOF & ONE RIGHT GABLE SHOWN -4'.OR 5' SCREWS WITH 4ASHERS LOCATE 12" O.C. FOR PERIMITER 14' 7Y98O OPTIONAL ROOF H-BEAM /8 x 1/2" TEK SCREWS- 6® 5' 7M981 .3------ A•73R8 1 A 1/4•-- A•74R TYP. RIDGE (IF NO GABLE END 3•----- p RIDGE ,4 1/4'-- A•74RR t 3------� 4 T •4 1/4'--GUTTER A• 4RR 1 l 1 ROOF SEAM FOAM .4 1/4'FA A•74G8 1 t• xt 3'-�--- 7F1X -13 1 TEK SCREWS ' GUTTER CORN R 1 t f 4 1 4'-- M 1X3-t3 6 PER PANEL AT RIDGE 3' 7.139U FASCIA 4� •14 U 4 3�----- A•73RF q 1 4 1/4'-- A• 4R ELECTRIC EAVE 7.144 T COVER A• T ELECTRIC EAVE A7.144 0 COVER A•SCT O H-CHANNELCD CLOSED SILL A7.111 A•7C5 CA)v % x .x 6' TRANSOM CLOSED SILL • A•7CS \ �� H-CHANNEL A• 111 HORIZONTAL WALL PANEL (CUT FROM 4' x 8' SHEET \� \ OR 3' ROOF PANEL) LIA CLOSED7CS ILL \ F\ F\ / 6' SLIDER 4' x 12" TRANSOM �\ RTICAL WALL PANEL (C 3 )SHEET OR ROOF PANEL •4' SLIDER WINDOW f CLOSED SILL ® W7CS +4',x 22" KICK PANEL ELECTRIC H-ORWNEL A7.14 ry� H-CHANNEL COVER �6(/ A7.111 6Rl/1 2'-6' x 12' TRANSOM 5' x 12" TRANSOM '2'-6' FIXED WINDOW 5' SLIDER WINDOW NOTES: GOWN SPOUT KIT 7.999 5' x 22' KICK PANEL 1- •j INDICATES COLOR. SUBSTITUTE THE �•� WITH 2'-6' x 22' KICK PANEL' a FOR BROEIZE OR 'W" FOR WHITE & 'A' FOR SANDTONE. H-CH NNEL RNER ® 7.117 2. FASCIA ExTRiBON ACTS AS THE GUTTER END PLATE. ��ti � A..... +YfT•nM�1M1�'90RPYr� �..a�- '�+s t .�..e.Jl@ - -`. :-- .y�,�.r ,.,.� 3 7 ,�'..w� Y�y , 'n • . r _. �,--_-+- +5-__- r n � �-��= aax�sf'`�'^ "�';.-� "`Sn�...i:.t` '.LM'L^Y�". .rY.'s'�:-',�'"� -,. -..4.-:......w aC`-�,-- �— ,. _. -•--. __ - - - SERIES 230 PATIO SHADE ROOM CROSS SECTION DETAILS 1 COUNTER"a„ A` DaSIWG STRUCTURE ADEQUATE FASTENERS 2 7/ir 7HIG WILL PANEL (BY OTHERS) CAULKING 1/2' H-CHANNEL NCD (BY OTHERS) 3/B' NCD a CLDSED® n DUTSME: INSIDE.. ;r 1/2'TER( — r1 TYP. �-- UNIT 2 7/6•THK.WALL PANEL ROOF PANELSECTION 'E—E' SECTION 'C—C' 2 13/16.OR 4 1/16'7= ADEOUATE FASTOFRS TYPICAL REG. b HEAVY H-CHANNEL i (USE 4 1/4•RIDGE R GABLE ATTACHMENT 1/4• (�' OTHERS) SECTION 'D-D' RIDGE w CD F)aSTING CIURE 3/6' DIA ST>L FASIEPM WITH WASHEIRS 12' O.C.TYPE ENBEDDYENT INTO DHISTING CAULKING STRUCTURE TO ETE (e1'a►Em) .2 7/6•THIL WALL PANEL AGGEI EVALUATED SEPERATELY 1 SILL _SILL w T ccaawaE�� FILL CAN A'7CS ® I[1�t]71 INTO OPEN�SIDE OFF m CORNER IF DESIRED INSIDE OUTSIDE � I �gLL cu I Al DUTSIDE INSIDE 1/2-TEX ® 4 I----------J L) 6 SCREWS THRU SILL = INTO H-CHANNEL ' PUNCH VEEP C.) m HER S IN SILL ADEQUATE FASTENERS FOUNDATION (BY OTHERS) a SECTION 'C-C' CAULKING RECOMMENED GABLE ATTACHMENT WHEN 3'�'SILL (BY OTHERS) WHEN WINDOWS ARE AGAINST THE HOUSE uNIT wlDn,OR RnwM 3' ,e SECTION 'A-A' SILL SECTION 'B-B' 90° CORNER DET ..wx"�y"Yw.'_. ' .. a._�'r r�'f."•w�': .�::`�4.�..,3?r-+^'LF�:.,...,r r-+�•„�w"'"t'�`y"�'°'�'�"'.°� y,. ,�.."""' ;���,.-.p--�.r+-+"".�._--:rtz..^..+-.r-r.,4�;r: ._.T. ,�.._�,_ , v SERIES 230 PATI❑ R❑❑M CROSS SECTI❑N DETAILS -- — NOTE,STANDARD FASTENER SHOWN ALTERNATE THRU B13LT USED FOR HIGH WIND LOAD AREA'S AS SHOWN BELOW FASCIA EXTRUS CONTINUES DOWN TO ---------------------- COVER•END OF GUTTER i �' - /WASNNEIt � �4 SCREWS FOR ;`` 3'ROOF PANELS'& 5'SCREWS FOR 4-1/4' ROOF PANELS) 1f; GUTTER Y / vm . ;} 4 Ile {rl; 4 1/4'ROOF PANEL STRUCTURAL SILCONE 3/16' VEEP 0 Es NOTE: (AT ROOF PANEL SEAMS) 1. y'INDICATES CaDR. SUBSRRITE THE"e WITH "B" ELECTRIC EAVE FOR BRONZE V FOR WHITE OR i1'SANDTONE ® ;3 e; ' EAVE COVER . o SECTI❑N 'H=H` FRONT EAVE & ROOF C❑NNECTI❑N THIS FLANGE SHOULD BE FACE DOWN NOTE,ALTERNATE THRU BOLT FOR FOR OSB/ALUMINUM ROOF PANELS HIGH WIND LOAD AREA'S. ��.FACSIA caVE DETAIL SING� 3' GLAZED ROOMS 4 1/4� 'n 3'ROOF 4- PANEL :+ PIVOT EA STRUCTURAL IS ILICONEE PIVOT EAVE �J CLOSED® SECTION 'F' ALTERNATE EAVE EXTRUSI❑NS EAVE FASCIA ON GABLE (SCME _ 1.2)NOM MY PARIS Wr CNLm OUT ARE THE SAffE AS pECIRIC FAVE OIAIL Fn,E.s,tuoE.rar oEr(cs-s) >�.w�,y,.,�::�..neew�,..•..:.c�-.:_ -`=may xt,;.�s.>,dr.a«�'��''�rt�r - - ';., _. ... �., .., 4 re�„"';�;,;` -.Y c INSULATED ROOF PANEL DETAILS RIDGE STANDARD METHOD ALTERNATE RIDGE METHOD EAVE STANDARD METHOD ALTERNATE EAVE END H FC�IASMNG�OR�ALEUMIN�UM BE CAPPED ADEQUATE FASTENERS AND WASHERS EXISTING STRUCTURE FLASHING (OBTAINED LOCALLY) CUT h MITER PANEL (BY OTHERS) AS SHOWN. USE NAILS OR SCREWS TO FASTEN 1'TEK SCREWS 1/4- MAX TO 10 � 2X 4. CUT L'TO FIT aM A IT (SEE C IF BELOW) L—ANGLE TO OUTER 6 1/2 EDGE Of FLASHING COVER (BY OTHERS) USE GUTTER FOR THE 230 PATIO USE ADAOUATE ROOM AND CUT ALTERNATE EAVE M HOD FOR CUT 4 1/4- RIDGE RIVET THE BOTTOM LEG SLOPES UNDER X. MITER IN 2 PIECES TO FOR PROPER M. TOP OF FRONT WALL k H'S 2 a 4 ACCOMADATE THICKNESS FRONT WALL (LOCALLY BOUGHT SO THAT ELECTRICAL EAVES LEDGER Of PANEL GUTTER IS OPTIONAL) CAN SIMPLY BE MITERED 45- 2 10 AT CORNERS (CUT TOPS OF 807H LEDGERS SECTION A SECTION B TO ROOF SLOPE) J? TABS ARE OPMONAL FOR ATTACHMENT AT 2 a l LEDGER GABLE RUSH BOTTOM WITH TOP I (NOT REOUHI1tED AT CABLE ROOF SLOPE DIM "A" WALL ) 12 1 6 1/16 TOE NAIL 2 s 6 A INTO LEDGER BEFORE 12 INSTALLING NEXT 2 F1 6 1/8 PANEL I LEDGER 2 3 6 1/4 -- 12 USE 2X6AT 41 6 3/8 JOINTS BETWEEN B 5� 6 1/2 6F 12 6 3/4 li 12 2 a 6 USE T—ANGLE 7 (PART �3SM) SHINGLED ROOF FOR ADD DRY WALL TO FINISH SEE SECTION �B' SLOPES 3 IN 12 OR TO PANELS WITH— SEAMS ON ALTERNATE EAVE OVER 12 OUT ALUMINUM PANELS WHEN (MAY BE REQUIRED ALUMINUM 8 F_ TO MEET SOME IS USED FIRE CODES) ROLL OR MEMBRANE 12 9 r— 7 1/2 SECTION C OPES UNDER 3 N 12. ROOF F3 IN w,;