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HomeMy WebLinkAbout0024 BUTTERNUT CIRCLE 02 y d3L��i2� �'; rc.�e, • 1 I 1 /�'�r r, _—_. ____ ___.�.�...»—_—....,_.._ .�._.. a d� _� •p. n r , .- f N { BUILDING DEP 7. 2 Fuller St. EP 0 3 2020 Carver,MA 02330 TOWN OF BARNSTABLE mcmahoninsulation@gmail.com 781=831-1234 September 3,2020 Re:Permit#B-20-1992 24 Butternut Circle Cotuit, MA Attn:Building Inspector for the Town of Barnstable, This letter serves to close out the open insulation permit#B-20-1992 We installed the following insulation/completed the following work according to current codes and best practices: • Attic Flat:R-19 Dense.Cellulose • Vent Bath Fan • Pull down Stair:Thermal Tent- • Soffit Pannels • Attic Flat: R-30 Unfaced Fiberglass This work was completed to stretch energy codes applicable at the time of.installation. It was inspected by an independent.third party named Rise,a utility'fiin.ded agency,that audits insulation and weatherization work. Please don't hesitate to contact us with any questions.! Respectfully, Michael T. McMahon Owner,CSL Holder for Project CS-069111 A- A r Town. of Barnstable ._ - .�--~- '~ _�.•_-• -' -�- �� -_- Building wtuorreer.G? Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on.Joli and this Card'Must 6e Kept,Posted. "'"w' 'Until Final Inspection Has Been Made. En rnrt" Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit. Permit No, B-20-1992 Applicant Name: Michael McMahon ti Approvals Date Issued: 07/31/2020 Current Use: Structure. Permit Type: Building-Insulation-Residential Expiration Date: 01/31/2021 Foundation: Location: 24 BUTTERNUT CIRCLE,COTUIT Map/Lot: 040-100 Zoning District: RF Sheathing: Owner on Record: LACAPRA,VERONIQUE C Contractor Name: MICHAEL T MCMAHON Framing: 1 Address: 24 BUTTERNUT CIRCLE Contractor License: CS-068111 2 COTUIT,MA 02635 Est.Project Cost: $5,211.00 Chimney: Description: Weatherization,Air Sealing,Weather Stripping,Cellulose Permit Fee: $85.00 Project Review Req: fee Paid: $85.00 Insulation: Date: D 7/31/2020 Final: s<y Plumbing/Gas Rough Plumbing: Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit Is commented within six months after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of Final Gas: the work until the completion of the same. The Certificate of Occupancywill not be Issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue.lihing is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: S.Prior to Covering Structural Members(Frame Inspection)6.Insulation Cow Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final.: Town of Barnstable Building unnirseaeis, Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept BIAS& Posted Until Final Inspection Has Been Made. Permit '�Ecruy' Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-1992 Applicant Name: Michael McMahon Approvals Date Issued: •07/31/2020 Current Use: Structure Permit Type: Building-Insulation- Residential Expiration Date: 01/31/2021 Foundation: Location: 24 BUTTERNUT CIRCLE,COTUIT Map/Lot: 040-100 Zoning District: RF Sheathing: Owner on Record: LACAPRA,VERONIQUE C Contractor Name: MICHAEL T MCMAHON Framing: 1 Address: 24 BUTTERNUT CIRCLE Contractor License: C 068111 2 COTUIT, MA 02635 Est. Proj'ect Cost: $5,211.00 Chimney: Description: Weatherization,Air Sealing,Weather Stripping,Cellulose Permit Fee: $85.00 Insulation: Project Review Req: Fee Paid: $85.00 Date: 7/31/2020 Final: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by th s permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction docum yts for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable Building ? Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MASEL Posted Until Final Inspection Has Been Made. �ernlit 'bs,a. ��' Perm 19. Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-2104 Applicant Name: HOMEOWNER IS APPLICANT Approvals Date Issued: 06/26/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 12/26/2019 Foundation: Residential Map/Lot:_ 040-10.0 Zoning District: RF Sheathing: Location: 24 BUTTERNUT CIRCLE,COTUIT Contractor Na a�,HOMEOWNER IS APPLICANT Framing: 1 Owner on Record: LATFY, CAROL A TR Contractor License: EXEMPT 2 N _ Address: PO BOX 68 Est. Project Cost: $2,000.00 Chimney: COTUIT, MA 02635 _ ff Permit Fee: $85.00 Description: Halfbath w/toilet and sink in walkout basement. ` Insulation: Fee Paid:f $85.00 6/26/2019 Final: Date: f� g Lo Project Review Req: + 23 I Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced`within six months after issuan e. Final Plumbing: All work authorized by this permit shall conform to the approved application and thelapproved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. I i I Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and-Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work] 1.Foundation or Footing Service: 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: O Application Number...... I BARNWABLE, PIP MA88. Permit Fee.......................................Other Fee,....................... 039q- ♦0 Total Fee Paid....................... �............. TOWN OF BARNSTABLE Permit Approval by...........: ................on.... BUILDING PERMIT APPLICATIONN. ..........Parcel...........�.v. ....................... Section 1 — Owner's Information and Project Location Project Address o2 Oje C e Village CO T'/i T Owners Name eA lz ol_ , 4 ayI—; �/ Owners Legal Address 2y 23v77_F12.yt/7 c%ecle City State ,� Zip O c2 6 3 J Owners Cell # 7 3 7- V 7 E-mail C laf 241,6 C OAC z s7, n-e_T___ Section 2 —Use of Structure r o Use Group ❑ Commercial Structure over 35 0 cubicfeet ❑ Commercial Structure under 35000 cubic.,feet Single/Two Family Dwelling t� o-- Section 3 — Type of Permit "' ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm _Rebuild ❑ Deck Apartment ❑ Sprinkler System ,,'Addition ❑ Retaining wall ❑ . Solar ❑ Renovation ❑ Pool ❑ Insulation ¢ Other-Specify Section 4 - Work Description Last undated: 1 1/1 5201 8 Application Number................................................... Section 5—Detail Cost of Proposed Construction-�` °° Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics 1 3 ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom i� Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 Application Number........................................... Section 9= Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number S a P-)3 7-Y 1 ' 7 Ce I or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation requir d by 780 CMR and the Town of Barnstable. Z v Signature Date APPLICANT SIGNATURE Signature Date 4 �° ,Print Name C4-rwL fi-, Z�!T- F`r Telephone Number -,r Df-73 J-Poo r E-mail permit to: U Last updated: 11/15/2018 i Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ . Historic District ❑ Site Plan Review(if required) ❑ Fire'Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval. Section 13— Owner's Authorization as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name i Last updated: 11/15/2018 `- 9QNThe Commonwealth of Massachusetts Department of IndushidAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Orgmization/Individual): A— , Address: Z� 607�e eA-1dC /L c l� City/State/Zip: �v7'y j-74-- AA- O i-6 3_i� Phone#: -r4 P— 23 7- i( 7,P, 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 employees(full and/or part-time).* % have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity.actt3'• employees and have workers' = 9. El]Building addition oz [No workers'comp.kance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3 I am a homeowner doing all work officers have exercised their 11.El Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractor;have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year 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 thepains andpfnaftles ofperjury that the information provided above is true and correct Si Date: Phone#'J�D - -2 3 7 L-7 g I 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 M Information and Instructions _. Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLQ 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 Tine. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Qffi'tce of Investigations 600 Washington Street Boston,MA 02111 - Tel.#617 727-4900 ext 406 or 1-877MASSAFE Revised 4-24-07 Fax#617-727-7749 wwwmaw.gov/dia 8 V v a NJ tl �xs Z4 1„al g � o 3 � I .v �J V1 � UPS -r �► 9 f A w4r) Map Parcel 14 o Permit# 2 d House# Date Issued - 10 - q�_ a�vvrn Board of Health(3rd floor)(8:15 -9:30/1:00-* !�O) �_7'S Fee �5"CD0, Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) J INSTALLED IN COMPLIANCE Planning Dept.(1st floor/School Admin. Bldg.) 5 ENVIR®N Definitive Plan ed by Planning Board 19 TOW ; DE AND 1619.6�! IONS � ; TOWN OF BARNSTABLE ` ' Building Permit Application , Projec reet Address Z(4 (3vi{erw Cr✓C,(Q Village 4t Owner Address Telephone 3(&3 5:� 3 Permit Request 11�ynh AAA_ �ar��S �/�60 rr3 pKs. 56#- 4 n 00✓'L� j - 1 fO owl L First Floor /a x is /b& square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family 159 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes a 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 No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric fop Other _eA v►✓w J 6e- Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ' Commercial ❑Yes $1 No If yes, site plan review# Current Use Proposed Use Builder Information Name - 3 /h L. Telephone Number Mpe--,?,W- " 97w3 Address�_��,n/ ��Y' `7/0 License# -au "14 D�!Wo Home Improvement Contractor# /a-;L4f y Worker's Compensation#SO G 1200 3 y �MS NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4 SIGNA RE DATE 7-rj 4Y BUILDING PERMIT DENIED F R THE FOLLOWING REASON(S) qts'4' ` ...i n1 C _ 1. s L FOR OFFIgIAL USE ONLY PERMIT NO. 2-02`T } DATE ISSUED .7 h 1 �- .: � ; ,,. ,F. 61 • f� art' MAP/PARCEL_ NO. ADDRESS + �I ~' . VILLAGE' OWNER - {, _ _• i DATE OF-INSPECTION: - • yt -t FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH -FINAL- PLUMBING: ROUGH A� FINAL ' r '•� + GAS: ROUGH `" t3: r t ,FINAL BUILDINGa „r DATE CLOSED OUT ASSOCIATION PLANN­O. I m z a � m a cn cn w 0 J O m m DD IN D� D CLIENT/PROJ. J PH. ( ) DATE REVISIONS LAFTY CUSTOMER SIGNATURE: DRAWN BY: KELLIE PARKS DATE: SCALE:NONE , e INSTALLERS LAYOUT VERIFY ALL FILL MEASUREMENTS BEFORE CUTTING 0 00 w CUSTOMER: GERVAIS (c/o FERNANDEZ FARM) rn � _ o JOB NAME: LAFTY \ 2" ROOM uDo 00 N 13'-6 1 /2" U In 13'-6 1 /2" In u NOTES: 0 U 0, A2 L 44.5 li 55 El 44.5 [ —JVN BULB SEAL 2 9/16 2 9/16 PROVIDED FOR EXPANDER, 1 2'—9 3/4' IF NEEDED RUN BEAD OF „Ay COLOR z• WALT. SMEK s- GLASS/SCREEN s- GL&SS/SCREEN TPANSOM RTZBRIOR FnfM M=91OR FENM ROOF SME k E=GT31' SEALANT ALONG 0 2' 0 WHT a DOUBLE ❑DELUXE SCREEN ❑TOP ROOF SIZE INSIDE LEG SLIDER ❑ I.G. VINYL SASH ❑I.G. ag MFIT TEMKOR WHT TEMKOR N/A:N/A p y ❑BRZ ❑ I.G. ❑DOUSE SLIDER OF H—CHANNEL ❑saN Cl DELUXE ❑ TEMPERED ❑INTERIOR STORMS p SOS ❑SANBRZ ❑BRZ BACK WAIL/4 HEIGHT p �INos ❑BOTT ❑ AN ❑SAN FRONT WAIL HEIGHT ® MALESCREEN ❑TEMP. 6'-7 3/4- RLENAME: 98W7553 07/08/98 GERVAIS DETAILED BY: KELLIE PARKS FILENAME: 9BW7553 07/08/98 GERVAIS i i i i . cr i a '1 71 1c r 0� O W �:• �� i , CLIENT/PROJ. PH. ( ) DATE REVISIONS LAFTY CUSTOMER SIGNATURE: DRAWN BY: KEWE PARKS DATE: SCALE:NONE r - m z h D x x Z am .c m Zrlrl > �w D O \ m , w 0 14 c C-D ol� � n co � � m n M I N 1J1- O zr a � (p N10 C = D -n N o' 1'j3s"QNIM,6 '1035"dNIM,9 LIOOG,9 N o A ANAN > � Drn rn > N I� � ArnO ;a pz0 . 0 3 O A i rn � c 0 Ila V VtIND.SECT. W WIND.SE-T. 9'DOOR a CLIENT/PROJ. PH. ( ) DATE REVISIONS LAFTY I.CUSTOMER SIGNATURE: DRAWN BY: KELLIE PARKS DATE: SCALE: 1/4"=i' WSW 1 ; � A9 0 � WL- PLAN F OUIVD.�41r"lt LOCH 7O GoTTc- omgDA 'A TTS BY-'j)ffjj klj ,5 " et CA,: `6tl LE 4AND SURV*FY XRwil {t HEREV GL'iivp t,Tiw rHis FouvDArio N is: ,Lour Iti TNe LOT -A$ S:H©3�.V .A�Jq CONFORMS TQ T,WE N W ��` �� a � Of BARNVAgLE 20NI O REGULATIQl7S REsARotme M riury - wt ! 'TOACKS O'RON OTRkEr' LINES AfW LQT LINES ..` 1 HORMAN CROSSNAN li.L.S. . DATE n °F 211E T The Town of Barnstable • >�tltvsrnetE. • 9ebA '1659�- 10�' Department of Health Safety and Environmental Services rEo ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only , Permit no. I Date AFFIDAVIT 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. Type of Work: 3 lowly-1 4XJ. Est. Cost4trOW42:0 - �tC3� Ak r< Address of Work: Owner's Name ri.yo Date of Permit Application: '7 -1=JJ'Z I hereby certify that: Registration is not required for the following reason(s): jWork 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 d hereby apply.for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name The Commonwealth of Massachusetts Department of Industrial Accidents office of/ni/ 569899fls 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: location: cl c LI city t 1AU / phone# '130-35-5 3 ❑ I am a homeowner performing all work myself. ❑ I am a sole ro%%%rietor and have no one workin in any ca acity %%%%%%///%/////////I%//%%%/%%%/%%%%%%%%%%%%%%%%%%%O%%%%%%%%%%%%%�%%%%%%O%%%%%%%%%% ( I am an employer providing workers' compensation for my employees working on this job. company name.:-. VtiST address.:. . .::., .. .: .. .. :: . ;:: city.:`"�/ VX 1Cw►. < .. .. :.. 7 phone#: Sd'�-��a 3 X. insiiianceco. /� .. lX2IQf� ohcv#:. I,JL (� UD ; . ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: comaany name: W. #. : :<:: Insurance:m. olicv# :`::company name.;:< address..: xx city. phone#. . ..... . ........ insurance co., .. .:;:::;.::,;.:;. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. I do hereby certify under pains and enalties of perjury that the information provided above is truce and correct Signature �✓ Date 7 Print name 1 ! Phone# ������ �� 3 official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Buflding Department ❑Licensing Board ❑check if immediate response is required ❑Selectrnen's Office ❑Health Department contact person: phone#; ❑Other (mixed 9/95 PJA) Information and Instructions J.- 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 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 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 r 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 insurance as all affidavits 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. 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 peimit/license number which will be used as a reference number. The affidavits may be returned to 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 Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of In Accidents Me of In�esdusuons 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 P _ , 2402 Daniels Street,-�LNfadison, W1 53i44 • Ph: 60&221=3361 • Fax: 608i221-2084 TECO June 4, 1993 coundL• rrirdE.CabcIus To Whom It may Concern: Fres;dau NCSBCS This is to inform you that PFS Corporation (third party agency) has :1!i.a.mLKnJj P.E been, retained by Temo, Inc. of Clinton Township, Michigan, for the It Pr=idCU5CCA purpose of auditing a Quality Control Program and to perform inspections on production of their Component Foam Core Panels. alc' P.Marx P.E -;yLrdBLOdit,gDiy&.on PFS certifies that the plans, specifications and quality contro? DcpLdL- wry,Libor manual of Temo, Inc. comply with the state rules and regulations and !{` "iFdtEmu the codes contained therein. :d \Morrison PFS inspects the manufacturing facility and its c.Kcs�.•arntwuyu� g Y production with such frequency and as thoroughly as necessary -to verify that the St.arostovic,PY_ExOffido . Temo, Inc. production process quality control program is ' in PFS&rEco compliance with current state regulations. Temo, Inc. has completed all the necessary testing requirements with PFS for a NER. iorulOLE=: The presence of the PFS trademark on the panel is your assurance that -oaubur&PA. PFS oversees production of the panels as described above. ..!-,Ls,TX_ PFS Corporation offers unique• professional service to manufacturers, regulatory agencies and consumers. As a third-party agency, we do '`n` O� plan review, design, consulting, inplant inspections, testing and ; Angdcs,C_A_ certify a wide variety of products, including manufactured panels. "'uOh KL PFS is formally recognized by. many agencies across the nation and i6gf,NC_ worldwide. Our Council of American Building Officials (CABO) approval number is NER-251. We are also recognized by BOCA, ICBO and :cvcportLA. HUD, ;as well as many state' and municipal agencies in the United ic:vc,u, C�cL-cc.C-uuda States. If you have any questions. or I can be further assistance, please feel free to contact me at any time. Sin 1y, Ronald H. Reindl, A. I.A. Vice President-Midwest Region d5A-pb cc: Vince Cataldo. (Temo, Inc. ) --dmg Q—Ydy C_tro(, in& hupoctioncad . 6-6ort-SaNiccs to 14�n1CM.-ram lnd�itry . / 3-THICX UP 10 4 1/4-UP TO iS'-C-SPAN (BASED UPOli 30 p,l Llr LOAD) P00c%!X =Ci LZW?DOUBLE DOME .-,i (i77CLU0:S/lUMINUMROU;.SC? 'iitfG ii-,L'•?) ..:.L'! Li44EL:Vt?!i7-OR-RO,`U_- 7f0T-'}fEPMkUY BRO!„i 3-;. )3a1.4!INUM TOP CL� PEEL AND SEAL LAP E OVER FLANG E . �05 z 1>T SC°�'�"!S Q 2'O.C. �i HIGH WIND UP UGNE BAA FOR A,oG�s•;.=t COUNTER FLASHING OVER RIDGE FT (FLASHING MUST EXTEND BACK UNDER, SIUQONE BEAD DUSTING SIDING AND ROOF SHINGLES) ALUMINUM GUTTER 48 2 3 3/4.OR 6'TEK SCREW WITH SKYLIT-c 3'OR 4 1/4' 3'01A PLASTIC WASHER 10'O.C. VENT FACES DOWNSLOPE GABLE SIDE C-CHANNEL ALUMINUM"C"CHANNEL 3-OR 4 1/4- COVERS END OF GUTi c—ti THERMALLY BROKEN ALUMINUM EXPANDER 12'TEK SCREWS CORNER 7RIKANG LE OR FEMALE AT WALL Y OR 4 1/4- PUTTY TAPE *14 x3'LLG UNDER oOWN SPOUTXTT WHfid9P.Oh� BOLT T FLANGE o m 1—OUTLETTUBE Fai>LE MALE TO MATCCHH STl1DS o 3—ELBOWS m STA L 10FT DOWNSPOUTz4,2z60R2z8tNER STOCX JOISTAT FLOOR PHL > ALUMINUM COR WYHfiuBP.Ct•_: JOINTS 4'O.C. ! o � V'hn NAIL OR SCREW FLOOR PANELS fps x12 STA r OR 3- .3-1 To M CL5q TO LEDGER 6'O.C. O�� Ile ALUMINUM FLASHING UPRIG1fTS ON BY FRANCHISE TO COVER 2 x 3 OR 2 x 10 LEDGER FASTENED TO BLOG. BOTH SR)ES EXPOSED EDGES OF INSULAi cD WTTH 1/4'x 3'LAGS Q 16'0. STA FLOOR TO MATCH STUDS,JOISTS OR HOUSE STRUCTURE '~ STD.KICK PANEL HGT ISA-NOMINAL STD.WINDOW HEIGHT 60'(GLASS) 2 x 4 SECOHOARY LEDGER FASTENED TO LEDG WITH 1/4'x r LAGS Q 16'O.C. 1 x 4.1 x 6.1 x 8 TRIM INSERTED INTO EXPOSED EDGE OF FLOOR PANELS(NAIL OR SCREW) STRUCTURALINSULATEO - FLOOR PANED 3/8,6 3/8,OR 8 1/8 THICK WINDOW SECTIONS:3',4'OR S'WIDTHS SINGLE GLAZING _ TOFTT2x4.2x6,OR2x8LUMBER �8xI/rSCREWS 3'.4'OR5'OBLGLAZING INSIOE EXPANDER 4'OR S'WIDTHS INSUUQED GLAZING (ONE SIDE OF WINDOWFIXED DOUBLF.2 x 6 OR 2x8 OTHER SIDE SLIDING WITH 12 SCREEN) P:.WOOD JOIST ALUMINUM EXPANDER: r OR 3- 4 x 4 P.T.WOOD POST USE AT BOTTOM AND TOP OF 1. r W11H CONC.BASE ALL WALL SECTIONS 1. 2-WALL EXTRUSIONS ARE NOT THERMALLY -BELCWFROSTURE BROKEN.3-WALL EXTRUSIONS ARE WINDOW SECTION JOINT(FACTORY PRE-ASSEMBLED Y4.L. ikERUSIONS VAIL MALE 2. EXTRUSIONSAVAILABLEIN (IEFTSIOE) BRONZE OR WHITE. FEMALE (RIGHTSIOE) �8 x I2'SCREWS SUPPLIED PRE-,kSSEMBLEO TO WALL SECTIONS `i.Lf:cm•Taa 0 1µus.:Iuw�•J• �• c•cNAHNEI roe�•AKCL o� ° t N•�•�i.lT. pr p•.sP /�f.LN 4j C•CNANNGL (OG 4i rANGL� !lO•l�lG.l LLf TafPIWG�C C,vc�TN C y PLAST.G wAY/cf. e1z0{. 7 :T a1l.S"tof a{TNLx r.ti.L\ THICK RIOA. a O it o'tK sthc @��frI �I�I OP .c _ cm 0 w C., U FH O f g,t,'LS.�CLF TLrPWG 6.4L4 SELF z G —( (cOCII II�C, SG r. P.Lt�O�' �•� TAC f,44(OC.LLOA N �. r sc[ :-� t t..tw L�'M.+'!NF f.•.•Tcr1FM1 �Ac.•1� KC era CnCAL w ZD ALur.G'lYCuxoW a H H IOC fwAlll t'•C CW.NNCI •� - �.• � -� P<i NvFR logy I� PAP 6 G,t•t�-E ENG oYrhIAN U I�AKE� 1-4a o U w E- z < zF, z wluWw I+EaDER H F, Q �I cn w U v;..•;...., w w O " Z'wsuva LD Ga.:C� � •I� f.lPi�:� �L:tW w�Iw �'.aL.DCR :102A aPCi RGCc va r.c� .�_roK TI-p4EOT To.S ySN ea09�. c QOLLOjN - Oz..ILL.sou"t Dc"t. .. ��._ .:ecws ;�''. ••. �,.•�. — lNU•Muaa eaec•va Tr.N '� .. w••.urw].ou .:1•:•.L•I• ETCH..Aaat lC a.a�C(Trc1 PAwCI A•CFpA40C2 14Y.:� •.l, �• L7 Y GuTTEF- ": Q ♦0 r!l6.SEIF OQILIIWG E 2'FEMALE. TAVPUWG sce -11'o c.(rYo.l� r�oo.+/000R A.ca.., 2e9 2"Gov.HEN •� FE - JAMES 403D S404D TAM© / a511 2'MAL.F_ =•ILL (, HEaO A2 PAN 3 .3lt ti 1.159 7�)s -1- »� - -iZS Loco 03, 2 93 3 'C n l z .C31L o ALUM. ALLOY 4 TEM G^ �N1 —11+—.093 0 �l 5402 A 2' NEAOEQ rr 4.456 —: ALUM AllC1Yk TEMPEG (.06'6-TS ' �y 0.113 i 2— 2 2•CORNEP, ,sue IISCDa.71500 -IleOPE111Vg ALUM. ALLOY t-TEHF-E GO(.--TS 1.4,9-Z — 42—jI 641 OEl3 —.I LS Lrl A. I;• 045 .,9r ?7� ¢'�6� .... .I""-^ 1.21�,•-� �r--..oilL ALUM.ALLOY E TF-Hp - •T IDLU I -T 812 ( GiL I.ZIC --1 .(.Zs J-. 2016 •.011kx01CH1 -,... �748 2-ADAPTER I � 3401A 2+ J LL ALUM,ALLOT ALUM.ALLOY f TEMIfEC 60(v3-T S T use I MZ.wi - •-�- — I .016 D26 .I l•i L�s��.060 �.- .921 ( Set Oa .143 IVI '�O P56 irF,--2,042 ALUM.ALLOY ETE P'. .77 5 0 451 Z 2"FED -ICY) ALUM.ALLOY TEHPEQ (.00,9-Tt, J I-IE5 — ALU11, ALLOY.TEMPER (-0(,j-TS Z.OG3 L27L �— - T.I� 'o C Son 0 56 .Z 7T ao. ;259 a.,aa 12a 2.0�1 055 1A 1•1 Z.1 s3 I T 1T a72 4[Au K �---F—{•— ,•T .JAMB Lg I� �•f1A`F ox, o.3ra L{ o.: AL'rl•I. ALLO`C4TEMPEIZ ALUM.ALL OYFTEHPEQ C0G3•Ti 9bob Q h� G,UrTE� ALUM ALL0-- r.iYMf•c 7 notes/specifications roof panel span chart i. cfN,Ll wres: 11 ' r. thl. r.kT 10 CNCLOSItf St STLv I. I1.1[., o • [ton end •v rdo o. 10 r to• )o m nil. li 1. no. .o k. .... .. . .•.pert••[...... ....... or 1'V1 1•ut I.O[ 1'u'< 1• V+ 1• t^ I nl o-..0 L KI•... 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Vtdtk (Sld.) rl. lw.%•,t« •Mil My •.Lola"._.d•pch•( I1 LUCM•\•lov t„c ca• [[slob [reds. ♦[ m (la• •Mil • rATIO ClCIDSUaL tTSTT]l k. fr•w1 L••[ TvLll t Sr•w1•rd SC L•a• co.•1 rn.<t.d •o • rwwd•11e. ck•c lose .o, «.c cad• r•tulr<«oc.. •.1! v111 VwL( DO°r Deer ,LUM"SCCTICOS: nl.larA. S•<[�oal ALwoi . Cc,d• Xa.[laa. i-- F.-L. $tock 6063-r-$ .OS lock Dl«.•lo• -0• 13- 16- r2- h•l• Stock 6063-T-3 .03 toc► ' CApeed.[ 606)-T-S .03 Lnch AA41CL...l (r..l. rw.b.r.-- 1 C-C-.1 6063-1-3 .061 L-6 g .•r 6. .sari rod ►.r ...y(.<Iy r.r. Cc rwcoa,ad.c loss IIi-) 6o63•T-f ,020 Inc\ 10 j r.STL.Lai: • ' C....Cctaa: C-l.ao.t co .ales lot i "1141.t (rids.) 1/1-a3- Lot kola it,D.C. Loot S•<tleo ,o vlL /I-3 1/P or 6- 1•1,•<r,v. S•<,lo. v/pll.Clc v•.Mc pl.,. to-O.C.. l V•LL Scat« to rloar O.ck 11/I- < It 6 acr•v 10'O.C. .lees[ D.ck [. Soles ..rl. .r .<r.y It-D.C. Certified 0.C. inspection &-tCStI(1 structural en it Iloec fop pe rt l••tl. [o rE__1 , D-<k 1/:- . 27 1., kot, :I-D.C. PFS Corporation :,••.ip1,•�s�N/•' . -Ch. w 1-1 r...I t/t- . 16 .cross I0- O.C. TCAO,wC •'h S• , ;,, I:..U.r w loer f•w.l I/1- . to •...... to-O.C. 5.01 o•«4u SI.[(r ,.••• r..,1. Stoek I •..0.10«,.e11Cp..tw fIq• .•t�•`�w _ •A07••• v.11 I•n•1 I/:- /1 ,.,, to- O.C. •o A S'A p•aM<:loos!lt,•1)•+(.p•Wirt to V,11 r,n.t 1/.'- . /1 •..... LLCC T I I CAL: 70, •11 •I.clrlt.l a•o . • .11 [ spit • n n. lose•+ •JI[�un el .n• .r.[lyn.l ' CuJ. .. u.11h.. .n .u<.1.cads. ...• r ,-1.,ton•. I($$l7` • •+ell era ".................. I:ONI'AIN:; NO l"i-C'i �` -. 111:CYCI.A111.1' ' in w O Yg pp D iv s G N.,�•• r''••I ''•' d' N O Z L W �. Z �r Z �•. " 'r� J � U L y � S=D - Lu sj� f \L I! 73 Q 1 I J 1 li I Y �'/ee oPo�, ald o�,/�amac�uaeaa .; t HOME IMPROVEMENT CONTRACTOR Registration 122446 n Type - 084 . Expiration 09/04/98 D. GERVAIS CONSTRUCTIONt N� qJANIEL GERVAIS s 3 �Cp7i�O?' PLFRLncSUM Lit ADMINISTRATOR TAUNTON MA 02780 v • d� Gum . OEPARTUENI OF PUBLIC SAFETY 1. CONSTRUCTION-SUPERVISOR LICENSE E Nue6er : Ex fi CS res:. P Birthdate: . ;}r..053251: `ll10611999 11/06/1962 ?` Restnc?tedTo.. 00 NOR NAN 0 U IS GERVA 'l.,...,►psi 5 (AIINfON, tiA +%i80 I �` V TM" TOWN OF BARNSTABLE 25714 ` Permit No. ------------------------------ Building Insuector Cash - sAWITA 039 - --- — - rua �o ear OCCUPANCY PERMM Bond ________X______---_- Issued to ne11T11S Star Cmstructim . .Address _ lnt• 419 ?G. R11t-t,0-MT1t- rir'r 1p- rnt�li_t Wiring Inspector �� �M Inspection date_ Plumbing Inspec,or Inspection date Gas Inspector f � r9�� A Inspection date 7 �� A•A- ,Engineering Department Inspection date -� /— �•� vBoard of Health Inspection date THIS PERMIT WILL NOT BE VALID,;,-AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE -BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119:0 OF THE MASSACHUSETTS STATE BUILDING CODE. r{ Y 19 7 � Buil� Inspector FROM TOWN OF BARNSTABLE _ BUILDING DEPARTMENT .. Francis-hhteine 367 MAIN STREET NYANNlS; MA 02$01. Town Clerk Phone: 775-1120 SUBJECT: FOLD HERE ' DATE MES'SA-GE Work leas been cmpleted under Building Permits#25713 & #25714 (Dennis Star Construction).. Please release.Bond. • _ SIG ED � ]. ._ DATE REPLY - • SIGNED ^ Ne7•RMI RECIPIENT:'RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW'COPY ONLY.SEND.WHITE AND PINK COPIES WITH CARBON INTACT. V 4Y U ? J v •�C� u4j {' + Q -LOT 35 PLAN SH FOUNDATION LOCATION COTUI T MASS_ ACHUSE f TS OWNED 8Y DER!wi S �JfAQ a+.t t' o.)c'�'1 uz co, °z a —�� 0. ROW.31 SATED -r 42, 18Z Qa ai NORMAK 005SM�4N - -REGISTEREO LAlVa SURVEYOR z r ,0 _ I HEREBY CERTIFY THAT ,TNIS FOONDATION 1S LOCATED ON TINE LOT AS SHOWN AND CONFORMS TO- THE, TOWN OR BAr NS7ABtf 70NINO RE'GULALIONS REGARDING NORMA;+ xw GRQSSaa x w z r z`u �[ SETBACKS 'FROM 'STREEf, LINES AIVD LOT LINES`. 4� . 12775 a Q J1 tit jr lyORAWAN OROSSMAN R.L.S. DATE ,_Assessor's map and lot number .... ..•..•........... ... ..... . ..: .... Q�pi tp�♦ � Sewage Permit number .....�°z.�. HAB.39ETa House number ........................................2.`. ............................. ALs��� TOWN OF BAR \'��`TABL�F BUILDING INSPECTOR APPLICATION FOR PERMIT TO Construct TYPE OF CONSTRUCTION Wood Frame ..�r.......� ............19... L e TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: i Location ..LOt...32�...Butternut Crcle,....GS?qua.. .,...�Ia..................................................................................... ProposedUse ........Residential........................................................................................................................................ Zoning District ......RC. .............................................................Fire District ...Cotui.t........................................................... .. .. Name of Owner .... enni Qs Star... 5.t;..•• QQ..........Address .2.4...Great•..P•Ond..D-'.,.......S•.••••Ya�'d ou—thy• Ma. Nameof Builder' ..same........................................................Address .................................................................................... Nameof Architect NA.............................................................Address .................................................................................... Number of Rooms 5................................................................Foundation ...poured...cotadreta................................... Exterior ................. . 1.e................................Roofin ......... p g. . .... Floors ....................p ymo ad................................................Interior .........&h4q&t.r.pck................................................... Heating ................r:r1W:-.. .a.s................................................Plumbing ..... .1. ..yl-2,--- at-j1.3. ............................................ Fireplace ................one...........................................................Approximate Cost ..............2.5./.0.0&.............................-1..... Definitive Plan Approved by Planning Board -----Sept. 21 19 73 Area . .. �'....1........ ........ Diagram of Lot. and Building with Dimensions Fee / s% SUBJECT TO APPROVAL OF BOARD OF HEALTH /u lb/X\ 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. CONST. SUPV. LIC. 016681 Name .....�� � ! t........................... DENrIIS STAR CONSTRUCTION - ' h .7 1 95714 One Stor No ............. Permit for .......................'........... Single„Family Dwelling .......... Location Lot 32, 24, Butternut Circle .............Gotu t...................:............I.................. Owner Dennis Star Construction ...................... Type of Construction Frame................. ............................................................................... Plot ....:....................... Lot ................................ i Permit Granted October 2 8; 19 83 Date of Inspection ....................................19 Date Completed ........v�.J d��. " 19 Assessor's map and lot number .......® e �,.. . O FN *THE Q $ewage Permit number Z immrSTABLE, i House number ......................... ... .,.. - �•a Yar a• TOWN .' OF BARNSTABLE BUILDING INSPECTOR Construct APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPE OF CONSTRUCTION ......••Wood Frame TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Jot... +...Butternut Circle,....Co:that.. ..Ma_.....:.............. ProposedUse ........R.E'Slde.n.till................................... ................................................................................... .......... Zoning District .....RC............................................................ Fire District ...17xxt1x t........................................................... Name of Owner ....Dennis.. Star... npt.....�f?........ .Address .�4...rxsa. ...Rnrfi..t)T . .. Ma. Name of Builder" ..Same....... .Address .................................................................................... ................................................ Nameof Architect A.............................................................Address .................................................................................... Number of Rooms 5................................................................Foundation ...nrttr•.A:a...cnnx,r;a}. ...........................I........ Exlerior .................q.e. ..Sb.iP.gle................................Roofing .........�.enha?..j. .5.}?4.r 4je........... - J' Floors ...................PlYWond................................................Interior ......... ................................................... Heating :....: ........FJRW-q?G.............'...................................Plumbing ...:. .?. �2..}.'�+H ........................................... Fireplace ................one.............................................................Approximate Cost 25, 0.0n Definitive Plan Approved by Planning Board - 19 --- Area ,.......................................... Sept. 21 73 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH i i I � 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. CONST. SUPV. LIC. 016681 Name .......................... [DENNIS STAR CONSTRUCTION A=-46=200 No ..2.5714.. Permit for..One Story Single Family Dwelling ................................................................. Location ,Lot 32, 24 Butternut Circle Cotuit ............................................................................... Owner ...Dennis Star Construction .............................................................. Type of Construction Frame ................................................................................ Plot ............................ Lot ................................ Permit Granted October 28, 19 83 . Date of Inspection ....................................19 Date Completed .......................................19 f \ r., T►� Town of'Barnstable *Permit# F-V&a.6 asbnths front laue date = Regulatory Services -Fee 0��- 163y. �e� Thomas F.Geflerj Director � Building Division Tom Perry, Bmlding Commissioner - 200 Main Street.Hyannis,MA 02601 Office: 508-862-4038 Fax; 508-790-6230 " EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid w&hottt Red xPress Imprint apfparcel Number (Y'O operty Address Z H C( yt_. t Cu4, ;4 Residential Value of Work �(, Minimum fee of•$25.00 for work under$6000.00 Pvner's Name&Address C 4 VU k L4,. -�G lk k. t0 U¢i'}'Lt 7 t /UA mtractors Name . C 1�a CEO" �V wQ YVJC V 4 Telephone Number 3me Improvement Contractor License#(if applicable) 13 73 kS instruction Supervisor's License#(if applicable) Workms Compensation Insurance PERMIT an, XPMT Check one: El I am a sole proprietor O C T 1 -6 2007- ❑ I am the Homeowner ® I have Worker's Compensation Insurance TOWN OF gA► NSTABLE ;urance J l CompaayName `l '�t f 1l orktnaa's Come.Policy#_U k I ` 3[ S - 3 6 Gy�--Q/7 ►py of Insurance Compliance Certificate must be on file. rmit Request(check box) ❑ Re-roof(shipping old shingles) All construction debris will betaken to ❑Re-roof(not stripping, Gomg over existing layers of roof) ❑ Replacement Windows. U-Value ;Where required: Issuance of this pemait does not exempt compliance with other town department regulations,ix,Historic,Conservatiory etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. ptature ,orms:expmtrg '1Se063004 i ,per The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' d 600 Washington Street Boston,MA 02111' w0w.mass.gov/dia ' Workers}Compensation Insurance davit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): C. 0c,'t + ►'�'� '"t P w✓e '� Address: Tu `ate City/State/Zip: O r 1 f q IVA c, zoo Phone.#: Are you an employer?Check the appropriate box: :Type of project(required):, 4. I am general contractor and I 1:�am a employer with a�_ 6. ❑New construction . employees(full and/or part time) * • have hired the sub-contractors listed on the-attached sheet. 7. ❑Remodeling 2:❑ I am a'sole proprietor or partner- These sub-contractors have ' ship and have no employees 8. ❑Demolition employee$ and have workers' working for me in any capacity. $ 9, []Building addition [No workers comp. insurance. comp.insurance 10. Electrical r 5. � We are a corporation and its �� repairs or additions required.] 3.❑ I am a homeowner doing till work . officers have exercised their 11.❑Plumbing repairs or additions ' right of exemption per MGL myself:[No workers comp. 12.❑Roof repairs insurance.required.]t c. 152, §1(4), and we have no 13.❑ Other employees. [No workers comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. . tContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. r_ Insurance Company Name: I Y,P r �► ' Policy#or Self-ins.Lic,#: LAJC - (' G y �S ti k Expiration Date: 7 I Job Site Address: 2 �ti'T l t lh vs 7 �I �t City/State/Zip: it Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a.fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investi ations of the MIA for insEange coverage verification. I do hereby certify under the pains•and penalties of perjury that the information provided above is true and correct. Signature: Date' Phone 70ffficialnly. Do not write in this area, to be completed by,city ar town off ciaL : ' .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#: Liberty Mutual Group Mutual. PO Box 7202 1��utual. Portsmouth,NH 03802-7202 Telephone(800)653-7893 Fax(603)431-5693 March 23. 2007 TOWN OF BARNSTABLE ATTN:BLDG DEPT 200 MAIN ST HYANNIS, MA 02601- RE: Certificate of Workers Compensation Insurance Insured: MCAS LLC DBA NICKERSON HOME IMPROVEMENT PO BOX 2476 ORLEANS,MA 02653 Policy Number: WC2-31S-360989-017 Effective: 3 /1 /2007 Expiration: 3 /1 /2008 Coverage afforded under Workers Compensation Law of the folloWing state(s): MA Eniplovers Liability: Bodily Injury By Accident: $ 100,000 Each Accident Bodily Injury by Disease: $ 100,000 Each Person Bodily Injury by Disease: $ 500,000 Policy Limits As of this date; the above-referenced policyholder is insured by Liberty Mutual Fire Insurance Co under the policy listed above. The insurance afforded by the listed policy is subject to all the terms, exclusions and conditions. and is not altered by any requirement, term or condition of any or other documents with respect to which this certificate may be issued. This certificate is issued as a matter of information only and confers no right upon you, the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiration date,Liberty Mutual will endeavor to notify you of such cancellation. Qb AUTHORIZED REPRESENTxriVE LIBERTY MUTUAL INSURANCE GROUP This Ceniticate is executed by LIBERTY nfUTUAL I\'SURAiNCE GROUP as respects such insurance as is atlbrded by those companies. CC: :Insured: Producer of Record: MCAS LLC DBA NICKERSON HOME IMPROVEMENT ROGERS & GRAY INS AGCY INC PO BOX 2176 PO BOX 3700 ORLEANS.MA 02653 PLYMOUT?I. MA 02361 �T /ee i�omvrnomtiuea a� aac�ivaeC(d Board of Building Regulations and Standards License or registration valid for individul use only =- HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registr_ation:, 133851 Board of Building Regulations and Standards Ex-iratioii One Ashburton Place Rm 1301 P 8%17/2009 TAE 259484 ..r> Boston,Ma.02108 Type: Private Corporation NICKERSON HOME IMPROVEMENT MARK NICKERSON 1 12 COMMERE DRIVE �•tQ.a<.,` ORLEANS,MA 02653 Administrator Not valid without signature . F I Town of Barnstable Regulatory Services � a seRxsrnata. ' Thomas F.Geiler,Director KAM Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, ,as Owner of the subject property hereby authorize 6 C €/-sod '�� �y et c to act on my behalf, in all matters relative to work authorized by this building permit application for. V cl 3bpS- vu�2c/e. IAJ4 (Address of Job) A 7/o, naureof er are Print Name Q:FORMS:OWNERPERMISSION