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� --� �� �, �� . �� �� ,, .... _ � .. � _ . _ fi _ - _- _ y.. _ _ �� _� ��..._ Town of Barnstable Regulatory Services 'Ilik Richard V.Scali,Interim Director �,�(� RAMSTnsi e, „AM �, Building Division o a Tom Perry,Building Commissioner %/v 200 Main Street, Hyannis,MA 02601 � e www.town.barnstable.ma.us �-,I&fit, Office: 508-862-4038 Fax: 508-790-6230 PERMIT# - 1 Z 3� FEE: $ SHED REGISTRATION RESIDENTIAL ONLY 1 200 square feet or less � —7 7� Location of shed(address) Village ,7, 5hP,1 &Jtcy Property owner's name Telephone number Size of Shed Map/Parcel# 7 a. X:7 Sign Date 7 Hyannis Main Street Waterfront Historic District? �/O t Old King's Highway Historic District Commission jurisdiction? N V If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) /1���✓ - Sign off hours for Conservation 8:00-9:30&3:30-4:30 a PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMUSSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COA"HSSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg ; REV:110413 t i 1 FILE NO.: .1 Z1000L � Z LOT 228A 13UILD1► G DEFT. JUL 6 2017 ' TOW OF ARNSTASLE 220 00' w iso, PC W / - N r zLOT �2288 1 22 OOti S F s f .: ,, 9' N/F y z a r`" Vic' o SOUZA 7 ' N CEDAR STREET AN OF JOHN S. LAURETANI g,# 34311 MORTGAGE LENDER USE ONLY )lotptans.com ,DEsLnuwERs - &ASSLCIATES,.INC. , T 101 CONS77TUITON BLVD.SUITS D FRANKL N MA 02038 8DO)287-8800 PAX.:(50B)528-4011 - - MORTGAGE INSPECTION PLAN THERE ARE NO DEEDED EASEMENTS IN ADDRESS:27 CEDAR STREET BARNSTABLE MA ENCROACHMENTS WITH REFERENCED DEED TO OR THE ABOVE E LENDER: DWEWNG SITUATED ON THIS LOT ATTORNEY:IflMAN & NUGENT R1210 57 RECORD SHOW EXCEPT AS STN ON THE DEED OF OWNER:ROBERT WEAVER CONA►T APPLICANT:JOHN & KATRINA HANENCu THE LOCATION OF THE DWEWNG AS SHOWN HEREON EITHER WAS IN DATE O 22 2012 SCALE:]"=40r COUNTY:BARNSTABLE COMPLIANCE WITH THE LOCAL ZONING BY—LAWS IN EFFECT WHEN UNREGISTERED LAND CONSTRUCTED(WITH RESPECT TO _OOD HAZARD INFO:. STRUCTURAL SETBACK REQUIREMENTS DEED aooK:B603 PAGE:]9 ONLY),OR IS EXEMPT FROM VIOLATION NE: C DATED:_MI1991 PLAN BOOK:272 PAGE:96 LOT(S):22SB ENFORCEMENT ACTION UNDER MASS. G.L. .MMUNITY PANEL.250001 0021D PLAN NUMBER: OF TITLE Mi. CHAPTER 40A,SECTION 7, E LOCATION OF THE DWELLING SHOWN REGISTERED LAND CERTIFICATE OF TITLE: ES NOT FALL WITHIN A SPECIAL REGISTRATION BOOK:)OD HAZARD ZONE,EXCEPT AS MAY PAGE-_ ASSESSORS MAP: $ INDICATED. PLAN NUMBER: LOT(S): BLOCK: 40 L0T:001 IERAL NOTES: (1)THE DECLARATIONS MADE ABOVE ARE ON THE BASIS OF MY KNOWLEDGE.INFORMATION,AND BELIEF AS THE RESULT OF A MORTGAGE INSPECTION TAPE ?VEY.NOT THE RESULT OF AN INSTRUMENT SURVEY MADE TO THE NORMAL STANDARD OF CARE OF REGISTERED LAND SURVEYORS PRACTICING IN MASSACHUSETTS. (2) :LARATIDYS ARE MADE TO THE ABOVE NAMED CUENT ONLY AS OF THIS DATE(3)THIS PLAN WAS NOT MADE FOR RECORDING PURPOSES,FOR USE IN PREPARING DEED jCRIPTIONS OR FOR CONSTRUCTION. (4)VERIFICATIONS OF PROPERTY LINE DIMENSIONS.BUILDING OFFSETS,FENCES,OR LOT CONFIGURATION MAY BE ACCOMPLISHED BY AN XURATE INSTRUMENT SURVEY.(5)NO RESPONSIBIUTY IS ASSUMED HEREIN TO THE LAND OWNER OR OCCUPANT. r �r f 0 atmot t 8 m Form-Not for Vo r ` . � 1 .y'`-_.- SketchMA M35 Maw Zip GQU 0400 mation -- - -- or (Cont.) at loam two wage O13Posal 5 w11er� pO1manont ystem: provide a view of the 5owap d W Vf t* �,k���r, Public water rorerence lsndmeft or benchmarks.Loc�t,e ag v yWj�ft0 t� Lrj supply enters the building. Chock one of the bax4�s befow,, �! hand-sketch In the e ❑ drawing attached rea below 30parateiy i 1 � 4a:c2e, 30' Cy:37 TW*5 0McW in-; PGpn Form sti a jam swamp�gam,?apeZ5�� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Q—M A e j Map 0 Parcel NO-Co BUILDING dEt'T Application # Health Division Date Issued APR 0 5 2017 Conservation Division Application Fee TOWN Planning Dept. O BARNSTABLE Permit Fee - Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address A7 �� 9f t T� 'Village 60711el7r Address � Cam( ooa� ®'icl�� � l77A/V) Telephone? 0- 7— Permit,,Request ��,�v s /�iJ � �a�iJ�, �r ����IJL� L�rt� /ey 1_.___,, iowUU Ord �i� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay `P oject Valuation 0 0 'Construction Type Lot Size Grandfathered:, ❑Yes ❑ No, If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Base m nt Type: Wrc Full ❑ Crawl ❑Walkout ❑Other evlppBasemen Finished Area (sq.ft.) �fO Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new 0 Half: existing new r Number of Bedrooms: 3. existing -0 new Total Room Count (not including baths): existing new First Floor Room Count Heat Type anYes I: ❑ Gas ❑ Oil 0 Electric ❑ Other Central Air: No Fireplaces: ExistingNew Existing wood/coal stove: ZYes ❑ No � g Detached garage: e�' ing ❑ new size—Pool: existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: O'existin ❑ new size Shed: ❑ existing ❑-n w g g g — s g a 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' :�/y�GV � �'✓�C/ Telephone Number Address )djoA j1011'&Ie License# NW- -6�7� h Home Improvement Contractor# Emai1 11uPw1CH 6970Zj Neo� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE--_ / cry - , FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED I MAP/ PARCEL NO. r` ADDRESS VILLAGE OWNER r { DATE OF INSPECTION: FOUNDATION P l0 FR AME INSULATION t F ' FIREPLACE " ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING .f a DATE CLOSED OUT a `ASSOCIATION PLAN NO. i Tlie Comrfrorrivealth of-Vassachusetts Department o,f rndustrial.4ccideTds - Office of1mwstigatipirs 600 Washington,street y Bostont CIA 02111 wym-nmas.sgF7VIdia 'tnrkers' Campensatian Insurance Affidavit:Buldexs/CantractursJElectrkianslPh mbers Applicant Infarmatian / Please Print legibly Name(BasmesslO�ganta4ionlfndiv final �/ ti Address: aJDrnlfti/ .0/-l� City/State( /�►��N �� (3 7, C Phone� (� P / 7�� Are you an employer?Check the appropriate box: " Type of project(required). I.❑ I am a employer with 4. ❑I am a general contractor and I 6. ❑ construction employees(full andfor part-fiime)-* liavehired.the sub-contractors 2.❑• I am a sole proprietor orpartneer- listed onthe.attached sheet. I Remodeling ship and have no employees These sub-contractors have 8..❑Demolition. for=in any capacity-working i employees and have workers' 1 9. ❑Building addition [4o1�rS' comp.insurance COMP-m¢itrancj-- egnired] 5. ❑ We are a corpomfion and its 10.❑Electrical repairs or additions 3: I am a homeoumer doing all work officers have exercised their I❑Plumbing repairs or additions. sel€ o workers' �t of exemption per MGL � [N comp- 12.❑Rnofrepairs • insirancerequited-]i c.152,§1(4h andwe have no, employees.[No workers' 13.❑Other camp.insurance required_j •Aay WHc=&&at chedmbox#1 roast also fill out the section bdow shuvrmg theirvmdexe compensatiaupoliicy information. l ffameawneu who submit dais af5datrit indicating they axe doing-all wo*aril then Lice Gut side cent maors mast submit a new affidnk iadica snc1 _TCcar actors ffcar rbecic this box mast attached an additiaoal sheet lowing the none of the sub-coxtrzaDm snd state whether or not those entities have employees.Ifthesub-cantautcshaveemployee%they mnstprotddetheir nrorkess'comp.policy number. -Tam au employer that is prairdfng worker's'cotrrperuation insurance for my*employees. $oToav is Me policy and job site informadom Insurance Company Name: Policy fi or Self--ins.Iic.4 ExpiratiouDate: Job Site Address City/State/T=: Attach a copy of the workers'compensationpolicy-d"ration 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 crimiriai penahies of a fine up to$1,500 00 andror 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 addsed that a copy of this statement.may,be forwarded to the Office of Irovestrgations of the DIA for insurance coverage vrerification. I do hemby. cerWfj,Harder the its id penabties ofp ry tfiatilis informatimi pros died abot�a ig bare aced carrect Siva re_ Date: �X---//—7 Phone ik ~ OSki use only. Do not avrite in dais area,to be co'mpleted'by city artoirn official City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City1ro n Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: —---- - - - -- - - - 6 ormatxon and lastruc ions . Maecachusct is Ge�aeral Laws chapter 152 regoaes all employers to provide wo=keis'compensation for then employees. pursaantto this statnte,an.employee is defined as."_.every person in.the service of another under any contract of hue, empress or hnphed,oral or wri . " ' ' azta associatian,co oration or other legal entity,or any two or more Art.err�Iaya is defined as an individual,p ership, rP of the foregoing engaged in a joint ,and including the legal rep.L eniatives 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 dwelliog house having not more than three apartments and who resides therein,or the oax3pant of the - dwelEng house of another who employs persons to do mahitenmcc,construction or repair work on such dwelling house or on the gro-unds or budding appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also stems that"every sfa-te or local licensing agency shall withhold the issuance or renewaI 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 tbLe asuran ce.coverage required-" Additionally.MGL chapter 152, §25C 7)states"Neither the commmwealth nor;�ny of fds political subdivisions shall enter into any contract for the performance ofpnblic Woik matil acceptable evidence of compliance with the insara ce.. req =ents of this cbapterr have been presented ti)the contracting m3fhoi ity." Applicants Please fill oi3t the workers'compensation affidavit completely,by checI®.g the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(its)and phone,number(s) along with their cerfficate(s)of am mince. Lhmited Liability Companies(LLQ or United Liabffity Partnerships(LLP)withno employees other than the members or partners,are not regaaed to carry workers'compensation ins[u-mce If an LLC or LLP does have employees,a policy is regnired. Be advised that this affidaya maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date;1re affidavit The affidavit should be retammed to the city or town that the application for the permit or license is being requested,not the Department of Iudustrial Accidents. Shouldyou.have any questions regarding the law or ifyou are required to obtain a workers' compensation policy,please call the Deparbu.ent at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is completes and pried legibly- The Department has provided a space of the bottom of tine affidavit for you to fr11 out in the event the Office of Investigations has to contact you regarding the applicant- Please be sure in fill in the pen inWlicrose mmber which will be used as a reference number. In addition,an applicant that must sabmit multipIe penni- Hcense applications many given year,need only submit one affidavit indicating cmir t policy inforzuation(if necessary)and under"Job Site Address"the applicant should Ovate"all locations in (''Or town).-A copy of the-affidavit that has been officially stamped or marked by thD city or torn may b e provided to the applicant as proof that a valid affidavit is on file for futm: pem its or licenses Anew 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 Tmbn e (i e. a dog license or permit to bum leaves etc.)said person is NOT ree to complete this affidavit The Office of Investigations would hke to thank you in.advance for your cooperafion and should you have any questions, please do not hesitate to give us a calL The Department's address,telephone and fax number. T CGmmmweattli of Massacl2u&-(-,tt3 . Degaitment of Iudnstdal Accidents - OEM=of jt-vestEgat awi ` ���aslaingtan Sfr�t - Bwtan,MA EMI I Tel.#617' -4 (�-Xt 40 6 Qr 1-&77-MA&AFE Rat#617-727 7M 1Zevised4-24-07 Wvm gQ.vIdi-a r AWC Guide to Wood Construction in High Wind Areas:110 mph.Wind Zone Massachusetts Checkist for Compliance(780 C,'1I25301.2.I.I.)t C� Cbek 1.1 SCOPE Compliance Wind Speed(3-sec,gust)......................... ............................................__..........._........_..._..........._....110 mph — Wind Exposure Category............................................._........... 1.2 APPUCABILITY Number of Stories .................._.........._.._.........._.._..(Fig 2). ........................ stories 5 2 stories _ RoofPitch ....._.._.__...._. ..._......_...._........... ...._..._.._.Fig 2).................... 512:12 _ Mean Roof Hei - _ BuildingWidth,W....._........ ----.__....._._: .....____...._...(Fig 3)................................... ...__ft 5 80' _ BuildingLength,L ...._...............-.._.._........._.............__...(Fig 3).._.._.....__._....__....................._It s 80' _ Building Aspect Ratio(LPN) _,................_............._......._.(Fig 4).................................:............ <-3:1 Nominal Height of Tallest Opening2 ...:......._...._-• . _.... _ 568' — 1.3 FRAMING CONNECTIONS General compliance with framing connections.._......_........(Table 2).............................................._..._....... 2.1 FOUNDATION Foundation Wails meeting requirements of 780 CMR 504.1 Concrete................................................................................................................_............. _ ConcreteMasonry............................................_......._.................................................._......._........ 22 ANCHORAGE TO FOUNDATION1'3 5/8'Anchor Bolts imbedded or 5/8'Proprietary Mechanical Anchors as an alternative in concrete only BoltSpacing-general.........................................(Table 4)........................................... in. — Bolt Spacing from endroint of plate .........................(Fig 5)............_.._................_. in.5 6'- Bolt Embedment-concrete.._........._..........................(Fig 5)....................... Bolt Embedment-masonry.......................................(Fig 5)._............................._....... in.a 15" — Plate Washer._....................................................._.._(Fig 5)......_.......................................Z 3'x 3'x VV — 3.1 FLOORS Floor.framing member spans checked .............................(per 780 CMR Chapter 55)....._........................ _ Maximum Floor Opening Dimension-._...__.......................(Fig 6)............................_ft 512'or L/2 or W/2 _ Full Height Wall Studs at Floor Openings less than 2'from E)derior Wall(Fig 6).................................. Maximum Floor Joist Setbacks — Supporting Loadbearing Walls or Shearwall................(Fig 7)..................................................—it s d _ Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8).................................................... ft 5 d _ FloorBracing at Endwralls........................._....................:..(Fig 9)................................................................ Floor Sheathing Type ....................................................(per 780 CMR Chapter 55)....................__....___ Floor Sheathing Thickness........_......__..................._.....(per 780 CMR Chapter 55)......................._in. Floor Sheathing Fastening.............................................(Table 2).._d nails at in edge/—in field 4.1 WALLS Wall Height Loadbearing walls...._..........................._................ (Fig 10 and Table 5)........_:.............. Non-Loadbearing walls.........._....................._......:-(Fig 10 and Table_5)...._............_.......—ft 5 20 Wall Stud Spacing ...(Fig 10 and Table 5 m.5 24'O.C. Wall Story Offsets ......................_..............................(Figs 7&8)_....._......_........................--R 5 d 42 EXTERIOR WALLS Wood Studs Loadbearing walls..........................;.............----------(Table 5)....................._.......2x --ft in. Non-Loadbearing walls.................._. ...(Table 5)........_........._. - — Gable End Wall Bracing r — — Full Height Endwall Studs......................................(Fig 10)..........................................-............. :... WSP Attic Floor Length_.................... F 11 ._._........:.....—ft>W/3 Gypsum Ceiling Length(rf WSP not used)......._......_.(Fig 11)............................__,..._...._ft z 0,9W 2 x 4 Continuous Lateral Brace @ 6 ft.o.c...(Fig 11).:................................._....... ........_w. Double Top Plate Splice Length ................:..._...............................(Fig 13 and Table 6)_................. __It Splice Connection(no.of 16d common nags).............(Table 6)................_......................... i AWC Guide to Wood Construction in High Wind Areas:11 D mph Wind Zone Massachusetts Checklist'for Compliance(7so c..rx 53tn.2-t.l)1 Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails)..___...__(Table 7). ............ Non-Loadbearing Wall Connections Lateral(no.of endnaded 16d common naiis)__,.__.....(Table 8).__...........—............_............. _._... Load Bearing Wall Openings(record largest opening but check atl openings for compliance to Table 9) Header Spans ..............._.................................(Table 9):._.._—:..................:.._ft_in.511' SUI Plate Spans _..._._......._..._........:..._..---_.....(Table 9)._—__.....___....._......_ft_m.511' Full Height Studs (no.of studs)__._.....__ ._..__._..(Table 9)...................................._......_.. Non-Load Bearing Wag Openings(record largest opening but check all openings for compliance to Table 9) Header Spans._.........._.........................................(Table 9) _...__ ..._._....._..._ _ft_in.51Z Sill Plate Spans............. _............... _.__.........(fable 9)_.._......................_.... ft_in.s 12' ... Full Height Studs(no.of studs). ........_ .._. ._....__...(fable 9)...._.. ..........._.._...._.. ..... _.... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Budding Dimension,W Nominal Height of Tallest Opening2 ........................ ........ ....__... _......._.......... ._...... s 6'8' SheathingType........................................(note 4)...........__.................................... Edge Nag Spacing._......_........._........_ _..(fable 10 or note 4 if less)_..___...... ....._._ in. Field Nag Spacing..........__........................_..(Table 10).............._•_--................____........ in. Shear Connection(no..of 16d common nails)(Table 10)_.—.._.___._._...._..........._.._........... PercentFud-Height Sheathing.._....._L..__....(Table 10)_..._:....._..._..................._. _..._% 5%Additional Sheathing for Wall with Opening>61 (Design Concepts)_.._._._.. Maximum Building Dimension,L Nominal Height of Tallest OpeningZ..........................................................._.........._5 6'8' Sheathing Type....._..........._............___(note 4)..........................._................. Edge Nag Spacing.........._........___._.._........(Table 11 or note 4 if less)......_......:....._. in. Field Nag Spacing._-_..........................(Table 11)..............................._..._._..._... in. Shear Connection(no.of 16d common nails)(Table 11).._..._—.................... -.__..____**.._....... • Percent Full-Height Sheathing...........__.........(Table l l)........._...._......_.._..........._......._% 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts)......... Wag Cladding Rated for Wind Speed?.............--.._................................._..... ......__.: ... .. _.._...._.._.._.._...._..._... 5.1 ROOFS Roof framing member spans checked?...._'..___.(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ......._...........................................(Figure 19).............. ft 5 smaller of 2'or L13 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift..........................................(Table 12)..................................._....U: plf Lateral...._.—...................................(Table 12)................._........................L= plf Shear..........................................(Table 12)............ - pli, _ Ridge Strap Connections,if collar ties not used per page 21..._(Table 13).......:.—..__........._.T- plf Gable Rake Outlooker.........................................(Figure 20). ........ _ft 5 smaller of 2'or L12 Truss or Ratter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift_..............__.. ........_..._.__..._(Table 14)......-......_.... ........U= lb. Lateral(no.of 16d common nails)...(Table 14)...............................+... .L= Ib. Roof Sheathing Type._._ _...-..._......._......._...._.....(per 780 CMR Chapters 58 and 59).................. Roof Sheathing Thickness_....................._......_.......__......._.._...:.... ....._._.__......_in.a 7/16'WSP Roof Sheathing Fastening._.......................___...........(Table 2j..._..._ _..... _ Notes: _.._.._ 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 53012-1.1 Item 1.if the checklist Is met in its enfirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a 2. Exception:Opening heights of up to 8 f.shall be permitted when 5%is added to,the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shad be a minimum 2,in.nominal thickness.pressure treated#2-grade. I AWC Guide to Wood Construction in Sigh Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(790CViR5301.2.1.1)t 4. a. From Table 10 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing requirements 'b. Wood Structural Panels shall be minimum thickness of 7/16'and be installed as follows: L Panels shall be installed with strength axis parallel to studs. I All horizontal joints shall occur over and be nailed to framing. riL 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 nal spacing at double top plates,band joists,and girders shall be a double row'of 8d staggered at 3 inches on center per the Figure, Vertical and Horrzonial NarTrng for Panel Attachment AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(7so cMRs3ou.].1)' i '-1Nl M nits EDGE wsrs oN FWAW ATe-� �a� 1 11 11. 1 ' 1 11 11 1 N H La 14 ;� 11 / 4 I 11 1 I 'a 11, 11 l� • n I,1 z I I Q SI i U 1 J 11 jL 1 11 .9 Qsp d U 1 . 1 � • _u ii it � i 11 11 1 11 � • II ll 1 o�-.td 9DMMULSFACM —_ t { PANJ% See Delail on Text Page Vertical and Horizontal Mailing for Panel Attachment i SINE Town of Barnstable Regulatory Services BARNM s, E, ` Richard V.Scali,Director 039.Folk Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601. www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property_Owner Must Complete and Sign This Section If Using A Builder I ,as Owne of the subject property hereby authorize to act on my behalf, in all matters relative to work authorize y this buil ' g permit application for: (Address of b) **Pool fences and alarms are th responsibility of the.:app ' ant. Pools are not to be filled or uttliz before fence is installed and all final inspections are performe and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q;FORMS:OWNMERMISSIONPOOLS Town of Barnstable Regulatory Services. pUTKE b Richard V.Scali, Director Building Division sunaMsce. Paul Roma,Building Commissioner KAM � 1 200 Main Street, Hyannis,MA 02601 prEo A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION —7 Please Print DATE:. JOB LOCATION: 9-7 Co^�/r number /� street 1�1 / village N #* "HOMEOWNER":�/"Yj&A 164 �T) 7�` 25 -1 name home phone# work phone# 2 CURRENT MAILING ADDRESS: cJ 6ol)JW/N Pr/ fI P city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to -be,a.one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. . The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Sig�a re of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner-hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor.. The homeowner acting as'Supervisor is ultimately responsible. . To ensure that the homeowner is fully aware of his/her responsibilities,many.communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities.of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend, and adopt such a form/certification for use in your community. 19'4" bid20' 321811 . 14' - Family& Sewer Pipe Dining a Existing Walls 138 3/8" O UFF I M Frame for Master Bedroom 4'shower Existing partition Kitchen not to be changed. Linen 36 Ref Existing partitions not to be changed. Garage. 2( 38" r 60"Tub 10'9" 36' 94' Bath Den Bedroom 80. 38 finished stair opening off, Hat rack 4) 38° 12'1 318" 738"finishdimenslon Entry Foyer LAI Bedroom as° lj3 t 1 24' . a John Hanewic 18' 18' 12' 27'Cedar Stre Cotult, MA Drawn By, 48` Dan Palanza, De Jan 3, 2013 F TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION rr Map arc�1 `C 6 Application Health Division Date Issued - `1 Conservation Division Application Fee Planning Dept. Permit Fee lt� g2�00 • ", v Date Definitive Plan Approved by Planning Board oK ���'I s D� Historic - OKH Preservation/ Hyannis Project Street Address 97 Cqc6 r Sir _ 1 Village _ c,&, Owner An and )G�- �nq 1` gret vs C: Address a 7(,�d�rS �lj7i�'•�, ,a1� Telephone )— S dcK'" Permit Request ic�s',d,n� w-r� mg"l ufi;�ec�k�s� �s��, ;fie w,VIAX95 r v; ny,ty� klel�kr-C*Ae x L2 s) aers w, ,\J&ZIn 5LnrcOo x _, c _. fe-dQcv co dki;rs nvhesA, o, 40 Aw m'se bneyjnan� g knd �- ec- b> WR' FVv2.50M9-IVn)01gd, L-r ur/ls i Vol Square feet: 1 st floor: existing proposed yg 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ov Construction Type remod Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U/ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes Rlo * On Old King's Highway: ❑Yes ffrNo Basement Type: dull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 11-,9 ' Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: 3 existing —new Total Room Count (not including bath:3): existing 5� new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil D'glectric ❑ Other Central Air: ❑Yes 2 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes O'Igo N -4 Detached garage: ❑ existing ❑ new size Pool: Ming ❑ new size — Barn: ®--ekisting Vnev,�ize_ Attached garage: ®'existing ❑ new size Shed: 0 e sting ❑ new size _ Other: ca cis Zoning Board of Appeals Authorization ' ❑ Appeal # Recorded ❑ can Commercial ❑Yes ❑ No If yes, site plan review # co n Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) / Name D�th V� ► Telephone Number Address y/ C(gr6(y KC, License # CS S &?v Z,CA 5 (20y, ►O- OdS ,a Home Improvement Contractor# I S�765 Worker's Compensation # 7(5-S-v18 '07;)5-43/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �y'mPsY Bess U: 60 SIGNATURE DATE ' FOR OFFICIAL USE ONLY F AFPL.CATION# DATE ISSUED 5• MAP/PARCEL NO. ADDRESS VILLAGE OWNER t n ' s .y DATE OF INSPECTION: f = iEOUNDATION 4 114 t� ? FRAME s®/3 INSULATION 6R,34131k, FIREPLACE ELECTRICAL: ROUGH FINAL tr . PLUMBING: ROUGH FINAL GAS: ROUGH FINAL } FINAL BUILDING J 3 F j DATE CLOSED-OUT s; ASSOCIATION PLAN NO. A f iThe Commonwealth of Massachusetts Department of IndushrialAccidents Office of Investigations ` 606 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builoers/Contractors/Electricians/Plumbers Applicant Information Please Print L&gibly Name (Business/Organization/Individual):. (��i1 Vej iC4.S .Address: . City/State/Zip: r✓e S Phone#: /-509 75 5�,—,936 Are you an employer?Check the appropriate box: Type of project(required); l:El am a employer with 4. El am a general contractor and I ployees(full and/or part-time),* have hired the sub-contractors 6. ❑Newwcconstruction 2.2 I am a sole proprietor or partner- listed on the attached sheet 7. ❑Kemodeling shipand have no employees These sub-contractors have P Yees 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.-msurance comp. insurance.t 9• ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t. c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp.insurance required_] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-c,ontractocs 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: (SOP-( "7 cr A*ef,trf Policy#or Self-ins /i J Nt3 `. Liic.#: j 0 `�S�✓3 j-41—f T Expiration Dater Job Site Address: !J` rr / r' STFYd City/State/Zip:6du'), #+ Og63S— 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 ce u �der the pains and penalties of perjury that the information provided above is true and correct Si ature: " �-✓ Date: Phone#: [[fficial use only. Do not write in this area,to be completed by city or town officiaL ity or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector:5.'Plu:mbing nspector 6. Other Cont#ct Persons Phone#: o THE Town of Barnstable ' Regulatory Services g, Thomas F.Geiler,Director 1639 `6 .. �'jfnun�" Building Division . Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us . Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section. If Using A Builder as Owner of the subject property J P PAY hereby authorize �� D 1 to act on my behalf, in all matters relative to work authorized by this building permit J-7 6a Ar (Address of Job) **Pool fences:*and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Si e of Owner. Signature of Applicant �/of7iy &AJ Print'Name Print Name Date QYORMS:OWNERPERNOSIONPOOLS 62012 Town of Barnstable . Regulatory Services STAB Thomas F.Geiler,Director 9 1HAS9. i639• .0 Building Division AlFn Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us . Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: . JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building D.epartment minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a forrn/certification.for use in your community. Q:forms:homeexempt m � C.- c Nn o y A etio m - < r W I n M. r " 0 c B m• x O O i DOD G7 7 m G . C x < 1! 1 I .y A v .fD r;• Oj r4ANEU' lfig�of• lll"llofPubiic nstrBurlr'" R�� fations and uction Supervisor Standard,: cs License 58804 TISRY RCAY MA 02532r Expiration: 10/17/2013 _.._._....... Tr#: 5284 �yOffice oton m ieu�siness egu autio HOME IMPROVEMENT CONTRACTOR • Registration: A38765 Type: Expiration: 5/13/2013 DBA r� VJE IOTS CARPEI`1TRY` �Z gg JOHN VELIOTIS i� �_ -- 41 CRANBERR RD BUZZAF A:Y,M AN-02532-=:;; Undersecretary-.- M1'I issachu a:, -:{3clr.irimcru or Puhiic Safctv Board of Build;n- Ref,ulations and Standards ` Construction Supervisor License License: -Cs 56804 JOHN VELIOTISz� 41 CRANBERRY RD BUZZARDS'BAY, MA 02532 Expiration: 10/17/2013 C'vmmfhsiuner - Tr#: 5284 is License'or registration valid for individul use;onl before.the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza=Suite 5170 Boston,MA 02116 Not valid without signature. . - . Office��ods meL�ra��r & es egu anion _ = HOME IMPROVEMENT CONTRACTOR ' Registration: 138765. Type: ,1'>.. • !Expiration: '5/13/2,013 DBA J ' ELIOTS CARPENTRY wi =_;, I c_-- JOHN VELIOTIS `A, �- 41 CRANBERR RD - F BUZZARDSBAY,MA':02532 �•,° Unil'e`rsecie'tary " ummer Sewer Pipe r Porch Bath O 0 Kitchen ITM o MasterBedroorn C Bath Dining [Ref Room NI Garage Livingroorn Bedroom Entry Foyer Bedroom f.`OTST11Ta � 313V1SNU9,30 NMO.I :- 19'4" 20' bid32'8" Ak � . 14' Family& Sewer Pipe Dining I c Exist ng Wallis 139 3/8" M Master Bedroom Frame for 4'ahower . Existing part(tlon Kitchen not to be changed. Linen 36 Ref Existing partitions not to be changed. Garage 211 38" 60"Tub1 10'9" 36' 94" Den Bath Bedroom e" 38"tinlshed star opening HH:a!tr:ack:: 38^ 12'1 318" 38"finish dimension Entry Foyer CO Bedroom 48" \E 24' John Hanewic 18' 18' 12' 27 Cedar Stre Cotuit, MA Drawn By, 48' Dan Palanza, De Jan 3, 2013 F „ New foyer partition Existing hall partition 911 Foyer partition to hall 014 12” Headroom partition tor finished stair opening framing & gusset ' Existing Joists Stairs: Frame back 7.9" rise(Approx) existing jolata for 7'headroom 9.5" run on the stairs. Foundation 84" Wall 3'/a Inch tally each side of stairs Concrete Floo I I Stairway Design John Hanewich 27 Cedar Street Cotult, MA Drawn By, Dan Palanza, Design Jan 3, 2013 Pg 3 V C Y a� t . 9920� ZEE= per` ^7� �� i f� I >! t�-- 1 ; �� � � -�., �- � � � =�� R . P _ � �4 �� � l 1 ��p i \ s £, 11 ' � \ ;iE. l \ �ii `, � � i ',` �i;c ii�� i � p9� l �„•% � '� � ii��i c ;l � � �i � , 1'►� '� � i, � i.� � i (', I� i i � l I, I f i� � I f , A ,f2- i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Dig Parcel ® �� Application Health Division Date Issued CO 13 Conservation Division Application Fee CA Planning Dept. Permit Fee �1 Date Definitive Plan Approved by Planning Board col l3l13�Historic - OKH Preservation/Hyannis Project Street Address Qc_ICxr 5+ Village ",Lid Owner_1nhc\ Address {'Q rICLr C�i- Telephone a -1- L4 5169 Permit Request Il(�5�-C�J� C _�C' u mp rd C g Vkot ,, i05c J c A- an ) Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �4300 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family fib Two Family ❑ Multi-Family (# units) o a Age of Existing Structure Historic House: ❑Yes Ell No On Old Kingrs Highways❑Yes ❑ No Basement Type: ❑ Full EllCrawl ❑,Walkout ❑ Other `/ o Basement Finished Area(sq.ft.) Basement Unfinished Area (sq. ) Number of Baths: Full: existing new Half: existing Number of Bedrooms: existing _new 5 Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Roland L n6pNf;rl Telephone Number 'a770_0 Address I- ]l) C-5my P c5-f' License # )D-birs 1. FQ -ye.Y`,�1 QL -O Oc��l� Home Improvement Contractor# ( LOLO 3 Worker's Compensation # TN Lk)-- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ).f i P C� SIGNATURE �� DATE 5'a Cj I t3 - FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED i MAP/PARCEL NO. ADDRESS VILLAGE -'� OWNER / DATE OF INSPECTION: x FOUNDATION ' FRAME s i INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH 1 FINAL - + ` FINAL BUILDING DATE CLOSED OUT - - ASSOCIATION PLAN No .". k 08/2 12003 15:58 FAX l�001/003 OWNER AUTHORIZATION FORM �- �> C (Owner's Name) owner of the property Located at (Property Address) (Property Address) hereby authorize (SUbcOrltra or an authorized subcontractor for RISE Engineering, to act on my behalf to obtaln a building permit and to perform work on my property. I Owner's Si �ur j Date —' 08/27/2003 15:59 FAX 002/003 RISE.ENGINEERING Fadaryl ID iV 05-0405020 A division of 7'hlulaell Engineering RI Contractor RoQbtrallort No Olga MA Contractor Reglatrallon No 120879 ` 1341 Elmwood Avenoc,Crnnetao,(1(p291U CT Contractor Registration No t.20ty0 (401)780.3700 FAX(301)784-3710 CONTRACT R I S E Page 1 PROGRAM ENIZINEE]UNC, CLC-RCS no"eo"Y"—Ia PNiCAEa NT09ETIM11A19E ENaaIaEAINO AND THE"'ay""t2R FOR WO4N AS 001CRIa CL 9aLOW eVetOYOA . .... ' John Hanewich PHOME— a+*e � -- '-- •--- ----- (508)287-4259 v ca.nl. -'-• — --- Or/21/2Q13 140637 9ERVICt1 STAEET .....—.. —. 27 Cedar Street nlui+ro ainaer — '-- — _-• -- _ 3 Goodwin Dr etiRVlCe CRY,a1ATL.LD --- —"' ^•—• • COtuit,MA 02635 WLUW oily.&rArr'ZN Norton,MA 02766 JOB DESCRIPTION Provide labor and matcrialS;o ecal aretts of your home ngninst_iaij ful,c<ecnn air leakage. this work will be(>etfanned ill concat With rite use of eiwclul tools and diuytaatjt tests to a3sure plat your home will be left widt u hcaldtflll level of uir exchange and indoor air qu llity.Motcrie slo bn�; r dto seal your home can fo include caulks, ams,w�thmtripping and other prodUc(s. Primury arons for sealing in rt include a gc o illcv,bnsentoms,nuuched 91-9w and other unhealed urnos(Windows are not generally uddre5sed.) 04)ntnn hour.. Provide labor and mat c 1,078.00 crial5(o install ventilation CltUtes in(b7)tnfter bays lc maintain air flow. Provide labor and moteriuls to install u 12"layer of R•39 unfacod fibo;17e bntta to(26)squuit:feet for dulnming purposes. Provide lubor Lind mllterialy to Jnstnll 0 7"layer of[ -24 Cla6s 1 Cellulose added to 154g 533,3U ( )Square feet of open attic Space. Provide labor and materials to install(I) caSil moved, g SI,919.32 Plywood will be created oroultd the B y insulating cover for the attic access folding stair. A Small flat surface of opening within the attic, This will allow,the Cover's intelintl wcnther-stripping to resuict air leakage. Provide labor and materials to install 12 4"X 16' r 5237.65 color.brown, ( ) rectangular aluminum soffn vents;o increase ventilation in sale areas.Specify Provide labor and mnteriuls to huetall 192 fib S346.92 ( )square feet of missing R-30 Mced fiberglass insulation to the basement ceiling. $351.26 11 , j �,� 061/27/2003 16:00 FAX 1�1 003/003 # RISE ENGMEERING FodoralIDitOS.D4g5M J1 A n lnccrin RI COntra�Dr Regl4tntle�No Oleo division ut Tlttelrch$ g g MA Contractor Reyletratlon No 120979 CT COntrectOt Re9141ratlon No U0120 1341 Elmwand Avunlrc,Cranston,RJ 112910 (401)7843700 FAX(401)784-3710 CNT'ftriC'1' R I S Page 2 PROGRAM THye CONTRACT 13ENTF,g00 INTO aerWEENRGG ENGINEERING CLC-RCS ENOINUFUNG AND THE CUSTOMER POR WORK AS OSBCRIOCO OBLOW C113TOMER PHONC —• --•• _..— __ oATe '—'— '• John Hancwich cu..IP (509)267-4259 02/21/2013 140637 3CRVICE D1"m m"T 27 Cedar Street 3 Goodwin Dr DDRvs a cm.47arD.av "' eaulla CITY,STATE.ZIP COtuit,MA 02635 Norton,MA 02766 JOB DESCRIPTION Total: $4,220.48 Utility incentive: $3,434.86 Customer Total: $735.62 WE ACRES HEREBY TD ruRHI9H gptNOUg-COMPLETE IN ACCORDANCE WITH ABOVE SPE-MOATION&FOR THE$VN OF —*Seven Hundred Eighty-Five&621100 Ooliars $785.62 UPON FINAL INSPECTION AND APPROVAL BY gISE QNGOEFAINO.CUSTOMER AORCC3 TO REMIT AMOUNT DUE IN F VLL.INTEREST OR 11A WILL BE MAAGFO 40hTHLY ON ANY UNPAID BAt.J1rt:S AFT61 35 DAYS,GEE REVEI>9C 30R ILIPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECI3NHI,SCHEOULIMC.AND CONTRAMn REOMPIATIOY. DO NOT SION THIS CONTRACT IF THERE ARE ANY BLANK SPACES AuriioRrzEDSlcnarunE-RlBerNaNEeRwo - —' __. CUmaMEn ANCE NOTO:THIS CONTRAR YAT OE Y.fTNDRAVAI BY UB IF NOT CKQCl1TE0 WITHIN DATE OP ACCSP'TANCB ACCEPTANCE DF CONTRACT.THE*DOVE PR/ICES,0PQCFTCATION3 Arm CONDITIOM.',ARE 7ATB. 6AT13 FACTORY TO VO AL ARE HERCDY OR ACCEPTED,YOU AAE AIrTMQW TO 00 THS WORK M spletfiCO.PAYPWNT%L%'L 01 MADe AS OUTLINCO ABOVU . L The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): i 23: J_1 cJ* -3Cy'l Address: 41 —5-Mye `A City/State/Zip: 1(1('(J Phone #: 1— Are you an employer?Check the appropriate box: Type of project(required): 1.2 I am a employer with I S 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 shipand have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' insurance.'. 9. ❑ Building addition comp.[No workers' comp. insurance P• ' required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.111 am a homeowner doing all work officers have exercised their I I.❑ 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.QOther J(' )1Q:GL n comp. insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Act Yd 1 o5c1yzy)cp C_>-rCG:j kJ Policy#or Self-ins. Lic.#:_iN W C?j I Expiration Date: 1 a Job Site Address:—] (����y1 �� 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 y,*j ytion. I do hereby certify under the ins mid penalties of perjury that the information provided above is true and correct. Signature: A Date: 112) Phone#:�W—So-�r U7 0 cp 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#: I Office of Consumer Affairs and usiness Regulation 10 Park Plaza- Suite 5170 Boston, Massacj.3�4setts 02116 Home Improvement C �tor Registration Registration: 166311 - :, Type: DBA Expiration: 5/11/2014 Tr# 222532 INSULATE 2 SAVE ROLAND LANGEVIN - 410 GROVE STREET FALL RIVER, MA 02720 = Update Address and return card.Mark reason for change. - ...; Address 0 Renewal Employment [].Lost Card DPS-CAI 0 50M-(W04-G101216 Office�f tom airs&Business Kegula�tio License or registration valid for individul use only before the expiration date. If found return to: ,IHOME IMPROVEMENT CONTRACTOR Type. office of Consumer Affairs and Business Regulation Registration: . 66311 10 Park Plaza-Suite 5170 Expiration: 51.p,014 DBA Boston,MA 02116 T, 2 SAVE` �'_y--�, :71 ROLAND LANGE,`4�,,yrl,:.b 536 EASTERN AVE FALL RIVER,MA 02723 " Undersecretary Not valid without signature F., �fa••achu.ett•- Ocpartment of Public Safety 'Board of Buildin"Re=uiatit;"s and Standard. Construction Supervisor License License: CS 1o3861 Restricted to. 00 ROLAND -LANGEWN 536 EASTERN AVE FALL RIVER,:MA 02723 Expiration: 8124/2013 Tr#: 103M ,+mmi++i.ascr A� ® DATE (MWDDlYV CERTIFICATE OF LIABILITY INSURANCE 12/11/20.12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMAT VELY 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,sutijeet 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 endomement(s). CONTACT PRODUCER NAME: __—._... .—_ ._ . -. ..— .--.— ANTHONY F. CORDEIRO INS. F,GCY. , INC. jptc"No: (508) 677-0407 FAX (5oa) 677-oao9 EMAIL 171 Pleasant Street ADDRESS: — --- --- CR000CER -- CUSTOMER ID_M._ ,.._• ,_,--, .._.__.___. _..—.__.___.. Fall River, _ MA .0i7?1=_. —. INSUI!kKq)AFFORDINGCOVERAGE _._._.�.. NAILr - - INSURED INSURER A-Atlantic Cas'ualty Ins. Insulate 2 Save Inc. INSURER B :Torus Specialty Ins. Co. 410 Grove St INSURER C_:Great American Ins. _..— INSURER D :Guard Insurance Group__ INSURER E Fall River MA 02720- INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIEti 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. iCODti SOs)I �j POUCr EFF POLICY .1 LIMITS INSR TYPE OF INSURANCE POLICY NUMBER !(MWDDM/yy) (MMRIDIYWV) LTR INSR VAID A GENERAL LIABILITY Y ! Y IK 081000174 U6/12/2012 06/12/2013 �_EACH OCCURRENCE $ 1,000,00 0 _ i / / / / 'DAMAGE O RENT D 100,000 X COMMERCWL GENERAL LIABILITY PREMISES_(Ea ocwrrerlce $__ _ CLAIMS-MADE -X_OCCUR MED EX (My a+e person) S,000 (PERSONAL 8 ADV INJURY $ 1,000,000 --- ---- GENERAL AGGREGATE $ 2,000,000 �_.. / / / / PRODUCTS-COMPIOP AGG $ -2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I - -- - -- X POLICY PRO- LOC / / / / $ AUTOMOBILE LIABILITY I / / / / I COMBINED SINGLE LIMIT $ -,- / / / / (� Ea accident)ANY AUTO I / / / / BODILY INJURY(Per pers ) K. ALL OAMED AUTOS I i / / / / !BODILY INJURY(Per accident)f$ SCHEDULED AUTOS / / / / PROPERTY DAMAGE $ (f?er )HIRED AUTOS - .- $NON-OWNED AUTOS I / / / / ---' --• •-- -- B X_ UMBRELLA LIAB _X OCCUR Y Y I7826413320ALI i 6/12/2012 06/12/2013 I EACH OCCURRENCE $ 2,000,000 --... EXCESS LIA9 2,000,000 CLAIMS.MADE; AGGREGATE .._•_._._._.. $ ._ ._-. DEDUCTIBLE -- —- X RETENTION $ 10,000 $ WORKERS COMPENSATION JINWC311431 �12/10/2012 12/10/2013 1 X-T gYTLIMT- OTH- - — D AND EMPLOYERS UABnM I __ A PROPRIETORIPARTNEWEAECUTWEYrN NY ,E.L.EACH ACCIDENT _ $ — 500_,.000 OFFICERIMEMIIER EXCLUDED? C N/A I E.L.DISEASE-EA E_MPLOYEF$ 50-0 L000 (MarWatay,In NM) Byes.describe under / / / / E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS be p C Equipment Floater 6/12/2012 06/12/2013 3759976 II Snop Storage lmiit 75,350 / / / / vehicle Storage Limit 76,250 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ARach ACORD 101, Additional Ro Ik- SeMdule, i/ mon fp.0 is ngluad) Proof of Insurance. Residential Insulation Contractor. CERTIFICATE HOLDER CANCELLATION ( ) ( ) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED:BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Barnstable 200 Main St AUTHORIZED REPRESENTATIVE Hyannis Ma 02601- ACORD 25(2009109) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025(200909) The ACORD name and logo are registered marks of ACORD . ... .... ...... ... Town of Barnstable *Permit# Expires 6 months from issue dote Regulatory Services Fee y� 0,59. Thomas F.Geiler,Director Building Division Arl- Tom Perry,CBO, Building Commissioner PR 19 2013 200 Main Street,Hyannis,MA 02601 A www.town barnstable.ma us0 Office: 508-862-4038 �,E_ EXPRESS PERMIT APPLICATION - RESIDEMN—k L Not Valid without Red X-Press Lnpnnt Map/parcel Number Property Address // ❑Residential Value of Work�!!`f y0• 00 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Sf= CC&�v Contractor's Name V 1 -0 l c�'�`L Telephone Number S02' go-0`410 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name ft r L Workman's Comp.Policy 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 #of doors # ❑ Replacement Windows/doors/sliders.U-Value (maximum.35) of windows SmokelCarbon 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 re SIGNATURE:/ rA. The Co+ssworimtverrM of Massachusetts Dgwrhnmt of Ii7dustlid Acciden& Office of Inve3figafiow 6M iPashingty Street Boston,MA 9211.1 www.jnas&gov/dia Workers' Campensafaan Insurance Affidavit Binfders/Contractors/E.lecEricianslPhtmbers Apphcant Information Please Pi i t Name o: Address: C- Cityfstate/T�p: ( � Mt ©yl1`� Pkone# S n� �'1fU - U�y Are you an employer?Check the appropriate box-, Type of project(required): l_ I am a employer with �— 4. ❑ I am a general um tractor and 1 6- ❑New construction employees(full andtor part-time)_* have hired the sorb-contractors 2❑ I am a sate psoprie4vi 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_ employees and have wrads' El Budding addition 7hL,w S3'comp-insurance camp. ��`" 5. ❑ We are a corporation and its 10•[`�Electrical repairs or additions required_] 3-❑ I am a homeowner doing all wrack officers bave exercised their 11.❑Plumbing repairs or additions mysaf [No workers'comp. ht of exemption per MCrL 12.❑Raaof repairs insurance r d 1 and we have uo etpme ]T employees_[[No workers' 13-❑t3#lrts comp-insurance required.] -Any ppftsni that ched;s box ill•mast also Mow the Section below Wiring their wakes'c0a3pensado-a pahcy infurmstma. . ?Fioaieo wners who summit this at da+rit indicating they are doing stl wow amd the8 brie outside cans a mast submit a new affidavit indicating such tCootractprs that ehea this box must attached an=dd;enn,a fie[showing the Dame of the sib-contractua and state whether or not those endtees have empkyees. If the sub saatmaes have emglcYeeS,theY-1 Pride their *-kere—P-Policy number- I atn all employer that is pMvidiaag arorkers'comp anation is ntmuce for nq employees Barmy is thepo&y avid joh site information. . Insurance Company Name: Policy#cr.Set€ins_Lin#: tl 8 W C(..L` 031 V Expiration Date: Job Site Address: 1 "�1� CityfStatelZ : CC) Adath a-copy of the workers'compensation polcy declaration page(showing the policy mrmber and expiration date). Failure to secure caverage as required tinder Section 25A of hdGL c_ 152 can lead to the imposition of criminal penalties of a fine tip to S 1,500-00 andfor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250-00 a day against the violator. Be advised&d a copy of this statement may be forwarded to the office of jmresogadcns of the DIA for insurance coverage vex can_ ' I do hereby certify ender pttr�s and penaNa ofperjWy find the informiWaa provided above is h"'a nd correct Si , Dane: 1 Z _•/ J Official am only: Dtr not orke in this area,to be co�by city ar tatty official . City or-Tav n. PermitUcense# Issuing Authority(ca-0e one): 1..Board of Dearth 2.$tu'lding Department 3.t( tyfrawn Clerk' d.Electrical Inspector. S.Phimbing Inspector ..6.Other'. ---At- Epp tHE 1p�� •. ' snxrtsrABLX 9� "'9. ,�� Town of Barnstable .. ArEp Mph a Regulatory Services Thomas F.Geiler,Director. Building Division Thomas Perry,CBO Building Commissioner 200 Main.Street,' Hyannis,MA 02601 www.town.barnstable.mi.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder , I o 4PJ / ewl4,f— ;as Owner of the subject property hereby authorize I��/�°ns -Ly IeC4` C to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) signatur Owner Dat Print Name If Property Owner is'applying for permit,please complete the Homeowners License Exemption Form on;the reverse side. n•%umrtt ecXrnD 1.rCX1-:ua.....a :.s.... M-610D Coe A- Town of Barnstable Regulatory Services ` BARNSTTABM ' Thomas F.Geiler,Director .�E1 �+ Building Division Tom-Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office:. 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village •, "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: City/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home*in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such'work performed under the building permit. (Section 109.1.1) I'• The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and.requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner t . Approval of Building Official + Note: Three-family dwellings containing 15,000 cubic-feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner perf6rming work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors),provided that if the homeowner engages a.person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for' Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner ' certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. , 04/21/2013 20:44 7817697730 PAGE 01/01 'O �® DATE(MM/DDryY y) R[/ CERTIFICATE OF LIABILITY INSURANCE F 4/22/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditlons 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 endorsements . PRODUCER 14 '1 T Rob Ryan Dempsey insurance Agency Inc PHONE (7B1)762-0042 FAleAX No,.(701)76e-7730 145 Railroad Avenue EJNAIL Rob@demsur®,core AnDRF iNSURENSI AFFORDING COVERAGE NAIL it Norwood MA 02062 INSURERA:Commerce Ins. Co. INSURED INSURERBIC0MMQ:C0 Citation Co. 40274 Veliotis Electric LLC INSURERCIThe Hartford Ina Co. 13 Crab Apple Drive INSURER(): INSURER E: ,Berkley MA 02779 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1342200539 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 ISSUE() 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 BR POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY LO18 /5/2012 /5/2013 A'ET RtNllrt S 100,000 A CLAIMS-MADE 7 OCCUR /5/2D13 /5/2014 MED EXP ono .an) $ 5,000 PERSONAL d ADV INJURY 5 2,000,000 GENERAI.AGGREGATE S 2,000,000 rGEN'L AGGREGATE LIMB APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 X POLICY 7 PRO• LOC IMIT 5 AUTOM091LE LIABILITY (ER accident)COMBINED SINGLE L 1 000 000 B ANY AUTO BODILY INJURY(Par parson) S ALLOS SCHED VNED F:71 SCHEDULED HGVP /5/2013 /5/2014 BODILY INJURY(Per eccklenl) $ NON-OV,MED /5/2D12 /5/2013 PROPERTY DAMAGE $ X HIRED AUTOS X AUTOSPer F Llndanrlsu/edmotorlst01 iiI 3 100,000 X UMBRELLA UAB X OCCUR EACH UCCURRENCE $ 1,000,000 E%CPSSLIAB CLAFMS-MADE P 416406-13 5/5/2013 /5/201G AGGREGATE $ 1,000,000 DED I X I RETENTIONS 10,00 /5/2012 /5/2013 S C WORKERS COMPENSATION WC STATU- 01" AND EMPLOYERS'UA91U71' YIN ANY PROPRIETORMARTNER(EXECUTIVE E.L.EACH ACCIDENT $ $OO 000 OFFIGER/MEMSER F,%CLUDED? N I A (Me CERIMowary In AR 9 WEC LG0326 /3/2012 /3/2013 E.L.DISEASE.FA FMPLOYE S 500,000 I:ns,daSrdibe under F.L.DISEASE-POLICY LIMIT $ 500.000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Atlach ACORO 101,AddHlanal Remarks Sehedulo,It morn apace la required) CERTIFICATE HOLDER CANCELLATION (509)790-6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TOWN OF BARNSTABLE BUILDING DEPT. 200 MAIN ST. AUTNORIiED REPRESENTATIVE HYANNIS, MA 02601 Robert Dempsey/RR ACORD 25(2010/05) ©1988.2010 ACORD CORPORATION. All rights reserved. INS025(20I005).01 The ACORD name and logo are registered marks of ACORD j 1qO Ole-, R� t j 19'4" 20' 32' 8" l 1 I 14 ! Family& Sewer Pipe Dining Pool { Shed nr F�tisting Walls 1,39 3/8 O 1^-- j Master Bedroom 4' 'We° CD Existing partition KitCF1en I not to be changed. Linen 136. Exist(ng partitions not to be changed. Garage 26' I RR 38" 60°Tub a RY 9" ' 94" 1 c� ! Beth Bedroom "finished s stair opening Hat rack T381 12'1 3/8" Dan Entry Foyer T 51%10K DETECTORS REV15WED I Bedroom ,; r .?,A E BUILDING DEPT. DATE ` 6'6" V >:IRZ E '? 2Tiv4ENT DATE Fi:re.t.:ji>(rr1 r`J°F"S ARE REQU,'RED f ' _ 18' 12' - 27 Cedar Street ' Cottit, MA f Drawn By, i 48' Dan Palanza, Design Jan 3;20.13 P9 2 [`' icy 1� G O T �G a --PTT I y V � (1 N-' � n 11 O 3 Js 19'4" 20' Did32'8" 10 14' Family& Sewer Pipe Dining Pool Shed i Existing Walls 139 3/8" O Master Bedroom a''howeor i Existing partition Kitchen not to be changed. Linen 36" Ref Existing partitions not to be changed. Garage 26' 38" 60"Tub 10'9" 36' 94" EIE Bath — Bedroom 38"finished stair opening Hat rack FE� 38"Id12'1 3/8" Den Entry Foyer Bedroom , ti o 6'6" -„ 24' John Hanewich-- 18' 12' 27 Cedar,Street Cotuit, MA Drawn By,. 48' _ Dan Palanza, Design Jan 3, 2013 Pg 2 j f X 1 i [ 1 i O I i �Y 7^� SY r 0 w It e t 1 yX R-07-2013 12:45 From:MAP INSULATION To:15087906230 Paee:1-'I M.A.P. INSTALLED .BUILDING PRODUCTS P.O. BOX 1309 SAGAMORE BEACH MA. 02562 (508) 888-359.9 (508) 888-9609 Fax Date job completed: <3 113 Address of foam application: Inches sprayed in: Ceiling s. R- a g` Walls.. - . .,-. Slopes Overhang Bsmt Ceil Stwl O'o' ]Block ers &.gunners o Cath Ceil , Cath Walls Knee Walls A/H Walls Crawl Ceil Zo Installers Signature: 6 . G i L It 4 ! .y61.;v.�ys':,, �'�7`--..y`:�j;a�:• pre+ •-� Lp,:i.._-a �. 3u r.vli tea . S 1 l)Ci ` i }. ,.. :� err a -"r 1 � ✓ N %• ¢ �N ` � t- ? r}�.,' � Y, - —_ ''� ...--•T �t tjY♦, t�Si�1i 7i.' - ( r I •1.,.• � � cry}�f''� r;� ��Y�1"t•:' �� •/a_.c. � j��.:5��l3}n?i <� t � U H _ �% �� /Z,s 1;I �r a�• �"S�.�S•� > �� ��r+i7,^j° 'rti,✓1 yr ,• � / , ,. \ is� r .6rI � � �r y% ftf J Z/ f r * 00 C� ,r 0� t a 4q r�F :ROSERT . y S � �Y 1 �j ♦. -.. / - U BUttti'liu3�\'q p /-' T 1 ?K r�F' tP�t 0 8U CERTIFIED PLOT .PLA :,.. E407 O'4i2 AS NEW CONSTRUCTION_ ONLY ' °TOP'. 0F'�'. -.__.---- ----- _ -------------- ---. -. .---..... _ >.`�,;• �,. FOUNDATION ' IS FEET ` - IN s A80Vc -:LOW POINT OF AQJACENT pp i. ^ .� - — SCALE ' GATE 4.'ORE'D.GE.. -- NGINEERING CO IN / ,:.......;::.:,...__..:<... 0l3/Z/ I CERTIFY THAT:.'.THE uwsfZ%�pitr( -: � CLIENT • ' EGISTERED lREGISTERED 7 .--- - SHOWN ON -THIS - PLAN.;IS;' LO:CAT�pr4 CIVIL" JOB N0. `/0 4� �:• LAND -- ON THE GROU�tM AS- INDICATED'�'�iA4D'-t . CONFORMS TO THE ZONING:I`LAW •�,. ,:.•,:�.•,, ENGINEER.';. SURVEYOR DR. BY: � ,-/�— ,..o .—'- - -' _ O F S A R N S T S A 3 �10 MAIN. r CH. BY }• ' r° .� + t; ,�s 712 MAIN ST. . /j9 r•. YARrvinl1T11';'MASS` ":HYANNI , 'MASS. SHEET / OF / - -- ATE REG. LAND .SURVEY � i 1 Assessor's office(1st Floor): r- ,. SEPTIC SYSTEM IVJI,S7 arc Assessor's map and lot number ® � •� f1 y O , 1,. o � "�1 INSTALLED IN COMPLIA THE Board of Health (3rd floor): = ,� WrrN Tme 5 0 ° Sewage Permit number ` • g ENVIRONMENTAL COD Engineering Department(3rd floor). ' TOWN REGULATIO Dsarus LL S House number !` ' °o 1630• Definitive PlanlApproved by'Planning Board 19 1 APPLICATIONS PROCESSED 8:30-9:30 A.M.'and 1:00-2:00 P.M.only , : APPRc TOWN ,' OF ; BkftNSTABLE BatnstNn UILD.IN,G INSPECTOR SO ATION FOR PERMIIPMl Bud i J lvI W I lU C)Q TYPE OF CONSTRUCTION �.�o14 � �rC-14C ( ) 1 Q 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location9,7 �`Pv'g S f Coo ty Proposed Use Zoning District Fire District fU/ / Name of Owner SO ti q Put Address )17 k- 7 Name of Builder A WC Aoy Po yL S Address We--Y,- 6.00�Cl7� /r d, /JP,U,Ii/SQdYf Name of Architect Aj Z Address -74 Number of Rooms Foundation -D/UeYl Exterior ��kJGr�le Roofing Floors Interior xl Heating Plumbing Fireplace Approximate Cost Area S�5 Diagram of Lot and Building with Dimensions Fee -50 S rpAkAtc s l°I,t l OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name lJ oc40li T d 0 lS Construction Supervisor's License aa�a3 �r'p CONANT, ELEANOR . No 34718 Permit For ui d Swimming pool Accessory to we ncr Location 2 7 QPd -s. CotuiE >: Owner _ Type of Construction F me Pilot Lot- Pe t rmit Granted December 2, 19 91 ,Date of Inspection '21 19• Date Completed 19 r fof ® w.n s _ < p Rl f TOWN OF BARNSTABLE Permit No. 21586 I »n Building Inspector Cash _ 7 ,Yl .era Quill OCCUPANCY PERMIT Bond _ X-- No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to E, O'Brien Address Nickerson Rd. , Cotuit 27 Cedar Street Cotu't Wiring Inspector Inspection date Plumbing ector Inspection date Gas Inspector Inspection date Engineering Departmeet, Inspection date —�^ s 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. / ) / p� a V l/��/v✓\. ..... e « ilding Inspector FROM TOWN OF BARNSTABLE BUILDING DEPARTMENT Mr. Francis L-ahteine 397 MAIN STREET i Town Clerk HYANNIS, MA. 02601 Phone: 775-1120 L SUBJECT: FOLD HERE DATE January 298 19 0 MESSAGE Work has been completed under- Building Permit #21586 (E. O'Brien) . Please release Bond.- - - SIGNED DATE J REPLY . SIGNED ` N87-RMI RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. 22. 000 S,4,7 j s r o ¢4 — lz N v { ROBERT — /O CJ.� v lg& P ., [ BUNIKIS C T ti� No.8420 -;„+ • ' ��_ K �7'-',��E'er-�- ��'®,sTrta�e , -. 10 41. CERTIFIED PLOT PLAN LD-r 57- . NEW _. CONSTRUC_TION_ ONLY --'--- --"'- -- ' TOP OF. FOUNDATION IS -7 FEET IN � ABOVE -LOW POINT OF ADJACENT JOA J RbAD. , SCALE P"-4-7 DATE FFlz41-"79 .,i,E� DREDGE ENGINEERING CO. IN p /3/�/� 1 CERTIFY THAT THE —YJU�os�T�o CLIENT _ _._. ._- SHOWN ON THIS PLAN IS LOCATRD,•, ` , REGISTERED rREGISTERED 79048 "AND CIVIL I LAND JOB NO. _ — ON THE GROUND AS INDICATED 4', ENGINEER SURVEYOR DR. BY: '4 CONFORMS TO THE ZONING LAW$" . o� ---- - �.---- --- - -- �, OF BARNST B , A '33 •NO MAIN Sr T2 MAIN ST. CH. BY: fz ,P,xg �' �Y/79 vow ! Y^kR�MOUTH, MASS. HYANNiS, MASS. SHEET OF" /DA E - -REG. AND UR R`; A'. -- DATE G. L S RV>:Y� � � . - �leses or's map and lot number ......��t" ':. v.. �� 3 Bpi THE 7 Sewage Permit number ... ....... ./ 7 .......C....i......................... Ml186 House number IN ALM��� STABLE. ...................C?5 . ............. .:........................, R WITH TWLE fi ��a 39 a�e� JVIR n CODE A TOWN OF BXrRNS�F 'ATIONs BUILDING INSPECTOR } ��# APPLICATION FOR PERMIT TO ...... .! ............................................. TYPE OF CONSTRUCTION ......... D..UjJ../..! =..................................... ......................................... ...............EA......R4�2.........I9 e... TO THE INSPECTOR OF BUILDINGS: �� olvt The undersigned hereby applies for a permit according to the following information: ofo( rf Location ................ )��..... ._.............. ....• �. 941 .......... .!......... ........... Proposed Use ...... - r1.1. ' Zoning District ........... .....................Fire District CG..,z^� Name of Owner L :. ....... .....�.2 i.e ....................Address .. .. C. 2..�...�in...."� !, .....4 ......... Name of Builder .` ..%.�t a.c-4....�.A�.4.��.t1............Address 1�..���1"��e�t- .!'�........................ �. ti........... Nameof Architect ..................................................................Address .................................................................................... �P ....... `� r�� to Number of Rooms .... Foundation ............................................. A Exterior ......................................................Q...<.........................Roofing ..........SP.�.�................................................. Floors ........... .... W..p ...........................Interior ......00-k............................................................... Heating .....F....ii ` L.W....a....................................................Plumbing ... �if........................................................ Fireplace ..:.... ....................................................Approximate Cost .14.7. !?0'v"*'.. ,.................... Definitive Plan Approved by Planning Board ---------------_---------------19__,____. Area �O..�Z .`�......... .............. Diagram of Lot and Building with Dimensions Fee / SUBJECT TO APPROVAL OF BOARD OF HEALTH oil I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . `. ..:................. ;O'Brien, E. 211586 one story No .......�........ Permit for .................................... 'A single family dwelling ............................................................................... Location 27 Cedar Street ................................................................ Cotuit ............................................................................... Owner B. 0 .Brien rien................................... Type of Construction ......................frame.................... ............................................................................... 228A&1228B Plot ............................ Lot ................................ Permit Granted ..............A.ugus.t...27.......19 79 Date of Inspection ....................................19 Date Completed 11710........... q PERMIT REFUSED ....... a.......I....................................... 19 .. ..v.................................................... r. . .... ....... ... . . . ..................... .......... R. ..... .. . .. .... ........ ................................................. .. Approl ......... .................................... 19 ............................................................................... ............................................................. ;. Assessors map and lot number ........ ........ ... . ... ' CF TN E.t� 5`17" Sewage'Permit number .... .................................................. o Z BAHHSTADLE, i `.r...............:.............. 9 MA86 House number ............ �. o • ��MPY a\ 039. TOWN OF BARNSTABLE' IUILDING INSPECTOR - APPLICATIONFOR PERMIT TO .............................................................................................................................. ! TYPE OF CONSTRUCTION ................................................19........ TO THE INSPECTOR OF BUILDINGS: 10-t The undersigned hereby � -applies for a permit according to the (following information: f 9L Location .............( C ':...... 'T-:............. ( 1 .. !..v .4��'.. �`9..........t. .G.G�.:. 5.F ^? ........ J. ` _.. Proposed Use ..!. ?c' (P. `-�0.vr� 1 C'�lx �'�.Yl�,'...................................T.................. .�......... `....................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner �1Q Z c✓ 1. ���� V�.................... 4�i�2��cira `ter i G�.i �,.... i Address ... ........ ...................................:................... .may, ( .. .......... � �C ..e...:.�...... ,.... . Scan A�� -�- �, fP... u+ .Name of Builder ................. .,..:....................Address .................:. Nameof Architect ..................................................................Address ...............................................................................:.... Number of Rooms ...(Jo........................................................Foundation -_.... ^ .. P W) ..� .....0 �' Ae.. <. N�kp 4,aExterior ................ .................. ...........................Roofing .... �.................. . Floors ..}�r.l. .........:�7�M,�,?t?f ...........................Interior ......�..1i ® ................................................................ % Heating_ ......F.:B ,,w..^...:....................................................Plumbing .. .•:. ...................................... Fireplace � ®YI.9,.,.....................................................Approximate Cost ...............�...................u...C......................... Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area � ...... .1............. Diagram of Lot and Building with Dimensions Fee h SUBJECT TO APPROVAL OF BOARD OF HEALTH " v 'r J s I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ...... ...�.'. .................................. 8ingle family dwelling 27 Cedar Street Cotuit � ----.---------------------- � '^ E. OIB len uvvn=, rame � ' �',r~ ~ ~ ~^~� ~~' � ` ' � ` ......................................... . � � , . . � _ ---------. � � � � Permit Granted ' . .. ' uo/e or Inspectiony=°x ` - -_- Completed_ ............. . � � ` PERMIT � ---.� .. lV . � ( / ^ ` ---.. °" . ----------. � . —'--' ''w�+�'��'-----------' � � V Y —.---.---.-------..--.------- � ! � , / --------.-----------.—^—^—~' � . Approved ` - � ^ ---------------- lV ' . / -------.------.—.-----------. � ' .........................................................',,.........,...''' � ' ' � The Town of Barnstable lAlfAIL : Inspection Department t6j9 367 Main Street,Hyannis, MA 02601 508-790-6227 Joseph D.DaLuz: Building Commissioner January 16, 1992 Ms. Eleanor Conant P. O. Box 713 . Cotuit,: MA 02635 RE:,. A=018=O'4.0.:001 . 27`'Ced'ar, St"reet,; Cotuit Dear Ms'. Conant This office is in receipt of a complaint re the lack of permanent fencing around your swimming pool located at 27 Cedar Street, Cotuit. My inspection of January 14 reveals that the pool is not adequately fenced .as required by ARTICLE XI of the Town of Barnstable Ordinances that reads in part: "Private Swimming Pools shall be suitably fenced to a minimum height of four (4) feet. Such fence shall be constructed so as to prohibit unauthorized access" . Please contact this office immediately re the above matter. Very truly yours, +Afre d E. M rtin' Building Inspector AEM/gr cc: Town Manager • r TOWN OF BARNSTABLE BUILDING DEPARTMENT DEPA I COMPLAINVINQUIRY REPORT. �•���,�.„':u:.,�,>r-_ ec'd B Assessor's Fir w'. ORIG .,g,•. INATOR State Town Te a hone: Home ------------ W "j' d:...,: ;:a, ,.•: Descri tion: COMPLAINT . �°ems— . . •,'• ; �...n�''�'1 ,i�.,•''.'.� INQUIRY ' . .' Requestor's SignatureCOMPLAIN C'�i'1C�2nc.r� �.:,::' . ...�; ,�•: ' ...r LOCATION Street A ddress Old - US/O . GO/ • OFFICE USE ONLY INSPECTOR'S ACTION/. ate /� Z- Inspector COMMENTS FOLLOW—UP ACTIONAll ,ADDITIONAL a•;' :`r`.`A.F': INFO. ATTACHED COPY DISTRIBUTION: WHITE - DEPARTMENT FILE PINK - INSPECTOR YELLOW - INSPECTOR .f.`,',;:';;''�:<� ;,•;r;• (RETURN F ]t RC>I S 04U o c)c)I ] LOCJ0027 CEDAR STREET CTYJ01 TDS] 200 CT KEY] 327943 ----MAILING ADDRESS------- PCAJ1011 PCSJ00 YRJ85 PARENTJ 510 CONANT, ELEANOR S MAPJ AREAJ03AL' JVJ MTGJ0000 PO EO.;t 713 .. SF I J SP2 J UTIJ UT2J .51 SG FTJ I708 COTUIT MA 02635 AYEJ1979 EYL'17.979 _OESJ. CONSTJ 0000 LAND 60400 IMP 122500 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 182900, REA .... CLASSIFIED #LAND 1 60,400 ASD LND 60400 ASD IMP 122500 ASD OTH #BLDG(S)—CARD-1 I 122,500 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #FL 27 CEDAR ST COT TAX EXEMPT #DL LOT 228B RESIDENT'L 182900 lS2900 182900 #RR 0258 OPEN SPACE COMMERCIAL INDUSTRIAL SPLITI00985 EXEMPTIONS 5ALEJUI/49 PRICE] 225000 ORE]66141.162 AFDJ I LAST ACTIVITYJ08109/39 PCR]N i APR 05 2Q�� • Q�5 6 ID V ' C c . I � b i I If _..._._........_............�.__,_.._ _�.._._.__ _........_._..._._.......__.�. ...