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0011 COTUIT COVE ROAD
R �� �. __ __ _ ._ Town of Barnstable Building Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Ca-rdiMust;be Kept Posted Until Final Inspection Has Been Made. Permit t639. �� Permit lliJl ` Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a,Final Inspection has been made. Permit No. B-18-2661 Applicant Name: Carl Rebello Approvals Date Issued: 08/15/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 02/15/2019 Foundation: Location: 11 COTUIT COVE ROAD,COTUIT Map/Lot: 005-036 Zoning District: RF Sheathing: Owner on Record: PERKINS,MARIA A&WALTER J I Contractor Name Carl 1 Rebello Framing: 1 Address: 11 COTUIT COVE ROAD Contractor License: CS-084358 2 COTUIT, MA 02365 Est. Project Cost: $5,745.00 Chimney: Description: Insulation and Air Sealing. Permit Fee: $85.00 j Insulation: 1 Re Project Review Fee Paid:? $85.00 q� � Final: Date: f 8/15/2018 Plumbing/Gas Rough Plumbing: \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and st 0uctures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open foripublic inspection for the entire duration of the 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. Service: Minimum of Five Call Inspections Required for All Construction Work: 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. N�,3' 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 *FP�ermit -33�1 Regulatory Services Fee 6 monthsjrom issue date • BARNgrABLE, rs • y� ass. Richard V.Scali,Director 163g. �0 41,55 Building Division*opt / Paul Roma,Building Commissioner ^` 200 Main Street,Hyannis,MA 02601 A0 www.town.barnstable.maxus��AA,, ,II, V 1 5 Office: 508-862-4038 ,U OF ?�16 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENT6.1 w (ONLY Not Valid without Red X--Press Irttprint Map/parcel Number SOS/0 3 Property Address�r COL + rd►JL [�Residential Value of Work$ 300(). 6 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address -f e13 r Q I (V It C o J 6V Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: 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 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 ❑ e-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side eplacement Windows/doors/sliders.U-Value a 3 (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 The CommompeaFitls of-Ummdrusetft Deparbuent afInd-usbid Accid=& O}rce of rations. 600 Wasldkgton meet _ Boston,M4 02HI witnumasmgovIdlia Workers' Comlpensafftm Iusur once Affidavit Buflders/Cmtracttrs)EIectdc immThunbers A pplicant Isifmm,afion Please Print F Iy a .Nam(a fimvh&THazW 1 e,0v\) e Cityfsta� 44 O -63 S- Phone; Of d�S Are you an employer?Check the appropriate bom Type of project(required): 1.❑ I am a employer with 4. ❑I am a general contractor and I • employees(fall at�dfor part-fiime). * have hired the sub-coutracto s 6_ El New construction 2.❑ I am a sale propAetor or partaw- listed on the attached sheet I- ❑Re!rn deling. ship and have no employees These sub-contractors have g_ ❑Demolition. waddng forme in any capacity- employees and have wozkers' 9..❑Euildmg addition [No wodmrs'comp.insurance camp_ r j 5. ❑ We are a corporati=and its M❑Electrical repairs er ad�tions 3_ I%am a homeowner doing all work officers have e-mrcised their I L❑Plnnbiag repairs or additions o�reslaers' _ right of emampfion per M(M [I Roof myself c.15z §1(4k aadwehaveno L- Roofrep ix�c��asxre iegFrlL•Ed.�1 ' l.3_❑Other G %i i employees.[No wo&=' comp_insman=mquired.) 'Aayz"ffczakdatchec1sbcxsff1— also SIloatthesactiaabeIowsbatvngfie¢wodterecomp-satiauporicpixfoxm2daL fi 1 atneJ S wbo snl o>gt ihi5 1 t3Ley axe doing S1F wad and H]Fa}tire outside Co]if)9Ct0is]>mSt m1 mk a new affidselt mdicatina sar% ZCaatmcooxs esi check this box mast r teched an additi®al sheet shou§ng tine nxmne of the sob-�a and state Whether Qr not thaw en ities hwe employees. Iftbesafr-coxxtmctash—exapIayees,&ey=srpMvide&ek W0dMM'gip•PGHF MM1k11ez lam an ettipT�ysr flrat is prauiditg tvorkets'cottzlrerrsRfian uzsriragce for at}a eurp£ol�ees Beivty is the prrticF eutd job she infornnatiom Insurance Company Name: Policy-,'*or Self-ins.Lic.;k ExpirationDate: Job Site Address= CitylStabdzip: Attach a•copp of the workers'comapensationpoIicf declaration page-(showing the policy number and e=piratioa date). Faflum to secure coverage as required ruder Section.25A of MCL m 157 can lead to the imposition of criminal penalties of a fine up to$L50Q00 sndror oziag6iirimpdsm meat,as well as cif penalties in the fasm of a STOP WORK ORDERand a fine of up-to$$250-M a day 26-ainst the violator_ Be a&nsed'thab a copy ofthis statement maybe forwarded to the Office of Investigafiofts ofthe DIA for ihsu=e coverage vezifrcatioa_ .I do Fier zby tote prams and psnafti a of verjury thatAa itifor maf vaPrvt••ided abate is true and correct �itmatuc : 0 Tate_ ll�151-10i 6 Phase ik- OffiEcial use an]V.. Do.uot write in ffds areQ to be cmripTeted by city artetra gffldrat City or Town: Permit tense;ff Issniing Auflw ity(ca tie one): L Board of$e:d& r.BwlTmg Department 3.Cdyfrvwn Clrrk d.Electrical Inspector S.Phmbmg Inspector 6.Other Coact Person: Photo 9- 6 Taformatio' n. and Tnstruefions Mwsar-linceft GMteral Laws chvfta M regTes all employers to pnM&worms'sensation fur f rll employees. ee is dafined as;every person in flie service of and under any rn„i i ct off,, Pmsaaaf-tu this stag,as��y cypress or implied,oral or wrhenf An.CVT&yer is-defined as ran figlividuaI,partnership,assoc�ion;corporation or other legal entity,or airy two or maQe of t3se foregoing engaged is a joint eoiurpase,and inclndmg the legal sepresco atives of a.deceased earployTer,or the receiver or trustee of an mdividbal,pamtacrshrp,association or otherlegal entity,employing employees. However the owner of a.dwelling house having not more than three apartments and who resides therein,or the octet of the - dwelling house of anofer who employs persons to do maintenance,cm�rf;on or repair wow on.such dwelling house or on the grounds or bolding app=t=--fffiesetn shallnotbwanse of such employmeaatbe deemedto be an employer.- MM Chapter 152,§25C(6)also states that"every stale or local lir=shmg agency sh2R withhold the zsso:ance or renewal of a Iicerxse.or permit to operate a business or to construct burldkV m the commonwealth for any applicant:who has not produced acceptable evidence of compliance with the ms¢rance.coverage required-" Additionally,M.GM chapter 152,§25CM states-Neitherthe cm=mwcahhnar fiy ofidspolitical subEvisions shall an r into any contract for the perkance ofpnbho wo&unI able evidence of compliancewith 9ie insmmzce.. requirements of this chapter have been presrnfed to the cont<ardmg aoth0Uty." A.pp4c=13 Please fill out tine wo&=,compensation affidavit completely,by chwZmg the boxes that apply to your dtnation and,if necessary',supply sob-contractr(s)nBe(s), address(es)and phone—ber(s) along with their certificate(s)of insurance- Lfinitxd Liability Corupanies(LLC)or Limited Liability Parb==2 cps CLEF)witlino employees other .than the members or partaexs,are not required to cry workers'compensation insarance. If an LLC or LLP does have employees,a.policy is regaftt4 Be.advised that this a$dayitmaybe submiftedtu the Department of Industrial Accidents for confmnation ofinsmm=coverage Also be sure to sign and date the affidavit The afCiavitshould be retrmmed to the city or town that the application for the penult or license is being requested,not the Departmemt of hadasfiial Acmdents. Shouldyou have may gnestious regarding the law or ifyou are rcqom:edto obtain a worioers' compensat cn po&ep,please call the Department at the amber listed bellow. Self-fimurd companies should enter their self iasorance Iiccnso number a a the appropriate line. City or Town Officials Please be sore that 1he affidavit is com3plete and prhtedlegmly- The Departmeuthas provided a space at the bottom of the affidavit for you to fill out in the event the Office oflnvesfigat ons has to coma-tyouregarding the,applicant'_ Please be sure fn fill in the peont/license nunnber which will be used as a r D5h=ce number. In-addition,an applicant zt that must submit multiple Pennit/Ticense applibatiow in any given.year,need only submit one affidavit indicaihag caar policy information Cif neoessaiyr)and under`Job Site Adorers*the applicant should viax-"all locations in (may 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 f3tm permits or licenses ver A ne 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 T&ntuaa: Ci.e.a dog license or pemmit to bum leaves eta-)said person is NOT regrdred to comple#e tins affidavit The Office of Inv .inns would hh-,to ff=k you ia advance for your cooperation and should you have any questions, please do not hesit em to give us a call. The Department's ad&mss,telephone and fax rzrmmbea_ The �tip of M&machnseM Dqartaemt cif Ind 0 Accidents Q�tce of��tZo� - Bastw.,MA()iIII Tel. 617' -4 QEXt4-06 Or 1477 MASSAFF' Fax#617 727 7749 Revised424-07 WW i i Town of Barnstable Regulatory Services MAM Richard V.Scali,Director ' rrua 6 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 as Owner of the subject property hereby authorize to act on ray behalf in all matters relative to work authorized by this building permit application for (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. Signature-of Owner Signature of Applicant Print Name Print Name Date QYORMS:OWNERPERIZMISSIONPOOIS Town of Barnstable Regulatory Services pIF �br._ Richard V.Scali,Director is Building Division L BARN ETA II Paul Roma,Building Commissioner A 639. �� 200 Main Street, Hyannis,MA 02601 p www.towu.barnstable.ma.us Office: 508-862-4038 - Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 11,L1-1,;L61 b pp f JOB LOCATION: O 1 \/ 7�(, 4 n /bier l street Q Q village //� // "HOMEOWNER": e , r l 6 1� 0 "��� Sog 7 3 q/1/ name 1 home phone# work phone# CURRENT MAILING ADDRESS: C v'l'U 1-1- O U C- C-C) ,h 0�� cityhown 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 p ce ures and requirements,a4d.that he/she will.comply with said procedures and requirements. ©' ignature 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 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. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 oFTME�ti Town of Barnstable *Permit wee 6 montl rom issue date Regulatory Services sAxxsrAs�, r MAFn Richard V.Scali,Director i639. 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 EXPRESS gERMT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 9�`�S I-Pie,,ex -iS h -ff,(,i V)sba 16Le, ()a-63D ][Residential Value of Work$ U 5� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address o �{ r c. Y) Gkh D L6 I �� 1�i-Z.2oli Contractor's Name-�)Gt.c,L?!/j f65b . Telephone Number 3-7 Home Improvement Contractor License#(if applicable) C 7/ 3 3/ Email: Construction Supervisor's License#(if applicable) G p 5 Workman's Compensation Insurance Check one: c ❑ I am a sole proprietor t1. am the Homeowner have Worker's Compensation Insurance NOV I 0 2016 Insurance Company Name a G e- i Pti / L-S u,f o v\-C-a- OWN STABLE c q Workman's Comp.Policy# . h/jG/����L� U Copy of Insurance Compliance Certificate must accompany each permit. I Permit Reque t(check box) [ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to /7 1�? ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement C ntractors License&Construction Supervisors License is ired. SIGNATmt��.:, Q:\WPFILES\FORM uilding permit forms\EXPRESS.doc 06/20/16 The Commornpeakh qfMassaclrusetts Deparhwmt of Iud-=&iat Accidex& fJTWe of gations. ' 600 Waslrulgion Street Boston,MA 02111 nwinmasmgop►ldia Workers' Cunipensafian Iusurauce avid StgderslCcntracturs/EIectricians(Fbnmbers Applicant Infwmiat an Please Pant E,e llv Address: -3 oC r( AAA c is -f r Pho "a 7 7 q-�-3t-,-2-9 3 7 Are an etaployer?.Cheekthe appropriate ban: Type of project(regairedy- I. I am a to with � 4 ❑I am a general coniiactcr and I ❑ employees(f a audfor part-ime j s, have lured.the snb�contacEon 6. l�ie�v oomst�og 2.❑ I am a sole proptietor orgartuer- listed onthe attached sheet I- ❑Remodeling. ship and have no employees Mesa sob-contractors have g ❑Demolition working forme in any capacity- employees and have wmkers' 9..❑Building addition [No Wa mrs,tamp.insurance COMP-iaglranrr f require&] 5_ ❑ We are a corporation and its 1Q❑Electrical repairs or additions 3.❑ I am a homeovmer doing all work officers have exercised their 1 L❑Plumbing repairs or additions myself[No w.orl='oomp- Tight of exemption per MOM 13_[�]Roafrepairs insurance rid`]i c.152,§1(4h andwe have no empioyem(No wodm s' 1.3-❑'other cow-insurance requinA) 'Any app&c=&zt cbedsbos K mast sled iffioutthe sectioabeIow sbauslag then modsere compeasalimpaRU iafimmzd u- #ffomeon;aersvdw submit this af�d2rd i—r- iag they aredoing Owe*and1fi=Yzm outsidecamtrar9=— submit anewaffrda�Cmdiesting sach- ZContBctars fad ded r tl>Es boor nms'eterly as sddifianal sheet shoufhg the name of the sab-r��snd stae whether or not those eutiRieshn-e employees.If thesub-c= as have employw-%theymustpmuidethek wadcess'camp.pdrkynumber- lain are srlipInysr fltat is prauiducg�vorkcrs'cotrpertsafian i:rsuratrcenr�y¢rrrpfn3�ees $elnry is Elie ptrticy and job site infot�rrRlraa Insurance Company Name: Poficy a cr Self-ins Lin* 1),iA A R P 0 0 Job Mte Address:22 7S M m/1 (�i go"-z 3 Attach a-copy of the workers'compensationpolicy declaration page-(showing the policy member and expiration date). FaRnre to secum coverage as required under Section 25A of MQ.c-157 can lead to the imposition of criminal penalties of a flue up to$00a 00 andfor one-year imprisonment,as well as civil pen attipc in the farm of a STOP WORK ORDER and a fine of up-to$250-00 a dap againd the violator. Be adedsed fbat a copy of this statement maybe forwarded to the Office of IIIvesEcgations o€the DIA for insurance coverage-,mrifrcatirm Ida Irer$by under die an aifpeduay that tyre in}brmaff=prmci&J abm a!s true and c arrest Date- PhD=ik OB&Ial axe w9y. Do rtot write in fh€s area to be campTeted by city artown af'icieL City or Tam PermiftfUcense; Lwaing AndwrEty(circle one): L Board o#Real& 1 Ewffilmg Department 3.CAyfrorra Clerk 4.Electrical Iuspeetor 5.Plumbing Lector 6.Other Confact Person Phant#. 6 Information and last met ' Mkssachuseft Geteaal Laws chapter 152 recjm=all=Vloyers to provide wow'compensation for them employees. Pmsaautto this stye,an erployee'is dcfaied as;every person in ffie scavice of another ffidcr aay COM±art_o fhIIey express or implied,oral or " An eznpkyer is defined as Iran mdryidmL parfnegsbV,association;axp3r,d=or other Iegal en ,or any two or more of the Raregoing engaged is a ioint use,and inch rdmg the legal represen tatives of a deceased employer,err ffie rmeiv=or tcugtee of as mdividnA partnership,association or otherlegal entity,employing employees. However the owner of a.dwelling horse having not more than threes apartments and who resides therein,or the occapant of the - dwrsling house of another who employs persons to do mace,consUer�fi on or repair work.on such dweling house or oa the grounds or building apple= thereto shag not because of weir employment be deemed tb be an employer" MCiL chapter 152,§25C(6)also states that.-every s&-f a or local Ti=Ldmg agency shall withhold ffie issuance or renewal of a He use or permit to operate;a baseness or to construct buhdsngs is the corrtmonweali3i for ray applic=twho has nut produced acceptable evidence of compliance with the insurance cove rage required-"Additionally,M.GL chapter 152, §25C(7)states fiNeiiher the comm n weahh nor aIIy ofits poIhical subdivisions shall eater into any contract for the performance ofpublic work untrl acceptable evidence of compliance with ffie fis¢-Mce.. requa-ementrs of this chapter have been presented to the C=tLacting Mth=ty" Applicalrts Please fOl o:r± the woieas'compensation affidavit cmmpletely,by checlg&e,boxes that apply to your situation and,if necessary,supply sorb-contraofnr(s)name(s), address(es)and Phone ntnnber(s).along with then cezIrfrcate(s) of insurance. Lmmite d Liability Companies(LLC)or Laaited LiabffityPmtaerships(LIP)with no employees other Phan the members or p are not requmed to cagy w ike& compensation.insurance- If an LLC or LLP does have empIoyees,apolicy is required. Be advised that this affrdayitmaybe mbmittndto the Department of Industrial Accidents for confhmation of msurm=coverage Also be sure tb sign and date the affidavit The affidavit should be retmmed to the city or town that the application for the peunit or license is being reque ss A not the Depa invent of Industrial Accidents.s. Should you have any gnestions regarding the law or ifyou am rcq=ed to obtain a wormers' c=pecation policy,please caIl the Deparhneat at the rmmber listed below* Se.;If-ko red companies should enter their s elf-insurance license number on the appropriate line. City or Town Officials f _ Please be scam that the affidavit is Clete and printed legibly. The DepartmentIm provided a space at the bone= of the affidavit for you to fill'o-at in the event the Office ofInvestigaiion has to coniac:t:yourEgarding the applicant Please be sure to fll in the pen�aitllicense rnmaber which will be used as areferemce number. In-addition,as applicant foat must submit muliple pemutilicense apph ations m any given year,need only submit one affidavit mdicatmg cuE.nt policy information Cif n=sssary)and under`rJob Site Ad here the applicant should write-all locations in (may or. town)_"A copy of the-affidavit that has been officially sbunped or marlard by the city or town may be provided to the applicant as proo-ftbat a valid affidavit is on file for fire pmmip or licemses a A new ffidavitmust be hIled ovt each year.Where a home owner or citizen is obtaining a license or pmmit not related to any business or comrnercUA (i.e_a dog license or permit to berm leaves etc.)said person.is NOT rcquimd to complete thds affidavit The Office of Inye���ons would Ixke to thmik you m advance for your cooperation and should you have any questions, please do not hesitate to givens a call The Depsrfntenfs address,telephone and faxmzmber. TI�e *of M&SWCh Depaiilmmt of I Acci�ent� ice of�,tio� Ta 4 617-' -4 eat 4€6 car 1-977 MA.SSAFE Faz4P 617 727 7749 Revised 424-07 - WW f T Herbst Home Improvements LLC 35 PEEP TOAD ROAD CENTERVILLE MA 02632 774-238-2937 www.herbsthomeimprovements.com PROPOSAL SUBMITTED TO: WORK PERFORMED AT Hugo"R I1: p); 2745 mian street Barnstable ma 02630 We herby propose to furnish the materials and perform the labor necessary for the completion of: New roof Remove 2 lavers of shingles on larger main section Remove one laver of shingles on other proposed areas Inspect roofing deck for loose plywood Install ice and water shield Install new drip edge Install certainteed diamond deck synthetic felt paper Install CeriainTeed Landmark PRO shingles$5,850.00 ,� = SX ._ � sD, dO Replace all plumbing boots 3 / S' 9 0. 0 to Install ridge vent and Certain Teed cap shingles 7 0 , 0 0 Clean all debris daily , i Low pitch roof add-,1:800.00or rubber roof -� All material is guaranteed to be as specified. The above work will be performed in accordance with the specifications submitted And completed in a substantial workmanlike manner for the sum of:choose from listed pricing Dollars($)with payments as follows: deposit of 2,500 and remainder upon completion 'Any alterations from above proposal involving extra costs will be added under a separate written agreement and become an extra charge over and above said proposal. R TFULY SUBMITTED —�` 0/13/2016 a on Herbst ACCEPTANCE OF PROPOSAL The above price,specifications and conditions are satisfactory.I herby accept this proposal. You are authodied to do the work anc payments will be as specified above. SIGNATURE:/ xa *This proposal may be withdrawn by said company if not accepted within 30 days. C c-9 I_ 01� /4 "_X D ee F ,p� �e iparrUrrzorzwe o�C� aaaac/u�aeCCa �\ Office of Consumer Affairs&Business Regulation• HOME IMPROVEMENT CONTRACTOR ! _ s Registration:,.,9'1:,71331 Type: i Expirations:_3/ L201i8 LLC HERBST HOME IMP. _U E'NY=LAC I r JASONHERBST 35 PEEP TOAD RD CENTERVILLE, MA 02632 Undersecretary, . A Massachusetts Department of Public.Safety t. lugBoard of Building Regulations and Standards License: CSSL-106051 Construction Supervisor Specialty JASON HERBST 35 PEEP TOAD ROAD^ y . CENTERVILLE MA 02632� .l_ _— Expiration: Commissioner' 10/01/2018' - . r c ~ I License or registration valid for individual use only i t before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 { Boston,MA.02116 j Not valid wit out signatu i Construction Supervisor Specialty Restricted to: CSSL-RF-Roofing CSSL-WS-Windows and Siding Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation oPhis license. DPS Licensing information visit: WWW.MASS.GOV/DPS I i i I l I - s. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' o Ma 00 S Parcel 0 3 4 i�ion p pp Health Division Date Issued ZK h Conservation Division Application Fee Planning Dept. Permit Fee t ( • uo Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address A/ M bve or�s A Village c.4,,;4 Owner Amil ST. Ttwe,S Address l� Ce�u,� Cove le iod Telephone G D 9 - W 2 Permit Request r 0- eno/0 e- u„t04 i ;6010 el e44ry we, LAi e r ck-,S-XA e RooT over 1 tW.C. S:idewckll9ry,n ei•,acjlL� �h /t� o l/ 1'a e/Y IYi agre ,ryple /G r YYIti�O �aZ f� IC♦^1Lf r��// D✓IS e T Square feet: 1 st floor: existing If160 proposed 2nd floor: existing 7S 6 proposed Total new Zoning District R F Flood Plain( Groundwater Overlay Project Valuation il G DOD- 0' Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Ur Two Family ❑ Multi-Family(# units) —/ Age of Existing Structure I�I`� YD rrs. Historic House: ❑Yes YNo On Old King' Highway;, ❑Yes l�No Basement Type: RrFull ❑ Crawl ❑Walkout ❑ Other `= Basement Finished Area (sq.ft.) Basement Unfinished AreaJl ) l�6 6 �? Number of Baths: Full: existing �� new Z Half: existing new Number of Bedrooms: existing 0 new cn a Total Room Count (not including baths): existing % new First Floor R om Courd v; Heat Type and Fuel: ❑ Gas dOil ❑ Electric 0 Other .. •. .. Central Air: LdYes ❑ No Fireplaces: Existing New r Existing wood/coal stove: ❑Yes dNo . Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: 4existing ❑ new size _Shed: 5fexisting ❑ 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 z QRe ' Assoc., S Telephone Number So a - 93 - y7/1 Address 11 Co1u1 f CDve, License # Home Improvement Contractor# Email tee _ h�o a Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Wc—-Sea-5 a r 3Y6 9 -�kIYA _8Ae-v%C ITV(�� �i�►v�St2( aaA ,6✓1 SIGNATURE DATE 1l�iz/aoi y Ih FOR OFFICIAL USE ONLY h . << - APPLICATION# s. DATE ISSUED NEAP/PARCEL NO. ,. ADDRESS VILLAGE OWNER Y y i. DATE OF INSPECTION: = , FOUNDATION , FRAME (�PFlth o2�yllY -' 1 ' INSULATION PFeA 12lal/Y o { FIREPLACE .a E. ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL H GAS: ROUGH - FINAL FINAL BUILDING DATE CLOSED OUT AS, CIATION PLAN NO. , i 1 r The Commomvenkh of Massaehuseftr ftwtutwf qfIndusftiid Accidents Office rr,flnvestigations 6aO Was&ngton Street Boston,MA 02111 wnw nassgovldia Warke& Compensatitun Ins=uce Affidavit;Builders/Con&a:ctoislF ectdcians/Plumbers Ap pIkant Information Please Friar lAgibly Name 0 Ae,& 0 R e.I/ rso c"-g e s Address. Comer n d-- Qty/Stat&2l p: n L. A O14 3-1- Phone Are you an employer?Check the appropriate box: Tie of project(required): L I am a employer with 1 4. ❑ I an a general contractor and 1 6- ❑New canstrmtim employees(full=&orpart-time)* have hinAthe sub-contreetois 2 ❑ I am a sole proprietor or partner- listed on the attached sheet y- ®Remodeling ship and have no employees These sub-oontractoss have g- ❑Demolition working ng for me in any capacity. employees and have workers' ,��,�,�I 5?_ ❑Building addition [No workers' comp_insma cnce omp require&] 5.❑ We are a corporation and its 10-0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers h m exercised their 1 L0 Plumbing repairs or additions mysem [No workers'gyp- right ofeimmptionper MGL 110 Rnofrepaus c.152,§1(4�and we halm no fn�xanre��-�1 employees._[No workers' 13_❑Other comp-insurance regal ed.j. *Arty apgb at th=t checks box f1 ticnsi also M out the section blow s wwh3g their woadce a compensahoa pnliu infiamitkn- submit this idEdavif indksting they are doing sIIirutik and dm Lists outside contmcmrs must sdhmxt a aecr affidavit mcriCatm surh- ICanbmctots that check this b=must sttarhpA sir additional sheet shmctin„the name of ifie s*-ooatxactos and Lute whether ornot ffwsa hzve emplayees- If the sol-coatoictos base=pIoyw-%they must pmvide their wades'comp.policy mzMl er I am an employer that isprm id&W markers'congmnmdan immrance for my ampisyeas Belotr is the paHc}an.d job sifs informatiam pp _ Insurance Compauy N=:te 1 el S. C d Policy;g or Self-ins-Lim# or,C -SO D- 5 013 -Y6 9:),d)y A ExpirationDate: 616'�d Job Ste Address: I P du)T ,o✓e !ec/L CityfStaWZtp: /p�Lj 4.A4. Attach a copy of the workers'compensation policy declaration page(showing the policy number aid expiration date). Failure to secure coverage as retluiredunder Section 25A of MCrL c, 152 can lead to the imposition ofcziminal penalties of a fine up to$1.50100 andhg one-year imprison as well as civil penalties in the fbrm of a STOP WORK ORDER-and a fine of up to$250-00 a day against the violator. Be advised that a czpy of this statement may be fiorwarded to the Office of Investigations of the DIA for insurance coverage veriffCatitm_ I do hereby certify wuler ikepains andponaTtiias ofpedury thattheinformatianprinidgdabaveis tnw and carrect .S`ianatum: Date: 2 Phone#: 5.0 8 - 7 3 7 y7/I 4 fzcial u;se anly. I�a not writh in fkis area,iv be cmmpWad by city oar fawn official City or Town:. Pert tiUceBse# Fssaing Antharity(circle one L Board of Health 2.Budding Department I CityTown Clerk 4.Electrical inspector S.Plumbing Inspector .6.Other Contact Person: Phone#.- 6 Information and Instructions L Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an anployee is defined as"_..every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the in�nce 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 sitna:don and,if necessary,supply sub-contractor(s)name(s), address(es)and phone numbers)along with their certificates)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with Do 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 ai;the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant . Please be sure to fill in the permit/licease number which will be used as a reference number. In addition,an applicant that must submit multiple permit/lice-use 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 bum leaves etc.)said person is NOT required to complete this affidaNZt 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 Comm--anweatth of Massachusetts Department of Industrial Accidents Office ofJaveWgafi ns WO Wash Z ou gtt4 t Daston=IAA 02111 Ta 617 727-4900 at 4-06 or I4 MASWE Revised 4-24 07 Fax##617-727-�49 www_m _gov4a ' i WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Employers Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 (800) 876-2765 NCCI NO 40959 POLICY NO. I WCC-500-5013469-2014A PRIOR NO. I NEW ITEM 1. The Insured: Dennis O'Reilly DBA: Mailing address: 11 Cotuit Cove Rd FEIN:"-'""2038 Cotuit, MA 02635 Legal Entity Type: Sole Proprietor Other workplaces not shown above: 2. The policy period is from 06/08/2014 to 06/08/2015 12:01 a.m.standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers' Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 100,000 each employee i i C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B I D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per$100 Estimated No. Total Annual Of Annual Remuneration Remuneration Premium INTRA 0972030 INTER SEE CLASS CODE SCHEDU E Minimum Premium $500. Total Estimated Annual Premium $2,701 GOV GOV Deposit Premium $695 STATE CLASS MA 5645 MA Assessment Chg. $2,354.00 x 3.4000% $80 3-1-45L This policy, including all endorsements, is hereby countersigned by C � `"?&�20- 06/09/2014 Authorized Signature Date Service Office: Rogers&Gray Insurance Agency Inc 54 Third Avenue 434 Route 134 Burlington MA 01803 South Dennis, MA 02660 WC 00 00 01 A(7-11) Includes copyrighted materiel of the National Council on Compensation Insurance, used with Its permission. ATVC Guide to FYood Carrstrucdarn in High KrAd Arws: 110 mptr Wrrd carte Massachusett CheckEst for Cvmgfiance(ren CLLWRS301.2 r_r)I Loadbearing Wall Connections — Lateral (no_of.1Bd common nails) 7}____—__..__ Non--Lmdbearing Wall-Connections Lateral(no_of 16d common nails) ___._—(Table 8)—_— -•---_----___—�— Load Bearing Wall-Openings(record largest opening but check aft openings for complanca to Table 9). Header Spans — _—_ ____—.._._._.(Table 9).__._______--___-. It I in.<if, Sill Plate Spans _-:----.:__...—_-;_—....__(Table 9) ft_in.511` /. Full Height Suds (no.of st kls,s _ —._.(Table 9).____—_—_—..— _ Non-Lzed Bearing Wall Openings (record largest opening brit check all openings for compliance to Table 9) Header Spans...... .—.____ __.- ---(Table 9)_—_.__--___— tt to in.c 1Z` Sig Plate Spans.--._.__--�— ---(Table 9) ft in-912' Full Height Studs(no.of studs)_ —:— _(Table 9)__—____—__.-_-- _ /0 Ext_- or Wall Sheathing to Resist Upfdt and Shear Simuffani fl!DL hCmirnum-Bidding Dimension, W Nominal Height,ofTallesf DpeningZ � S_M_=�� Sheathing Type— ' _-.—__(note 4}_—__.�.--__ ----_ -, Y.2 ✓ -Edge Nail Spacing --_----._--(Table 10 or note 4 if �- Feld Nail Spacing.___ ..._.(Table 1 D)__ —_——_—.�_in �- Shear Connection(no.of 16d common nails)(Cable 1 D) 7- Percent Full-Height:Sheathing._____.__- .(Table 1D)—�.—__—-- ___/�� % • i/ 5%Additibnal Sheathing for Wall with Dpenmg>6'B`pesign Concepts) Id w mum Building Dimension, L NDminal Height ofTaflestDpenine___-._—...........................................................__<6'B` Sheathing Type_— —-_ _--__----(note 4)._--._ - Edge Nail Spacing __ ____—{Table 11 or note 4 if less)_ —_— in_ Feld Nail Spacing.___--..__ .,—_ (Table'1 i):— __ ..__—._�.._ In. Shear Connec5on(no. of 16d common riarls)(Table 11) Percent Full-Height Sheathing__ . ______.(Cable 11)—___ _----_ __% _ z 5`Yo Additional Sheathing for Wall wrlh'Dpening>6'8'(Design-Concepts)_ Wall Ctadd-rng Rated far Wind Speed?---- -------_-- -- --- — ---- ' . 5.1 ROOFS Rnof framing member spans.checked?..._ __(For Rafters use AWC Span Tool,see RBRS Website) Roof Dverhang ------------- _._.—_______.-_--..(Figure 19)..—..-- ft s smaller of 2'or Lf3 Truss or Rafter Connecfions at Loadbearing Walls Proprietary Connednrs _ L�-- PIf Later-df._._____--._______---(Table 12)_ ---L= pff •Shear__._,__-_ __--(Table 12)____--___-- S= -Pff Ridge Strap Connections,if colarties not used per page 21... (Table 13}-__-.__----•.----__--T= pff ,V Gable Rake Otldooker___.__---..__ __-_..----(Figure 20) ----------- ft s smaller of Z or L12 Truss or Rafli:r Connec8ons at Non-lnadbearing Wafts Proprietary Connednrs Uprdt—_•--_—:_---. —:(Table 14)—_---- tj__ Ib. Lateral(no_of 16d Common nails) (Table 14).-_---_.--_-- - Roof Sheathing Type (per TBD.C_-MR Chapters 5B and 59)-----.-_. Roof Sheathing Thickness___—.— _ _ _in.?T116'WSP Roof Sheathing Fastening—__-._--._ ' +(Table 2)____ , f. : This cl-ddcsf shag be met in its entirety,excluding the speCiTia.e.XDeption noted in 2, to.comply with the mgrurements of 78D C-MR53D 1 21.1 Item 1. If the checklist is met in its entirety then the fogowing metal straps and hold downs are not required per the WFCMf 110 mph Guide: a. Steel Straps per Figure 5 - b. 2b Gage Straps per Figure 11 c. UpCdt Straps per Figure 14 d_ AU Straps per Figure 17 e Comer Stud Hold Downs per Figure 18a and FigLua Iab. Exception Dpening heights of up to 8 fL sfiall be permitted when 5% is added b the percent fug-height sheathing - nequirarrien s shdwri in Tables 10 and 11. The bottom slit plate in wd6rior wails shall be a minimum 2 in.nominal thicknbss pressure treated Zvi ode AFCC fsiride to Wood Corrs&uczfarr ur Hji ,Ir TindArear:Jf nph Wrrd`Zotie' ,. Massachnsetts Checkdgt for Coin PaWe(780 allk 530I2.1.1 - Cbrmp[ian=. 1.1 .SCOPE - • . . Wind Speted(3-sec.gust)- -_.__.-...._.�..__._._-._.-:--. --:.._.- 11 D mph Wind Expmura Caia9orY_---- - Wind ExpmvYe Category......:.........Engineering.RegVhd For ErrHre Project................ . 12 APPUCAABfIliY .......................0 Number of Sbdes(a rorsf which exceeds B In 12 siope shall be-considered a sbry) stories _<2 stories ✓ Roof Pfth___..-______ - ___. .._.(Fig 2) —912:12 Mean Roof Height'- _ —------ —{Fg 2}_ _ ------- ----- - ft `-'33' Building Wichh,W__. _•—_._--- - _(Frg 3)—_.----_—-- _ft <gv v BuWt hg Length,L -_-__ _ ___. __(Fg BuDding Aspect Ratio(1N►) --:z_ - —___ _Fig 4)_-- —_ — 5 3:1 NDminal Height of Tallest Dpening 13 FRAMING CONNECTIONS ' Genera!compt�rr�wrlh framing cannet6ons_.__.__—.(Table 2)—_---------------_----• '.__-._..—. � . 7-1 FOUNDATiDN 6U,ndafiDn"is meeting requirements of 78D CMR 54D4.1 • _ Conte_._...--•..............:.....................................................................---------------•--•---•-•---_ Goner Masonry- •----- -_._—_.—----- -----...- -- - ___ 22 ANCHORAGE TD FOUHDATIONt,3 .5/B`Anchar Bolts4mbedded or 5/B-Proprietary Mechanical•Anchars as an'alternative in cnnu'ete only. BDfSpgcing-general---------------------...__.._.__--.(Table 4)___.._ __.. 'in. Bolt Spacing from endhJoint of plate____-•- ----(Fg.5)-—_-__----._------- Bolt Embedment-concretes__—__-- Botf Embedment-masonry__________::--------------(Fig s)__-' ____:.___- in.>_15` PEate Washer.-' —_-_._-..---------(Fig S) -----------—'3'x 3`x Y." 11 FLOORS - Fioorframing member spans checked'- _--_(per 7BD CMR Chapter 55) _-- Maximum Floar Opening'Dimens!Dh_—__--- --(F9 6J-------------------. _.._ft<_12' - Full Height Wall Studs at Floor Openings less Phan Z from Exterior Wag(Fig 6)------------------_....._............. Mbxin-ru rm Floor Joist Setbacks Supporting Lnadbearing Waifs or Shaw-wag.—..____fig�.- ------_-- ft 5 d [Aaximum Cantilevered Floor Joists T - Supporting Loadbearing WaRs or Sh earwall-•.-----__(Fg 8)__--_-_:---..------:_ ft 5 d N/N FloorBrac:ng at Endwalls-.-_-_..------ --[Fi9 9);• -----._-__—_._._.___. Floor Shpathfng Type ----- _______ -(per 7B0 CMR ChapUar 55)Floor Sheathing Thickness _ --------_-_.- ---(per7Bd GMR Chapter 55)___. - in / Floor Sheathing FastaRrng___.._---_-_-.-----�-_-(Table 2) . Q d nails at 6 in edge I J�in field _ 4.1 WALLS Wag Height • Loadbearing walls. ' .. _._-_ (Fig 10 and Table 5)-. s, ft '<_1 D' NDn-lnadbearing wails-•---__.-_ _(Fig 10 and Table Wag Stud Spacing ---_-- -_--(Fig 10 and Table 5) o.r- Waa S`tgry Offsets- ______-- --- -(Figs 7 8) -_- —_--_ft 5 d 42 EX ER1 OR WXLLe• " Wood Studs _ ft_in. (Table SJ ------.-...-- _2xy - ft in. Gable End Watt Bracing t — Full He#gitrt Endwall Surds—._—__ _._..-.(Fig 1 D),__ R WSP-Attic floor Length_ (Fg 11)-- _-.___-,.-_ ft i:W3. CeTrn• Lengthrf WSP not Used) � . -Fig 11 > ai}d 2 x 4 Continuous lateral Brace @ B fL o.-_(Fig 11�.................... _. _ _ _ • or 1 x 3 ceTling furring slips 1 B"spacing min.xilb 2 x 4 blocking @ 4 ft spacing end joist uir truss b . Double Top Pfau SpGce Length ._—___: _.--(Fig 13 and Table 6)__-`---_-�--- _ft SpEc a Eonnecfion (no-of 1 Bd common marls)_.-.-.—,CT-able B}___— • Town of Barnstable Regulatory Services s�xMASS x r'E Richard V.Scali,Director Building Division . Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Usine A Builder as Owner of the subject property hereby-authorize 0 'RE7 LLy to act on my behalf, is all matters relative to work authorized by this building permit application for. _ ( l CO(U L i COVC (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. I SignatuYe of Owner Signature of 4plicaV Print Name Print Name Da Q:FORMS:O WNERPERMIS S IONP00I S r Regulatory Services y . p@ Tp Richard V.Scali,Director BIILYCIlIIg DIVLSIOII t to RAR1aCTARTR . Tom Perry,Building Commissioner p� s ��� 200 Main Street, Hyannis,MA 02601 ��D a 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 9 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 OFHOMEOWNER 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 buildingpermit. (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. Signatum of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 dubic 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,RuIes &Regulations for Licensing Construction Supervisors,Section 2.1S) 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 i i . your community. QAWPFILESTORMS\btnlding permit fnrmslEXPRESS.doc Revised 061313 . �e rpai�vrrw�ruue�a�G�a�u�aeC/d ' Office of Consumer Affairs&Business Regulation License or registration.valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: /166842 Type: Office of Consumer Affairs and Business Regulation ' xpiration: DBA ' 10 Park Plaza-Suite 5170 -_ •' -:8%1:6(20;1,6 ;� � Boston,MA 02116 1 ! i O'REILLY&ASSOCIATE_S=9.Ul W.ER81DEVE LOPE RS Jt DENNIS O'REILLYi =!a✓ 11 COTUIT COVE RD•w�.ti���;' COTUIT;MA 02635 Undersecretary Not valid without signatu J Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor it License: CS-104375 DENNIS T.OREIL Y 11 Cotuit Cove Rd I Cotuit MA 02635' i Expiration i 05/15/2016 Commissioner Bk 25501 Ps88 ,i52147 11-12-2014 a 11 =23cx QMTCLAIK DEM I,Wiillhaza St.James of 41 yloraangside 1) 1 j.Tortb=Pton,MA 01060,Hampshire County,for the consideration of Three Hundred Eighty Thousand and 00/100 ($380,000.00)Dollars grant to Amy St.James and Dennis T.O'Reilly,husband and wife tenants by the entirety, 11 Cotuit Cove Road,Cotuit,MA,Barnstable County Wfi'H QUITCLAIM COVENANTS The land in together with any buildings thereon situated at 11 Cotust Core Road, Barnstable(Cowit)Barnstable County,Massachusetts,bounded and described as a follows: • o NORTII.RLY: by the sideline of Cotuit Cove Road,on arc having a xadivs of 262.76 feet,two hundred one and 79/100(201.79); c° SOUTHEASTERLY: by Lot 32,one hundred fifty-one and 771100(151.77)feet; SOtJrrRWESTERLY: by a portion of Lot 71 and 61,two hired twenty-three and 691100(223.69)feet; NORTHWESTERLY:by the sideline of Clamshell Cover Road,one hundred six and 02/100(106.02)feet;.and NORTHWESTERLY 'AndNORTHERLY: by the sideline of the intersection of Clamshell Cove.Road and Cotuit Cove Road on an arc having a radius of 22.48 feet,forty- one and 20/100(4120)feet. Cowahn g 28,380 square feet of land,more or less. Said premises are shown as LOT 60 on plan of land m iled,"Plan of Cotait Coves— Sections 3—owned by Allan&PAth Crawford in Comit,Barnstable Scale: I"=80' June 1, 1968 Newell B.Snow,R.L.S.Buzzards Bay,MA.",wbich said plan is.duly filed in Barnstable County Registry of Deeds in Plan Book 223,Page 39. There is also hereby conveyed as appurtenant to the above described premises,a right of way,in common with all others entitled thereto,on and over all streets,ways and beach reservations as shown on the plan hereinbefore referred to,and as shown on plan entitled, "plan of Cotuit Coves—Section One—Owned by Chase Street VMage,Inc.&Seymour Williams,Jr.in Cotuit,Barnstable,Scale: 1'=80'November 1955. Newell B. Snow, Eag'r.Buzzards Bav,N:ass."which said plan is duly filed in said Regiistxy iu Plan Book 134.Page 41. " 3 i Bk 28501 Pg89 #52147 MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF [SEEDS BARNSTABLE COUNTY REGISTRY OF DEEDS Bate: 11-12-2014 a 11s23am Date: 11-12-2014 8 11:23amCtiTs 503 Da_'r: 52147 Ctia: 503 52147 Fee: t1026.00 Cons: 3380000.00 Fees $IP299.60 Cons: 3380000.O0 Subject to a drainage easement ten feet wide running along the Southeasterly boundary line a shown on plan filed in said Registry in Plan Book 223.Page 3.9. Said premises are also conveyed subject to and with the benefit of rights, easements, restriction and reservations of record for my Title see Book 9662 Page 138 insofar as the same my be in force and effect. The grantor hereby releases any and all rights of homestead to the property conveyed herein and affirm that there are no other parties entitled to protection under the Homestead Act For title see deed recorded with the Barnstable Registry of Deeds in Bdok 9662, Page 13s. WITNESS my hand and seal this �� day of November,2014 "'ll� St.qaTes f Bk 28501 Pg9O #52147 COMMONWEALTH OF MASSACHUSETTS ) )ss. COUNTY OF BARNSTABLE ) On this (4 day of �j�DV' 2014,before me personally appeared William St.lames, -who proved to me by .Q �0'5ZLV vA C- to be the individual whose name is subscribed to the foregoing instrument,and acknowledged that he executed the same as his free act and deed for the purposes therein contained. Witness my hand and official seal. (Sea)] Nota P lic ,pNumrpd .: My Co m sion Expires: r�GVr S 0 `o pr rriCHl1S61�SN��� tts s WNSTABLE REGISTRY OF DEEDS John F, Meade, Register ,►� Town of Barnstable *Permit# O b 1 qv-7 SO(o Expires 6 months from iss date ERMIT Regulatory Services Fee • an$MsznaLe. - P� �p ` 014 Richard V.Scali,Interim Director TOWN ARNSTABLE Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Q 0 S — 0J 3 6 Property Address a (;o �tJtT (,olie d. � Lb /u�T�, o,e--os- [Residential Value of Work f$ 900 , 0 J Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address IAA, I I,C%v►In S Jg 1a'► 2S y oS flav 062— Contractor's Name GeG h;�� pI'\ Telephone Number/So� -7>3 7' �7�l Home Improvement Contractor License#(if applicable) 196 0`7 d� Email: CSC 'Y?c, i,l l : e"f0 Construction Supervisor's License#(if applicable) CIS (C 3 7 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor VIam the Homeowner have Worker's Compensation Insurance Insurance Company Name S C.t l e Eh^ s nS• C b , Workman's Comp.Policy# LIfCX, 5 U -Ka 13 Y6 9 —d-oi I A 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 [Replacement Windows/doors/sliders.U-Value v 3 d (maximum .35)#of windows 3 #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. • Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C)" TAKEVIN Muilding Changes\EXPRESS PERMMEJVRESS.doc Revised 061313 Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supcn isor License: CS-104375 %{ DENIMS T. OREEI LY ' 11 Cotuit Cove Rd;" Cotuit MA 02635 I V !Z2,� "'"` Expiration Commissioner 05/15/2016 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only =BIOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: A66842 Type: Office of Consumer Affairs and Business Regulation xpiration:--8%16_1`201>6_- DBA 10 Park Plaza-Suite 5170 1 Boston,MA 02116 O'REILLY&ASSOCIATE-S;B:UILDERS/DEVELOPERS DENNIS O'REILLY v 11 COTUIT COVE RD����`� COTUIT, MA 02635 --r' Undersecretary Not valid without signatu r a • HARNSTABIb, 659. ' Town of Barnstable Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO 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, '[� 1��Qi1/l�� ,as Owner of the subject property hereby authorize go to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) l n h Signature of Owne to W `oiaw( Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. TAININ D\Building Changes\EXPRESS PERMIT\EXPRESS.doc Revised 061313 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): Address: I1/ L'o ut I c01/e City/State/Zip: d , IYA , 6163 Phone #: 5 0 9 ' 7 3 7_ V 7// Are you an employer?Check the appropriate box: Type of project(required): 1.[Z I am a employer with 1 4. ❑ 1 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. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 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' 13.0 Other Wifehw R.epIRCe�eA comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: s5 o c:(X e Policy#or Self-ins. Lic.#:1,(JGL-S joo - �'o /3 C/ 9 oIg A Expiration Date: 4,( QI V l Job Site Address:_ /I Go lv)-4 C4 lze a City/State/Zip: CD/(ii� A, Od,6 B_ 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 c under the pains and penalties of perjury that the information provided above is true and correct. Si ature: Date: 104411DIq Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): j 1. Board of Health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Employers Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 (800)876-2765 NCCI NO 40959 POLICY NO. I WCC-500-5013469-2014A PRIOR NO. I NEW ITEM 1. The Insured: Dennis O'Reilly DBA: Mailing address: 11 Cotuit Cove Rd FEIN:"="""2038 Cotuit, MA 02635 Legal Entity Type: Sole Proprietor Other workplaces not shown above: 2. The policy period is from 06/08/2014 to 06/08/2015 12:01 a.m.standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers'Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B . D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per$100 Estimated No. Total Annual Of Annual Remuneration Remuneration Premium i INTRA 0972030 INTER SEE CLASS CODE SCHEDULE i I Minimum Premium $500 Total Estimated Annual Premium $2,701 GOV GOV Deposit Premium $695 STATE CLASS; MA 5645 MA Assessment Chg. $2,354.00 x 3.4000% $80 This policy,including all endorsements,is hereby countersigned b 06/09/2014 P Y 9 Y 9 Y Authorized Signature Date Service Office: Rogers&Gray Insurance Agency Inc 54 Third Avenue 434 Route 134 Burlington MA 01803 South Dennis, MA 02660 WC 00 00 01 A(7-11) Includes copyrighted material of the National Council on Compensation Insurance, used with Its permission. y.,,..... -,�.„,g� 1�y•..��dm�.�r �.,.w�ny,�P'��,5 a .�n.rq�!" '�m:aw*�' ;�x :. .�.!".. �7w .. .. _ 4 FEE i e f T01Nf` ? OF BA LE, MASS. J a19 4)a4. VA THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO • plp ..... ..... .... ....... ........ ... ... e (PROPERTY OWNER) (ADDRESSIr pi tov TO _ .. ...... ... UILDI •• •••• (ALTER) ••(REPAIR) WON 1942 sq. t _..._ _ ....... ...... M 1F (TYPErOF BUILDING) IAPPROXIMATE O �p " tui C04k� o= CoWt ID LOCATION p y ._..: __...... ..... ......................._ ........ _........ ` d _ REET AND NUMBER) (VILLAGE) NAME OF BUILDER OR CONTRACTOR R __�{ twl1` .......... ._. APPROXIMATE COST __ .............._... ...._.....__ _........ ....... _ ..... c mFo 1 HEREBY,"AGREE.TO CONFORM TO ALL THE RULES„AND REGULATIONS OF, THE*TOWN OF BARNSTABLE,� REGARDING THE ABOVE CONSTRUCTION _ " 5 '- I` B ...._....._ ........... ........._. ......... ......... ......... ... ....... ...... .._................ ......... ... Rdiq dam. (OWNER) (CONTRACTOR) K, ^ waae #447 t} N- ...y ,..�... .M pI W ._._......�_........._.._ ....._-'—_•___._...._ ._....__.. s _.. B_UILDING INSPECTOR Subject to Approval of Board of Health, r I, - A � � f " . �7 .' � � i / ��� I ,. i .. + .. 4� TOVrN OF BARNSTABLE BULK RATE COUNCIL ON AGING U.S. POSTAGE PAID 198 SOUTH STREET NON-PROFIT ORG, HYANNIS, MA, 02601 PERMIT NO. 2 I _ ( � .. v t W . �. :.. ._�_ _ _ ��.. .. . ;, 7 s ma and lot number ,� Asse map 'B T '4 4E T B-E fin„ Sewage Permit number �QyoFTMETo�o TOWN OF BARNSTffiff"UrS. i BAHBSTADLE, 9� 0M Ar. � BVILDI•NG ` IN.SPECTOR . 44/ APPLICATION FOR PERMIT TO ......fi'DY..ZQ.............................I f., ...�.��... ..... ............................... TYPEOF CONSTRUCTION ............ ................:........................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned herebyapplies for a permit according to the following information: Location .... 0..1..... .9.........C.A.tLd.t.f....Cfa.y ..... ...�.... oTesic..`...........?..?e......0 �u�.�.................. ProposedUse ...........0.1V.�.....F4./WJ.%X........D. A.A- .............................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. Go ©o �, ,d Name of Owner .........!Q......1.✓....1.7......Sl....11l1..t?!.✓..S..�i.✓......Address ......,5�....�.1........111..f�'.5........N....4......�.�.1..1K.aev��'"l Nameof Builder ....................................................................Address .................................................................................... Name of Architect 'Ji.(�'!'l.�na �f.�:f ,l!�if �tr).4e?....... ...........................Address ... .. ....... ...........................�.....:e:�'. Number of Rooms ... <...... ......./... .. .. Q: 11.i3...........Foundation .......................... Exterior .Codas ......9.41.47.1P.,S.....i...C:�41A.1�.4? '�'� .Roofing ... .......1 .....T�L. /�/ I_ r. Floors ...d'/ � ......................Interior .... :/_E'- LL ._oC,J Heating ...... .......................................Plumbing .................................................................................. ... a•o•o Fireplace .....4t1. . .(J.A. .e..... '.. P..h.�.................................Approximate Cost .. Q.................................................... Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH aoP,53 c a.zz.4� J �\ CA V- y e t sq FT c �p 11 � `p. .N ens ' M I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. c- G � Name Simonsen, Gordon A. .FYIo` 17417 permit for 1 1/2 story, ................. ...;...................... ..... single family dwelling ........................................................ w �{ a Cotui.t Cove Road Ad Location1.�............................................................ 77 COtUlt f • "' ............................................................................... J^ a ;�'• y Owner Gordon A. Simonsen j 0 �� •� 7 �, .Y is ......................................................... w SZ Type of,Construction frame y► ^3 , { .• C ti ............ .................................................................... e- roo 12 Ay Plot ............................ Lot ................................ C* w t 9 • 7 November 4, 74 'G - �.�� Y� fir i Permit Granted ........................................19 C- �' ey Date of Inspection ( .......19 .� CA o dj Date Completed PERMIT REFUSED �04, ..................................................... ....... 19 :...................... ......................... 1 ........................................................ ..�. .............. r, ............................................................................... '� '� _ Approved ................................................. 19 OW ...................................................................`........... 13 .............................................................................. ' r Assessor's map and lot number .......................................... Sewage Permit number m.... ... .�OFTM ......................................... E TOWN OF BARNSTABLE I BA"SMULL ,639- BUILDING INSPECTOR APPLICATION FOR PERMIT TO .................................................................. . ........................ ..................................... TYPEOF CONSTRUCTION ..................................................o..................................................................................... 1 9.7',z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....k......................... .................... ............. ......... ....... ................................................................................................... .. ... . ProposedUse .......................I .................................................................................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. .......... Name of Owner ...... ................................ ::'......Address . ..... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..........................................Address .... ................................... ............................. .......... Number of Rooms ......................... ......... .................................Foundation ....... ....................... Exterior ........................... .,..Roofing ..................... ...... ............ ............. .... .. Floors ......................................................................................Interior .................................................................................... Heating ...... .............................. .........................................Plumbing .................................................................................. Fireplace ......:........................................ . .....................................Approximate Cost ..................................................................... Definitive Plan Approved by Planning Board --------------------------------19-------- - Area ...... Diagram of Lot and Building with Dimensions Fee ...........I .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name % % A ........................... Simonsen, Gordon A. 3G No .1.7417..... Permit for .....1 1/2 story, .................... ........sinQl/e„family dwe11ink Location ../.....Cotuit Cove Road ................................. ' Cotuit ............................................................................... Owner Go.rdon A...Simonsen. . . . . ................. . ....... .... .. . ...... . . .. Type of Construction ............f.rame. .................... . . .. ................................................................................ Plot ............................ Lot ........#60................. - November 4 74 Permit Granted ..............................I........19 Date of Inspection ........................:...........19 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... _. ';.yZa.�. .- .4#ra�>g+ -w -��:.;.. -..•.,.=wa r..._.opt-+.�. - �.a�oaw .•ate •_. .......::�..-,- .,.... --�•."-a--.-.�+�..:. ell EI : l �s lit d1 uj NM ��_' I s 11 j {li i i i �� ��•!"FliiiiJi �!.� i ' •;•} ''a • i ! � 7 ! f i L- i Ii 1 r ' __� � � • : 1 { . . ICI{r f (� _ ii Oe i m lu 01 ful rb .�kt'j s Town of Barnstable Regulatory Services S. I Thomas F.Geiler,Director Building Division v� MAn `0g Tom Perry,Building Commissioner ! °lam 39. ► 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 x: 508-790-6230 Approved<erA , Fee: —it 2' _'t Permit#: HOME OCCUPATION REGISTRATION Date: 3 Olt)1 J� Name: e'An l -s R e) I I Phone#: w 7 0 9-Bus Address: /1 c0 u 1� C Ad V e LC11,1 ( 44 6` Village: C344 Name of Busuiess: I�e I I Ss oG 1 dc-s 3 U�'W 1 w A.n Re r►'Ae I v► Type of Business: z ww A. r cJ a r Map/Lot: OD (6 'INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to opente a home occupation vhridin single family dwellings, subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided tilt the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase ul traffic above normal residential volumes; and no uhcrease in air or groundwater pollution. After registration mridn the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not wit in die required fi onht yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to die Customary Home Occupation,other than one vaii or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on die same lot containing die Customary Home Occupation. • No sign shall be displayed indicating die Customary Home Occupation. • If die Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in tie Customary Home Occupation who is not a permanent resident of the dwelling unit. 1;tie undersigned,have read and agree with die above restrictions for my home occupation I am registering. Applicant: Date: ��- Homeoc.doc Rev.01/3/08 TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: Re: S oc l'CA -&-,U-4tA am1 Re AloclIel)h C Co + T BUSINESS LOCATION: 11 c6�: INVENTORY MAILING ADDRESS: II rojj,j C,),)r Rd Co7ult, mA TOTAL AMOUNT: TELEPHONE NUMBER: 61�G 9dss CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: cc MSDS ON SITE? TYPE OF BUSINESS: I o CLon4ca .L' INFORMATION/RECOMMENDATION : Fire District: Waste Transportation: Ajk Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) J Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's InitialsI L YOU WISH TO OPEN A BUSINESS? tea - For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you ` must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. .�, DATE: // Fill in please: i APPLICANT'S YOUR NAME/S: e fie, l TeSa f` BUSINESS YOUR HOME ADDRESS: I C 0 V Q- _C;, ,' AAA Od 63S gram= TELEPHONE # Home Telephone Number 617 - %R 9 - &6S, NAME OF CORPORATION: NAME OF NEW BUSINESS OI SSoc ,# PE OF BUSINESS I e o e i caY+ � ar IS THIS A HOME OCCUPATION? YES NO���- .,D MAP ADDRESS OF BUSINESS ✓ Ca uT ��' M 4 Q MAP/PARCEL NUMBER O oS 021( (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This forts is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. B.UILDING CO ISSIO ER'S FI This indivi ual a err-inf r d o any ermit re uirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO A oriz i ure** e �U S COMPLY MAY R SULT IN FINES. C MME TS: 4-1 2. BOARD OF HEALTH This individual has Cbee qff of the permit requirements that pertain to this type of business. MUST%;OMPLY WITH ALL �t' `V I HAZARDOUS MATERIALS REGULATIONS Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has b0-1 infor o h licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: ....... ......-----_._..-_—._____._........................_.__—_—__ —,3P)' _ _--.-- ............. - .......... ... --1a'3 1,12" 7wde OO New 2x4/2x6 partition walls to Remove and replacenclose unconditioned space horizontal strip of 1/damaged by tile rem ................................................_..................._........... 1�°........_................-..........................._..._.._.._.._........_.........................__.._........................................ Kitchen 26' — ---.................................._....................................................................-..13'-7112.. ....................................................._...............................................--� Bath Bed 1 I -- -- -- -- - r N Id............................... 0 II I I tJ� Existing Covered :� I I > l ........... ................................ Masonry Patio 9' 1�2" �_— _ --- 10'-6 1/2° cd/s ......... 4- 1.., ca Closet ° Closet Laundry � ry 7 3i4" 5'-7 314" L 5,-7" LO 3 .. ... c`o u� __ ____- , ` Remove existing partition walls oQ. ................................................._............II'-11 112" ........................._................................. !�I � Q OP O � Garage o >< N ` V w 0 Living Rm. V, m � W o 0 Dining Rm. Bed 2 a W 2' I ' w w o �'. `' U U m a is Z 4 _. ............ �l G U ....................................................................................___........... ..._._1.:i•r�f;�" ........................................_..._...._.....__...........__........................... ....................................................... ............................... g 1 ............. V-8 112" Q ._.._........-------------_-...._-------._......__._.-...__.._....__ Legend i -------_--_.................................__.........._....__...__..... __ ---...- ..._...._......-------- --1 —� New Partition wall to be built. FIRST FLOOR PLAN -_ Existing Partition wall to be ....._......_.................._.............._._...._..................._.._._..._....._..........._........_......... ...................................................._........r i ��....................................... .........................................................................................., � removed. Scale- 1 /4 = 1 ' ia'4 114° ... _ .......... £f-b ............. _._ ......._ ................................................15'-7 314 ...-_...._. __.... .. O General Notes E) I N 1. Remove all existing cabinetry and the backsplash in kitchen area. Cut out damaged Bath drywall from tile removal. Remove closet partition walls. M Bed 4 2. Update any exposed electrical wiring to code. Install new electrical wiring for additional fD lighting in kitchen area to code. m 3. All plumbing fictures to remain in existing locations. *No gas on property. .� 4. Re-insulate any exterior wall cavities if insulation has been damaged or removed. - a W 5. Install new 112" drywall to areas that had tile removed. Tape and mud all joints, sand and prime. Bed 3 N �'°' z 6. Install new kitchen cabinetry to plan. � v, Q N Z o W 7. Install granite countertop and new the backsplash. s'-`�,,.2„ V ^ O 8. Electrician and plumber to perform finish. w 9. Frame new exterior 2x8 .t. platform and partition walls under existingroof overhang. Install t ar a O W O N U F4 house wrap and approx.4s of W.C. sidewall shingles to center portion on g yp o a w I� rear of house. Walk-in Closet U E~ o O w W O O 10. Install R 30 insulation in floor and R 21 insul in walls. o "' O Q � U U 11. install 112" drywall to inside of walls, apply tape and mud to all joints. �, O 12. Install new entry door to enclosure. 0 _ 1,' :;3° i i3'-9 318" _ 17`-5 118" i �4'1I2"� DATE: 10/29/2014 Crawl Space ® rt., sa SCALE: 1/4" = 1'-0" SECOND FLOOR PLAN '`� ` i ,p4 •. ' ` 2 n r Al 000 Scale: 1 /4 = 1 Sheet ------- 15'-4 3/4 ------- - .._....__...................._...._............................. ......... I UO 1 .......... Install Install new w.c. sidewall shingles (n i Existing Existing Roof Existing 2x8 roof rafters crawl Install new w.c. Existin 9 sidewall shingles Exis Existing roof b racingg 2x4 `? Existing crawl Existing 1 x1 0 facia '� j � :�_ Second Floor Existing_ __ 9 2x6 ceilin 9joists 5-r4., ° EL 10'-1/2" m Existing triple 2x12 learn (insulated) Existing triple 2x12 beam wrapped with 1x trim boards 2x6 wall end Existing 2x6 ceilingjoists LO 112"plywood sheathing and g ( sulated) N �4L 1 L Existin 2x4wall m M w.c.sidewall shingle to be IL Ln o 0 installed 2x6 header Q oD Existing d.h.window 2x6 kd wall framing Install new w.c. area U rn 2x4 wall framing Existing living room `, t� O 2 @ 16"o.c. sidewall shingles ` 3/4"Advantec subfloor ^ 4 N ° r^ m plywood c 3`-4 5/8" ......... O C/� cz 3/4"Advantec 2x8 p.[.joists @ 16"o.c. Existing triple window subfloor plywood O z U v 9 P Existing structure 1/2"plywood sheathing o 6 mil.poly sheeting Existing structure w/W FCM 110 nailing 3 5/8 Ledgerl- k 9 —First Floor _ _ - ,, 10 /2" la screws W � First Floor_ _ g LU a, EL 11'-7 1/2" EL:1'-7 1/2" 2x8 p.t.joists @ 16"O.C. a w y 3 f" LV LU Existing 2' thick blue stone slab Existing grade 6 mil.poly sheeting — ...... Existing 2x10 floor joists " * L U j Existing grade Existing 2x6 plates Z r`Existing structure c• Existing 2'thick Existing 4"concrete Existing Cement Block blue stone slab slab U) Frost Wall p 4 s tx 0 T 1 „/„ U Existing grade LO Q Existing cement —' Existing Concrete Fooling block frost wall Existing full basement -• Existing unfinished concrete foundation - E�: Existing concrete basement area footing Existing full basement Existing full basement concrete foundation concrete foundation SOUTH ELEVATION / FRAMING PLAN EAST ELEVATION / FRAMING PLAN 1 n i Scale: 1 /4 = 1 � 2 Scale: 1 /4n = 1 Existing structure 2x8 p.t.ledger 3 5/8"Ledgerl-ok screws @ 16"o.c. 6 mil.poly sheeting General Notes below p.t.framing 1. Frame new exterior 2x8 p.t. platform and partition walls under existing roof overhang. Install typar Z zx8p.t.joists@,6o.c. house wrap and approx. 4sq. of W.C. sidewall shingles to center portion on U rear of house. W Double 2x8 p.t.rim joists 2. Update any exposed electrical wiring to code. Install new electrical wiring for overhead h+-1 Q lighting in enclosure and patio area to code. Z Existing structure 3. Install R-30 insulation in floor and R-21 insul in walls. o W 4. install 112" drywall to inside of walls, apply tape and mud to all joints.Existing cement block pp y p 1 Q.i, frost wall(below) Existing masonry �] c) w U patio 5. Install new entry door to enclosure. H H 6. Electrician to perform finish. Z w w H F. O q � O O E-4 o a W [� W � DATE: 10/29/2014 SCALE: 1/4" = 1'-0" 3 FLOOR FRAMING PLAN Scale: 1 /4" = 11 A2000 Sheet