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1811 SOUTH COUNTY ROAD
�:ti�.'Y r,,..•.I;'r �.f......,.y-.. „r,: � ,.;�,,.. ,.-... .��. �...� ..�,y.. - _ �A'," _,�,,,0.`'?..� __ ^r�'c.c_ 'vim!____ Town of-Barnstable # !o Regulatory Services NGy ^ > �n; fe no nhs fr°m issrie date TO4�y 1v J v� Richard V..Sea%Director Building Division Paul Roma,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 Map/Map/parcel Number Gad• Not Valid without Red X-Press Imprint '1 V , Property Address IS ) QOV\ )iD4 0 Residential Value of Work$ l.0 S?7V Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address M ►Gha Pj 1 n, d—" L I'S Cl. f I I Saylh CVuvvh,, ---)-.e-r✓i f' P 1►-1 �� a CP 55� Contractor's Name) t 5 0 o4 r Pe Ol aft& Telephone Number 5-K—U 3 S" to 0 0 Home Improvement Contractor License#(if applicable) )5 195 Email: S C t 1�/:-(`[;C'�l��/er 1 ZGn•r7 T _Construction Supervisor's License#(if applicable) ❑Worlmian's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I an the Homeowner I have Worker's Compensation Insurance: Insurance Company Name )OCt f 0 tk i[1 Workman's Comp.Policy# Copy of Insurance Compliance Ceftificate must accompany each permit Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to -6R'te1 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof). ❑ e-side [�teplacement Wiridows/doors/sliders.U-Value w 2 L {maximum.32)#of windows _ #of doors: 'Where mquhv& l mmee 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 tbAHome Improvement Contractors License&Construction Supervisors License is required. �n SIGNATURE: Q:NWPFJLESWORIV1n ding permit formsMMUSS.doc Ol/25/17 moA � TQ Town of Barnstable Building I iPost This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept v� a� ,08 (Posted Until.Final Inspection Has Been Made. Permit "'ea nw+" !Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. c jaj Permit No. B-19-3836 Applicant Name: SCOTT PEACOCK BUILDING & REMODELING INC Approvals Date Issued: 11/14/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 05/14/2020 Foundation: Location: 1811 SOUTH COUNTY ROAD, MARSTONS MILLS Map/Lot: 098-023-005 Zoning District: RF Sheathing: Owner on Record: PAJOLEK, MICHAEL C&LISA G Contractor Name: SCOTT PEACOCK BUILDING & Framing: 1 REMODELING INC Address: 1811 SOUTH COUNTY RD 2 - - -Contractor License: 151853 OSTERVILLE, MA 02655 Chimney: Description: Replacement Windows(8) Est. Project Cost: $ 10,500.00 Permit Fee: $53.55 Insulation: Project Review Req: Fee Paid: $53.55 Final: Date: 11/14/2019 �,. Plumbing/Gas Rough Plumbing: f 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 structures 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 for public inspection for the entire duration of the work until the completion of the same. Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing _ - _-. �- .,..._. 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. 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 Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Con'struedo7 n-SupeTVisor CS-094500 Ekp ires:07/2212020 JAMES S PEACOCK 1046 MAIN ST._UiVfti 7 _ P.0.BOX 179 OSTERVILLE MA�•02955 Commissioner C Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Corooralion Registration... . Expiration 151853; :--07106/2020 SCOTT PEACOCK BUILDING&REMODELING INC JAMES S.PEACOCK. 1046 MAIN STREET SUITE OSTERVILLE,MA 02655 Undersecretary r - A`C<:> i CERTIFICATE OF LIABILITY INSURANCE DATE(MITIWDIYYYY) � r 06/27/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 endomemen s. PRODUCER CONTACT NAME: Germani Insurance Agency PHONE 508 428-9194 F Hal: 508 428-3068 908 Main Street EpnAll cents ermaniinsurance.com INSURERS AFFORDING COVERAGE NAIC# Osterville MA 02655 INSURERA: SAFETY INS CO 39454 INSURED INSURERS: National Liability&Fire Ins Co 19054 Scott Peacock Building&Remodeling,Inc. INSURERC: P.O.Box 171 INSURERD: INSURER E: Osterville MA 02655 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDMONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILM NSR TYPE OF INSURANCE ADDL S BR POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED PRE 1 ES ocarrrenoe $ MED EXP(Any one on $ A BMA0022118 07/05/2019 07/05/2020 PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea acddem ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY PROP acddrde $ $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I RETENTION S S WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE B OFFICEREMSER EXCLUDED7 NIA V9WC079467 06/22QO19 06/22/2020 E.L.EACH ACCIDENT $ 500,000 IM (Mandatory In NH) EL.DISEASE-EA EMPLOYEE $ 500.000 It yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Addltlonal Remarks Schedule,maybe attached N more space Is required) CERTIFICATE HOLDER CANCELLATION i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN - Scott Peacock Building&Remodeling,Inc. ACCORDANCE WITH THE POLICY PROVISIONS. P.O.BOX 171 AUTHORIZED REPRESENTATIVE ` I Osterville MA 02655 Fakkfl-428-7625 Email'scott_peacock@verizon.net ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information `Please Print Let?ibly Name(Business/Orgmization/Individual):�I"PeoLwc L &,,',lC�iaq `�Re_m6Mi obi :71r)�. f Address:__ f. b, 6o I - )0Ly, IyinI b, St Ui�e f City/State/Zip:OSJ_e C V i I IP, Mrs OQ&S Phone#: Are you an employer?Chec�he appropriate bog: Type of project(required):1.[Q1am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. employees and have workers' Y aP tY• # 9. ❑Building addition [No workers'comp.insurance comp.insurance' 10. Electrical airs or additions required.] 5. ❑ We are a corporation and its ❑ rep 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 l insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Oth7 ti comp.insurance required.] 9-ffv At a- *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 hue 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-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below,is the policy and job site information. r _ n Insurance Company Name; 1 c1--fit ���1 g b a b i 11 h,,_,`. Policy#or Self-ins.Lic.#:a.. q weio gqq&, ._! . Expiration Date: Job Site Address: j I I SO u4 k C"f-yl R-Uc-A City/State/Zip: GS]-e rV))I f/ K6 OaASS 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby fy nder the and penalties of perjury that the information provided!above is true and correct Signature: Date: Phone#: 10?,— C;1)U Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I i fax ' Town of Barnstable ._ .= Resdatary Sep im Baste Dirision . � Oat: �3S-?'�]-S_?t► OuTter Must Complete and Sign 'This Section If Using A Builder NAEL C.PA IOLs+i _ _. *1f C�t9LYtx1 CJlC�!f'i2='fft+�tS' trtcb!•authl rzc �-:Pc�,,lz - - ax'cx as cas tie�f, f l 1�1 R:3rr'S fc1Ct'c to VIA .�7ISrIIC-"R-'2 -'�!Cie�'I16SZF$ 1 93L J :w.wK s�i .�i water.ws►r...�6r:r. ..ice�2. �. A._..1 Aw t-i.f Ou + rt[Af:Applicant ����G/ �f" -- —� •r S c oft 1 �°c 1'r:ra \ante D.l(L• _ - T ��►+� Town of Barnstable Permit# o�g E�fires 6 months rom issue Regulatory Services Fee f da 1e snitrtsrnai.E. � � ��j'1 y� mass Richard V.Scali,Director ��� �J / -0 'FD6�p` �� a ��8 Building Division 1) Paul Roma,Building Commissioner 200 Main Street,Hyannis,MQ"V L M't 9 www.town.batnstable.ma.us Office: 508-862-4038 I�4Faa 508-790-6230 EXPRESS PERNIIT APPLICATION - RESIDENTIAL ONLY a / �of Valid without Red X-Press Imprint Map/parcel Number Property Address ' O I t�'k) C01Jn�-w M.Ce rSk)-)S /Q 1 l A Residential Value of Work S t O DO 17. Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address P 11 L Y I(eA O/-l<— v _ l �1I S. CC)L)Y► �r�'l a S Contractor's Name , S CD Telephone Number. 5 0 8"L[,;�g 7&O D Home Improvement Contractor License#(if applicable) LD 3 Email: S e off y7 Gt(�[X'�(a���-Z h Construction Supervisor's License#(if applicable) Oq L4 h ()() MWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name RT00A'I IL S k1b ,1---LS b Workman's Comp.Policy# W C, dd S — g —5Z-L"44 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 0. ?�p (maximum.32)#of windows 1 #of doors: *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 me Improvement Contractors License&Construction Supervisors License is uired. SIGNATURE: QAWPFILESTORMS\building permit forms\EXPRESS.doc 01/25/17 Town of Barnstable Building Post This Card So That it is Visible From the Street Approved Plans Must be Retained on Job and this Card Must be Kept 14AM Posted Until Final Inspection Has Been Made. ` Permit i639 ' ;Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-291 Applicant Name: SCOTT PEACOCK BUILDING& REMODELING INC Approvals Date Issued: 01/25/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 07/25/2019 Foundation: I Location: 1811 SOUTH COUNTY ROAD, MARSTONS MILLS Map/Lot: 09870237005 Zoning District: RF Sheathing: Owner on Record: PAJOLEK, MICHAEL C&LISA G Contractor Name: SCOTT PEACOCK BUILDING & Framing: 1 REMODELING INC Address: 1811 SOUTH COUNTY RD 2 - Contractor License: 151853 OSTERVILLE, MA 02655 Chimney: Description:- replacement Windows(15) Est. Project Cost: $ 10,000.00 Uvalue. 30 Permit Fee: $51.00 Insulation: Project Review Req: Fee Paid: $51.00 Final Date: 1/25/2019 L�(M. 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 silk months after i''ssuance. 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. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the __ _...__ _. _ Electrical work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 1 { The Commonwealth of Massachusetts Deparhnent of IndustirialAccidents Office of Invest1gations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plurabers Applicant Information /Please Print Legibly Name(Business/Organization/Individual):Sc-0 W Pea uSC . &h:Ad i Address: f. CD, 60K ► rj ( - )04G- IV16 1 b, 5f, 'i p— City/State/Zip:QS f e(V i l 1P! W OQ(PS Phone#:_ Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with- 4. ❑ I am a general contractor and I 6 ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.: 9. El 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.❑Other comp.insiurance 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 hue 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 slate whether or not those entities have . employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that isproviding workers'compensation insurance for my employees Below is thepolicy and job site information. _ Insu rance Company Name: G7''an i'll b S�}i,-1 - sa ran u- Co. / Policy#or Self-ins.Lic.#: _ ( �`y- —,5�+�� Expiration Date: b/ Job Site Address: N 1 SC)R4-k COVn4M Rd City/State/Zip: Ma f;S�S U 1 S, 114A OX 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c under the_p�ains m enalties of perjury that the information provided above is true and correct. Si �'C / Date: o� Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: f Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Co ns tructi$ri:Su Aervis0r CS-094500 Expires:07/22/2020 JAMES S PEACOCK 1046 MAIN ST.•UNIT 7 P.O.BOX 171 OSTERVILLE Mk-02655 Commissioner CI""- Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:.Corporation Registration_.. Expiration 151:853z 07/06/2020 SCOTT PEACOCK BUILDING&'REMODELING INC JAMES S.PEACOCK 1046 MAIN STREET SUITE 7 OSTERVILLE,MA 02655 Undersecretary i A�Rh® CERTIFICATE OF LIABILITY INSURANCE DATE(MM)DDNYYY) 07/19/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIi=S 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME: Germani Insurance Agency PHONNo_E 508)428-9194 Ac No: (508)428-3068 908 Main Street ADDRESS: certs @germaniinsurance.com INSURERS AFFORDING COVERAGE NAIC# Osterville MA 02655 INSURER A: SAFETY INS CO INSURED INSURER B: Granite State-AIU Holdings Scott Peacock Building&Remodeling,Inc. INSURER C: P.O.BOX 171 INSURERD: INSURER E: Osterville MA 02655 [INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED 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 ADDL SUER POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DDNYYY) (MMIDDWM LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED PREM SES Ea occulre $ MED EXP An one rson $ A BMA0022118 07/05/2018 07/05/2019 PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea acddent ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS ( ) HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per a.Qt $ S s UMBRELLA LIAR OCCUR EACH OCCURRENCE $ :4EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTIONS $ WORKERS COMPENSATION PER OTH AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT S 500,000 B OFFICERIMEMBER EXCLUDED? N/A WC 005-81-5464 06/22/2018 06/22/2019 (Mandatory in NH) E.L DISEASE-EA EMPLOYE S 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY UMIT S 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101.Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Scott Peacock Building&Remodeling,Inc. ACCORDANCE WITH THE POLICY PROVISIONS. P.O.BOX 171 AUTHORIZED REPRESENTATIVE Osterville MA 02655 . Fax:508-428-7625 Email:sr ottpeacock@verizon.net ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD �SNE Town of Barnstable i Regulatory Services i �s� Richard V.Scali,Director �679• �� Building Division. Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601. www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I MICHAEL PAJOLEK , as Owner of the subject property hereby authorize J.SCOTT PEACOCK to act on my behalf, in all matters relative to work authorized by this building permit application for: 1811 SOUTH COUNTY ROAD,MARSTONS MILLS (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 erformed and accepted. Signature of Owner S ature of Applicant o-Ft e oCL Print Name Print Name Date L411/,.,= TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_0 `1 `��, Parcel �/ � Permit# Health Division i9/a-7 %-23-7 T-cskak,\ t-mc,^ c,�+•-f- Date Issuedor Conservation Division 1 T s ® 4LL MOl�k // it%/�� Application Feea5 - �� Tax CollectorJ� Permit Fee Treasurer " FIST SEPTIC A:l,Ep INCOMPUANCE MUST BE Planning Dept. Vs TITLE S Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOII�,�r J EGaJL Historic-OKH Preservation/Hyannis Project Street Address _� l &w-T- H Village P�PVKST0 O:z n�-L-L--5 Owner l I!Chi R EL. PASO L E K Address l S r �o y t j-r Telephone MQS— Permit Request P,P R©k- so" .,t?%t cr-e ,,,,,.n.,, - o n Q-es.— Cry 6att TV Li z Square feet: 1 st floor: existing !N FV proposed 9TO 2nd floor: existing aV R proposed O Total new g0 Zoning District Flood Plain Groundwater Overlay Project Valuation 3D, 000,— Construction Type Lot Size Grandfathered: O Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ®`__ Two Family 0 Multi-Family(#units) Age of Existing Structure 3 Historic House: ❑Yes Ukf4o On Old King's Highway: ❑Yes &N-6 Basement Type: @"Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) _ 7 g O Basement Unfinished Area(sq.ft) Number of Baths: Full: existing N Pr new D Half: existing A new t Number of Bedrooms: existing Anew D Total Room Count(not including baths): existing Pt new First Floor Room Count N Heat Type and Fuel: �Ga I idVi I Cl Electric ❑Other Central Air: (/Yes 0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:O existing O new size 0 Pool:misting O new size 0 Barn:O existing ❑new size _? Attached garage: existing ❑new size Q Shed:0 existing ❑new size 0 Other: Zoning Board of Appeals Authorization O Appeal# Recorded 0 Commercial O Yes ®'No If yes,site plan review# Current Use ST-M&L.E Proposed Use -A M('-- BUILDER INFORMATION Name 4--ftc-OcK ' C K0 s y Ln€O,S Telephone Number S 0 Lt 19"b 9t o;�_ Address `�t�- V�RT_N License# P� Home Improvement Contractor# N-6� Worker's Compensation# II ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO EAROST 8 gL C L,Af\YOF_r1_L SIGNATURE - -eO/C� DATE �` _ e FOR OFFICIAL USE ONLY e PERMIT NO. - S DATE ISSUED MAP/PARCEL-NO ADDRESS /f �- VILLAGE 1 OWNER f `z' DATE OF INSPECTION: �~ ► r_ FOUNDATION r i FRAME = V: Q& r i INSULATION ' - a• FIREPLACE ELECTRICAL: ROUGH FINAL() � C J � PLUMBING: ROUGH.>y FINAL - tz GAS: ROUGH :=; Y FINAL cl FINAL BUILDING ' c^C � Tali t Is rr j DATE CLOSED OUT f• r _ /ASSOCIATION PLAN NO�•� r - °FZME T° Town of.Barnstable r r � Regulatory Services; BARNSTABLE, ' Thomas F.Geiler,Director 9 MASS. I :F9. a`0 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. r . Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: �wy n�. Rrs�ne Estimated Cost �o�000.'- -� ��QQ � a� A=o.�. Address of Work: t$ < < S®",,4 Owner's Name: Date of Application: I hereby certify that: { Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as th gent of the owner: 6-- -v2.-03 Date Contractor Na Registration No. OR Date Owner's Name Q:forms:homeaffidav, RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x .0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost r :tio a-i a Ps}uoa :oBJo S,tirm}?apa❑ ;litaa�so AW 4seog auFc�aoT'Ip }asuaoTuaad,.. 15 IO vavixeaaaautpT�gp `.- / o amTEpW 1.1,'Z°v,Lo}20��d4 Pa7alatuoa a q 01 Ease u[a#Ts�d}ou oP lu • , auoga. c7 _.,,• , • urea}�?d• a}eQ �4 cUn ad a-sauiv a -puv-sup Xq.24 s�op-I arfoo ir��rnTsranagv-papuofd- 171pn Ulafui-ash#-Tv� •r • . -•,,�r'::., ° a 6soa musaTE�S SP•D Io daoo ' 'UO-RWUM aaesaAoo a0;YIa a197o�0T}E$]}saAui;o aa6To aiD o'a PaPin� I q �o9pau",SzsaS auo s o uuol au?ul Selglsuaa TFxW TPK st qua a - °a s uti auo xMo aoss I otu}Sct}xas d¢p x DO'DOTSI uH F s u-ZST'mplIo.�StuOR'ag=apunpaxFnToax cue a7iaasoa am'a°°i ° V Io SaT}�uaa Io uopTSoautTalo oT P a[ ii so�pm 00.005`TS o;dna Tom' f;lo� ausxTYfiu�i i:uS•'..;?. ;:;tYY:Ffi}}?S,?,••r.'f 3:Y$' .£{l.S£'•;f+ :+r,};43::E Y:?f iall ::S`r'%t�#Y� ••.s•:. 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To 3[Io�Ae 2uiuuo�ad I�oautotI I'.❑ n G #auolq :uo1}�o �. -- A V, Ep a�uE.insuI DOPE- OD ,s.za�.io� --- ' 'Taro 'SNV lT `uoIsng ' - ;3'?4s uo;2u;vsvAl 009 s;uapPOY-Iv?4snpul,Jb luawlivdaa spasntjayssvyLr,f'o lgIvantuouiWoo ;;ILL . t , Information and Instructions on r their rs' c=P=s2ti viassachus�s General Laws chapter�152 section ee is defined as ev25 requires all employers ersoa` the service of another under anoy contract ,ninvees.._As quoted fromt4e `law , an employ ryp , In ,f hire,'express or imp he oral or er is defned as an mdzvldual'paership, association, corporation or other legal entity, or any two or more of Anem PToy rise,•and including the legal representatives of a deceased employer, or the receiver or the foregoing engaged in a joint enterP trustee o£an individual,partnership, association or other legal entity, employing employees. However the owner.of a dwelling house haying not more thanthree 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 onthe,groimds or building-appurtenant thereto*shall not because of such employment be deemed to be an employer. ., • c MGL chapter,152 section 25 also states that every state or local licensing agency shall withhold the issuance 6r i enewal of a license or permit.to operate a business or to construct buildings in the commonwealth for any applicant who has br the not produced acceptable evidence'of compliance with the insurance an�cecoveact fo=tQeiperdf�onnancceoo public wor until ontr commonwealth,nor any of its political subdivisions shall.enter y acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting Applicants Please fill in the workers' compensation affidavit completely,by checking rhfite of insurance as all affidavits may your be PP1Y °O�az'Y des' address and phone numbers along with , sub��to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and �A date the affidavit. no.affidavrt should'be retumed to the city or town that the application far the permit or license is artrnent of Industrial Accide ts. Should you have any questions regarding the'Uw"ork* Qu being requested,not the Dep aitaient at'the ni, nber•listed below: • . ' ed,to obtain a�iorkeis' campensatioapolioy,please ca11.`'tFie Dep aie requir =: City or Towns provided a ace at the bottom'o�the Please be sure that the affidavit iss complete and printed legibly, The Departme�fins p the applicant. Please, davit you out in event the Office of Investigations has to contact you regarding PP „_ for y to fill�_._ ber whicfi will. `b er.�'ITie aff davits may�'e'r ,. till ttie.pennit%ltcense riven be used as a reference num be suie,to in unless other arraitements have beenniade:' = , the D ep ent b mai] of FAX ; r artm �� Y.,�:r,', S. .. .� estions• Office of Investigati�would like to thank you in advance for you cooperation and should you have anY-Ru• . The ,.s. please do not hesitate to give us'a call. Fog N� mom D artraent's address,telephone and fax number. The ThCCommonwealthPof Massachusetts ,_Department of Industrial Accidents ; ' � ptflce at inYestlgatlans 600 Washing on Street Boston,Ma, 02111 , far#: (617) 727-7749 r I l r6 r to 31 w � i 1 Town of Barnstable ti ' °" Regulatory Services r • IAItNSTABLE, v mass. g Thomas F.Geiler,Director �A i639. �0 lED Ma+A Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I. M 14�:� �(9I 4N , as Owner of the subject property hereby authorize4� � �'_ to act on my behalf, in all matters relative to work authorized by this building permit application for: ,erw 1 (Address of Job) 1�oG� -� Signature of Own�V Date 1&4�6�711 � 1� Print Name Q:FORM&OWNERPERMISSION j BOARD OF BUILDING REGULATIONS i License:`CONSTRUCTION SUPERVISOR i Numbers;CS O43556 �.,., Ezpif '1 �_3j2Q04 Tr,no: 4902 strlcfd'd-q Re ;= SCOTT E CROSgS( i- ±±,. :.=- 62 CROSBY CIR OSTERVILLE, MA 620' Administrator I ;�� �/aa. �oorvnzovuueall/i o��aaoaT,�ucaek`a Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 7 Board of Building Regulations and Standards Registration: 3137g One Ashburton Place Rm 1301 Expiration: /13/2004 Boston,Ma.02108 Type: Private Corporation PEACOCK&CROSBY BUILDERS, gtOTT CROSBY 1112 MAIN STREET UNIT 7 C, OSTERVILLE, MA 02655 Administrator Not valid without signature F-fS, Engineering Dept. (3rd floor) Map Parcel _ Permit# aD., House I A I I �J-)� Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee C,)o Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept. (1st floor/School Admin. Bldg.) INV Definitive Plan Approved by Planning Boarded 19 BARNSTABLE. ✓ GL i�J1—� P5 v r R ! mil sa cl esg .� TOWN OF BARNSTAB E Building Permit Application csv (a 11-5� Project Street Address R12C Z Z3-S I ocJTI . e0 J ie� Village '••�rg-� ' ' 1'I1 A,r-S Td,S Owner . ` 4:�k Address 241 1-'1/Le- Telephone GCS Permit Request First Floor 2-2- -'- square feet Second Floor to square feet Construction Type �RI0c>_2) Estimated Project Cost $ 531)j y J y Zoning District Flood Plain Water Protection Lot Size ca S 3, `� Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes XNo On Old King's Highway ❑Yes XNo Basement Type: Pull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) *4 Basement Unfinished Area(sq.ft) 24 Number of Baths: Full: Existing_ /tom New Half: Existing A',I - New JtJ4 No.of Bedrooms: Existing P/7-- New _ Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air AYYes ❑No Fireplaces: Existing Allt New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Al Other Detached Structures: ❑Pool(size) aO k' 40 � Attached(size) 2 X 2-3 ❑Barn(size) lU'� ❑None ❑Shed(size) A;/� ❑Other(size) iC1 Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes fiLNo If yes, site plan review# n Current Use /i fr Proposed Use Builder Information - Name �� /�1J 1���r� 4�c�N,K_ / Telephone Number S7Z-J Address �;/��/� �� License# 00:27 8 /yam Cal-4 03 Home Improvement Contractor# 7/o,� Worker's Compensation# Sw Ci /`700 c- ' 2�'D NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE C =6-A R' BUILDING PERMIT DENIED F R THE FOLLOWING REASON(S) • i Ile, � r i FOR OFFICIAL USE ONLY ♦ ♦ i 2 :^� j PERMIT NO. DATE ISSUED MAP/PARCEL NO: � ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: at FOUNDATION 6 , FRAME INSULATION FIREPLACE ELECTRICAL: ' ROUGH :FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH G FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. , TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 098 023 005 GEOBASE ID 4560 ADDRESS - 1811 SOUTH COUNTY ROAD PHONE MARSTONS MILLS ZIP LOT 5 BLOCK LOT SIZE DBA DEVELOPMENT , DISTRICT CO PERMIT 38279 DESCRIPTION SINGLE FAMILY HOME BLD. PERMIT NO.30226 PERMIT TYPE BCOO,w TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: �1w BOND $.00 CONST)UCTION COSTS $.00 * BARMABLF, MASS.039. �► Ep�l •I ' I BUI Hr9 V S�N I, I DATE ISSUED 05/10/1999 EXPIRATION DATE --- �------------------- - -------- - �`.. TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID OSB 023 005 GEOBASE ID 4530 ADDRESS 1811 SOUTH COUNTY ROAD PHONE MARSTONS MILLS ZIP - i .LOT 5 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO c ,� N PERMIT 38273 DESCRIPTION SINGLE FAMILY HOME BLD. PERMIT 0 30226 PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: per BOND $_00 CONSTRUCTION COSTS $.00 . * iARNSTABLE. *. MASS. �039. FD MIS BUIL/ . IVITAS N DATE ISSUED 05/10/1999 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL I WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX. CARD,CAN BE ARRANGED FOR-BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING � PERMIT RO L I 113 , 1 CC'1i%:T', NOt_iD k1a, N". R;;"',oR S 1,i F,LS ...v PI,)C,. ,T .:1/li 1IL:SC:-1 i TiMl Ch.1 Fy M)RIt ' 414. �` 'i '-'Y?P,' 13U, 1,D TI` U,, t"KU R2101M.:I'.LAi, 13J,1 Y' T C0HTR11t;TOr.S: all'D''±�,RSON, R1 CHARD Department of Health, Safety AH',1,I TFC_'S; and Environmental Services T )TAL r>✓F')',: ;,1 ,-1 Ob .00 Axe1�. CGS,:S 4;b.►0,000 .00 TI► 101 40`SL ?)%TAC1j1iJ) 1 1-1f vATf+ Fi +*► fr, * 1ARNSTABLE, • MASS. 1639. ED MA'S BUILDING DfMISION BY`" OAT1: ISSUED 04/'1.'(;1.9 8 ,+:I'P I Ott►i'1 M, Nkrc;� I THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT- IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS `Iie 1 �� 1 �25w d.G ceoww -j � 9 49-gp r � • / p _.LVZ�) 7Z 2 jj jo 20 -1 ,3CG /V017C C/i✓ f3alll�l 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 y �3 -c�Ci u BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL ` 5 WORK SHALL NOT PROCEED UNTIL PE MIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. A& NOTED ABOVE. TION. I BUILDING - . PERMIT I I . I- I I I I ' I i I; I MAScheck COMPLIANCE REPORT 3 & 2- Massachusetts Energy Code Permit # MAScheck Software Version 2.0 �la hz�p Checke by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 4-16-1998 DATE OF PLANS: 0 2c, �- TITLE: COMPLIANCE: PASSES Required UA = 692 Your Home = 643 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA --------------------------------------------- CEILINGS 2280 ---30---0 f-- -0.0-------------- ---- -80--- WALLS: Wood Frame, 16" O.C. 3254 19:0 3.0 176 GLAZING: Windows or Doors 833 0.330 275 FLOORS: Over Unconditioned Space 2349 19.0 112 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 DATE: 4-16-1998 Bldg. Dept. Use CEILINGS: [ ] 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-19 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.33 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ) Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only) ------------------------- ---- ::---- - - „_.� ....... RESIDENCE ......r ac® .uawuson Location: . / Map 98, Lot'S, 1811 South County Rd. = i NORTH ELEVATION Builder: _ TME�°•^° R. W. Anderson Sons, Inc. a� A15 888-5720 / 833-1243 fax 833-1751 --o ...... ......... .. ........................................ ............. .................... ........................................ .... ....................... ................ ......................................... m mi: ---------------------........................ Lu ......................................... 74, 77.......... ...................... ...................................... ---- .............................................................. ................. .. .......- -- ------------------- PAJOLEK . ...... ....... RESIDENCE ......... ....................................................................................... EAST ELEVATION A16 _._.a.❑ �m 01 ............. r:.............................: ®. ............ ........._. - -- -- - ---------- ..................................... ............ .............. PAJOLEK '. :........................:.................... is RESIDENCE .........::::::... ...... P®�.NONISQI SOUTH ELEVATION O BOUiM ELEv�TgN � A17 ......... .......... ell% ...... ...................... : .............................. ............................*................................ ............. ................. ................................................................................................................................. M EL .................. ........................................ .......... ................... ......... .. .................. M. I'lul ------ ................................. ........... ....... ........................................ .... ........................... ....................... PAJOLEK ----------- ------------------------------ .................................................... RESIDENCE .............................. ....................... ........... .. . :i ...................................................... ................ .............................................................................................. WEST ELEVATION 0 A18 Floor Joists 2" x 12" @ 16" o.c. Subfloors I"Floor 4'x 8' sheet 5/8" cdx Subfloors 2"d Floor 4' x 8' sheet 5/8" cdx Ceilings heights per plans Exterior Walls 2" x 6" @ 16" o.c. Interior Walls 2" x 4" @ 16" o.c. Wall Sheathing 4'x 8' sheet 7/16" OSB Ceiling Joists 2" x 10" @ 16" o.c. Rafters 2" x 8" &2" x 10" -per plan Roof Sheathing 4' x 8'sheet 7/16" OSB Roof Shingles Asphalt- 30 yr. GAF Architectural White cedar shingles 5" to weather on all sides T.O.FIN STAIR i 4T-C i T.0.PLATE .. -----------------------•--' ------------—---- , T T.Q FIN SEC -------------------- IL] • f ��aooaaa o� O.FIN FIRST -------- --- -- - - ------• jte'•6' -t - T.0.FI- --`-----•--------•------•-• --•--- --•-------•-----•---- 1 E3 ................... .......... ............................ .......................................... . ................................................ .............. -4 .......... ................. ---- PAJOLEK RESIDENCE .............. ................ ...........t ........ El ................. ................... BASEMENT FLOOR PLAN -W OFIRST FLOW �D A3' Y Y • NI E. I �r.ili i!�iIn _ s ISM _ -•I I 1IH 1112121 1:�■':_-�:1'■;....L �....��'1:�'ll',:I���.I�II�.1:i! {i�8�`+°- 111111 •" Ll 1!�:.11 .l I li 1 I LEI 1 ■.1�!■: OON H-RHEm115 I��.yy_) pal— •-.. •� �•1 I••1 I ME 11... 1 1._._■ ■_._.I 1._._■ ■••_• 1 1._._■ ■ I..li,�:�—'.:11..1 I.y11.■:� ■:11..1 1..11:�'— ■:11..1 I.�I''f�' i..■.1:1..1;1�■ 1 ■:��..1.;:■.-1 1 1:—' 1�:\�1 1 ■:i:. � Ul 1:��:�'1 1�:■_I 1 :1:1• 1.�.._1 1il ;r.!• 1:1�■�.1 1 ■:!: - y��� III:.: 1■1�.M.1 R_ME 1._.._■..■'—"..11..�._■. ■'—'•..11.."._■. ■'—'•..11..�._' I:�:::.i: 11-1_ 1.�.—I!1 1�1-._�I 1._._I!1 1�1— �I 1. �I 1�=_.L�I 1.�._I�I I�1'I fign i:el g uilp lin:!Hi ME G Fr 1-a i► �!i-1.!'i■•1'1__i 1.g1..!�G i:1-1__i i:t�� ♦♦ A gin i_:O D■ 1_i�.:�.�_!�:�:�:��I:■ate!ow r r r 1- : r ■ ■- 1 i--.� ■. III d lg_1!!:::••■!1�'• 1 ■'—'•..1 L.C:��:..■�.L 1 1..._,+ 111 � —�—.� 83�3J�$3. 3io�mm.000meeeeemoi�• �� �ii: -cuY/ Ir immii IBC•—■::■_•��I�: nn ,�_ �_�..� ,_.—.ice' ,g, t�.LLlr= 1 1...•11\i:�M E •II�'IIIJ I,'`-j� -���— _ 'D ' �`i �� i-r5i EON! FW MU 01 rii_i_ ..__..■..::..._. _u:�' i: - itiis■•-. 1•a � ■= I i•: 1111- .1 IN. ,:II•0 •.:11.11 1�.�� :..L'c..�Onl.�■'1, Iy:_■._I 1�V, .—ro gig MR zu: �'i:■E_�i..�_i::��i:■_ it-!!rl:■:�i .:i-RS i =1::: 1■1 t�l�.�.1�.:.._I■I in, 1..��■..���..I L.L._■..■_.�..1 L.L._■...�.L•..1 1.. ._� - •--- i'-y4i!irl i..�:l!i i.�l_l::1�.;cm- i-:a-p- :::1:•i i'-y�ieii��� F-1 .............................................. • ip ............ ... ...... ............................................... . t® Fe PAJOLEK RESIDENCE .................. ......................................................................... ........... M. SECOND FLOOR PLAN A5 o� .x� ......................... ---� --- ............... .......................... PAJOLEK RESIDENCE x®A�.OAA19IXi ROOF DECK PLAN O 9ECOXD ROOK VIAx Q Fmk � �•�� YYY ® A6 -S'oo N R�gB0• o 000,v ?00 0 ° r 0 0 O' �o�o N LOT 5 253,519 SFf LOT 4 �h CONC. 6� FOUND. TF=28.27' 61 EDGE OF / 0cv O (P 1+ TOP COAS& JOB # 97-163 CERTIFIED PLO T PLAN /pl 1 LOCATION : A SOUTH COUNTY RD. OSTERVILLE, MA PREPARED FOR: SCALE . 1 = 100 DATE . JUNE 8, 1998 REFERENCE LOT 5 LCP 20070 B MICHAEL PAJOLEK I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. off SOS-382-4541 fox SOS 362-9860 p� ARNE down cape engineering inc. ,,A CIVIL ENGINEERS LAND SURVEYORSkAc— DATE R 939 main sL Yarmouth, ma 02675 %G,�,�� 1ai+p'�\p °URVEYGR I The Cotnntonlrealtli of Afassacliuscttti• Department of Industrial Accidents 1 Y � t . Officeof111MV92tfons w ;g 600 11'asltin toil Street Z. Boston. Afars. 02111 Workers' Compensation Insurance Affidavit Aiinlicant information: _ Please PRINT Ieb name r ! -,- Z)6—WD A/ "5� ��/` n �/V C/ 'A..._� ,rJ 0 eAV location: L t7T y �� GGYJNT y �� sin• 0i//C.L•� I nhonr I am a homeowner performing all work myself. I am a sole proprietor and have no one working, in any capacity Q I am an employer providing workers' compensation for my employees working on this job. comt,anv name: adtlress: city: phone#- insurance cn. policy a I am a sole proprietor. ^eneraI contractor, homeowner(circle one) and have hired the contractors listed below who ha%e the following workers compensation polices: / Company nnmc: address: ells.. \ 62 3-2- phone e? insurance rn // 00!�6Q LtoD � .�_ vim.— _� _ :Y' l" _— _— —rr�:�:._��� i7�••r:1nw;y �1?•e•_ —�.....-�. ..�....—... _ cmmnanv nitric: ndd ress: pin•: nhnne ft• insurance co. policy tl Attach additional sheet if neccisaty, i -�- =^��' `� y." ._ _- �_��r•''�w -" •• ^=' '�-��" �•'_" F:iilurc to secure co,•cr:t¢c:cs required under Sc� c� ty ion ZSA of n1GL 1S2 can lead to the imposition of criminal penalties of a line-up r 51.500.00 ndiur unc,cars' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. 1 understand that a Copy of this statement ma% be forwarded to the Orrice of investigations of the DIA for coverage%-cri6e2tion. I do hereht•cerrifi•unr r ire i and penalties Pe 'u /tat the information provided above is true andcorrect. f Q �j Si_nature Datc ` ,aICt D-Y ` ` IN Print name �J`L'�' �7�-J ''�/ � -✓2�r��� Phone 'rofricial use only do not„rite in this area to be completed by citi or town official cin or town: permit/license# r911uiidina.Department Licensing hoard O check if immediate response is required (:IScleetmen's Uffcce ► allcaith Department . contact person: phone#: I"IOther S.: Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for tltc: employees. As quoted from the "laW". an entploree is dcfincd as every person in the service of :Ill()tli&f under an,,, contract of hire, express or implied. oral or written. An einplorcr is defined as an individual, partnership. association, corporation or other legal entity. or any t%Yo or mor: the foreuoinu etruaued in a joint enterprise, and including the le-al 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 dwcllin house of another who employs persons to do maintenance , construction or repair work on such dwelIing lho� or oil the ;,wounds or building appurtenant thereto shall not because of such employment be deemed to be an empiove- MGL chapter 152 section 25 also states that ever, state or local licensing agcnc}•shall aitliliold the issuance of renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with tite insurance requirements of this cltapter been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the cite 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 require to obtain a workers' compensation policy. please call the Department at the number listed below. City or •rowns Please be sure that the affidavit is complete and printed legibly. Tile Department has provided a space a! tl;e bottCTn o: the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pie: be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questior please do not hesitate to give us a c:ll. The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Ma. 02111 fax #: (617) 727-7749 Phone -4: (617) 72 7-4900 ext. 406, 409 or 375 1 MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached. HEATING SYSTEM TYPE : Other (Non-Electric Resistance) DATE: 4-2-1998 DATE OF PLANS : TITLE : COMPLIANCE: PASSES Required UA = 993 Your Home = 938 Area or Insul Sheath Gla:ing/Door Perimeter R-Value R-Value U-Value UA ----------------------------------------------=-------------------------------- CEILINGS 328 38 . 0 2 . 0 94 WALLS : Wood Frame, 16" O.C. 4760 15 . 0 3 . 0 318 GLAZING: Windows or Doors k Q_ 1004 0 . 330 331 DOORS J 102 0 . 350 36 FLOORS : Over Unconditioned Spa-c `(` 3344 1 . 0 159 ----------------------------- - C p ------- ------------------------------ COMPLIANCE STATEMENT: The propos d uildir�g design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and.the cooling load if appropriate has been determined using the applicable Standard Design, Conditions found in the Code . The HVAC eq i ment selected to heat or cool the building shall be no greater t n % of t design load as specified in sections 780CMR 1310 a d .4 . Builder/Designer,,-A Date 2 G( I t APR. 1. 1998 4:47PM P 1 FROM LYNX WINDOW & DOOR PHONE NO. : 781585O775 i TECHNICAL DATA EAGLE WINDOW AND DOOR PERFORMANCE DATA NFRC NWWDA I.S.2.87 NWWDA I.S.2•93 T ermal Performance Testin • Performanoe T Ono Desl n Pressure Rating NFRC Unit Unit"U' Unit TV Air Water 3truct. Air Water Struct. Product Type Size Dlmensbn Value Value infiltration Infiltration Performance Infiltration InftMon Performanos Clad Products Max.Plus Max.Plus Casement AA 24"x 48' .40 2.60 Or de 60 Grade 80 Grads 80 ODP45 2DP46 COP45 Awnin AA 48"x 24' 40 2.60 Grade 80 G e e0 Grade 60 ODP45 ODP46 ODP45 Double-Hun 38'x 80' ,36 2,78 Grade 80 Grade 60 Grade 60 DP40 DP40 DP40 Slide_ Grade 40 GMe 40 Grade 40 DP30 DP30 DM Gmle o AA 48"x 48' .32 3,13 grade 60 G Grade 60 0OP65 ODP66 0OP65 Direct Set Auxillwy Frame AA 48"x 48' 32 3.13 Grade 80 G!2ft 80 Grade 60 ODP86 ODP86 ODPO Sliding Patio Door•Double AA 72"x 62- .34 2,84 Grade 60 Grade 20 1 Grade.20 OP40 OP16 DPt5 51-Pertin Patio-Door Frendl Sildina Doo -Double AA 72'x 82' .36 2.88 Grade 60 Grade 20 Grade 20 OP DP16 DP15 13i-pert French Slid n Door Inswing French Door-Single AA 38'x 82' .3$ 2.80 Grade 60 Grade 60 Graft 60 OP40 OP40 DP40 lnswlnfl French Door Double AA 72"x 82" .35 2.86 Grade 40 Grade 20 Grad 20 OP35 b 15 DP16 Oulswing French D r•8 rt le AA 38'x 82" .40 2.50 Grade 60 Grade 60 Grade 80 0OP60 0DP60 ODP80 Oulawina Franoh Dobt-Double AA 72'X 62' .40 2.50 Grade 60 Grade e0 Grad 60 DP40 OP40 DP40 Wood Products Casement t t t G de 80 Greda 80 QMgo.60 DP40 001780 ODP46 Awning Grade 60 Grade 60 G '80 DP40 q 40 DP40 Double-Hu n AA 38'x e0' 1 .33 3.03 Grade 60 Grade 80 Grade 40 OF40 DP40 DP25 Circle To AA 48'x 48' .2a 3.45 Grade W Grade 80 Grade 60 ODP85 00P85 0OP85 Direct Set AuxIll=Frame AA 481 x 461 .28 3.46 Grade 80 Grade 60 Grade 60 ODP63 ODP85 OUP06 Sliding Patio Door AA 72"x 82' .31 3.23 Grade 80 Grade 60 Gyade eo DP40 DF40 DP15 131-Pattina Patio Door French Sildina bowAA 2'x 82" .32 3.13 Gr o 80 Grade 60 Grade 20 DP40 OP40 DP16 el-Part French SlIdIng Door Inswino French Do r Single AA 38'x 82" .33 t__ Q 60 Grade 20 Grad 80 OP40 DP15 DP40 Inswl Foneh Door-Double AA 72'x 82' 33 Grade 80 Grade 20 Grade 20 DP.40 DP15 DPtS Outswirt French Door• In le AA 38"x 82' 33 Wowin French Door-Double AA 72'x 82' .33 NOTE:I.S.2.87 air Infiltration at 1.57 psf(~near feet of crack) NWWDA ratings for windows and doors have now changed t4 a Design Pressure (pso 15 20 25 30 1 35 40 new rating system,tf�a Structural Test Pressure 22.5 30 37.5 45 52.5 60 'Design Pressure Water Infiltration 2.66 3.00 3.75 4.60 5.26 6.00 Ratings". Win owe d Dooms are now being Air Inf ltratIon at 1.67 pat cfmlft2 .37 .37 .25 .25 .25 .11 rated using the deslp O ratln Force ib 25 26 30 90 30 36 pressures(OP),with base performance levels of 15,20,25.§0,35 and 40. Optional design pressure(ODP) levels of 45.50,55,10,86,70,76 and 80 are also used. The previous Grade 20 rating Ig approximately a DP15,Grade 40 is between DP25 and Oeel n Pressure a 013.3"26.GW40.0 _DIP30-and.Grade 60{Is..app�mately a DP40. _20,0 _ 40.0 . 60.0 _ Design N n Pressure req irements are a minimum and do not prevent you Structural Test Pressure 2.88 pat 8,2 89 mph 128 mph 194 ps mph 4,43 from choosing a hig er level of performance In one of the other Water Infiltration sf 34 m h 43 m h 50 Mph parameters. EAGL Window&Door,Inc.Is In the prooese of retesting all Its windows and doo�e to the new DP ratinge, However,some of the DP Air Infiltration at 1.57 f cfrn/it2 .34 .25 .10 figures listed above re calculated based off of the previous NWWDA I.S. Operating Forge(lb, 25 30 35 2.87"Grade'ratings Updated DID ratings will be furnished as they become available. Improved performance enllanoemente are available on selected t Certified testing was not oompiets at time of printing. Revised test data products. Contact your EAGLE Representative for more information. r�' will be available at a�ater date, 'NFRC pertomlan0e testing was determined using NFRC 100-91: Air and water InfiMret on and structural testing was performed as per Procedure for Determining Fenestration Products Thermal Properties. o ' DEPARTMENT O.F P,UB IC'SAFETY 4, io ONE ASHBURSON�,,PLACE.., RM 1301 Po Q 0 BOSTON, 02108-1618 - CONSTRUCTION SUPERVISOR LICENSE ��`-� � MAY 71996 9 NUML,e: : Expires: — � � �� 5es�: t d To: E0 Iq '} RICHARD W ANDERSON e 2 h bottom, fold , sign on 20 GROVE ST and laminate license .card. SANDWICH , MA 02563 � e' p top for receipt and change address notification. ,ate ✓lZ� �GyY,h%Yn�O�ZI(JE'c2%GfiL 4�i.��IZC�GLl,Qe�b I • I I HOME IMPROVEMENT CONTRACTORS REGISTRATION ' oard of Building Regulations and Standards One Ashburton Place — Room 1301 f Boston , Massachusetts 02108 I • HOME IMPROVEMENT CONTRACTOR i Registration 109503 Expiration 09/16/98;;.,-. Type — PRIVATE CORPORATION ✓�• ..ala9l.� o ;•,.-';.,ice,4� , HOME IMPROVEMENT CONTRACTOR Registrati•oa 109503 RW ANDERSON & SONS INC I Type.- PRIVATE CORPORATION RICHARD W . ANDERSON I' Expiration 09/16/98 20 GROVE ST o } F SANDWICH MA 02563 RA ANDERSON & SONS INC, I RICHARD W. ANDERSON 7 1 �gdpaBROVE ST. ADWNaWTOR SANDWICH'MA 02563 ,I Tft - i F - i� All .B" cl MEN51ot\] 5 o �co�IcrrFTe vecv 6IZ1= A 6 t v 16 x 9Z 1�' 3Z' S'b" 6' O 13 l0" 7'-0'. 7'0' 8'-6. 3'-p 4' 6" / ++ 3.5. LADDafL ISx3� IS' i6' 5 io" S' D' 13 6" 9 O" 7"6 8' lo` 3' 0" 5' 6" ZOX40 ZO' A0' 5'-�" 5'-D' 13'-U 13'70" 9'•0 8'• 0" '8-VIVIt4C� BOAR .A. NA, O G Z=o' VAV.. TYR i p S.5: I-IArJD2AI L , I v A #�o \vlae M�51� �. -Ti o �I O , .o S G A L E Y4•`1'-0" ..�� ' a � n tJ o T 5 a 4"corlc¢eTe —'NEUMATICALLY VLAGEp C0t4cQETE (o" \VATEQLCNE TILE pEGK SHALL WAVE A MIRIMUM COMPQE5IVE 1�4ATO 3�a' WAIT& SAND EASE 5TQENC�TFI' OF 4000 V. 5. 1. eZ8 VA`(5 MAkCITE FINISH .I�. —Kt=14F0KCIt4C, STEEL SHALL COhIFOKM 4• TO AeT f PE31GiIJP flOhl A'-�o15 GR.�iO. LAPAII 8*91VIOCI 0OA2V 1'-6' 9 Z3 MINIMUM OF 40 VIAMeTe(C5 AT SPLICE75 AOV. e0VWF-IZ6. L I ZO' MAX. V.00L \vATEQ LItJE 9Pi #3 r3AI2s�lo"o.c. Y/ WALLS 4 FL00.1Z � Y G TYPICAL WALL DETAIL S C A L E • 34 = 1'- 0'" © AME-QICAO GUM�T�E V600'10 5EEKA�NK, P�L455• to Pf 4�1 RODNEY W.WICK 1 0 ROUNEY VETAIL5 OF: w.W03 N0. 6 7376 G L)N I T E" >�I Ali�� /ROEE`SfKNWEEiM Pool coNST��cTiot� CAAL jl,l - I F..ro- 1 9 - 61 DRAWA951 W B NO • 6 19960 " ,tern _ d n . . onLam ,nt rr-- IAN 8-4 tm ME. on 1 v r 4r r WE r �. 2:;-� d ic"J e,m`J'� ON a ^� MAE �i OW ligm Q -cvao i 3-r J,C ro t.4 P 10 ur era Wit WE - �. 23 2 '31' 1 _ ow ON23-3 \ � •vE mns LEE ow 73 *us U a � , P S 3AL - Al nag _ 12 _47) MAP 098 PARCEL 23.005 N PAJOLEK w:..off h--e SCALE:V=150' r PAIOLEKOGN PAJOLEK RESIDENCE STAIRCASE CEILING. ................... .................. r--- - -- --- ---- --- --- ----i .................. ............... ............... .............. .............. ________ 49' 6Lf6,T.O.PLATE- --------------------- W W i i i Q d C7 N r.------------ i , it -------------------------- IL Ull ------------ --------------- i i ---------------- --------I , ----------------------------- -------- i ZT-8"Vr GRADE r--i '- ---r-r----J �-----------J '----------- r-' r- . m a ISO 00 UAW Ilia i I I ' I I I ...l........: i ..................... ....: ®... ..........................---........- -=- BB o a ` ® O :.®- ........_.... ._.t IF==IEI .. i O c W g � � 1�"•• • ••�� L IUtNIII-ICA'IIUN NUMBtN LUIJ IIJIi I UI:i I I III,I C1111L LWUI`,i I S.I UAl E THIN 1 EU I �CL[A ASSIl_ I PCs I N9MD F'AHL't KEY 1• 1ri11 SOUTH COUNTY ROAD 03 —`_—_ __ RF 300 03CO 07/09/95 13J1 UU 23AA R098 023.005 456 _— — ---•---1 ANTI/OfIIF11 fFAilL11F —j)f S��1111�11fiN„ -_AIMUSIMN1 FACIn11S _ T' iur�ii lipiiem � tive_uunen.mn� r F:"""---"-"-''""" Y UNIT AfIJ'D.UNIT ACRES/UNITS VALUE Dewnption DAVIS. JOEL P MAP— ___ CU. FF.D.!lroAcres }LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE CARDS IN ACCOUN' j-- #LAND 1 222,200 L 13 1VAC. SIT 1 X 1 =10 100 95 129999.9 123499.98 1.00 1235U0 #DL LOT 5 01 OF 01 A 16 1WETLAND 1 x .2C =10C 300 1000.0c 3000.00 .20 600 #PL 1811 SO COUNTY RD N 11 1RESIDUAL 1 X 4.62 =10C 86 95 26000.0 21242.00 4.62 93100 #RR 1504 0200 IARKET 2086C INCOME SE A PPRAISED VALU 222.2C A J ARCEL SUMMARY A U T S AND 22220 / j A T LDGS —IMPS M OTAL 22220 F E CNST E DEED REFERENC Type DATE Rec- RIOR YEAR. VAL A T Book Pepe Inat' MO. Yr.D sly P c. A N D 22220 T S C75404 , 8/34 8 3LDGS U TOTAL 22220 R E LAND ADJUST_F BUILDING PERMIT $ Numbs, ow. Type A-al FRONT T O P 0. LAND LAND—ADJ INCOME SE SP—E3LDS FEATURES BLD—ADJS UAliS 222200 Con51. Total Von.Built Norm. Obsv. Class Dnita Units Base Rate AEI.Rele Actual CII. Aga DBD' COno. CND La N R.0 A. Cost New AEI RBDt Value $tp iee NOiQni Rooms Rme Betbe /FIa. I Pvty.ea Fr, 0 Desc r�pl�on Rale Squa.e Feet Rep[ Cost MKT.INDEX: IMP.BY/DATE: / SCALE: ELEMENTS CODE CONSTRUCTION DETAIL S T -------------- -- ---------------------- R U -------------- -- ---------- ---------- C --------------- --- ----------=----------- T • ---------=----= --- ---------------------- u --------------- -- ---------------------- R --------------- -- ---------------------- A --------------- -- ---------------------- L D - --- --- - --- ---------------------- Total Arees Aua B83a T BUILDING DIMENSIONS --------------- --' --------------------- --------------- --- ----------- A -------------- --- ---------------------- � ----irtElfiii'30RH z'$AA-fl"SfERV-I"itE---- L LAND TOTAL MARKET PARCEL 222200 222200 AREA 106400. VARIANCE +0 +0. STANDARD 25 v riaace . . Application to Petition for a a .: Yes [] No -MM tho property within a Historic District? Yes [] No { is 'the property a Designated Landmark? For Historic Department Use Only: Not Applicable [] oxH Plan ReView'Number Data Approved . ' signature: Yes for a building permit? [] No � Have you applied Yes [] No Has the Building Inspector refused a permit? All applications fora variance which proposes a change- in use,' new construction, reconstruction, alterations or expansion, except for single or two-family dwellings, will require an 'aPProved site Plan (see section 4- 7.3 of the Zoning ordinance). That process should be completed prior to submitting this application to the Zoning Board of Appeals. For Building Department use only: Not Re ad .......... [] _ site Plan Review Number 'Date Approved Signature: The followings information must be submittedd with the eaPetition ls y deny your the time of filing, without such information the Board of request: Three (3) copies of the completed Application Form, each with original signatures. copies of' a certified property survey (Plot plan) showing Five (5) co P water bodies, surrounding the dimensions of the land, all rovements -nn the land. wetlands, wat roadways and the location of the existing imp All proposed development activities, .exaePt single and two-familYies of a proposed site housing development, will require five .(5) copies improvements plan approved by the site Plan Review Commitetee meats as plan must show the exact location of all proposed imp alterations oa the land and to structures- See "Contents of Site plan:• Section 4-7.5 of the Zoning ordinance, for detail requirements. The petitioner may s any additional supporting documents to assist the Board in i termination. rc 11 Date � CT c`(� U l0%1 signature. petitioner or Agent's Signature 1� cD Phone: �0 y �Zd •O t Agents Address: Fax :No. �Z f 3,1 7A XZ 02 6 S , THE ZONING RELIEF BEING SOUGHT HM. RWDIMRWWBY=ZONWG - ENFORCMWT OFFICER TO BE APPROPRIATE RELIEF C 71'7- NOV ':2; CIRCUMSTANCED .TOWN or 811RNSTASLE' Zoning Hoard of Appeals Application to petition -for a variance Date Received For office Use Onl Town Clerk Office Appeal 1. 14+ Hearing Date 1+ 21, 4 B Decision Due The undersigned hereby applies to the Zoning Board of Appeals. for a variance from the Zoning ordinance, in the manner and for the reasons hereinafter set forth: Petitioner Name: , PhoneD Petitioner Address: 1&51 OZ Property Location: , 0 Property owner: 'e/ O , Phone S n -n • 5i Address of Owner: ��o C e M Sf petitioner differs from owner, state nature of Interest: Number of Years owned: Assessors Map/Parcel Number: 01 zoning District: �F Groundwater overlay District: CAP variance Requested: 3 - • 4 Cite section t Title Of zoning ordinance Descrip 'on of Vari ce Requested: cor tee - 0 0 Description of the Reason and/or Need 'for the. Variance: ecc M,[ e a C eS Discription of construction Activity (if. applicable) : Existing Level of Development of .the property. - Number of Buildings: Present Use(s) : , Gross Floor Area: sq.ft. Proposed Gross Floor'Area to be Added: ,600 SI , Altered: Ts- this property subject to any other relief (Variance or special Permit) from the zoning Board of Appeals? Yes [J No�Q If Yes, please list appeal numberss or. appl3cant,s name i Town of Barnstable Planning Department Staff Report Appeal No. 1998-14-Pajolek Variance Pursuant to Section 3-1.4(5) -Bulk Regulations-Building Height Date: January 9, 1998 To: Zoning Board of Appeals From: Approved By: Robert P. Schernig, Director Reviewed By: Art Traczyk, Principal Planner Drafted By: Alan Twarog, Associate Planner Applicant: _ Michael-Patolek,,;: _., _< •——�_ _ Property Address: "1811 South County Road, Marstons Mills MA- -Assessor's Map/Parcel: 098J-023.005 . Area: 1 acre Zoning: RF Residential F Zoning District Groundwater Overlay: GP Groundwater Protection District Filed: Nov. 12, 1997 Hearing:Jan.21, 1998 Decision Due:Mar.2, 1998 Standing: Town Record's list the owner of the property.as Joel P. Davis. The applicant should be prepared to show standing before the Board. Background: The property that is the subject of this appeal is a one acre lot located off South County Road in Marstons Mills. This site is currently undeveloped and is located in an RF Residential F Zoning District. The applicant wants to build a new 4,000 square foot, two story single family dwelling. The Applicant proposes to enclose the roof access stairs, which puts the height of the structure from grade to the staircase ceiling plate at 33 feet. The Zoning Ordinance allows a maximum building height of 30 feet in residential districts. Staff Comments: According to elevations presented, the height of the structure from finished.grade to the second story plate is 21' 10". The proposed enclosure for the roof access stairs includes what appears to be a third story deck that is enclosed adding an additional 11'.2"feet to the building bringing its total height to 33 feet grade to plate. Because this structure has not been constructed yet, could this be a self imposed hardship. Depending upon how the Board selects to define a half story, the level could be considered either a half or full story To the staff, the access stairs alone could be considered non-usable floor area similar to roof mechanical items like an elevator housing shaft and do not need relief providing they do not contain "usable" - living floor area. Any enclosed area that constitutes a third floor would need relief. Variance: In consideration for the Variance, the Petitioner must substantiate those conditions unique to this lot that justify the granting of the relief being sought. In granting of the Variance the Board must find that: • unique conditions exist that affect the locus but not the zoning district in which it is located, • a literal enforcement of the provisions of the Zoning Ordinance.would involve substantial hardship, financial or otherwise to the petitioner, and • the relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the Zoning Ordinance. Attachments: Applications,Assessor Map,Plan Reduction copies: Petitioner QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 05/08/98 PARCEL ID 098 023 005 GEO ID 4560 LOT/BLOCK 5 DBA PROPERTY ADDRESS OWNER DAVIS 1811 SOUTH COUNTY ROAD JOEL P 01 PAJOLEK MICHAEL & LISA MARSTONS MILLS 16 HILL CREEK RD CENTERVILLE MA 02632 PHONE DISTRICT CO DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY(NOTES) ZONING DIST/ZOC RF SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? # BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 253519 . 2 OPER/MGR NAME WET LANDS MULT ADDRESS USE 130 PROTECT DIST GP (N) EXT / (P) REVIOUS / NO (T) ES / PER (M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT r �d a.o1•.1:a NOLLVA313 OOOIAVf3So01'd,1113 NVId 3 :(g a,.up 01 91 x // st aa�cNer LGOv11 ........................_............._._.... ...a 'y'!� :*PAS :Garza _._.._.....__..............__................_ / •/ �% J NVId 311S o1 ..................... — Pr. •:,: .................................... ' wt x•rn3 rA' ,rr!'�/ "%' r// % 11J / I I ; '� t\, :� 6etP•Paaos ... r,r'" .............%' r,,r '/ / J/:" :' , i \`•. ,\ ......................+ PAY 4i4 C61 r,. ,�.^.'�r�:"ti. "' ^ •'..';'I'::':'.' I I " \ :4. ,. ':Air."•' ''Y�'•'•••'' •;/,•:'� }t.,•�S t 16 r 0 1• `t "VW '\ orlmrP'mw •o .. �: A \ .:: l l r PmY !�S' IP J \ 1 SC 'T '} I I s, I 1 x... I.. J1l115713� _. '. 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