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Ci►.rIN611Cd�'—L�►irflAl TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ` I I Parcel y v' 6 t� 1 Application 0 Health Division - ; Date Issued let Conservation Division Application Fee- Planning Dept. ,d�n, ,� Permit Fe@ l`� � "0 f' Date Definitive Plan Approved by Planning Board '"� ��! 3 Historic - OKH _ Preservation/ Hyannis Project Street Address M T r*� bc� ��►� Village �.�y �, �•1�, Owner ���, /��c� ��� Address Telephone 19& Permit Request c ���,�,��{��- a- to Cc/4 Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation d�GG Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Q," Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New' . Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name mike_McCarthy_Constrivefin" Telephone Number PO Box 52 Address West Dennis, M4 02670 License # Cell (508) 280-6964 C§16_58633-- C_ 69 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RES LTING FROM THIS PROJECT WILL BE TAKEN TO Ja SIGNATURE DATE FOR OFFICIAL USE-ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS VILLAGE x OWNER DATE OF INSPECTION: FOUNDATION FRAME f,. f INSULATION t, FIREPLACE j ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t 1�4 � > Town of Barnstable °-0 Regulatory Services � �" Richard V.Scali,Director q, '16s9�. .0 1�, Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 -sv»vw.tow n.b arnstable-ma.us Office: 508-862-4038 pax: 508-790-6230 Property Owner Must Complete and Sign TWs Section If Us:ina.A.Bider I, 1 Clio v A N UGC 10l -_ _,as Qevner of the,subject properly hereby authorize G t./ to acr on my behalf, in all matters relative to work author by this building permit application for. LRO► 111,�A trey .avw t Vila�� �rrn s h�l IS �l o Z U yb (Address of job). "!Pool fences and alarms are the responsibItyof the applicant. Pools are not to be filled or untried before fence is installed and all Final inspections are performe and accepted_ t tore of er Signature of Applicant Ac#00 14. NOXA=I � _ Print Name Print Name Date Q:FORMS.0NVRTWEWSSI.ONP000; su Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supcn•isor License: CS-058633 MICHAEL J MCC.[R - PO BOX 52 s W DENNIS MA 0267� �,•G..- Expiration Commissioner 11 I11\ 04/10/2016 WK Q—) Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement C�nActor Registration "_ === Registration: 169393 Type: Individual Expiration: 6/16/2017 Tr# 264961 MICHAEL MCCARTHYi MICHAEL MCCARTHY P.O. BOX 52 WEST DENNIS, MA 02670 Y ; :,�.�-•- .;- r,:' Update Address and return card.Mark reason for change. Address 0 Renewal ❑ Employment ❑ Lost Card 20M-OS/11 I ,p The Commonwealth of Massacliiisetts Department of InilnstrialAcciilents I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/ilia Workers'Compensation Insurance Affidavit:ilttilders/Contractors/Electricians/PI►imbers. TO 11E FILED WITH THE PERA4ITTINC AUTHORITY. Applicant information Mike McCarthy ColtnstruCtiCl%se Print Le ibly Name(Business/Organization/individual): P® Box 52 West Dennis, Ntk 02670 Address: Cell (508) 280-6964 CSL-58633 HIC-169393 City/State/Zip: Phone#: Are718 an employer?Check the o propriate box: Type of project(required): I. m a employer with employees(full and/or part-time).* 7. ❑New construction 2.Q 1 am a sole proprietor or partnership and have no employees working for me in $. Remodeling any capacity.[No workers'comp.insurance required.] 9. Demolition 3.Q 1 am a homeowner doing all work myself.[No workers'comp.insurance required.]► ❑ 4.❑1 am a homeowner and will be hiring contractors to conduct all work 10�Building addition on my property. I will ' ensure that all contractors either have workers'compensation insurance or are sole I I.Q Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5.O 1 am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.) 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.90(her 152,§1(4),and we have no employees.[No workers'comp.-insurance required.) •Any applicant that checks box#1 must also fill out thesection below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mush submit a new affidavit indicating such. tContractors that check this box must attached en 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. lain an employer ilia!is provl(ling workers'compensation insiifance for my employees. Belo►v li the policy anilfob site Information. insurance Company Name; J�J. ( Ti1S. tiIfL, . l Policy#or Self-ins.Lic.#: Expiration Date: ).)L k- Job Site Address: I�S �t, ejc✓ City/State/Zip: ' ,r Attach a copy of the workers compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152.§25A is a criminal violation punishable by a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER-and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of investigations of the DiA for insurance coverage verification. I do Hereby certify un 1l nl s and allies r' ty that theanformallon provider/above is true and correct. Si nature: Date: Phone#: Official use only. Do not write in this area,to be compleled by city or town official. City or Town: PermitMeense# Issuing Authority(circle one): 1.Board of Iiealth 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone# WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMR'TM PAGE A.I.M. Mutual Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 (800)876-2765 NCCI NO 26158 POLICY NO. I VWC-100-6017656-20146 PRIOR NO. I VWC-100-6017656-2014A ITEM 1. The Insured: Michael McCarthy Construction Inc DBA: Mailing address: P O Box 52 FEIN:"-"'3862 West Dennis, MA 02670 Legal Entity Type: Corporation Other workplaces riot shown above: See Location. 2. The policy period is from 12/15/2014 to 12/15/2015 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 $ 500,000..each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 500,000 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 INTRA 0712979 INTER SEE CLASS CODE SCHEDU E Minimum Premium $550 Total Estimated Annual Premium $29,332 GOV GOV Deposit Premium $7,748 STATE CLASS MA 5479 State Assessments/Surcharges $28,601.00 x 5.8000% $1,659 .This policy, including all endorsements is hereby countersigned b (—�-� P Y 9 � Y 9 Y 12/15/2014 Authorized Signature Date Service Office: Bryden& Sullivan Ins Agcy of Dennis Inc 54 Third Avenue PO Box 1497 J Burlington MA 01803 So Dennis, MA 02660 / WC 00 00 01 A(7-11) Includes copyrighted material of the National Council on Compensation Insurance, ` v� used with Its permission. V �t Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee 1?1, • anatvsTA1114 639. `0$ Richard V.Scali,Interim Director Building Division Tom Perry,CBO,Building Commissioner --IT 200 Main Street,Hyannis,MA 02601 MAR 1 www.town.barnstable.ma.us 2014 Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDEN a Q l T�BLE p p Q Not Valid without Red X-Press Imprint Ma / arcel Number Property Address M —7—i n1 3 C;Z, bq-^)6 414A j dyJ .In(Z.C,.S ❑Residential Value of Work$ �—S Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address /L5) 2tC,/-6q -a PJO e�<0L L A- Contractor's Name_ _UJ Niiy-6 Lo rrtA-S Telephone Number u�'O9 P L_ 63Q7 Home Improvement Contractor License#(if applicable) ' Ll4-3 Email: Construction Supervisor's License#(if applicable) Ci -7 7 ®� ❑Workman's Compensation Insurance �Ch ck 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 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Rr Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#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 ermit forms XPRESS.doc Revised 061313 i 1'he Commanwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 wi,inv.mas&gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors(Electricians/Plumbers Applicant Information. Please Print l,Mbly Naive mudw&jorpnizafiozu&vicluai): Address: 7 City/Sta&zip: Phone# Are you an employer Check the appropriate box: Type of project(required): I-❑ I am a employer with 4. ❑ I am a general contractor and i employees(full and/or pan-time). * .have hirexlthe sub-contractors 6_ ❑New construction 2.,K 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 working for me in any capacity. employees and have workers' [No workers' comp-insurance comp-insuranmi 9- ❑Building addition required.] 5. ❑ We are a corporation and its 101-1 Electrical repairs cr additions 3.❑ I am a homeowner doing all work officers have exercised their 1 LE]Plumbing repairs or additions myself- [No workers'comp- right of exemption per MGL 12.❑Roofrepairs insurance required.]T c. 152, §1(4),and we have no employees.[No workers' 13_❑Other comp.insurance required.]: 'Any applies that checks boa#1 mast also fill out the section below showing their woakers'compensation policy in€rnmation. 1 ffonreowners who submit this affidavit n dwztmg they are doing sIl wank and dun hire outside contractors'mnsi submit a new affidavit mdicatngg such ?Contractors that check this boot must attached an additional sheet showing the nmne of the sub-camrrsctots and stare whether or not those entities have employees. If the sub-coatracmts have employees,they must provide their Rrorkets'comp.policy number. I arvt an employer that is prauiding workers'coegmisatiorr irrsurartce for my omplaf,ees. Below is the policy and job site informittiatr. Insurance Company Name: Policy#or Self-ins.Lic.#: E,pirationDate: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(shoving the policy number and expiration date). Failure to secure-coverage as required.under Section 25A of MGL a 152 can lead to the imposition of criminal pies of a fine up to$1,500.00 and/or one-year imprisonment,as well as ci`il 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 ceerliat Wider thUmns and t es ofpedury that the info rmatianproW&dabm a is true and correct Date: 3 /(e , Phone#: Official use only. Do not write in this area,to be completed by city or town a f 9cial, City or Tenon: Permit/License# Issuing Authority(circle one): 1.Board of Health 3.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone 9: 6 i � E T Town of Barnstable Regulatory Services + BAMSP"M • i►AM g Richard V.Scali,Interim'Director i639- �0 39. 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 Using A Builder D C-4 — , as Owner of the subject property hereby authorize wcx— .l/Xl_sr_. to act on my behalf, in all matters relative to work authorized by this building permit. (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 o Owner Signal&of Ap 'cant Print ame Print Name Date n.t:nua,rc•nunrcnv�v�,rtccrnrronnr c inii� ' Town of Barnstable Regulatory Services �*IHE low, Richard V.Scali,Interim Director ti Building Division snaxSrABLF, _ Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601. ��FD MA'l www.town.barnstoble.ma.us Office: 508-862-4038 Fax: 508-790-6250 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB.LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for.hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities'of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,.particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 I u License or registration valid for individuI use only before the expiration date. If found!return.to: ;, ... Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 V- Lj`/ i Not valid wi out signature T �h tl �e pernmcaruuea����eac`cuea& !.: . fN Ofrice of Consumer Affairs&Business Regulation ' OME IMPROVEMENT CONTRACTOR i registration: f132463 Type: :. DBA i xpiration 2181201t5 LOFTUS CONSTRUCTION? �— .�.•� ' WAYNE LOFTUS 78 Arrow Head Drive g �6 Hyannis,MA 02601 Undersecretary Massachusetts -Department of Public S • � � Board of Buildingafety Regulations and Standards Construction Supervisor i License: CS-077860 b/. i WAYNE T LOFTU$ 78 ARROWanADi DR, HYANNIS MA 026011 Commit Expiration loner 06/27/2014 - r , Town of Barnstable *Permit#C)d0 6 Q- Expires 6 m^oombs from'as a date ,,,R,,�„B,E Regulatory Services Fee �� Thomas F.Geilcr,Director i6 . PERMIT Thomas Division NOV 0 6 2006 Tom Perry,CBO, Building Commissioner 144�O�0 200 Main Street,Hyannis,MA 02601 Office: 51q 1�-49 8 BARNSTABLE www.town.bamstable.ma.us Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY l/p Not Valid without Red X-Press Imprint. Map/parcel Number Property AddressTlm(JALr Lt7irz Residential Value of Work _�DC_)f7 —7 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address LA\a� 1��T�mb�f- n �n AM �`VIA Contractor's Name AA) Telephone Number SC&—LA Home Improvement Contractor License#(if applicable)__ Construction Supervisor's License#(if applicable) 62 U 3 2 �Workman's Compensation Insurance Check one: ❑ �I am a sole proprietor ❑ I am the Homeowner- have Worker's Compensation Insurance Insurance Company Name -N (—a y(���P (--s Workman's Comp.Policy#_ 0 C)--, Dy q '1 AM J Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) XRe-roof(stripping old shingles) All construction debris will be taken to n {m ❑Re-roof.(not stripping. Going over existing layers of roof) ❑ Re-side y ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town departrnent regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improve t Contractors License is required. SIGNATURE: Q:Forms:cxpmtrg Rcvisc071405 i :v �s The Commonwealth of Massachusetts - Department of Industrial Accidents Office of Investigations �4 600 Washington Street r Boston, MA 02111 www.mass.gov/dia. Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers- Applicant Information Please Print Lceibly Name (Business/Organization/Individual): �Q��` S -z—� �tL� 1 ���•� (� �� C Address:_ b 1 S City/State/Zip: (0 r 0�2 Phosn# Sos Arc you an employer?Check the appropriate box: Type of project(required): I I am a employer with_ )-2— 4. ❑ I am a general contractor and employees(full and/or part-time).* have hired the sub-contractors 6. E]New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their '10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11-El Plumbing repairs or additions myself. [No workers' comp. c. 152, §](4),and we have no 12.�goof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.0 Other •Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. 11 Insurance Company Name: r Q,\t cs S Policy#or Self-ins.Lic.#: L , Gooq S 1� �J �U (,7 Expiratio a'r L f l , Job Site Address:�� (' �) >� /J S 1p.0 ��_Ctty/State/Zi 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office'of Investigations of the DIA for insurance coverage verification. I do/tereby certify nder the pains and penalties of perjury that the information provided above is true and correct Si natur Date: Phone#: ( , Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/Liccnse# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6:Other Contact Person: Phone#: pFIKET� Town of Barnstable Regulatory Services �$ ASSH�'MA �� Thomas F. Geiler,Director 1639. .m D Building Division �Arf MAy A 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 ,&C2CEL L-- —, as Owner of the subjectproperty hereby authorize 0 A 0^/v,.n A i ,6" (,4 L to act on my.behalf, in all matters relative to rk au orized by this g permit application for (address of job) AA-RST-WiS MiLLS �P 'a 5J-. 2000 Signature of Owner Date A e' �9. Nc) C_ EZ-Z- KPrint Name Q:FORMS:O WNERPERMISS ION 1 J.•. ..Jt::?ai7i.'r,5f.::.t Svi: :s(F... 1 I�.eP ,.a•:.: GAT ;_S>,. ... /r'111:Vr 'i.�v!..e.,.:.5..ai..,y::"'':.G.,.: ,.tr.r.<...?,'."• n...A_,,, ,,h'."•r'.�i:i:o'%Y+'.N.:.'i»:e<Y'•..'iSi»t..•i`jf%s'%' q,�::' HSFo t.: _sq.. ..s,.. .,!C... ^.8{:, r.$.,.....a:, :li 7 ...:i:f>)�+�......i:^:e. ..,:'itiw.,m'+..ifi>e'::,;:,t,;•. ":'::.. '.;:t:.::.'::G::•Y:3:::�<:'.•'.:.:. ' ADDUCER THIS CERTIF(CATE'IS ISSiIED.AS~AVDdATTER A IN)-LftF►�ccww., ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DOjlLING & 0 NEIL INS ACC HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND`-OR. 222•WEST t•IAIN .STREET, ALTER THE COVERAGE AFFORDED BY THE POLICIES aELC W-. PO.BOY 1990' HYANNIS 11 02601 COMPANIES AFFORDING COVERAGE CGt iRA\!. 22LGR' A I' TRAVELERS PROPERTY CASUALTY COMPANY OF At4EItICA NSURE.D COMPANY r i 'PAUL J CAZCAULT & SONS INC. g . 1 1031*MAIN STREET 'OSTERVILLE 14A•02655 COMPANYC COMPANY - D . V (j k`ii`iitii.+net"ttv::::i::.,•'•....•. .4k:t::•.r.<..e,w o•r,.+::<:.' vel•is '5.. ,:{:4!•` 'aC.v ::IY G:t« 4b'"k N': <:tv h. i.Af. :•S aim,•saw. .� .;;.a2. •.: +...v;; a ....i.,•iJee..::ey.o.. a¢.:vJ.:n t/•v:J;e..ti.y... .e ..:>..:O.n .....,.,sr..w.n..n tq:xv.o ..<:. .:.a:. ..Cna.•a:.kiL^ :•nsb" .,.,j�:�':•;%ek,Caf,.::;:npi,a$ ;:THIS 1S'TO CERTIFY THAT THE POLICIES"OF INSURANCE LISTED -HAVE BEEN ISSUED TO'THE•INSURED NAMED'AMNE FOR THE POLICY PERIOD* INDICATED, NOTWRHSTANDING ANY REOUIREtdENT,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, if EXCLUSIONS AND CONDITION3 OP SUCH POLICIES,t IMITS SH04VNMAY=HAVE BEEN REDUCED BY PAID CLAIMS: � t' CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION' LIMITS LjR POLICYNUMDER DATE(fSADII\YY) . DATE(MU%DD\YY). RAL GENE UABIUTV GENERAL AGGREGATE i LUMAAENl;1Al GENttHALLVUlILIIY PHti0UCi3.l;ui•IitiGr Auld. CLAIMS MADE=OCCUR. PERSONAL 6 ADV.INJURY OVWE4fS s CONIAAC10FIS PROT.' EACH accunTIGNGE i ARE.DAMAGE(ArSy one lire) S MED..EXPENSE.(Arry one peteoni_. AUTOMOBILE LIABILITY ' COMBIN ANY AUTO LIMIT ED SINGLE i LIMIT {I ALL OWNED AUTOS ROP16Y INJURY SCHEDULED AUTOS (Per Person) i -HIRED AUTOS ' NON•OWN60 AUTOS BODILY INJURY 3 i V (Per Accidenl) r ` PROPERTY DAMAGE S GARAGE LIABILITY AUTO'ONLY-EA ACCIDENT' 3 , ANY AUTO OTHER THAN AUTO ONLY: '`•'" sy.>,.r s" ,' i I EACH ACCIDENT. i + AGbIIEGAIE _ J FJ(CESS UABIUTY EACH OCCURRENCE _ 3 a: UMBRELLAFORM AGGREGATE i 'I OTHER THAN UMBRELLA FORM _ _- —. . •' �F' WORKER'S COMPENSATION AND. w39`•. 3"°°c:,.': ## A EMP.LOYERSLIABILITY (UB-0095B64-A-06) OS-10-06 OB-10-0.7 srATUTORYLMITS THE PROPRIETOR! EACH ACCIDENT inn Wifill PAHTNERS/EXECUTIVE INCL DISEASE—POLICY LIMIT i OFFICERS ARE: EXCL DISEASE—EACH EMPLOYEE S .r 1 L I :II ll: to Ij • Ir I Tl1IL RBPLACCG ANY PRIOR CERTIFLCATE ISSUED TO Tim CERTIFICATE HOLDER AFFECTING VIORKER.; COMP COVERAGE. I , ....v,N .. r L.r. •:R^. \b>. :)j, ^3:w3.G::' 'q f::<��' :S•:':.'{:i;.:I.. i.'S;:•.. `:4. f�!!f nvJ.r, .n•in4i,..rh,••nS,:no, .,t.. --IM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE r Paul J,Cazeault&Sons EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE I ' Roofing,I:Tc• LEFT, BUT FAILURE-70 MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR 1031 Maia Street LIAWLITYOFA►Y.WND UPON THE,COMpAN{, ITS,AGiMSOgRGPRESE/iTbTIYFS. • l;l it OSterVlllc;, MA 02655 AUTHORIZED REPRESENTATIVE 1+i' t°�;t ?;bf:`t:3:: Ss:L'A'i:?:• y:•L:S:L'2•i• r.<;; •:i:iLa.: ';i[ ::<.5.' \' ,Acdt zs s ysa " kr:�� Client#:19989 2CAZEAU LTPA ACORD,w CERTIFICATE OF LIABILITY INSURANCE 0 9/0°""'"' PRODUCER. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling$O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency :,:) HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 222 West Main St. PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Western World Paul J.Cazeault$Sons Roofing,Inc. INSURERB. 1031 Main Street INSURER C: Osterville,MA 02655 INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION ' LTR NSRC TYPE OF INSURANCE POLICY NUMBER DATE MM/DO DATE MM/DD LIMITS ' A GENERAL LIABILITY NPP1012091 04/30/06 04/30/07 EACH OCCURRENCE $1 00O 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES Ma occurrencal S50 OOO CLAIMS MADE 51 OCCUR MED EXP(Any one person) $2 500 X BIIPD Ded:1,000 PERSONAL BADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $1 00O 000 -71 POLICY PST LOG' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Peraccident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? IF yes describe under E.L.DISEASE-EA EMPLOYEE $ SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate of insurance will be issued directly by the insurance carrier. r CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Informational purposes Only DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 111_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108)1 of 2 #42866 LS1 0 ACORD CORPORATION 1988 e / -C Board of Building Regulati ns and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Reqistration: 103714 Type: Private Corporation Expiration: 7/9/2008 PAUL J. CAZEAULT & SONS', INC."--.! ' Paul Cazeault _..._._.--•--..._...__ . ._.. 1031 MAIN ST - . OSTERVILLE, MA 02658 Update Address and return card.Mark reason for change. ❑ Address .0 Renewal J" Employment Lost Card DPS-CAI 0 5OM-05/06-PC8490 _ate\ 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: Registration:: :103714 Board of Building Regulations and Standards on::.?/g/2008 One Ashburton Place Rin 1301 Expirat ii Boston,Ma.01108 Private,.Corporation PAUL J.CAZEAULT.:&\SONS,",INCt �. / Paul-Cazeault •`--J =-�/�` • -1031 AMAIN ST ;==�; i OSTERVILLE,MA 02658 '.' -`` Deputy Administrator Not valid without signature - Board of Buildin egulations One Ashburton Pace, Rm 1301 Boston, Ma.,02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 10/20/1959 Number: CS 026325 Expires: 10/20/2007":'* Restricted To: 00 s, PAUL J CAZEAULT 1031 MAIN ST. OSTERVILLE, MA 02655 Tr.no: 7696.0 Keep top for receipt and change of address notification. 1DPS-CiAI 0 50M-04/05-PC8698 ' i �� T�d))YI)tOOLIUC[L!.[IL o��ac�tlulelf BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR ,'.. I NumberCS. 026325 �Ex,plres`,10/20%2007 Tr.no: 7696.0 is Restricted: 00 PAUL J CAZEAULT':° _ -1031 MAIN ST ' 1 SHED REGISTRATION ZL; Ice, location of shed(address) property owner's name size of shed &LAOn� signatuA date Old King's Highway Historic District Commission jurisdiction? D THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN shed _ .ZZ•G g 148•86' 0 a `� LOT 23 12 DECK to do .8.5 °D U') 52.Ot N N I H169E# N LOT 24 28.5 60.0t CV CV i ~ +1 O o LO L=32.42 L=119.58 R=3277.78 R=4183.40 TIMBER LANE RES ZONE: RF FLOOD ZONE: C THIS MORTGAGE I NSFPECT I ON PLAN IS FOR BANK 'USE ONLY TOWN MARSTONS AJELS REG I STRY -OWNER: ESDMUND L d PAmm T DEL TANG DEED REF:_27W238 BUYER: ✓OS&W W LW E DATE: 2120189 PLAN REF: 2471 SCALE: 1 '= 30' ere y cert y t at the ui ing shown on this _plan is located on VANKEE SURVEY the ground as shown and it'$ ��t� OF ,y�gC CONSULTANTS ;:, position does canrorm to the �' PAU y�� 70 .RASP BERRY .LANE `�� zoning law setback-;requirement of A. N MARSTONS MILLS BARNSTABLE . . AA MASS 02648 and does not 11e within the special �Vo.�2098 e flood hazard area as shown on 9FCiSTER�� Q,` Lh . u.. d..' f,104 idap dated s�MAt LAN�SJ This, plan not' made from an instrument 4,976 Paul. A.. MeriLhcw. RPLS �ucve not to be used for fences etc i 1, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 'Ma ./ �, ' Parcel f .� p /i � � AR;�STA9l(�ermit# Health Division /V D� ate Issued -2Z Conservation Divisi 3 / 7qu � 10� 2y e Tax Collector �a ' —A-f- ��?� �d, (� v 3 —/a —D ���—DiWIS10IT7-?T SYSTEM MUST BE Treasurer f`N3 'LLE10 im COMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board iEN'V;?;;�`-,0NMENTAL CODE ANDT11-j'N RIZGULATtONS Historic-OKH Preservation/Hyannis Project Street Address �'ri� / _F1-777 off— J AX(,�7 Village ✓ ,4 fQ S-roj Owner ��GN��t1 L10 Address I (CA 1 LAIAe Telephone �� �� ZT) S ( 77 / Permit Request S + W C in C y7 o 0 Square feet: 1 st floor: existing�i -� yproposed �6� 2nd floor: existing proposed Total new �6� Valuation 1 t y Oning District Flood Plain Groundwater Overlay Construction Type SA Lot Size 2.C7d��•C Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes *0 On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl Cl Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other I� Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use �,PS BUILDER INFORMATION Name �1u�l v� Telephone Number 5P925 3 Address AIIAr(,Yo)VI S—'r License# AIA r'C1 ' piA d 1 MO Home Improvement Contractor# 1 Z5/0 Worker's Compensation# S S V/(3, 471 sc _3 51 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO fivE�Tea �'IiS sFc- � ,�c rn� SIGNATURE DATE 3 a Off/ t. FOR OFFICIAL USE ONLY PERMIT NO. DATEISSUED 3 MAP/PARCEL NO: a ADDRESS- VILLAGE OWNER _a DATE OF INSPECTION: FOUNDATION i FRAME , INSULATION d FIREPLACE • , ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL , FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i i 121, Board of.Building Regulations and.Sraa 12`6S Li^_ense -.r.`Cgistrati0n.valid for iL.liv d"1l use only •-= HOME IMPROVEMENT CON I RAC O beffore the expiration date. ff Found return to: Board of Building Reg;h ulations and Stand:rds F C P.egst aton__125168 _._:-:. .- One 3shourton Place Rm 1sa€ Expiration;_%/21/03 -. yp.e-=r'rivate Corporation r -_-- - PATIO ROOMS O=B:OS 1.0 S'INC` ANDREWS MALONE 100 OTIS ST NORT HBOROUGH, MA 01532 Adminis_.atar —--- \otvalidrrithoutsig store -- — .. n� =�K�� "�-�`rn= ✓i/;,0 1���renr��:rrr��:�� r:<<�il'fiut�svil�s��,�.4 j. DOARDOF BUILDING REGULAPIONS License: CONS7RUCTI_'N SUPEP.VISOR 070998 Number: C�' ";r _ M X71F... 6S:.O_�I_2Jr2002 Tr.no: 72'27 ?ni':�r art Restricted To 1G ANDREW T MALONE 41 WASHIN'GTON S'i #Z NATICK, MA 01760 Admiriistrator e Department of Health Safety and Environmental Services Building Division - 367 Main Street,Hyannis MA 02601 Office: 568.9624038 Ralph Crossen Fax: 508.790-6230 Building Commissioner Pormit no. 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 S v.��� o � ,d� Estimated Cost ✓Address of Work: Owner's Name: '\,CX-\.pA lV o Cr�1 l Rate of Application: D--- a-Q) , 6a I hereby certify that: Registration is not required for the following reason(s): Q Work excluded by law QJob 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 the agent of the owner. Daft Contracto Name Registration No. Z � dZ ° Date _ Owner's Name q:ibnns:ABldav .} 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 O� square feet x$96/sq.foot= / 1 x.0031=J. p I 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. >120 sf-500 sf ` $35.00 >500 sf 450 sf 50.00 >150 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= 1 (der) Deck x$30.00= (number) Fireplace/Chimney x$25.00= - (number) Inground Swimming Pool .$60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) v Permit Fee prvjcost f-1 /�y ���,/ • iW Vms and•nrwt . Padtg� =g{► l8gMadWj*faadFnlL i Pbw 8� > ' Amie lGtatoe' R,•vd� 8.+� %a radio � rAdmo sf01 ts6�09 ' ars a n to 6 > Inc0 ro al�omaot _ tZsi Wam IS i UAM n t1►A WA Pigs v taxm n n n meow 1 v tS% I n M ro s ftAnM X 12% = 21 WA WA Naeen! Y 3 It 22 2"A I �trw t 13% eAt 2/ a ro ab s 4D,1F[r$ t IL" R! n ri • AEUB �. ADDRESS OFFROP1a M- l �N 4W /Z SQUARE FOOTAGE OF, E7 T�JOR WALLS: 13. SQUARE FOOTAGE.OF ALL GLAZING: I /t. %GLAZING AREA(#3 DIVIDED RY AK2): SELECT PACKAGE(Q—AA-ere c bm abme) NOTE: OTHER MORE INVOLVED MMODS OF DErMUa c;IIdERGY REQL'mEMENTS ARE AVAILABLL ASK.US FOR THIS INFORMATION. BUILDING INSPEC op APPROVAL: YES: NO. q-fbrut-MO203a •• i 600 Waahington Sdreat Boston,Mam 02111 Workers'Compensation Iummnce Affidavit I am a homwm=pmfmmmg all WO&myWg " t am a sole sad have no one fa I am as carp wotimn,oompenr�on for 1 Oti this'o < :v. �MOM ... � ..�....t^V;`+':."^.,....� ri�ia 'Y' s�4.:,..a.<,J. ,:.: �:RAR :. a+:k .`.tF<:'" >,f; ::�.;.i�:T...<:..a.:<::,.:.: :atY ,Akz:.:ar.A- ys: "c: ..':T';ii)?::;;�k�CR�`...,•:2.��Ri'r•s,J ,Yx »� .S:St.YSY?tfA:. .Q:ntnN�wA,A.�aS.x ke:eae,�k���.'.�,..`,�i! tR:O �'_N:� A3 ` S�ir'J::�',i::Mal w .e>!tt..3.wtt r,x ;,;�t'."�;xn4£<' .5.. 'a':io.>.�, '. 3'' � R(Sf://. fS.U3s'•:�x3' I?.kY:i�Y.L) l.N' vT.� ci•'2N a .f>n. .�..:..a;.:as:}l:Yr t•Fy'a .MA .:.>. :..w.. :<.L is<:a{ � '. NOW", ..T .�.��s:r r.:.gaR ', z<>:3' :a 3,^'' :Rdf«i Rcx .¢ •x: � <. •�c:;�:5.4:�?a.ee$A^a%uny:. rsu+. ;2«s•Yx::Xe 'i<+�iJi. 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PAGE 02 , A.M. 149,' 39 ,p?� l_UT 24 A�. c ti A. M. 1491140 66 10 T �3 - ---:41169 ell I •o. LOT ?.?,Iors I 2 Nq, RES. ZONE: "RF" This MORTGAGE INSPECTION Plan is For FLOOD ZONE,. 'C TOWN: _,.. �_:_ RF:GI '1'lll' OtivNL'fZ: .,ir�5a,%'ll.. << ..Al�r,''l/F;7;L.L;'..: [,,.ai�'t,17 DEED REF: _���?..�..,lf��- - -... ... -- .i;iI 11;R: _/�1Cl/-,lri'U...4( �'H)'/.,1,1.<' DATE: , `., ,_:. I HEREBY CERTIFY TO 2r� THAT THE BUILDING M a YANI�EE S[.T}Z\�1::Y SHOWN ON PL THIS AN IS LOCATED ON THE GROUND AS MIL AC)N� I �1j�I.I.. 06 SHOWN AND THAT ITF POSITION DOTS CONFORM ITO THE ZONING I_ W' srl' FiAr.l� Rf:QI.!IRI,MF.N*1'S OF 1-Ilf: 11111111rTN9w -1011 t�l)t. '11.1 1:(>AI) TOWN OF I1;1/�NY�.(/�/,/' AN'D TIIAT Na33M �t;�le rn�� t•tlt.L: . �tA oar�.u� ITDOES_p�J -_ Llr': WITIIIN Tlif: SPECIAL I'1,0()I) HAZARD ARE, S SfIOWN ON ;THE ti.i.►.1�. NAP D.-vr l../1::;(,Q, ,�__ �� :I..: TFU-S PLAN NOT MADE: FROM AN IN:1TkUMEN"I' SURVEY NOT TO BE USED FOR I-iENCF$. ETC. i i`-1� o48 EXI 6'DOOR FROMm HOL15E PROPOSED NEW DECK 14'XII'(APPROX) 6'-11" 1.2X8 Pf FRAME @ 16"O.C. 2.LE176ER 6OL1ED 1/2"&1 LAC616"O.C. 3.JOf5f KMaP5 @ LNUP A 13' II" 4.(2) VFLE 2X8 Pf(SEAMS 5.VOL 51DE J01%5 6.(6) 12"0 X 48"DEEP FIGS W/ANCH095 2.3/4"%4 PLY OVERLAY 8.6X6 PO5f5 9.5fh6 I' 10.5/4"X6"Pf f7ECKN6 -� 4 PROP05E7 5 5EA5ON PORCH 14'X II'(APPROX) STUDIO 5ME ENCLOSURE 3"EP5+ H ROOF 551EM (14'SPAN) i NEW 6'DOOR NEW 6'DOOR FROM PORCH Z FROM PORCH (NOf SHOWN NOf 5M IN NEW 6'DOOR fHl5 VIEW) fH15 VEW) FROM PORCH Elmll�l I I Lj_ 11 i I IIEI I I —I I �I I I— II F Ail I I� -•II IC ILIIRI I_II III—f_IIIII I IFF STAIR 5PEC5 I I"TREAD � 5fA1R5 NOf © 8 SSE O SHOWN FOR CLAM Pro)ect: 5cal e:1/8"-I'-0" Vrawtrq: etterl ivi ng NOCFLLA PE5lPFNCF PATIO ROOMS 169 fIM?ER LANE A-I 100 Otis Street NWftm,MA O S;2 MARStON MLL5,MA 02648 Phmre(508)393 0400 Fax(508)393 0340 n&2/19/02 " h LAYOUT FLANS WALL SECTIONS ;z EX15TING 1 UILDING 3. E.. G_ r 96.75" 96.751, (MAX) I 51„ 81 a 41 r ' 5TUDIO 51DE VIALL(A.) 5TUD10 51DE WALL(C) I .. . w -;------ -- — ASS a EM P LY DETAI L:5 � - r a ° Dld I ALUM.PANEL HANGEP. u 81"x78"D`^ 81"x781D ll I CONNECTS TO WALL STUDS OR ROOF P.AFTEP5 MAX SEE ALLOWABLE LOAD,. - B-WALL. � -i - . —14' � -CC � ( ) I TABLE FOP.PANEL 51ZE5'.I 2" 81 81"-- j STUDIO FLOOR PLAN I fa1141MU M 5LOPE 1:12 (NOT TO 5GALE) I I GUT E:FASCIA —L1� �`HEADEf.SUPPORT BEAM STUDIO FRONT WALL(13) _TPAN5OM(OPTiONAI_) ALUM.5LIDING (ALLOWABLE LIVE LOAD TABLE FOR 15 FT. FAN EL (WITH 14 FT.OK LESS SPAN) T' Do01:OPWINII)WI 20 P5F 1.25F5F 30 PSf 35 PSf 40 P5F 45 PSF 5U PSF 55 P51' I GO P5F 3" '3"HC+H• 4.5"HC �::; 4.5"FIC. 4.5"HC 1.5"I-IC+H 4:5"HGrH .'i 4.5"HC+H 45"HC+H fLf:IPEREO Gl .55— HC c - 5 l'EPS+hI 3"EPS+hI' 4_.5"EPS::-H�:, 4,5"LPS+Fi n'ErS+ ri FI 'EFS+H Fi"EPSiJ-I ri cP.�+hl 'G'EP✓f +H.•. , ,,,,:u�u;:'u,,,, SLIDING POOP,ON 5II_ ,- ��[Vl 7gq,1,`•,, SECTION WITH DOOP I i` `-NOTES tFOR STUDIO CON5TP.UGTIOIJ F°E 's;;'- FLOOR CHANNEL '` " I.STP.UCTUP.AL MEM13EP5"SHALL COMPRISE 4.WIND LOADS=20 P5F 10.ABBREVIATIOIJS'`:•_ 'tie Qom' .:`= 0 F01:80 MPH L"XP05URE°,,B,C D=VOOR '•'`' . E y c' j,Qss DECK/5LAB-----I 6063 T6 ALUMINUM U(TRUSIONS PROVIDED DM=DOOP MULLI01•I !- 6Y CPAFT-BIC7 MANUFACTUKING COMPANY. 5.DEAD LOADS=5 P5F VJ,=,WINDOW 1" ss 6.(JOOR AND WINDOW LOCATIONS T" 0 a TYPIC/L,STUDI0,5ECTION ALLOWAU LOAD5 AP BASED UPON WO WINDOW MULLION s o'•:�Eils`�: <` NOT T0.5CALE APE INTEPCHANGE ABLE. Fs THE CE55OP"OF THE ULTIMATE LOADP2.5 U=U-CHANNEL OR THEi.l OAD AT 5PAN/120. 7.GLA55 KNEE WALLS APE FIC='HONEYCOI,45 PANELS (� �` - PROJECT: COtJTRACTOP: Z..HC/EP5 REFERS TO CRAFT-GILT STRUCTURAL INTEP,CHANGEABLE WITH PANELS. EP5=POLY5TYPENE PANELS- 4 s\-` PANELS WITH ALUMINUM Sr INS BONDED TO 8.WIDTI-I OF B-WALL MAY VAPY PER 11=THEMOALLY-BROKEI-I o cnAic J. r HONEYCOMB/POLYSTYRENE COPES(3",4 W" DOOP/WINDOW LAYOUT UPTO 24FT. ALUM H-5TIFFENER o joss 14-O >c 14-2 9.AUTHORIZED FOP BETTEPLRING O/H=OVERHANG -srnucluI Z:'sf 5TUDIO ENCLOSURE AND 6"TI IICKNE55ES.). _" aua2a P5F=POUI IDS 150.FOOT ` DWG NO.: ADJACENT PANELS APE CONNECTED.USING DEALER USE ONLY. P=PANEL a'qf Fo �:,`SPAWN B'f:CJJ o ��s,E� F. GENERAL LAYOUT VINYL CLEATS OR H5. FT=FEET em50 14x14.d::•g _ \._ 5CALE:1"_50" DATE:i1/27/2000• _ ALUM.=ALUMINUM (,,.'.,.� Ej 1 i 02/05/2002 08:32 5083982866 BRHCA,INC. PAGE 01 Lido A f.O cw ,Dir �� ��iN Of 4,� R Q 3 $o CRAIG y p, f /w7® V RAYMOND G� �p,�iV�7p. 1p SHORT - � �t�aAc, �No.21163Q H ro,v OT pNAt • J h `- �t�0 T�= Y 3277. 761 - i 7 /w A? 0 loor 01,(/ o,✓ /,l--4 t/ Diy /q ,h ,v d F T / E. G O�l M�/•tJ i�-j� O,� CE:RTI FI D PLOT PLAN L 0 C•A T 1 O N, ,A24,1.1 727, _S /.0 i c4`=3 f''=--G�s9 L A:L R- -.s _ O A T E:z/--30- 76 e-y S'o — MP•7 si4.,i4+ r G,o/D'.r4 A R.N C ICE Ao''* A.o r a 3 i9 � s WAI O .�-�:cJ'B OO ff z y7 A r L �o A.J4rA .OJ. Cr- 4i,jj7-Ry AT O'do •O�- .�,o.�. 1:1`.'MtR [/ T CIE AlTtflf THAT THE BUILDING R LAND SURVEAPOR `MON►N ON THIS PLAN IS LOCATED ON l�T.:N,t ® ROUND AS. SHOWN HEREON AND AT IT CONFORU TO THE KING DV - LAWS Of THE TOwN OF � u°F x-! WHEN CONSTAUCTED . � ti '; ': JOSEPH M. MON AHAN,JR. 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CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDIYY) + 12/18/2001 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Joseph McKeone ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE JP McKeone Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 333 Ann Arbor, MI 48106-0333 INSURERS AFFORDING COVERAGE INSURED Patio Rooms of America, Inc. INSURER A: HARTFORD INSURANCE OF THE MIDWEST John Esier INSURERS: 100 Otis St. I INSURER C: Northboro,MA 01532 INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUC_D BY PAID CLAIMS. INSR1TYPE OF INSURANCE POLICY NUNBER POLICY EXPIRATION LTR I DATE M DD/YY I DATEMM/DDA'Y LIMITS A I GENERAL LIABILITY .35 UUC 35019 111/0112001 11/01/2002 EACH OCCURRENCE is 1,000.000 COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) Is 100,000 CLAIMS MADE 1__.J OCCUR MED EXP(Any one person) IS 5,000 PERSONAL&ADV INJURY IS S 1,000,000 GENERAL AGGREGATE I E 2 000 DOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG j E—_— 2 ODO,0D0 POLICY E LOC PRO A I AUTOMOBILE LIABILITY 35 MCC 302718 11/01/2001 11/01/2002 COMBINED SINGLE LIMIT ANY AUTO _ (Ea accident) $ 1,000,000 ALL OWNED AUTOS, BODILY INJURY ix SCHEDULED SCHEDULED AUTOS (Per person) X HIRED AUTOS NON-OWNED AUTOS BODILY INJURY E (Per accident) -- PROPERTY DAMAGE I S (.Per accident) I GARAGE LIABILITY _ I AUTO ONLY-EA ACCIDENT E ANY AUTO I I EA ACC E III I OTHER THAN I I AUTO ONLY: AGG I E EXCESS LIABILITY EACH OCCURRENCE i5 OCCUR CLAIMS MADE AGGREGATE DEDUCTIBLE I S E RETENTION A I WORKERS COMPENSATION AND 35 WBC FI3935 108/01/2001 08/01/2002 ORY LIMi'S ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT , ,E 1,000,000 E.L.DISEASE-EA EMPLOYEEI E 1,000 000 I E L.DISEASE-POLICY LIMIT 1 S 1.000 000 OTHER A I PROPERTY 35 UUC 35019 11/01/2001 111/01/2002 Includes Richo:Copier AFFICIO 270 Account 41997.706 to include Theft DESCRIPTION OF OPERATIONSILOCATIONSIVEHK:LESIEXCLUSIONS ADDED BY El DORSEMENTrSPECIAL PROVISIONS Certificate Holder is additional insured CERTIFICATE HOLDER I I ADDmONAL INSURED;INSURER LETTI A: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN INSURED COPY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE I ACORD 25-S(7/97) O ACOR CORPORATION 1988 RFP' KVTT r-, 3ccorda=ce wife ticle ? Section 114-1.3 1•- t3t? 3-?i j't;ng Code, 1 Ce�t3iy MR3L all debris 1'1.3SSaciauJ 2 L 4S --ro- work w,Sociate(i with P'=a't ra g -. L. E�9VCY# wall bep=opery 3i sposeG o, a =�Ci l i =V 35 CE_ino• by MGL 1; `��s� sod,d west= da sposa� - - ? �a Signature of hermit �pplicaTt E . L . H A R V E Y &S O N S 1sE�' r_ 88 HOPKINTON RO ?_i-r Na-me of n��1ZCti^_t ucSTOU °O . 1A 3E Z41t (R E 73 5 ) 1581 Name (j-T any) rL _/0 0 T?-S -kadress r 12, 1y91 the Department or 3ealth/Code _ffective Sentzmbe zLrticle 13 of the 1966 ent acting under Chapte'- 2 _ �L c f a; _,-,��?1 0= �sforcem _ ._ _ .: -o..� -�-- _ - p 6_^'' Y.CV ivC} VllltllGJ-1L C� 1GYu��c Lam'- Y The Proof aebrisLganerate-d as a result of this po the lic?sed salt be a dated and sued eceipL zrM t disposal facility containing the Ao owing ir.format on. e weight 5-ad vol Ot t2_e description,o the debris, _ , �� yh�' ^ yxauon o,`_ +-he disposal :ac�i__y. debrisa - atuYe of the owner/operato1 or receipt, IitL'st also have a sign ,_he disaosals facility. raililre t0 CC-[iJ�}/ with tLh' rg`'J'ai L eIIle_'7=S Or t�J-S Ordi�a_*�ce -will yes:lt _-- encrc�*rent action by the: itt'• - TOTPL P.02 I 7 0• SG gyp' �� �P�1H OF4f V A EACRAIG G�/ RAYMOND v SHORT �. � /olao Rom. gam" b'XP�ra.No v No. 27483 y G/STEEi 'os/QNAL E /007-A= ; I.V Vol?j- .9•7- r , /? y/83.y0 fl =32 y 0 4 = //9. .S8 /P: 3277 7 8 ADO,9Fs . eoT .og=i4k 4. W/7-.y1V /� , PEG/AL Ft OO o ,q .S Oil/ 19 FYI A .� O T f/ L-- G o io /✓J&-1 CERTIFIED PL4,,OT PLAN L O C A T I O Ns S C A L E t �� `_� D A T E /(-00 71(z 90"— .✓l�A, s���� c.,tar9�i'�L REFERENCE= ��/�la <. OTz3 fJs AG •t3 i9�',tJ S T�9 ,L C Go /� T� Y b A T E I HEREBY CERTIFY THAT THE BUILDING a dEG. LAND SUF' VEYOR SHOWN ON THIS 'PLAN AS LOCATED Oh THE GROUND AS .SHOWN HEREON AND OF PSI THAT IT,�-s CONFORM TO THE ZONING BY - LAWS OF THE TOWN OF JOSEPHM. G� ,BlL��T ��•E WHEN C 0 N S T R U C T E D . � . MONAHAN.JR. — v 13660 y Co M S. ASSOCIATES, INC . REGISTERED ENGINEERS A LAND SURVEYORS ` cb MIO -CAPE OFFICE BUILDING - t26S POUT 28 7�-9 SOUTH YARM O UTH., MASS. 02664 Assessor's map and lot number.,.. .................... �(� �� to - -7 _`' •ate. y SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCI= Sewage" Permit number ....................................................... WITH ARTICLE II_ STATE Y ODE ND.-TOWN o%t"ETo TOWN OF BARNL Z BARNSTABLE,.i M6 BUILDING '.INSPECTOR . Op�OYPY a , APPLICATION FOR PERMIT (TO .:...:.. ...... .�..J..�................................... 00� �-.Qi�i��: TYPE' OF CONSTRUCTION ..................................................................................................................................... ....................I! 7..............ga TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the f Ilowing information: 10 23l��2 ��4,•� 9�sio Location � ./ • •• • G� "S ProposedUse .......A` 46..................................................................................................................................... Zoning District ...........� ..Z�.....� .................................Fire District .. r!T-..... .............................................. �2 ,� / 04i �6;sT 42sh o✓7'i;C Name of Owner ..1...I.....5./....�.......`�i.U.. .L,.4.�.... .....Address ............/................�.....3--A..................... Nameof Builder ............5 r c.......................................Address ..........................................................:........................ Nameof Architect ..................................................................Address ................... ................................................................ Number of Rooms �..................................Foundation ........./..E?v'�. - ................ .............. ...... ............................................... . , r /f Exterior .........�......>............ .......C44.e 4 ........Roofing ........ .. . ....._...........................4T........ Floors Interior ......J./.T. �i.;.� r .......4!0.0.19...... :. <4✓£'i�G�. ................. Heating �`..!`T... ./................................................:........Plumbing ....... ..................................................................... Fireplace E'S.....6 ................................................Approximate Cost ..............1,/..........................:...................... Definitive Plan Approved by Planning Board -----------_------_-----------19________. Area ........��.`f........ .......... Diagram of Lot and Building with Dimensions Fee 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 . .............................. _ First Century Corp. _-`-�o 18860 Permhfor .—....^�.�..�+�^.��—.. family dwelling -- ........................................................................ ~G� � �. a�� \ � `—�^ ^"`"."". --.,�.—..�--._.---------.. ' Marstons Mills ....................................................... ' Owner �irat Century --.------ —�'��.�—__—. . ' Type of Construction -- —. ------. . —..---~---.-----------------. plot ............................ Lot ........ ................. ' , . December 6 76 'Permit --. . . ----..lg ' ^ Dota of InspectionM, . . �� . . Date .����-L,��~�--_—..lA ' ` . ^ PERMIT REFUSED . . . . ' ...—.—,~---------------.. 19 ............. ---_.---~-----..----.--. | ^^-.'�—'-------'----'-------~--' ^ ^ . ' . ! .,,_ __,..�____,.,______,/._____,. ! � . �� ���� `--~~'' ............................................................... . . � , . . . App,oved ................................................ 19 � ........................................... ' . . . - ' ------------------------.—... ' . , . . �..• _ Assessor's map and lot number ;.... 2... . . ....�........... Sewage Permit number ................................:........:................ 0*TNET TOWN OF BARNSTABLE Z 3AUST"LE. "b 9 BUILDING INSPECTOR E-y/J���'/�L��/.,...'C1�� ....... /andc � ..................................... APPLICATION FOR PERMIT TO ..�..........:.:..... �e�...... s�l#r��=� TYPE OF CONSTRUCTION ..................:.. ......................................................................................................... .................... .............19 :. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location y� ��tiJ�A ��.......... ......... s',� E ProposedUse xr?• :::`: :' ...................................................................................................................................... Zoning District � >.................................Fire District ............''�—O� �.. Name of Owner :........:....Address .............................. ..............�. Name of Builder . Address Nameof Architect ................../...`............................................Address .................................................................................... Number of Rooms ...............'.f' ..............................................Foundation .............................................................................. Exterior ........����........... .`.... ........Roofing ....... G _ ................................................ Floors ......s . ...............................Interior al � Heating _ Plumbing.......� /...��..'...................................... .................................................................................. Fireplace '' ..............................................................Approximate Cost K. �A®® PP Y 9 ------------------------19--------. Area ..........�. ,,F//.�.. ............ Definitive Plan Approved b Planning Board ____ 11`4 + Diagram of Lot and Building with Dimensions Fee "' SUBJECT TO APPROVAL OF BOARD OF HEALTH I I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ....... ................................... l First, Century Corp. A=149-48 18860 1 lJ2 --story No .................. Permit for .................................... single family &zelling ...................................ot:A. ........................ Location TXMNXXKNKX Timber 'Lane ........ ........................................................ Marstons Mills ............................................................................... Owner .............First...Cen.t.ury...Corp orp ...... . ...... . ...... . Type of Construction ...................frame....................... ................................ ............. ....... #*2*3 Plot ............................ Lot ................................. December 6 - 76 Permit Granted .........................................19 Date of Inspection ..........:.........................19 Date Completed ......................................19 PERMIT REFUSED ........................................................ ........ 19 .......... ... ..................... ....................................... . ...... ............................................... .................. ............... ....j. ...... _.T..................................................`................. I '7'L 0 Approved ........ .M.A..et.........................%.... 19 . . .. .............................. ...... .................. .............................................................