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HomeMy WebLinkAbout0217 WHEELER ROAD , n n. - r 1' ]_,�t...r.� +^wr-r-'•+.�'^+. �...{�--�._.°� ..+ �� z ..,..-..�+r.. .r�"`_^ _.T. rw.-..,.:�—�r.....�,.-w..... �:-+r. .w.-�. �,r wow�y� ltJo !4r t i i O 1 ASSESSORS REF.. ,,r# 1' Map 082, Parcel 022 3 OVERLAY DISTRICT: R } RPOD - Resource Protection Overlay District GP — Ground Water Protection District � ' R ��� r R 2g Estuarine Watershed Overlay District - 1 FLOOD ZONE: R Zones C Community Panel No. #250001 0015 C July 2, 1992 LOCATION MAP: Scale: 1" = 2000'f JJ a '' DIRECTIONS: ZONE: c� RP— Resource Protection From Hyannis — Take Route 28 into Centerville; GP— Groundwater Protection At the lights Take a Right onto Old Stagge Road; Saltwater Estuary Protection l a, Continue on Race Lane into Marstins Mills RPOD— Resource Protectio Overlay District I At Round About Continue Straight on Race Lane. Take a Left onto Wheeler Rd; RF The House is on The Right. # 217 Area (min.) 87,120 (RPOD) o Frnta e (min) 150' - Width jgm in) 0 Setbacks: Flagged by Srdet130 ' V 6 Brad Hall - Rear 15 9-6-12 C; I B VW Approx. Location of Pier Permit # SE3-2688 r vW 4- 01 i s 6 � r Q s Existing R ad Tie --- — 001 Stairs & loth �. to be Remov'd and Native Planting ----��\ s� '�,� replaced wifhRaised Stairs See,;�ectron Work Limit �._._. .o. o S� ---'--- \ itigation Planting Courts to be removed — \ W 70 01 1 Railroad Tie Retaining Proposed -' d Walls With Steps To Be Pool Fence awn ° Removed Proposed \ �a� � Pro osed Granite Steps 20x4O' Pool Q • � � \ �k and 4' Wide Path • fieldstone Retaining Wall Evergreen ��-� �,�• � Mitigation Calculations: Screening �. _�. �_— - and Steps i O ❑ x'!' Top of Wall Elev. 69.60' 0-50' Buffer Re- i e' Septic Line to Existing Walls to be Removed 90.47 sJ. Proposed Wall and Patio 45.02 s. f.' 4 Bedroom Septic — DBox with 4" 0 PVC h System Permit --- Min.'Slope of 19 Net of 45.45 s. f. Disturbed Area # '96-642 and ° Pr onsed Patio �� F 69.80 Elev._ #2005-613 O _ 0 o osed 400-600 Gallon ' S0-100 Buffer I p (Q( ° Pool Drowdown Pit & Proposed 00 Patio Drainage Existing Walls to be Removed 94. 7 s. f. Impervious Barrier ' O ❑ Posed Patio Work Limit Proposed Walls and Stairs ' 304.5 s. f. � k • 73.80'•Elev ;� � ' Proposed Paulo & Pool 2481.2 s. f. I ' Fieldstone Retaining Wall �-- 76---" and Ste s Net of 2618. 19 s. f. P of Equipment Pad 3x2691. 0=8073R Os. f. I Top of Wall Elev. 73.60' i N/F 1 112 STY W/F Provided PAMELA L. PETERS , � DEED 15090/308 Dwelling �-----"__ 0-50 BUffer. # 217 1199.25 s. f. of Mitigation Provided Replace Timber Steps g , Lawn --- r h Granite steps Completes Restoration of 50 Buffer k Patio o a � I N/F I --- GRABSCIEID, PAUL & BLOOM, SHEILA - TRS DEED 238881278 Bituminus I Driveway 80 I Lawn Electric Meter ---w I '``--- z 36.10' - Well Shed 11.0 {il Top I 9 Treads Bonl 10 -Risers 5 7 ' 9.0 10.4 HEELE 11 Treads ,- 12 Risers Exrstrn - Grade g - (40' Wide) Private Way Sand Area Proposed 4' Wide Stairs Landings - 4 PLAN VIEW ' AtA OFtijgS s9 SCALE 1 =20' J� STAIRS CROSS SECTION N Nals� �F n_ r O,STER® ��� SCALE 1 5 FSS�ONAL ENS'\� MOVE POOL & ADD TO PATIO, ADD BARRIER TO REVISION: SEPTIC AND CHANGE MITIGATION 3-5-2013 TITLE: PREPARED BY. PREPARED FOR: NOTES: : Site Phan 1.) The property line information shown was compiled from available plan of the Land Thalheimer, Proposed Improvements Sullivan Engineering, Inc. ` Ronald M & Julie F book 283 page 35 by Edward E Kelley P.L.S r-ril PO Box 659 dated May 6, 1974. 28 Elizabeth Road y At - Osterville, MA 02655 Hopkinton, MA 01748 2.) The topographic information was obtained 217 Y Y I /J/��/•�eeler Road (508)428-3344 (508)428-9617 fax from an on the ground survey performed on 14/SEPT/12 Bamstablo, Mills) Mass.Marstons Mills �1 Draft: CTR 20 0 10 20 40 gp 3) The datum used is an approximate NGVD 29 V based on Town of Barnstable GIS lake DATE: - SCALE: Review: JOD elevation Information. November 29, 2012 1 20 Project #:320028_Tholheimer r A ' 4 .1( Y: .a •' s,�. rI" h f f' '. ��Y,� x { q t . ...., y. yap t k19%� i s` S a a 17 1 Q RN STABLE z� iIN, >y GCJ xf"?"n-E-4w2 1 TOWN 0; BARNSTABLE ?1016 SEP ?0 Pih 4: 00 I'p OF R!, '�116scp p 01VISION N 1� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map _c ' Parcel ��� 7�� � OF E ���ST��BLE Application # Health Division 711 j : l5 Date Issued.:. Conservation Division Application Fee / v Planning Dept. �.,� e. m,..,�� Permit Fee DITISTO Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address Village Owner7A Address Telephone Permit Request Awla, � Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District pt Flood Plain Groundwater Overlay Project Valuatiop, Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ff'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 2�Lllly Telephone Number �- 7 Address License # e2 g9 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ti ;3 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED J ' MAP/ PARCEL NO. a -ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME - - INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT ' ASSOCIATION PLAN NO. arnstable Bldg Dept. Page 1 of 1 2016-04-29 14:03:00(GMT) From:James Dumas The Commonwealth of Massachusetts Department of Industrt'al Accidents O91ce of Investigations 1 Congress Street,Suite 100 r` Boston,MA 02114 2017 www.mass gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Alpylicant Information Please Print Legibly Name (Business/Organization/lrtd3vidual): Y-4f V Address: City/State/ : Phone#: Are you an employer? beck th app opnate box: ��� I am a employer wi 4. ❑ I am a general contractor and I Tie of project(required): 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 9. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.t 4• ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner do' 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 e. 152, §1(4),and we have no employees. [No workers' 13.[:1 Other COMP.insurance required.) *Any applicant that checks box#1 must also fin out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing au work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheer showing the name of the sub-contractors and state whether or not those entities have employees. Jf the sub-contractors have employees,they must provide their woAen,comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A314 Policy#or Self-ins.Lic.#: Expiration Date Job Site Address: City/State/Zip, s� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration ed/ 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 ve 'fication. I do hereby certify under the a e es of per/ury th a information provided above is hue and correct Si a D 2 to YAM one#: 21 Offlcial use only. Do not write in this area,to be completed by city or town ofiial. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department: 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: cF�� • BARNt3TAB1E. r Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508462-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I , as Owner of the subject property hereby authorize LQ��I p �/ to act on my behalf, in all matters relative to work authorized by this building permit application for: / �/4'- W (Address of Job) I ature of Owner Date rint Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.0utlookUPI0I DHR\EXPRESS.doc Revised 040215 r ACC> CERTIFICATE OF LIABILITY INSURANCE DATE 4MIDD 6 Y) 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 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 CNAOME:TACT Ernie Benvenuto Provider Group PHONE (781)444-0347 FAX No;(781)444-8961 160 Gould Street MAIL ebenvenuto@ rovideri com ADDRESS, p g Suite 130 INSURERS AFFORDING COVERAGE NAIC# Needham IAA 02494 INSURERABrown 6 Ridinct INSURED INSURERB.Ohio Security Insurance Company 24082 Solect, Inc. , Clean Energy Installs LLC, Solect INSURER CSartford Insurance Energy Development, LLC, SED Two, LLC INSURERDManover Insurance Company 89 Hayden Rowe St. Suite E INSURERE: Hopkinton MA 01748 INSURERF: COVERAGES CERTIFICATE NUMBER:16-17 All Lines 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. ILSR ADDLSUTYPE OF INSURANCE B POLICY NUMBER POLICY EFF MM/DD EXP LIMITS i X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS MADE OCCUR RENTED- 50,000 PREMISES Ea DAMAGE TO nca $ LHA110023 1/9/2016 1/9/2017 MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRO-JECT �LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY L $ 1,000,000 Ea accident B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BAS56258949 9/4/2015 9/4/2016 BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per.accident Medical payments $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I I RETENTION NHA070568 1/9/2016 1/9/2017 $ WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY Y/N STATUE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 C OFFICERNEMBER EXCLUDED? N/A (Mandatory In NH) 6S60UB-OG04294-8-15 5/16/2015 5/16/2016 E.L.DISEASE-EA EMPLOYEE.$ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 11000,000 D Installation Floater RHN-9676953-04 4/1/2016 4/1/2017 Job Site $1,000,000 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For Informational Purposes Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. i AUTHORIZED REPRESENTATIVE Patrick Darcey/CATHYF ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 Onl401) SITATE i i ! 1 CONTRACTe° / NSING a 0,•`, . REM On f.. •ll. in i � •la.h it Massachusetts -Department pf.Public Safety, $oaid oT:3utLqi:a ZF•:, jfi afia'�t'a at�s f Cttn,tructitm Sitliwrl i4or L4EDWAMC'U1 Y; ' �s,f �. ' NORTHBRMGE-- A(fB iL.•elf '•" "'' Expiration Untmissioner 04/1112017 k OM 3�-{30456271 This card acknowledges that the recipient has successfully completed a t"our Occupational Safely and Health Training Course in + COnstructioCn��Safety and Health V (Course end date)— (rrWner name-print or type) ��k' Tfr,iNn/raNiic'rr�/�r�ka[ri:.:rrr•1r/Sr�//3 < Office of Consumer Affairs&Business Regulation c" �t'HOME IMpROVEMFNT CONTRACTOR pe: N Registration: 183188 ' 91812017 LLC Expiration: SOLECT ENERGY DEVELOPMENT,LLC. EDWARD KELLY 89 HAYDEN ROWE STREET Undersecretary HOPKINTON,MA 01748 a Message Page 1 of 1 Mckechnie, Robert From: Edward Kelly [ekelly@solectinc.com] Sent: Friday, May 13, 2016 4:26 PM To: Mckechnie, Robert Subject: Deck permit Mr. McKechnie Please let this email to serve as a formal notice that we will construct this deck in accordance with the Prescriptive Residential Wood Deck Construction Guide Based on the 2009 International Code. Specifically as it relates to our current specifications we will address the following 3 issues. The three issues: 1.) code requires 6x6 posts 2.) Hurricane clips at each girt to joist connection 3.) Something that restricts lateral movement(see the code) Thank you for the review of this project Edward Kelly 508 294 2171 5/13/2016 -o be \ 0 posed d + �, \ Fence awn + + \\ -sed LnIM + 6 \� Pool \ 71 C) \ \ 'vergreen 10.0' F screening - -" O ° 7 72 4 Bedroom Septic i System Permit Pr # 96-642 and ° \ osed Patio #2005—6-1-3 - - — ' — -— — — 69 8Q'ELoc. O� P�Poc Proposed 0 ° Impervious Barrier --�Pr so ed_Pat_ io-_ We tong` Retaining Wolf ��\ I 'and, Steps., o I �f 'Wall''Elev. 73.60' of N/F AC Pad 1 112 STY W/F PAMELA L. PETERS Dwelling I I � DEED 150901308 # 217 U Lawn i( Repl( E4CIi Patio o a GRABSCHEID, DE. Bituminus Driveway 80 Lawn 0 Electric Meter Ln a �s � M Well Shed MHEELE (40' Wide) Private Way z -= I so'-s" T4'liN OF BARNSTABLE 3'-6" 13'-0" 9'-0" 13'-0" 12'-0" 3 MI00 M ' O NEW STAIRS LANDING 17'-7" 22'-8" 19-1 " ^ �N PLATFORM TO BE BUILT AS NEEDED TO MEET GRADE, N DIMENSIONS MAY VARY, VERIFY IN FIELD. a Ln N O `r' NEW STAIRS DOWN TO GRADE TO BE BUILT, COORDINATE EXACT RISER HEIGHT IN FIELD. PROP. DECK PLAN AT EXISTING HOME 1 Z a ALL DIMENSIONS TO BE FIELD 1/8• 1'-0" 5-0^ VERIFIED DUE TO UNKNOWN E o GRADE CHANGES 0 o N U (d x NEW DECK RAILING TO BE 0 3'-6" A.F.F. SEE SECTION. ' N FLOOR DECK MATERIAL TO BE SELECTED BY OWNER, o a� EXISTING DECK FRAMING TO REMAIN. INSTALL NEW RAILING AND DECKING TO MATCH PROPOSED THROUGH OUT. o U N . LL CL SCALE DRAWN PROPOSED NEW DECK AT 217 ARCHITECTURE / INTERIOR DESIGN - . AS nnAL WHEELER ROAD, BARNSTABLE, MA DATE SHEET SHEETA 17 OWNER: An in 88 Hayden Rowe Street, Suite�E APRIL 21,2016 RONALD M & JULIE F HALHEIMER Hopkinton, MA 01748 - (508) 598-3511 LL • d 50'-6" NEW 2"X10" RIM JOISTS 3'-6" 13'-0" 9'-0" 13'-0" 12'-0" NEW 2"X10" FLOOR JOISTS AT 12" O.C. TYP a r!}ioo r� 0 NEW DECK RAILING TO BE 3'-6" A.F.F. SEE SECTION. INSTALL NEW PT. DECKING INSTALL NEW 2"X12" P.T. NEW DOUBLE 2"X10" FLOOR AND POSTS FRAMING FOR LEDGER BOARD TO EXISTING �n NEW PLATFORM AT BOTTOM BUILDING WALL, REFER TO JOISTS FOR FLUSH FRAMING -m N OF STAIRS, EXACT DIMENSIONS SECTION DETAIL FOR TO BE FIELD VERIFIED. ADDITIONAL INFORMATION ALL DIMENSIONS TO BE FIELD VERIFIED DUE TO UNKNOWN GRADE CHANGES in NEW DOUBLE 2"X10" FLOOR JOISTS FOR FLUSH FRAMING NEW 2"X10" FLOOR JOISTS AT 12" O.C. TYP 2 PROP. DECK FRAMING PLAN AT EXIST. HOME ,�• -0• 0 U ' O O N U EXISTING DECK AND FRAMING TO REMAIN. INSTALL NEW RAILING AND DECKING TO MATCH c 0 cn a� L 0 U N Q SCALE DRAWN PROPOSED NEW DECK AT 217 L AS NOTED MAL WHEELER ROAD, BARNSTABLE, MA ARCHITECTURE / INTERIOR DESIGN DATE SHEET A 2OWNER: A.I. 88 Hayden Rowe Street, Suite cu APRIL21,2016 RONALD M & JULIE F HALHEIMER Hopkinton, MA 01748 - (508) 598-3511 U- °D_ NEW RAILING AND BALUSTERS TO BE 4' SELECTED BY OWNER. NEW P.T. 2X12 LEDGER BOARD ATTACHED TO EXISTING BUILDING 4'X4" P.T. POST, AT 5'-0" LEDGER BOARD AT 12" O.C. MAX O.C., BOLT TO RIM JOIST WITH (2) 3"L.x 1/2"D (MIN) LAG WITH 3"L.x 1/2"0 (MIN) LAG BOLTS, TOP & BOTTOM, TYP. BOLTS FINISHED FLOORING EXISTING 1ST FLOOR TO BE SELECTED ENSURE LEDGER BOARD IS 2X10 RIM JOIST s BOLTED ONTO EXISTING RIM JOIST, -H OR ADD BLOCKING BETWEEN EXISTING STUDS, AS NEEDED, FOR APPROPRIATE SUPPORT 2X 10 FLOOR JOISTS Uj 12" O.C. TYP. z USE SIMPSON HANGERS. FOR DOUBLE 2X10 MAIN z FLOOR JOISTS INSTALLATION CARRYING BEAM USE SIMPSON BC POST PP o I CAP FOR P.T. POST. d GRADE ELEV. T.B. . 4X4 P.T. POST a DI ENSIGN VARIES, SEEP AN USE SIMPSON AB-ADJUSTABLE POST BASE FOR P.T. POST E 0 U 10" CONCRETE SONOTUBE FOUNDATION 0 PIER i n SECTION AT PROPOSED DECK 0 U) a) 5 0 U N U w Q SCALE DRAWN PROPOSED NEW DECK AT 217 As NOTED r� WHEELER ROAD, BARNSTABLE,:MA ] ARCHITECTURE / INTERIOR DESIGN aDATE SHEET A 3OWNER: ,� �1. 88 Hayden Rowe Street, Suite E aAPRIL21,2016 RONALD M & JULIE F HALHEIME Hopkinton, MA 01748 - (508) 598-3511 L U U- a O a� v g. Box / 36.4' C Proposed Potlo 69.80' Elev. PROPOSED NEW DECK AND PLATFORM, SEE A- 1 FOR O s LC 0 (D0(D�. Q DIMENSIONS, A-2 FOR FRAMING Tan AND A-3 FOR DECK SECTION O / 01 C� I EXISTING HOME I TO REMAIN , EXISTING FENCE TO REMAIN I 33.2' I � lifl I I IIIIIIIIIIIIIIIIa 10 SETBACK DIMENSIONS TO PROPERTY LINE 32.1' o I U =---�—� SETBACK DIMENSIONS TO o I PROPERTY LINE I � I I , r o cn \ U fU Q SCALE DRAWN PROPOSED NEW DECK AT 217 AS NOTED MAL WHEELER ROAD, BARNSTABLE, MA ARCHITECTURE INTERIOR DESIGN AL DATE SHEET A 4OWNER: Aff1w 88 Hayden Rowe Street, Suite E APRIL 21,2o1a RONALD M & JULIE F HALHEIMER Hopkinton, MA 01748 - (508) 598-3511 U LL t] = a. i ao� So 7y�� Town of Barnstable *Permit# i 6 the ro, 'sueedat . Regulatory Services )(.P ''e g • snxtvsrnata.. m Richard� V.Scali,Director IYOY O 4 2015 A aI Tom Perry,CB Building Commissioner TOWN OF BARNSTARCE 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL. ONLY a �ot Valid without.Red X--Press Imprint Map/parcel Number Q �f� � '�JJ �t Property Address '� l.U�jv e �e,Y �� AYs✓on S W(i 2L �i _ Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Addressu 2/1 Contractor's Name �,,rcu �ce cx c�u✓ Telephone Number �Ll' q Home Improvement Contractor License#(if applicable) /4W 9 Email: Construction Supervisor's License#(if applicable) / q;4- Workman's Compensation Insurance Check one: ❑ I am a sole proprietor. ❑ I am the Homeowner 0 I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# 14)r 1/,0 D 6Q�[L D2 Copy of Insurance Compliance Certificate mus^ompany each permit. Permit Request(check box) [�e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ,,/fj ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. i A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms RESS.doc Revised 040215 ` Ile Commonwreakh of Massachusetts Deparhnent of Industrial Accidents Office of I nv estlgadons 600 Washington Street Boston,M4 02111 ------ - fb mil rrlasmgovIdla '"Torkers' Campensafion Insurance Affidavit~BBnilderslContractars/FlearicianslPlumbers Applicant InfannatEan Please Frint Legill Name(>InsmesslOFganrratlaalFndrvidnal). _ S. ( A n c 1 Y c��_/ u v� Address. P _ D. ax 7'D City/Stat-J2ip- Phone III,-- t� 7-G Are you an employer?Check the appropriate box: Type of project(required): I.ETI am a employer with._4' 4. ❑I am a general contractor and I' 6. ❑New construction employees(full andfor part-time)-* have hired the sub-contractors 2.❑ I am a sole proprietar 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 wodne,rs' [No workers' comp.insurance comp-insurance..# 9. ❑Building addition required-] 5. ❑ We are a corporation and its 14.❑Electrical repairs or additions 3.❑ I am a homeoumer doing all work officers have exercised their 11.❑Plumbing repairs or'additions myself [No workers'o=p- fight of exemption per MGL 12. ofrepairs immm-anre required-]Y c.152,§1(4h and we have no employees.[No workers' 13.0 Other comp.insurance required.] 'Any Whc=that checks box F1 Est also fM out the section belaw sboning their woakere compensation policy informsuoa_ #Homem nen wbo submit iris af{d nt indicating they are doing sit wan}dad then hire outside contrarctors amst submit a new affidavit indicating such- ZComractors that check this boar must attached m additional sheet shorting the nmue of the sub-ccntr=ADrs and state whether or nat Those entities bsve employees. Iftbesubtonirectors have employee%they mvsr provide their workers'comp.policy number. lam an euiployer flint is prmriding workers'cot gmisizdon insuraece for my employ ees Below is the policy acid job site information. Insurance Company Name: Of�d h n5LI'< o,y�;7,y .Policy,*'or Self-ins.Lic.#U J C V D l(9 g4(A D Z F-Tiration Date: S- -3 D - t G Job Site Addte=_?f l l���ce/P r P rl Y/ia,f h c �/f,�� City/StatelT.tp: Attach a copy of the workers'compensationpolicy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c� 15 can lead to the imposition of criminal penalties of a fine up to$1,5Oa.Oo andfor one-hear imprisonment,as well as civil penabies.in the form of a STOP STORK ORDER and a fine of up to WO-00 a day against the violator. Be adtised that a copy of this statement maybe forwarded to the Office of Investigations of-the Dh4 for insurance coverage verification. I do hereby cet�xfy under thapairs and pen abYes ofpedury that the info nuatibnpm i dabmre is true and correct Signature: Bate: - — Phone 0 Official use only. Do not write in this area,to be completed by city or town official City or Town.: PernutfLicense# Issuing Authority(mile one): 1.Board of Health 2.Building Departntent 3.CitpTTown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instruefions ` MassachusetEs Geheral Laws chapter 152 requ:Qes all employM to provide woziceas'compensation far their employees. PMM=L--m this stye,an.enplvy,=is defined as."_.every person in the service of another under any contract of bite, ` express or implied oral or An errpIvye2-is defined as"an individual,partnership,association,corporation or other legal en±f y,or any two or more Of the foregoing engaged m a Joint=ter use,and inc]nding the Iega1 reFu esentatives 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 dweIlh g horse having not more than three apar meats and who resides therein,or the owapant of the . dwelling house of another who employs persons to do mafi t ena ce,construction or repair work on such dwelling house or on the grounds or building appurtenam±thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also st fes that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has notproduced acceptable evidence of compliance with the insurance.coverage required_" Additionally,MGL chapter 152, §25C(7)states"Neither the rnrnmonwealth no any its poIiiical snbdivisioas shall enter into any contract for the performance ofpuiblic work u af11 acceptable evidence of compliance with the insm7a nc0. requireraents of this chapter have Been presented to the contracting auihoaty" Applicants Please fill out the woilceas' compensation affidavit completely,by the 1daga the boxes that apply to your sifnation and,if necessary,supply sub-contractors)name(s), address(es)and phone nummber(s) along with their certificate(s)of n,n=ce. Limittd Liability Companies(LLC)or Limited Liability-Partnerships(LLP)with no employees other than the members or partners,are not reguked to carry workers' compensation itisorance. If an LLC or LLP does have employees,a policy is required. Be advised that this aidavit may be submitted to the Department of Industrial Accidents for confirmation ofinsnrance coverage. Also be sure to sign and date+he affidavit✓': The affidavit should be ruet =ed to the city or town that the application for the permit or license is being requested,not the Department of Ladn str-i al Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the naruber listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . t Please be sure that the affidavit is complete and primed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be seine to fill in the pennitllicrose number which wM be used as a reference number. In addition, an applicant that must submit multiple peumWHcrose applitstions in any given year,need only submit one affidavit indicating r**n Put policy hu%rznation Cif necessary)and under"Job Site Address"the applicant should write-alllocations in (may or town)_"A copy of the-affidavit that has been officially stamped or marked by the city or town may be provided to the ' applicant as proof that a valid affidavit is on file fur f tare permits or licenses_ A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related t >r o any business or commercial ventle (Le. a dog license or permit to bun leaves etc.)said person is NOT ruFfted to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a ca1L The Departmenfs address,telephone and fax number: 'Ih�e Co=mQnWe&j ;of chuYatfs , Degaitaent crf ludustdal Accldenta ( c"e of kvestgatio= 600,Washington. Boston,MA E1�111 Tf,-L#617 727-4900 Qx- 406 or 1- 797TMAS AFF, Fax 0 617-727-7749 Revised 4-24-07 mass-gav/dia ® DATE(MMlDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 9/3/2015 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 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 endorsement(s). PRODUCER .CONTACT Rourtney Powers Bright Agency, Ind. PHONE (5.08)473-0556 FAX (SOBY47B-6709 A/C No 6 Congress St. E-MAIL P.O. BOX 424 INSURERS AFFORDING COVERAGE NAIC 0 Milford MA 01757 INSURER A:Wes tern World INSURED INSURERB:Atlantic Charter Ins Company Jorge Saguay, DBA: J .S Construction INSURERC: P.O. BOX 70 INSURER D: INSURER E: Milford MA 01751 INSURERF: COVERAGES CERTIFICATE NUMBER:CL159206948 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 CONTRACTOR 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR .TYPE OF INSURANCE. INSR WV0 POLICY NUMBER MM/DD/YYYY MMIDD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED 100,00 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ A CLAIMS-MADE 1OCCUR NPPS290860 B/20/2015 8/20/2016 MED EXP(Any one person) $ 5,012 PERSONAL 8 ADV INJURY $ 1,000,0 C GENERAL AGGREGATE $ 2,0 0 0,.O.0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,0 C X POLICY PRO LOC $ JFCCOMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ ntide HIRED AUTOS AUTOS Peracc $ UMBRELLA UAB OCCUR EACH OCCURRENCE.. . $ EXCESS LIAR HCLAIMS-MADE. AGGREGATE $ DED I I RETENTION$ $. B WORKERS COMPENSATION WC STATU- OFR TH- AND EMPLOYERS'LJABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ NIA E.L.EACH ACCIDENT $ 100,0 OFFICER/MEMBEREXCLUDED7 �cv 01084402 5/30/2015 5/30/2016 E.LDISEASE-EAEMPLOYE $ 100,0( (Mandatory In NH) If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,0( DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,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 ACCORDANCE WITH THE.POLICY PROVISIONS. Town of Medfield Medfield, MA AUTHORIZED REPRESENTATIVE ]Steven Ellis/KOURT ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserve INS025(201005).01 The ACORD name Blind logo are registered marks of ACORD � ` ' V f2P..aQOI7L7R2kYaOCCLGG"/L.Of V4ClYQ1p.C/tllQeUb i :' . -- . ffce:of:Coosumer Affairs&'Business Regulation License or registration valid:for individdluse only. ME.IMPROVEMENT-CONTRACTQR before.the expiration::d"ate. Hfound.returnto:: -- gistration: f44-V- 9; Type. OffteeofConsumerAffairsand.BusinessRegulatiiin . "- 1O:Pa.rkligza.-:Suite,5170 - xpiration: =9/'412 d1o�„ DBA mac=r r— ,..;, Boston,MA 02:11.6 J.S:CONST. J0RGE '.SAGUAY w'' •' M` -MILFORD;MA•O1.757 `-'" • Undersecretary. Not valid:w' out:signature _ *,:.. -:.:... : ,. ..: •'-,' ; ill Mas achusetts -Departmerit of Public Safety Bb'ard of.:Buildln ReSu{ations.and Standards o+�sficucfion S44pe'Mwf'Specialty- . . uc6nse:CSSL401197 i �F.: 114 WEST ST Milfo d.MA,01757 `- L.. •. .. a-„ S �i'�A�. . Exp1rafioTM: Commissioner 06130120.1b1:,. I i r Town of Barnstable Regulatory Services. �RMW LFs Richard V.Scali,Director �ATfONIaI�,� 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 Thal �� �`�� ,as Owner of the subject J property hereby authorizes ����.,��� to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) ,,",pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Si tore of Owner Sig Tat e of AV ant Print Name Print N Date Q:FORMS:O WNERPERMISSIONPOOIS Town of Barnstable Regulatory Services �oFZHe rOtyy Richard V.Scali,Director Building Division t BaxxsTS. Tom Perry,Building Commissioner v� 163� �' 200 Main Street, Hyannis,MA 02601 ArFD �A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION i DATE: Please Print l l-3 -i 5 JOB LOCATION: :�g/ 77- l,oh o d-m Ro.4-orS&_5 number street village HOMEOWNER": �/U�l'L TGl ct lh e i �✓ ,Spg-`1.1 11(371- name O home phone# work phone# CURRENT MAILING ADDRESS: 6 9hL 4,62-1LA_ A1)" 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 proce s and requirements and that he/she will comply with said procedures and requirements. Si a 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 persons)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:MFILFS\FORMS\building permit forms\EXPRESS.doc Revised 061313 `. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel © o� sue- Application #1,7701.-30 Health Division Date Issued o2 0po Conservation Division Application Fe A� Ad_03�( Planning Dept. Permit Fee l Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis CJ Project Street Address vy ;`"2 � Village S�-V-51' hn Owner 1%a • ' A* IT a onr,44- Address S� Telephone Permit Request a ns YL��_ M.,,, .Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new; Zoning District Flood Plain Groundwater Overlay roject Valuation'T 700, Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full 0 Crawl ❑Walkout ❑ Other N -� Basement Finished Area(sq.ft.) Basement Unfinished Area (s§f o Number of Baths: Full: existing new Half: existing C) raw — Number of Bedrooms: existing _new - a Cn (1 Total Room Count (not including baths): existing new First Floor Ro Count,,, �. cx� Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other rn v Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing 0 new size_ Attached garage: ❑ existing 0 new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appdal # Recorded ❑ Commerc;1I ❑Yes ❑ No If yes, site plan review # '�S-Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name p6'y'y-1- 5 Telephone Number °7-7y - .'�99q Address /60 4Ye License# C S,-",4 61 �'y!�'1, cyd63-S7 Home Improvement Contractor# 9 1 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO TC&j LMd,<'<l D SIGNATURE DATE 4/16-1I pp- FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FO.UNDATION'Ct ?4c_aJ��Ct;i6Gi► DAFfi FRAME LA TINSULATIQN)'_a.Itr r,..... , ti, t FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: . . ROUGH FINAL FINAL BUILDING— O o 3 _ ' _ DATE CLOSED OUT,: . ASSOCIATION..PLAN NO. • 4 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street s Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): e Address: l6 an�4 City/State/Zip: t ��� ,� Phone#: ]'q' c 07 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.1K I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t 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 13.❑ Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. , Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u der the pains and enalties of perjury that the information provided above is true and correct. Si ature: Date: 1 D 1 Phone#: 'Z 7 y ,� — �n S'Y 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#: 1 ► 1 ' Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant-to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." I MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department=has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov/dia De artment of Public Safety Massachusetts - p Regulations and Standards iSJ Board of Building Reg , Construction SuDcr�i'ur 1 � - License: CSFA-057394 ROBERT G W AI.01 ., 160 HIGHI'0260 _ Cotuit MA Expiration 0610212015 J Commissioner ''�� ✓lie Li ant��w�utse� ����r�,tla �-\ Office of Consumer Affairs&B siness Regulation License or registration valid for individul use only —, HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: ._ Type: 1 Office of Consumer Affairs and Business Regulation Expiratio 3/3/2014 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 HA BORSIDE R QDELI v - ; ROBERT WALSH 250 CAPTAIN CROSBY ROAD CENTERVILLE, MA 02632 Undersecretary- ry i Not valid wi hout signature 06/10/2013 14:56 FAX a 001 To'wn. of Barnstable ' Regulatory Services Thomas F.Geiler,Director Building Division Tom perry,Building Commissioner 200 Mafia St o;Hyannis,MA 0M601 w ww town.barnstahle.mam Office: 508-8624038 Iz= 50&790.6230 Property Owner Must Complete and Sign This Section If Using A Builc I, ` �1 i(A��1 LI N`,�►-YL ,as Owner of the subject property bexcby authorizeA449,aj�:- to act on my behalf, in all mattara xela&c to work authozized by this building pettnit Ad&ess of job) J ) "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 pertbrrned atld accepted. igmt=e pf Qwnet Lute of Applicant Print Name Print Name A Date QY0XIa:0wM sr0NMLS 6raa12 7 � �Pe�et` Q��d � w,b�sle�s tti„tils� r 1 U.S. Postal ServiceTM ,.CERTIFIED M'AILMIRECEIPT (Domestic Mail Only,No Insurance Coverage Provided) For delivery information visit our website at www.usps.come '• ' ( ti 1. 1 i •: � �• PS Form 3300,August 2006. See Reverse for Instructions Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: g ('r0 Af I4nT:iJA%)R ■ Certified Mail may ONLY.be combined with First-Class Maile dr Priority Mails ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE•IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt, please complete and attach a Return Receipt(PS Form 38111 to theiarticle and add applicable postage to cover the fee.Endorse mailpiece Return Receipt Requested".To receive a fee waiver for a duplicate return receipt;a USPSo postmark on your Certified Mail receipt is required. j t�•v* ■ For.•an,additional fee delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement°Restricted Delivery°. dliEi yr r ■ If a postmark on the Certified Mail receipt Is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000.9047 I r'. i� 1 Town of Barnstable Regulatory Services ` & 'MAS Thomas F.Geiler,Director 039. A�e� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 11, 2013 Mr. Ronald Thalheimer Ref: Map 082 Parce1:022 Mrs. Julie Thalheimer 217 Wheeler Road 28 Elizabeth Road Marstons Mills, MA 02648 Hopkinton, MA 01748 Pool Barrier Dear Mr. and Mrs. Thalheimer, I have reviewed the information and pictures from my meeting with Mrs. Thalheimer on the subject property on June 5", 2013. The State of Massachusetts Residential Building Code (780 CMR) regulates the construction of Swimming Pools and their barriers in the Appendix G. I left a copy of this section on June 3rd at the house. The ICC Building Code Commentary(IRC volume 2, page Appendix G-3 thru G-7) addresses barriers and their requirements. In this section it is stated that: A barrier is defined as "a fence, wall, building wall or a combination Thereof which completely surrounds the swimming pool and obstructs ' access to the swimming pool". Also in the commentary"Any construction or natural element that does not surround the pool will allow access at some point." It is my opinion that allowing the fence to terminate in the brush approximately 20 feet from either side of the proposed stairway to the pond would be a dangerous breach in the pool barrier and not satisfy the code. Vegetation is not a permanent barrier even when it is present in a conservation restricted area. I believe that the concern about obstruction of vision in this area is not a reasonable replacement or substitute for safety. Most of the vegetation in the area where the barrier will be placed to be continuous is approximately 4 feet tall which is about the same height r iLJ:4 2 i of the required barrier. Therefore,while being visible, I feel that it will blend in with the natural surrounding. In conclusion, I will not approve a fence that is installed as proposed on June 5 h in that location that is not a continuous system of fence and gates and does not meet all of the code requirements as outlined in The Massachusetts State Building Code, 780 CMR AG105. You have a right to appeal this decision to The Board of Building Regulations and Standards (BBRS) if you wish. Feel free to contact me with any thoughts or discussion. Sincerely, Robert McKechnie Local Inspector Town of Barnstable 508-862-4033 SEND,ER�COtOPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Sign Item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse dressee so that we can return the card to you. R ived y( ted ej C.-Date of Delivery ■ Attach this,cardto the back of the mailpiece, 6 _1 S or on the front if space permits. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No Q �2 ti 3. Service Type p ytr[ !? O Certified Mail O Express Mail 0 Registered O Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. ") 4. Restricted Delivery?(Extra Fee) ❑Yes 2.-Article Number ;,: 7 012 -i 1010 ; 0 0 0 0 '2 8 4 3 7 4;7 (Transfer from senilce Labe", ; - , ,. 31=j j PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 i UNITED,STATES POSTAL SERVICE First-Class Mall - Postage&Fees Paid USPS Permit No.G-10 ' Sender: Please.print your name, address, and ZIP+4 in this box • "W"OF JDAIMSTA11LE &UO ]DIVISIO �>iYANNlS„MA ae-e �_, L�� ���y � ��- \\\ Approx. Location of Pier \ \ Permit # SE3-2688 VW 4 \ Existing Rail Stairs & \ \ \ to be Remo Native Planting \ s replaced wit► \ \ \ Stairs Sef Work Limit L \ \ -ts to be \ emoved \ W\70 4 Proposed d + . Pool Fence awn a + ° \ 'rop osed CAI& 6 )x40' Pool 0 0 \ 71-t4� \ 1 Evergreen 10.0' ___.__•___ Screening O ❑ 4 Bedroom Septic -->> System Permit '--` Prcvzosed Patio # 96-642 and ° � � I #2005-613 O 69.80 Elev. Proposed 0 0 Impervious Barrier ° O ° Posed Patio 73.80'-E'lev. c� -ieldstone Retaining Wall --76 and Steps ° Top of Wall Elev. 73.60' S � o� AD fio 14,0 N/F 7�"5. p 1 112 STY W/F PAMELA L. PETERS D well in g DEED. 150901308 # 217 Lawn \ Patio o l a GRABS f Bituminus Driveway 80 Lawn .. O Electric - Meter �— . \s 1: .. t dj 7 •� 1�R-� --4.W ■ yam•.. � 1 IL y S Alk , « 110. Is . 14 � � 1 f ' - ,. +ram � rR • � It �' a a t. 217 Wheeler Rd , MM / 1 rP MA I A yr rr p r �. �s���� �,� � ► � �`� E a` •� •. doplb . f. ip%IPA Nof 17 heeler Rd , MM 5/ 1 / 13 *4�OA16; . it 01 w l 'M y f h eeler Rd , MM saw -woo.. fowl' s a AW e - t � �. 1 .l At � e ...� �- •�� pw f � .. .. * ..+�!•- ice..4 � A �-. A — y i. i4 217 Wheeler Rd MM IN� 5/ 1 / 13 A � 1 • r� I t4 a y ar�Iwo ,r 14>01 k, M r n � r • Y ~ 7 217 Wheeler Rd , MM 1 / 13 ` y 71 AV d. Am M g il" r • .., ' 4f r r pow � a . - _. +� �•-- •.ter' � c 4k 217 Wheeler Rd , M- - - 5/1 / 13 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0Parcel •� Application 4D Health Division 0 L Date Issued ``J.1 1 1 Conservation Division Application F ' Planning Dept. Permit Fee o2 5 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Str et Address 2A77 Village Owner26Tk Address [T�-Iem I us t, Telephone So 3Z� Permit Request dL:)rQ141T_-e- I,\ Square feet:-1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning Distric- i, Flood Plain Groundwater Overlay Project Valuati 4!�aaQ Construction Type Lot Size 17—O 6F__ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# ,:.^.its) 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 nevi Number of Bedrooms: existing —new Total Room Count (not including bath;): existing new First Floor Room Count �? ca Heat Type and Fuel: EllGas EllOil ❑ Electric ❑ Other Central Air: ElYes ❑ No Fireplaces: Existing New Existing wood/p oal stove-e El r5gs ❑ No Detached garage: ❑ existing ❑ new size Pool: existing new size _ Barn: ❑ existing .6 ne4—'size , _ a 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 # <7 Current Use 7L � 7 Proposed Use x�alA i11W1HIA14. _ APPLICANT INFORMATION OLDER OR HOMEOWNER) Telephone NNam umber 2 •l>DQ Svc. Address 42w4qS Arm License # O.S�(v l7y £ © L Home Improvement Contractor# AoS V M-&!� Worker's Compensation # �;6 A0 l 3J� [ d� ALL CONSTRUCTION DEBRIS RESULTINK M-fRfS PROJECT WILL BE TAKEN TO 7T� SIGNATURE DATE 2:5 — 2 = o le::o 3 _ s FOR OFFICIAL USE ONLY . APPLICATION# ` DATE ISSUED F MAP/PARCEL N0. _ ADDRESS pi. VILLAGE n OWNER 4 ` DATE OF INSPECTION: ` "''--��" low% �•. .. - ...—,FOUNDATION FRAME r INSULA i ION ro FIREPLACE ELECTRICAL: ROUGH ° FINAL PLUMBING: ROUGH FINAL - u GAS: ROUGH FINAL r FINAL BUILDING -BF( k3 DATE CLOSED OUT - ASSOCIATION PLAN NO. Town of Barnstable Regulatory Services BAJLAW". Thomas F. Geiler,Director 1639. 6'`� Building Division Thomas Perry,CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW -0 Z o 13 of &o 1 Owner: Map/Parcel: D IRA p Z Z Project Address �17 4/hV rc Builder: Sma•r*, S''Ve"CE a NirE The following items were noted on reviewing: 4010 .'?AU17-A3 ;0 i4 /moo v c e yENcE QNc_ - ST!¢/AS oN Rc*N y Su 4Ge C/v4.v 65-A16'Ar&.r-w q4_r6 AEG .3•-oS-/3 A►ee NOT eer&17reb . ' Aa sT 3 P v s i Reviewed by: �C=•/ �-� Date:—: Q:Forms:Plnrvw f - Office of Investigations 600 Washington Street ` Boston,AM 02111 www.mass.govldia Workers' Compensation Lgsurahce Affidavit: Builders/Contractors/Electricians/Plumbers A .. licant Laforniation -Please Print Le ' l Name(Busmess/ownization lT idividiia): ✓�t (�I►c1 Address: ' —� 20Gr—&e,- L City/State/Zip;kJotS 0094 •/' 448k?1.1 Phone.#: U 4e�04FIe—OdQ) Are you an employer? Check the appropriate boa: -Type of iro ect're e • 4. I am a general contractor and I p I ( �' 1. am a employer with Gov ❑ .. 6. conshrnctinn.. employees (fall and/or part time).* have hired the sub-contactors ❑New 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 many capacity. employees and have workers' 9. Bud addition •[No workers' comp,mcm-ance. comp,insurance. ❑ required.] 5. ❑ We are a coiporation and its 10.0 Electrical repairs or'additions '3.❑ I am a.homeowner doing all•work officers have exercised their 11.❑Plumbing repairs or additions.,' myself [No workers' cow. riles of exemption per MGL • 12.0 Roof repairs ins rrance required,]t c. 152, §1(4), and we have no employees.[No workers' 13.❑Other A comp.insurance regU Tired] *Any applicant that checks box#1 mist also fill out the section below show&g their workers'compensation policy information t Homeowners who submit this affidavit indicating ibey are doing an work and then hue outside contractors must submit anew affidavit indicating such.. �Cautractors that check this box mnst attached an additional sheet showing the name of the sub-conhactm and state whether or not those entities have employees. If the sub-contactors have employees,they mist providb their workers'conk.policy number. I am an employer that isproviding workers'compensation insurance for my employees Be1aw is the policy and job site information.LBm ance Company Name: 6\J1Ji4 b•( - 7 tr>c- tt4s• 0 d 44 LP t6lt Policy#or Self-ins.Lic.# �, 4� Expiration Date: lob Site Address:-17 (/i lr,de - 2� '~ City/Statdzip: 1Ws TA,,4 /�/•��j ' Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Fatlure•to secure coverage as required under Section 25A of M .c. 152 can lead to tine imposition of cri�al penalties of a fine up to$1,500.00 and/or one-year imprisonment,as-well as civil penalties in ih'e fora of a STOP WORK ORDER and a frae of up to$250.00 a day against the violator. Be.advised a copy of this statr=jit maybe forwarded to the Office of Investigations of the DIA for insrrranr � c •off I do•hereby cerlify under the p es o erjury that the information provided above is true'and correct S tare: . Date. _ • . Phone Offl cia!use only. Do not write in fhis area tb be cornpieted by•city or town official• City or T-Gwn• Permit/License# Issuing Authority(circle one): .'1�Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5:PIumbing Ins�ector 6. Other 7 Contact Per sgn: Phone#: . ---------------- j oFTME Ta,. Town of Barnstable o Regulatory, Services Elm nrnAB& Thomas F.Geiler,Director .Building.Pivision 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 14&1 7 L Irk Z_ LL, as Owner of the sub' ctp roP s/s Cv T� /WAS � hereby authorize_z��_ t qi i. 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. 12-1 Signature of Owner' . S' of Ap licant .... 77 Print Name.. Ant t Name- Date-: QFORMS:OWNERPERMISSIONPOOLS 6/2012 �THI r Town of Barnstable Regulatory Services Thomas F.Geiler,Director . Muss. 16S9. �� Building Division. pry M Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office:. 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER,': name home phone# work phone# CURRENT MAILING ADDRESS: i city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings-of six uni4,or less and to allow homeowners to engage an individual for hire who does not possess alcens8,' ovided that the owner acts as supervisor. ^.1 DEFINITION•OF HOMEQVVNER �t� 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 uerfoimedunder,the'buildingpermit (Section,1.0911)' 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�eison(s)•for hire to do.pugh work,that such Homeowner shall act as supervisor."... .a'. - Many homeowners who use this eicemptiiin are unawaie 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 rrsponsibilities,many communities require,as part oy 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 cunently used by several towns. You may care t amend and adopt such a form/certification for use in your community. . Q:forms:homeexernpt: 1 Massachusetts -Department of Public Safety �✓ Board of Building Regulations and Standards Construction Supervisor License: CS-056174 _,..r , r, RICHAItD E BENQ`IT; r 54 CUSffiNG IMM . NORWELLMA�2(161 •��1s-. . 1,p� ,fir',.. j Expiration J,�..• 03/1612015 Co si6ner mti?i� _ - �e�ionrmrarrraccrll/c��iiastrc�uaellf ree'6FConsumer Affa s' $Usi.!c �gola ME IMPROV9' EIGlE1dT C�NTtiA. j - e9ist-Aon 105485: TYPe u lement f Expir�tron: 7/1712Q14:�. -: t5, �Q.•�. SOUTH SHORE GUNIT•E POOL&SPA INC, °-\ RICHAR(1i @ENQIT 1 7 Progrm-09,ChelmsforO,"AIRAV : �`Underseer`etary- i no;L'.cense:arxe istration:validfQr�q vjdylk!ue;only befotg.tha-expiratio.j date: if found return to: r Gmce of Consume-r Affairs aril Business' 'Regulation :Y 10 Park Plaza-Suite3170 ;ard:� : :Boston,MA 02116 - -" ;�,,•;;.._,;;;::;. slid witsioutsignature': .: F-DATE '4COORL> CERTIFICATE OF LIABILITY INSURANCE 3/19/2013Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIOICATE 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 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 endorsement(s). PRODUCER CONTACT Lynn Masello NAME: yn FIAI/Cross Ins-Manchester PHONE (603)669-3218 FA(AIC .(603)645-4331 1100 Elm Street E-MAIL lmasello@crossa en com ADDRESS: g cy INSURERS AFFORDING COVERAGE NAIC# Manchester NH 03101 INSURER ANational Fire Ins Co of INSURED INSURER B;American Alternative Ins. Corp South Shore Gunite Pools and Spas, Inc. INSURER C: 7 Progress Avenue INSURERD: INSURER E: Chelmsford MA 01824-3606 INSURERF: COVERAGES CERTIFICATE NUMBER:12-13 SSG Master 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 ADDLSUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY) (MMIDDfYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE RENTED PREMISES Ea occurrence $ 100,000 A CLAIMS-MADE Fx_]OCCUR INS4013391907 /1/2012 /1/2013 MED EXP(Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 X CG0001 12/07 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO LOC $ AUTOMOBILE LIABILITY EOM�BIINdEDtSINGLE LIMIT 1 000,000 A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED SAP4013391888 /1/2012 /1/2013 BODILY INJURY(Perid $ AUTOS AUTOS accident) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident) $ Underinsured motorist BI split $ 20,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS IJAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED X I RETENTION$ 10,OOC 82A2UB0000865-00 /1/2012 /1/2013 ' $ A WORKERS COMPENSATION WC4013391891 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N (3a.) MA, NH, CT, RI, ME E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) & VT /1/2012 /1/2013 E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under LDETION OF OPERATIONS below E.L.DISEASE-P01_IGY EMIT $ 1-000 000 ed Pollution NS4013391907 4/1/2012 -�/1/2013 Occurence: $1,000,000 ites liability DESCRIPTION OF OPERATIONS/LOCATIONq r VEHH-1 FC (a«„h ArORD 101,Additional Remarks Schedule,if more space is required) Covering Swimming pool Cviaai iu�i lva.j Lola::.: ;.t �,.;1;,.-,y Z— _'-_-zing policy term. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Mr & Mrs Ron Thahlemier ACCORDA!:==:.:-::-::_'Z_: Z.;310NS. 217 Wheeler Road Marstons Mills, MA 02648 AUTHORiZEunc;:AESENTATIVE ACORD 25(2010!05) ©1988-2^4n 177^ n' INS02Iimmnnstm Thn aRc1Rr1 nor,.=m.: Description of fencing materials to be used for swimming pool installation for: 217 Wheeler Road Marstons Mills, Ma. Fence will be 5' Black, aluminum , wrought iron look Spacing not to exceed 4" : Non Climbable Self latching device will be: Auto latch: by DAC ind, Self latching device photo is attached. Auto latch device will be installed no less than 54" from the bottom of i the gate and a minimum of 3" from the top and shall be installed on the pool side of the gate. All gates to open "outward" away from the pool. Property owner: Mr. &Mrs. Ronald Thalheimer Pool builder: South Shore Gunite Pools: i i Pictures of fence & self latching device attached r. - f'. Y Ijrt •1/M//• N��MIIMIMMI M�W 11N W11•�YLNLL!"�1N�Y�.-+--' - � �1!]. u .pN I/ urn uN1N�aM � �r� ���■■ ' �.�.�.����.i�.� � 1�i lid r� flip MIN" � s ate► .~. }.7r'' "� ���'r-y.t�,. �"i ti '.�F�s+�aa�". -C"..�y��•�Y.�'L -��Ya• _ _ "rE iNSfn Aficn ?-- VISA INSERT c ($) , LAsign -rid" to le gala Md gala Pow and attach caga►. AUTO-LATCH for ORINAMENTAL FENCE SQUARE SQUARE PRODUCT F1gA%iE SIZE POST SIZE_ Na. 20'7--C . . . . - 1" . . . . . . . 2" No. 2025 . . 1' . . . . . . . 2'fi` No.2-215 No. 2220 'y<" 2 No. 2225 1'?a" . . . . . . 21h" No.2515 No.2520 . . . . VA:. . . . . . . . 2" --525 . . . . 3W' No. 252s1 . . Adapter K`t INDUSTRIE apace tige m knouna I awimmmg.Fool Solar(rovers Pagel of 3 g a ABOUT US rY f� ti o YL7.87�.7685 Ui p7 ett Cart Check Out E-nail Co Aqua Pool / E1-� U Lice Of Pool Solar Covers . _U Home ::Pool Supply ::Hot Tub Spa ::Garden Patio ::Sauna Steam ::Commerc!al Pool ::Auto Accessories ::Gift Ideas Search Home N Swimming Pool Supplies►►Solar Covers n Space Age In Ground : Swimming fool Solar Covers : Space Age In Ground - Pool Solar Cover Space Age inground solar pool cover blanket shade of heavy-duty polyethylene N material works with the sun to cntch and retain I heal.Helps rnise the water temperature by nbsorbing stmlight during the day and retaining the lieat at night, extending the pool season. Savings come from a reduction in water evaporation. Material is highly resistant to ultmviolct rays which inhibits deterioration. Available in n range of grades and standard sizes. Custom sizes arc available. Uniqua�Aluninum Hoot shield • 14.6%greater ltcat (underoide) retention(test conducted by a aiLr leading test laboratory) o Rcsenrchcd and Elea trio 81ute f developed in the United States Heat Col leotor o 8 Mil Covers (top of blanket) I comes with 5Year f Manufacturer's Warranty Page 1_ _. Page 2 ((tearer Stock) Please Click Here for an Image Gallery • 12 Mil Covers cones with 10 Year Manufacturer's Warranty Page 1_ Page 2 o MADE rN USAI! Here's How it Works... The Space AgeTA10 Solar Blanket collects heat from the sun's rays similar to a traditional blanket. Otherwise lost heat is reflected back into the pool from the special TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# $4�LI S Health Divisio > c>�/ 6 /� �®'�g C>" Date Issued 12)2( o.5' Conservation Division :J (� z D A� 9,b?/�OS.6y Ab�/ k Fee �15, 739 -50 Tax Collector Application Fe C�vv�O — Treasurer Planning Dept. Checked in By Date Definitive Plan ApproQved-b Planning Board Approved By Historic-OKH l� 1 ,,' Preservation/Hyannis Project Street Address `� �tJ�`1R.��2.� �� �G��LSj mills Village rA 1 i i Owner C,&A —Address Telephone w3 0 7 571 r*� � c Permit Request 2 c Pc• s- 1 D IS vL� fr c7 Il Li Ln jam; Square feet: 1 st floor: existing d propose 2nd floor: existing D d U proposed Total new UU Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size kC Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure �� y�� Historic House: ❑Yes gNo On Old King's Highway: ❑Yes MrNo Basement Type: ❑ Full ❑Crawl Walkout ❑Other [� Basement Finished-Area(sq.ft.) / Basement Unfinished Area(sq.ft) �� I Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing_ new 0 f i Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: XYest ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garaged existing Xnew size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes = )d No If yes, site plan review# Current Use �' � Proposed Used BUILDER INFORMATION Name r4— � 'i tJ Al I Telephone Number Spy T9 Address RDX RDX W• V D' !1!(ptA k MA- License# at M At t[tVc, Home Improvement Contractor# k re5 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO (yU�_ SIGNATURE - DATE I A OS_ FOR OFFICIAL USE ONLY ` PERMIT NO. H ryA. • c DATE ISSUED MAP/PARtEL NO. F• , ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION t hl UG, — FRAME s S/?y�0r- 1,*44 See, INSULATION FIREPLACE , ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH 1 FINAL FINAL'BUILDING ���6�� �►1� I , • DATE CLOSED OUT ASSOCIATION PLAN NO. Dt1_-15-2005 F'I-4rn:HLI1FIDH Ct;RL' ilk =ALM 508L677660 To:50$548$756 P. 1 A CO Q DATE(MM/DD/YYYY) E CERTIFICATE OF LIABILITY INSURA ,2n612D06 PHOpuGCH Pl:ur:Eon.cao/IBl re..f3DI1•�br.ieeo THIS CERTIPICAT ISSUED AB A MATTER OP INFORMATION ALMEIDA A CARLSON INSURANCE AGENCY INC. ONLY AND CO NPt NO RIOHTB UPON'tHQ CERTIMATO P.O.BOX 664 HOLOQR. THiS PICATC DOES NOT AMEND, EXTCND OR FALMOUTH MA 02041 INSURERS AFFORDINQ, II BRAGE NAIC A IN3UREO INSURER A. Norfolk&C im Grog - DAVID COSTA INSURER B. Hertford f Ir° r urance Company DDA DIAC PLUMBING INSURER G I 100 RAINBOW AVE! IN9URER 0• i - -- — E FALPIOUTH MA 02638 INSURER E: COVERAQ95 THU POLICIQO OF IN URANCO L;STGD UGLOW HAVU UUUN IBSUUO TO M N NU0 NAMGD AUOVR VCR TKa: I U I NO A U0.NCTWY iB A DING ANY ROOUIROMENT,TERM OR CONDITION OP ANY CONTMCT OR OTHCR DOCUAIQNT WITH AGBPGCT TO WK' h :CORTIPICATO MAY DO IUOULO OR - MAY PQRTAIN,THQ INOURMiCG APPORDQD BY THO MLICIGO DGOCAUICO HGRGW t0 OUDJOCT TO ALL iHG TG,, I .UOIONO AN0 CONDITIONS OP SUCH POUCICB, AWCOATCLWtTS SHOWN MAY rAVC OCCN ROD=BY PAID CLLAAIµO. _ I irrn,q TY►a OP IMBURANCB POLICY NUMOCR I PDAICY evreCmY �Po�,CV IotaL!µRp ODNORALUAOIUTY I R0312348 12/02100 1�/0 1f!g�04C51�?/!iyj1 / I� X RD COMMORCUV.00NCRALLIA6IUTY I' I H4N ' I � �I Ipnr:wamn nttarun�nnl 3 00,0D0 CLAIMS MAOOn OCCUR' I I II j MLO UXP IAny one peuun) �I •,• 6,0DD A I I I I I I PDROONAL 6 ADV INJURY 1 300,000 GGNRRAL AOOROQATO 1 500,000 00H1AOORCOATOuW'rAPPLIO0a0R.i I I II I I PR000CT0•CONPlOPA00. 0 000,000 POLICY PRE LOC I I I II• I I I —� AUTOMODILB LIABILITY I II COMDtNOD 3INOLO LIMIT i ANY AUTO _ I I iil I I 0�DooIMM) ALL CWNWAUTOS I I I' I' DODILYINJURY ACHDDULCDAVTCO ! ij :IPmrTerwnl -� 1 -- -- HIR00 AU700 I ! i I( I 300ILY INJURY I I I 1 NON•OWNEO AUTOS (Par Accleara)I I �I . ' IIII I PROPGRrr DAMACa b I II I Prrr nralAnM OARAIL LU191LITY i ANY AUTO I i, OTHORri'MN ACC b AUTQ ONLY: A00 1 �.T — OXCUBa l UMOROLLA LIADIU Y• ,,. j; GACH OCCURRONCE i I; OCCUR U CLAIMOIAAOQ I , ApOR00ATG i i, II T DQDUCTIBLQ I II RiTrW)ON b Ii 1 WORKBAB COMPONDATION AND 7GD111302A06 041061D0 01I./ Tour uwlre 'DTMO' EbPL0YOR0'LIAUIUTY I I — AprvwraCrouv.InnawOXaClmva i j I• i dl-OAC4IACCIpQNT 1 �1001000 ® 0MIcaAAM1169111 fGLUPIPi I D.L.000A00,0A CMPLOYCC It 100,000 X a.enaMM c�Mr I I I j ealacrL vaa+IaoN1 n.I� I j a L.oID0A0G-POLICY LIMIT 6 600,040 OTHEH: I Ii i I III I I DESCRIPTION OF OPCHATION9ILOCATION9IVEHICLEB/EXCLUSIONS ADDED BY ENDOR9 A I SPECIAL PROVISIONS I •I. I I I: I I �i CERTIFICATE OLDER CANCELLATION"; C ROBERT BOWMAN BUILDERS LLC aTIOULD ANY OF TH OOOCRID00 POUCR:B 00 CANCOLLEO 00PCR40XPIRTHD IO DAYS 848.8788 WRITTLTNONO CO TO TN RTIPICATO�MOLDGRRNAMCD TO TTHCIR y QFT AUYPNLURGTO DO 00$ ALI IMPOHQ Pj CATION OR LIAWLITY QP ANY KNO UPON THC IN3URQR.W5 AOONrO OR AGPROOCW1 O! I -• A THORIJGO RU WIXjNTl h Atlentlon: II -� 'i J. ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIUU/YYYY) PRODUCER,- 508)540-2400 FAX - ( (508)289-4111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Murf'ay & MacDonald Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 406 Jones Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Falmouth, MA 02540 Douglas MacDonald INSURERS AFFORDING COVERAGE NAIC# INSURED Rodney Holmes INSURER A: Arbel l a Mutual Insurance 17000 DBA: Rodney Holmes Electrician INSURERB: Travelers Indemnity Company 25658 PO Box 556 INSURERc: Liberty Mutual Ins Corp Buzzards Bay, MA 02532 INSURER0: -- 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. IN D TYPE OF INSURANCE POLICY NUMBER P LIC FE IV- PO—LICY EXVIf2A I N LIMITS LTR NSR DATE MMIDD/Yl DATE MM/DD/YY GENERAL LIABILITY 8500028368 07/01/2005 07/01/2006 EACH OCCURRENCE s 1,000,000 X COMMERCIAL GENERAL LIABILITY AVXGiET0-RrNTrG — S - PREMISES(Fa occurence) lOO,OOO CLAIMS MADE F OCCUR MED EXP(Any one person)-. S 5,000 A PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 POLICY O- X JEPRCT LOC AUTOMOBILE LIABILITY BA-2791B535-05-SEL 07/21/2005 07/21/2006 CONIBINED SINGLE LIMIT ANY AUTO (Ea accident) S ALL OWNED AUTOS r BOOII.Y INJURY X SCHEDULED AUTOS (Per person) S B 50,000 X HIRED AUTOS BODILY INJURY X NON-OWNED AU 1'03 (Per accident) S PROPERTY DAMAGE S (Per accident) 100,000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S , ANY AUTO OTFIFR TI-IA.^J EA ACC S AUTO ONLY: AGG S EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE 5 DEDUCTIBLE" b RETENTION S g WORKERS COMPENSATION AND NEW ARWC 08/30/2005 08/30/2006 TORV LIMITS ER EMPLOYERS'LIABILITY C ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE S 100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE-HOLDER NAMED TO THE LEFT, Robert Bowman Builders, LLC BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Brick Kiln Road OF ANY KIND UPON THE INSURER,ITS AGENTS I. ORyREPRESENTATIVES. W. Falmouth, MA 02754 AUTHORIZED REPRESENTATIVE !:faTJ Michelle Wolf/MJW O ACORD 25(2001/08) FAX: (508)548-8758 ©ACORD CORPORATION 1988 ): 3/4/2005 Time: 11,40 M1 To: ® 15085488758 Pave: 002-003 Client#: 18371 DAROSACONS ACORDn CERTIFICATE OF LIABILITY INSURANCE 03;04/0 °"YYY' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Feftelberg Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 77 State Road ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. N.Dartmouth,MA 02747 508 997-3834 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: National Grange Mutual Darosa Construction Inc. INSURER13: American Home Assurance Company 95 Ashley Blvd. Wgl)Rra c New Bedford,MA 02746 INS-IRFR0: INSURER C: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO 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 BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALLTHETERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPEOFINSURANCE POLICYNUMBER POLICY EFFECTIVE POUCYEXPIRATION LIMITS A GENERAL UABIUTY M PB89626 02/09/05 02/09/06 EACH OCCURRENCE S1.000.000 X CCMMEROAL GENERAL I IABILITY DAMAGE TO RENTED $500 000 CLAIMS MADE Q OCCUR MEDEXP(Airy uleperson) $10 000 PD Ded'250 PERSONAL&ADV INJURY $1.000,000 GENERAL AGG-IECA'I E s2,000,000 GEN'L AGcnEGATE LIMIT APPLIES PER: PRCOUCTS-COMP/OP AGG 0,000,000 PolI(`Y jEcT PRO- IOC AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT ANY AUTO (Ea aodo3nl) ALL(ANNEDAUTCXi BODILY INJURY S SCHEDULED AUl US (Per Pwral) I IIRCD AUTOG 130E LY INJURY Per acddera) NCN-CWNED AUTCC PROPERTY DAIv1A(E $ a (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACODENT 8 ANY AUTO OTI lr_P THAN . EA ACC., AUTO ONLY: ACG F EXCESSAIIABRELLALIABILITY FACHOC7CAIRRENCJ- $ OCCUR ❑CXAIM6 MADE A RFGATF R DEDUCTIBLE RETENTION b R B WORKERS COMPENSATION AND WC6642947 02/09/05 02/09/06 X I Tw,,,CyST,,ATy,.- 0TH- EMPLOYERS'UABILITY E.L.EACH naaDENT s100 000 ANY PROPRIEWSMARTNFRIFX[WTIVE OFFIC ER/MEMBCR FXCt-I)DED? C.L.DISCASC•FA EMPLOY[[ $100 000 It yes,dem be tinder SPECIAL PROVISIONS below E.L.DISFASIS-POLICY 1_IMI'1" f.5DD OOD OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS job address:.774 W.Falmouth Falmouth,MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Mark Reposa Bowman Builders DATETHEREOF,THE ISSUING INSURERWILL ENDEAVOR TOMAIL I_ DAYSWRITTEN PO BOX 201 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL West Falmouth,MA 02574 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. rnnr+ n -nnc r-nT 4 4 -ncr.tA Trt• PACF_:2-1 :�I -��:..`_I�_• Cl'J•`IL I i �q,l•nJ'ILaVn ,_nr•.�_��.9, r'nl_f: _.rIV`1.'I fr>nLl I U:�JIJ:i'7OC.•::.O .... L u, � 8 A _^ PRGBucea ••n„•.: r ••� r•�•• I THIS CERTIFICATE199Up0 A MATTER OF (NFORPAAYION • ALMEIDA & CARLSON INS ONLY AND 0ONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIHS BELOW. 131 MAIN ST BOX J54 COMiPANiES AFFORDING COVERA00 FALMOUTH MA 02541 COMPANY A T PAUL TRAVELERS INOURCO COMPANY --J D P FtjCCILLO CONST INC I 9 AIG INS CO COMPANY 548 THOMAS LANDERS RD C _•_ _ _ E FALMOUTH MA 02536 COMPANY D �!��t :S°s:S ..f )1 `!. 9 F :f�'i :(1 i' } '} •} Y f� )fk+J�MciL.wY..W8 JSrI lEy:{NII+R JNnT., r,�ni.. .:a.::�.!;.o:.�:...' :;y,.'w'Y'�vlw�n.: "d:idu..Sf Java.i'-�,b.v.�.s.xV.. ';..hv..l..... .a..ow�t.iu.t:>'w:as,:ay.iau.>:r„•rpMr•.c.,rv:,.•..�...n e,;,b.Ur .�...r t..,..i�6 L...:..f4 A a •'•v THIS I6 TO CERTIFY THAT THE POLICIES OF INSJRANCC LISTED D�LOW HAVE DEEN ISSUED TO THE INBJrRED NAMED ABOVE FOR"HE POLICY PI RIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WhICH THIS CERTIFICATE MAY SC- ISSUED OR MAY PERTAIN,THE INSURANC=AFFORDED BY THE POLICIL 'DESCRIBED HIAEIN IS SUB.XCT 70 ALL THE •iLFim0' EXCI.UBIONS AND CONDITIONS OF SUCH P061CIES. LIMITS SHOWN MAY HAVC BEEN REDUCED 13Y PAID CLAIMS. _ CO TYPD OF INOURANCC POtICV NUMDOR POLICY BPPBCTIVB POL Y CXPIRATION I LIMITS LTp DAT0(MMlDOIYY) BATB(MMIO(VYY) 0940AL LIABILITY 6 8 0 3 8 7 IA4 0 8 1'o 2 0 0 5 2 0 0 6 OONCRAL AOG9C'0ATL I s2 0 0 0, 0 0 COMMERCIAL GENERAL LIABILITY Ot'CTS•COMPIOP A00-�-$I t 0 C 0-,0 0 0 7 ClNMO MADC r J OCCUR PGRSONAL S ADV INJURY I I OWNER'S 6 CONTRACTOR S PROT EACH OCCURRCNGC U1.f �>J J, 0 0 0_ FIF40OAMAOC(AnY.ono!Iroi 6 -_ MOD CXP(Any orm pamm) 6 AUTOM0331LIS LIABILITY COMBINED 91NaILG LIMIT G ANY AUTO ---- ^•--•--•-• ALL OWNED AUTOS ROPILY INJURY 6CI•10DULB D AUTOS (Par p"mon) HIRED AUTOS BODILY INJURY 6 NON-OWNGDAUTOO I (PatAOolawl) - ^-•-.- — PRJPGRTY DAMAGS 6 GARAGE LIABILITY AUTO ONLY•CA Ag0I0rNT N AUTO N�Y;ANY AUTO OTHER THA Q CACH ACCIPCNT AGGR00ATB 9 OXCUSS LIADILRY UMURELLAPORM OTHER THAN UMURGLLA FORM _ L WORKORA COMPENSATION AND 6817052 10 2 3 0 5 2 3 0 6 X TQ 'IML 5.l .. '•' ' BMPt0YBA8'LIABILITY I .. CL EACH ACCIO[NT THB PROPRIETOR! INCL I 0 91 LA9G"POLICY LIMIT' E 5 0 0-0 0 0_ PARTNCA(VCXZCUTIVC OFFICCRG ARE: H CXCL I DIf*JU i•¢A rr.NPLOYPF. E 100 000 OTHSA I DkBCRIP'ION OF OPERATIONSlLOCATIONBIVCHICLCWGPEC!AL ITEMS C�yr��{ AIQIl7 H bAR. ; i> py�p1'�` perry{ M iT•':w:P.r��3in+.Gn"�!r%•M:vrn'•.r.•n'.:wn.w . nwir.,i• .n1,N:.n!.0 V..:rJV:-.V.�;1.�� ..,.IFni'•iii n4,J5••. (',.i'n rn^'N�rJ:,,vr ��, 1•nvi••.:nl.ni�v'isw'wM+t.>.•�{N'M4+.r11KA.iKn.,f�t�+•AM.,:ry,.iwrv. 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AQ Ru;45(20ol/(FS) 1:0;: 9ACt)RCt CuI-4bIiIaTIUP!11.1i1+{ ' DATE(MM/DD/YYYY) ACORDM CERTIFICATE OF LIABILITY INSURANCE 09/29/2005 PRODUCER (508)540-240-) FAX (508)289-4111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Murray & MacDonald Insurance Services HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 406 Jones Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Falmouth, MA 02540 INSURERS AFFORDING COVERAGE NAIC# Douglas MacDonald INSURERA Arbella Protection Insurance INSURED Colony Insulation Inc. 28 Jonathan Bourne Road INSURERB: AIG Pocasset, MA 02559 INSURERC: 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 REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR POLICEMAY S AGGREGATE LIMITS INSURANCE SHOWN MAY HAVE BEEN POLICIES BY PAID HEREIN CLAIMS. SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 8500028928 08/18/2005 08/18/2006 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 100,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE U OCCUR - IVIED EXP(Any one person) $ 5,000 FX PERSONAL&ADV INJURY $ 1,000 000 A PENELAGGREGATE $ 2000,000 TS.COMP/OP AGG $ 2,000,000 EGEN'LGREGATE LIMIT APPLIES PER:ICY JECOT LOC AUTOMOBILE LIABILITY 4600028929 0$/18/2005 --/18/2006 COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 I AUTO WNED AUTOS BODILY INJURY $ i (Per person) DULED AUTOS D AUTOS BODILY INJURY $ (Per accident) -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) AUTO ONLY-EA ACCIDENT $ GARAGELIABIIJTY EA ACC $ OTHER THAN AUTO AUTO ONLY: AGG $ UMBRELLA LIABILITY 4600028928 08/18/2005 08/18/2006 EACH OCCURRENCE $ 3,000,000 UR El CLAIMS MADE AGGREGATE $ 3,000,D00 UCTIBLE $ ENTION $ WC STATU- OTH- WORKERS COMPENSATION AND. WC6707163 06/15/2005 06/15/2006 E.L.EACH ACCIDENT $ 500 000 EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.DISEASE-EA EMPLOYE S 500,000 OFFICERIMEMBER EXCLUDED? "yes,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 SPECIAL PROVISIONS below OTHER DESCR P I N OF OP RA IONS 1 LQCAT ONS I VE ICLES I EXCLUSIO $AQDED Y ENDORSEMENT I SPECIAL PROVISIONS General Liability form ertilTicate Fholder is �lTstec� as an additional insured with respect to G2010-10-01 CERTIFICATE HOLDER CANCELLATION TTION D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT; ILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Robert Bowman Builders, LLC OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. BOX 201 AUTHORIZED REPRESENTATIVE W. Falmouth, MA 02574 y�L //a- Gloria Smith GMS ACORD 25(2001108) FAX: (508)548-8758 ©ACORD CORPORATION 1988 Board of Building Regula ions and Standards 1 One Ashburton Place - Room 1301 • Boston. Massachusetts 02108 Home Improvement Contractor Registration Reqistration: 102829 Type: Individual ' Expiration: 7/3/2006 ROBERT T. BOWMAN Robert Bowman PO Box201/649 Brick*Kiln Rd --- W Falmouth, MA 02574 — — -.-- Update Address and return card.Mark reason for chang DPS•CA1 G 5OM-04/04•G 101216 Address Renewal Employment Lost Card __._ ...__�� _OOJLJJKJYLIUCCLGUL O�✓wt�LCIJJCIGLU��d - . Board of Building Rcgulmious and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 102829 Board of Building Regulations and Standards Expiration- 7/32006 One Ashburton Place Rm 1301 •Type: Individual Boston,Ma.02108 ROBERTT.BOWMAN , Robert Bowman PO Box 201/649 Brick Kiln Rd / W Falmouth,MA 02574 ' Administrator Not valid without signature - �� 4xi,1\,�� .//L6••-IDO�JLJJ40�xUM.CLLUL�,O�✓�f�GtllJC�6 li.,p}Y'�'' t�I �� I t ih BOARD OF BUILDI,NG'REGULATIONS ..11 .('� e l i BOARD OF BUILDING REGULATIONS License CONSTRUCTION SUPERVISOR License: CONSTRUCTION SUPERVISOR f, a Number CS 024157 Number:yCS; 058154 i i� Blrthdaje 04/09k1941 �lt�; . Ir t �11 � B11rtl elate-,03/03/11965 pi es'�04/09/2,006 Tr.no: 19452 „- - ! Ex Tres t03/03/2006 Tr.no: 18026 p RestVcted ,00 ! I I•I Restricted, 00 J 'ROBERT T BOWMAN , '' l a°! I I ROBERT T BOWMAN JR� PO BOX 201'': �•;> ij p PO BOX 706 " ! W:FALMOUTH, MA 02574 {! j I W FALMOUTH, MA 02574 Acting C mis oner ,, ACting Cdinm1wooner r RESIDENTIAL BUILDING PERMIT FEES _ J • APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Change of Contractor/Builder $25.0.0 FEE VALUE WORKSHEET -NEW LIVING SPACE square feet x$96/sq.foot=�_(1 x.0041= plus from below(if applicable) ) ALTERATION S/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot x.0041= O p 0 plus from below(if applicable) . QARAGES'(attached&detached) l,L0 square feetx$32/sq.fL= 36, x.0041= 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.0041= STAND ALONE PERMrrS Open Porch x$30.00= �y , (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) � ,JJ Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 --� Relocation/Moving $150.00 (plus above if applicable) Permit Fee � Projcost - e—A Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit,-Builders/Contractors/Electiicians/Plumbers Applicant Information Please Print Legibly Name (Business/Orga=ation/Individual): p �(�(//V�.fL � �Jl 11-r S Address: u-� 5� � lil ox �D� City/State/Zip go D O sin 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.. rl Vew construction . employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor orparmer- listed on the attached sheet 1 7. Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any, capacity. workers' comp. insurance. 9. RBuilding addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their . 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.El Plumbing repairs or additions myself_ [No workers' comp. C. 1523 §1(4),and we have no 12.❑Roof repairs insurance required.] t employees...-[No workers', 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the,section below showing their workers'comp=sation 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. lContractors 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. ' Insurance Company Name: rt/ Policy#or Self-ins. Lic. #: ANC, �a° J ! Expiration Date: Job Site Address: City/State/Zip: �h 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 ipnprisonment, as well as civil penalties i a the form of a STOP.WORK ORDER and a fine of up to$250.00 a day.against the violator.'Be advised that a copy of this statement maybe forwarded to the Office of Investigations.of the DIA for insurance coverage verification_ I do hereby certi. under the pains and nalties of perjury that t information provided above is true and correct. Sifimatur J0 e: l Date: r _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#: ` 1 Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release la Checked By/Date TITLE:Bowman Builders,Inc. CITY:Barnstable STATE: Massachusetts HDD:6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 11/01/05 DATE OF PLANS: 11/01/05 i P9QJET ORMATION: e e—217 Wheeler road—Marston Mills,MA C N ORMATION: Colo B u Inc—28 Jonathan Bourne Drive—Pocasset,MA 02559 .NOTES PO BOX - n Falmouth,MA 02574 COMPLIAN ss Maximum UA= Your Home=721 1.2%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 2430 30.0 0.0 84 Skylight 1:Wood Frame,Double Pane with Low-E 32 0.600 19 Ceiling 2: Cathedral Ceiling(no attic) 820 30.0 0.0 28 Wall 1: Wood Frame, 16 o.c. 2900 13.0 0.0 192 Window 1: Wood Frame,Double Pane with Low-E 520 0.350 182 Door 1: Solid 42 0.350 15 Wall 2:Wood Frame, 16" o.c. 1020 19.0 0.0 61 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 2290 19.0 0.0 108 Floor 2:All-Wood Joist/Truss,Over Unconditioned Space 960 30.0 0.0 32 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.2 Release la. 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%oft design load as specified in Sections 780CMR 1310 and J4.4. Builder/De gner i Date O/ �� MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE: 11/01/05 TITLE:Bowman Builders,Inc. Bldg. Dept. Use I Ceilings: [ ] I 1. Ceiling 1: Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: [ ] I 2. Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: I Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: [ ] I 2. Wall 2: Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: Windows: [ ] I 1. Window 1: Wood Frame,Double Pane with Low-E, U-factor: 0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: Skylights: [ ] I 1. Skylight 1: Wood Frame,Double Pane with Low-E,U-factor: 0.600 For skylights without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: I Doors: [ ] I 1. Door 1: Solid,U-factor: 0.350 Comments: I Floors: [ ] I 1. Floor 1: All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments: [ ] I 2. Floor 2:All-Wood Joist/Truss,Over Unconditioned Space,R-30.0 cavity insulation Comments: I Air Leakage: ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2., Type IC rated, in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. 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. [ J Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. J Duct Construction: [ ] All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] 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. Heating and Cooling 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. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ J All heated swimming pools must have an on/off heater switch and require a cover unless over 20% " of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 , 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2" Runouts 1" and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) i i - ►RODUGtR (781)447-5531 FAX (781)447-7Z30 I .THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Mason & Mason Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 4S8 South Ave. --ALTZfL THE C FOR D BY POLICIES BE Whitman, MA 02382 Gwen VOsburgh INSURERS AFFORDING COVERAGE NAIC INSURED Robert Bowaun Builders LLC IN3VRERA: Admiral Insurance Conwany PO Box Z01 INSURERS: Star Insurance 000204 _ WeSt Falmouth, MA OZS74 INSURERC: - INSURER E. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE.FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUAEME.wr,TERM OR CONDITION OF ANY�ONTRA.CT OR OTHER DOCUMENT WITH RESPECT TO.WHICH THIS CERTIFICATE MAY BE ISSUED OR. Usi—A JAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THETERMS,EXCLUSIONS AND CONDITIONS OFSUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVEBEEN REDUCED BY PAID CLAIMS.OD' TYPE OF INSURANCE POLICY NUMBER POLICY t11 LIVE POLICY EXPIRATION LIMITS 1 OEMIERAL LIABILITY �J4000006940-01 OS/01/200$ OS/Ol/2006- EACH OCCURRENCE s 1,000 00' X COMMERCIAL GE14WIAL LIABILITY DAMAGE (A QW" la) z 5U QO CLAIMIS MADE OCCUR WED EXF(My one perNxl) 4 A PERSONAL 6 AOV 1111URY I 1,00 GENERALAOGREGATE 3 Z 000 0 GEN'L Af OREGATE LIIAIT APPLIE6 P0R,' I PRODUCTS•COMP/0?AGG S 1,Q00 Q POLICY 7 PRO LOC IEGT _ AUTOMOBILE LABILITY COAIBINM 61NG,E LIMIT ANY AUTO (Ea KCdent) S - -- A4 O-WNED AUTOS I BODILY INJURY �— SCtIEDULEDAU1O3 (ForDgr�on) $ HIRED AUTOS DOOILY INJURY NON—OWNED AUT03 (P�ott eenq $ PROPERTY DAMAGE S (Pet accldont) DAMAGE LIAOILT/ AUTO ONLY.EA ACCIDENT S ANY AU i 0 OTHER THAN EA ACC 6 AUTO ONLY! AGG 3 EXCE661UMORSLLAUABILITY FACHOCCURRENCE $ OCCUR l J CLAIMS MADE I AWfREGATE s E DEGUCTIBLE � RETENTION WORKER6OOMreNSATIDMAND WCOZZ0514 06/18/200S ' '06/18/2006 we A'( OTH• EMPLOYER6'LIABILITY E.L.EACH ACCIDENT 3 Soo," 8 ANY PROPR;ETORIPARTNER/tX6CUI RIE OFFICER/MEMBER EXCLUDED? E.L.OISEM6•EA EMPLOYE S _Soo,_ Ifyye. deacr1bouneet , $P&�IAL FRCWISIONS pelOw j E L.016WE•POLICY LIMIT 1 SOO 00 OTHER j VE&CRVTWN OF grr;"TIONS I LOCATIONi I VIMICLES 1 EXL:LU6JOMS AWED BY ENDORSEMENT 1 SPECIAL PROVIBION6 peration: home builder SHOULD ANY OF.THE APOYE DRYCRIBED POLICES BE CANCELL60 BEFORE THE EXPULATIDN DATE THEREOF,THE iWIJING INSURER WILL ENDEAVOR TO MAIL _1Q DAYS WRITTEN NOTICE TO THE GEPTIFICATE MOLDER NAMED TO THE LEFT, Town of Falmouth BIiT FAIWRE TO MAIL 6UGH NOTICE SMALL IMPOGE NO OBLIGATION OR LIABILITY . Falmouth Town Hall OF ANY KIND UPON THEIMRI.Q.ITS AGENTS OR REPRtGENfATIVES. Falmouth, MA. 02540 ALRHORILLOREPIMS ATME ' I l r' ACORD 25(2001108) FAX: (508)545-4290 CACORD CORPORATION 1980 - ,I .'° . Town of Barnstable Regulatory Services ' Thomas F.Geller,Director p Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Permit no. Date_Z�/2 fl,!9 5_7 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: Dg� ye6j 66Lr �0,K1 VgvaoL`tstimated Cost Address of Work: l 1�Gt�S�+tiiS rV f��1 Owner's Name: 161+_1Akai9-1c.6LE Date of Application: U 0 I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law Jo JJnder-$40N ----� J✓rLN(/ cox/`���( Building not owner-occupied �J ❑Owner p mg own perms 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 a e agent of the o er: �6or z to TontractorNam.V Registration No. OR Date Owner's Name Q:forms:homeaff day <p °F T Town of Barnstable ° Regulatory Services Thomas F.Geiler,Director �'�' ►`e� Building Division �fD IAA's 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 e-,e I �l Ul ,as Owner of the subject property hereby authorize Rb64 —&LOYM-41 to act on my behalf, in all matters relative to work authorized by this building permit application for: J i7 (Address of Job) ak ' 6 s� Signa a of Owner Date fid[Ul e Print Name Q:FORMS:OWNERPERMIS SION r NOV-29-2005 TUE 12:32 PM KEY PAN ENERGY FAX NO. 508 394 5019 P. 02 , KeySpan Energy Delivery 127 Whites Path ft;njyDcwt;ry South Yarmouth,MA 02664 i November 29, 2005 FAX S09-548-8758 Rai; 217 Wheeler Rd, Marstons Mills This is to confirm that the gas meter has been removed and the gas line has been cut and capped at area requested by Carl Thut. If you have .any questions please call me at 508-760-7481. Sue McMullin OlIeratinns Coordinator Keyspan Delivery Company I ivsTAROne NSTAR Way,Westwood,Massachusetts 02090-9230 EL EC Tf�/C GAS November 21, 2005 Mr. Carl C.Thut 160 Crystal Lake Rd Osterville, MA 02655 Dear Mr. Thut: This letter will serve as confirmation that the electric service and meter at 217 Wheeler Rd, Marstons Mills, MA was removed. Based on this information, there is no electric power to this building and you may proceed with the demolition. If you have any questions, please contact me at (781) 441-8922. incerely yours, Joan Woronicz �J! r t_ The Town of Barnstable . IKE)per BARN STABLE. M a 0 Department of Health Safety and Environmental Services y ASS. 0 t679• �0 " Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: T k'4— Map/Parcel: 0Z2 Project Address: Wk,de-, P-4 Builder: ��JDer� ���,"v►�c�� The following items were noted on reviewing: CV .;)r- C'4 e—vvoi ��ticj 1.Uv%,%�er- 1�6L e. S�\e \ 'J d n a4e p°ems S , 1 Reviewed by: Date: �� o STI �� Lookr � � �� its � �� � i w The Town of Barnstable BARMS�LE.�! Department of Health Safety and Environmental Services t63q. �0 Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location l`C A Permit Number �� Z Owner Builder One notice to remain on job site,one notice on file in Building Department. e follow' g items need correcting: R7S \J 0 K fi'�C 4p--2 Eko 3 /"E�d CnJGtN zIRIG A-7G9 D/U C,C, V _-POSTS 0&/'G /e kfn /Z/Le (5d G d K I�VCr (U f OF STi�1 lie(�1e —�U E�f2 / Fill 7� C, . VJ3 Please call: 508-862- for re-inspec 'on. -A Inspected by Date 5— The Town of Barnstable fNE 1p�� aA MAS LE. MAS-q Department of Health Safety and Environmental Services S. t679' �0 p�FOMA�° Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection /� i Location -7 � � lK A Permit Number �� Z Owner Builder One notice to remain on job site,one notice on file in Building Department. The following items/need correcting: (mil/mil \ - ✓ �Y-c(GG 62/ C,¢(fE J 7��2� )�S �J o n tti(�2 /ti F19 ours�4E- (,c s-CL — pry �n��/u�Ie / c 6/1 CK L U Cn16(AZ&6;(1 14)6- A-7W Dti 4c.t-- L u L 's PC2 TcQ�srs 4'gK1C#?t/r-- 71 b y (o/0 of STi(l2 w#e f— r--w 9(5�6f26nA&-j r c/o J3 Please call: 508-862- 3"8&for re-mspec 'on. Inspected by A14� r/ Date �5 0 3 1 Header '^�fba_="�`Bw"= 4 Pcs of 1 3/4" x 11 7/8" 1.9E Microllam® LVL. TJ-aeemO 6.20 Seal Number 7005112547 Page11 Engine oVerion;6,20.16 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED a a PirodUct Diagram 19 CNIOWW81. LOADS: Analysis is for a Drop Beam Member. Tributary Load Width:7'9" Primary Load Group-Residential-Living Areas(psf):40.0 Live at 100%duration,12.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Uniform(psf) Floor(1.00) 40.0 12.0. 0 To 12'6" Adds To second floor Uniform(pst) Floor(1.00) 20.0 10.0 0 To 12'6" Adds To attic Uniform(plf) Snow(1.15) 450.0 260.0 0 To 12'6" Adds To roof Uniform(plf) Floor(1.00) 0.0 160.0 0 To 12'6" Adds To 2 walls SUPPORTS: Input Bearing Vertical Reactions(Ibs) Detail Other Width Length Live/Dead/Uplift(Total 1 Trimmers 3.00" 2.30" 7656./4415/0 112072 L2. None 2 Trimmers 3.00" 2.30" 7656/4415/0/12072 L2 None -See TJ SPECIFIER'S/BUILDERS GUIDE for detail(s): L2 DESIGN CONTROLS: Maximum Design Control Control Location Shear(Ibs) 11830 -9677 18163 Passed(53°/a) Rt.end Span 1 under Snow loading Moment(Ft-Lbs) 36230 36230 41051 Passed(88%) MID Span 1 under Snow loading Live Load Defl(in) 0.368 0.408 Passed(U400) MID Span 1 under Snow loading Total Load Defl(in) 0.580 0.613 Passed(U253) MID Span 1 under Snow loading -Deflection Criteria:STANDARD(LL:U360.TL:L/240). -Brecing(Lu):All compression edges(top and bottom)must be braced at 9'7"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANTI The analysis presented is output from software developed by Trus Joist(TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application,input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLYI PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. -Note:See TJ SPECIFIER'S/BUILDER'S GUIDES for multiple ply connection. PROJECT INFORMATION: OPERATOR INFORMATION: Thu( William Compton 217 Wheeler Rd iLevel By Weyerhaeuser (WC) Maristons Mills Box 373 11 Campanelli Dr Assonet, MA 02702 Phone;508-644-5100 Fax : 508-644-5131 William.Compton@weyerhaeuser.com Ci.pyr•lght r7 ;n05 by TruF .7pi.M a weyerhaeucer Pucineee mir.ro)).amx is n regi.atered trade>rarh CC Trw; Jc'Ist. rJ:\br•'cumonto and Cal::\hood\Thor.cmc P i nvi ' i0' IUUU •U'40nm ►�p� 140.4U14, r• 1 SECOND FLOOR BEAMAVAki `r - TJa..my0206 rNuMb.,"i=112eos`"m 4 PCs of 1.314"x 14" 1.9E MiWo11am@ LVL nro.1 enan.vuane1 6ao16 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION:AND LOADS LISTED 1 . 6 1T 3' Product Diagram is Conceptual. LOADS, AnoVk Is far a Drop Beam Member. TrIkil ry load Width:l0'3' Primary Load Group-Residential-Living Areas(psi):30.0 Live at 100%duration,10.0 Dead Vertical Loads Type Class Uve Dead Location Apolcation Comment Unftrn(psf) Ftoor(1.00) 10.0 10.0 0 To 17t'3• 'Adds To Adis Load Unitortn(peq Sncw(1.15) 25A 15.0� 0 To 1r 3' Adds To Roof Load SUPPORTS: tnow Bearing Vertical Reactions(R►t,). Detall Other Width Longlh l..1wwWD&aWUp1VVTataa 1 Stud wall 3.ff 3.051 5746/3$2810/964 Li:Bloddng 1 Ply 13141 x 14'1.9E Microllam®LVL 2 Stud wall 3.50" 105' 5746 1 3328 1 0/9074 0:BlodMng 1 Ply 1314"x 141,1.9E Miorollan*LVL -See TJ SPEWIER'S/BUILDERS GUIDE for detait(s):L1.Blod ft R_MN Qom= Nuhnum 00awn con" ;Contm Loculkin Sheer Otis) aw -7540 .2'1413, Paused(35%) RL end Span 1 under Snow loading Motttent(R-Lbs) 37534 37834. T557A4. Passed(87%), .MID Span 1 under Snow toading .Uve Load Deli(in) OA33 ,, 0.584.1, Passed(U46g) MID Span 1 under Snow loading .Total Load Dell(in) 0.654' 0.846 Passed OJ29T) MID Span 1 under Snow loading DeNecbon C diode:STANDARD(LLJJ380.TLLrmo), -Bracing(Lu):Ail oompressiori des(top and_batlom)must be braced at.11'r ac unkm detailed oftni e. Pmpe►arachowl and positloning of tataral,bradng is mquired to edrteve member . "DITIONAL NOTES: -iMPORTANII.The analysis preserve Is'ouw4 fry►�s ware developed byTruc Jolt(TJ). TJ warrants the siring of its products by this software will be acc_oinplished in atmordarm with TJ produd design"crrTeria'and oodiaaoepted;design vakm& The sped&'produd eppticallon.Inpia design Ioadr<:and stated dirnensioris have been provWad by the sotbirare ilser:This wsPA has not been reviewed*4 TJ Asso&;m. -Not all products are rgadlly a+Cdlablo`�Cho k%ft ypr t:uppliar or TJ tedinu al mprewnb&ft for product availebiNy. THIS ANALYSIS FOR TRUS JOIST PRGOUCTS ONl r PRODUCT SUBSTITUTION VOLD6 THIS ANALYSts. dUowabte Stress Design rnefhodobgywas uaod foc BuiQe>e Gbde IBC an Wisq the TJ DIa bWonprodud tried above. -Note.See TJ SPECIF9M/BUILDER'S GUIDES for multiple py oainectior>. i (PROJECT 1Ntr:ORtiIlAT10N: OPERATOR INFORMATION: TM� Trus Joist a Weyerhaeuser Business(EBM) 11 Campanelli Drive P.O.Box 373 Assonet.MA 02702 Phone:1-08.644-5103 Fax :1.508-64e'5131 •� •, ., copY+etgkktt• 9006,by irna;]otas, a'sayarbaauar a LUGO& • rrlaolSar�'1!�e.-ra�lsauedtec�dnarkof sna QolsO. f."� Q\trogsrs�i.lei,\tar�Joiae\iV-lists\Oi-SJ-Bar\ttaroWR00di�v,We-a.t�.Ot\iaoone P1oor Boas.rao , a 2 X43 Pc. 13 k Zg 'a # Engineering Dept. (3rd floor) Map ' Oo{f Parcel ��� t D. D House# Z.l r Date Issued p Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) 7G5 fA�ej /SjE, rX Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Planning DF_ � d .gldg.) SEPTIC SY ST SEINSTALLED €irritrv�oprovcdfi iug-beard 19 1 ; Ic4�d1'; ENVIRONME TOWN OF BARNSTABLE TOWN RED Building Permit Application Project Street Address 2-il W P-14, b Village fl)'AYs.-_,os A\ C.C.S .- VYke,- Owner 2 4u L 4 _be,v,'Se Address 21'? Ly d-a c L-e- eb , /h•01.- Telephone Spit- S/Z A S-0' 1 Permit Request ADa i+%c►J to t N c1144 c-0 S i'Le 011� 4YI S+. 4 {,ck 4- First Floor rl'1�. .a — NA,60,wn square feet Second Floor !lt l square feet Construction Type �U O O z ¢Ae A rh Estimated Project Cost $ o, o dc> Zoning District Flood Plain Water Protection Lot Size /, Z 9 Ac- ,-S Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure a4,1ZS , Historic House ❑Yes $No On Old King's Highway ❑Yes j No Basement Type: 0 Full ❑Crawl Walkout ❑Other Basement Finished Area(sq.ft.) e:;, Basement Unfinished Area(sq.ft) '7 I to Number of Baths: Full: Existing Vo New 1C) Half: Existing / New b No. of Bedrooms: Existing New b Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: 1�Gas ❑Oil ❑Electric ❑Other -Central Air ❑Yes No Fireplaces: Existing New �_ Existing wood/coal stove ❑Yes No barage: ❑Detached(size) Other Detached Structures: ❑Pool(size) Attached(size) Z41C 2-4 ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use _s i N�L£ Akr% �44 "I)wia U(Nei Proposed Use S A it,-Q, Builder Information Name �Qw i sL �_ CROW�e.,/ Telephone Number s"�{Z�o 3/(/' Address 3s q Pe v e,�cy License# '70 3!j ✓YI A P5*n0-� /h& . n?_4AC e Home Improvement Contractor# Worker's Compensation# N14 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION N DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO N Q.!/N�Q�fJ'uv �i:y KJ'- "^'"-� 1 SIGNATURE , 2L, DATE // b0 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) a FOR OFFICIAL USE ONLY x a PERMIT NO. DATE ISSUED MAP/PARCEL"NO' a;t ADDRESS -t VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION ,2- FIREPLACE - ELECTRICAL: ROUGH FINAL f` PLUMBING: ROUGH FINAL GAS: .,:-ROUGH FINAL FINAL BUILDING; It-7 " DATE CLOSED OUT ` ASSOCIATION PLAN NO. , C�-u�� �.�- ��G Utz� -a.3Gg l r The Commonwealth of 111assac•husetts Department of Industrial Accidents iroficeollnyestigalions 600 11'a.vNit to►r Street Boston. A1uv:v. 02111 Workers' Compensation Insurance Affidavit applicant information• Please PRINT name• L P6UJLt=••`� locition• K e Ale �4. 4�le cit., ft.J"J rn L1- i Phone# I am a homeowner performing all work myself. [ "I am a sole proprietor and have no one working in any capacity r. ,�yT???:r!?.rr:P!^`ems R^Win...+.•.ae ry r!+.•w...r.+.s.�j�•:'!^`rr. ..�,�, ......... ...._.,.....Lr ..�.........ur... ...o. ..u:.,, - I am an emplover providing workers' compensation for my employees /working on this job. company narne: •Iddressi city i�t -S4' J I �-5 r � � phnnc insur•rnce co jrke // 1,VQ Ji141414- policy# Q 0,6 ':k elfb''6Oi -W001 {� I am a sole proprieto . beneral contractor or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: comp•tnv nimc (� tdttress• PC 3e i _10( cih ��'• o 4nt�1 a !�tGL U 2—G phone# `�J Z'lG �ZS i� v.p fjs"1".5 Co-if �fn�� insurJncc c Ll o ; r/J � �tl{9tk� t nolicv# Woo DGLS-�Ti r rrf�./J^J�._::�w�.�...::i".a�::..:.:,.—_ comnnm• n•rme• �,I.UFJJfIo •J d d r ess: th,v� city: Phone#: 172 190 07 47_"A_4� - or T Z3 3 712-Y 7 insurance co Si G/1 &, rim, woc.h dokP, policy# !f u`l :Attach additional hce if ne _ _- " ,�. 7...—., .�...LS__.�__._.CCSSarx�: . :�'r...."�_1-,. -J? _ _ _��_ rr.. e...•.� .i.�':.a....."r•�w� `t,...".�.:. _ ;v.-.`.�iS3.•:r� _"it id: •s`aut�:.t�:s...sr,:�r»ra: Failure to secure co%v rage:+s required under Section 25A of 111GL 152 can lead to the imposition of criminal penalties ol'a line up Io S1.500.00 andior unc years. imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of Misstatement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herebr certifj•tinder the pains and penalties of perjure•that the information provided above is true andl/correct. Si_nature ' Date Print name �� �=1- ✓ t'e4jitJl-� X Phone T officialo'c onh• do not write in this area to be cumplcted by ci y or town official *� cite or town: permit/liccnsc it r'tt3uilding Department E" Licensing Board ` ❑check if immediate response is required QSCICctmcn's office ►.:" 011ealth Department contact person: phone#: mother : 1 re.,scd 3:'';11JA) A 1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "lacy an entploree is defined as every person in the service of another Wider any contract of hire, express or implied. oral or written. An entplo*Ver is defined as an individual, partnership, association. corporation or other legal entity, or any two or more of the fore�,oino en-aued in a joint enterprise, and including the legal representatives of a deccasecl employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling, house Navin` not more than three apartments and who resides therein, or the occupant of the dwcllim, house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the ,rounds or building appurtenant tliereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required._.. . Additionally. neither the commonwealth nor any of its political subdivisions shall enter into anv contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. :77-_...�:.�-.._�.._...._...__.mow .._..._....�._+.-.-..��..,.. •.w...r-_ 1ww. _ 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 city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you Dave any questions regarding the "law" or if you are required to obtain a workers* compensation police, please call the Department at tine number listed below. City or Towns Please be sure that tine affidavit is complete and printed legibly. Tine Department leas provided a space at tine bottom of the affidavit for you to fill out in the event the Office of Investigations leas to contact you regarding the applicant. Please be sure to fill in the permit/license number wliich will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. Tile Office of Investigations would like to thank you in advance for you cooperation and should you leave any questions. please do not Inesitate to give us a call. 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 #: (617).727-4900 ext. 406, 409 or 375 I�„n.',°' .ram,=. `}>c:}:a.,r.rt�1:n•.".i.lsr,.�....fji-�. �� ':. HOME IMPROVEMENT CONTRACTO Registration 119295. F Type -.. 0TVIOUAL Expira;ioo t6/19/97 DANIEL E CROWLEY DANIEL E. CROWLEY r 359 REGENCY DR � ADMINISTRATOR •. +� NARSTONS NILLS. !WI 02648 r ✓1. &omvrreo.0 .&A a�.i�/ue�etlJ DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE ;=Resufrted.='"_ @@ ?ANIEi E CROWT Vy := 399:"DEGENC( DR +•+� �� �� ` ' `MARSTONS NILLS, M @2643 °F"e 1, The Town of Barnstable ajuvsr"UL MASS 9�A Department of Health Safety and Environmental Services QED MAC' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. , I Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL,c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. St uq cg s4coe y Type of Work: kl;�dSj Vk oa -r \4�*LL,J d"L.R , Est.Cost 60, oo a• a C7 Address of Work: Zi"1 _ ��-�<<C�- ��/- fy\oP-SA-a R-+.s 0) U S i Owner's Name Pau L ci- Date of Permit 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 the agent of the owner: / Gl l 3y l�(� �u��►`d:L C�/L®ryL�� l r7 L1-�/ Date Contractor Name Registration No. OR 114 pl�w Date Owner's Name T11c• Canittiontecalth of'4fassachusctts n Department of Industrial.4ccidents Y .•1 011icealittyestlgations 6110 11 asliingtun Street Buston, Mass. 02111 Workers' Compensation Insurance Affida%it epp"�t storm lion Please PRINT''le�iblDnine. y Qtu i+EL E- L'&WL-`l c _'Z ZL\ city Ih!i usha,VU S t'M;IL {ham' au�� phonc>y -S�"Ltd �V r I am a homeowner performing all wort:myself. I am a sole proprietor and have no one working in any capacity "`-'." �.`_ --_ ._ - _ ---- -. .�.. .ram•- .=:.--...•..--•- I am an emplover providing workers' compensation for my employees working on this job. ramPIM• name: •ttl d rc�s city phone#t- in%urnnce co ���^ ��noiicv d ^� _• -_ L......�-.+...,.- a sole proprieto . general contractor, or homeowner(circle one) and have hired the contractor listed below the fo owing workers'compensation polices: ,Q .. cnmit•tn1 name. � 4+-eLS R.un.h- 4- 4Y`4Li r'f r Mid res • COWL gt,.e W 44e- IMG�_ phone�� Zip' I Z�f7' ctn ! insttran -- _ niic,t•0 cc r0. ,,._ +\wv.-- - �.rt•� - __ rr--.-...r�n��•• r. �s.'�.r-. —mac••-__ _ --w.+_ (lm an%, name• 'tddre �• , Citv phone tt' eii •� insurance :Attar_hto sadditional Sheet iftittees���;�*-�"�"''"''�"����%y •'• �' •��'_ ' � y�•� � •uv Facrum:cuvcrnae as required under Section SA of�1GL 152 caa lead to the imposition of cr' ilure mina9 penalties of a fine up to SlSOU.UU one Scars'imprisonment as well ras civil penalties in the form of a STOP WORK ORDER and a fine ofsice.00 a day against mr- 1 understand eapy of this statetnCut ma%• be forwarded to the 0Mcc of Investigations of the DIA for coverage verification. I do herehr certil•under t/te pains and penalties ojperjurt•that the information provided above is true and correct. Signature �- _Date =� r, r Print name ��l✓ - F CQO GtJ L�� Phone official use univ do not write is this area to be completed by cite or town official permitAlcense#f rTtluilding Department MY or town: C3ucensing Board 0Selecttnen's Office check if immediate response is required C31le20h Department contract person: phone fl• MOther ':Information and Instructions vt chapter IS? section '_5 requires all employers to provide workers' ccmlpcns-lti011 y employees. As quoted from the an c'nrpl�,reeo Massachusetts General Lai . P "la��•". is defined as every person in the service of anclt leru . der contract of hire, express or implied. oral or-written. o or An rnrplurcr is defined as an individual, partnership. association. corporation ernrescn�at vcstolfa dcccaser legal lctltelnploycrt`or ht the fore`_oin`_ enun_ed in a joint enterprise, and including the (eW p receiver or trustee of an individual , partnership. association or other legal entity, employing employees. Hove•. wncr of a dwelling house h:.ving not more than three apartments and who resides therein, or the oair work on such of t iir d%vclliil,= house of another who employs Persons to do maintecause of s empioymenenance , construction or pt be deemed to be an err.- or on the _rounds or building appurtenant thereto shall not b such GL chapter 15? section 25 also states that e�•er�• state or local licensing age^c�. shall „'mimoid�czith for an.. M p reneiwai of a license or permit to operate a business or to construct buildinbs in the co applicant who has not produced acceptable evidence of compliance with tl;alinsurance en erunto any cont 12 raC4for tie Additionally. neither the commonwealth nor any of its political subdivisions s P crfon»ance of public work until acceptahe insurance requireme:its of this cil: ble evidence of compliance with t been presented to the contracting authority. Applicants Please fill in file workers' compbmitted to ensatioll affidavit completely, by checking the box that applies to ;your situatioi: the bepartmcnt Of supplyin_ company naives. address and phone-numbers as all affidavits sure to siun and d ate tl a ftidanit. 111 Industrial accidents for confirmation of insurance coy erage. Also b aff davit should be returned to the cif} or town that fire application for the permit ornictl'ee`la being if you are .o not the Departnie:it of industrial Accidents. Should you have any questions regard. g to obtain a workers colnpeitsation polic.,. pie--se call the Department at the number listed belo,�. Cin• or 'Powns t tile Pl ease be sure that the affidavit is c011!pieie and printed legibly. T'Ile Department has yrovided a space ou re" rdin^ theaapplic or. the affidavit for you to fill out in the event wig Ohfwiil be used as a referece of Investigations nce number.to contact yTlle affidavits may be re:' be sure to fill in file permit/license numb the Department by mail or FAX unless other arrangements have been made. Tice Office of Investigatioils would like to thank you in advance for you cooperation and should you have any q please do not hesitate to `ive us a call. The Department's address. telephone,and fax number. ". ' The Commonwealth Of Massachusetts Department of Industrial Accidents Office of investigations 600 Washington Street F 71�19 I I pil ! - - - - ,.- IE a'`31 I ----�-� /�,',��' ._- i�t 1::_._ - N O�-2. 1� �.tQ t,• -4 at-. W EJ:.� -r u 'o- �'�y•F,a•�[ .. : , i I FRO t-J- I P 43:.1 sou L. -rum. _ i .�+ 6o tik•�.� � F. u.,i fnAS�� i I ! I �ovd►,-v'� o>, Co4h�uc; �`l9,> Lb1 �, a t , i S�eG f �• I , I � I I ' S'�1.— PLs'. c �--Ty�. 8 � O.C. IV 1 ' KB6A'r 7 a i �i I fi i i tt r �.•� ou . _- - ---•-- C�tT a v� _ TEST HOLE LOG M STIc y � DATE: 2vzoa, 7 l"e... TEST BY: WELLER&As�c s� WITNESS: � PERC RATE* Slvoy lays /o y r S 3 • Poo c�pc a �oY� ..LoC v S•'0 J 4.y/ • �"¢ Zoo o' 38" z,s /s � sy' ivyc 3�, �� ce�ltsaf r O no" � DESIGN DATA DAILY FLOW: ('�j BDRMS.a 110 GPD=06GPD SEPTIC TANK: 4C416 GPD a 200%= R80 4* USE: /Scmm- GALLON PRECAST SEPTIC TANK LEACHING FACILITY: USE: </) 3 CAPACITY: SIDEWALL:/*ZN Z BOTTOM: %y''i S/o'x o.1 j�• 3zS.G a TOTAL:--- .. �i>9orOF/!T�,fs /;c.J OIJE.QGi9'� NOTES: 1. ALL PIPE TO BE 4"DIA.SCH 40 PVC. ' 2. PIPE TO BE LAID LEVEL FOR V OUT OF DISTRIBUTION BOX. 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN 6"OF FINISH GRADE. 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A +^ GARBAGE DISPOSAL. 2"LAYER OF 3/8"PEASTONE OVER 5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED 3/4"-1 1/2"WASHED STONE ALL ON A 6"LAYER OF STONE. AROUND TOP OF FOUND. @ EL. y7 So / 1o, 14' ,vsracc / q5x�>. �. 37 Cob 36.0 29. • �0 cp yp.00 3 7S 3/90 3� Q 45 SEPTIC SYSTEM PROFILE S. - E ^� SEWAGE PLAN GENERAL NOTES 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION FOR OF ALL UTILITIES,ABOVE AND UNDERGROUND,PRIOR TO ANY EXCAVATION OR CONSTRUCTION. Z17 Gv,4/E+EGEJ2 ?o.qw ,y SToAc�s /�-I/L G S 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH Z p T /A �DIL, 8K z84�3S 310 CMR 15.00:TITLE V. PREPARED FOR 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE DETERMINATION. _ DATE: / v ar` DANIEL (/� /9 � SCALE: _ ® 6RAMAN CIVIL v No.32696C H SUBYE+� WELLER & ASSOCIATES 714 MAIN ST. P.O. BOX 119 YARMOUTHPORT,MA. 02675 TEL: (508) 362-8131 APPROVED 13Y. /Y .lY r M Y5 T/ C 0 g � ��• tili9/zx ii/��9� ►Aid. � o 0 39,�— �—— CX/STi.�� p"r�� a�� ATE loowvpos�o 725,�,5ul7, .�=Z S./3 { M E,</5 r 0o I _ •fGAGE ,.SSE E`T Z'. c�c Z .SyE.E7S The Town of Barnstable 98ARNSTABLE,g' MA Department of Health Safety and Environmental Services SS. A t6S9.�,5" Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection r nk J Location {2J Permit Number Owner Builder One notice to remain on job site,one notice on file in Building Department. The following items need correcting: y 14 q rA - uC(Ag Can n0-1 J f`/I S u 4f ►cd w`I AJO w.3 0.S r'C u r-e�J ./ -4t a-e i 1 li rs k dra..I `� �ltttio t Please call: 508-862-4038 for re-inspection: r Inspected by Date THE TOWN OF BARNSTABLE • DARI9TL1104 es MAO& 01.111DIN& INSPECTOR . APPLICATION' FOR PERMIT TO .......build-aingle...f.amily..dwellinig................................................... TYPE OF CONSTRUCTION ..... ................K95?A..frmg. . ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Wheeler Road, Marstons Mills Proposed Use home (guest house .................................... ....................................................................................................... Zoning District .................1?.F................................................Fire District ......QPAt.er..V.i11q:nQs.tery ................... Thomas- J. Connell Wheeler Road, Marstons Mills Nameof Owner ......................................................................Address .................................................................................... Name of Builder ...........$.aM;4.e.1..,5.arkine;......................Address .......... ..................................................... Name of Architect ................9KIRA47......................................Address ........... h.P.Y.1................................................... Number of Rooms ........................5...................I.......................Foundation ...)�93ArA4..concrete' :7 10............................ Exterior .................ceda-r---9h-i-ng-1es7-................................Roofing ............as-ph'alt..s M-nqles.................................. Floors ................oak over 3/411 plywood sub—f 10PNerior . .................dr.y..jdal.1.................................................. ..................................plywood.............................. Heating .............f orcpad..hot..air... ..oi.1.....................Plumbing ..........6p.pperpipjnjg..m.'.sep.UC...t amks Fireplace ............. ......two.........................................................Approximate Cost .....261400................................................ A & Definitive Plan Approved by Planning Board -------- Diagram of Lot and Building.with Dimensions Ire SUBJECT TO APPROVAL OF BOARD OF HEALTH 7 (D ,41 U') � ,c�4k- Z ;tt z A W < UJ M M U- 0 ly C1 ,�. cr_ V to Ul) 00 >7 0- Cf aj -Z Uj co < \j < i.vl4GZL-wle; /ZO,40 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. .... ........ ..... .. .... Namea.� ...... . ..... ..... .... .. ........ ... Connell, Thomas J. No ...153.68... Permit for ........o.ne..story........ ...... .... .. .... .. . ...... single family dwelling ................................................................................. Location lqhe.eler Road ................................................................ Marstons kTi-11s .............................;.................................................. Owner ..........Thomas..J.....Conn.e.1.1........;........... ............. Type of Construction ...................... frame .................... ................................................................................ Plot ............................ Lot ................................ u Permit Granted A gust-9..........- ................19 72 Date of Inspection . Orr tomu, :D1 Date Completed ....... ...... .. ............19 36 Cit, P11LIMi PERMIT REFUSED C ...................................... ......................... 19 ................................................................................ ................................................................................ 6 ............................................................................... /� �� ............................................................................... Approved ................................................. 19 ............................................................................... ............................................................................... �3ooK z83 3s Assessor's Office(lst'floor) Map d 'Z- LQtr �ZZ Cum- Permit#_, Conservation Office 4th floor '� ---� ij Date Issued J-2— Board'of Health Ord floor Engineering Dept. Ord floor House# SEPTIC S T BE Plannin�pt. (1st floor/School Admin.Bldg.): ,��,/�� INSTALLE CE w Definitive Plan Approved by Planning Board 19 ENVIRONNI ° E AND applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) 'T®lnlN RE �ICNS TOWN OF BARNSTABLE Building Permit Application Proiect Street Address Z 1 tW L.e%. tm, ('n.AN i U5 ✓u Village (�tb-854oius (hi lL5 , p)r' , Fire District Owner ?AU f 4-41 u Address z w ti' . Lem , r ' Telcphone 60 Permit Request: Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use ws 1. CAM�'e.J Proposed Use S4A\.-e, Construction Type wM d FAAM'p- . EaistinE Information Dwelling Type: Single Family Two family Multi-family Age of structure Basement type eouC-ve�— /W t&L*. D 0-k Historic House Finished y Old Kind's Highway Unfinished Number of Baths `� No. of Bedrooms Total Room Count not including baths First Floor Heat Type and Fuel d1li- 00rc«l k'* pik> Central Air Fireplaces / Garage: Detached Other Detached Structures: Pool Attached k" Barn None Sheds Other Builder Information Name 0 w tj t'G✓ Telephone number Address License# Home Improvement Contractor# Worker's Compensation # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO : otismet' Proiect Co ,� �, Oao • a� Fee SIGNATURE/ P,9-7 DATE /— 17' BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) j BPERM T 1/2 7/9 5 31M 3 I I FOR OFFICE USE ONLY 082.022 ADDRESS 217 Wheeler Road VILLAGE Marstons Mills OWNER Paul Pita DATE OF WSPECTION: ' FOUNDATION o FRAIvE INSULATION �a7� rt, FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL �� q5 FINAL BUILDING) ;7 DATE CLOSED.QU E" ASSOCIATE P• NO : 1 .�-- Th (' To WTI (If M-1 I"Tl Cf-2 III(, Sum iiy2,U1,S MA 02v01 Offioc: 508-794-6227 F= 508775 3344 RalPhcwsscn For offcc use only B��clOmmissioner Paatit no. Date ANIDAWT HOME IMPR0VENUWrC0NIRACPORL&W SUPPI EMEKTTO PFPMrAPPUCAU0K MQ.c-I42A requires that the-rcconsuuaioa,alter, �• �0.or cottur,Wm of an additjou to= p mo)dSdng q �P return demo '' building containing at Icast one but not more than fourdwdli r o�vaer to such residence or buildingbe done units or 7 which are ar}accat by regstcred contractors,with oe:taia exceptions,alone with other i p Tjpcof Work- �S XIb� ��DifjotJ -gyp '*�daoo«. Est.Cost 6 000 0 c7 Address of Work: 219 N, �1 Rb 5 i o N S PA L L S 0,Amer MI me: PAL) Date of Permit Application: I herrbr cacrtifv that: Rcgiw2tion is not required for the follouin€rzzson(sy Work excluded try law Sob under S 1 U00 Building not caner-occupied Oancr pulling o%%m permit 2�otice is hcrcb�•gi.cn that: O"ir?\tP S PULLT�G PLF-'dT Oq DEA-I ..G X\Tr? 'REGISTERED Co,,,,,-TRACTORS FOR AFPLICl i:LE PONE P/pFO�i`•�`i �:'OF1; DO T;OT HAKE ACCESS TO T E A-7- 7 L4,T10•.�'FROGR Q;OR GUASA� -n-R"`D UNJLF.1 GL c. 1<2A SIG.NED L;NDER PL1\ALTICS OF PLRRjp\y ,.•_:C;;�'2::;':I 'iCi' 2 r!'.^.'TUi 2<_1!.! <<Cf'C!._. . r.2:-.c P.cEinrzuon No OF, a J Dztc Owner's name TOWN OF BARNSTABLE BUILD-ING DEF-- ?. N T Please print. . DATE xPN 21 19 9s JOB LOCATION Z I�eeLe� (1'1'�SuS �"cLs�.tiY Numker Street address Section of=down .- "HOMEOWNER" 4/a Name Home phone :: Work phone' PRESENT MAILING ADDRESS SA►�`�a, 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six 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 buildinc permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the Stat Building Code and other applicable codes, by-laws, 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 compl with said pro edures d requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127 .0, Construction Control. I "O`;E Ot•: ' S .PTION The cote s- �; work for which a building permit is r c c u ec shall be csNe ;_rc the provisions of this section (Section 109 . 1 . 1 - Licensing of Corseruction Supervisors) ; provided th'at,.if Home Owner engages a person (s) for hire to do such work, that -such Home shall act as supervisor. " Owner Many Home Owners who use this exemption are unaware that they are- assuming the responsibilities of a supervisor (see Appendix Q, Rules and 'Regulations for licensing Cons truc tion' Supervisors, Section 2.15) . This .lack ' if awarenes -. often results in serious problems, particularly when the Home.Owner hires unlicensed persons. In this case our Board cannot proceed against..the : inlicensed person as it would with licensed Supervisor. The. Home'�6wiieractin as supervisor is ultimately. responsible. -_ . To ensure that the Home Owner is fully aware of his/her. responsibilities,: man communities require, as part of the permit application,.,that the lioiue -Owner certify that he/she understands the responsibilities of a- supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. i 11/02/94 17:02 V6177277122 DEPT IND ACCID la 001 C0mm.0nuleaLtIL of Ma-ijacli.ttietti ' aUaParfntenf o��nc�u�fria�,�lccic>!en,Ls 600 Wul..yfon Shwef James J.Campbell Roafon, MjacLi,46 02f f f Commissioner Workers' Compensation Insurance Affidavit 1, (n«osecipermimee) with a principal place of business at: (Gcylst"iZty) do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Number () l am a sole proprietor and have no one working for me in any capacity. () I am a sole proprietor, general contrauor o homeowne (circle one) and have hired the contractors listed below who have the folio/wing workers' compensation policies: W1 EL �FQIi� ��� SvLe 1"va�v���Cv.(.¢ •eV) PIA, Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number O I am a homeowner performing all the work myself. 1 understand that a copy of this statement will be forwarded to the Office of Invesrivadons of the D1A for coverage verification and that failure to secure coverage as rewired under Section 25A of MGL 152 can lead to the Imposition of criminal penalties consisting of a fine of up to S 1,500.00 and/or one years' imprisonment, II as civil penalties i the fo a STOP WORK ORDER and a fine of$100.00 a day against me. Signed this - - day of � 19 /U✓ Licensee/Permittee .1guilding Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOWN OF BARNSTABLE BUILDING PERMIT # 07"`1U� { • ' RECE ivr� o a . . ' . . Mar 9 2 29 4ARN',:i.,►t► 4EvIST.- MYSTIC LAKE (NORTH.' COT POND) POND E 'co .� Iq' N • a$ I -g9: ACRE$ * 3 N T ' A. LILLY In Pii..3>it M I.•50-A►Q.ES } R=26.14 A= 15.'34�,-• I8.:.65 R�=,25;13 3 - . A.='23.17'''., t t i. Of �\ __ . ..._ R *-879 0• z.. 't. : , As f26.3T i CB CB.t A a 27g ar •.:WAY. Wei p.R\VATE• .EELS. t ' (( fYi�:� lbvie e FwJ.k�v uN° � �Y�S�i� FoFdra�>• i to �' I �' I ( ; Ii C3ol. eG —���—�) +!'o" •jQiow2YiS�(�Pl+�u. t� I i II I I � I �! .I I I: •� �: �� � WALL. a ! I I I I �' � ..,�� 3�8 P.C. QLyv�uod• � N'ew 'N4 _.!I i 2'$, Goo+-' i '�O .Qai.o... EYiS4iry . ru�' f gez�W $.�. ( C r I � 3 ►vX�LL �v.1� � I x s P 't.,A I9 M.0 e l.►.`� �FQVC�.�vp�. ro•oJ•�. New �1I4x Q leiK-i_�,•:��er_. ...--I—'—'---'--I- —•- - — - — - - - ..._ `i .�- aew fi , EYitliKt-64 OJbUl lio 'Q�r,e.,� 6�L•,s>.;,�gar. � imt b (ol4 —� • —p— • Loa+' �`l.A�J - I D'/ti 1j/ VAIL Nctp ga�.R►u C�ipSPA�� �� '� 4. Ntw31141Q'4ln,<+.oLnn-. I � 2se . IgLZ 'LK6 LL-L!I 1 , 1 I u -- w S/g Pa1�oe i F p uY Ill Awb nl, - & —- _._. -- I p __— nbb2.. v2vEtCle U�Nt�a� Ac c. eDrNyv� L_ I-1- qP+ ':y.i51i ID" F-W WLLt. Tv I � I \p 1 t ld I I 'I I WES L'ea . -- `i I . I ASp►,aLA Typ. ��� .@ 3 .,t�Z Qe�o•"i CLi- i I �t Town of Barnstable 0 Building Department - 200 Main Street &AMST"LE. { Hyannis MA 02601 9� MAC ( �5081 i6gq. 862-4038 Certificate of Occupancy Temporary Application 89215 CO Number: 20060115 Parcel ID: 082022 CO Issue Date: 09/20/06 Location: 217 WHEELER ROAD Zoning Classification: RESIDENCE F DISTRICT Owner: THUT, CARL C & KATHLEEN C TRS Proposed Use: RESIDENTIAL 160 CRYSTAL LAKE RD OSTERVILLE, MA 02655 Village: MARSTONS MILLS Gen Contractor: BOWMAN, ROBERT JR Permit Type: RTCO RES TEMP CERT OF OCCUPANCY Comments: ENSURE TEMPERED WINDOWS AS REQUIRED & CONTINUOUS HANDRAIL -t 4a cr— 0 & 10/20/06 Building Department Signature Date Signed Expiration Date TOWN OF BARNSTAELE BUILDING PERMIT PARCEL. ID 082 022 GEUEASE 11) 4287 d - ADDRESS ,. 217 WHEELER ROAD PHONE " MARSTONS MILLS '' n ; ZIP - LOT '_1A r. - BLOCK . t , LOT SIZE DBA_. .- DrEVELOPMENT _ DISTRICT CO PERMIT 89215 DESCRIP`I:ION DEMO ATT GARAGE,ADD NEW ATT GAIZAGE,RENOVATEI PERMIT TYPE BADDI TITLE BUILDING PERMIT ADDITION � 1 CONTRACTORS: BOWMAN, ROBERT JR Department of ARCHITECTS: Regulatory Services TOTAL FEES: $.1,587 0 BOND $.00 CONSTRUCTION COSTS $375,000.00 434 RESID ADD/ALT/CONV 1 PRIVATE * BABNSPABLE, • Foss.039. BUILDING DIVISION BY DATE ISSUED i /21/20019) EXPIRATION DATE r7 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. -r 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROMSTREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1561A 'g. 2 2 \ 2 �/ 3 1�HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT J 2 -,� .-7 _ v (n BOARD OF HEALTH i 5R&/ OTHER: SITE PLAN REVIEW APPROVAL aN �i tt co�t^s oiler 0rb-31-010 ' I IT WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS HE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY ARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. v� DING Bu L PERMIT - -.,. �1 i r , IKE Town of Barnstable Building Department - 200 Main Street BARNSTABLE. # Hyannis, MA 02601 MASS. (508) i6g9. 862-4038 9� ArFD MA't a Certificate of Occupancy Application Number: 89215 CO Number: 20060152 Parcel ID: 082022 CO Issue Date: 11121/06 Location: 217 WHEELER ROAD Zoning Classification: RESIDENCE F DISTRICT Proposed Use: RESIDENTIAL Village: MARSTONS MILLS Gen Contractor: BOWMAN, ROBERT JR Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES s Comments: (5 &/:�' Ix is l Building Department Signature Date Signed j.)WN OF BARNSTABLE a -." WIC.DINr; F RMIT _ P,ARCP,L. IT; 03'2 0 C>EOBIISE I'.? 4�87 PHONF ADDRESS . It, ZIP DOT lc=. _ C,��C;K LOT SIZE -_----. - DBA DEVELOPMENT _ DISTR11"" C':► 215 DESCRIPTION }E'M0 ,€ITT GARAGE,ADD NEW AT:.' CIARAGE,RENOVHTE PERMIT TY E ="'ADDI TITLE WILDING PERMIT ADDITION J CONTRA .•t,C ;.t-): AN, Jk DepartmJent of ARCHITEC7' : 0 o Regulatory.Services TOTAL FEES: BOND .C►0 p1F CONSTRUCTfON COSTS . $31?5.000.04 � Q► 434 RESID ADD/ALT/GONV I PRI VATS 0 " r * BARMAB14 • MASS. BUILDING DWISIQN BY DATE ISSUED 12%21/�'005 EXPIRATION DATE ;'%� �, �—�--�r- THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHM'ENTS 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 APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: THIS CARD KEPT POSTED UNTIL FINAL INSPECTION »WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR 1 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU ELECTRICAL,PLUMBING AND MECH- F (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. :1 q 0 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 f%,n 1 ��� 26 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 —O (v BOARD OF H ALTH' ' OTHER: SITE PLAN REVIEW APPROVAL T y�ow%�i rt. co beT , o� �J�1Q.�L.s,t�2 o4s-3►-o10 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 VAR1 US STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. � a � �z � g �d 17 (iJheeler�. �n1 m i�a^�/9`7 ��a� 17 GJ h ce%r z3'ax *r (005TING) C'7 SMOKE DETECTORS REVIEWED IMPORTANT — UPGRADE REQUIRED Q, A co STATE BUILDING CODE REQUIRES THE UPGRADING OF EXIST. SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN O co B BL BUIL ING DEPT. DATE DECK ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. V z Go 30a2 I V. IS-,REQUIRED FOR'THE 0 01' (m5nNG) (D05nNG) NEW ADDRIOW INSTALLATION OF SMOKE DET ECTORS-THE ELECTRICAL � � co FIRE DEPARTMENT DAT r=1 i -3'-9- - 'c la-r 3•C s'.-v 2'-1)• ,a G-21 3'-4• 7-8• 1 'a 1 1 I-OPERMIT DOESSAMSFY I iIS REQUIREMENT. w m BOTH SIGNATURES ARE REQUIRED FOR PERM! ING N A C.2 v ABOVE ABOVEABOVE ABOVE Gz G G G N III N G G G - T.V.CABINET I I NOM:REMOVE FIRMACE AND NDOW5 � • `� TH6 AREA - 9 , J L-----, El(IST D D D _.. C - - - - - om W REMODELED C — — — � s; � � a N J ROOMII O FAMILY WRAPABOVE awLTED HUNG)Z 0 M E O AND PAINT a M (VAULTED CEILING) _ REMODELED NEW I P KIT F1EN � sn --�I - C 24'-I• 12'-2- cn OWN — i-6PW/owNEw ——— I-------------------- I IEDII �I+r --- —--------------------- _ W J E t I N -_1�-- O �Tr///'''►►► NOTE'REMOVE ELING I I W 14 x 2G 5TML BVM— I W 14 x 2G 5TML B[AM h r (L905T. ON WA�115 AVE BOVE t I I I I I U�UN�R _ �n PRAMED) — t�— — (PLU5n FRAMED) y T § w NEW I ARCHED OPENING NEW IOARL)1£D OPENING I I x�=t0 W NEW II 51M CAWMNN � ~ - - - - - - - - 1_ J GARAGE r i I 67.0& (4•CONC.5LAB) I t M I § Y I� I I P J °x! v I II O NOTE:ALL NEW WINowS I I ,a 2'6'x B'B� �n m J - 2&x G& TO FIT INTO D05T. \ / II N + Y I I WINIX7W RoIK+M oPeNiNc � —�pg� v � ) � NEW � wlDm,veu%DUST, a ——— F-�i Rouen OPPNINGs PRIOR � - 2 ---- -- - -I-'DR. � I I > "0" 'at 4'-4• r-a• 6-2•x -10' � - J EX15T. Darr. REMODELED I / EXPANDED 4 I s=•x O.H.DOOR O TT l� LIVING o ° a FOYER - �� HALL I I sax7ao.)+.I sax7ao.1IDooR CONC. 4 V Pom1 F P P P E CONC. I I r, r-1 a r-10' 2'•l a 4'-r 3'-I 4I GreNTo \ I EXPANDED II II Q'i J I ABOVE UP zm PORCH N.REMOVE AND 13P I lzi� RE.BUILD STARS ®7.G•i(MTING) — — ra, e �OUfUNE OF W ON.. I M7TT 1o°oLL°n�Ns EMT.GARAGE TO BE REMOVED NEW BUILT-IN5 7 A E-+ 4 Z9 � .". ''I rB 3•-r D I'a V�L s'c• s'a ra s'a 71 - s'a 'a I I \ IN E e III K I I l 2•G•x 6'8' N IMA5TE III 2'a 12' SCALE 1 I EX15T. I I I fOAToR l I I5ATtl ti F OII I� MASTER 11 � I 1I 1 � � (NEW ADDITION) 1/8"= 1,-0" BEDROOM I I I t T� FI RST FLOOR PLAN DATE : i�I NEW � I I I BUNT �I Ig I 11 W.I.C. I I II o b D 1 _ LEGEND GENERAL NOTE5: 7/21/2005 K III I I O EX151ING WALL CONSTRUCTION TO REMAIN 1.)CONTRACTOR 15 TO VERIFY EXI5TING CONDITION5 AND NEW WALL CON5TRUCTION DIMENSIONS IN THE FIELD PRIOR TO THE 5TART OF WORK PROJECT NO. f" C� EXISTING WALL CONSTRUCTION TO BE REMOVED � UND p,) CONTRACTOR TO REMOVE EXISTING DOORS,WINDOWS. WALLS.4 ROOFING A5 REQUIRED FOR NEW CONSTRUCTION. 25-021 A A B c 3.) ALL NEW CON5TRUCTION TO MATCH EXISTING IN MATERIAL, DETAIL,AND FIN15H. DWG. NO. : 4.) ALL WORK 5HALL CONFORM TO THE MA55ACHU5ETT5 STATE BUILDING CODE AND ALL OTHER APPUCA13LE & 7'-1a LOCAL CODES At- I 2r�•: 5.) EXISTING BEAMS AT KITCHEN TO BE REMOVED �nN=c) (REVISED:11/28/2005) 50 o x I ro± 40-02 W O �09nNG) ceasTlNG) (NEW ADDMON) (NeW AMMON) ^ A ^ I 2B-0' I -a Wei co (SHED DORMER) III o6- -0'3' -11' .7.) W FFFV��� �MM • H H � � W 03 O CD A cQ G P P P P NWN W r - O EXIST. ON � � FAMILY COST. � exls. 7 _ BAT ♦4 ROOM ®7•G'x BELOW DWG.A•I NEW o �, aw SITTING �N P� O E� AREA — A EO M •.e O O T TCH E V CAS®OPENING R AB ———B�DR(�OM'——— P a ----- N` S ELO N M b cL paST - NEW LOFT I cLos. +c--- -----, ALCOVE J5. I I PANEL O w g_ r IT � L- V i3 `� EX15T. " BEDROOM #3 ,in T. ATTEX1SC `" {� �r ""'/ �y U2 IM NOTE: w N AT VXMODMM BATH.CONTRACTOR /•� w AND E WTR1 NEW FU(T11RL5 AS 5PMFIFD FOIYER 04�:] b UN. _ BELOWRAJU N O U NG5 (D09nNG) H H REMOD. x V +° od g+ N BATH ��, —I A 07. x �y y W — — — EXIST. e L Z a HALL L> W CLOS. N rI F T o I r c� O F. � (SHED DORMER) w r, H I4 rM,i rr, 25'-0' I r-O' [� A I (NEVV ADDITION (NEW ADDTOON) `�i• " EX15T. NEW HOME b'g SECOND FLOOR PLAN A BEDROOM#2 OFFICE �_ (VAULTED CEIUNG) WINDOW 5CHEDULECQ TYPE MANUFACTURER5 UNIT ROUGH OPENING REMARK5 F A ANDER5EN TW 3442 3'-0 1/W x WA 7/8• DOUBLPHUNG SCALE : IT& B TW 2832 2'-10 1/8°x3'-4 7/8• DOUBLEHUNG b+1 C C 245 4'-0 1/2°x 4'-5 3/6 CASEMENT 1/8° = D TW 244G 2'-G 1/8'x 4'-8 7/8' DOUBLEHUNG MOT. Da5T. E ° CIR 24 2'-4 7/&x 2'-4 7i8• CIRCLF DATE : F TW 2452 2'-6 I/8•x 5'-4 7/8• DOUBLEHUNG 7/21/2005 G TW 21052 3'-0 1/8'x VA 7/8' DOUBLEHUNG H A 31 FIXED 3'-0 1/2'x 2'-0 51W AWNING(FIXED) J TW 2105G-2 5'-1 1 7/8°x 6-8 7/8' DOUBLEHUNG(MULLED) PROJECT NO. K TW 2105G 3'-0 1/8'x 5'-8 7/8' DOUBLEHUNG 25-021 L TW 24310 2'-G 1/8'x 4'-0 7/8' DOUBLEHUNG 22'-0 M I TW 2032 2'-2 1/&x N-4 7/8' DOUBLEHUNG aM551INGG) N 1 TW 24310-3 T-5 1/2'x 4'-0 7/8' DOUBLEHUNG(MULLED) DWG. NO. P • TW 2442 2'-G 1/8'x WA 7/8' DOUBLFHUNG NOTE:CONTRACTOR TO VERIFY ALL QUANTITIE5 AND 51ZE5 OF WINDOW5 WITH OWNER AND ROUGH OPENING5 WITIi WINDOW MANUFACTURER PRIOR TO ORDERING AND IN5TAL ATION OF WINDOWS i (REVISED.11/28/2005) A2---1 aSnm (DaSTING) U co z co aQ47 o (DQSTING) (DOSTING) tAODmoN) (ADm Dau co NA" w4v A N DECK 0 SrD r. 0 CA' NEW&a I& `Q CONC.FOOTINGS NEW IV CONCRETE FOUNDATIONO — — — — — — — — — — — — — VJ u I DRDY TOP of MD.WALL I I O O UNFIN15HED �zo I I ATDooR ' a N� 5TORAGE ® 27'-10' I I I I O NLW 2.10 FLOOR I NEW I I r JOSTs®,e o.w CRAWL I GARAGE I I I— q W o- I SPACE II I a A. r- (r CONC.Bob) I (a'CH r SLAB O.M. OFS)I I I I I N E I PITCn r TO DOORS) I N EXIST. I 1 I I x I I NEW 39a3G■IB' GONG FOONNG I F I F Vs NOTE:SAW EXIST.WALL I I I NEW 4'DIA STRUCTURAL AS REQUIRE FOR ACCG95 TO I I I NEW eAsbaeNr STEEL COWMN I I I I I I ~ Z 0 EXIST-z ®I6 o.c. I'i1 N t EXIST.WAIL TO REMAINDFJL I I I I D05T S '� I I TOE{FIN NEW FOUNDATION I I NOfB DROP TOP FOUNDAT TO EXIST.FOUNDATION WALL 14'AT OVERHEAD ION I I I TOP{BOTTOM.TYPICAL _ § EX15T. CONC. o N UTILITY — — — — — — — — N r, pV CANC. I �Wy A T EXPANDED Gr N I .- PORCH SLAB q I SLAB� I I Z a' (DIISrING) I I I I I OF L----- _EX 5T GARAGE I E"4 i I I I ——-TO BE REMOVED- [� EX15T. up W-a I&G3 4'a 9'-3' GAMEROOM I H� IZR (EXISTING) (A H 1 q= z 'v 1 �i Fil C�2 a~i �PDR5. SCALE . 1/8" = 1'-0"I1 RM. FOUND JDAHMENT PLAN F I A II NEW I DATE : BAR�I I GENERAL NOTES * MATERIAL 5PECIFICATION5 7/21/2005 FOUNDATION5: PROJECT NO. I I.ALL WORKMAN SHIP TO CONFORM TO THE REQUIREMENTS OF THE MASSACHUSETTS STATE BUILDING CODE,LATEST EDITION. 2.ASSUMED NET ALLOWABLE SOIL BEARING CAPACITY, =4000 Psl FOR A COMPACTED MED.5AND/GRAVEL COMPOSITION. 25 021 ADD SAND/G4RA VEIL M P SOILS ROQUINRED DURING COMPACTION TO PROVIDER. GRADE. EXIST. EXIT 3.CONCRETE: DWG. N0. MINIMUM 28 DAY STRENGTH.fc=3000 psi,3/4'AGGREGATE,DESIGNED PER AMERICAN CONCRETE INSTITUTE A.)STEEL REINFORCING BARS:NEW BILLET STEEL.A5TM A-615.GRADE 60 B.)ANCHOR BOLTS ASTM A 307 GALVANIZED,5/8'DIA., 12'LONG,W/2'HOOK.SPACED AT 4'-0'o.c.MAX. I'O'FROM JOGS UNLESS OTHER WISE NOTED. A sr-ex z2•-c': C.)WELDED WIRE FABRIC:ASTM A 185;FURNISH FLAT SHEETS.PLACE IN TOP I'. (D(STING) 0.)PROVIDE CONTROL JOINTS®MAX.25DI o.c.AT ALL SLABS � m T fT.CHIMNEY U W z co VIO 12 co W5T4 W 0 12 NEW I x gg RAKP BDS 1~ �DOST.ROOF 12 —�83 Wry I x 9 DR1P BD. 5MNGLE5 TO re REMAINTOP OF PLATE DORM6t 0 NEW VINYL EK19T. IT -- - � snLmErLs ® ® 4cQ L J, Qi SECOND FLOOR 5 OR SECOND FLOOR O TE ---- suePL,00R C/] TOP OPPure 06 NEW ANDEFUSEN y�ppp QAO WINDOWS POWER TO AND Kt-STAIN SI 1 S TRIM AT 91DB AlmT 1,5 TO MATCH DEGtlNG QI W W CAP law �7 TOP OF mm. FTO� 1 FRONT ELEVATION � x Z H z W1-4 E-1 Q � NEW RIDGEVEM O 12 12 W9-"INGLL GAP 8g5T �IXL'iT. 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'�IIIII I (�lillll lll'IIIIIJIRS' "1.771 an an an an omm� DATE: --- ' — '- � � II�ILIIIII_I11�111�I111II' �- 7/21/2005 ILL �I - : _ C25-021 ON OCONn RID(XV�BR Fj Y✓ 3x� \ 13* TYPICAL ROOF CON5T. �l�ur� 2 x 10 ROOr RArrM®16'o.C. 2 x 6b®I G•o.C. m IA5PMTT SnCAmiNG I \\ \\\\ ROOF SKING I Sw.rRT PAPH OM r *TOP Of PI_ - nWn� O I/rGYP. �MWU srn V o IxS5T PING®IG'o.c ®FIAT OHUNGS(R-30) I/2'GYP.BD.ON i ico Z NEW 2 Y 12It"BOARD � 12 IY3 STRAPPING®IG'o . TYPICAL ROOF CON5T. '�, _ O I I '� MEW DE ROOM#I AIREA G \ F 1 I B DE ROOM #2 co 3/a'T.♦G.PLYWOOD 2 Y 4 ®16'o.c\ \ 9/4•T.{G.PLYWOOD O Lo 5UBPIDOR-QUM•NAI B:Oin�,BO. \\ 9r1.'OND fIAOR W666 R-a=0 NAIM W c SUBFUJOR i�l TOP OF PL 2 x I Ob ®I G'O.C. 2 x I Ob Q I6•o.G TOP OF PL 2 Y 1050 16.O.C. 2. I Ob 16•oc. CONE.ALUMINUM INSULATIONs•aATrINSULATION WI 4 x 26 5T�BrAM(PU15n) TWICAL WALL CONST.-30) SorPrt�VENTSx ® oc F 1/2'PLYWOOD SnrATHING OONN Ix 33 5TRAPPI RVZCODE INNG� O Z -I6•r air.INSULATION Ilk-I s) N z ®16•'x TYPICAL WALL CON5T. ce t NEW W.C.SNINGIE Saw b� NEW GARAGE 'Y"�L' GARAGE 0-2 A 4'CONC.9UW8 a'CONC.SLABW TOP OP FOUNDATION PITCn r t0 O.n.DOORS TOP OP FOUNDATION Prt rcn To O.n.DOORS O IYRCAL B•CONCRETE i TYPICAL 6'CONCRETE V rU1/NDAnON WAU9 4 FOUNDATION WALLS O O OO CAL6.FOOTINGS' TYPICALB•x I& Q, CONC.POornNG5 BUILDING SECTION GARAGE 5 BUILDING SECTION GARAGE • - n A (NF:w ALxxnoN) ADDITION) rynw DORMEW (NMTloFo NOTE: � z CONTRACTOR TO VERIFY ALL O { EX15TJNEW ROOF FRAMING W N TH15 AREA OF ROOF AND W w —— ADD UST ROOF FRAMING AS REQUIRED 0ED Ovl —— 2 x 10 FLOOR JOISTS Q 16 0- �4 c' "`�---VVVV CONTRACTOR TO VERIFY ALL a'oIA / tw xl W EXI5T FLOOR I G MN w I x 2 w x S Fz 2 x 2 a § THI5 AREA OF FLOOR AND a 5T FLOOR �f �z ADD OR FRAMING ASUREQUIRED � F"+ 1+1 w MN A E-+ Ex15T.RIDG2 BOARD A � I CQ 3-I •x s I LVL'a rc 1EIll I I J— s-I a•xs IiruAs 3 13!4 xs IrrwLs SCALE b 1/8"= 1'-0" DATE: 7/21/2005 2aa ' ' PROJECT NO. o' 1 r sa INVW ADDrrro10 (5n®oOt HO 25-021 2 * 26 1 (NLW ADDITION) RIEw Aoanow DWG. NO. : SECOND FLOOR FRAMING PLAN ROOF FRAMING PLAN NOTE: ALL ROOF RAFTERS TOE A_6._j 2 x l as Q 16"o.c.UNLLESS OThERW15E NOTED (REVISED:11/28/2005) LEGEND ca o $ SINGLE POLE SWITCH(3 INDICATES THREE WAY) ¢ SURFACE OR PENDANT MOUNTED INCANDESCENT FIXTURE Q Q CONCEALED CONDUIT(TYPICAL) SURFACE MOUNTED FLOODLIGHT(TYPICAL) �+ 0- DUPLEX RECEPTACLE(TYPICAL) o SURFACE OR PENDANT MOUNTED FLUORESCENT FIXTURE U p� ® FLOOR MOUNTED DUPLEX RECEPTACLE o UNDER CABINET LIGHT FIXTURE(Q KITCHEN) I " PIC co ►� 0, DUPLEX RECEPTACLE-SPLIT WIRED ® 5URFACEIRECE55ED EXHAUST FANLIGHT COMBO IX15T. RANGE RECEPTACLE DECK C ® SURFACFJRECESSED EXHAUST FAN W � � ®- SPECIAL PURPOSE RECEPTACLE Q® CABLE TV RECEPTACLE(TYPICAL) x SURFACE OR PENDANT MOUNTED CEILING FAN QD W ►- TELEPHONE OUTLET(TYPICAL) MOTOR CONNECTION TTYPICA Q a (> WALL MOUNTED INCANDESCENT FIXTURE(TYPICAL) SMOKE DETECTORS Q RECESSED INCANDESCENT FIXTURE(TYPICAL) PC PULL CHAIN C 0 RECESSED INCANDESCENT FIXTURE(TYPICAL) D DIMMER SWITCH cQ a T.v.CADINET Q 1 0 0 REMODELED FAMILY \ `��� �� - ry ROOM I '' (VAULTPD CSUNG) I I \ REMODELED rJ -- j Q C - - - - - � / KITCHEN E-I o ` D \\ \\ Ew 4 Z E-+ v� ND Y w \ _ NEW z — — — — — — — — N / / GARAGE /I t-4 0 I I b� — \,� �• _/ � � — — tag coxc.sue> NEW N \ M M O U N l EXIST. J I EXPANDED p ' Q LIVING �YOR EI�D �I HALL \ � a 4 0Ln DOST.11G"N I / z{15 ROOM 5 TO ftSINN ffff����""1111 f V �- ® ..... I ( NDED b 1 — — PORCH EcQ -� NEW 1 l ^ �- -- b FIRST FLOOR ELECTRICAL PLAN SCALE : ® uG Q O NEW NOTES : DATE: \ EXIST. M65TE 1.) THE ELECTRICAL PLANS SHOW NEW GENERAL PURPOSE LIGHTING,SWITCHING AND I MASTER 1 I I B O OUTLETS ONLY. THE ELECTRICAL CONTRACTOR IS RESPONSIBLE FOR THE ENTIRE NEW/ 7/21/2005 BEDROOM 1 I EXISTING ELECTRICAL SYSTEM. THE ELECTRICAL CONTRACTOR SHALL STRICTLY ADHERE TO _ I _ ALL STATE, FEDERAL AND LOCAL CODES THAT APPLY. PROJECT NO. \ NEW I 2.) THE EL EQ L�p n RACTOR SHALL REMOVE ALL EXISTING ELECTRICAL SYSTEM W.I.C. I 60 COMPONENTS,WIRING AND FIXTURES. AND 25-021 b I _ 3') UGHLOCATIONS CONTRACTOR HE FIELD W/THE VERIFY YER PRIONEW/ TO WALLBO�INSTACLLLATIION. 4•) *RECESSED LIGHTING SHALL BE ON DIMMER SWITCHES. DWG. NO. TUB wi VERIFY Wl OWNER IF OTHER LIGHTS ARE TO BE ON DIMMERS. nv' 01� 5.) THE ELECTRICAL CONTRACTOR IS Tp PROVIDE ALL RECESSED LIGHT FIXTURES.THE OWNER SHALL qp PROVIDE ALL OTHER LIGHT FIXTURES TO BE INSTALLED BY THE ELECTRICAL CONTRACTOR. G.) THE ELECTRICAL CONTRACTOR 15 TO PROVIDE A UNDERGROUND ELECTRICAL SERVICE. El a o NOTE:VERIFY LOCATION OP � y SWITCH FOR FLOOD LIGHTS �y VM- REPLACE EXIST.LIGHT CID IN THE FIELD W/OWNER I 0 m U 0 FAIMILY ® I cc �.� ROOM EJ 11cm) (� BELOW � co N. ... O SITTING LIN. I e TFi q � v AREA \ W IST. e ��_- 0 KIT HE ---N ---- 00 N BEDROOM � CQ c s. cis. Kim -- NEW LOFT __, ALCOVE t _ 0 I 1 CLO5. I I / u 0Oi0EXIST. EI - � BEDROOM#3 / NOTE:EXIST.UrtfnNG t ® l EXIST. OUTLETS TO REMAIN \ ATTIC REPLACE EXIST.LIGHT FIXTURES \ — _ — — — — — _ — — _ F EXIST. rrO LIN. iv FOYER I W t- i BELOW 1 D UNFINISHED F� ® STORAGE FLI BATH covJ NOTE:EXIST.UGtfNNG t , ® ^ OUTLETS TO REMAIN CRAWL EXIST. REPLACE exlsr.ucHr SPACE Z HALL """IRIES 110--1 z CLOs— — A ® -0\ I I EXIST. - UTILITY NOTE:EXIST.UGHPING t OUTLETS TO REMAIN EXIST. NEW HOME RREPL EAST.LIGHT BEDROOM#2 OFFICE I A NOTE:EXIST.UGHTING t (\VAULTED CEILING) REBATE TO BENIGN REPLACE EXIST.LIGHT FIXTURES aw ~ x EXIST. I A E._, SECOND FLOOR ELECTRICAL PLAN GAMER°OM A NOTE:EXIST.EMAIING t REPLACE TO REMAIN IC REPLACE exlsr.ucHr I 'I I I I � LEGEND _ _ _ FIXTURES $ SINGLE POLE SWITCH(3 INDICATES THREE WAY) SURFACE OR PENDANT MOUNTED INCANDESCENT FIXTURE I EXIST. SCALE CONCEALED CONDUIT(TYPICAL) I HALL DUPLEX RECEPTACLE(TYPICAL) SURFACE MOUNTED FLOODLIGHT(TYPICAL) I 1/8"= 1 O" � - SURFACE OR PENDANT MOUNTED FLUORESCENT FIXTURE ® FLOOR MOUNTED DUPLEX RECEPTACLE I ^ c UNDER CABINET LIGHT FIXTURE(@ KITCHEN) 'f/�+ I5T. DATE 0- DUPLEX RECEPTACLE-SPLIT WIRED ® SURFACE/RECESSED EXHAUST FANLIGHT COMBO I PDR. RM. 7/21/2005 9- RANGE RECEPTACLE SURFACE/RECESSED EXHAUST FAN �- SPECIAL PURPOSE RECEPTACLE p® i I � � PROJECT NO. Ey CABLE TV RECEPTACLE(TYPICAL) �{ SURFACE OR PENDANT MOUNTED CEILING FAN BAR o 25 O21 ►- TELEPHONE OUTLET(TYPICAL) FRI MOTOR CONNECTION(TYPICAL) I I ( ` DWG. 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W raw Y {� t�Atwwt_ E' Fiv.4 ply«. � 113 '1!! „ A:- fryBLVIS -01'a 3�8 PLY Sd6k.OUY- ° o o�' 00 0 o CQ?° 0 C o+rc v-C w S PL;4 Fk; j - � C—Al ct�gtvsou.,;�s- J' Sbyr ea.` o 60 n o Fa N� U.A ll, ry P oo - °o e O ! F4cnve. 0� �o S�Ppev 6 o 44 F; Cnes►•- 00 0 Fl oov. ODD p o a 8—a e o 0 0 o O o e7 a.Q O • o .Q 0 M 4L O < �,. Q a o o rto 0-0 .. a o 4 o a 'a ' 4 o -o o m - _ 0 o O0 O 0 O0 1 GUNITE BEAM #4 REBAR, 3 RODS, 6 O.C. �.r�, PERIMETER BOND BEAM ' ' `• • � NOTE: POOL SECTION SCALE AT 3/8" = 1' 20 ... � ' 8" 1 ---- WATER LEVEL CJ j MAXIMUM 3' ,'_' 1'-0" DEPTH ) G VERTICAL WALL 3' VERTICAL BRICK FOR ----.- --__— 2'-0" DEPTH O STEEL ALIGNMENT TYP. tJ 3'-0" DEPTH 70 ..._. Awl MAXIMUM 6" GUNITE ---- 4'-0" DEPTH ,.._._ .........._..�...._.._. WALL THICKNESS 1 R5' ---- 5'-0" DEPTH 3' --- J TYPICAL WALL/ FLOOR STEEL 6'-0" DEPTH 1 - O #3 REBAR 0 12" O.C.E.W. -._ -- 7'--0" DEPTH .- 0 ADDITIONAL #3 BARS AT 12" O.C. GRADSTEEL ETO �40 ORBETTER O �� \ LONGITUDINAL AT SLOPE. TRANSITION POINT. 8y2" THICK GUNITE ADDITIONAL BARS TO BE PLACED IN CENTER �, OF REGULAR BARS, RESULTING IN A 6"X 12" BAR PATTERN -' 12 A 8'-0"DEP rH � --- r a z #3REW ---r 6" GUNITE GREATER THAN 5'-0" WATER DEPjd, FLOOR THICKNESS —I- ADDITIONAL #3 BARS 12" O/C THRU BOTTOM RADIUS TERMINATE BARS WITHIN 1 FOOT OF HYDROSTATIC RELIEF VALVE IN TOP OF BEAM LAP ALL BARS 18" MIN.* SEPARATE POT IF WATER ENCOUNTERED TYPICAL WALL STEEL DETAIL V TYPICAL FLOOR STEEL DETAIL _ SCALE - - V PRESSURE GAUGE N FILTER n 1 " RETURN LINE TO r■o POOL 2" FILTER Additional Stool in Swknwt • LINE, NO 43 Ban, 1202 OC VL SKIMMERS €3ASHWASH CONDUIT is MIN. FROM PUMP WITH HAIR AND BEYOND THIS WATER LINE TO POINT BY i TOP OF LENS 2„ LINT STRAINER ELECTRIAN " SUC ON 2 Hydrostatic �N Valve MDX Drain LINE SVRS O Pot System ` 0 SEALED UNIT V.! WATER COOLED ARE,,, PVC NICHE Ash 8" THICK GUNITE RETURN FITTINGS, 2 Notes and Specifications MINIMUM •� LIGHT INSTALLATION WITH JUNCTION SWIMOUT DETAIL BOX •�1. All contruction Work to conform to State and local code. SECTION MEW SECTION VIEW , 2. Pool shall be wired and grounded in strict accordance TYPICAL PLUMBING SCHEMATIC- � ►� with the latest edition of Article 680 of The National Electric Code 3. Concrete to be placed by the gunite method and have a FRAME AND GRATE Consulting Engirwr 28 day strength in excess of 4000 psi. currrrEooR w►or WNW LIo Engineering,LLC WATER STOP HYDRO RELIEF PO Box 888 = VALVE +r Essex,MA 01929 4. Reinforcing steel to meet ASTM-615 Grade 40-quality. tZA >ft a tam97s-89o-7l00 P �Q Splices are to be lapped a minimum of 40 bar diameters. of VAM t's• z Entxinftes Stamp 5. Piping ,to be NSF approved Schedule 40 PVC piping, a Solvent welded after cleaning with solvent 'cleaner. °F"" 6. As per MA IRC Code Section AG106 (3109), all pools and spas W Pumilm ,R �y are to be equipped with 2 main drains seperated by 3 feet. STRuBA�. I i _ I I ( ELF O Further,. the suction piping .shall have a Safety .Vacuum aDON � I � I � 'r _._ �� UCT COLLECTOR r TO L URA Release System as per ANSI/ASME Section A112.19.17 TUBES +n•�c Am _ FUM No.3911T Vim( 7. At Depths 5 or Greater additional #3 Bars at 12" O/C NA SCALE: 1/4 -" , Vertically through Bottom Radius. Terminate bars within s�4l E� _1 1 , foot of top of Beam,' Lap all Bars minimum of 18 . " HYDROSTATIC Additional Bars to be placed in center MDX DETAIL POT DETAIL of regular bars, resulting in a 6"x12" Bar pattern FOR RDUENCE ONLY, NOT TO SCALE Ob•lb•�ZSTD 1�� SECTION NEW A complete TJ—Xpert framing plan includes the Trus Joist MacMillan Framing Information form #6200 and/or Builder's Guide 40uwHANGER LIST - Simpson Strong-Tie Hangers Plot Member ID Gty Product Label Top Nails Face Nails Nails Notes Hi 31 ITT9.5 2-N10 2--N10 2-N10 JOIST AND BEAM LIST Plot Unit # of Net ID Length Product Qty Plies Oty Ji 20' 9 1/2" TJI/25SP joist 14 1 14 J2 15' 9 1/2" TJI/25SP joist 17 1 17 J3 6' 9 1/2" TJI/25SP Toist 2 1 2 M1 i1' 3 1/2" x 9 1/2" 2.0E ES Parallam PSL 2 1 2 ACCESSORIES LIST Plot Unit # of Net ID Length Product Oty Plies Oty Pci 20' 1 1/4' x 9 1/2" 1.3E TimberStrand LSL 1 i i 46' sl Pc3 15' 1 1/4' x 9 1/2" 1.3E TimberStrand LSL i 1 1 Pc2 5' 1 1/4' x 9 1/2" 1.3E TimberStrand LSL 1 1 1 30' 1'° 11' 8" - _I Rmi 52' 1 1/4' x 9 1/2" 1.3E TimberStrand LSL Rim i i i I Shi 4' x 8' Floor Sheathing 24 1 24 - A3 A3 1.25" 25" JT DA3 �i ii 5' 113) 1 J3 111 c2 5' I I I M M1 I I - - - A3 1.13 20. Pc1 i 6.94 J1 16-1 15' J2 J c3 15' CREATED BY MID-CAPE HOME CENTERS 15 MAIN ST . PO BOX 99 ORLEANS MASS . 02653-0099 1-508-398 6071 FAX: 1-508-398-4559 LEVEL NOTES 41' B' I File Name: CROWLEY.JOB Level Name: Main Floor SYMBOL LEGEND Plot Date: 1/13/97 11: 17 J TJI Joist Type Design Date: 1/9/97 08: 44 Drawing Scale: 1/4" = i' M Rectangular Product Type Job Status: = Bearing Wall Foundation I...Foundation Beam Main Floor.....Plotted 1/9/97 OB:44 H Hanger Type NOTE: Level design times indicated above U Hanger Symbol provide assurance for proper level Pc Parallel Closure Type stacking. Upper levels must have earlier YP design times. Rm Rim Type Floor Area Loading Is:40 psf Live Load U Point Load 10 psf Dead Load — Line Load Maximum Joist Deflection: Area Load L/480 Live Load L/240 Total Load 0 Detail Callout Label Glued & Nailed Decking is Assumed (See TJ-Xpert Framing Information form Normal O.C. Spacing = 16" #6200 and/or Builder s Guide) LEVEL COMMENTS Default Wall / Beam Width: 3.5"* Joist Layout Symbol DAN CROWLEY/PITH JOB TJaxpert 511 (#592) MARSTONS MILLS *Unless noted otherwise TRUS JOIST MACMILLAN FOR THE TJ—XPERT WARRANTY i SEE FORM #6200 AND/OR BUILDER'S GUIDE f