HomeMy WebLinkAbout0152 WOODSIDE ROAD !c5 � l�vooa�'i� �GC. .
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
l
Ma 11 Parcel O 10 A lication � 40'
T I
p o pp
Health Division Date Issued
Conservation Division o'er Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis u'
N�
Project Street Address 1ST 1 �
Village ' ' ' n c co V-�(ys\o� N_(AS
Owner c,- Ce -n Address ISa lK))QAS�AL ��1.)• : 5�1� �A
Telephone 77TA- 1�3u - S Is')
Permit Request �� �;1�=0 S A
Square feet: 1 st floor: existing 1�0 proposed 2nd floor: existing proposed — Total new
Zoning District Flood Plain Groundwater Overlay
Project ValuationA7_� Construction Type
Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes Cl No On Old K8 's High\g q4es ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area(sq
I .ft)
�
Number of Baths: Full: existing new Half: existing I new
Number of Bedrooms: existing _new r
Total Room Count (not including baths): existing new First Floor Room Co Unt
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 QbXCcnC r 'C. 1/ C-e/6D Telephone Number rl -$310-SI5`�
Address coo, License#
lK) , :)O,t a4wo�2 \AA, OZIo(,eP> Home Improvement Contractor#
Email Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
t
4 ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION ��5 S) u •l
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ' ROUGH FINAL
FINAL BUILDING
J
DAT,E CLOSED OUT
A$S am;C--IIATION PLAN NO.
.: K ;
> Town ot Barnstable
Regulatory Services
MAM" 4 ' Thomas F. Geiler,Director
a 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-*x o
Owner: V�< LE*�SO Map/Parcel: p f 0
Project Address/5Z A"SSOE Builder:
The following items were noted on reviewing:
GL fie- ,r /e
IL
Reviewed by:
Date: .0? 06 /
Q:Forms:Plnrvw
. Q&e of Imesiigaiions
600 Washington Street
Boston,MA 02111
' www.mass gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business oTm irafiowbdM&al): QUadil C._
Address:
City/State/Zip: Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. I am a generall contractor and I
• employees(full and/or part-time).*
have hared the sub-contwtors 6. ❑New coustraction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractnrs have 8. ❑Demolition
working for me in any capacity, employees'and have workers'
9. ❑Building addition
[N workers'camp.insurance comp.assurance
p�quired.] S. We are a corporation and its 10.❑Electrical repairs or additions
officers have exercised their
3. I am a homeowner doing all work � 11.❑Plumbing repairs or additions
myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs
insrn-mce required.]t C. 152, §1(4),and we have no
employees.[No workers' 13. Other
comp.insurance required..]
*Any-applicant that checks box#1 must also fill out the section below showing their woricers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hue out idc contractors must submit a new affidavit indicating such.
$Contractors that check this box must allzchcd an additional sheet showing the name of the sub-coutr acturs andstatr whether or not those entities havc
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
lam an employer that ispravicffng workers'compensation insurance for my employees. Below it thepoffcy andjob 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 rmpired 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 cerif ur and penalties of perjury that the information provided above is true and correct
S' Date: l a5 1
Phone#: ���4-
Offufal use only. Do not write in this area to be completed by city or town official
City or Town: PermWUcense#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Massachusetts General Laws chapter 152 regmres all employers to provide workers'compensation for their employees.
Pursuant to 63is statute an w ployee 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,partner Thip,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 titan twee apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter-152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the comm onWealth for any
applicant who has not prodaced.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 contracEfor the performance ofpublic work until acceptable evidence of compliance with the msumce
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-contractors)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 m.unber listed below. Self-insured companies should enter their
self-inc,mmace license number on the appropriate 1me.'
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Deparment 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 pmmit/license number which will be used as a reference number. In addition,an applicant
that must submif multiple purmit(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 homeowner or citizen is obtaining a license or permit not related to any business or commercial venture
'(Le.a dog license or permit to burn leaves etc.)said person is NOT requited 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
Departmen-t of Industrial Accidents
Office of lavestigatiGna
GOO Washington.Street. '
Boston,MA 02111
Tel,If 617-727-4900 e)d 406 or 1-S77-NM9AFE
Revised 4-24-07. Faxx#617-727-7749.
wwwm=-PvIdia
Regulatory Services
�oF roily Richard V.Scali,Director
Building Division
Tom Perry,Building Commissioner
163;9. ��� 200 Main Street, Hyannis,MA 02601
jDrEO��i,�a www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
I_ HOMEOWNER LICENSE EXEMPTION
IaS I1 T Please Print
DATE: 1 ' -`
JOB LOCATION: •_ S o`1 �_ ►[,Q� lY\ W az i(1�` a Vk
number \ stree-t�, 1 village
"HOMEOWNER": 4A01-1m P
name ^ �" ` ,home phone# work phone#
CURRENT MAILING ADDRESS: `� J.X'Y�c+.51 h k
MOWK
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.
DEF13J1ITON 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"hom caner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
procedur ents and that he/she will comply with said procedures and requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
Section 127.0 Construction Control
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner
engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor
(see Appendix Q,RuIes&Regulations forLicensing 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:IVJPFH ESIFORMS\building permit formslEXPRESS.doc
Revised 061313
Town of Barnstable
Regulatory Services
snxxsrwstE Richard V.Scali,Director
1639.
'�Eo►��" 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
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, (L CenSU , as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit application for.
(Address of Job) '
5
"*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.
Signa e of App Signature of er
Print Name Print Name
�i1a51��-
Date
Q TO RM&O W NERP ERM IS S IO NP OO LS
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Town of Barnstable Geographic Information System December 30,2013
127030W00
127009VWO 0176
0170
127009T00
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128004X02
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DISCLAIMERS:This nap is for planning purposes only. Ills not adequate for logal Map:127 Parcel:010 Selected Parcel a f+
boundary dotenNnation or regulatory Interpretation. Enlargements beyond a scale of Owner.KIRWIN,TIMOTHY J&RACHEL L Total Assessed Value:$255500
V-1ou'may not meet established map accuracy standards.The parcel Was on this map Go-Owner Acreage:0.69 acres Abutters
W-+c E
are only graphic representations of Assessor's tax parcels.They are not true property
boundaries and do not represent accurate relationships to physical features an the map Location:152 WOODSIDE ROAD
such as building locations. Buffer
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Assessor's off•'e(1st Floor): +� e7j �a �gyy� p� t�
I �� 4 ! O` o� fi"C d�SYSTEM 664� �'" �' .,TWE `
Assessor's map and lot number o� To
Board of Health(3rd floor): R ,1 ,1111,STA , D INN ��
Sewage Permit number _ ` CO��
WM TiT�C D 9TODLL i
Engineering Department(3rd floor): �7 �o rasa
House number - �S� oc�/^' • ENVIRoNLVffALCOD p9-
Definitive Plan Approved by Planning Board 19 TOW{ REGULATIONS
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only ,
TOWN OF BARNSTABLE
BUILDING IN-SPECTOR
APPLICATION FOR PERMIT TO co7utstruet s inRle family dwell bax
TYPE OF CONSTRUCTION Frame
s J02 19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
/11R��i+Dl1� /1(lG
Location 101 8/.. Woodside Road. 4®��amble. Mass,
Proposed Use �i1
Zoning District Fire District
NameofOwner Edwin A. Ha'rtranft. Address 224 Midpine Road, Yarmouth Port, M
Name of Builder Edwina A. Har.tranft Address 224 Midpine Road, Tarmouth Port
Name of Architect none Address
Number of Rooms six Foundation 8" concrete wall on foot ina
Exterior front—clapboard, rear4shingl®Roofing asphalt shingle
Floors hardwood Interior sheetroek walls. wood trim
Heating Ras fired hot air Plumbing copper su-oplY. PVC waste
Fireplace brick Approximate Cost 000.00
Area s f
Diagram of Lot and Building with Dimensions ee ez z:7%
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OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.
Name / r
Construction Supervisor's License
HARTRANFT, EDWIN A.
No 33037 Permit For BUILD DWELLING
..,,-'-Single Family Dwell ; nq
Location, Lot . 8 - 152 Wood-qi r1P Rd_
Marstons Mills
Owner' Edwin A Hartranft _
Type of Construction Wood Frames
Plot Lot
Permit Granted July 6 19 89
Date of Inspection7� r) / 1 19
�D e Compl ted — — 9
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Town of Barnstable *Pe�#
Expires 6 months from issue date
Regulatory Services _
EARNSTAMJ4 • ��
MASS, Thomas F.Geiler,Director
Building Division JUN -4 2w
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis;MA 02601
_ TOWN OF BARNSTABLE
(P
www.town.barnstable.ma:us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTUL ONLY
/ Not Valid without Red X-Press Imprint
Map/parcel Number._ /o2._-a10 L o� 8
Property Address 04 2
sidential Value of Work�C''(�� 13 Minimum fee of$35.00 for work under.$6000.00
Owner's Name&Address r�a i,iJ
Gc�Awe
Contractor's Name L hvLAS i s n•E! Telephone Number j'P�
z
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
orkman's Compensation Insurance MIT
Check one:
❑ I am a sole proprietor J U N —4 20 1 2
❑ I am the Homeowner
ave Worker's Compensation Insurance
Insurance Company Name O� ,OWN OF BARNSTABLE
Workman's Comp.Policy# ,90/ G✓6 Nd
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to U/y/ A flvll-,
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) -Q
❑ Re-side t
#of doors
❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows
'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A co of the Home Improvement Contractors License&Construction Supervisors License is
required.
SIGNATURE:
C:\Users\decollik\AppData\Local rosoft\Windows\Temporary Intemet Files\Content.ODUOok\DDV87AAZ\EXPRESS.doc
Revised 072110
r
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
UVI. www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): Y itn LQn, ayu N('.
Address: P.C . 96y, l 6 g ✓
City/State/Zip: MA Od�Uhone#: 0
ZAre yo employer?Check the appro fate box: Type of project(required):
1. I am a employer with�i 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
working for me in any capacity. employees and have workers'
insurance.: 9. ❑Building addition
[No workers comp.comp. insurance
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.[�-Re6f repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.0 Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
: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: n.r.` ✓rt e L G Q 1.a v . .
Policy#or Self-ins.Lic.#: Q 1 wb CIO Expiration Date:
Job Site Address: o� o�►w!(s City/State/Zip:ZX 1 MW
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 un er the pains and penalties of perjury that the information provided above is true and correct
Signature: ` Date: D
Phone#: S� 29
J6
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#:
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
j Construction Supet isur SPccialtN
License: CSSL-099913
TRO 1 A TII017 XS
499 NOTTIN.GHAM DRIVE
CENTERVE>LE 1VIA:02632
Expiration
Commissioner 04/13/2014
,q 92. VO'I)L!)L(NLC(MQ�LiL 6�✓l�GllddfLdC ..
Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
(z HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Type: Office of Consumer Affairs and Business Regulation
Registration: `145954 YP
f Expiration: . 3/15/2013 Private Corporation 10 Park Plaza-Suite 5170
Boston,MA 02116
DOYLE+THOMAS CONST:INC-
TROY THOMAS
499 NOTTINGHAMLe
CENTERVILLE,MA 02632- _:`,,, Undersecretary Not v id w; out signature
I
07/06/2011 15:40 5084209227 MARK W SYLVIA PAGE 01
,4 CbRJ�* CERTIFICATE OF LIABILITY INSURANCE CA-MMMU 1")
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 INSURERS), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE MOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terns and Conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the
certifcate holder in lieu of such endornm s.
PRODUCER TACr
Mark Sylvia Insurance Agency LLC e
771 Main Street L (`W)429,0440 1�_,No
AD •
Osterville,MA 02655 p R
SURER A: Farm iNB R161 A ROING OOVERAOE __ NAIL R
INSURED Fa Cakw Ineuninpe
Inc.
Doyle& Thomas Constriction,In
PO Box 1 e8
Centerville,MA 02832-0168 0=RER C; ,-
UISURER 0, --
INIIU
INSURER F - —
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED.NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOrMTHSTANDING 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 HERON IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _
INSR POLICY
JJL TYPEOPUIBURANOE MBE POLKYNUR W00 EXP _ LISTS C -
A *zNERALuAnuff 2DOIX0485 7/21/201 7/21/2012 EACHOCCURRMNCE 6 1,ODOODO
( COMMERCIAL GENERAL unearTY p E pj6 $ 60,000
CLAIMS-MADE LJ OCCUR MED EXP 18M one pwvm) 6 5,000
t0jMRAL
ALA DVINJURY S
AGGREGATE 2,000,000
GENT_AGGREGATE WIT APPLIES PER: TS-COMPIOP 6 Z 000 000
X POLICY L0C 0
AUTOMOBILE LIABILITY ED SINGLE LIMIT 6
ANY AUTO (EA sedftd)
•-• •-BODILY INJURY INJURY(Per pwwn) :
ALL OWNED AUTOS -
BODILY INJURY(Per dww") _
IICHEOIJLEO AUTOS PROPERTY DAMAGE
HIRED AUTOS _
NOm4NJ OAUTOS ! —
UMBRELLA W18 OCCUR EACH OCCURRENCE f
EXCESS LIAa HOLAIMS4MDE AO GATE 6_
DEDUCTIBLE 6
RETENTION 8
I�COMPEOVIEW NSATION 0DIVASW 7M2o11 711/,20 2 to X n+-
YIN
ANY PROPRIErORIPMC�ECUTIYE� NIA
O E.L EACH ACCIOENT s t�O0,000
FFICHR/LIEM
(MyIaant4,dws�OPy In AIN) E.L.DISEASE.EA EMPLOYE Q G00 OOO
DESCRIPIyON OPERATION$b44, E.L DISEASE-POLICY LIMB I i 500 000
DEJBCRIPTIDN OP OPIMATM I LOCATIONS I VEMUom(AMeeO ACNA"I,AddMomf Ramw*ado".Room.p"0 a nqwea)
Carpentry
CERTIFICATE HOLOM CANCELLATION
(508)420-7989
00*&ThonTas Construction Inc sMOULD ANY OF TMS ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
PO Box lag TM EXPIRATON DATE ACCORDANCE WITH THE PO�C1f R OP, NOTICE WILL BE DELIVERED IN
Centerville.MA 02M
AUTHOR>IS:D R"REBENTATM
0 1g8B4M ACORD CORPORATION. All rights reserved.
ACORD 25(2009M) The ACORD name and logo are registered manta of ACORD
506-326-1635
SPECIALIZING IN ALL FORMS OF ROOFING & SIDING
doyleandthomasconstruction.com 4
P.O. BOX 168 BBB.
CENTERVILLE, MA 02632 Fully Licensed & Insured
Construction Supervisor Lic# 99913
Doyle and Thomas Inc. Proposes to perform the following work:
Location of proposed work:
Mr. & Mrs. Kirwin
152 Woodside Road
West Barnstable, MA 02668
Date on which construction should begin: June 2012
The homeowner hereby acknowledges and agrees that the scheduling dates are approximate
and that such delays that cannot be avoided by the contractor shall not be considered as a violation of
this contract.
The contractor agrees that when such delays become known to the contractor,the contractor
will advise the homeowner as soon as possible.
The homeowner hereby acknowledges that in certain remodeling work,the demolition process
may reveal defects in the existing structure which must be repaired, creating additional work which may
need to be carried out in order to complete the work described in this contract. In such case the
homeowner agrees that the duration of the work and the schedule date of completion may differ,and
that such variation is not to be considered a violation of this contract.
The total cost for labor and materials under this contract: $6,002.83
30 yr. GAF/Elk Timberline High Definition architectural shingles (Lifetime Ltd.Warranty)
Proposal to strip& re-side cheek rooflin I 350.00
In the event that while stripping the roof we find rot that needs to be replaced,the homeowner
then has to agree and authorize any replacement or restoration. Then in addition to the above contract
price,the homeowner agrees to compensate the contractor for any repairs or restoration at the hourly
rate of$45.00 for a carpenter and$30.00 for a carpenters laborer, plus the cost of materials.
Thank Yni, Fnr Givinn Us The ODDortunity To Help You Improve Your Home
-Roof to be stripped and cleaned of all old shingles and debris
-Roof to be papered with weather watch leak barrier and synthetic roof underlayment, installed
with Timberline architectural shingles using galvanized nails. (Storm nailed)
-All new 8 inch vented drip edge and pipe flanges to be installed
-Cobra ridge vent to be installed on all ridges
-Timberetex premium ridge cap to be installed
-5 yard dump trailer will be needed on site; and will be removed at completion of the job
-All gutters will be cleaned at completion of the job
-Contractor will be responsible for all building permits needed at the property
NOTICE REQUIRED BY LAW
With the agreement of the contract$500.00 of estimate is due.
Further payments under this contract are as follows:
1/2 of the estimate due at the start; and remainder due at completion of the job.
Balance of all materials and labor shall be payable in full upon completion of work described in
this contract. Payment as agreed upon shall be made when due. Any payments which are
delayed shall be subject to a finance charge of 1.5%per month.
The contractor warranties the work completed under this contract for a period of one
year from the date of completion.
During the stated warranty period the contractor shall be responsible for the service of
the repair or adjustment, but the contractor shall not be responsible for the normal maintenance, repair
due to abuse, misuse, and or normal wear and tear,which shall be the responsibility of the homeowner.
All warranties for the materials supplied by the contractor shall be passed directly to the
homeowner. The homeowner may be required to register or mail in such warranty card or evidence of
ownership in order to activate such warranties. Homeowner failure shall not create any responsibility
for the contractor under the warranty provisions;the choice of repair of replacement shall be at the
discretion of the contractor.
The homeowner acknowledges that the form,content, and notices contained in this
contract are intended to comply with the applicable portions of the Mass. General Law Chapter 142A,
and regulations promulgated there under. In the event of any instance of non-compliance,only such
portion shall be invalid and the remainder of this contract shall be in full force effect. In addition,any
such portion not in compliance shall be read and interpreted so as to have its intended meaning to the
maximum extent allowed under such law and regulation.
Signed as a sealed instrument on this date:
Date: 1;;� Homeowner - /2e__L
Contractor
..; -,- _
. `. iI'. * ��,, -..--�;t7i„w,�,,'/•.fnr :Z'i r.' t.r '+E y r `'� "1`' .y; `i�#�'• .n�y,,f „rL-{1r�.,i,.....-.'„'�..+.�-.....j��al.ltl --+-• ,
Assessor's office(1st,Floor): Q o
r
Assessor's map-and lot number .7 'THE To``.
Board of Health(3rd floor):10,
Sewage Permit number LT %''srr p { = Beaa9TnntL
Engineering Department(3rd floor): / (n�/ - rass
House number - �J -2 ' oC%/'� °° i639•
Definitive Plan Approved by Planning Board 19 �a mo
APPLICATIONS PROCESSED 8!30-9:30 A.M."and 1:00-2:00 P.M.only
TOWN OF . .BA RNSTABSLE U
r
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO construct single* family dwelling
TYPE OF CONSTRUCTION Framn /
♦19
r
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
II(A-45ToV lVa.-S
Location 10t 8. Woods idea Road. 4 .s.t.�3am"table, Mass,
Proposed Use
Zoning District Tf- Fire District
•Name of Owner Edwin A. Hartrauft Address 224 Midpinea Road. Yarmouth Port, M
Name of Builder Edwin A. Hartrranft Address 224 :41dpine Road. rTarmouth Port
Name of Architect non s Address
Number of.Room s six Foundation 8" concrete wall on footing
Exterior front-elanboard. rear4?sh in 910 Roofing asnh>zlt ahinales
Floors hardwood Interior sheetroek walls , wood tr1ro
Heating. gas fired hot air Plumbing oormer surnlr. PVC waster 315h'/
Fireplace brick Approximate Cost 455.000.00
Area 1 s f
Diagram of Lot and Building with Dimensions Fee
P-0.
n a
.F 671
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS '
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding ttie above construction.
Name/
v
Construction Supervisor's License ®/7!P Y 7
HARTRANFT,- EDWIN A.
A=127-010
No 33037 Permit For BUILD DWELLING. ,
Single Family Dwelling
Lot 8 - 152 Woodside Rd.
Location
Marstons Mills
Edwin A. Hartranft
Owner
Wood Frame
Type of Construction
Plot Lot
July - 6 89
Permit Granted 19
Date of Inspection 19
Date Completed 19
o�TM� TOWN OF BARNSTABLE Permit No. .33037
•I BUILDING DEPARTMENT Cash ($744. 00) /O)/�1q9
TOWN OFFICE BUILDING "" . .....
7 .Y�
tau+ HYANNIS.MASS.02601 Bond ................
CERTIFICATE OF USE AND OCCUPANCY
Issued to Edwin A. Hart.ranft
Address Lot #8, 152 Woodside Road
Marstons Mills, Mass.
USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
OctoberI 13, 89............................ 19................. ......... ..... ... ...................
B u.ildin Inspector
W.
WET
11
TQ�W 2j C3 ABaRNSTA*E' MASSACHW#S PE ljj `
T' 3303?
DATE July 6 �)9 89 PERMITtNO
A P`RANT 04ner ADDRESS F O17647t}
(NO.) - (STREET). .'q(40NTR'S.LICENS�1
I PER IT O Build dwelling 1 1 STORY Single familq .duelling 'NUMBER 'oF 1` `
rant- TO DW,ELLING,UNITS, "
*'---'(TYPE OF IMPROVEMENT) —NO r.
(PROPOSED USE)
" " '"''•"" '—lot #8'- 152 'Woodside`Road Marstons Mills .ZONING
AT-(LOCAT ION) D ISTR IC7—
` (NO.) (STREET) - '
)'4
i BETWEEN - • w,,..c�l.
AND t
.•" (CROSS STREET) - r(CR OSS 7ST.R VET)
SUBDIVISION LOT
.LOT BLOCK' .SIZE t�
BUILD HG IS TO BE FT. WIDE BY FT. LONG BY i
w, _ FT.{(N HEIGHT,AND SHALL ONFFORM'AIN;CONSTRUCtION
-T0 TYPE USE GROUP )• r ;,.
Y.T BASEMENT WALLS OR FOUNDATION "
' REIN RKS. ,#89�26Q
Sewage s-' -(:TYPE)-� } .
77,
it
�< (Bdwiri;A. iartranf t) 744
AREA o� 1348 sq. ft.. ^ C
VOLUME SS�OO�QERMIT =72.SO
a x.ii�K y ESTIMATED COST,$ FEE
(CUBIC/SOUARE'FEET)
OWNER Edwin A. Haltranft
k
-ADDRESS"** N �. p n@ 8 armout por j' BUILDING' DEPT•,
I:eb
s�zt-
' .4S y b; C';F I). rti•''i�3rT"yt n.,, ��+ :'i: >•. ,,...,.i ..,�
10
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 THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND
FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
�• 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
@UILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
2 2 (k
te
3 7 �' HEATING INSPECTION.APPROVALS ENGINEERING DEPAPTMENT
OTHER 2
BOARD OF HEALTH
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CON•S T R U C T I ON INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR*WRITTEN
*—ONSTRUCTION. ( PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION.
i
oT �9
st, �3
o r /
i3`�rt K
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03 �„
IT
p� ao
CERTIFIED. PLOT PLA N 5,
LOCATION el.
SCALE . /.::�.`f.�.. . ®ATE
PLAN REFERENCE ,Q "!/y . . T. ".57-7.
okk OF
D!`t RD,ELLEY
I CERTIFY THAT THE E itJ No. 26loo
SHOWN ON THIS PLAN IS LOCATED ON THE GROUND �'F v
AS SHOWN HEREON AND THAT IT CONFORMS TO THE �`%� A"
SETBACK REQUIREMENTS OF THE TOWN OF 2At
'Q 9✓�i'✓:STf� L4` 9 WHEN CONSTRUCTED.
DATE
REGISTERED LAND SURVEYOR
�—tea - - , t' ::y.��� �•
'.wye.I""CIKAB _«•I '^�-d l��..1.� a.�. A...�• .M�/+.j_�'�M�eJ
PRE ,•���y.:.rr
' NT- �EL'�C/AT�O
G.W.A. . 364Q:'':�h�-}?t
CEILING.,—ASSE�'M3LY
TOTAL R = 31.67 `
U= O 2 WINDOWS: Q `DrX
2C? U�:F�C� 3 27.'�:
Tor.�l�" .I?30,E ,2 :> •
SHEETROCK DO)RSr
R= 0.45
3OTTOAI SURFACE
R= 0 61 •::
To>>4L 2 PLYWOOD (943-OIL H«7"
INSIDE SURFACE
6 R= 0.6s REAR Et'EVAT10 "'.':-,I
N.r �
0'JO E Rocx WALL ASSEMBLY G.W.A. �
N I/2' SHE 7
-�t GLES TOTAL
0.87 R ;,o.a s R - 13.79
Tc,r,4 �[EC. /����r /i-��•c% U = .073 WINDOws: .
JTSIDZ /-3 1/2" FIBERGLASS — 1 P._ o.;
URFACEINSULATION 8 �:
OAT R 'I I
-- 2 7.8 `e
I SURFACE RESISTANC-
FINISH FLOOR DOORS:
R: 0.91 _ '
FLOOR ASSEMMBLY
1/2" PLYWOOD
II TOTAL R = 22
susFLooR .75
I = RIGHT DE • yt.r R a62 U .044 � SIDE E1:L�AT`1r,..;•:
TSIDE c.w.• 40
0 7.
.1E �UU � -
/ /fJ 111711i 1 C• 12.0 .: .
=o;JC. 1 12 0
�. VIAL
/ S DATION
SJP.F4CE RESISTAt.cF ( LGYL BE J sr��SLY ,I CGO%S: lii?r:
R = O.ol INSTEAD OF F
LOCK �• n
INSULATION )
�. TOTAL R o 1 LE;T .`'•.I: E E'i-V"7'^
INSIDE SUnFaCE U = G.V-L,`
R
3/3" S4:=TPJCK
e R 0.32 I «.
I" STYROF0_4I
^' 5
DOORS: =t
2000
' TES:
I
FE.:JMAENTLY INSTALLED I!!SI�I .1 T i I� ^:J :
1YI"4I0OV/S us_� sre. is G11 S_CTION
T Q E c �.;.
WALL A-: ` _ -T9_ �-- '__ 2 -,,rood ide Road,OR ,�R-^ - 2.3. Hartramft •--N1111r,�1` ,.:
/, F S 14 2% -G�'
REVISED CODE
EXAMPLE `
HOUSE HEATED BY
. . OIIL, .
GAS OR HEAT PU
MP
- PROPOSED HOU
SE HEAT LOSS
COMPONENT _ TRANSMISSION
U VALUE AREA
NET WALL X --- UA .
WIND . 05* 2800 14-0: 0
WINDOWS . 65 40 � .
ROOF. 0 ,260. 0
D00 . 05** 1000 50. 0 . .
DOORS . 14 .
FL.00Rw - . 40 5. 6
. 05 1000 50.
* BETTER THAN 0 ..
CODE REQUIREMENT 605. 6
** DOES NOT MEET CODE REQUIREME
NT
EX. , 1 "CODE .
HOUSE HEAT LOSS .
COMPONENT ' TRANSMISSION"* . .
- U- VALUE AREA 99 »
NET WALL UA
. . 08 X
---
WINDOWS 224. 0
ROOF .. . . 65 400 260
. 033 . 0
DOORS 1000 33. 0
FL0O . 14 40
R �' . 05 5. 6
1000 50. 0
SINCE CODE "UA" IS GREATER P 572. 6
► ROPOSED HOUSE PASSES
2. 36 `
7
BOOK f 546 pm,E o% i
...............................................................................................................................
i
?�litne�ts —
.....tny.......hand and se,,.,.] this .......:.l..l......... /
.... ....day of .....:..�G.•v/, e✓ 1971
...�:.......... ........... �,.(,.L . ..
u ste
re f Holly Acres Trust
........................... ........... ....................... .......... ..:...:....:..::.........:................................ ......
4
P
TOP OF FOUNDATION
CONCRETE COVER
CONCRETE COVERS
3./// e o 411 CAST IRON 1211 MAX. T 12"MAX.
OR SCHEDULE 40
41
1 SCHEDULE 40 PVC.(ONLY) i 7
P.V.C. PIPE� LEACH° PITCH I/4"PER. PIPE- MIN.
o PITCH 1/4"PER.FT. PIT PRECAST
` J LEACHING
INVERT � Q '•`•'
o INVERT o e•i PIT OR
INVERT
SEPTIC TANK DIST. w
INVERT EL..8B�4v.. . BOX EL 88./v • ; >s EQUIV.
/000 .. .. . INVERT 35 v a 0: •• \
7. GAL.
INVERT ,. w w 17: �:�: 3/4"TO I V2. 9Z
E07. U.
EL `y WASHED 2/
w STONE 9 /
N o..iE
DIA----►-IC�'WNrCD
- - -
PROFI LE OF GROUND WATER TABLE 9�\ 38 LoT8
, 67ss� � f
SEWAGE DISPOSAL SYSTEM
NO SCALE
f'- 7ZS 7 98.
SOIL LOG WITNESSED BY-:
DATE TIME. /�.Of7 '9'? s�??�� DuNniin/G BOARD OF HEALTH 54 ` J �_;' eFse�y� Lo Al
TEST HOLE I TEST HOLE 2 �DW�fzO G. �uE�/ ENGINEER LOT
_ . /
ELEV. . .6'•' ELEV. ..�"Z%/c 9a717777- '�
'U,loa DCo f�• � � PST ti, y / B'u` / G('
DESIGN DATA
EZ 8y¢o r• Ez. .Lo NUMBER OF BEDROOMS `T�5
TOTAL ESTIMATED FLOW 33o GALLONS/DAY j \
Cosy�e �o�1n6� BOTTOM LEACHING AREA SQ.FT. /PITI6;R.�, \ Abcz
SIDE LEACHING AREA . . . . SQ.FT./ PIT/ 374F 5 \ 88
GARBAGE DISPOSAL (50% AREA INCREASE)
TOTAL LEACHING AREA .? ��' ��. SQ.FT
1 PERCOLATION RATE c.(.-"55 /' TWo MIN/INCH ,-' z , ., / 86
psi el 90 ,as" _�z. Be../0
\ �I ��\
✓o LEACHING AREA PER PERCOLATION RATE .� 3. SQ.FT./C./'D. BQ► '� — 1 1�{�L�� I
./... . .WATER ENCOUNTERED
NUMBER OF LEACHING PITS R/T. 3 �6-V. 7° po
APPROVED . . . BOARD OF HEALTH • • • • ` �_ -� _ ��•.
DATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . So' � _
AGENT OR INSPECTOR - 1 OAP
of c� �,�se OF "As�9 1 $�
HA
h/o o ID SHIP ,ea i �LLEY ob.a
110. 26100 ,o
�-9/�57�/s /y�GG S �,/,, .res 9ECISTf.RE���1�' Q�C :•:.
S�oAI LAt a s JIMRABIA� ,A,=f
9� PETITIONER . . . . . . . . . . . . . . . . .
f' �� N�9 2T2A�,/F T PL C/ ,QEF- �L. B.�• Z3 yF GG: 127