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1480 SOUTH COUNTY ROAD
-dam Town of Barnstable MUST COMPLY WITH HOME OCCUPATIAuilding Department , 'RULES AND REGULATIONS. FAILURE TO Brian Florence, CBo TOWN OF BARNSTABLE. ;OOMPL.Y MAY RESULT IN FINES Building Commissioner 200 Main Street, Hyannis, MA 02601 2019 )AN -3 PH 2: 53 www.town.barnstable.ma.us = t Pre-application for Business Certificate DIVISION Date Map. UD Parcel noy Applicant Information Applicants Name JG� ed. � r l�� Applicants Address 14((0 S, �r�• �-i r�l Os* ,l� "Z6s Email Address QCure p�, u / Telephone Number SQ%-`'13'1'` 5 1 Listed ❑ Unlisted [l Business Information New Business? ---------------------------------------- Ye No ti Business is a registered corporation? ------------------------- Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes is the business a sole proprietorship or home occupation? ____-_--_ Yes No If yes then-a Home Occupation Registration is required—See Building Division Staff rCane of Business l y B ( i vv►N �3-,sl.c N,-A Business Address q:5a 6Sl � Type of Business �Jftsw,V11 n. Commissioner Of'ce Use O 1 Conditio (Nn aildi Uw-2.—�n l - i 101-1 Building Commissio �-' Clerk Office Use Only Town of Barnstable Building Department °p THE r Brian Florence,CBQ Building CfM iKeiBARNSTABLE sAxsz'asLE. 200 Main Street,Hyannis,MA 02601 ! v$ 16 • 06 Lu�.0� www.town.bar�gfal{tro jis PH 2. 54 ArED MA'S Office: 508-862-403 8 Fax: 508-790-623 0 )VISION Fee: 3S' Permit#: HOME OCCUPATION REGISTRATION Date: 1 Name: a,�o� � — Phone#: S()y Address: I���� (044-�—j Gr Village: siVA Name of Business: J V C) e of Business: c�Skt �l Svc..n�� YP °1 Map/Lot: �� L T INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust oT other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation, and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary.Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be mployed in the Customary Home Occupation who is not a permanent resident of the dwelling t. I,the undersigned,ha ead a ee tk�tla e restrictions for my home occupation I am registering. Applica Date: / Homeoc.doc Rev.10/17 MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS, FAILURE TO �"•:^P!.t' MAY RESULT IN FINES Town of Barnstable ZHE Building Department Services � Op tp� .. .,, Brian Florence,CBO o* Building Commissioner R"NsrmLE. 200 Main Street,Hyannis,MA 02601 MASS. 9 039• ��� www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Approved: Fee: Permit#: Z HOME OCCUPATION REGISTRATION Date: 7 1P 77 Name: 1/arect yun-e- Phone#: SU$� �( 39-%S�( Address: /Ll�'(� S' �r,,,,;7 Rd. 061 0 2 651 Village: O si_✓ Name of Business: AAA \rU��h'M Type of Business: A kuj �Rc T,rc,«;n hn,ct Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,'subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the.dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. �0S After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: V`� • The activity is carried on by the permanent resident of a single family residential dwelling unit,located / within that dwelling unit. • ' Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • .There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing-the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall bg employed in the Customary Home Occupation who is not a permanent resident of the dwell2hav I,the undersigned, d e restrictions for my home occupation I am registering. Applicant: //16 Date: - lHomeoc.doc Rev.06 ' 1r� YOU WISH TO OPEN A BUSINESS? � i For Your lb-formation: Business certificates(cast$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the.completed form to.the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, AMA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: 3 .7 iy Fill in please: APPLICANT'S YOUR NAME/ . �Q-C - !.'i!:'' di'till,rr�sf ;.t , ti; BUSINESS YOUR HOME ADDRESS: ILIPO S. 6—h,, iRA, 05.1w.rikk nkc_ o2655 4�c`.•s5i.�;::_pa•�'y(S••', �:►:�+u SG Way `1ST �- S ' TELEPHONE 4V Home Telephone Number :+ di�.i�Ada�i2Fa•'� !! ca �. ' ^...,r.�u:•^�•.•ise••,r- •� E-MAIL: NAME OF CORPORATION: NAME OF-NEW BUSINESS MA -T3us\A6�- 1 _TYPE OF BUSINESS A41,,kojnc "Crca v.•v.� IS THIS A HOME OCCUPATION? _YES NO �� ADDRESS OF BUSINESS.. )q� o S. 611•— ��� oz6s5 MAP/PARCEL NUMBER �J bGl —QPssessing) When starting a new business there are several things you must do in order to be In compliance with the rules and re ul'atians oft e To�(� �, u Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO,TO 200 I� rt.C 'n�Yd � P�E OCCUPATION Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your�s,Q11d4�:ATIONS. FAILURE TO COMPLY MAY RESULT IN FINES. 1. BUILDING COMMISSIDNE 'S OFFICE This individual h:as be !n d of any •equiremerits that pertain to this type of business. Auth 'z �ndtu COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS:.. s i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel C7 Application # o?D/ Health Division Date Issued qP , 1 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Zb C� �(� (,�/l� 1C.d n-,i� Village / C.� Owner�� 1 �7 I/v� Address 1 -0 �J• Co I y � Telephone OZ ' Permit Request R=�_M 0 Square feet: 1 st floor: existing proposed 2nd floor: existing U proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuati G1 �0 Construction Type _T?/?t�`dEL— Lot Size �G12�— Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type:. Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes �No On Old King's Highway: ❑Yes ❑ No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 1?7 Number of Baths: Full: existing C;�_ new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count O feat Type and Fuel: kGas ❑ Oil ❑ Electric ❑ Other Central Air: kYes ❑ 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:Aexisti ng ❑ new size _Shed: ❑ existing ❑ new size _ Other;. Zoning Board of Appeals Authorization ❑ Appeal # Recorded 0 Commercial ❑Yes ❑ No If yes, site plan review# n� 9 Current Use Proposed Use n n APPLICANT INFORMATION _ (BUILDER OR HOMEOWNER) Name I ( �� l� A) C Telephone Number �- -�- Address 7�2 I &# 7%_k = License # I y Home Improvement Contractor# Email 9 r AP I / ) (04orker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO?c� �"��� �-- SIGNATUR `ATE ' rJ FOR OFFICIAL USE ONLY " APPLICATION# DATE ISSUED MAP/PARCELNO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: `s FOUNDATION FRAME INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL R . : PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING - " DATE CLOSED OUT ASSOCIATION PLAN NO. s , , �-0.Yyu uk - �', r Regulatory s eryices D Thomas LTrrfor $,ading}hvlmon �D►, CBO, Biding Conn iDne, • Thomas per` YA 0260 i' • 20D 2�ana 5'tr��, ffY�s' • � pr�T.tn•�-b azrista b l�ma•-� 509-790- 23Z -offi= 'owner -� � �� �'� - �P�� .• LouM iBkdet s`+ .p�jcct Amass F� � - z we>`e noted on reviewing= The foIIowing ss - � • r Review a bp' m.Da _ Town o f arns r ReguIatorY s6ryices � Thomas R. G��, Dis-ccfDr . t $ g Ihvision comma �d CB0, B�� oner Zham.a.s P?srYr . ?DO)&in Strout, MA 0260I ' • - �;tow�.barnStabla.ma..us .- Fix: 508-790-623C • � arccl: � O`er � �T . CoUtfTB z �� 1 � The faII game Were noted on revieg: Lj r' ReTi�yr by: r Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen isor License: CS-012414 STEPHEN W BRI TONS ' PO BOX 897/500 W BARNSTAB 021 Expiration Commissioner 07/21/2015 Office of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR egistration: ! 487�98 Type: xplratiori: 10/262�2(}a:5 Ltd Liability Corpog 17, ARTISAN KITCHENSCIdUl " =t47 1 STEPHEN BRITTONt a� 3 � 937 A MAIN STREET ��• � i O TERVILLE MA.02- 6 Uodersecreury J ' rA Depmfte7rt afln&mWdtAc&d=fs Office oflnvertigafians 600 WffSMMton Street Bastary AM 02 err - www.m=gov126a Workers' Comp ensatinn Insurance AffidaviL-BtulderslContia.ctorsMect idms/Plmmbers A-ppHcaut Information Please Print Legibly' A/27r1 SA ki K I Tc4iA Ij. C AddrL-s.-._q ' CitYlstRWzip: Phone#: 3 -7- Are you anemployer?Cheek1heappropriatebox: Typ0ofproject(rup&4: I.❑ I am g emplo, e=wide 4- []I am a general ca�adw and I �pIopees(faII andlor part Inc). have hirz �sob-c:m ac:bm 6• ❑Nc�coIIstmcCian 2.Q I am a sole proprietor or pmtae r- lktmd as this attached shut 7.1 Hf odrlmg ship and have no employers These s bavo S. [�Drmolifiaa wodchg forme in'm y capacity. M33pby=m dhave wad= 7,, [NO WCdC='CO�.mein�nnr Comp,mems�nm t 9• ❑Bmld3n addifia 5.t We are a corporation and its 10.0 Bkct dmlrcpairs or addfions 3.[]I mn ahnmaawner doing aII work` officers have==cisad&rir IL r airs or Q phaabmga p addffions rtryselE[No Wnr30&ecuap. 1ight0f=M3PticmperMGL LIE]Roof repahm inset regair Aj t m 1A§1(4),mid we have no �y [No vn±ras' 13,Q Oilier camp.msorance ruled_] *Any appU=nttba1r$cmbox#1mostalso:Mat1heseatieabd0 wshowingffidrw zaIeamPcasniinaPnIkyheb-9— t Hnmeawnea-who=bmitthis aka rk fiu imfmg ifiey atn d ft aU wmk gad th=hj a ontgm I Ines Est sabmit LnCW aMdZWk mdieatmgmcI afn s that Ah ktfih box mast attmAcd an addi$nmsl ehed showin.-1hc--of the sah-=3ft=:ha emd state whefficr or notft=mdffi=have emPlcyea.Ifthe m -m�bane caPloyc;t mY mint Provide throe wmi=m,camp-PAY=MbQ I am an anpIvye r that is provumg workers'caty&wadon hamrm=far uzy CZTIoYeM YdgW it the polity mmi�job site . usfonrratian• InSMM=Company Name: Policy#or Self-ins.Lie.A - Fn�irafionDa�: Job Site Address: Attach a copy of the Workers'mmpeasation policy declaration page(showing tic po&7 number aad ctpit- cfian date). Failorc to s==cavmmgo as regahrd wader S=dm25A ofMGL c.152 can lead to the impost=of czhninal pema lfies of a f nae 13p to$1,500.00 a ndlar onr,-year iniprisomaot;as W OR as cbfl Penalties in the form of a STOP WORK ORDER and a f= of up to$250.00 a day against the violator. Be advised fat a copy of this st�mfotrnay be farwmded to the Office of hrms6gadiams off DIA forinsamm coverage vrrifficaiom. I do hereby pouts Zp=a11Fmg afp that the i7j'orrna3j0n provided above is true and c`oi jrzt S' Dater: 7 Phone k O„�aI use only. Da oat write ut tfQs arcq to be cnn,pldrd by try or tot;�tz a,�rciaL - Chy or Town: PermitlT.kmse-0 - -lssmg Authonty(cis' one): L Board ofHcalfh 2-Bm11b2gDepartm=t 3.CiiylTown Clrrk 4.EIecfzic:zIlnspedar S.Phan h3gInspedDr 6.Oth7er Contact Persom: pk�e� . Information and Instactions M&zw1 nrseft C==nl Laws chapter M rogm=aII employers to provide wed='compensation far ffiew=:IpIoyees. pm xd-to this sty,an mph& a is dcfmcd as=wary Person in the smrvice of another under amy contract of hirp, esluess or implied,oral or writhe&." An•ra7Toye'is dsf acd as`°aa individnal,pmrtnacship,assoda iam,corporation or off legal entity,or any two or more of the foregoing engaged is a joint=tagxisey and iac�the legal rcgaeseata&=of a deceased employer,or the receiver ar trustee of an indivldnal,partoashp,association or cd=Iegal eaht7,employing employees- However the owner of a dweIling hone having not more than!lone apmImeajs and who resides the cin,or the occupant of the- dwmlB3g house of mo m who employs persons to do mainfEnance,caaskuction or repair wodc on such dwelbng house or am the grounds orbrn7dmg ffierein sbaHnotbecam;o ofsnch employmeatbe d=nodto bean mmployar." MGL abal:er I52,§25C(6)also states that&every stain or Ioad][imnsing agency shaII withhoId tie issuance or renewal of a license or permit to operate a business or to mnstruct bmld'mgs in the cotmnon mlfh for any applicautwho has not produced acceptable evidence of cdmpliance with the hLwx=m eovemge reqused." Additionagy,MGL chapter 152,§25CM stabs-Neither the ca=mrwealth nor any ofits political subdivisions shall cater into any contract for the perftmanco ofpublw wmkuntil acceptable evMmce of compliance with the msm:-an -. requir-e Tents of this chapterhave been presemted to tine contacting authority." A.pplicarb Please fill aunt ihe Worms'compensation affidavit completely.by checking the bmces fiat apply to your Onation and,if necessary,supply sob-con�s)name(s). address(r-s)m di h=r.— er(s)aIongv&theu'=tificBt*)of insurance. Limited Lmblity Companies(LT q or L=ntrd Liability Pmd n=liips(LLP)withno employees other than the members or pmtnrrs,are not rbgoaed to cany wo±c&compensation insoran= If en LLC or LLP does have ecployew,&policy is=mound. Be advisedthatihis affidxfhmaybe sa mmifted to thr.Depgment of'Iudusbi-d AccidmLt for coranmatim ofinsurance cca mvgm Also be sine to sign and date the affidavit The affidavit should be rat m ed to the city or town that the application far the permit or license is being regaest mcL not the Department of Incinst dal Accidemfs. Shouldyou have any questions regmdmg the law or if you are repaired to obtain a workers' comzpensatiom policy,please caU the Department at the anmber listed below. Self-fi=ed companies should eater their self-insurance license number on the appropriate line. City or Town Of iCials Please be sore that the affdavit is comPIen and Pdafed legibly. the Depubncmthas provided a space at the bottom of tin affidavit for you to:Ell out in the event the Office of Inyesligafions:has to contact you regarding the applicant Please be mare to fill in the pczx it icemse number which will be used as a reference member. In addition,au applicant that must sobmit multiple p=aTMii=se applitstions in any givea year,need only submit one affidavit indicating c ant policy fi&xmation.Cif necessary)cad under"Job Site Addrss�'the applicant should write"all locations in (city or town)_"A copy ofthe•affidavittiiathas beau officially sipped arm ariced bythe city ortown*may be provided to the - applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled obt each year.Where a home owner or dd�is obtakdng a license or pemurtnotr@ated to nay business or.canmer6al Vdatim (ie.a dog license or permit to bum leaves etc.)said person is NOT acquired to complete this affidavit The Of rwc of Investigatiom vuuldlfim to fl=kyonia advance fhryour cooperation and sbouldyc n bave any questions, please do not heshda to give us a call- The DepmImcnfs address,tr1cphono and faxnumber. . • . T� �of 1�lassaahns�s - - . Depa IMM t of Tabs del AovidMts • mice a�Xn�e�gatio� . C�UQ�a�shmgtan t Boston,MA D2111 'Ta#617 727-49W Oxt 4€16 4r 1-M-MASSAFE FKx#617 727 7M Revised 4-24-07 W W Mac gAH;R AWC Guide to Wood Corrstructiorr ill Higlr Wind Areas: fig mph I rnd Zone Massachusetts Checklist for Compliance (790 CLMRs301_z.l.l)r Loadbearing Wall Connections Lateral(no.of 16d common naps).-_........................_(Tables 7)........ Non-Lioadbearing Wall Connections Lateral(no.of 16d common nails)-----._.-_-___.-_..------(Table B)-_-....__............._........_.........._.. Load Bearing Wall Openings(record largest opening but.check all openings for compliance to Table 9) Header Spans ............(Table 9).......:.....__..............._ft_-in.511' SipPlate Spans _........._............._._..._� 9)...._-......_--..._--._.... — Full Height Studs (no.of-studs)--.._......_..._.._:.........(Table S)........---_....._----..._..._..__....._.._.. Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.:...._....................._w.....:.._._.._._._...(Table 9)................................_ftft—in.512' Sill Plate Spans...._.___.._.....:.-_.......... _....._....._....(fable 9)........_:..___...._.._. — Full Height Studs(no.of studs)..._....._...._._.__........(fable 9)........_...................... __._..------.,.-.. Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4. - Minimum Building'Dimension,W Nominal Height of Tallest Opening2 ._ s 6`B' SheathingType........-.._-•----._----._....._-...(note 4):.............._..........._....-.....--........ Edge Nail Spacing............ ._.. . . ___.(Table 10 or note 4 if less)._--_.---..___.... in. Feld Nail Spacing........-....-.-.�• ...__� _.(fable 10)........ _.......__.....__... in. Shear Connection(no.of 16d common nails)(fable 10)... ...___.__...__........_............. _ Percent Full-Height Sheathing.......:_.......:...(Table 10)......_........._... :....__.._.._._..._... 5%Additional Sheathing for Will with Opening>B'B'(Design Concepts)._..__....._.. Maximum Building Dimension,L Nominal Height of Tallest Opening2.................................................................... 5618, Sheathing Type............._-------_. .._.._.....(note 4).................... Edge Nail Spacing....._..._-..-_.........__._.___(Table 11 or note 4 if less). .._-.__--_... . fn. Field NaffSpacing------- -.(Table 11)........_._ , ._... ._.-,_... in. Shear Connection(no.of 16d common nails)(Table 11)......... , ._.......__. ..-.._ PercentFull-Height Sheathing .......--(Table ll)....... _.•--_ ° 5%Additional Sheathing for Wall with*Opening>6'B'(Design Concepts)....-_._.._..•.. Wall Cladding Ratedfor Wind Speed?......................._....._w......._....._......... .._..._.......__...._.�._.�.__---..._._ SA (ZOOFS_ Roof framing member spans checked?......................(For Rafters use AWC Span Tool,see BBRS Websife) Roof Overhang ................................................(Figure 19)............—ft s smaller of 2'-or L13 Truss or Ratter Connections at Loadbearing Walls Proprietary Connectors Uplift..._...._._........_._.._.__r:.....(Table 12)_............._..... .._....._.....U= plf Lateral- .._--__...w__-....-_._.........(Tablel2)_.._---_--..__---___......_........L= pff Shear.___...__.._.-.-._.:.._-...........(Table 12)............._._...._.-....._.__S= !yft, Ridge Strap Connections,if collar ties not psed per page 21...(Table 13)..__........__......._._T= pif Gable Rake Outlooker-......:-_......:...... ._.(Figure 20)........-..-_ft s smaller of 2'or Lf4 ' Truss or Ratter Connections at Non4-oadbearing Walls' Proprietary Connectors 11- lb. Uplift. 14)_....._._.__._..._._._._.� Lateral(no.of 16d common naps)_.(Table 14)......................................L= . lb. - Roof Sheathing Type---.-.-..---(per 7SO CMR Chapters 58 and 59)............ Roof Sheathing Thickness.._.............._......._._.:.....' ...._.__.._.......__.__..:__in>_f/16'W5P --..._. Roof Sheathing Fastening........... Crable 2)_............._...:....._..,.__.._._.._--._.. Notes. •1. . This cherddist shall be met In its entirety,excluding the specific exception noted In 2,to comply with the requirements of 7B0 CMR.5301.2.1.1 Item 1.If the checklist is met in its entimfy then the following metal straps and hold downs are.not required per the WFCM 1 i 0 mph Guide: - a. Steel Straps per Figure 5 b. 20 Gdge Straps per Figure 11 - c Uplift yaps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 1Be and Figure 1Bb _ 2. '6cceptton:Opening freights of up to a ft shall be permitted when 5%is added to the percent full-height sheathing requi errients shown in Tables 10 and 11. 3. The bottom sU plats in extr:rior walls shall be a minimum 2 in.nominal thickness pressure treated 92-grade. ' AFDC Guide to Wood Construction ul Hi,;Iz �rznd.reas:110 tnph EYrnd Zone Massachuseifs Checklist for Compance(7so t; izs3ot2.I.I)r - - Check ' Compliance 1.1 SCOPE WindSpeed(3-sem gust)»....:...:..._.»_._.--.--..»...»_.._.._..........»..........._._..._._.........................110 mph Wind Exposure Category....».._......_.___».»..__»........__............_.._...._...:_._..........._....r._.._..._....:_B Wind Exposure Category................Engineering Required For Entire Project.......................................0 12 APPtJCABILITY Number of Stories(a roof which exceeds 8 In 12 slope shall be considered a story) stories s 2 stories Roof Pitch _ Mean'Roof Height-_.._»._......w_._._»_._...._._.._._._.._(Fig 2)».................................. ft 5733' Building Width,W_......_.._._...:..._._._»......._._:.�...__:»(Fig 3).......-_ _._._......:.__»........__:...._ft S B0' Building Length,L' .:.»._..___......._......».__._..:.__...._:._(Fig 3)....................._....»..».._._.:.___ft s 80' Building Aspect Ratio(I../W) ....................... . ...._._..._..(Fig 4). ._...__......._.».._.._.._...._.. �5 3:1 Nominal Height of Talest O entn t .._......____.... P g ...ter-.......(Fig 4)....__.._._._:................. ....__-.... • 1.3 FRAMING CONNECTIONS General compliance with framing connections_...__....._. .(Table 2)........__........................... . 2.1 FOUNDATION Foundation Wallssmeefing requirements of 780 CMR 5404.1 Concrete...........................:....................... :...._..................:..............................................._. ConcreteMat;anry......... •---•_--- ---»................___......_..._.__.._....:........._.._.»_.......-..... 22 ANCHORAGE TO FOUNDATION" 5/8'Anchor Bolts�imbedded or 5/3'Proprietary Mechanlcdl Anchors as an alternative in concrete only Bolt Spacing-general..................................»...:.(Table 4)..___._____..___.___-_.______ in. Bolt Spacing from endroint of plate 5)--_---.___._............... In.5 6"-12'. Bolt Embedment-concrete-------- 5)....... in.z 7" Bolt Embedment-masonry._._...._._ - ..._._._......_(Fig 5)______.___t_.....................__ in_Z 15' Plate Washer-*--' _......--___................-_ >Y x 3'x Kw 3.1 FLOORS . Floorframing member spans checked ...__._._....»_._. .(per T80 CMR Chapter 55)_..._..___..._....__ .». Maximum Floor Opening Dimension_.._.._»..».».___._»(Fig 6)..:._.. ...... _....__............. ft s 12' 2' Full Height Wall Studs at Floor Openings less thanfrom Exterior Wail(Fig 6)..:.............:......... ......... MMmrim Floor Joist Setbacks Supporting Loadbearing Wairs or Shearwall...._--__-__(Fig 7). ...». , .._...... ......._.....__ ft 5 d Maximum Cantilevered Floor Joists T Supporting Loadbeanng Walls"or Shearwal_.._-_--_»(Fig 8)_�..._.__...._. ....._ft s d ..._............---•-•-- FloorBracing at Endwails_.............. ..._.._._......_.....»._-(Fi9 9)_._...._._......_..__............_._.._ ...._. Floor Sheathing Type ___...._.._.._.._..:».»__.._._._...._(per 780 CMR Chapter 55).........:._...»_�._.__._ Floor Sheathing Thickness_..._._.».._..._»__...._._._:...»(par 780 CMR Chapter 55).....__.._._..»... in. Floor Sheathing Fgstaffm _.....................»__..._...»_..:..(1-able 2)_—d Weis at in edge/—in field 4.1 WALLS Wall Height Loadbearing waUs._._. ...... (Fig 10 and Table 5)_».....__........_...—ft 510' Non_Loadbeadng walls»__..».:._.....-_._._._:.__..._.(Fig 10 and Table.5).......................... ft's20' ' Wall Stud Spacing ._._...._.._._._.:...._..___...._.._._(Fig 10 and Table 5)..___...____—In.c 24 o_c. • Waq 5to' Offsets ..»._.:-(Figs 7 it 8)_..._______......._. ft 5 d ry ..»_.»_........._.....__.._»..». ............._ — 42 ocr mR•WALLS . Wood Studs : Loadbearing (Table ___ft_rn, rR_ Non-Loaoearing walls.__.__._....»....___....._._....».:(Table 5)..._.................__._..2x ft rn. Gable End Wall Bracing — — — Full HeiyhtFndura11 Studs---------------__._.__........(Fig10)_.-_..»»_.._.........____...... _......_.._;...:.:.� WSP•Atfc Floor Length----.,. - I i)___.._..._....__._._....»_._ ft zW/3 _ 'Gypsum Ceiling Length(f WSP not used)_.-:v..___.:(Fg 11)—....--.-_.-_.;_._»........_:_» and 2 x 4 Continuous Lateral Brace @ 5 fL o.c.»(Fig 11)................................ _ or 1 x 3 telling furring strips @ 16'spacing min.with 2 x 4 blotting @ 4 ft.spacing in end Joist or truss bays Double Top Plata Splice Length ._......_--_».(Fig 13 and Table 6)--- ft AWC Gidde to Wood Construction hi High IllindAreas: 110 rnph I-rind Zone Massachusetts Checldisf for. Compliance (71;0 CIAR s-10r?.l:l)' 4. a. From Tables 10 and 11 and location of wall shiaathlhg and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nall Spacing requirements b. Wood Structural Panels shall be minimum Wckness of 7/16"and be installed as follows. I. Panels shall be Installed With strength axis parallel tD studs. n. All horizontal joints shall occur over and be nailed to framing. III. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top•member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first fioor framing. v. Horizontal nal spacing at double top*plates,band joists,and girders shall be a double row of ad staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection:a)new house or horizontal addition—required if project Is 1 mile or closer to shore (generally,south of Rte.28 or north of Rte.a) _ b)vertical addition—not required unless them is extensive renovation to the first'floor c)replacement►widows—needs energy conservation compliance only(chap 93) B..Wood Frame Construction Manual(WFCM)for 110 MPH,Exposure B maybe obtained from the American Wood Council (AWC)website. WFrE2ITNS EDGEFiESrS oN Fft/WDdG DsEad W LS • 'ATb�c is it 1 1 Is ;1 1 • 1 11 11 it ¢ f •1 1 it- it 1�1 1 I y 1 n „ Cy i IF 1 1 a 1 '1 o f1 ' s j N i IL l�<'•�I II . fJ it l 1 1 1 FRALO TS f 1 11 lu i� I 1 ED6EMFRN®UCTE 11 L }'I • - 1 :I is � 1 - 1 - ge 1 1 cWill H II L 1 1 DOLr9LE�CE STAGGED 3•MM1 tJAErSPAC1tJG �/ Mt PATn3RN P1WH. �•; PANE'EDGE OouffiENAlLS7GEs?AC�rGCE771L ' See Detail on Next Page • Detail Vertical and Horizontal NaTng Vertical and Horizontal Nailing ' for Panel Attachment for Panel Attachment ., • �, - .s. ,� - i J I i I I i i • , I fro , Town of Barnstable Regulatory Services Richard P.Scali,Director 6 Building Division —_-• --__-•---•_—_._.._ Tom Perry,Building Commissioner' 200 Main Sftcet Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 .Fax: 508-790-6230 Property OwnerMust Complete and Sign This Section if Using A Builder ILA as Qwner of the subject J property • herebpaurhouze to act on mybehA in all matters relative to work aurhoHwd bythis building permit application for. LJ, Ar (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 aad2A final inspections are perfo=d and accepted. I Signature of Owner Signature of Applicant Punt t ame Punt Name Dam Q:FORMs:OwME ERMIS IDIe0oIS Town ot-Barnstame RegaIatory Services '- �oF rotfy Richard Y.Scale,Director. o $0dvag Division x `` Tom Perry,Building Commissioner • ��� 200 Main Street; Hyannis,MA 02601 www town.barnstable.ma-us . Office: 508-862-4038 ' F= 508-790-6230 HOMEOWNM UCEM EJCF MON -- _ �11IcasePrint DATE: JOB I.00AITM-L- numbcr sleet' village "FiOMEOWl�R .• name home phone 4 wmk phone# CURRENT MAILING ADDRESS: - citYADM sty zip Code The current exemption for"homeowners"was extended to include owner-ocxapied dwellings of six emits or less and to allow homeowners to engage an individual far hire who does notpossess a licensci provided that the owner acts as supervisor_ DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land an which helshe resides or inieuds to reside,on which there is,or is intruded 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 an a form acceptable to the Building Official,that he/she shall be responsible for all sack work performed under the building Permit (Section 109.1.1) • The rmdersigned`.`homeowner"asses responsibility fur compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned`homeowner"cues that he/she understands the Town ofBaznsstable Building DepartmentTninhn i inspection procedures and requirements and that he/she will comply with said procedures and rcquirementL Signature ofHomeowner . Approval of BuildingOfcial Note: 'Three-family dwellings containing 35,000 cubic feet or largrc will bo required to comply with the State Building Code Section 127.0 Construction Control HOMEOWMIS E7E11 MON ' The Code states that: "Any homeowner performing workfor which a building permit is regmked shall be exempt from the provisions of this section(Section 109-LI-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2M) This lack of awareness often results in serious problems,particnlariy when the homeowner hires unlicensed persons. la 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 failya:ware of his/her responsibilities,many communities regnire,as part of the permit application,that the homeowner certify that helshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. Yon may care t amend and adopt such a form/certitication for use is your community. Q:IWPFILESIFORMS1bm1dmgpmmitbram FJ0?RFRFSS doc Revised 061313 185 T/16" 3 v I b PANE MASTER BATH II I n remodel plan 6/2015® I II II I I � �� I m II II I CATHEDRAL CEILING peak=114"AFF I I I I ' G=96"AFF shower room water closet C=96"AFF G=9b"AFF 65" 46 T/16' 65" 185 V76" master bedroom �nsrpp , nw,E anrrroN�c+R �MBTH NG r Desgnea Do"Yely ln: IdF pA RE N4 A PPOVIDlD fOR"a (ENlfl em ed MEer All DIMENSI ONS AND SIZE $CAI,E: DATE: �7�• Pane Residence VAIRUSlDTTNECLIENTORNISAGENT. DESIGNATIONSGMEN DES ARE RTISAN6 ITCHENS INC. VANS REMAiN iFe VRDVERT DP TIDE SUBJETTD VERIFICATION ON 1480 South County Rd. FIRMANDCANNOTDEUSED OR REUSED JOB SITE AND ADJUSTMENT 1�L"•Ir aROI2GIS r�-l\ 937A Main Street Osterville,MA 02655 508-428-8828 Osterville MA 02655 "*"°'^EERMSSION. TO FIT SITE CONDITIONS. — �tesvte; t 6m 1 I I I PANE MASTER BATH framing plan 8/2015 I I F >t I I & N 1 I I I i II I denotes demo walls remove / window denotes new walls CATHEDRAL CEILING - -J Peak= 11d to 7NAu / / C=9b"AFF 1 shower room / / water closet C=9b"AFF I j 6=9b"AFF " j 67- 461/16" 64 7891/16" �TI►r�� master bedroom AMYE[DjITTRH�p I �NEa vin.No.1Q 801860:'b oegrme Ctpeeely rn: ALL DIMENSIONS AND SIZE $GALE: DATE: ��77��.. OP9[GN MANS AM FROVIB[D FOR TX! CMNkd Manger DESIGNATIONS GIVEN ARE w /� RTISAN (. ITCHENS INC. Pane Residence FAIR use BY114 CLLENTBRNI9AGeNT. UjaM SUBIECT TO VERIFICATION ON f1_L AlRUREMAIN TNe ENT R" AT/IIS !f'l\ 1480 South County Rd. PIRM AND CAN NOT BE USED OR REUSED JOB SITE AND ADJUSTMENT 937A Main Street Osterville,MA 02655 508-428-8828 osterville MA02655 wITMOUTMRM'=0A To FIT SITE CONDITIONS. 1 H5 7/16' a c I � PANE MASTER BATH I I I i i remodel plan 8/2015 o I ll II II A I ___� I I CATHEDRAL CEILING eak= 114"AFF I I I I --- L1 --- Ll G=96"AFF shower room water closet G=9b"AFF G=CIF AFF 65' � 46T/lv' 6S 165 T/16' �n ita` master bedroom /. . Aw E,afUTTZ Clm ��Dfifi�O OeaDnM 6me�v var. DESIGN DLANS ARE PRDVIDED FOR we ALL DIMENSIONS AND SIZE SCALE: DATE: CWIRed Member DESIGNATIONS GIVEN ARE Pane Residence rAmuseevrNecuExroRNUAGeNr. sualEaroVERIFlCAnoNON RTISAN ITCHENS INC. DA NAND LAIN OT EUSE OR � , 1480 South County Rd. nRMANDUN nor BE USED aR MUSED JOB SITE AND S CATIONO 937A Main Street Osterville,MA 02655 5W428.8828 osterville,MA 02655 "ITM01TDFR'Q�°� To ETrSITE conomoNs iesvte� P PANE MASTER BATH framing plan 5/2015 .p I I I I II I denotes demo walls m � I m I — remove window denotes new walls CATHEDRAL CEILING peak= 114"AFF 1/2 WALL / G=9b"AFF 1 shower room water closet G=9b"AFF i I C=9b"AFF m I 1 I I I % I 65"- 46'Il t b" 65" 1651/1W master bedroom l� awE.amrroN,o{oa ! AEOOlANO 7Q, O�4me bnatl.h Fr. 06S[GN VtAN9 ARe VROVfOED FOR Me CerIIRM ryemEar ALL DIMENSIONS AND SIZE SU11.E: DATE: �7�. Pane Residence FA[RUS[OVTIQCIZENTORNLSAOENT. DESIGNATIONSGWENARE RTISAN ".1l ITCHENS INC. vuxs ReNAm nle oaooeRTvmnus SDBIECT to vEluncATlDN on L 1480 South County Rd. FIRM ANOOAN NOT"USEDDR=90 JOB SUE AND ADJUSTMENT 937A Main Street Osterville,MA 02655 508-428-8828 osterville,MA 02655 �^TM°�T'HIMOK TO FiT SITE COMMONS. i 1851/16' 3 v 60^ PANE MASTER BATH remodel plan 8/2015 I o I I I I INI I I I m ll CATTHEDRAL CEILING peak= 114"AFF i I I i C=96"AFF shower room water closet C=9b"AFF C=9b"AFF 65' 461/1 b" 65'- 185 7/16' master bedroom ANY,E;aNRTON CI� w r 77 8 ame5o:Ar¢ 4i yB", ALL DIMENSIONS AND SIZE SCALE: DATE: DlRI°N V4115 A11L DRDVIDFD I°R TN! Ca Ifkd M—I., DESIGNATIONS GIVEN ARE A Pane Residence FA USE BVTHECUENTORNJSAGENT, sue]ECTTDVERIFlGnoNON A�1 RTISAN ITCHENS INC. M,M9RExAIx THE VRRAeRTYDETNJ9 NIM 1480 South County Rd. rtRx AxD cIx NDT ae useD oR REuun JOB SITE AND ADJUSTMENT 8/20/2015 937A Main Street Osterville,MA 02655 508-4288828 osterville,MA 02655 `Y1TMOYT°fl°�Ow TOMSITECONOITIO— !-IDS 1/161, y c 1 PANE MASTER BATH framing plan 8/2015 ICI C- � ---- - -- ---- ---- � Ii denotes demo walls m remove / window denotes new walls CATHEDRAL CEILING peak= 114"AFF I I 1 LLJI 112 wALL / C=96"AFF / shower room / / water closet C=96"AFF i G=96"AFF 6S 461/16' 65'- 1651/16" master bedroom -§ AYY E�BRRTON�Clm M2 '�aarnNn 7 ..V—E•petltlYFW: pE9[p!PWI9 An!PROYIn[D POR TNC �� ManEer All DIMENSIONS AND SI2E SCALE: DAIS: RRTISAN (S ITCHENS INC. 0Pane SouthCounty PAiMSE..N CES 1[ENTDnNlBAGENf. N� D8CrTOIONSGIVENARE A-2 vuNs NENACN ME NT O RHI oP n°s Su91ECI AT O"S GcAnon EON 1480 South County Rd. "M ANo G NOT nE USED on UUSED JOB SUE AND ADIUSMENT 937A Main Street Osterville,MA 02655 508-428-8828 ostervilie MA 02655 'NrrHoln RHISSI°N' To PIT SrrE CONDITIONS. 1651/16" P BO' PANE MASTER BATH II I i i remodel plan 5/2015® Li CATHEDRAL CEILING peak=114"AFF i I I i FM C=96"AFF shower room water closet C=96"AFF C=9b"AFF IT 651 46 7/16' 65" 165 7116' master bedroom AW E BRiTTON�Olm,� bws0lsco:ta¢ 'ceeCo oe,4ixa bo�mrfa: ALL DIMENSIONS AND SRE $CAIE: DATE: DCSIQI MANS ARe RROVIDED rOR TN! Cenlfkd Nem6er DESIGNATIONS GIVENCATI ARE �-� )OB Pane Residence rAIRUSe SVTNECUENT ORHMAOENr. SUDIER TO VERInIVEN ON RTISAN ITCHENS INC. oRMAMOCAN.OY USE MIk IISEa MIr 1480 South County Rd. PILNANDCANNDI Ee OSED OR REUSED UMSITE VERIFIUSTN RE '�Z"��� B/2O/2O1$ 937A Main Street Osterville,MA 02655 5W42M828 Osterville,MA 02655 M iMOtT°ER"'°ss°'a TD EIT SnE CONDmONS I r I 1651/16'� 3 v I � PANE MASTER BATH framing plan 8/2015 E I i E E I I 9 11 I Ir .D I I 1 1 11 I denotes demo walls m �L remove / 1 window 10 f>o' i C -- denotes new walls CATHEDRAL CEILING -J , peak= 114"AFF 1 112 V ALL / G=96"AFF shower room / water closet G=9b"AFF / G=96"AFF 1 I I I 65 461/16" 65"- i b51/16'• master bedroom •• i�OQNAND j.. 6�solew,;�aa _4i�;oye`o • De4�a lsoandv va: DESI"PLANSARl PRGWB=FORTN! ALL DIMENSIONS AND SIZE SCALE: DATE: CANR<d NemOer DESIGNATIONS GIVEN ARE Pane Residence PAIR USE BY TNl CLDJ1TOR NISAfYNT. SUWECT TO VERIFICATION ON fJ� RTISAN ITCHENS INC. PUNSRlMAnlrNewwPeRnaPTHIS N�/� 1480 South County Rd. R—AND GN NOT DE USED OR KUSED 70B SITE AND ADIUSTNENf 937A Main Street Osterville,MA 02655 508 4288828 osterville,MA 02655 R"TMOYTP�L'D�D" roFlrsrtEcoNDmoNS. 165 7/16" v c I � PANE MASTER BATH I I i I i remodel plan 5/2015 c I II II I III� � m • ;o I I I I I I CAT G CATHEDRAL CEILIN T eak= 114"AFF I I I I C=96"AFF shower room water closet C=9b"AFF C=96"AFF " 65" 46 V 1 b" 65" 1 b5 V16" dyprvigoti master bedroom .......... AMY E.BPRTON�Om� PEOU111.N0.7 ) 1ep 069`� • �espePap rr. DESIGNDWIS ARl PROVIDED POR WE CertIRW Nmiher Al1014ENSIONS AND SIZE $C}1LE: DATE: RRTISAN ".KITCHENS INC. Pane Residence IAIR USEOYTQ eIMD RMISAGENT. DESIGNATIONSG_,ONE D4N9 RENAIN TNS PROPERTY OP TOSNI(BAr SJOB Sr TO AND ADJ ATION ON 14SO South County Rd. FIRM ANDGNNOTOE OSEDOR REUSED JOB Frr STM CONDITIONS. 937A Main Street Osterville,MA 02655 508-428-8828 osterville MA 02655 YIRNOYTPERNL49DN To PrrslTecoNDmorvs. ' I b c I � PANE MASTER BATH framing plan 8/2015 E I I E nl I I I nO denotes demo walls m �y remove window denotes new walls CATHEDRAL CEILING / Peak=114"AFF ` 112 NAu C=9b"AFF shower room / water closet C=9b"AFF I C=9b"AFF " I I I I I / I i Wt-46-7/lb- 185'I/W65' ti master bedroom AW E.BARTDN�Cq� • oaNneO¢soatlNv ra. O[STGN FlAN9 ANE VROVIDCD ION THE CenMkd ManEer AIL.DIMENSIONS AND SIZE SCALE: DATE: (RRTISAN 6 ITCHENS INC. Pane Residence IADIBEEBT„1EttiENTDNNTOF= � /� DESIGNATIONSGIATIONE A-2 VIAN90.[MAWTHEFNOMAWTORN ATHIS SUBIECT TO VENIFlWENA ON �E 1480 South County Rd. FINMAMDU NOTWIJSEDONNEUSEO JOB SnE AND ADJUSTMENT 1�L��•�r 8/2(1/201$ 937A Main Street Osterville,MA 02655 508-428-8828 osterville MA 02655 �TM�T GENJOSSIOM. TO FIT SITE CONDITIONS. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 1L40 � ( Map 1 Parcel 4D Oc7 Application # Health Division Date Issued o�?J Conservation Division � Application Fee ,C4 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address kvT-1 177 Village ©s !Cle V Owner >LIP24iq-I�� Address Y$ 1;0 AUNT y Telephone` Permit RequestyK6� • �W �1- "T�iI�S _ �ii.J IZ .1G1�G lS�� 7 i�l'c XC04 -/ S Square feet: 1 st floor: existingZ proposed 2nd floor: existing 'D_proposed Total new Zoning District "Ric Flood Plain Groundwater Overlay Project Valuation o 400.13?,onstruction Type- Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family . Two Family ❑ Multi-Family (# units) �= U0 Age of Existing Structure I q 4 Y Historic House: ❑Yes P"No On Old King'`Highway: -CQ Yeses No Basement Type:(`aFull ❑ Crawl ❑Walkout ❑ Others w Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) c r.� Number of Baths: Full: existing " ) new Half: existing ne vk�, v ' Number of Bedrooms: existing _new Total Room Count (not including baths): existing _7 new First Floor Room Count Heat Type and Fuel: XGas ❑ Oil ❑ Electric ❑ Other Central Air: ,Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No ;.o Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:Xexisting ❑ 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 —Ou o 4C Telephone Number Address tO a tV44 LK 5�T 4 4 T— License # C� © J �y I y CA-1- 4A V 5TA9 YnA oAa Home Improvement Contractor# Email h0 60WICA4.fte4k Worker's Compensation # ALL CON RUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE I r • ' FOR OFFICIAL USE ONLY z APPLICATION# DATEISSUED MAP?/PARCEL NO. ADDRESS VILLAGE " OWNER DATE OF INSPECTION: FOUNDATION- FRAME INSULATION: FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING; c DATE:.CLOS-ED OUT ASS OCIATION PLAN NO. s ine t-ommonwearan ofinassacnuseus Deparhnent of Industrial Accidents Office of Investigations ' 600 Washington Street `- Boston,MA 02.111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information �p �,/ `( /Please Print Legibly g�Name(Business/Oriration/Individual): 6Pl N�l C e�L• !I`i C� Address: 0&0 Mf eUl City/State/Zip: 0;6 hone Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employes with 4. ❑ I am a general cofactor and I employees(foil and/or part time). * have hired the sub-contractors 6. ❑New conshuction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees' These ors have 8. ❑Demolition working for me in any capacity. employees'and have workers' 9 El Building addition [No workers'comp.insurance CAN comp,insurance$ required.] 5.RWe are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work ' officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13. Other ��{�� comp.insurance required.] *Amy applicant that checks box#1 mast 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 him outside contractors must submit a new affidavit indicating such. #Contractors that check this box mast atfached an additional sheet showing the name of the sub-contractors and state whether or not these 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 e DU for inanance coverage verification. I do hereby c pains penalties of p 'ury that the information provided above is true and correct S' Date: Phone#: Ofjzciai use only. Do not write in this area,to be completed by city or town offusal City or Town: PermitUcense# 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#: Information and Instructions J Massachusetts General Laws chapter 152 rega=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 m'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 wgrk 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 commonwealth for any applicant who has not produced.acceptable evidence of compliance with the ins nce coverage required." Additionally,MGL chapter 152, §25C()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 submif 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 CLe. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hike to thank you in advance for your cooperation and should you have any y questions, please do not hesitate to give us a call. The Department's address,telephone and fax number The Commonwealth of Massachusetts Departmmt of Industrial Aocidents Office of I.veadgations 600 Washingtan Street. Boston,MA 02111 Tat.#617-727-4900 ext 406 or 1-$77-MA.S9A FB Revised 42407. Fax#617-727-7749. www Tnass.gWdia Town of Barnstable Regulatory Services RAMSTABM seg9. `0$ Richard V.Scali,Director 039. 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 I a� as Owner of the subjectproperty J hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of ob) / ""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 accepte . Signature of Owner S a of Applicant Print Name Print Name a2 Date Q:FORM&O WNERPERMIS S IONPOOIS Town of Barnstable Regulatory Services ��of TOiyy Richard V.Scali,Director Building Division t saxxszASLE Tom Perry,Building Commissioner MAS9Q� S. 200 Main Street, Hyannis,MA 02601 ATEDrA www.town.barnstablema.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ • r _ The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction'Control. , HOMEOWNER'S EXEMPTION_ The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who u"se 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. ' j To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 ELEVATION DETAIL 36"high banister with RENOVATIONS TO EXI5TING DECK horizontal cable below deck to be skirted with vertical 1"X4"boards poured concrete piers NEW SECTION TO extend deck byX-O'EAODED 48"high-10"diameter 1I —I I 1=1 I Gi 11=1I1= I1=1I1=1I1=1I III—I El 11=III=1 j 1=I 11=1 I 1=1 11=1=III b pmuntl level NEW SECTION TO BE ADDED 111-111 I' .' I I I=1 I I—I I I—M—III—II—I-1 I I=T=I 1 11 i= DN b wDaePedewn 1I1 1=T-r=III=1I1=1I1—1 i a i 1—I 15 (new) ..end deck byT-0' 111=1II—II IIt—III=1TI=III—III=III=III—III— I I 11=1 I I I=1 11=1 I I-1 I i=�—I 11=1 I i—I 11=1 I I -- ° 111—I 11=111 1 I 1=1 11-1 11=111=1I(=1I1=1 11=1 I1= I 1 111-1T 1=T=T 11=1 n—iT=1 i 1=1I�-11�=1 1 CS i l l=T=11 0 1TI=Ti-1 11=1 t 1=Ti-1 11=Ti=1T=11 I I II I I1111II11 IITI I II I ITI I IIII� TI I I IIIII l t11111111111111 III=III 1=III=III=III=I 11-1 I I=I I I=I I I=I I I I I-I I.I I I-1 I I-1 I I-1 I I-1 I 1 I I-111I=1 I I-1 i I-1 11=1 11-1 A I EXISTING DECK EXISTING DECK ❑ DE EXISTING HOUSE new PT 4X4 P°Fb 3 0 new PT 2X 10VNe t C I1'.ei GRYPHON BUILDERS INC DESIGN PLANS ARE PROVIDED FOR THE Hwm enXwanerc Ca,Wen> ALL DIMENSION S. O4 SCAIE: DATE: The Pane Resdence FAIR PLANS R BY MAIN THE PENT ROP R HIS AGENT. Nu do 1655E8 IIIECT DESIGNATIONS GIVEN ARE w_� 148OSDUthCount Rd. IRMMENANHOTSRMEDOOFUSES SUBSITE VERIFlCATIONON H Box 282 W.Barnstable lVIA 02668 508-367-7141 Y FIRM ANOTTHOUT BEUSED OR REUSED Co cwclM 2414wlm® ]TO FIT AND ADIUSTMENT y�o 1�4 -5 6�10�2014 I Osterville,MA 02655 WTTNour PERNISSION. Nunmo ol2414 10 FIT SITE CON ONF t Town.of Barnstable Geographic Information System June 10,2014 120001011 #81 1200M 005 #1480 i 120001015 #81 1 1200010D4 #1480 120001016 #63 Q Z h 0 G Z. 4 0%004001 120 003 #160 #0 i 0 19 Feet DISCLAIMERS:This map is for panning purposes arty.It is not adequate for legal Map:120 Petrel:001004 a boundary determination or regulatory imerpretatlon. Enlargements beyond a scale of Owner PANE,DEBRA J Total Assessed Value:$727400 Selected Parcel W+ 1'=1ar may not meet established map accuracy standards.The parcel lines on this map :v ra E are a*graphic representations of assessors tax parcels.They are not true property Co-Owner Acreage:1.00 acres Abutters boundaries and do not represent accurate rdationstrips to physical features on the map LoSon:1480 SOUTH COUNTY ROAD ': such as building locations. BLlffe( �/ c. �X (P"mwwwea� O/A Office of Consumer Affairs and Business Regulation 10 Park Plaza --Suite. 5170 Boston;.Massachusetts 02116 Home improvement Co%traor Registration "' -Registration:"148798 , Type: Ltd Liabilfi/Corpor 4 x} _�; Expiration: 1.0/2612015 Tr# 246021 ARTISAN KITCHENS LLC -� STEPHEN BRITTON lc 937 A MAIN STREET OSTERVILLE, MA 02655 'jt/ Update Address and return card.Mark reason for change. Address ❑ Renewal 0 Employment Lost Card SCA 1 0 20 -05/11 -- - 'ar{ment of Public Safety _ " Massachusetts -�eP Standards Building Regulations and Board of B. Su enisor ConstructioCs 012414 License- BOX n,. W BASS/pBL� Expiration 0712112015 �. �Omr6,ssjoner _.- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION t -_7 Parcel 0 Map Ap lict Health Division Date Issued `O Conservation Division Application Fee c� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board ► y �� Historic - OKH _ Preservation/ Hyannis Project Street Address So. C�I•C 0&P Village Owner FAIJ Address q st7. C,yu.g) Telephone �� 3 — 7 7 ` R Permit Request Ag_4*yl>VA- (T 4S JII AJtY & 1 f�GGf4�T�� a�- N�'� r(F x ou i �� fAo4T_o� tc" �rovAL x i r r�^16-r/1 . Square feet: 1 st floor: existing roposed 2nd floor: existing al��proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio Construction Type lyT1l-L, Lot Size A<= Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes �(No On Old King's Highway: ❑Yes kNo Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) (ID 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 Robm Count w Heat Type and Fuel: "q Gas ❑ Oil ❑ Electric ❑ Other ~ v m Central Air: CkYes ❑ No Fireplaces: Existing New Existing wood/coal stove ❑Yet ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing view Zlize_" Attached garage:Xexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: J Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use RC5lblZ1,(77A-L Proposed Use 5,A04�_ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) � � ° Name /%�i /U Telephone Number Address, miwl ( License Home Improvement Contractor# l �f Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ATE f) V FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER —DATE OF INSPECTION: FOUNDATION FRAME i_C�4 IN Pi R INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL ` T PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING s DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachuse& Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information pOI(I �z (.�, Please Print Legibly •Name(Business/Oro nimbon/IndMduan: �jF-� 11�1�„, Address: . PI-Ct 1 City/State/Zip:W'?AW(7A-`?t4_ 0 4 0a b 6 S Phone#: 3 6 77-�?/ Y I r2. e you an employer?Check the appropriate bog: F7. KRemodeling project(required); I am a employer with 4. ❑ I am a general contractor and Iemployees (full and/or part-time).* have hired the sub-contractorsew construction I am a sole proprietor or partner- listed on the attached sheet. shipand have no employees These sub-contractors have S. ❑Demolition working for me in any capacity, employees and have workers' 9. [No workers' comp.'incitranee comp. insurance. El Building addition required.] 5. KWe are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I-❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other 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, lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities bave 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. Lie.#: 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 c and e p and nalties o erjury that the information provided above is true and correct Si afore: Date: D Phone Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/U cense# 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#: i 9 i oFTME Teti Town of Barnstable Regulatory Services MAS& Thomas F. Geiler,Director " Ten ru•+" 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 as Owner of the subject pxoperty hereby authorize ��I[ 1f d/l� �jVW)Vs , Wc- to act on my behalf, in all matters relative to work authorized by this building permit /�?D SZ>. C04NTY. '1�0140 (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner e o Applicant S? nl 6d 3 o Print Name Print Name" Date QTORMS:OWNERPERMISSIONPOOLS 6/2012 Town of Barnstable : tHKE r°wti o� Regulatory Services . �,� MASS. Thomas F.Geiler,Director 9�. 1639. ,0� Building Division HIED MA'1 a 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: ' city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which'there is,or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed"under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. .The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall•be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided,that if the homeowner engages a.person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fonti/certification for use in your community. Q:fonns:homeexempt . JIM Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-012414 =dj STEPBEN W BRI)TO - PO BOX 897/500 W BARNSTABLE ' J,.(,,.. �j/rl�C`„•' "` Expiration Commissioner 07/21/2015 Consumer Affairs & osiness Regulation License or registration valid for individul use only �j Office of Consumer Affairs&BJsiness Regulation g Y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:,4165568 Type: Office of Consumer Affairs and Business Regulation Expiration: <3'%2/2014 'Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 TGRHON BUILDERS;`ING-==y r/f 1 is STEPHEN BRITTQN=�= '; i 500 MAPLE.STREET WEST BARNSTABLE<<MA-'2668 Undersecretary Not valid without signature , i I BoiseCescade Triple 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Floor Beam\FB01 Dry 11 span I No cantilevers 1 0/12 slope Tuesday, October 22, 2013 BC CALCO Design Report- US Build 2565 File Name: S Britton—Pane Job Name: Pane Description: Designs\FB01 Address: 1480 South County Road Specifier: J Madera City, State, Zip: Osterville, MA Designer: Customer: Steve Britton $`?(V7 Z(� Company: Shepley Wood Products Code reports: ESR-1040 Misc: I I I I I I I I I I I I 1 2 1 I I I I I I I I I I I I I I I 3 12-00-00 BO B1 Total Horizontal Product Length= 12-00-00 Reaction Summary(Down / Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live BO, 3-1/2" 5,040/0 2,148/0 B1, 3-1/2" 5,040/0 2,148/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf. Area (lb/ft^2) L 00-00-00 12-00-00 40 10 14-00-00 2 Unf. Lin. (lb/ft) L 00-00-00 12-00-00 60 n/a 3 Unf. Area (lb/ft^2) L 00-00-00 12-00-00 20 10 14-00-00 Controls Summary Value %,Allowable Duration Case Location Disclosure Pos. Moment 19,949 ft-Ibs 62.5% 100% 1 06-00-00 Completeness and accuracy of input must End Shear 5,653 Ibs 47.7% 100% 1 01-03-06 be verified by anyone who would rely on Total Load Defl. U424 (0.326") 56.6% n/a 1 06-00-00 output as evidence of suitability for Live Load Defl. U605(0.229") 59.5% n/a 2 06-00-00 particular application.Output here based on building code-accepted design Max Defl. 0.326" 32.6% n/a. 1 06-00-00 properties and analysis methods. Span/Depth 11.7 n/a n/a 0 00-00-00 Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable %Allow %,Allow building codes.To obtain Installation Guide Bearing Supports Dim.(L x W) Value Support Member Material or ask questions,please call BO Post 3-1/2"x 5-1/4" 7,188 Ibs n/a 52.2% Unspecified (800)232-0788 before installation. B1 Post 3-1/2"x 5-1/4" 7,188 Ibs n/a 52.2% Unspecified BC CALCO,BC FRAMER@,AJSTM', ALLJOISTO,BC RIM BOARDM,BCIO, Notes BOISE GLULAMTM,SIMPLE FRAMING Design meets Code minimum (U240)Total load deflection criteria. SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, Design meets Code minimum (U360) Live load deflection criteria. VERSA-STRAND@,VERSA-STUD®are Design meets arbitrary(1") Maximum total load deflection criteria. trademarks of Boise Cascade Wood Calculations assume Member is Fully Braced. Products L.L.C. Design based on Dry Service Condition. NVISIA10 Deflections less than 1/8"were ignored in the results. Fastener Manufacturer: TrussLok(tm) nb :8WhZ130o0z 319ViSNh0 A0 NMOL Page 1 of 2 r ®yBoise Cascade Triple 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Floor Beam\F1301 Dry 1 span No cantilevers 1 0/12 slope Tuesday, October 22, 2013 BC CALCO Design Report- US Build 2565 He Name: S Britton—Pane Job Name: Pane Description: Designs\FB01 Address: 1480 South County Road Specifier: J Madera City, State, Zip: Osterville, MA Designer: Customer: Steve Britton Company: Shepley Wood Products Code reports: ESR-1040 Misc: Connection Diagram Disclosure r�l b d Completeness and accuracy of input must L� be verified by anyone who would rely on a output as evidence of suitability for • • . particular application.Output here based c on building code-accepted design properties and analysis methods. • i • • Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable e building codes.To obtain Installation Guide or ask questions,please call a minimum =2" c=7-7/8" (800)232-0788 before installation. b minimum=4" d =24" e minimum — 1" BC CALCO,BC FRAMER@,AJSTM, ALLJOISTO,BC RIM BOARD-,BCIG, All TrussLok screws may be installed from one side of multiple ply VERSA-LAM beams. BOISE GLULAMT"' SIMPLE FRAMING All TrussLok screws may be installed from one side of multiply Versa-Lam beams. SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS@,VERSA-RIM@, Member has no side loads. VERSA-STRAND®,VERSA-STUD®are Connectors are: FMTSL005 trademarks of Boise Cascade Wood Products L.L.C. NOISIA10 S :8 11"V h Z 100 IN TIOUSHV9 J0 NM01 Page 2 of 2 f� , oFt�T Town of Barnstable *Permit t�� 6 ��I " ~p� F.rpires 6 nzaaffisfroin issue dale Regulatory Services F , Thomas F.Geiler,Director t DEC Building Division 03 2013 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 rO,A' 0 f www.town.barnstable.ma.us Ot tee: � Fax: 508-790-6230 E ��SS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number ool/xy Property Address �� e i den tial Value of Work '�qe Minimum fee of$35.00 for work under$6000.00 Owner's Name&. Address Contractor's Name C 1C.t � 1Lly 5 l�fV` � � Telephone Number _TS—�ZS Home Improvement Contractor License#(if applicable) ///���VVV Construction Supervisor's License#(if applicable)... J �]Workman's Compensation Insurance Check one: ❑ I all, a sole proprietor ❑ 1 am the Homeowner P1 have Worker's Compensation Insurance Insurance Company Name 601, i f/y)(i Workman's Comp. Policy Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to t ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side _ #of doors l�( Replacement Windows/doors/sliders. U-Value 11 (maximum .44)#of window_ "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 opy of the me Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\decollik\Ap I Lira\l.,ocallMicrosoft\Windows\1'emporarylntemet Files\Content.Outlook\QKIH7J6E\EXPRESS.doe Revised 070110 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):�iT T,�7/t�I —C&r alttw(u" 'u —). '�V� Address: City/State/Zip:alu-ZI k . r[I 11 02C7E_ Phone#: S _--t-- Are you an employer?Check th appropriate box: Type of project(required): 1 ] I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp. insurance. x 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 I L EJ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. 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: CM Y1leYZC ITS K• Policy#or Self-ins.Lic.#: � f ' J`-I'�G�-� Expiration Date: c/fb f K2-`1 LJ Job Site Address: I�Q U 6�1J �1 Y l lM I"'I 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$1,50.0.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby rtify under the pal and penalties of perjury that the information provided above is true and correct. S i Pan ature - 2 ��p -� Date: L,�-/(� Phone#: - r 20 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: J L °F'WE r, . Town of Barnstable Regulatory Services • snxxsrwstE, • . MASS. g, Thomas K.Geiler,Director 1639. �0 pry 4 Building Division Tom Perry,Building Commissioner 200 Main'Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder z Debra -Pue as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit j4h 0614f-4 _4 SIC Address of job) ( J ) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner 96ture of Applicant co Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 6/2012 Town of Barnstable o� Regulatory Services '" ASS. ' ' Thomas F.Geiler,Director `0$ Buildin Division '°'�n WtP't• g 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: " 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 responsibilityf for compliance,*ith the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\decolliMAppData\L.ocal\Microsoft\Windows\Temporary Internet Files\ContentOutlook\QRE6ZUBN\EXPRESS.doc Revised 053012 i t, i-^ office of f„irrnrr:rrrrrrr�/�o��C'��ci.iirc�r%1�//j 4CO°s"mcr AtLurs S: Business Regulation License or registration valid for individul use only 14j= Il OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 151853 _ � F.• Type: Office of Consumer Affairs and.Business Regulation xpiration: 7/7/2014 Private Corporation 10 Park Plaza-Suite 5170 SCOTT PEACOCK BUILDING.& REMODELING INC Boston,MA 02116 JAMES PEACOCK 1046 MAIN STREET SUITE 7 _ OSTERVILLE,MA 02655 Uudersecret:u•y Not valid without signature 1U�Wf Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-094500 JAMES S PEACOyIC '- �a PO BOX 171 'I ,? OSTEVILLE MA--02632 " lit Expiration Commissioner 07/22/2014 Unrestricted -Buildings of any use group which contain less than 35,000 cubic feet(991M )of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPS i .. CERTIFICATE OF LIABILITY INSURANCE DAT 0710312013E(MM/ Y) 013 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 Germani Insurance Agency NAME: 908 Main Street PHONE Ext: 508 428-9194 FAX Osterville,MA 02655A/c No: 508 428-3066 E-MAILE ADDRESS:certsagermaniinsurance.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:SAFETY INS CO INSURED Scott Peacock Building&Remodeling,Inc. INSURER B P.O.BOX 171 INSURER C: Osterville,MA 02655 INSURER D: Commerce&Industry Ins.CO. INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A GENERAL LIABILITY CP00001152 7/5/2012 7/5/2014 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE O RENTED PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ 2.000,000 GE N'L AGGREGATE LIMIT APPLIES PER:PRO PRODUCTS-COMP/OP AGG $ POLICY LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS AUTOSED PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ D WORKERS COMPENSATION WC 005-81-5464 6/22/2013 6/22/2014 WC STATU- OTH- LIMAND EMPLOYERS'LIABILITY ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? F N/A E.L.EACH ACCIDENT $ 500,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/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 Scott Peacock Building&Remodeling,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE - ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD Town of Barnstable # Expires 6 m nibs m issue date Regulatory Services Fee 2-- ,,,>Etrtsrnsts. MASS. j' Thomas F.Geiler,Director PIZ 1639. �0 Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town barnstable.ma us Office: 508-862-4038 Fax:.508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Z�ety ddress �� ��� � � r x sidential Value of Work LS o' v Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ��1 Contractor's Name.N Ci %' (�4/ih t Telephone Number Home Improvement Contractor License#(if applicable r% n t� �0 ff-fYi■ U��■ Construction Supervisor's License#(if applicable) ® � APR —4 2013 ❑Workman's Compensation Insurance Check one: ❑ I am a cal�prietor TOWN OF BARN, ❑ I e Homeowner have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# C/� �� C7 4 / 5-- Copy of InsZcheck nipliance Certificate must accompany each permit. Permit Reqbox)Re-roo (hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value _ (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. . Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors.License is eqvired. SIGNATURE: n:1�IlOCTT RC\F(1RMR\hnilrlino ner mlt fmrms\EXPRESS.doe . The Commonwealth of Massachusetts loartment of Indusbial Aeddents Ogwe o}'Investigations 600 Washington Street Boston,M4 0211.1 . www.rrmas&govldia Workers' Compensation Insurance Affidavit+ Builders/Conte-actorslElectricianslPlumbers Apphcant Information Please PxintLeg li b Name(Bums tiwdxidviduai): /7, /1 Address: 1 �1 A c CitylStatel,�p" /i�h/l kw. Phone Are yo .employer? heck the apppropriate box Type of project(required): 1.9 i am a employer with 4. ❑ I am a general ccnfractor and I 6- ❑Anew constnxtioo employees(hill and/or part-time).* have hind d the sub-contractors ?.❑ I am a sole proptieZoi or partner- listed on the attached sheet 7. ❑Remodeling .��sub-contractors have ship.and have no employees 8. ❑Demolition wodring for me in any capacity. employees and have wcdmrs' 9 ❑Building addition [No markets' comp insurance comp.insurance. repaired 5. ❑ We are a corporation and its 10.❑Electrical repsus of additions 3.❑ I am a.homeowner doing.all work officers have exercised their 11.❑Plumbing:repairs or additions myself (No workers'camp- right of extmtptton per Po1GL 17 0 kca repairs insurance required.]T c. 152,$1(4),and we have no 13.❑Other employees-[No workers' comp.insurance required.] *Any appEcaru that chedis box#1 mast also fill out ib e,section below showing their woders'compensation policy in€minstian. 1 Homeowners who submit this affidavit inir cxM9 they amdomg an wat and then hire outside cone ctmrs mast submit a new affidavit indicating such IContractors'that check this box most attached as additional sheet showing the came of the sub-coakictm and state whetber at'Lot-those entities have emplayem. Ifthe sub-contactors have employees,fheyanuiptvwide their taorkeW comp.policy number. I am an emplo3,ar tliat is providing.workers'compensation inrrmce far aty empooyee& Below is the policy and joh site inforrrradom Irtstuance Company Name: 1�1 Policy#or.Self-ins.Lic.# �J �L /� p tiou Date: Job Site Address: I,Z S,62 1 D 012//eS/661 CityistaWZip: , ✓ //���� Attach a copy of the workers'compensation policy declaration page(shoving the policy number and expiration date). Failure tD secure coverage as required under Section.25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$"00-00 and/or one-year imprisonmezxt,as well as civil penalties in Ite form of a STOP WORK ORDIER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance cmmrage vezffitatian- I.�hereby eetdi rider the pains dpa atfi$s f pegwy that the infot million pro ded above is bue and correct Bate: / Phone# Ojzcial am only. Do not write in this area,to be completed by city or taw]official . City orTown:. PerwitUcense# bmiltg Authority(circle one): . 1..Board,of Health y.BuddingI}eparbment 3.Ctty/l van Cleric d.Eledricsl linsper3or. $.Phtmbing Inspec#or 6.Other.. r..w..a Re....,.. .. Phone 9: VILLA-1 OP ID: EB CERTIFICATE OF LIABILITY INSURANCE F TAT 04/04D/YYYY) 04/04/13 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 Phone:508-771-3300 CONTACT Olde Cape Cod Insurance NAME: Martha Findlay Fax:508-775-3821 aCON o Ext: ac No): 296 Winter Street NAiiEss: Hyannis,MA 02601 General Agency INSURERS AFFORDING COVERAGE NAIC# INSURER A:Scottsdale Insurance Company INSURED Villani Construction Inc INSURER B:Safety Insurance Co 39454 P.O. Box 692 INSURER C:Travelers Insurance West Hyannisport, MA 02672 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCEADDLSUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/VYYY) (MM/DDIYYYY1 LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CPS1366695 04/12/12 04/12/13 PREMISES Ea occurrence $ 50,000 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,00 POLICY JECT PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident B ANY AUTO 3150275 08/09/12 08/09/13 BODILY INJURY(Per person) $ 250,000 ALL AUTOS OWNED SCHEDX AUTOS BODILY BODILY INJURY(Per accident) $ 500,000 HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ 100,000 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 4EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY IMIT YIN ER X ANY PROPRIETOR/PARTNER/EXECUTIVE CPS1366695 04/12/12 04/12/13 E.L.EACH ACCIDENT is OFFICERIMEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) ***PLEASE NOTE THAT THE WORKERS COMPENSATION CERTIFICATE OF INSURANCE WILL FOLLOW SHORTLY UNDER SEPARATE COVER, AS IT IS BEING ISSUED BY THE INSURANCE COMPANY*** CERTIFICATE HOLDER CANCELLATION � TOWN-01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. Building Department AUTHORIZED REPRESENTATIVE South Street Hy m�„s F Hyannis, MA 02601 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD VILLANI CONSTRUCTION INC. Roofing& Siding Specialists PO Box 692 West Hyannis Port,MA 02672 508-778-2495 1-888-766-3043 Member of the Better Business Bureau—Insured Licensed—Free Estimate DESCRIPTION Furnish and install the following, labor and materials to re-roof building at 1480 S. County Rd. Osterville as follows: 1. Remove existing roof shingles. 2. ..Ch6ck all boarding and nail where necessary. 3. Remove existing drip edge and soil pipe flashings. 4. Install new aluminum drip edge. 5. Install new aluminum and neoprene soil pipe flashing. Install 6. Install 15#felt paper. .7. Install ice&water barrier to eves,valley and penetration. 8. Install 30yr architectural algae resisting roof shingles. Certaindeed 9. Install ridge,vent. 10. Remove debris from job site. Note: -Dump fees for removal are included in this quote. We propose hereby to furnish labor&materials complete in accordance with above specification for the sum of: NINE THOUSAND TWO.HUNDRED DOLLARS: $9,200.00 PAYMENT TO BE MADE AS FOLLOWS: DUE ON COMPLETION All materials are'guaranteed by manufacturer.. All work to be completed in a substantial workmanlike manner according to specifications submitted, per standard practices. Any alteration-or deviation from above specifications involving extra costs will be executed only upon verbal request and will become an extra charge over and above the estimate. All agreements contingent upon weather, accidents, or delays beyond our control. Owners to carry fire, tornado,and other necessary insurance. . This proposal maybe withdrawn if not accepted within 30 days. ACCEPTANCE OF PROPOSAL---- The above prices, specifications and conditions are satisfactory and are hereby accep You are authorised to do the work as specified. Payments will be made as outlined above. Signature&JAZZ_ Signature Date 656.0 a ton \ o \ � �4'/21/2013 �' •N I ANIImI` ^ RICHARD •VILLANG 109 WAGON LANE • HYANNIS, MA 026jo 01 `., Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor . License: CS-074360 1 Ts RICHARD VILLAJO ,. PO BOX 692 West HyannisporCMA 02672 Expiratio.n .4 conimisssiionne'rr 06/23/201,4 r - 1778H6' 180' ( 223' 1 I I 0 I ® remove 1/2 wall and widen to cased opening as shown,new engineered beam as required, S ® relocate plumbing as needed 1 138 114' new 1/2 wall -new prep sink —_and faucet here _ fr extend this wall to remove old tile, S dimension shown install new tile, swap out both — fixtures for new, i —run gas line to new range location, g remove wallpaper, _� run ductwork for downdraft remove all marble and re-wallpaper —ventilation system g replace with new tile laid in herringbone pattern 6 —run water line to new- -refrigerator location _ 8 j � 23B3a— — — �' new narrowwall j remove all tile and replace with oak b to finish ref.side — to align with existing,sand,stain and a =� refinish all first floor oak _ remo existing ble in _ closet nd aun ,a oak in loset are ,new —� - - tile In 1 undry ar a, a„s• — — — provide threshol to - _ transiti n apply wood to ceiling over /— — breakfast area(only) _— � 173516' 7+1r1' I az 3r<' new!2semenindow,boxed , out as shown /wuntertop to r st 7r-a en in o s f 1 S :E Wd L 1 100 001 114 11W 167 3M• 2B7 71W I 'I qtW1C IAA Designed Especially For: APPROVED BY DATE`. DESIGN PLANS ARE PROVIDED FOR THE Certified Member ALL DIMENSIONS AND SIZE SCALE: DATE: <�j Pane Residence FAIR USE BY THE CLIENT OR HIS AGENT. DESIGNATIONS GIVEN ARE A-6 <l'l•RTI SAN (36TCHENs L LC PLANS REMAIN THE PROPERTY OF THIS FIRM T SUBJECT TO VERIFICATION 1480 South Cou my Rd. AND CAN NOT BE USED OR REUSED ON JOB SITE AND 937A Main Street Osterville, MA 02655 508-428-8828 Osterville, MA 02655 WITHOUT PERMISSION. 14 ADJUSTMENT TO FIT SITE