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0004 WEST WIND CIRCLE
i f a c ° o c _ = o_ ° a 0 ` c c c" 0 r a , i c 0 0 0 . ` .� Town of Barnstable Building uaxsrwE= Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept NAM Posted Until Final Inspection Has Been Made.163 Permit r�a+R Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-2291 Applicant Name: ARMEN SAFARYAN DBA COREY AND COREY Approvals Date Issued: 07/16/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/16/2020 Foundation: Location: 4 WEST WIND CIRCLE,OSTERVILLE Map/Lot: 121-011-001 Zoning District: RC Sheathing: Owner on Record: MATTOZZI,KENNETH R Contractor Name: ARMEN SAFARYAN DBA COREY Framing: 1 Address: 4 WEST WIND CIRCLE AND COREY 2 OSTERVILLE,MA 02655 Contractor License: 183202 Chimney: Description: Siding Est. Project Cost: $3,850.00 Permit Fee: $35.00 Insulation: Project Review Req: Fee Paid: $35.00 Final: Date: 7/16/2019 Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: l "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Application number................................................ of tt�E Fee.........35-.0-6................................................ PUNSTABLF. HAM Building Inspectors Initials......., A'.4e,.. ..... 1639. JUL, 15 2019 Date Issued................ ... ....... [OWN O� BARNSTABLF Map/Parcel...... ..... .. . .. .............................. TO" OF BARNSTABLE 011 EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHEIUZATION PROPERTY INFORMATION Address of Project: (AI C-9 W1 IUP Q RC I-E- 0.5 TE IC V) 14 NUMBER STREET VILLAGE Owner's Name: K[-f11 /t/4T7 0?- F I Phone Number 5D 9- 7 7 9 - t Email Address:k".niatO2,-Z,'P- 7 , WW Cell Phone Number Project cost$ -31, ? C D Check one Residential L/ Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize f 5 0 a4k(,htd to make application for a.building permit in accordance with 780 CMR. Owner Signature: Date: TYPE OF WORK g EDWindows(no header change)#—0 Insulation[Weatherization Doors(no header change)# ' — Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) 4 Construction Debris will be going to ya= mall CONTRACTOR'S INFORMATION Contractor's name fi_g tj r-.Al S A Fq R)(A Al Home Improvement Contractors Registration(if applicable) (attach copy) Construction Supervisor's License# Q 2 (attach copy) Email of Contractor 6D it,0 L4! Phone number -5-4) 8-2-2 ALL PROPERTIES THAT VE STRU&UR&OVERV7S YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. f i APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent I X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval, *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 180 CMR the Massachusetts State Building Code. I understand the construction inspe .o o edures,specific inspections and documentation required by 780 CMR and the Tow e. Signatur - Date LICANT'S SIGNATURE Signature 0// Date 7. All permit applications are sub' ct to a building of al approval prior to issuance. The Commonwealth of Massachusetts UVDepartment of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. ApQlicant Information Please Print Legibly Name(Business/Organization/Individual):ARMEN SAFARYAN Address:67 SEA ST APT. A4 City/State/Zip:HYANNIS, MA 02601 Phone#:(508)776 2900 Are you an employer?Check the appropriate box: Type of project(required): 1. am a employer with employees(full and/or part-time).' 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3.a I am a homeowner doingall work myself t 9. ❑Demolition y [No workers'comp.insurance required.] 4.[]l am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12.❑Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance) 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑L.Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. 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 MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un r he ai d enaldes of erjury that the information provided above is true and correct Si ature: , Phone#:(50 )776 2900 Date: 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#: . Office of Consumer c rs'and Business Regulation One Astiti n Place H©Ifi@ Bin, 02108 �°�� •��ntrac'tor Registratron a _- '.`_-i I Typec Indh►idua! ARMEN SAFARYAN - _-_ I _ -i . RegWraflom 1 67 SEA ApT A4 ST � HYANNIS MA 02601 20R4-0Stf7 UAditAddm=and natwn wed. QfftDQfC0nSUmWjWmb8'&8USbWWRG HOUSE UAMMMEliT E:WMdu� A R TYPE: pn valid for hjWvjMW use ardy 41 the n dates UfDund rectum to: _ _ �, Ware ems+ MEN SAFgfv. :_ 8 RA 0P116 /A COREYOEY` 7 1MEN SAFARYAOi (! Wr) SEAST Undemecret w Not v811 without dYgn#ure Massacbuseii s Depafte Board of-Builin nt of Public.Safe;y 9 Regulations end Standards License_CSSL 1r, 1 ARMEN SAFARYPW 87 SEA STREET' iA4 "YAVNO MA 02 01 Commissioned EX-Pir ton: �! 1//074020 i AcoRo® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYI) 09/13/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 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 pollcy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Ashley Paiva Eastern Insurance Group PHONED E. (508)997-6061 ac No: (508)990-2731 439 State Rd. E-MAIL SS: apaiva@easteminsurance.com ADDRE P.O.Box 79398 INSURER(S)AFFORDING COVERAGE NAIC t) North Dartmouth MA 02747 INSURERA: Arbella Protection Insurance 41360 INSURED INSURER B: Armen Saferyen INSURER C DBA:Corey and Corey INSURER D: 67 Sea Street Unit A4 INSURER E: Hyannis MA 02601 INSURER F COVERAGES CERTIFICATE NUMBER: 2018-2019 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 AUDL SUBRI MMIDDN FF POLICMMIDDY� LIMITS LTR TYPE OF INSURANCE INSD POLICY NUMBER COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ®OCCUR 1?i51R 100,000 PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 A 952004644104 09/18/2018 09/18/2019 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: - GENERAL AGGREGATE $ 2,000,000 POLICY❑PET ❑LOC PRODUCTS-COMPlOPAGG g 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTYDAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS�tADE AGGREGATE $ DED RETENTION$ fA RKERS COMPENSATION PER OTH- $ EMPLOYERS'LIABILITY YIN STATUTE ER PROPRIETOR/PARTNER/EXECUTIVE 1,000,000 CER/MEMBER EXCLUDED? ❑ N/A 9520046441.04 09/18/2018 09/18/2019 E.L.EACH ACCIDENT $ (Mandatory In NH) 1,000,000 If yes,describe under E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Display Purposes Only ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD COR EY & COREY "THE ROOFERS" ROOFING'SIDING&MORE 67 SEA STREET#�A4, HYANNIS, MA 02601 PHONE: 508-776-2900 � I ` SIDING PROPOSAL July 9,2019 KEN MATTOZZI 4 WEST WIND CIRCLE EM: ken.mattozzi@gmail.com OSTERVILLE,MA i Tel: 568-776-6298 COREY & COREY will perfo the following services in a neat and professional manner and in accordance with the �ufacturer's specifications and local building codes. Remove and Haul Away All of the Old Clap Board Side Wall From The Entire Front Side of the Main House and the Very Left Wall/Cheek of The Garage Only.Re Nail All .Plywood Sheathing as Needed. Supply and Install PRE-PRIMED FINGER JOINTED RED CEDAR CLAP BOARD at Average of 4",5"I Exposure with Galvanized Staples and/or Stainless Steel Ring Shank Nails On The Entire Front Side of the Main House and the Very Left Wall/Cheek of the Garage Only Supply and Install TYPAR/TYVEK SYNTHETIC UNDERLAYMENT PAPER ON THE ENTIRE WAIa L AREA Supply and pp y Install NECESSARY A UMINUM WINDOW& DOOR FLASHINGS PAINTING IS NOT INCLUDED Clean and Remove the Debris from work area after job is completed. TOTAL INVESTMENT--I----------------------$39850.00 i y CORE I .& COREY "THN ROOFERS" ROOFING;SIDING&MORE 67 SEA STREET#A4, HYANNIS, MA 02601 PHONE: 608-776-2900 SIDIl $ PROPOSAL POSSIBLE EXTRA CARPENTR : Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing�Metal Flashing,-Side Walling or Any Other Carpentry Needing Replacement pvill be done and charged for as an Extra: Materials Plus Labor at the Rate of S 60.00 per Hour(For Each Laborer Involved). i PAYMENT SCHEDULE: 'A Deposit 4 One Half is due at the Signing of this Siding Proposal and the Final Payment foi the Balance is Due Immediately Upon Completion. WORK SCHEDULE:All Roof Work is Scheduled for Completion Within 60 Days of Acceptance and Deposits Received are Non-Refundable After a Three Day Cooling Off Period from the Date of signing. i Please Make Checks Payable to: COREY & COREY COREY& COREY Warranties the Shingles and Labor for 5 years. COREY & COREY Carries Worl an's Compensation and Public Liability Insurance yn the Above Work. DATE OF ACCEPTANCE: 7-to-Iq SUB E Armen Safaryan ACCEPTED BY: KEN MATTOZZI N S AN HOMEOWNER COREY& COREY HIC # 183202 CSSL# 106102 �< TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i Map Parcel l� 1.10® L : Application ""Health Division `` Date Issued ✓`Conservation Division :`,Applicatiop Fee S v Planning Dept. Permit Fee' Date Definitive Plan Approved by Planning Board 1011y)16 Historic = OKH Preservation / Hyannis Project Street Address Village rm uY f � Owner /� 1� F_1WA/Z•f N i �4 �O 2 Zo, Address. S-%14 t� Telephone Permit Request l.S X3 to Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Sao®O Construction Type &VO0 Lot Size ! Z% Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family `❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: 0 Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑ Other �o�] - 51 as ON Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ® new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes E•No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) � j Name lC,u �- �-t�'�1t�5� �t �o"�S� Telephone Number � 1� Li 7 q`7 Address ® `�, License# C.S &(p Comte.-J i ku_ k � Z 6 Home Improvement Contractor# L7 l.-Z Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I'nSIGNATURE �•- DATE �f. III `s FOR OFFICIAL USE ONLY AePLICATION# D'DATE ISSUED � : , � •r�t?.yE , , �4;;:. . _ a , ._.-;MAP/PARCEL NO., ADDRESS,' VILLAGE `OWNER DATE OF INSPECTION: i I ,u LFOUNDATION�dk °�; lro D: /:D'0 FRAME ltl I llb.4 '•INSULATION.' Q'1.33.aa i FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL .1 - FINAL GA$: 1_�5_ - ROUGH R���:_4: � >EINAL BU.ILDING'�' a s osa s ' a- DATE ASSOCIATION PLAN NO. Th.e Commonwealth of Massachusetts Department of.Industrial Accidents r' Office of]',,-vestigatio ns 600 Washington Street t Boston; MA 02111 sy www.mass.gov/d�a Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/organization/Individual): e+ '` LO h S f_nV( Address: 0 2 City/State/Zip: e, e,.— r #: Are you an employer?-Check the appropriate box: 'Type of project (required): am a employer with Z 4. ❑ I am a general contractor and I 6 ❑ New construction employees(full and/or p 2.❑ 1 am a sole proprietor.or partner-art-thine).* have'hired the sub-contractors.. _ _ listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition ity. employees and have workers' 9 VBuilding addition working for me i any capac o workers' comp. insurance comp. insurance. [N 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 l 1.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12 ❑Roof repairs insurance required.] t e. 152, §I(4), and we have no employees. [No workers' ]3.❑ Other comp. insurance required.] *Any applicant that checks box/t) must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside con traetors'must submit a new affidavit indicating such. 1Contractors 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 employers,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 crimina] penalties of a fine up to S),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 S250.00 a day against the-violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the iirformation provided above is true and correct. Si ature: a 11. Phone#: . o Er only. Do not write in this area, to be completed by city or town official n; Permit/License# hority (circle one): I. Health 2. Building Department 3, City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector son: Phone #: hformatzon and fnstructzons , Massachusetts (3encraJ Laws chapter 152 requires a)) cmploycrs to provide workers' compensation for their emPloyees. PursLianl 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 dcfrned as "an individual, partnership, association, corporation or other lcga)critily, or any twoOrhC ord of the foregoing engaged in a joint cniciprise, and including Lhe legal representatives of a deceased employ r receiver or trustee of ao individual, partnership, association or other legal en Lily, employing employees. Howevcr the owner of a dwe]ling houschaving oot more than three apartments and who resides lherein, or the occupant of the dwelling house of another who employs persons to do maintenance. Cons fniclion or repair loYcr work on such dtivel)ing house , or on the grounds or building appuricnaoi thereto shall not because of such employment be deemed to be an 6mp MGL chapter J52, §25C(6) also states that "every state or local licensing agency shall ivithliold the issuance or renewal of a license or permit to operate a business or to construct bui)dings in the commonwealth for any applicant who has not produced acceptable evidence of comp)iance with the insurance coverage required." Additionally,MGL chapter I S2, §2SC(7) stales "Neither the conunonwea)th nor any ofits political subdivisions shall enter into any contract for Lheperf0hi1an6e ofpublic-work until acceptable cvidcnce ofcomp)iancc with the jnsurancc requirements ofthis chapter have becnpresentcd to the contracting authority." Applicants Please fill out.tbe workers' compensation affidavil completely, by checking the boxes that apply to your sihiation and, if necessary,supply sub-conlraclor(s) namc(s), address(es)and phone numbcr(s)along with their cerlificaic(s) of insurance, Limilcd Liability Companies (LLC)or Limited Liability Partnerships(LLP) with no employees other Lb an the members or partners, arc not required to carry workers' compensation insurance. If an LLC or LLP does have employees a policy is required. Be advised that this affidavil may be submitted to the DeparLmcni of Industna) Accidents for confirmation of insurance covcragc, Also be sure to sign and date the affrda»t. The affidavil should be returned to the city or town Ihat•the appliaation for thcpermit or License is being requested not iheDeparkcrs' of Industrial Accidents. Should you bavc any questions regarding the Jaw 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 OfTcials ' Please be sort that the affidavit is complete andpnntcd legibly. The Department has provided a space AI Lhe bottom of the afdavil for you to fit)out in Lhe event lbe Office of InYesti gat ions bas to contact you regarding the appII cant. Please be sure to fill in theperrniUJiccnse number which will be used as a.refcrence number. Inad.dition an applicant that must submit multiple permiUlicensc applications in any given year, need only subrniI ono afLdavit indicating current policy information (if necessary)abd under"lob Silo A_ ddr.css" the applicant should write"all Jo.'c?lions in _(c)ty or town)•"'A copy of the affidavit that has been officially siampcd or rnaAcd by the city or town Y be provide d Lo 0 applicant as proof Lhat a valid a5davil is on file for future permits or licenses. A new affidavi 0 us be filled C)ti t each year. Where a home owner or citizen is obtaining a license or permit not related to any busincs sor commcrci a l venture (i,e. a dog license of permit to burn leaves etc.) said person is NOT required to complete this 'davit. The O�cc of 1nYesligations woo i e o -a7rk p>3n ijj-a�y �r yo+�r cc�oprrat;r,n and show➢d youhave any q ues Lions, please do not besilaie to give us a call. The Department's address, telephone and fax number: f The Commonwealth of Massachusetts t Department of lndustrial Accidents Office of hye-Stigations 600 Washington Street Boston, MA 02131 Tel. ## 617-727-4900 ext 406'or 1-877-MASSAFE Fax # 617-727-7749 Revised 1-24-07 www.mass.gov/dia 1 I I DATE(MM/DDNWY) Client#: 15194 2RRCO A ; CERTIFICATE OF LIABILITY INSURANCE 09/22/2010 PRODUC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 973 lyannough Rd., PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: National Grange Mutual lnsuranc R&R Construction Custom Homes, Inc. INSURER B: Associated Employers Insurance - 90 Nye Road INSURER C: Ce`nte`rville, MA 02632 INSURER D: - INSURER E: - COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY EFFDECTIVE POLICY EXPIRATION DATE LIMITS LTR NSR TYPE OF INSURANCE POLICY NUMBER A GENERAL LIABILITY MP12445F 01/29/10 01/29/11 EACH OCCURRENCE $1 000 000 NCOM MERCIAL GENERAL LIABILITY DAMAGE TO RENTED $500 OOO CLAIMS MADE 51 OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&AD V INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY JFCT LOC IRO- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ -ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ ' (Per accident) - GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND WCC5003799012009 11/29/09 11/29/10 X I C S WTATU- OTH- I EEL EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $5OO OOO OFFICER/MEMBER EXCLUDED? NO E.L.DISEASE-EA EMPLOYEE $500 000 yes,describe under S E.L.DISEASE-POLICY LIMIT $5OO OOO SPECIAL PROVISIONS below OTHER nfl iDESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Job: Ken Mattozzi-4 West Wind Circle,Osterville, MA SEP 2 4 REC'D U Insurance coverage is limited to the terms,conditions, exclusions,other 1` - limitations and endorsements. Nothing contained in the certificate of lay- (See insurance shall be deemed to have altered,waived,or extended the Attached Descriptions) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1()_ DAYS WRITTEN TOO Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis, MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED�;PR ES E NTATI VE ACORD 25(2001/08)1 of 3 #S73015/M73014 LS1 0 ACORD CORPORATION 1988 Y 3 IMPORTANT � If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer,and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. i t t 4 � ACORD 25-S(2001/08) 2 of 3 #S730151M73014 f J u IVlassachusetts- Department of Public Safct% Board of Buildinf; Rely,�ulutions and Standards Construction Supervisor License License: CS 60160 Restricted to: 00 ROBERT J-HARRIS 90 NYE RD CENTERVILLE, MA 02632 Expiration: 5/9/2012 (•ummissiuncr: Tr#: 25590 ✓/e T�omvireovuaeal!! a�.�aaoaclu�,ka Office of Consumer Affairs&Business Regulation — . HOME IMPROVEMENT CONTRACTOR Reg istratiori -,4 59157 Expiration;- 4f4%202 Tr# 294778 Type. �t;Pr�uat Corpgration R&R CONSTRUC-1.ON C :S OM HOMES INC. t \" - ) ' ROEBRT HARRIS 90 NYE RD i CENTERVILLE,MA 0263 ' Undersecretary " T�Ll � Town of Barnstable Regulatory Services p rtta� $ Thomas F. Geiler,Director o�Epb � Building Division Tom Perry, $uildiog Coramissioner 200 Main Street, Hyannis, MA 02601 www.town.barostable.ma.us office: 508-862-4038 Fax: 508-790-6230 Prop erty Owrier Mus t Complete anti Sign.This Section If Using A Builder as Owner of the subject property hereby authorize �l -T`Z ���►�- ,��� to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) 4S1D2aAwxc Owner Date riot I�2 mP If Property Owner is applying for permit please complete. the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPER-MTSS10N Town of Barnstable of r ttr o Regulatory Services * apt s�As� Thomas F. Geiler, Director Building Division PrFo Ma't� Tom Perry, B uilding.Commissioner 200 Main-Slreet,_Hyannis, MA.02601 www.to tun.b arnstab 1 e-ma-us Office: 509-962-403 S Fax: 509-790-6230 EfO?•1EONNFER LICENSE EXEMPTION Plcase Print DATE: JOB LOCATION: number s trod vi))age "HOMEOWNER": name home.phone# work phone# CURRENT MAJLING ADDRFSS: city/town stato rip 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_ DEFTNITTON OF RWYMOWNER Person(s) who owns a parcel of land on which he/sbt;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 bD=oviMcr. 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 performrd undo the building permit (Section 109.1.1) 1 'The undcr-signed"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, Hiles and regulations. The undersigned "homeowner" certifies that.he/shc understands the Town of Barnstable Building Dcpartmrmt rninimum inspection procedures and requirements and that be/sbc will comply with said procedu xcs and requirements. Signatisrc of Homeowner Appmva)of Building O$icia) 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 EXEMPT-TON The Code states that "Any homeowner performing work for which a building permit is requirrd shaI)be exempt from the provisions of this section.(Seetion I D9.).) -Licensing of construction Supervisors);provided that if the homeowner engages a p=on(s)for hire to do such work that such Homeowner shall act as sups-visor." )Y-.any homeowners who use this exemption art unawzrt that they ass assuming the responstbilitics of a supervisor(sec Appendix Q, Ru)cs&Rcgvlaoons far Licensing Construction Supervisors,Scction.2.1 5) This lack of awareness often ms7ulu in serious problems,particu)arly when the homeowner hires unlicroscd prisons In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The hori)c oven cr acting as Supervisor is uitimatc)y responsible. To ensure that the homeowner is M)y aware of his/hQ risponnbi)ieirs, many communities require, as part of the permit application., that the homeowner certify that hdshc understands the n-sponnbilitics of a Supervisor. On the last page of this issue is a form current)y used by several towns. You may care I amend and adopt such a form/ccrtification for use in your community. Q:forrru:homeacrnpt ems- .� • APVC Ciride /o Ylood Constrccctioii in. f�c. /� IYinrl f(r'eas: I10 iup/a ll�iirrl Lor�c Massac.iusetts Checklist for Co III p.Izazace (780 (:1)f.R 5301:2.1.1�' ✓� Check Compliance 1.1 SCOPE Wind Speed (3-sec. gust).............................. ...................... 110 mph 4> .................................... .......................... Wind Exposure Category •B Wind Exposure Category................Engineering Required For Entire Project .......................................0 1.2 APPLICABILn-Y Number of Stories (a roof which exceeds 8 in 12 slope shall be considered a story)_L sfori s s 2 stories' !� Roof Pilch ...............................•............................................(Fig 2 �� 12:i 2 —� ( 9 ) ........................................... MeanRoof Height ..............................................................(Fig 2)............................................. ft s 33' ✓ BuildingWidth, W ............................................................:..(Fig 3).................................................1 ft s 80, ✓ BuildingLength, L ..............................................................(Fig 3).................................................3 aft s'80' Building Aspect Ratio (L/W) ...... . ...................................(Fig 4)................................................. S _ 3:1 Nominal Height of Tallest Openingz .............................:.....(Fig 4)................................................�<6.8,: �G 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)............................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. ConcreteMasonry .............................................:...................... ...............................................:................ 2.2 ANCHORAGE TO FOUNDATION''' 5/B"Anchor Bollsdmbedded or 516'Proprietary Mechanical Anchors as an alternative.in concrete oLly,rf BoltSpacing-general ..............................,,.........:.(Tab)e4).................:............................. in. Bolt Spacing from end/joint of plate .............................(Fig 5)..................:................. I L- in. s 6' -12 Bolt Embedment-concrete.........................................(Fig 5)...... ...............................:.............ein. > 7" ✓ Bolt Embedment-masonry..................:......................(Fig 5)...:........i............................... in. i 15" PlateWasher.....................................................I..........(Fig 5).............................................. > 3" x 3, x X„ 3.1 FLOORS Floor framing member spans checked ..:.............................(per 780 CMR Chapter 55)................................... Maximum Floor Opening Dimension...................................(Fig 6)..................................................._ ft s 12' Full Height Wall Studs at Floor Openings less than 2' from Exterior Wall (Fig 6).....................I.................. Maximum Floor Joist Setbacks -� Supporting Loadbearing Walls or Shearwall................(Fig.7)....................................................._fi s d Maximum Cantilevered Floor Joists Supporting Loadbearing,Wails•or Shearwall................(Fig 8)....................................................._ft s d Floor.Bracing at Endwalls..............:......................................(Fig 9)................................................................... Floor Sheathing Type ..............:....(per 760 CMR.Chapter 55).:................................. Floor Sheathing Thickness ...........................................".....(per 760 CMR Chapter 55)..:..-................. in. Floor Sheathing Fastening..................................................(Table 2).._d nails at in edge/_ in field .1 WALLS i Wall Height Loadbearing walls..........:.............................................(Fig 10 and Table 5)........................... ft s 10' v —I�flr�-L-oadbear+agkrat7s _ ---,---(FiQ 10 and Table 5 .......................f�.._ ft 520' Wall Stud Spacing .........................................................(Fig 10 and Table 5).................. _ in. s o:c. i Wall S(ory Offsets ...:.......................(Fgs 7 & 8)............................ s 2 EXTERIOR-WALLS' Wood Studs f ' Loadbearing walls........................................................(Table 5)..........,....................2x ft_j� in. `� Non-Loadbearing walls ................................................(Table 5)............... ..... ft-La -6, in. --4___ a{ Gable End Wall Bracing ' FullHeight Endwa)I Studs......................................... (Fig 10)................................................................. WSP Attic Floor Lehgih._.t..............:...............................(Fig 11)........... • ft aW/3 Gypsum CeilingLen ih if WSP not used ....:..............(Fig 1 i ft ? 0.9W and 2.x 4 Continuous Lateral Brace.@ 6 ft. o.c. .. (Fig 11)............................................................. or 1 x 3 ceiling furring strips @ 16"spacing min. with 2 x 4 blocking @ 4 ft. spacing in end•joist or truss bays_k/ Double Top Plate ft Splice Length :....:......................................(Fig 13 and Table 6).. ............................ . Splice Connection (no, of 16d common nails)..............(Table 6)................... �1.................,.................= L A FTC Cride /0 1-flood Corr.c>'1,11C6011 iic High 110 nlj�/r. IYirrd Loirq [Vfass,,ichusetts Checklist for- Compliance (790 CA,li2'5361.2.1.1)' Loadbearing Wall Connections Lateral(no. of 16d common nails)................................(Tables 7)..................................................... 2 _� Non-Loadbearing Wall Connections Lateral(no. of 16d common nails)................................(Table 8).......................................................�� Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) HeaderSpans ......................................................(Table 9).................................. ft in. s 11 . Sill Plate Spans ........................................................(Table 9)...................................3_�ft in. s I �. Full Height Studs (no. of studs)....................................(Table 9).................................................:...... Non-Load Bearing Wall Openings (record largest opening but check.all openings for compliance to Table 9) Header Spans.............................................................(Table 9).................................. .ft 0 in. s 12' ti Silt Plate Spans.... .......................................................(Table 9)............:..................... ft_a in. < 12" Full Height Studs (no. of studs)....................................(Table 9)...................................... ........... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously Minimum Building Dimension, W o _ Nominal Height of Tallest Opening z o Sheathing Type..............................................(note 4).................1 JL.....L.(lS.�C.............. Edge Nail Spacing ................:........................(Table 10 or note 4 if less)......... ..........3. in. 1 Field Nail Spacing..........................................(Table 10).......................I................,..b.. i in. I Shear Connection (no. of 16d common nails)(Table 10)..................................... :...... Z Percent Full-Height Sheathing ) .`7 5%Additional Sheathing for Wall with Opening > 6'8"(Design Concepts) Maximum Building Dimension, L Nominal Height of Tallest Opening2...................:..................................................... , s 6'8 SheathingType..............................................(note 4)..............................................I....... • 3 t7 Edge Nail Spacing.........................................(Table 1 i or note 4 if less)........................ in. tG Field Nail Spacing.......................................:..(Table 11).................................................. in. Shear Connection (no. of 16d common nails)(Table 11)........... ........... .........................I........— Percent Full-Height ht Sheathing o 9 g........................(Table 11)...........I.......... .... /o �S 5%Additional Sheathing for Wall with Opening> 6'8"(Design Concepts).................:.. Wall Cladding /! / / Rated for Wind Speed?.......:...5........w!........... .Gk. ..! U.'f............................................................. . I 5.1 ROOFS Roof framing member spans checked?.......:................(For Rafters use AWC Span Tool, see BBRS Website) ' Roof Overhang ...................................................(Figure 19) ............. Y`"ft s smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls Proprietary.Connectors Uplift................................................(Table 12).............................................U= pif Lateral..............................................(Table 12).............................................L= pif Shear............................:..................(Table 12)..................... . .... ........S= plf. Ridge Strap Connections, if collar ties not used per page 21... (Table 13).LP.. �S...... T= pif Gable Rake Outlooker........................... (Figure 20 ft s smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprletary Connectors Uplift................................. ..............(Table 14),...........................................U= lb. Lateral Po. of 16d common nails)...(Table 14)........:.............................. = . lb. Roof Sheathing Type..... 780 CMR Chapters 5t3 and 59) ............ Roof Sheathing Thickness. ...............I...... ............................................I_in. -> 7/16" W R�Df ieBfhiAf��St£fl1fl ............................................ T--a1le-29............................................`....... Go- es: This checklist shall be met in its entirety, excluding the specific exception noted In 2, to comply with the requirements of 78D CMR•5301:2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the.WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e, Corner Stud Hold Downs per Figure 18a and Figure i8b xception:Opening heights of up io 8 ft. shall be permitted when 501. is added to the percent full-height sheathing -quire ments shown in Tables 10 and 11. he bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade.. � I IfI.FC' G111'de /0 P"oo l.C'oJ1sfi'uclr'o1r l.rr Ri( 11 1'1'iirrl All cua: .I10 nrplr 11'i�rd Zvn.e Moss'nChusetts c1le dist for Co In 11,'IncC (780CNIR 5.101.2..1:1)t 4. a. From Tables 10 and 11 and loca lion of wall sheathing and Building Aspect Ratio, determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16" and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. 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 lop plate. iv. OI, two story construction, upper panels shall be attached to the lop 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 floor framing. v. Horizontel nail spacing at double top plates, band joists, and girders shall be a double row of 5d staggered 2t 3 inches on ceriter 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. 26 or north of Rie. 6) b) vertical addition—not required unless there is extensive renovation to the first floor c) replacement windows —needs energy conservation compliance only(chap 93) 6. Wood Frame Construction Manual (WFCM) for 1 i0 MPH, Exposure B may be oblained from the American Wood Council (AWC)website. / '-YMEN THIS EDGE RESTS ON FRAM ING USE 81J NAILS AT 6-o-c -- •--- '—lit-------T-'-- -- I 11 ' ii II I 11 I 11 1 I Q U 1 II a II 1 Qz- I n• 1 11 /I I II n N I r If f, 11 p i•i ri'4 I II I 2 I r I r 1 I ! II � ll II D f I I i I Ld U LU 1 1 1 I I n ii I a I i a d r 11LUlj i i r i FRAMING MEMBERS Ir n ' 11 I 1 EDGE di'rFJ�lE1�fA7E .. I II / II W if ii I 1 I a u 4f I 1 I t 1 �I I ` I ' li If 11 _ -- ^—f - -�� I,f STAGGERED DJ•SPACR�G --- NAIL PATTIRN PANEL 1 ANAL_ _ y 4 PAhIP EDGE DOUBLE"LEDGE, SPAG�IC DETAL See Detail on Next Page Detall Vertical and Horizontal Nailing Vertical and Horizontal Nailing for Panel Attachment for Panel Attachment n /' �_` � ! 1 Z I +� iMassachusetts- Department of Public Safety Board of Buildin.7 Rc��ulations and Stand:uds Construction Supervisor License License: CS 60160 Restricted to: 00 ROBERT J HARRIS 90 NYE RD CENTERVILLE, MA 02632 c-- �"�- Expiration: 5/9/2012 ('ununissiuner: Tr#: 25590 License or registration valid for individul use only. before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 Not Vaithout'sigature r x 1 • i i rq I � 1 � i II I 1 1 i II � • E r h y 4 1 . i t i i O i t ii r` e` i i . � I i i S f j COI-T b � k 6` X^ C°. 8 N x N x o cc 7�3 ] 4— or i f 1 ' i P L f8 � . c 1 i i •y�y Ifw i Ln ROUTE 28 o N s 8s�3a•lo•E 83.44' w � � N w a N� abe�9a N , 9 SHAD •�o � `$ PROPOSED o $ V1 ADDITION ►�'�� �` , LOT ll e � 16421 S. F. PATIO 2.6.2, op, �h _ a1 -V 9 I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL TOWN OF BARNSTABLE ZONING KNOWLEDGE. INFORMATION AND BELIEF THE DWELLING ZONE RC SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS OF THE ZONING BY-LAW FOR THE R-C DISTRICT. SETBACKS FRONT - 20' SIDE - 10, - REAR - 10, THE DWELL I NG DEP 1 CTED ON THIS �' r�4 TTc�ZZ j JOB Al TAYLOR DESIGN ASSOC., INC. SHEET NO. t OF AL P.O. Box 1313 Forestdale, MA 02644 CALCULATED BY �� "t DATE_1 a- Ct - to ` Tel./Fax: (508) 790-4686 CHECKED BY V►� , `—ff/N n C1(."Or . sq&CALE ._.... :.............................. TA YL9A i ....:.............:.... Nt G 2 i 4 : ... ................. � l �r j77° stEa .. . . .... dG ........ - ..... ..... ..... ...... .. ...... ..... ....................... ..... ................._._.....-............................ ...__.. .... ...... ... . . ...........`.......... ..... .... . ..�.... l. . ...` ....._t ................................................. ........................................................................._.. ..... ...... ..... ... ..... ..... _ ..... ...... ..........:.... ....:. ....:.... .. .N C' o ; d L; LC. ............. � � .E--ram,..,. � - - ... ....:_.. .... ....:.... 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Box 1313 Forestdale, MA 02644 CALCULATED BY CM Y DATE LO--�-- to Tel./Fax: (508) 790-4686 ` CHECKED BY DATE � � ALE t ................._....................................._....._....................... ...... ..... ..... ...... ..... ..... ...... ._... _.... ...._ _... -. -..._ .....__ ....... .. -- - -- - : ......:.... a. 2. ............................ ..P............................................. ...................... z.........� .._.. c..._ ............. ............................. .................................... ..... ..... ..... ..... ...... ...... ..... ...... ..... ..... ...... ... . ..... ..... - / _ ✓ .. 9 8 . ....k........ ..l........:... ........................ . . . . . : ....._:.... : .._;.......................;... 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N..__.._.............._._ _ 0� _ ..........:.... .... .......... ..........................._—.............. ` X �9 .... .......................................>....... .9 .... ...... ....._ ..... ...........................>........... '_._. • M � ...................................._... ._.... _. ....;... ... 2 MW6f 204-1(Sk*WM)20S1(W TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION + y G Map Parcel 01 1 0 0 1 Permit# O Ql L� L Health Division c� Date Issued 0, Z-7, L) K _ Conservation Division.: Fee Tax Collector Application Fee t Treasurer �� Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address ujeE' —, W i*J f) ilfwl_cx c Village ,,//D:J� .yJ -L-�_ Owner 14er, n[e;--q Address G)r 3;W:.J 0 �Zti- Telephone a © E ',;� +er-; �0 g 17 6g� Permit Request uare feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new`. c al t 6700 Zoning District Flood Plain Groundwater Q erlayc- Construction Type Lot Size Grandfathered: ❑Yes Cl No If yes, attach supporting documentation. Dwelling Type: Single Family O Two Family O Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes O No On Old King's Highway: O Yes O No Basement Type: O Full ❑Crawl O Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new ' Number of Bedrooms: existing new Total'7Room Count(not including baths): existing new First Floor Room Count 1 Heat Type and Fuel: ❑Gas ❑Oil O Electric ❑Other Central Air: O Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes O No Detached garage:O existing 0 new size Pool:O existing O new size Barn:O existing O new size Attached garage:O existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number c Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE 1 r FOR OFFICIAL USE ONLY PERMIT NO. H ' r • DATE ISSUED r� -P MAP/PARCEL NO. a ADDRESS VILLAGE OWNER ` DATE OF INSPECTION: ' FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL-- PLUMBING: ROUGH FINAL _ GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ry s i v - � Rid 7�CERT/f"Y. T,wGi T TH/J LOT 1J �'MQT LfaG TEi� /N fEaER�I d, f;�.000 /�AZA O 2 AS &O WN ow THE FE`OER'AL &00v,INSURANCE RATE A(Af� f OR THE (TdIYN ff�` CpA�t1�111N/TY PANE1, NO. EffECT'fYE Tel TE:..,..,.. .... TE NOTE: NORTH ARROW NOT TO y t' ,BE USED FOR SO,I.AR PURPOSES. y m ,F Vi � M � . p M .4O zt rj x'r'' � O C � > W: :ST-w�II D aIle 1>1 z. Cox M/a oLoT pi.Am *As,� r Ampe f w fOU/VOA�TION 1OCAT/ON PLAN IivsrRUA�E�vT A� ���., - GCSE•OF THE 4ANK M4 v UN�PE/r NO �?"�,� ' C/R+CUM,STANCES ARE, OFFSETS Tn BE l/orp FOR fENCE,�, *A�G�tJ, MEv®E8, FTC. . /YNEO QY: ' TH OF Mq A�4"ROIy E NEERlNG /IVC H aoa tr, y GO EAST .4�.MaLlT o cJ. E . N .EAST FA�G�IO'[/TH AM.- O.Z.�3f� RAYMOND y ; FyiTE� JNEET NO.21553 A UG I, /90 I!Y bWCA'E'Ol -4A0V OY' PLAN Na i Town of Barnstable OEZME 3'� Regulatory Services Thomas F.Geiler,Director snx>V� � CAM `0 Building Division p�fcy� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma-us 'dice: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print j DATE: JOB LOCATION; E� 7.J .�I �+^+� 0,9Q575 number street village "HOMEOWNER':L�>u^+^�iTH /y�fk"CTbZ2 6 5(—!Za� � name home phone# work phone# I i CURRENT Mkl],INGADDRESS J t'� i 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 ITI 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 responsibiliiy 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 re nts, i a o meowner 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 log.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,thal'such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assurrring 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.problem,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 can t amend.and adopt such a fom•Jcertification for use in your community. A•innnc•hmmP�XeIIIDt .. c � 1 ne."mmonweatrn of massacnusetts Department of Industrial Accidents Office.of Investigations- ' . ' 600 Washington Street Boston,MA 02111• www mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/org =ationandividual):_�®�G•� � �� �i G � Address: City/State/Zip: �,��� ` �` Phone#• � ��� ���L�.. Are you an employer? Check the,appropriate box:. Type of project(required): 1.❑ I am a employer with �_ . 4. ❑ I am a general contractor and I 6 ❑New construction employees(LU'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 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp, insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or.additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1.1-❑ Plumbing repairs or additions myself.[No workers' comp. C. 152,§1(4),and we have no 12-0 Rqef repairs insurance required.] t employees. [No workers' comp.insurance required.] 13. Othe lee- 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: r Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy,information. _ i am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. / , Insurance.Company Name2�9b�-r -iM7 V;41 p y� Policy# #:Li or S elf-ins. c. �e�2 g/S-*3�,9d 8 0® . 41 • Expiration Date' : Job Site Address: y �� -7—G�'i'ti 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. l do hereby certify un the p ' s a dlties of pe ' ry that the information provided above is true and correct$1 /✓� ro Date:. 9 _C,� 0 to . Phone#:_ /—,�q ® D . Official use only. Do not write in this area,to be completed by city or town officiab 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#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. pursuant to this suite, 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:"aa i�pdivi¢t�a1,..Pa P�:association, Forporation or other lega1 .l entity,or any two:or more of the foregoing•engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. Howcv.er:tlie 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 woikvn such dwelling house shall not because of such employment be deemed to bean employer. or on the grounds or building appurtenant thereto "MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence-of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its-political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners; are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Shouid 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-shouid enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or maTked 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 affidavitmust be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and.fax number: The Commonwealth of Massachusetts - Department of Industrial.Accidents office of jnvestigations . 600•Washington•Street- . r Boston,MA 0211 L. f Tel.#617-727-4900 ext 406 or 1-.877-MASSAFE Fax#617-7274749 Revised 5-26-05 www.mass.gov/dia Liberty Mutual Group Liberty PO Box 7202 A� �y Portsmouth.NH 03802-7202 1�9 Jl. Telephone(800)653-7893 Fax(603)431-5693 December 15, 2004 MARON CONSTRUCTION CO INC PO BOX 6726 PROVIDENCE,RI 02940- RE: Certificate of Workers Compensation Insurance Insured: SCOT T RABOSKY-DBACOLONIAL FENCE" 15 HOLMS RD - - - E HARWICH, MA 02645 Policv Number: WC2-31S-349182-014 Effective: 11/18/2004 Expiration: 11/18l2005 Coverage afforded under Workers Compensation Law of the following state(s): MA Employers Liability: Bodily Injury By Accident: $ 500,000 Each Accident Bodily Injury by Disease: $ 500,000 Each Person Bodily injury by Disease: $ 500,000 Policy Limits As of this date, the above-referenced policyholder is insured by Liberty Mutual Fire Insurance Co under the policy listed above. The insurance afforded by the listed policy is subject to all the terms, exclusions and conditions, and is not altered by any requirement, term or condition of any or other documents with respect to which this certificate may be issued. r; ..... ...._.I.....-...-- ._._.... ..._._.. Thig certificate is issued as.atiatto d ihf& ation only and confers no right upon you,the ceCt i&iEN6Ider--- - This certificate is not an insurance policy ud does not amend, extend, or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiratiori date,Liberty Mutual will endeavor to notify you of such cancellation. \,—I,j t t AUTHORIZED REPRESENTATIVE LIBERTY MU'fl1AL INSURA\CE GROUP This Certificate is executed by LIBERTI'hnITUAL INSURANCE GROUP os respects such insurance as is afl'oided by those companies. cc:. Insured: Producer of Record: SCOT T RABOSKY DBA COLONIAL FENCE C J MCCARTHY INS AGENCY INC. 15 HOLMS RD 437 STATION AVE E HARWICH, MA 02645 S YARMOUTH.. MA 02664 t 11 t'Sr^-txta c � i ne "mmonweattn of massaenusetts Department of Industrial Accidents Office.of Investigations ' 600 Washington Street Boston,MA o2111, www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricia>as/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual)' 'Address: 11 InJt�r-,l vt� �rnGLC' City/State/Zip: Q:;PQ&c, Phone#: 60 2(_•fao— 4 Are you an employer? Check the-appropriate box-. L❑ I am a•employer with 4• am a general contractor and I .Type of project(required): employees (full and/or part-time).* have hired the sub-contractors 6• ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. [] Demolition working for mein any capacity. workers' comp. insurance. 9, ❑ Building addition [No workers' comp, insurance 5• El we-are a corporation and its required.] officers have exercised their 10❑ Electrical repairs or.additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself.-[No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.0 Other *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, tContractors that check this box must attached an additional sbeet showing the name of the sub-contractors and their workers'comp,policy information. l 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. i do hereby ce fy nde wins and penalties of perjury that the information provided above is true and correct. S a Date: Phone#: Official use only. Do not write in this area,to be completed by city or town officiak 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#' Information and Instructions , Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as: `_`art?n�dual,.:partuMs4ip�:association,porporation or other legal entity,or any two or more of the foregoing-engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair woikvn 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 insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work.until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below.. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that-a valid affidavit is-on file for.future permits.or licenses..A new affidavit must be filled out each year.where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and.fax number: The Commonwealth of Massachusetts . Department of Industrial.Accidents ..Office of Investigations 600-Washington Street- . Boston, MA 0211 L. Tel. # 617-727-4900 ext 406 or I-.877-MASSAFE Fax#617-727-7749 Revised 5-26705 www,mass.gov/dia i ` \ 128 Rear Great Western Road � LONIAL South Dennis,MA 02660 Qp 508-760-0035 508-760-1220 Fax PRO , SUBMITTED TO: Pr10N DATE STREET JOB NAME C STATE AND ZIP CODE JOB LOCATION We hereby submit specifications and estimates for: Q� i c" ke / FrDpIIzB hereby toynish material and labor-co etezinao dance �with /the above specifications, for the sum of: be m de as o �Q All material Is'guaranteed to be as specified. All work to be comple ed in a Authorized workmanlike manner according to standard practices.Any alterations or deviations Signa from the above specifications involving extra costs will be executed only upon written orders,and.will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owners to carry fire, wind damage and other necessary insurance. Our workers are fully covered by Note:This proposal may be workman's Compensation Insurance. withdrawn by us if not accepted within days. Q OfII$A1_r The above prices, Signature specifications and conditions are satisfactory and hereby accepted:You are authorized to do the work as specified.Payment will be made as outlined above. Signature Date of Acceptancae: o 1o�29fJo N ROUTE 2(9 S 85033.10-E c� 83.44' 4 ` O in 4 A6 8� A sNe� •A o p m � v L 0 r ! I ay oy 1 PAT14 25• s *`••+6421 � S.F. ©40" a gyp• �� CONCRETE FOUNDATION / ADD l T ION .�11 UNDER CONSTRUCTION LOCATED BY 9h 26 1b SURVEY ON OCT. 191 2010. 9 TOWN OF BARNSTABLE ZONING 0 ZONE RC SETBACKS FRONT - 20' I CERTIFY THAT TO THE BEST OF MY PROFESS/ONAL SIDE - l0" KNOWLEDGE, INFORMATION AND BELIEF THE DWELLING REAR - 10' SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS OF THE ZONING BY-LAW FOR THE RC DISTRICT. THE DWELLING DEPICTED ON THIS OF PLAN WAS LOCATED ON THE GROUND PLOT PLAN BY SURVEY ON DUNE 26 2007AND � � �`N(% gs�yc 'EXISTS AS SHOWN AS OF THE DATE !N ' OF LOCATION. Oft BARNSTABLE, MA. APR t THIS PLAN /S FOR PLOT PLAN fiN,� � �y0`'J SCALE: I '-30' JUNE 271 2007 PURPOSES ONLY AND NOT FOR REVISED OCT. l9y 2010 RECORDING, DEED DESCRIPTIONS / EAGLE SURVEYING , INC OR ESTABLISHING PROPERTY LINES. 023 Route 6A Yomtouthport. MA. 02675 o (508) 362-8132 THIS PLAN IS VOID /F NOT (508) 432-5333 STAMPED AND S/GNED IN RED. 0 15 30 60 PROJECT NO. 92-230 10/27/2010 20:28 508-790-4686 PAGE 01/01 I I i i yl: r Design Associates, Inc. I i P. O.Box 1313 Forestdale.IVIA 02644 I Tel' hone&Fax: (508)790-4686 • i October27,A10 i • Bob Hams Fax: (508)420-3674 R&R Constriction 90 Nye Road Centerville,M� 02632 I I i I RE: Manor i Garage 4 West!Wind Ciro Osterv#le,MA. i • Dear Mi. Harris, On Ocl bex 26,A 1 ,I Lspected the subject garage addition. The two 1 3/."x1 I V LVL beams er the 9 foot garage door opening was£tamed to the garage jams. The end s W4 ts are a composite 970 ''/s"post(6-2x4's)_ Tbis change fi n the beam exi oi idiro across the full width is approved. Two 5/8"dia. anchor bolts wftth•3"x3"p s oic anchoring each wing wall. All wok is sufftci It ark meets and exceeds the design loads required by the 780 CMR,iMassachu ilding Code,70 Edition. Sincerely, . K OF j . IAVTAVWR • i R. Grego lor, ND ° ~ Tresideint ! I i I i jl Taylor Design Associates, Inc. P. O. Box 1313 Forestdale, MA 02644 Telephone & Fax: (508) 790-4686 October 27, 2010 Bob Harris Fax: (508) 420-3674 R& R Construction 90 Nye Road Centerville, MA 02632 RE: Mattozzi Garage 4 West Wind Circle Osterville, MA Dear Mr. Harris, On October 26, 2010; I inspected the subject garage addition. The two— 1 3/4"x11 1/4" LVL beams span over the 9 foot garage door opening was framed to the garage jams. The end supports are a composite 9"x3 ``/2"post(6 - 2x4's). This change from the beam extending across the full width is approved. Two 5/8" dia. anchor bolts with 3"x3"plates are anchoring each wing wall. All work is sufficient and meets and exceeds the design loads required by the 780 CMR, Massachusetts Building Code, 7th Edition. Sincerely, N OF l TA 00 R. Grego ylor, ,��21Y�� President 31� JOB KX-r-r& ,r-T-j TAYLOR DESIGN ASSOC., INC. SHEET NO. Nd,0210 OF Lp2s A-t�� P.O. 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C-M. ............. .......... ........................................ -17 ........................... .......... ... ........ ... .............. ..................... ................ . .................... ................................. ......................... ............. :.......... ............ .........................-................................................................................................................................................................................................................................... .............. ... ............................. ........................................... ................................................................................. .......... ........... ................ ...............?. ................................................ .......................... .. . ....) .................................... ......................................... ...................................................................................................................................................................................................... ...................................................... --------------- .......................... ........................ .............. ......................... .................. . ... .........................................................................I................................... ............................. ...................... ........... ............. .......................... ......................................i i 1 1 ............................................ ........ 4� . ............................................................................... . ...................... .................................................... ............................................................................................... I........................................................................................... ........................ ........................ ................................. .............. ........... ....... :4-0 k) ROUTS' 2 8 O Os ' N S 8S°33'l0'F 83.44' N fp sk�A 'o 0 4 a �►� g PROPOSED ADDITION y L 0 T / 1 �F��� `M e � 16421 f S. F. PATIO Irb a'1 y O C T 1 8 RECT V` BY i I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL TOWN OF BARNSTABLE ZONING KNOWLEDGE. I NFORMAT ION AND BEL I EF THE DWELL/NG SHOWN HEREON CONFORMS TO THE HOR/ZONTAL SETBACKS ZONE RC SETBACKS OF THE ZONING BY-LAW FOR THE R-C DISTRICT. FRONT - 20' SIDE _ l0' - REAR l0' �`H OF o� FRNK THE DWELLING DEPICTED ON THIS o WRANK N } PLAN WAS LOCATED ON THE GROUND N0.28869 o PLOT PLAN BY SURVEY ON JUNE 26. 2007 AND �'a q Ep J4� IN EXISTS AS SHOWN AS OF THE DATE f6t$TE �J� OF LOCATION. (`a. ." BMNSTABLL', MA. /Z 7/'oa 7 SCALE: I ' 30' JUNE 27. 2007 THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND NOT FOR EAGLE SURVEYING , INC RECORD/NG. DEED DESCRIPTIONS 923 Routs Eli OR ESTABLISHING PROPERTY LINES. Yarrrouthport, MA. 02875 (508) 3E2-8132 I (508) 432-6333. I' THIS PLAN 1S VOID /F NOT STAMPED AND S/GNED IN RED. E 0 15 30 60 PROJECT NO. 92-230 A • /a/-- �ssor's;ma p and lot number ............... .. ... .... ... THC Sewage Permit number .. ..3. 1�..f.'...;:.........r........ 4�. /� Z BAWSTa LE, i House number ...............:.......::.........'1.......1 ............... ..... ' 9 rae . �pq�163q DNA a' TOWN ;OF B.ARNSTABLE BUILDING .- 11SPECTOR • a APPLICATION FOR PERMIT TO ...:.....:.. .. ..AA..................................... ...... .............................. TYPE OF CONSTRUCTION .....:...............:. ...........Se. ............................. . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: e 11 ' Location .....4, ........J.1....... .e. .. ..... ..�.�1.tad....... ..�L.��................................................................... Proposed Use ..... J`.1..NNC�..�. ........ ��r�.1M.�. ......�..s. .:�...W,Vy ,c. ... .............................................. ZoningDistrict ............ ..L..f.::.................................. Fire District ��....... .............................................................................. Name of Owner Address ..........� ~ ..,. .................... Name of Builder ..S..N.?�`T. .� �Y. .�A.,&\ ddress .......��. ......�f'S�!�J(,?�%.7 �7f.................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms 4.... �► .*.1��1h.. :Foundation ... ..0.��.�.�C ....�.�.! .�.,S.r.: `�.. Exterior ........ ..f-',t.-FXF..... � LcV. ofing ............ �rA I.T....J. z._z:-7,y........ Floors .............. I... .)..............................::.Interior ............ ........................... ..............Plumbing .......... .............heating ...... W. .....................-.. 4 Fireplace ...........'..... .. .fir................................................Approximate. Cost .................. `��... .................... Definitive Plan Approved by Planning Board -----------__:________-------19_______ . Area ......... ... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 0 C hM Y �6 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ... . .......... .. . 4a .,,..... ... -Construction Supervisor's License ..... !�..........l....... IDENAIS STAR CONSTRUCTION 26826 —......... Permit for ... .. ............. Single Family Dwelling ........................................... Location I,ot ......4...West...Wind...Circle.... .. ........ ........ ...... . Osterville ............................................................................... Owner ....Dennis...Star..Cons���......... .. .......... ...... .. ........ Type of Construction ..Frame........................................ ................... Plot. ............................. Lot ...................... ......... Permit Granted ..August..'9.f..................19 84 D a Inspection .................................... Date .19 Date rEd mpleted ..........................1-9 A F � .11j ti'�+I . Resy ,CERTIFY fkAr THIS LOT c Avr LOGATEO /N FEOERM. AM;, NAZA A, w ,_ . �► et .4S SflOwv ON THE CEOER.4,L F1.000,INSURANCE RATE AMP FOR.THE TOWAP Cw, COAWUN/rY PANES. M. EFFECT/YE TEj_..�...._ _ i9t7BERT E. RAYMONO, A 4,.S ANTE NOTE: NORTH ARROW NOT'TO BE USED FOR SOUR PURPOSES y Z r P ' N . ud41547/oj f {.f ¢8 Z.. N w y >t H C) ILI .76, 9,5 - ---- - - --- A O TW. S .W.D C P � � . { ` nm/.i pl or PLAN' mis/IbrAmm *rAM FOUNPATION IGOC,4T/0/V PLAN . AM /asrREMENT.Sl/RYEYANO /.9 FM THE 0T WEST . _/N_ C l PCLE !/SE OF rNE 9ANK QNGY. UNFER NO _R vy-1--Z y RA CIRCUMSUNCE.S ARE, OFFSETS Tb BE — . USED FOR FENCE, WULd, MEMEB, Erc, ONNE.O QY; DE/VIV/S Isn Co�c1$r��crl_ H OF�Llgf ARROIY 4cw-✓wrApmG INC. GO- EACT or I, MOUM HIGHWAY.- E ROBERr yN •E.4ST F.�1 ria%�IOL/TN �I/A. O.Z,S96r , m r21 y J ; ' , . RITES JiVEET� OYf P"N Na v Is. TOWN OF BARNSTABLE Permit No. 26826 Building InspectorCash9. OCCUPANCY PERMIT Bona ____X__ Issued to Deimis Star Constructioi: Address lot #11 4 West kind Circle, Osterville Wiring Inspector 1 aTr� _ _ Inspection date Plumbing Easpector/ ( ', �, Inspection date Gas Inspectoro��-�{_sue Inspection date 2 Aa..; i R4 Engineering Department—Inspection date Board of Health ;. ✓l 1 fyyV r yj r�Y�' Inspection date 3 —c� THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .... ............... .. g p Buildili Inspector . f Si,' ,� r - • _ !. .' r V. ,1 i m �� }1•k.� .. '��•1'�i�� �,,.. ���T1� N.i f ♦ 4 i'.f ,y �^r� TOWN OF BARNSTABLE BUILDING DEPARTMENT t ssaaas : TOWN OFFICE BUILDING rua °b t639• �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by ' Building Permit #.............. .. ...Q.._ .L/o ......... ......... ..............».»........ ......_............... . issuedto .. -11''7 ......».. ...............u.._..........................�.... ......»............»..»»» ...»»»»...... ».»..»»». 'Please release the performance bond. I F /�i //- l Assessor.s;,ma an lot number v,--:....:•:� y t�4 '` �Q�O GAO •� Sewage Permit number .. ........`::�....... 13AW TABLE, House number ................................... .......iC/�,.....................` r MAO& Apo,039. ♦� TOWN OF • BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ?...1...0.c ..................................................................................... TYPE OF CONSTRUCTION ............. ......... ...................................................... IL .................;.............................19.P . TO THE INSPECTOR OF BUILDINGS: undersigned .hereby applies for a permit according to the following information: L..Q.`��"'.......�.�.......W��.�..�.....�.� �c�......�.�..�� \�.................................................................... r ProposedUse ..... ..�..vl. ..�.`�:........ a. .�.�.y........�?.. I„ ,..,. . ....................................................... Zoning District7-clK! .......................Fire District r. Name of Owner .. N/!! ..Q... r ....%(2.h�.f.`.. :f�..Address .,1,!Vl.t?:�J..';�is ...................... Name of Builder 1. \Address ................... Nameof Architect ..................................................................Address ..............:...................................................................... 3.R, a 3a�ra } �,� 7 Number of Rooms ....................................K.' ....1�............Foundation .C...... ........ ..,�....... . Exterior ...... I �Il� �—f=.1�., �11�L !.'Roofin � �-..T.... �.�...1• C-P........ �. .,., ... r .......... �. .. �._� g .......... . .. Floors ................. 1q..9..F. .T (' ..6`......:.........:...........Interior V...!il/�L-f Heating ......6A� ......HALT...I'A..T+�+�..............Plumbing ........ ,:�...�./? .T!7.�............................. ...... Fireplace �� �✓ ..... �:.I. Dl9"a.................... ,r.,:. Approximate. Cost ........................_ . Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ......... ... Diagram of Lot and Building with Dimensions Fee ............................................ SUBJECT TO.APPROVAL OF BOARD OF HEALTH ' ICI I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to. conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ., .r.4 Construction Supervisor's License ..:..D�. ..... .. .. ji DENNIS STAR CONSTRUCTI N- A=121-11-1 -21- on-o,::2/ 77 N0�.268 Permit for ............. . ...... .... - ,i Fa�in le mly.pWg1j 9............... '.4. g........................ Location ...Lot Ail..... circle ....................... le.:................................ ........................Oster..t.........ervi. Dennis Star Owner ...............................,QA Type of Construction ....FraM........................... . . ................... ............................................................ Plot ....... Lot ................................ Permit Granted ..August..9r....................19 $4 Date of Inspection ....................................19 Date Completed ...................... ...............19 <> -Z