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HomeMy WebLinkAbout0086 CEDAR STREET 1 I 0 R �lll llll i Rh UPC 12343 % No3LOR � NocTIN46 MId Priscilla Leclerc 86 Cedar Street West Barnstable, MA 02668 July 17,.2018 Robert Mckechnie, Building Inspector Town of Barnstable 200 Main Street Hyannis, MA. 02601 Regards: 86 Cedar St final work and inspections, permit#201304770 Dear Mr. Mckechnie: Just to refresh your memory I stopped in to speak with you on finishing up the work on my home where work was begun but not completed by the first contractor, and Pratt Construction then took over all with plumbing and electrical work remaining, along with the final inspections. . You encouraged me to have the plumber and electrician meet with the respective inspectors prior to finishing up. This is to ensure that required efforts are outlined and completed successfully prior to the inspections. To try to simplify my part I will be on the closing of the permit(s) as the homeowner. For the plumbing efforts, I am hiring Mark Hatch, All in One Plumbing, to complete that plumbing related part of the project. Please feel free to share any information and discuss any of my project needs will Mr. Hatch to assist in his efforts on my home. I have not yet found an electrician who will assume and complete the electrical component of the project,,but I will inform you when I do. Please feel free to contact me with any questions; email works best (pw1444 comcast.net) or my cell 508-367-4254. Please share this letter with your Inspectors. Sincerely, �&dcAn z Priscilla N. Leclerc cc: Plumbing Inspector Electrical Inspector e: 1, - • 1 , f wln t^W9;�TA.:iC .. 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I <.,�,..-..• y'ailgrtaw. +- -. _ - , f°^9'P 1 �wlal W>1rkiw e ���y�'T'r +°�`."y�F"° t•{,�E „+ h � r' i) t �. �� � - �`, � � .� o �. �� � �t � ,•f BarnstableECEiE� r 02601 508-862-4038 t 'Building Permit to Recieved: 1/12/2018 .E State Lic..No: 182094 ICH, Applicant Phone: (508) 901-0143 Phone: 02632 ge concrete footing ?1/1:�(2014 02:17 50B4309733 PRATTCONSTRUCTIO PAGE 05/07 TOWN OF BARNSTABL-Eng • � 201304770 � hermit • BARNSTABLE, Issue Date: 08/01/13 MASS. ltbgq. Applicant: ER MANTINI CONSTRUCTION Permit Number: B 20131819 rpC A Proposed Use: SINGLE FAMILY HOME p Expiration Date: 01/29/14 Location 8G CEDA�t STREET Zoning District RF Permit Type: RESIDENTIAL AADITION/ALTERATIO Map Parcel 130011 Permit Fee S 387.60 Contractor Fs.R MAN'rINI CONSTRUCTION Village WEST BARNSTABLE App Fee S 50.00 License Nun 170473 Est Construction Cost$ 76,000 Remrtrks APPROVRI)PLANS MUST BE RETAINED ON JOB AND ADD IAINING RM&EXTEN,OF ICITCI'IEN&LAUNDRY 1 S117L R 4.B L TIirI-nS CARD MUST BE KEPT POSTrD UNTIL FINAL SEC,FL..F ADD SMOKE DECTS&CO, 1 BONUS RM&NEW BEDROOM TNSPECTION RAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY is REQUIRED,SUCH Owner on Record: LECLERC.,PRISCILLA N BUILDING SH&LT,NOT BE OCCUPIED UNTIL A FINAL Address: 86 CEDAR STREET INSPECTION HAS IT>rrN MADE. WEST BARNSTABLE,MA D2668 Building PeI,T.nit Issued B 1`�;!� ' Application Entercd by: RM $ Y — r 71R,r4 PCTia47 CONVEYS No RIGHT TO OCCUPY ANY STdEET;ALLEY OR S1D81VA.X OR ANY PART INTA20P,rmtDR'Ti MPOt1AIttLX 01t PittMANLNTIY. BNCROAC1A4rPrIS ON Pt1P1,IC PROPERTY.;NO CPHCII+CALLY?r MTTTtD UND.%T10.9UDAM0 CODA,MUST DD Arri*Vi�, DY TIM JURISDICTION.'STRMT OR ALLEY'QRAUES AS WELL AS rarm AND LOCATION OF PIPLIC SEWERS MAY nu ORTADQ6DFROMTTIP.DLTARTNMTOP PUBLIC WORKS,TlLtISSUAPICPOPTF➢SPDRMTrVOPS NOT RHLGASETHDAPPLICANTFROMTrMCONDTnONSOF ANY ArTLICAHLPS118DNdS10N RESTRTCTiONS. MINIMUM OP FAT)CALL INSPECTIONS REQUI.RBD FOR A CONSTRUCTION 111ORK: 1.FOUNDATION OR POOTINOS. 2,SI.IEATHING INSPECTION 3.ALL FIREPLACES MUST BL-INSPECTED AT T1dE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRINO&PLUMBING INSPECTIONS TO 5.6 COMPLP,TED PRIOR TO FRAME INSPECTION. 5.PRIORTO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION), 6.INSULATION, 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERKTS ARE REQUIRED FOR EI.TCTRaCAL,PLUMBING AND MECHANICAL INSTALLATIONS, wORK SHALL NOT FROCL-ED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES Or CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WIT.11W SIX MONTHS OF DATE THE I'ERNIIT`T.S ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WIT}T UNREGISTERED CONTRACTORS DO NOT HAVE.ACCRSS TO GUARANTY FUND(as set forth in MG.L e.142A), 1IrJSIBLEFROA/1 THE STRE ET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS T ` z 3 1, Heating Inspection Approvals Engineering Dept Board of Health Fire Dept 2 To WV of BARNS 1918 TASCE 4PR ~S aM . 27 o1VI�Q�� I TOWN OF BARNSTABLE•BUILDING PERMIT APPLICATION Map Parcel TOWN OF BARNS TABLE Application agT70 Health Division 2Q13 SEP 20 01 9: 22 Date Issued Conservation Division Application Fee Planning Dept. Permit Fee DIVISICN Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 94 &4 7 ST Village UJ l��•rss &/� Owner . Aitdee,� & Address 96 &z c.-, 51' cr/_ a e ,Telephone' -,OP 3to Rl Z •o Permit Request —O�AMW (f .0t/11 rft.44 kb) &9A_ Y�_ (4w �.! yu _40A �Ml A Om* v,,,Q Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Q*ha- no�c� Telephone Number r J�o� Z�oot1�S u Address 3� �'L' I.¢SS �.�-+c�- ��is1,'1� License # -.4 . Home Improvement Contractor# f t10 3 I ® a ��� v Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Z SIGNATURE DATE �1 i r FOR OFFICIAL USE ONLY' 1 �' g APPLICATION# DATE ISSUED-,_ MAP/PARCEL NO. ADDRESS VILLAGE G _ Y OWNER DATE OF INSPECTION: FRAME 4NSULATION;,.4-.:., �. FIREPLACE l ELECTRICAL:. a ROUGH FINAL y PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. TUWN,OF BARNSTABLE BUILDING PERMIT APPLICATION 4;Map Parcel '� f` j Application O 41 1 Health Division !� � ?`� Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 4 Sr: h Village cy Owner Address ��°�� ,�r�� ST: a/ Telephone d to¢l Z• 10 Permit Request -4�. j� Square feet: I st floor: existing proposed 2nd floor:-existing proposed Total new Zoning District Flood Plain Groundwater Overlay _ Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family 0 Multi-Family (# units) _ Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: .0 Yes .❑ No Basement Type: ❑ Full ❑ C_ ravel,• ",,❑Walkout ❑ Other ail, Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) A Number of Baths: Full: existing new Half: existing new.�a t 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 s �i•\J Central Air: ❑Yes • ❑ No' Fireplaces: Existing New _N ' .Existing wood/coal stpv ❑Yes ❑ No Detached garage: ❑ existing ❑ new size Pool: 0 existing ❑,new size _ Barn: O existi g' ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size .�Q ther: v u UA Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use I N t Proposed Use i s APPLICANT INFORMATION (BUILDER OR HOMEOWNER) � ,�— � e �• Name CQ �+c ,�' Cca�✓u /C//G� Telephone Number J-05 Z 000-��3.5_ Address License # , t, -.a Home Improvement Contractor# 00 L1'7 3 4✓' I Worker'kpmpensation.# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Z SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FRAME INSULATION,,_. �. FIREPLACE ELECTRICAL: ROUGH FINAL -. - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. _. Massachusetts _ Board of BUi Depart�ent;6f.public Safety'Idmg Regulations and Strds' •;;; Construction Supcnjso and r - License: CS-001363 s s DANIEL A EIZE 114 MAIN STREET CRATHAM MA�02633 I i •D Commissioner Expiration 06/29/2014 ' � Sf r ,per _;_—�/ee >�an+mao�euiea/,// o��:/�,aaoac/ucael2,�T -\ Office of Consumer Affairs&BJsiSess Regulalloo :� HOME IMPROVEMENT CONTRACTOR . 5 +h Registration:`.¢170473 Type: Expiration: -T012-1, 013 DBA �•, ���--tom-�=�-> ER ANTINI COh4STR�1G ION L ELISEU RAMOS',1 � ' 45 SILVER LANE i Y _? HYANNIS,MA 02601' '�'` =' Undersecretary 7 - a N. Massachusetts -Departmen Boa t�of P.0 Board of BUildin 9 bhc Safgty :^ ,, 9,Re ulations and Standads'' Construction Supcn isor y. se: Licen Im' CS-601363DANIEL A SIZE E 114 MAIN' CRATHAMMA�0263jo'�' rs Commissioner Expiration 06/29/2014 License or registration valid for indiv vse only before the expirahon date. If found;return:toc .. Office of"Consumer Affairs andBusinessRegulation 10 Park.Piaza-Suite"5170'. Boston,MA 02116 0 . Riot v d wit out signature r Town of Mirnst2ble Regulatory Services BARN Thomas F. Geiler, Director 1639. 10� 13uilding Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,.MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR . ASSUMPTION OF RESPONSIBILITY . I, vi ^ f L r 2e h e.1-- , Construction Supervisor License # d 0 13 6 2 , hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit 46 ��J�1 , issued to (property address) oil , 201a. The following documents are attached.: copy of my Massachusetts State Construction Supervisor's license_ or Homeowner's License Exemption form (if applicable) . copy of my Home Improvement Contractor registration (if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond (if applicable) Az� q a i LICENSE HOLJOER DATE q/forms/newcontrb rev:110410 AA. � z � � ` 1 t r .. li - {. � _ .. _ \ � � 1 � � i i i ' The Commonwealth of Massachusetts UfDepartment of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dw Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): lrgj ZO Address: 5 tLS e ivp�r- /V1 City/State/Zip: �.,Alt� _ Phone#: co- Z$®o IRS- Are you an employ Check the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I ' employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet 7. 6?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. � ur required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no 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. 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 thepolicy and job site information. Insurance Company Name: !-!1 4&�4" Policy#or Self-ins.Lic.#: UI C- typ o 3 t(D Sv Z Expiration Date:Job Site Address: 6(,,_P.t OQcs�t S f' City/State/Zip: .A/ 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 certi pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." 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 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 Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov/dia i _ 4 ! .4 � .. ' � . .ti - A Y"• - i r NE Regulatory Services � • saxrasrABLE. � y MAs3. Thomas F. Geiler, Director Qjo i63q. len►9. & 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 011 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL QF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECff .7„ e? w M Construction Supervisor License t , #�;��9,hereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit # /e, u 30 ed to (property address) on , 201Z I also certify that on , 201�, I notified the property owner, that the project under constru ion must cease until a successor licensed Construction.Supervisor, is submitted on the records of the Building Division. i 20`3 LICENSE HOLDER D 7 q/forms/newcontr reference R-5 780 CMR rev:110410 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ® Parcel 0) TQW',N` Q � I �' Tf Application #-�"r3d7'�7 Health.Division Z�j31 � P Date Issued AN l i 9• 2 3 Conservation Division ���L Application Fee Planning Dept. OT. i 3 Permit Fee Date Definitive Plan Approved by Planning Board _e, Historic - OKH 61Z Preservation / Hyannis Project Street Address r y 6.6& f'?. l�✓ o�w>t5 Village +�! I Owner Rlide,, c, Address +ez oe-n-► 5t-4, u� p Telephone 5�e 4, Permit Request 4,d <7?z_1-e, �GO . s ode Square fee: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio ' k Construction Type ,Lot Size 2.5 a.cres Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 5d Two Family ❑ Multi-Family (# units) Age of Existing Structure i9q-(o Historic House: ❑Yes ❑ No On Old King's Highway: 0 Yes 0 No Basement Type: M Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) I W O Number of Baths: Full: existing I new 2 Half: existing new Number of Bedrooms: 3 existing 'f new Total Room Count (not including baths):existing 5 new 7 First Floor Room Count Heat Type and Fuel: 0 Gas N(Oil ❑ Electric ❑ Other TT Central Air: 0 Yes 14 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes I(No Detached garage: 9 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 16 No If yes, site plan review# Current Use SIN AL0 MAM 1 Ly HOME Proposed Use ';IN&LE CAM 1 Ly HOME APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name d b.tt,catia-feu, Telephone Number Z Address 3 �� s 5 e�,_� ty,�4_1,S R License# e-5 Home Improvement Contractor# I lot/ 3 Worker's Compensation # 000?4(0S0 2- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO )IA "Iaade.-ll SIGNATU DATE I l � FOR OFFICIAL USE ONLY - w r APPLICATION# ' DATE ISSUED MAP/.!PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: r� p �- ® / 4_ ;FOUNDATION ��`oD�&�.��� RwL (3�w.—kz)8lfy r3{�M�`' FRAME INSULATION �►fy�S �� [� 1�R Lme�w�""WE FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING v DATE CLOSED OUT ASSOCIATION PLAN NO. wA Town of Barnstable Regulatory Services • ,►xvarnsu, • MASS. Thomas F. Geiler,Director Building Division Thomas Perry,CBO,Building Commissioner r 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW AjoVt 201sia V-770 Owner: Zx;a6 4z` Map/Parcel: Project Address 86 4&J* ,Sr_ 408 Builder: AFl? 4,*,yrfy1 aAaeA 4ta-isQ,f The following items were noted on reviewing: lQ DS OG r4 0 • �lTco�l1 _ (37 6W1m1v oesN `� 404-0- l/eE-� 17` 1(-L &gyt 1 7ftr- c);C.-- 7ey CN RHO ��c E Tool . Reviewed by: Date: (P L13 Q:Forms:Plnrvw ' - The Commonwealth of Massachuse& In Department of Industrial Accidents Office of Investigations y i 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organi7 omindividuaI): 're ✓1'1/CCvn ey;� l.G�� • A Address: City/State/Zip:.. ��/ -did_ Phone#:_5 cip 29001 Are you an employe-. Check the appropriate box: Type of project(required): 1.0 I am a emyer with 4. it I am a general contractor and I employeess to 6.(full and/or part-time).* have hired the sub-contractors ❑New construction 2.91 I sin a sole proprietor or partner- listed on the attached sheet 7. Remodeling HA(lrp ship and have no employees These sub-contractors have g. ❑Demolition. working for me in any capacity, employees and have workers' 9.. Buflding addition [No workers' comp.insurance corrip. insurance.* required,] 5. ❑ We are a corporation and-its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers' comp, right of exemption per MGL 12.❑Roof repairs irisu:ance requind]t c. 152, JI(4),and we have no : . employees. [No workers' 13.❑ Other . comp.insurance required.] *Any applicant that checks box P-must also fiU out the section below showing their workers'compensation policy information. t Homeowners who submit this ATuir it indicating they am doing all work and then hire ontside contractors must submit a new affidavit indicating such tcontractors the check this box most attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have. employ=&. If the sub-contractors have employees,they mast provide their workers'comp,policy number.. I am an employer that is providing workers'compensation insurance for my employees. Below is the po&7 and joh site information. n Insurance Company Name: � Q A .Policy#,or Self ins.Lic.#:-/moo 3 q,o,�;,0 Z Expiration Date: Job Site Address: iO'e' - L`G 1 Sd'�r-1 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 adminal penalties of a fine up to$1,50-0.00 and/or one-year imprisonment,-as weIl as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day-against,the violatot. Be advised tht a copy of this statement may be forwarded to the Office of Investigations of the D1A for inmmmoe coverage verification. I do hereby.certify under.th airs ties of perjury that the information provided above is true and correct SigriggDate: Phone#: .5aple 290017eJ— Official use only. Do not write in this area to he 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: w. Phone-M f • Information and .Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. pursuant t D this statute,an employee is defined as"...every person in the service of another under any contract ofhire, express or implied,oral or-written." artne ,association,corporation or other legal entity, or any.two or more ,..' An employer is defined as"an individual,p rslup 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,enploying'employees. However the' ; owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the ons to do maintenance,construction or repair work on.such dwelling house dwelling horse of another who employs pers 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 Iicensing 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 EE 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 h:sce. If an LLC or LLP does have ; employees,a policy is required. Be advised that this affidavitiTran 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 enterthair 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 _ permittlicense number which will be used as a reference number. In addition,an applicant Please be sure to fill in the that must submit multiple permit/license applications in any given year,need only *one,affidavit indicating current. . policy information(if necessary)and under"Job Site Address"the applicant should.ivrite"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' file for future or licenses. A new affidavit most be filled.out;each applicant as proof that a valid affidavit is on year.Where a home owner or citizen is obtaining a-license or-permit not related to any business or commiercial 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 Ike to thank You in,advance for your cooperation and should you have any questions; please do not hesitate to give us a call i The Department s address,telephone and fax number: The Commonwealth of Massachusetts 'Department of Industrial Accidents Office of Investigations \. 600 Washington Street Boston,MA Q2111 Tel, #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 evised 4-24-07 WwW.mass.gov/dia CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) I FO7/18/2013 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()es) 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 CONTACI PAUL SCHLEGEL NAME: Schlegel & Schlegel Insurance Brokers Inc PHONE (AIC,No,Ect): (508) 771 — 8381 FAX, 771 — 0663 34 MAIN STREET ADDRESS:A SCHLEGELINSURANCE@VERIZON.NET ADDRE PRODUCER CUSTOMER ID N: West Yarmouth, MA 02673 INSURER(S)AFFORDING COVERAGE NAIC If INSURED INSURERANGM INSURANCE COMPANY 14788 ELISEU RAMOS Dba E R Martini Construction INSURER B TRAVELERS PO BOX 148 INSURER C INSURER D: Hyannis, MA 02601 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. ILTR INSR WVD POLICY NUMBER POLICY EFF POLICY E%P LIMITS TYPE OF INSURANCE (MMIDDIYYYY) (MMIDD/YWY) A GENERAL LIABILITY MPT5602C 11/01/201211/01/2013 EACH OCCURRENCE $1,000,000 ][ COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $500,000 CLAIMS-MADE Fx-]OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS.COMP/OP AGG $2,000,000 POLICY °E T LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULEDAUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE S DEDUCTIBLE - $ RETENTION $ $ B WORKERS COMPENSATION WC-000340502 07/04/2013 07/04/2014 X WC sTATU- oTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFI ❑CERIMEMBER EXCLUDED? X N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR MARCEL DURANLEAU CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE 200 MAIN STREET SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BARNSTABLE, MA ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C/O BUII9ING DEPT. 19 -2009 ACORD COR ORATION. All is reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of CO D Client#:44324 2ALPHAHO ACORD 1 CERTIFICATE OF LIABILITY INSURANCE DATE(MM 07/17/2013Yf7 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(les)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 Ileu of such endorsement(s). PRODUCER CONTACT NAME: Dowling&O'Neil PHONE 508;775-1620 FAX 5087781218 A/C No E:t: A/C No Insurance Agency E-MAIL 973 lyannough Rd., PO Box 1990 ADDRESS: � INSURER(S)AFFORDING COVERAGE NAIC 9 Hyannis,MA 02601 INSURER A:National Grange Mutual Insuranc INSURED INSURER B:Associated Employers Insurance Jian Carlos Alfredo Barcelo INSURER C: dba Alpha Home Improvement INSURER D 184 Compass Circle INSURER E Hyannis,MA 02601 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R TYPE OF INSURANCE ADDL SUBR LT POLICY EFF POLICY EXP T LTR INSR WVD POLICY NUMBER MM/D MM/D LIMITS A GENERAL LIABILITY MPT4151 F 8/02/2012 08/02/201 EACH OCCURRENCE $1 OOO 000 X COMMERCIAL GENERAL LIABILITY DAMAG TO RENTED PREMIS S Eaoccunence s500 000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000 000 GE NL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PRO-JECTLOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ HIRED AUTOS AUTOS PROPERTY DAMAGE s NON-OWNED AUTOS Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION WCC5011220012012 8/06/2012 08/06/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? a NIA E.L.EACH ACCIDENT $500 OOO (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE s500 O00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s500 OOO DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the.policy•provisions. CERTIFICATE HOLDER CANCELLATION E.R.Mantini Construction SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 375 Compass Circle ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED DRREPRESENTATIVE ©1988-2010 ACORD CORPORATION,All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S113970/M113969 LS1 (1 unread) - ermantiniconstruction- Yahoo! Mail Page 1 of 1 Home Mail News , Sports Finance Weather Games Groups Answers Flickr More +} r Search Mail Search Web © ER. SFM CONTACTS �CAIENDAR Re:Favale Renovatlo.., am hate= i 1 - 1 1 e / i http://us-mg4.mail.yahoo.com/neo/launch?.rand=Og9lilhkpv010 7/5/2013 r . E.R.Mantini Construction General Construction Framing-Siding- Roofing- Finish Work- Decks 375 Compass Circle- Hyannis- Ma 02601 (508)280-0785 ermantiniconstruction@yahoo.com July-06-2013 Contract New Addition for: Priscilla Leclerc 86 Cedar st-West Barnstable-ma Addition: Description of the work: 1. (Excavation)Add New concrete foundation (8 foot)to the main house New Bathroom, plumbing and electrical Framing the new addition (10x241/2- 10x24 1/2) (plan requirement) And new plumbing( Rough-plumbing no fixtures included) electrical system in the kicthen area (wires and fixtures) Kicthen cabinets its not included. Remove the old ceiling in the upstairs bedroom and install new 1/2" sheetrock and spackle (the floors in the new section its not included) Install new plumbing and electrical to the new laundry room Framing Material: New windows (only in the new addition) Install new insulation in the new section of the house and also 1/2" sheetrock and spackle (paint its not included) Demolish one section of the old roofing framing to add the new addition Install new trims only in the new addition Install New roofing and siding in the new addition Install 1/2" plywood into the wall and 5/8" in the roofing Remove all the Debris TERMS OF PAYMENT: It is agreed that the following payments will be made All Material and Labor Total Price: $ 76,000.00 Down Payment: $ 30,000.00 Framing, electrical and rough plumbing pass in inspection: $ 30,000.00 When the job its completed: $ 16,000.00 1 1 i fI i CONTRACT PRICE: The property owner will pay the Company the fixed sum of$ 76,000.00 SEVENTY SIX THOUSAND DOLLARS. For the work performed under this agreement,subject to such others sums that may become payable as a result of any variations determined in accordance with this agreement.Any extra work will be charge by the hour with the owner agreement$45.00 per hour. Permit required Safety gas inspection required Time line to finish the job 4 months after permit is approval The company carry all the License and Insurance Required Signature: Date: ome owner Thank you for you business! 2 1 1 . :Massachusetts- Department of Puhlic Safet, Boa►•d of Building Re!-ulations and Standards s Construction Supervisor License License: CS 57692 y_,C MARCEL DURANLEAU fin.- 45 SILVER LANE j HYANNIS, MA 02601 Expiration: 9/24/2013 ('ununissi1O�1 Trr: 5819 ✓fie "(Janvneo�zulea�u� �,/G��l�� Office of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR I Type! Registratione::aW70473 ExpiralaFi< 0127¢20.1.3 Supplement.} ER MANTINl COfV ACT j MARCEL DURA`al P.O. BOX'148 HYANNIS,MA Undersecretary License or registration valid for individul use only before the expica4iorrdate.. If found return to: Office.of Consumer Affairs and Business Regulation i 10 ParkPlaza-Suite 5170 j ward Boston,MA 02116 /P i 3.: Not v without signature .>y AWC Guide to Wood Construction in Nigh Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Cnrnpliance (780 CMR 5301.2.1.1)1 Q Check 1.1 SCOPE Compliances WindSpeed(3-sec.gust).................................._............................... .................................................110 mph ./ WindExposure Category.................................................................. .............................................. 1.2 APPLICABILITY Number of Stories (a roof which exceeds 8 in 12 slope shall be considered a story) Z. stories s 2 stories RoofPitch .................................................:........................ Fig 2 ( 9 ) ........................................... I0 <_ 12:12 ✓ Mean Roof Height ..............................................................(Fig 2).................................................L ft <_33' s� BuildingWidth,W............................................................ (Fig 3)..................................... 24�ft <_80' ✓ BuildingLength, L .............................................................. (Fig 3 ( 9 )... .......................Z9�ft s 80' Building Aspect Ratio(LAM ...............................................(Fig 4)................................................. <3:1 f Nominal Height of Tallest Opening ...................................(Fig 4)................................................ • k'k 6F v 1.3 FRAMING CONNECTIONS General compliance with framing connections................... ...(Table 2)................................................................ 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete........................................................... Concrete Masonry • "'• ••• 2.2 ANCHORAGE TOFOUNDATION'.3 5/8"Anchor Bolts imbedded or 518"Proprietary Mechanical Anchors as an alternative in concrete y Bolt Spacing--general ................:................ .7......(Table 4)............................................... ,SQ.in. Bolt Spacing from endfoint of plate .......................... (Fig 5)............................ " • in._ — Bolt Embedment—concrete.........................................(Fig 5):........................ ............i � in.>7° Bolt Embedment—mason " """'masonry.........................................(Fig 5)........................ C5 in._>15" PlateWasher.............:::.........................:.....................(Fig 5)...............................................>_3"x 3"x VV 4 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55)..................................... Maximum Floor Opening Dimension...................................(Fig 6)..:................:...............................�ft<12' _ . Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)......................... � Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall.:..............(Fig 7).................. Oft <d ................... Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)............................. ..O _d v. � Floor Bracing at Endwalls.........................::..: .(Fig 9).................... ....... . .................... ................................ Floor Sheathing Type ............................................:.:.........(per 780 CMR Chapter 55).................................... Floor Sheathing Thickness ........................:.......................(per 780.CMR Chapter 55)....................... in. Floor Sheathing Fastening..................................................(fable 2).:.$d nails at�in edge/ l_'n field 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)........................... e`ft 510, Non-Loadbearing walls.................................................(Fig-10 and Table 5)...:......:........ ft:s 20' �C Wall Stud Spacing .............................................. (Fig 10 and Table 5 ` ( g ) .:............. in. _<24"o.c.Wall Story Offsets (Figs 7&8)........................................... _ ' �ft c d 4.2 EXTERIOR WALLS' - Wood Studs Loadbearing walls........................................................(Table 5)..............................2x 6- ft in. Non-Loadbearing walls................................................ .........2k - —�' (Table 5)..................... ft in. Gable End Wall Bracing Full Height Endwall Studs............................................(Fig 10).................................................................. WSP Attic Floor Length............................ :.................(Fig 11)............... ............................... ft>_W/3 Gypsum Ceiling Length(if WSP not used) .............. ... .......... ZOft>_0.9W • (Fig 11)::................................ 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_�� Double Top Plate Splice Length ..................................... ..................(Fig 13.and Table 6)..................................... Z ft Splice Connection (no. of 16d common nails)............. (Table 6)..........................................................� 'o v - A WC Guide to Wood Construction in High Wind Areas: 110 niph Wind Zone - Missacliusetts Checklist for Compliance (780 CMR 5301.2.1.1)' Loadbearing Wall Connections Lateral(no.of 16d common nails) (Tables 7)...................................................... 'Non-Loadbearing Wall Connections Z Lateral(no.of 16d common nails)...............................(Table 8).....:.................................................. Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans .(Table 9).................................. 3 ft O in.S 11- .✓' SillPlate Spans . ........................................................(fable 9)..................................S ft d in.<_11' Full Height Studs (no.of studs)...................................(Table 9)........................................................... Z ✓ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to.Table 9) Header Spans................. (Table 9)..................................3 ft CD in.:512' " SillPlate Spans......................................................... (fable 9).................................._3ft,�in.<_12 Full Height Studs(no.of studs)..................:.................(Table 9)......................................................... �� Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W 1 �� Nominal Height of Tallest Openingz .................................................................:... <_6'8" _ ' SheathingType.............................................(note 4).................................................,..... Edge Nail Spacing.........................................(Table 10 or note 4 if less)..............:.::.:... in. 1C Field Nail Spacing ...................... able 10 .................. ..........................::.1Z in. v Shear Connection(no.of 16d common nails)(fable 10)................................................... Percent Full-Height Sheathingable 10 ...................................... ....... 0 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Maximum Building Dimension,L Nominal Height of Tallest Opening 2.:................ Z `6'8" 'Sheathing Type........:....................................(note 4).......................................... Edge Nail Spacing.........................................(Table 11 or note 4 if less):.,.................... in. . - able 11 ............................................. I in. `�- Field Nail Spacing..........:..............:..::........ R ):: _: � Shear Connection(no.-of-1 6d common nails)(Table 11)..............:..................................... Percent Full-Height Sheathin able 11 :...............:.................... .......:. ....: /o gg..:........... . ) 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts):.................... Wall Cladding Ratedfor Wind Speed?................:............................................ ................................................................ 5.1 ROOFS Roof framing member spacked?.......................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang .(Figure 19).............�ft<_smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)............................................U=�Oplf t/ Lateral able 12 -11 G.P Shear .........................(fable 12)................... ..............S:=Of y Ridge Strap Connections,if collar ties not used per page 21... able.13T=Mplf Gable Rake Outlooker.......................:....:.......:...:(Figure 20).............—ft<-smaller of2'•or L12 Truss or Rafter Connections at Non-Loadbearing Walls'. Proprietary Connectors Uplift................................................(Table 14)............................................U=- lb. JL Lateral(no.of 16d common nails)...(fable 14)...................................... L= Ib. � Roof Sheathing Type..................................................:(per 780 CMR Chapters 58 a� >_59) ............ Roof Sheathing Thickness........................................... .. . ....................................._in. 7/16"WSP RoofSheathing Fastening............................................(Table 2)........................................................ Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 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. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. .The bottom sill plate in exterior-Walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance (7so CMR 5301.2.1.1)` 4 a. From Tables 10 and 11 and location 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 top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate andto 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. Horizontal nail spacing at double.top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below.Vertical and Horizontal Nailing for Panel Attachment --MEN THIS EDGE FEM ON FFMING USEM NAILS tr rl r Ir it 1 ' 1 it 11 11 n N 11 M ' 1 � Ir II r• 1 O J"1 ry•Q 1 , I F u Ira 1 t mm fi .. 112 YI � .2 IJa r i rIt LLKj ti V k it 1 t � 1 W - 1 W u ? 11 rl 11 n _ , I I I N I j w.G�� yJ.1�.- MAfL.SPACING I i I PArfEI _ y� See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment 3,2)-1-C211 Rev 11-08-12.pdf 7/30/2013 2:45:49 PM i �O l cp — — —56- j \\ / �c4b SHED STONE / WALL \ \ PAVED \ \ EXISTING DRIVE \ PROPOSED �'GARAGE SLATE PATIO ADDITION \ \ STONES, 62.3+ WALL EXISTING REMAIN TO EXISTING 3 BENCHMARK-MAG NAIL SET IN PAVED BEDROOM DWELLING DRIVE-EL=60.92 (SEE DATUM NOTE) THRESHOLD 64.0± 1 EDGE OF CLEARING 107.4t B -58 PROPOSED \ — / RESERVE AREA as EXISTING CESSPOOL TO BE ABANDONED (SEE NOTE 8) _ —56- / ,, k #1 PROPOSED DOH Lm 1,500 GALLON SEPTIC TANK � •�� �y4� /� - - - - - - - - - - — a' �s ` �p DOH #4 ,1 CW S� EDGE OF PAVEMENT OH#3 \ (om' WE TOWN {1yq y) \ PROPOSED 5' SOIL REMOVAL \ (SEE SOIL REMOVAL NOTE) w o P- zoi3� o. ... �THE �\ o� Barnstable Old Kings Highway Historic District Committee E; ,,,BLE. ; 200 Main Street,Hyannis,MA 02601,TEL: 508-862-4787 Fax 508-862-4784 L`eeo APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with five(5)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photographs accompanying this application for: Check all categories that apply; !V CO A 1. Building construction: ❑ New Addition ❑ lteration o 3> 2. Type of Building: House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ OtheC n• 3. Exterior Painting,roof new roof Elcolor/material change, of trim, siding,window,door r- 4. Sig: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 7k rri l,J 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court EY Other 6. Pool ❑ Swimming ❑ Other man-made pool ❑ Solar panels ❑ Other Type or Print Legibly: Date f0 0�`/ 149 NOTE AU applications must besigned by the current owner Owner(print): Pt t SCr(1//a t e 0-ri c Telephone#: So e-36 7-3a 1 U Address of Proposed or RD CPdar S 4 Village &t a;S4/4- Map Lot# 1 3 1) O U Mailing Address(if f* enE. Owner's Signature I Description of Prop ed Work: Give particulars of work to be done: , r i-N I A-1do" ' jk)e frwrj 9005errrr. r,a.4 to 4-e cp Q2 N I e- j%a(?i cJcf,/16 ntS 4s 4 5g-e c O ry l4 .A Agent or Contractor(print): fqco4 p/ 6otjsIt uG41a 6ti Telephone#: Address: 77.1 ,,,) 5 Contractor/Agent' signature:- For committee use only. This Certificate is hereby APPROVED/DENIED Date Members signatures` RECEIVED OGT 2 9 2.012 . EC��IT'1 T.���I; :,{?EMENT: CO 10 On G Ap pFOJE® 1 Q:1I"ds and CommissfonsMd Kings Highway10KHApplications10KH 2O11 Cert Appropriateness.doc NOV 14$012 k TC Od OGq ee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 Copies Foundation Type: (Max. 12"exposed)(material-brick/cement, other) 0Wre Siding Type: Clapboard_ shingle other Material: red cedar white cedar other Color: Chimney Material: B r f c-� Color: Roof Material: (make&style) (,c'r 1>J�p� rr , Pc�vr Color: (k mac? I/ - ccw Roof Pitch(s): (7/12 minimum) (spec fy on plans for new buildings, major additions) Window and door trim material: wood other material, specify Size of cornerboards size of casings(I X 4 min.) Imo_ color &)4 k Rakes Ist member 2nd member Depth of overhang APPROVED Window: (make/model) f5e&) material ' v / color W k P NOV 14 2012 (Provide window schedule on plan for new buildings, majort additions) Town of Bamsr&c•,:. Window grills (please check all that apply_.- ad CComMHt�eeqay true divided lights_ exterior glued grills_ grills between glass removable interior None Door style and make: try material Color: IA J P Garage Door,Style Size of opening Material Color ' Shutter Type/Style/Material: "prJ P6S1rc- Color: t4G Gutter Type/Material: t-5 1 Y Alnt r J v►.A Color- Deck material: wood T other material, specify VU 11A Color: Skylight,type/make/model/: material Color: Size: Sign size: Type/Materials: Color: RECEIVED Fence Type(max 6' )Style" material: Color: 9 9 Retaining wall: Material: GROWTH AA NT Lighting, freestanding on building illuminating sign OTHER INFORMATION: THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED Please provide samples of p ' t colors,manufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (Plan pre parer) � Print Name c-- r►� , 2 Q.IBoards and Commissions101d Kings High%W10KHApp1ica1ions10KH2011 Cert Appropriateness.doc Town of Barnstable Geographic Information System October 30,2012 131016 131023 155003001 131003 #226 1#385 131026 #298 085 #2 0. 1 31 060 001 � #3i0 , 155051 131025 131030 131002 #15 131017 # 0 #0 #245 #395 D�y� A131027002 131027001 #142 131024 V #394 #378 #328 oy� 30 13109� '#400 131031 Q. 420 #140 1 0223 �� 131060002 31 131001 130007 130008 #431 #168 #0 r► ♦ 130005� ' #449♦ v0�y [3 0024 130030 0 # 844 1Y0009 #0 130033 136 #671 •130010 #122 • 130004 �� 130023 �. 130035 A #475 *#145 #106 130003 130026 154010 #495 + ® #217v 4#474 13 0011#86* 130012 •#135 ♦ 86 #2135#2136 + •® 130031 0 #111 e 154009 #2160 A 130034 130021 #619 130027 #91 c #490 154003001 ° 1#46 ® ® #2140 130020001 #� _ ♦ • Uli #75 164003002 130029 • #526 13028 551 #2130 0 ® 130014002 130020002 020 .#45 130014 rSGo #0 154002 #0 �Y 130018 4W 130014001 #30 • 130019 #q #15 154004 600143 Feet Fs #2004'97 #� 154005 '#�0 2 t #a0 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:130 Parcel:011 Q boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:LECLERC,GEORGE E&PRISCILLA Total Assessed Value:$284000 Selected Parcel 1'=100'may not meet established map accuracy standards. The parcel lines on this map - ,E are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner:%LECLERC,PRISCILLA N Acreage:2.50 acres Abutters f boundaries and do not represent accurate relationships to physical features on the map Location:86 CEDAR STREET such as building locations.- Buffer :/:/ ` -RECEIVED m � o `9 U OCT 2 9 2012 o Z � Q O� ITT w GROWTH MAIJAGEME LU U' CONTRACTOR TO. - -i Q DETERMINE IF CHIMNET W NEEDS TO BE EXTENDED w papa �� co - papa oLo � �LU 8 � p p p p p pol =1 " p o � � () 0 alp ® p , p p p p p � JLoLU w IT-6- 24'-6^ 24-6" L 15'-3" 1, O PROPOSED FRONT ELEVATION PROPOSED RIGHT ELEVATION 7 5CALE: 114' - I'-0' SCALE: 114' - I'-O' - - 1 f O _ o m U 1 Z� Q 4s . ® LU LU c r w 3 p FIRST FLOOR a l) LU Lu LU w O . 32'-0' o ' BASEMENT FLOOR L n L-----------------------------------JLd EXISTING RIGHT ELEVATION U EXISTING FRONT ELEVATION ' SCALE: 114' - r'-o' SCALE. 114" - 1'-0' ' SHEET F JOB: LECLERC F R I C N G S E T 9 - 1 8 - 1 1 / DRAWN BY: TFR L DATE: 9/15/I2 • RECEIVED OCT � 02012 i- o U . . GROWTH MIANAGEMEIS T Ld CONTRACTOR TO 1 IV -J- DETERMINE IF CHIMNEY - AAA---+rr--- . NEEDS TO BE EXTENDED LU _J w z w Z " cc) El ' 151 cv- tY co ® LL LO .. 10'-3° I I I IA IA-IA W k' F 10-a Y 32'-0' � " O PROPOSED LEFT ELEVATION PROPOSED REAR ELEVATION SCALE: 114' - I'-O" SCALE: 114" - 1'-0' OL w J [Q Z � w Q w U co p z z P — n (J) w w 3 p n FIRST FLOOR m LLI LLI Ca J 37'-C' I I w F J o I I I I I I Q (/ BASEMENT FLOORL________ -___----J - L---------------------------L----L__J - p n ui EXISTING LEFT ELEVATION EXISTING REAR ELEVATION U SCALE: 114' - V-O' SCALE: 114' - I'-0' SHEET 1 I * I SET `/I^ - 1 ^yv� - 1 ^ JOB: LEGLERG \�Il I LJ DRAWN BY: TFR DATE: 9/15/12 • O N � RECEIVED U o U 2 9 2012 LU GROWTH MANAGEME ' w -J Q 32-O° 32-0° IO-d. Wo L 6'-0 14'-0' 3'-6' 9'-0° 6'-6' 14'-0' W-6° B'-B° 7 co IL - r . N LIVING ROOM LIVING ROOM m Q BEDROOM 41 BEDROOM 41 n �/ CID V O O ALIGN NEW ADDITION WALL W/EXISTING CLOSET " LU z Ea m•wcp m'wm b eo Ew wm �T . b a--- aeaNc - b VI - OCPvanb we>rlwb S EP F iy BATH HALL BATHHALL 3B , V CL UP DM STEP UP DN IL p p OPTIONAL o O ' G I DESKOI'1PVTER ISLAND in O ``) b -REF RANGE _ v 2 P Y KT. KITCHEN D^" BEDROOM sit KITCHEN BEDROOM 42 LAUNDRY TILE — r TILE m en nc W � i C C%ISTIMb i - iA I / IwED AEP. —— HIQiO b b N D w o OPTIAL -------- 'v pl � M---1 G r--- NEW WINDOW Q 4-6 OF TILEILER - �� 'zx Y II� L V/ -0' W DINING ROOM- _ w Q Q G WOOD _ U co EXISTING FIRST FLOOR PLAN Z Z w � SCALE. I/4" I'-0' 39 . w 3 Q z W/ W D H 5 EP a W Q -91 w w Ld PROPOSED FIRST FLOOR PLAN J 0- SCALE: 1/4' I'-0" Q ly O In U 1 co SHEET As JOB: LECLERC P R I G N G SET � -- 1 8 — 12 DRAWN BY: TFR DATE: 9/I5/12 m p RECEIVED N v O V OCT 2- 9 `L 012 w GROWTH MANAGEMENT w J J W W � r ` LU Z 32-0' _ 32-0- Ip-O' _ \ O 1 2--0a �. Lo L� O d EAVE SPACE SAVE SPACE LU N c L� RELOCATE EXISTING WINDOW A9 NEEDED \\i — W LOF EXISTING I � ' Z I- FT 1 A ap O EXISTING (y Z BONUS ROOM BONUS R00IB1 OL BRICK CHIMNEY BRICK CHIMNEY (NO WORK APPLICABLE) 2fi DN ON Y NEW BATH (TILE) _ j c T.V. fi Y 2 LIN EAVE SPACE EAVE SPACE NEW BEDROOM 4 LL (CARPET) n --I 'f Q : P 32'-O" . -____FLAT CEILING-_- Z : Y ;. SLOPED CEILING io w _ O O 2fi 2fi w Q Q EXISTING SECOND FLOOR PLAN b b Z m SCALE: 1/4" - I'-0' c _ _. _ Y W--� Z SPACE — m c Lu w 3 m � INTERIOR TRIM NOTE: Q , ` QLJ C ET DOORS VLU I6'-6' B'_p: IN KNEE WALL TO 8BE ONLY 6FT TALL j w Q IT-6' 24'-6' W W PROPOSED SECOND FLOOR PLAN V O SCALE. 1/4' I'-O" ^� Q O n w p- V I'9 co SHEET A Fj JOB: LECLERC j� I C N( �/''r S E T — 1 g 1 DRAWN BY: TFR ` �-�1 DATE: 9/IB/12 O N � RECEIVED ° N U � U Ci 9 2012 z � . w GROWTH MANAGEMENT � rQ 29 5'-6° 23'-b° 3'-0• 5-6• 10'-0' z lZ ^^v co Lo W N N C I N f I b co ° Lo Ln Z - EXI5TING ° BASEMENT n 1 m I I Q, r-I-T-r-rT-T-r 1-r r TT UPI H r1-T-r-r�-i-r1-1-TT� '�• c VP I I I I I I I I I I I I I I I I I I I I I I I I I I I 2x10'e 6 I` 60oc i 3 NEW ADDITION i.1 LLB 4B°X K' � I I 48°ACCESS I I 1 I I CUT INTO EXIST WALLKALL I.. FOUNDATION ��.. � - ' co .I z -9°CONCRETE WALL JJ 1 I IO'X20 CONTINUOUS FOOTING (n a, Z (/��� V/ BEAM PKT. i i - Lu V W l-1 Z Lu VI EXISTING FOUNDATION PLAN :K I X. w 3 Q SCALE: I/4' - I'-0' Lu Lu .. q� W W W PROPOSED FOUNDATION PLAN SCALE. 1/4" . 1'-0' Q (L�� NCTE�PRICE FULL BASEMENT POUR 1:1 LI-- A9 AN OPTION TO THE CONTRACT ,W` V co SHEET P * I SET ^ — ^ — JOB: LETFR \�Il }E I 9I 8� CLERC DRAWN BY: TFR DATE: 9/18/I2 N m n O z r T-2 3/4' ID0 2 a o m = m m - D i o 3 �ee S p m Z F 3 3 x rtz>Z-- L° f° (l K A FIREPLACE CHASE N � O _ N o N C11 n n --- I F> gg N IY Zf i 4 pn pa p a 7'-1 3/4' O N I A i Nf Ip 3'o. u Ij m O z o� �v_p ZZ fi $ N iAZ C °zr c vOz�1� mpa aa. �o it i Clap mj F Zar. o � z N m yy �p1 i S= Zr NN� .tpi p A �Z 41 L Qp „rp yz mA iZ . vp r pm n po . A fA �O MATCH EXISTING 7'-e• 0 z Iz mFr'I �n TM Y m ANc I � s O po x m� x (1 D .13 a p= a A a` AIpn a 60 03 C T = i l _ 3 O m 7'-2 3/4' A ' _ IA'yn MATCH EXISTING \\ z mpR � Z O_ ZZ]Z -n \ \ A A V p A \ \ a r a D Q mN \ \y - 3_ F fl \ z m \\ p Z z m n z z Z e'�• \ x v D ITI MATCH EXI TING z a a n I I \\ _ N Ig IZDAOA�m�I1I N � FIREPLACE CHASE \ � A �a>X ITf m --�-y O A i_-1-�1 N •7 mA xm I° Ig�tp —I Q Q Qzm �a$x T X p A [1-IM_I mn Z Aai z R°g _ 3 m O Tm m 1610 Z ... Z K Q Z< 3 'm a aN s 11^,/ 31 7'-2 3/4' V ' 17'-9' ' I D D .JOB LOCATION: mZ . LECLREE RESIDENCE I IEAGER CONSTRUCTION rn �' m 86 CEDAR STREET WEST BARNSTABLE, I"IA I I CONSTRUCTION I I V 4 m 49 GUILFORD ROAD CENTERVILLE/ MA 02632 F AA PROPOSED ADDITION DESIGN PHONE: 508-428-0458 TIM@MEAGIIERINC.COM 'i i N E RECEIVED m p � v N OCT 2 9 2012 z EXTEND HEIR TO CORNE _L- 2x6 DBL TOP PLATE w GRo\N'1"H MANAGEMENT GROWTH FULL HOT.STUDS - l l JACK STUD 'I` - � W ylrnl=I J Q NAIL TOP PLATE To BTn OF HDR =1"�)- APPLY 91MPSON MSTAIB CONNECTOR � w W/2 ROAB OF Ied NAILS ��'i.. ON THE INSIDE FACE OF HEADER ®S. O.C. .::I�L TO EACH JACK STUD - BTRUCTURAL PANEL �Ki HEADER V NAILED Bd COMMON CONTINUOUS HEADER B 3'O.C.EDGE AND FIELD 71.I CORNER TO CORNER - W I 1 1 OVER MULTIPLE OPENINGS - RAFTER®16'O.C. Z DOOR TRIMMER STUDS Lu N2.5 0 EA. RAFTER - - - V U co °0 Lo W-5/5'ANCHOR BOLTS Q 7T /2INS'PLATE WASHERS EACH NARROA WALL SECTION `I' TOP PLATE - Q SHEAR WALL COMPLIANCE, „ _ e (�/ c(l) W 52% OF EACH WALL RUN ILtlI-Il L� VERTICAL SHEATHING WITH Sd NAILS 3' EDGE/12' FIELD Q (4)16d NAILS PER FT BOTTOM PLATE O RAFTER TO PLATE CONNECTION c0 N.T.S. {{}...��� L- 36% OF EACH WALL RUN SCALE: ( 1, p O - ONARROWN.7.B.WALL BRACING AT GARAGE DOOR .. VERTICAL 5HEA7HING WITH' - v LL Lo 9CALE� 'Ed NAILS 3• EDGE/12' FIELD (4)I6d NAILS PER FT BOTTOM PLATE —j 111 11� p z O v n . - DOUBLE ROW Q STAGGER NAILING INTO BOTH PLATES NUMBER OF NUMBER OF NAIL SPACING - =1- 2x6 DEL TOP PLATE DESCRIPTION COMMON NAILS Box NA". J"'ID L. 11'�+� [IIP•J''tiL - - ROOF FRAMING LL1 . LL BLCCKING TO RAFTER(TOE NAILED) 2-m a-1Od EACH END J I_ RIM BOARD TO RAFTER'(END NAILED 2-16d 9-Lidco EACH END _� 11 IBC �._. WALL FRAMING I.J�I I CIE _:aQ L_LT�ul I.1:2C = TOP PLATES AT INTERSECTIONS(FA NAILED) 4-16a 6 16d AT JOINTS Z VERTICAL L.1'�� ',L�� T=� STUD TO STUD(FACE NAILED) 2-I6d 2-lip 24'O.G. STRUCTURAL PANEL HEADER TO HEADER(PACE NAILED) I{d 1" a4'O.C.ALONG EDGES NAILED Bd COMMON ll`- I �`' F` "'�"r EDGE ,I._0 it 12C =_X FLOOR FRAMING z AND 12'IN FIELD j I_I['I ?(.IBC m .GIST TO—,TOP PLATE OR GIRDER(TOE"LED) A-u 4-1Od PER JOIST -:II:.ICI JC.1�[F =.�1L1••.��. FLOCKING OC TO JDST(TOE NAILED) 2-W 2-IW EACHd 4 EACH END LLl BLOCKING TO BILL OR TOP PLATE(TOE NAILED) S- -Lip EACH BLOCK Q (� LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) S-Lid 4-1. - EACH JOIST co l-1 JOIST ON LEDGER TO BEA I(TOE NAILED) B-Gd S-lw PER JOIST 1� BAND J019T TO J019T(END"LED) 3-16d 1-16d PER JOIST 1,1 1"I C L'7C BAND JOIST TO SILL OR TOP PLATE RDe NAILED) 2-16D 3-1w PER FOOT LL! ROOF SHEATHING c� O DOUBLE ROW I�i.l -`I`�L _...If - WOOD STRUCTURV-PANELS WA N/A WA STAGGER NAILING— INTO =L'.1'r;•�i I% W BOX AND BILL I-- - t T RAFTERS O3 TRUSSES SPACED UP TO 16'O.C. td 10d 6'EDGE/6'FIELD ._JAI: RAFTERS OR TRUSSES 6PAGED OJER 1{'O.C. Bp ILtl 1'EOGE/i•FIELD GABLE EVDWALL RAK¢OR RAKE TRUSS—GABLE OVERHANG !d Iw V EDOE/6'FIELD = GABLE EMPWALL RACE OR RAKE TRUSS W STRUCTURAL w Iw i'EDGE/6'FIELD " GAB ENLE LL DWA RAKE OR RAKE TRUSS-LOCKOUT BLOCKS w 1. A'EDGE/4'FIELD vva'U W CEILING SHEATHING _J w 0 41 W w GYPSUM WALLBOARD Sd COiO.LR9 7'EDGVIO'FIELD �i WALL SHEATHING U ,n �1 WOOD STRUCTURAL PANELS v/ O CL FULL HEIGHT SHEATHING —SINGLE FLOOR STUDS SPACED UP T024'O.C. m op 6•CDGEA2'FIELD -4 0Y O SCALE.N.T.S. )'ANO U/ja.MBERFOARD PANELS m 3•EDGE/6'FIELD O �'GYPBUFI WALLBOARD Sd CDttER9 T'EDGPl10'FIELD Q FLOOR SHEATHING Q WOOD STRUCTURAL PANPL9 W r OR LESS ¢p 1op v epcen'FIELD - U GREATER THAN i° IGp .w f'Emu..FIELD co SHEET A7_ JOB: LECLERC I C N G SET � — 1 8 — 1 2 DRAWN BY: TFR DATE: 9/16/12 Patrick Coffey f From: Patrick Coffey Sent: Wednesday,January 14, 2015 10:07 AM To: 'Rort:McKecnei Subject: 86 Cedar W Barnstable inspection issue Attachments: Scan_20150114.pdf w Inspector, �V Thank you for the heads-up on outstanding inspection sequence atm Ce,_ldar St W BTa sta61e1. All work is complete. The electrician,contracted by the previous GC, has declined to call-in for inspection. Attached please find my written request to him to do so. Let's give him a few days. In the absence of his cooperation I'd like to proceed and assume there is a mechanism for such. Pending for closeout from your call the 9t': - Electrical final inspection - Fire dept smokes inspection - Bldg-.-Dept final inspection Thanks for your assistance in this matter. Patrick Coffey Pratt Construction ' = =n Patrick@pratt.construction 0 � p #508 280-4688 c 00 e 1 PRATT CONSTRUCTION CO. BUILDING & REMODELING CONTRACTORS PO Box 731 ♦ Marstons Mills MA 02648 Tel (508) 420-9333 ♦ Fox (508)420-9733 Wellington Soares, Electrician 68 Seaboard Lane Hyannis MA 02601 #508 778-5936 14 Jan 2014 Mr Soares, Thank you for our phone conversation the 12th regarding Final Electrical Inspection &Smoke Detectors 'for your work at the remodel and addition of 86 Cedar St W Barnstable. You have declined to call it in. . I understand your expressed situation and appreciate your candor—that the original contractor has not given you final payment and not calling for inspection is your last leverage to get paid. The Owner, Priscilla Leclerc, in November signed a Change of Construction Supervisor notice. The Town has transferred the permit to me at Pratt Construction from E.R. Mantini the original contractor. Our work—limited to chimney extension, correction notice compliance for tempered glass, punchlist—is now complete. Our final task is to get_ a Final Inspection. Electrical Inspection, as you know, must come before that. would suggest that�your position is wrong. Neither the Owner not Pratt Construction contracted you or owe you any money.There is none forthcoming from either of us. Any money due you is from Mantini and he has cause to not pay for work that is uninspected,therefore incomplete. Further, I understand your license is at risk because your refusal is actionable. Please call this in immediately and notify me, as we will need to arrange access for the Inspector. . Thank you, Patrick Coffey Pratt Construction 153 Lovells Lane/PO Box 731 Marstons Mills MA 02648 Patrick@pratt.construction #508 2804688 c #508.420-9333 o #508 420-9733 f CC: Owner, Bldg Dept APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name PRk►TT' CANS T P Cc FTC ` Telephone Number :5-0 2F— AH-o Address Pa f o X License # C S — J o 2 c y 7 Home Improvement Contractor# /G t Email P..T1 -, .K e* Pr-,OrArl Qotis r1Zvc--04?Wr's Compensation #I,✓cae 31 S ?73 2Zy 0-1 y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO F/2 jLN OA/ SIGNATURE C' DATE TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # �v1 Health Division Date Issued i Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis UV Project Street Address Village L- / En rLry I?i � Owner_ S'r� , C 1 L —.4 r Address ,fib Telephone o C 7 �� Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing =new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas 0 Oil ❑ Electric . ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: 0 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 0 Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address License # ` - Home Improvement Contractor# CALL l Worker's Compensation # ` CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO NATURE DATE J FOR OFFICIAL USE ONLY APPLICATION# r z DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE c OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE . ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH- FINAL I FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. S' Nov 14 2014 03:44PM MV Commission 5086937894 page 1 11/,14/2014 02:17 5084309733 PRATTCONSTRUCTIO PAGE 07/07 Town of Barnstable Regulatory Services MARL _ Richard V.Scali, Director Mn+'' Building Divisiou Tom Ferry,.Building Commissioner 200 Main Sheet,Hyannis,MA 02601 www.town.barmMzble.ma.0 a Office: 508-862403 8 Fax: 509-740-6230 NOTICE TO THE BUILDING)DIVISION OF CHANGE OF CONSTRUCTION SUPERVISOR 1, La Le-e r ,owner of property located at ��o r,%. , Ll-eSL Bat-as{i'r.ble ,hereby certify that eP-, A4an17nr &xSfr(1 -�ioYl is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# -0�30 ZAssued on 20 l understand that the project under construction must cease t xntil a successor licensed. Constmctio►l Supervisor, is submitted.on the,records of the Building Division. i —/ PROPS Wr �'VNER �DA/�� q/fbr ms/nawc==wna mfemm R-5 780 CMR Town of Barnstable Regulatory Services BAMSTABtc Richard V.Scali, Director 16;p�1% 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 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY I, Fn z-�,e.�< -� C-0 , Construction Supervisor License #CS - / gga y 7 ,hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit# , issued to (property address) r?--- S T7n $ . on 2013 . The following dqcuments are attached: ✓copy of my Massachusetts State Construction Supervisor's license �C or Homeowner's License Exemption form (if applicable) ✓copy of my Home Improvement Contractor registration(if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. X Road Bond (if applicable) A, q LI NSE HOL DATE q/forms/newcontrb rev:040414 .fit+ff:?�r 1 Accidady bag Wmhbigtair Street .fostaat Hi a2M wn w.masx gorld a ,wm-ke& Camp nIusm—,mce Affi aFit BuildersfC�anbEactors/EfecfriciansTlumbers Aft Iafarmafiva Please Pry Namo E 7. FL"N T 0 nr 5 T 9 Address Eo fiiiyfStat&Zip= iv ���� Pb�ne �� t� L Z o 3 Arepo]a'an employer?Che,kdm2pprGpriab�bay I_ru 1 am a employe with S 4_ ❑ I m3i g geacrxl contractor and I It7e� eruployees(full andlorpmt ime-* havr=hiresl-the�s 2_❑ I am a soIe proprietor orpadner- listed on the attached sheet 7_ pl�j +od ; ship and have no employees These sob-oonfrsctors have g- ❑Demalifron wurl ng forme in any capac employees and have wore' 9_ ❑$tailaing addition comlp-iusur=e comp-mcttrersr� 1 5. ❑ We are a corparaticniand its 10.0$leztdcal repaim or addi±ions 3_❑ I am a hDraeowner doing ak1 work: offir us have exercised their 1 1-0 Plmabiag repairs or additions uxyself [No world ra'camp- right•of exemption per MGM 12-0 R-oof repairs inmr rem -j-F c-154'§1(4),and wehwr-na employees_wo-wor em, 13-0 Other comp_Insurance require&j 'guy mplzrd.hat chetfs box'1 most also fll ant t setfina belmY shaccin ihes wa3ct��wamenssiiou pori�y t Ho-meavmets a�x,>�bmY his c��..tl.ru i,���y aye�airrg=II r.-�k�=+ir_h�-e tl�si�con>sacmcs s�.st sahafit a v�a�d3cst m"�sorb ors Yhst rh.rk this bazmIIst sttsched at:��ifirmat sheet shnxiugthEnameof�sets mdstate�rhether ocnatifmse�h.-ve m33p ayees. Tf the sob-caEdmacm-s Imam emplay-ees,the}zest Provide t ieE-wubmrs'tamp.puhcy amber_ Muir-arz arrzpinyet rhrttisgms trorkers'r-orta�rrsztiart irtrttrrrnrc$for rrry e-rragfnyecs. BeZott?is the pu&c}'artd�ob szts Fn crn xn rp Company l�a�e: L /� l/7—lJ Poficy#or Self ins-Lief` L ZC 2_ 3/ S -3.73,2 20 10 I y PxpiratiomDate: L S /-),A jZ5 -- /' J/ O"?ite, sob Sae 14 ddfess G S9 /.vr-n T'���� r'`D CitylsiatelTlp: G�.�G� ,?7 Attach a copy of&e-workers'compensztion policy declaratiou page(shoNrang e-he"poliep number%n ration date): Failure to secure,coverage as reTairedunder Section.25A of MGL c, 152 can lead to the iffiposi>inv ofrrim;na1 pet?alfies of a Fine up to$L500-Qd and/or one-yearimpd- m well as civil peaalti in the form of a STOP WORK ORDIR and a fine of up.to S250.00 a day against the violator. Be advised that:a copy of this cWe en t may be fxwar-ded to the Office of luviestigations of the DIA far;nstminm coverage veriEca#ion- 1 da Fasre cerfrjp rcrsder tlrspams attrl psaaies uf�er�urp f3raCfFte �rf yr rrcalian prasddc�d aba�e is biro and currsct Bate-- N!✓I/ PfiDm Qf-tcf use anly. Da root twrifts in fins area, ba caurpleted by cLip or fuwa aftctaL Ciiy or Town: 1'ernrIicerise# •R�rt¢tho-zitg{c'scIc nue�; .. . LSo2xdofHealfft &Cit-p `u%uOnrk 4_EIec-tricallnslzector 5_PfwobmgFnse-�rtor 6.C I&r Ca�ct gersQn: Phont=� - • 1flassachusetfs Gen-eral Laws chapter 152 regan-es all.employers to provide workers'compensation for their employees Pursaa to this statutt, an employee is defined.as C--uvez3'person in the service of gaofher under any contract of-bne, express or implied, oral or wriit-en." . An mployer is defined as ran individual,partnership,association, corporation or other legal entity, or any two or more of the fioregoing®-gaged in a joint enierpnse,and iacludingthe legal representatives of a der-eased employer,-or the receiver or trustee of an individual,part aczshfg,association or other legal entity,employing employees. However the owner of a dwellinghouuse having not more than three apartments and who resides therein,"Or the occupant of the dwelling horse of another who employs persons to do mairter ance,construction or repair work on such dwelling house or on the grounds or budding appurtmaut thereto shall not because of such employment be deemed to be an employer." MCTL chapter 152, §25C(6)also states that revery 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 airy 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;n crrrance requirements of this chapter have been presented to the contracting authority.' A-PPIican� . - Please fill oust' the the workers' compensation affidavit completely,by checking the boxes that apply to your situration and,if necessary, supply sub-contractor(s)aame(s), address(es)and phone nuzmber(s)along with their cer-6ficatc-(s) of incLrrance. Lirnited Liability Companies(LLC)or Lim tedLiability Partnerships(L LP)withno employees other iban the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees-a policy is required_ De advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation ofin=mce Coverage. Also be sure to sign and date the amdavit The affidavit should be retuned 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-in�ce license number on the appropriate line. City or Town Officials . Please be sure t `the affidavit.is complete and printed legibly_ The Department has provided a space at the boA..r of the affidavit for you to fill out in the event the Once of Investigation has to contact you regarding the applicant Please be sure,to El in the pennit/license number which- r,M be used*as a reference number. In addition- an applicant that must submit multiple pemiitllicense applicalions m*' 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 t:o wn)."A copy of the affidavit that has been officially stamped or marked by the city or town may be prov2ded to the applicant as proof that a valid affidavit is on file for tut c permits or licenses. Anew affidavit must be ffii l.ed out each year.Where a home owner or citizen is obtaining a license or permit not related to any business o.commercial venture (Le, a dog license or permit to bum leaves etc.)said person is NOT requm-ed to complete this affidavit The Office of Investigations would ae to thank you in advance for your cooperation and should you have any questions, please do nothesitate to givens a call. The Depadme•n-t's address,telephone and faxnnmber: ` lh�tbmm-aavir lfh of M&-.sachuscjb Degazjme�[ rf lac-dal Aockde,�f� 6W Washington $ctsf.Gnz MA 02111 TeL.4 617`27-4,905 4-66 Qr 1-977 hLkS 'E gam.=# 617-727--7749 Revised 4-24-07gpt�dia . . .. ... NOTICE NOTICE TO TO EMPLOYEES EMPLOYEES V The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston; Massachusetts 02111 617-727-4900 - http://www.mass.gov/dia As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I (we) have provided for payment to our injured employees under the above-mentioned chapter by insuring with: LIBERTY MUTUAL FIRE INSURANCE COMPANY NAME OF INSURANCE COMPANY PO Box 9525,Manchester,NH 03108 (800) 562-3936 ADDRESS OF INSURANCE COMPANY WC2-31S-373220-014 . 06-15-2014 06-15-2015 POLICY NUMBER EFFECTIVE DATES HUB INTERNATIONAL N E LLC 299 BALLARDVALE ST DBA CJ MCCARTHY INS AGENCY WILMINGTON,MA 01887 (978) 661-6817 NAME OF INSURANCE AGENT ADDRESS PHONE# PRATT CONSTRUCTION COMPANY LLC PO BOX 731 MARSTONS MILLS,MA 02648 EMPLOYER ADDRESS EMPLOYER'S WORKERS' COMPENSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT The above-named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER Insured Copy , -3 PRATT CONSTRUCTION CO BUILDING&REMODELING CONTRACTORS PATRICK COFFEY ` c 508.280.4688 coffey7@msn.com ' a 508.420.9333 153 Lovells lane/Box 731 f 508.420.9733 Morstons Mills MA 02648 Massachusetts`-Department of Public Safety .-Board'of Building'Regulations and Standards Construction Supervisor License: CS-102647 PATRICK J COFFtY 153 Lovells Lane PO box 731 Marstons Mills Mrt,026$ Expiration s Commissioner 03/03/2015 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement C_ontraetor Registration Registration: 163855 Type: Corporation Expiration: 7/31/2015 Tr# 244381 PRATT CONSTRUCTION COMPANY"LLC . PATRICK COFFEY R.O. BOX 731 MARSTONS MILLS, MA 02648 1 -Update Address and return card.Mark reason for change. sCA t 0 20M-05/11 Address ❑ Renewal D Employment Lost Card . � Glee�pomzmzo�uuealt�o�C�aaatcc/zecoeCra "Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 163855 Type: Office of Consumer Affairs and Business Regulation Uxpiration: --7/31t3Q"1`5' Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 PRATT CONSTRUCTION GQMPANYlLC. PATRICK COFFEY . 153 LOVELLS LN UNIT D o MARSTONS MILLS,MA 02648 'Undersecretary No alid without tune - r i P`QFtNE Town of Barnstable - 7 �r BAE. Regulatory Services T MASS. g v639. Building Division pTFD MPS a 200 Main Street,Hyannis,MA 02601 i' Office: 508-8624038 i Fax: 508-790-6230 i Inspection Correction Notice Type of Inspection Location �an , U�� Permit Number 616!;3 0 6/r78 Owner Z-Z � -CIQc Builder 4014T/1111 One notice to remain on job site, one notice on file in Building Department. 3 The follow' g items need correcting: to An v a� I r , Please call: 508-862-4 for re-inspection. Inspected by ,� c r Date r SMOKE DETECTORS EVIEWED oe 'o BARNSTABLE BUILDING DEPT. D E FIRE DEPARTMENT DATE) ROM PER TO BE � BOTH SIGNATURES ARE REQUIRED FOR PERMITTING 0 0 IMPORTANT UPO DE REQUIRE aSTATE BUILDING CODE REQUIRES THE UPGRADING OF SMOKE DETECTORS FOR THE NTIRE DWELLING EN ONE OR MORE SLEEPING AREAS ARE ADDED OR CREA TED. O ® ® NOTE: A SEPARATE PERMIT REQUIRED FOR THE ® ® INSTALLATION OF SMOKE DETECTORS—THE ELECTR CAL t PERMIT DOES N T SATISFY THIS REQUIREMENT. r7l -6. .. 2,._b. I 21'-b• 15'-S' PROPOSED FRONT ELEVATION PROPOSED RIGHT ELEVATION CAMUSfBE RBONM NSTALLFO PER EALARMS SCALE. 1/4' - 1'-0' - SCALE. I/4° I'-0' . - - MASSACHUSETTS BUILDING CODE . � . W J t co r Z. _. z - - w ® f— ® Lu w Q Tn TrIl w 3 z ly O FIRST FLOOR U w g Lo z a U U) x I I I Q W I 945E1'IENT FLOORL--------------------------------JI Q L-----------------------------------� w EXISTING RIGHT ELEVATION V EXISTING'FRONT ELEVATION SCALE. 1/4° - 1'-0', SCALE, 1/4° I'-0° co SHEET PRICING( S E T 9 — 1 8 - 1 DRAWN BY:ETFRRG I DATE: q/18/12 T-6 8/4' T-2 1/2' m _T m I ' I I , m I i x I I — I � I � t D 4 m r I s O � rn , o rn I S < I a rn oi k I I a � ! I I O Q • o � I I I � O to rn }• I m X I a D cn r i I _ I m { m 70 I m 1� — mm i I { I I o , d I. � V I 1 Q 0 L JOB LOCATION. LECLERC RESIDENCE .. Z z > 86 CEDAR STREET WEST BARNSTABLE, MA .. PROPOSED, ADDITION DESIGN ' 1 . I f fr yr 7 I I 6'-0' 7'-O• T-O' 10'-b' � L n i Q ID W 0 3 X_ V1 N o � a Z P I m T IV II N I, d � o o IIIL(7L^�p i i RF g P c I • � v yO O A i I O c y Z w o O n 4t: 1 Z I I �• P I 1 I �{ W I P � w r � m t 5'-10 Id-O' -b I � ti 7. ' I _ 1V • 5 ttl o a � g # g_ 7 I � ' f z N V 4 70 I4 O IM O r T a � x N�ZI 0 11 II m v 0 cn z Z R � �I 0 is o n 5� N -n L 4„ g I o N tnf Q n m —'I {Ti em mI sg � m m v e co A c r I m I m i z G c -1 p 0 4 } rn m I�V F o 0 ' 4 D D m m \ m b'-0 24'-V all ' V � JOB LOCATION, 4 w LECLERC RESIDENCE �^ z m 86 CEDAR STREET NEST! BARNSTABLE, MA 1. n a A in PROPOSED ADDITION DESIGN N n � I I' 4 i 7 I s 1 v , , r x N i ip m� N m 0 In p ! p rn • t o WTI ¢' D g l �y _f. 1 . . f g� N� {yy1 Z r i y 19'-I p _o. .same y r� D m N wv � m00 m mED Im D-70 rT IM p' cn m a m m z '. n O O o� 'c —! p c }' f u m , m D p• �,� a. . 1.•r � CA o � d'. m m c y m m m a o z o q G) ' y i � t i I p o L JOB LOCATION. LECLERO :RESIDENCE Z T 86 CEDAR STREET WESTi BARNSTABLE; MA cn PROPOSED ADDITION DESIGN 713 a n 1 1 I , a ` o m [1 � 4 rIIM Y x N T-4 1/2' 7'-4 1/2' T-4 1/2' 7'-4 In• 1 L_ 1 I L-----J I 0 I 1 Z I I q'-21n• r------11 a° P Q P i 6'-6• 18'-b' 6'-4' Y. 1 2q'-49 - .. F I 4 E I 1 • 1 ( b I 1 1 • . P �Y. I J P 7'-4 In' 7'-4 1/2 "' T-4 In• T-4 I/2' £" N B,o, a --- --- --- �^ ______________________ d r__ __� \\ \\ oQ ib O d,____________ _______ � F_ Y �� • C I d l �a r-----� W a I I 24Ida r-----JI Hu, tt�� I------1 N— mpm a B' Quo g -- -- z 10, QI� '� i ..V I� 6•GL.. QI 9'-2 1/2' s_ 4 a i � i 1 Q. e• (B)2X179 r.9% - I ---- __ � I 1 .11 e � QI �� D • i i. 1' _QL_i_ 1 _`__________________________________________________J__I f 1 4 4 Y 1 I d 4� M� ( V 1 1 O L JOB LOCATION; m X �� LECLERC RESIDENCE Z T 86 CEDAR STREET NEST BARNSTABLE/ MA � In ' A PROPOSED ADDITION; DESIGN N (� ( I ( ' t N m n O _ z ' D .. r-2 8/4' r r m ^ z VX S - A 4 QG s g A m :2 QD - D 3 m Z s x � o I D I Z FIREPLACE CHASE i 'a3 D O 21 U) ' N 3 I H y � y i i f 10� g r r � 1 ui r-z 9/4' mF � I i t act gPP 21 z �a Sppa m -n 1 i MpD�9 j�j 7�o zZ "'yp nZ . aA ip11 L I, { I £H W. Q ag °'fie 7 i z � Fm O .. 21-1 N- .. MATCH EXISTING 2'-B' t t c ZL� aN N 4'-6'o N f_� A m o O. Q r s 00 a � rD I � � O e a� • e. m to ;n R A O _ � G a' r-2 3/4' 8 MATCH EXISTING \\ Z mz CD W \ Y m a ° Q a (n A a[z D A �a — \\\ D gx tnN 6 €3 n \\\ o f� p r m� g S �a MATCH IXI I 8 4 I� r P ^ � I FIREPLACE CHASE \ �! A I�°�mSYI o RNl b X ° ii ITA� I `1 aQ Z Em° IF ' b Z z i • a 3� LjI 1a r-2 9/4' r 1 I o- (DO p i D A JOB LOCATION, m LECLERC RESIDENCE z 8(o CEDAR STREET WEST BARNSTABLE, MA m -n r i 1 A m PROPOSED ADDITION DESIGN N 0 (10 m D Yyw� A ny�ojF Fm � s in In �v� MC�oD rQ�m D ( Zm�F v� n 70 ar 6 41 Z N // F duu Jw:ukj f a p g r p7 i 1F' It i ! d,'M E 11� S A GC�I'��yui "'tJ Rvp�1tlY,�td WUL -4 4dIi4r16.+liv d O __ .ud ar dG71e'�I"i F 157�AI�1wcM=wPs Pa / m// 1L y1 p -NID3 ooD L D I m Ap A t V 4 r � ■ ■ m a�m� a$mN A E, zDN�NN zzg D F1 nn NN� r^q I Nu`2i > 3 I a$Y Amm=E A v gm A2m=D A � D �zr zzb m � n m Z A Z _ ��Gaympmo Fop�OyO 3a ° z J r_ p= 9 L A O Z = in NP Z yO) Aa 9, fil .1 AA O g e z 8 H� 88 fi` v v 70 ° O D $ a [g9 a It B 8g. ae Yf,5r €g5 €;g F m70 /-u m • g e sae es €sgE tyt Egg 9 n S? a Yv Z Rti. P -�7 °� m rn o !_ JOB LOCATION, LECLERC RESIDENCE m z 86 CEDAR STREET WEST BARNSTABLE, MA cn m PROPOSED ADDITION DESIGN yf, j xl 7m0 i r SS Town of Barnstable *Permit# Expires 6 months from issue date 710VVN • Regulatory Services Fee • A . Thomas F.Geiler,:Director MX `_ Tg CE Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us tQ Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY f Not Valid without Red X-Press Imprint Map/parcel Number 1 > � , Property Address E'GIQ T 7 . 9R 1 CU 5 V Residential Value of WorkV/- c?d0' 06 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address tscl (f S/,L Contractor's Name a &L} !VC T116/�J Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 109060 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Ya V-4- u r 4 t�� Workman's Comp.Policy# u K U(j Y 9 (�F Y—_4 - Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof hurrica a n2 L (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 *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pro a Owner must sign Property Owner Letter of Permission. A o y of the H me Im rovement Contractors License&Construction Supervisors License is uired. SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\DDV87AAZ\EXPRESS.doc Revised 072110 snnrtsMIM ` ,� Town of Barnstable CFO Mld A Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 1 SG(((Cr -er ,as Owner of the subject property hereby authorize INJ6"q Le fySI f UG Ito 1y to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) JsilatureOwner Date Prl"Scf�fq Let Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 7 '"` .Massachusetts- "Ment of Public S; f Br►:u(1 of Build;n'� Rc'�ulatinns and Standards Constructi License: CS 102260 on Supervisor License Restricted to: 00 �a MICHAEL MEAGHER JR 97 EMERALD LANE MARSTONS MILLS, MA 02648 s Expiration: 11/5/2012 Try: 102260 �T P za. ld ✓l �l �a Fx Office of Con amer44tfairs&B s,ness Regulation HOME IMPROVEMENT CONTRACTOR TRegistration: 9162938 Type: Expiration: ,4127i2013 DBA MHERBROTH9- S CONSTRUCTION MICHAEL IiAEAGH W4-R ? ' 97 EMERALD W => NiAP.STONSMILL,MAa)2648 ;y. ' Undersecretary i SdQ/Ao!)-"'3W MMM :oT ja�ag •asuaall slga Jo u04e3oA04 jo3 asnea sr apoz)2urpong al�5 suasnwesseyq aql jo uOmpa;paj jn3 a ssassod oT aunpe3 Iluog/gtwtt 3Z T-�I pa;auasauan _Ml " pp ;off Ra3a�usaa rv-.. yi 10*0 0 � ttti�>b °aa��as hk. os- OON a>> os a4> aaxl '; lot •a1 O°C1 � ;0 I 0.a.1 6: 00:13 AM PAUt G/-NNG ro.n vci 1 f CERTIFICATE OF LIABILITY INSURANCE 11123/M011 UED AS A MATTER OF INFORMATION ONLY AND CONFERS-NO RIGW UPON THE CERTIFICATE HOLDER,THIS TB NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY REPRESENTATIVE OLICIES BELOW. CA OF INSURANCE'DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),A ODUCER, NO THE CERTIFICATE HOLDER IMPORTANT,N t ceRiS�o holder(s.avr ADDITIONAL INSURED,the Palirry(ie5)must be endorsed N SUBROGATION IS WANED,oub)aot to the terms and condlo6rw 61 Um policy,certain policies a"retire and sndam mom A stotamont On[file eoatifloete does hot confer rlphh+to the certificate holder�_jleu o1 au�h endoreamant(s). PRODUCER i CONTACT i NAME: PHONE FAX OLDS CAPE COD INS.A,GCY (A/C,No,Est): FAX (AlC,No). 29C�WWTEIRSTREBT E-MAIL - ADDRESS: ,'PRODUCER CUM YHYANANIV MERIDa; IS.�VSA.026Q1 • :` '} ' j INSURER(S)AFFORDING COVERAGE NAICtt INSURED INSURER A: TPAVFT Ir�J iNITVCOIITPANY R - .INSURER 0:. WACMR MICHAELDBA MEAGEM CONSTRUCTION 6 SURER C: INSURER D: ' 97N D ST'RtET' INSURER I- . JvIAF.MMILLS.MA (26443 INSURER F: COVERAGES - CERTIFICATE NUMBER: REVISION NUMBER- COVERAGES IS TO CERTI THAT.THE poLICIE6 OF INSURANCE.LI9TED BELOW MAVF SEEN 199UEOT0 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDI ANV REOUIRL�M1IIENT,TEOb OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITM RESPECT TO W4CH THR CERTIFICATE MAY BE ISSUED . OR MAY PERTAW.I THE INSURANCE AFFORDED RYTHE POLICIES DESCRIBED HEREIN 19 SUB.IECTTO ALL THE TERMS,EXCLt ONS AND CONDITIONS OFSUc}I POLICIES, LIMITS,MOWN MjYHAVE BEEN REDUCED BY PAID CLAIMS, IN9R ADDLSUBR POUCY EFF DATE P.000Y EXP DATE LIMITS 'ITYPEOF.INSURANCE POLICY NUMBER IMMIDMYYYY) INMDCRYYM LTR IN9R WVD GENERAL L�IARIUTY EACH OCCURRENCE' S COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S. &IM MADE OCCUR. PREMISES(Ea occulmN'A) I MED EXP(Any one pemord S PERSONAL RA AbV INJURY $ GENE AGG GATE LIMIT APPLIES PER GENERAL AGGREGATE S POLI PROJECT LOC PRODUCTS COMP/OP AGO 3 AUTOMOB1 E LIABILITY COMBINED SINGLE $ ANY O LIMIT(Eii sodden[) ALL NED'AUTOS BODILY INJURY $ SCHE)ULE AUTOS (Per pmmn) HIREC AUTOS BODILY INJURY 3 I (Per arc'fonll . NOWIWNED AUTOS PROPERTY DAMAGE S t (Per BooldenQ LIMB LLA LIAB OCCUR EACH OCCURRENCE $ UMS LIAB CLAIMS-MADE AGGREGATE $ E)CCDIED TIBLE S RET I TION F E WC STATI)TORYLIMITS OTHER WORKS COMPENSATION-AND i EMPLOYE S.LIABILITY Y/N UB-40SPBSA-I 1 1l/09I201 I 111092D12 . E,L,EACH ACCIDENT S 100,000 ANY PROPS ITOWAITfNER/EXECUTIVE N E.L.DISEASE-EA EMPLOYEE $ 100,000 OFFICER/NG JAERFxra unED7 IMnndmoryl NH). E.l.DISEASE•POUCY.UMIT 5 500,000 II yee,4esCrl 1�44f DEgCRIPTI01 OF OPERATIONS bolmu i DESCRIPTION oF OPERAMONSA-OCAMONSNERCLES/RESTRICTIONS/SPECIAL ITEMS TMs FMIA ANY PRIOR CMTMcATE IS LW TO TJ�CJ°,RT(KrA.Te A IO.'OLDEt AFFBC-MG WAR u COMP.CO�AO$ ), AGHER MI IHAFI ISCOVEF-DBY THE WORICERS'COMPP.NSATIONPOISCY. J , CERTIFICATE HOLDER CANCi;LL.ATION TOWN OF�MASSPEE SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.NOTICE WILLBE DELIVERED IN J6 GF}'sATIMCK RD- " ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE MASEPM MA 02649 Charles J Clark -ACORD 26(2 B/09) 1989.2009 ACORD CORPORATION. All rights reserved. I'4 I 77ie Commonwealth of Massadfiusetts Department of Industrial Accidents Office of Investigations 600 Washington Street (� Boston,MA 02111 8 wnnv.mas&gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lepib Name(Business/Olganizaftondudividua e49 0NS T f uc 0 rV Adams-. 9`� C� IY L iy �T-ti city/Sta&Zip: /Pt l/J 0o;76 `-� Phone# u an employer?Check the appropriate box: T of project r 4_ I am a general contractor and I Type p I ( � � l am a employer with� ❑ 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 8. ❑Demolition woddng for me in any capacity. employees and have worms' 9. ❑Building addition [No workers'comp.insiar ce Comp.insurance required-] 5. ❑ We are a corporation and its ME]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]I c.152,§1(4),and we have no employees.[No workers' HE Other comp.insurance required.] ;Any applicant that checks ban#1 mast also 511 out the section below showing Their workers'compensation policy in[ormatioa Homeoemets who submit this affidant indicating they are doing an wal sad then hie outside contractors must submit a new affidavit indicating such ZCantracmrs that check this box must attached am additional sheet shorting the name of the sub-camt<acmrs and state whether or not those entities have employees. If the subcoatotctors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workm'congmusation itsurance for Ttty emWloyees. Below is thepoU17 and job site information. `�,; / Insurance Company Name: T /q 6&1 Oor A s ti r Q.NG A Policy#or Self-ins.Lac.#: 69 y��9!!" a 7 ff r/ Expiration Date: r l � e2 Job Site Address: NG 04.0 r 5� City/State/Zip: W J5aftL)S Zu_ _ Attach a copy of the workers'compensation policy declaration page(showing the polity 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 ci%il penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby kerb under i e poi s and penalties of perjury that the information provideX;Z/ and correct Si tune: G1-��2� Date: � Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 r Town of Barnstable *Permit# Expires 6 months rom issue date Regulatory Services Fee Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barmtable.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 Property Address ?e, GC� r�r r- c;-t, ��%G'S l�r+� ll'1 ��l t� /I A o Z 6c 0 ❑Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address ce '114 , Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) X-PRESS PERMIT . ❑Workman's Compensation Insurance NOV-2 9 2007 Check one: ❑ I am a sole proprietor �I am the Homeowner TOWN OF BARNSTABLE ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side [►'Replacement Windows/doors/sliders. U-Value .33 (maximum.44) *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 Ho Improvement Contractors License is required.' SIGNATURE: Q:Forms:expmtrg Revise061306 r f , 1 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a 600 Washington Street Boston,MA 02111' wrdw.mass.gov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Eleetricians/Plumbers Applicant Information 1 Please Print Legibly Na11�1e(Business/Organization/Individual): c i-c4 '' Address: 6 G ad eA s— City/S�ta�teJZip: V4`est C Phone.#: fo 3 4,2- 6®00 Are you an employer?Check the appropriate bog: :Type of project(required):. 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. ❑New construction . 2.❑ I am a'sole proprietor or partner- listed on xhe'attached sheet 7. Remodeling ship and have no employees . These sub-contractors have g. Demolition workers' d h e loyes and worer �yorking for me in any capacity. emp 9, ❑Building addition comp.insurance. [No workers comp.insurance 10.❑Electrical repairs or additions 5. [] We are a corporation and its '3 �egtied] officers haveexercised their 11.❑Pumng repairs additions rs or _ �a homeowner doing ally-w.ork�. idh Plumbing.- - c myse.- JNo workers�comp� right bf exemption per MGL 12.❑Roof repairs �. . t_� c. 152, §1(4),and we have no - c is ance:regiiifed. 13.[�Other employees. [No workers' _ F comp,insurance regiired.] iit✓i' *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeownera.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. XContractors that check this box mutt attached an additional sheet showing the name of the subcontractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must providt their workers'comp,poicy number. I am an employer that is providing workers'compensation insurance far my employees. Below is the policy and job site, information. Insurance Company Name: Policy#or Self-ins.Lic.# Expiration Date: - lob 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 tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK,ORDER and a fine of up to$250.00 a day against the violator. 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 certify under t ains•and penalde-of perjury that the information provided above is true and correct :Date: L _ Phone#: Official use only. Do not write in this area, to be completed by.city or town:official, City or Town: ' Permit/License# Issuing Authority(circle one): :1.Board of Health 2.Building Department 3.City/Town Clerk 4,Electrical Inspector 5,Plumbing Inspector 6. Other Contact Person: Phone#: tHE Town of Barnstable �OF ��� y�P Regulatory Services BARNSfABLE. Thomas F.Geiler,Director MASS. g �A 1639• Building Division rFO �a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ----------------------- ---------------- ------------------ --- Q EOWN_ER-LICENSE.EXEMPTION Please Print DATE'// c=JOB=LOCATION- �to �it td.i— S� we-, 11)ar IV s T6,7 number street village nn HOMEOOWNER'::�. e_©h L e G- �Q `�G -GbOC� ail �— �_ 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 minimumLspection procedures and requirements and that.he/she will comply with said procedures and require �Sgnatu! llom owner - Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify.that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:fonns:homeexempt FZHETq,,, Town of Barnstable ti Regulatory Services sn . Thomas F.G6iler,Director 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 r Property.Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this b ' ing permit application for: (Ad ss of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION PROJECT/,, 1, / NAME: �'1� �`�-'o 41 c►'� -�(�1. C--t�-' C- �.�c�-�' ADDRESS: t PERMIT# O- ----- - ----- - PERMIT DATE: M/P: C �O ' C I LARGE ROLLED PLANS ARE IN: BOX l V7 SLOT Data entered in MAPS program on: <,3 BY: A q/wpfiles/forms/archive