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0878 OAK STREET (CENT./W.BARN)
,r } } I . Gti,fJ ®!J NO. 152 1/3 ORA o L 4 L� .9 VI A. A.M. FOR � � OATE sLTIME Ili R.M. a < I I Mrs:l r425 OFAE7URNED a 62 PHONE AREA CODE NUMBER EXTENSION rr /aA � n PLEASE GALL' r, MESSAGEsl+ /y risF4 z \". �Y moggCALwill" L 0 1 4l 1 ' � A�h L ik [SIGNED Universal 48003 t i 1 �t r, S r1 t � y {`\ I TOWN OF-BARNSTABLE BUILDING PERMIT APPLICATION Map 2 ( b Parcel 006 Application # Health Division Date Issued Conservation Division Application Planning Dept. Permit Fee �77� Date Definitive Plan Approved by Planning Board m � 1 Historic - OKH _ Preservation/ Hyannis.` �il•� A!c FL� i i Project Street Address 7 9- •• C',r-L-t !°e r Village Ulo 5•f �f'w4+,b(t FF Owner Syt,\, C• lhr K Address .K)'K 00,k Skret LJesfi A4 Telephone 6(U - 7� I ,- G 6 9 8 Permit Request QewNO-4- t repl&,t rde('X ��4tye)d" �e✓►�on�� ULeQc ".� Gl✓IPlrin �lGv�t�i �- {e(�1c�fe S�-� f�Ud� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District 1Z r Flood Plain Groundwater Overlay Project Valuation 3`�, 00L) Construction Type Lot Size Grandfathered: ❑Yes Cl 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 i Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: AGas ❑ Oil ❑ Electric ❑ Other Central Air: XYes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ ex ting ❑ ne� size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing. ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 0 ro Commercial ❑Yes ❑ No If yes, site plan review# �lp� Current Use Proposed Use va? APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �P�� �� �` Telephone Number rQ - I-! Z&• Z ZI Z l Address License #_ 03 6 6 A44 UZ S 5 C Home Improvement Contractor# I 1 Z E- 36 Email A eoFSC,0 Ff�ye�GcG . c C)1-1 Worker's Compensation # WG o ool V50 6 ® 11 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE 9 1Z IZ01 i s FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED S rl MAP%PARCEL NO. - - ADDRESS VILLAGE t ,OWNER DATE OF INSPECTION: FOUNDATION - r FRAME ' INSULATION FIREPLACE �3 r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING. } DATE.CLOSED OUT ASSOCIATION PLAN NO. 1666" 2111; 33" 36;s' 53-111 — Fraser/Oak St. D ! 878 Oak Street WINDOW WIN OW F. Barnstable, MA N 00 0 3 v BATH.FREE.OVAL.FX a 3' ------------------------ a N I I I r rnIN Cb O I Yam, N O r � I 0 I t 2UWIFU 287R y t. I I— Ili O V' \/ I I s \ N I ` I � `, 1 v \ W Co SIN \ M W -n 00 @ -j CY) r'I`r \ 'iv N \\\\ O ` L - 2111 �-36-411 ' 45" O ,3„ , �� 25i1 3rJi� 1116 45 4 RIO�P 24-s' AL 33"' A 60" A �O 57;s' Note:This drawing is an artistic Designed:11/10/2016 interpretation of the general Printed: l 1/10/2016 appearance of the design.It is ��J not meant to be an exact rendition. _r - I( Fraser-Oak St. l 1-10-2016 Opt l 113r7mvingI Drawing#: l 166 33' 36--" z � ,6 Fraser/Oak St. WINDOW _ W N W -- 878 Oak Street �' — — --- 5- - __ f Barnstable, MA _ -- o 00 N ZJ( lU U x „ 4� I- inl� Co c-CD = ! ti I � r r N i W 21„ 3616, 45„ 11;6' 45 4„ 25" 35" 112VISNUde �0 NM01 24;s' 33" 6011 ANZ add 57;s' Ld3G JNIaiin9 Note:This drawing is an artistic Designed:11/10/2016 interpretation of the general Printed: 11/10/2016 appearance of the design.It is .,_. not meant to be an exact rendition. r ! Fraser-Oak St. 11-10-2016 Opt t [Drawing 1 113raiving#: 1 ` Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston, Massachusetts 02116 Home lmprovemen ,.otractor Registration Type. LLC Registration: 112536 ERASER CONSTRUCTION [1C Expiration: 03/22/2019 P.O. Box 1845 Update Address.and return card. Mark reason for change. SC^' " MWOS i L7 Address ❑Renewal 0 Employment 0 Lost Card' ��a�ac/cvaclla � .�.a �inmxoortu�o -�- offico of Consumer Affairs&Bueinoss Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:LLC 'before the expiration date. If found rdum to: `Roa: on Exoi tra;on Office of Consumer Affairs and Business Regulation °-'rzt;• 10 Park Plaza-Suite 5170 KFl`t?536-- 03/22/2019 Boston,MA 02116 FRASER C7 ONSF3yCON`ti�C .�r.,�i.�l. DEAN FRASEI { 31 Bowdoin Road l> q ,;i Mashpee, ="° Undersecretary Not valid without signature They Commo;swea&k.of M=achusdts Department ofTndrestizal�ccza'enzs I.�Con,�',S'�ee�.Srate I00 Boston,:ljA_021144017 w►mmassgov/dra ~. Workers'Compensation InsuranceAfEdavit:3wlders/Co>rxadomS!ecaid=sJPb=bem TOM MM'V'M TBEPERV.aY IG AUMORMI. .Aoalieg -rinformatron '?lease?rint I;--ib-Iv N2me musiness/Or�o-a-dMdnal): — Atidress: �! Y�at;�o✓ �� City/Srate/Zip: i�cG;o�a.� //L 17,1�fG Phone: : moo: y Z� — ZZG.Z Are you m=ploy&'-Qe&tbe4-Pri=box: Type-of pro3ecf(required): l.�an serrpioycwith �i employee{full and/ar:post-aruu�' 7A New eoIISCL c6cm2.Q IW a aleprop iaororp�asliipz�dleveao=ploy=%W-in:.fo:=in sJ�odding any o�ry.to wors=:r compin===T0gdred:J ��� 3.0 I am a bornww=eoias al l wotl:n�'t[No workers'comp.,iira=-w rcwired.J r 9. 0 Det nolidoa <.Q l am a horaeow=and w,il be haul ooaeaetor.meoaCixtallwotit oa my paopaty:I will TO'0 B uRding-addition" e5methat 11.cav a wrsdtherhavewo:kc' Eleetticalrepii15ATadddonS, proprie os.uEfi no eaptoyr~ 1Z0 Pl=bbgrepairs'or2ddifioas 5.0 I=a V=- etmtraetoraad I hm hhd roe mb-coauaaon lstedon the atnehed sbeet Ttlxe subtonrxroo:s bave.er.ployes nd 1>=ve wor="eoalD:inst3aaee? la":0 Roof:eoa�s 6.QWea:exeorpor�oamditto ea:haveooazixd8ic:ight0fexea+ycoaperNGLM '14:Q,Otiier 15Z§I(4��we have.oa�plo�s:.,(l�o-wor}xts'comp:insnranee rtquiredl *Any zWic=%hat deft boxM. =Wfdlouttheseeriaabelowstowingtheirworl="eoap=ssdonrliey..infot:n m tlior.:eowna:who.ab=ittbir,affidavitiaoiczftt*medoca,allwork=dt=-himaumidew a.tarrtsubmim new dfidvitinm ..rich. -rm r==:rhst eN ck rhi s box rr.=amdmd aa:nldriorelPshcafty rethc ax�oofthc zS eoat•etow and'saoc whC3er orzro:flxe eaddc xve employees. Ifthcsubeontraetor.'have•errptoyce:,theymr�provide3ier:wori.°as"eoa>7:polirynumbs Famarenrp[oyershorErprovidfi�worliers'cornp�oairsrvmscefor,nry'eorployee.�Belorvissl:epo�ry•a�djo'osrse injorraatiorL /� Insu-=ce Company Nwne . y Policy nor Self ins.Lie.,I DOGG,' Job Site Ad&=: ��8 e),,,k Street 0,7 G$$ Attach a copy of theworkers',eompe=tion•.poliicy declmtion,.pase:(showingtl e..poHcy numbs:=d:e%piratiot:.d::c)'.. F22uretoseame•coverage.ss•requiredunderMGL:e:•I52,05A:9s ,ajmbWviolationpun45h2blebrafine.upto•51;5.00.00 and/or ow-year imlorisonme�,as welt.as.Ci;nH'pe:i~hies:in-thefotm,of a OP WORK ORDER and a fine ofup:to 5250:00•:a day against the violator.A copy ofth.is statement'may be.forwardedtn.theOfnccoflmesdgations ofthc,DIA fori*swa*tx covorage V=fii=on.. I do hereby certrjy underthe�aias m dP slim vJ q-Mar the inorxaaon provided ab e:V' .ce mtd correct sivnatvre /Pi/ /Z 1 Phone- mot— — 7-2A 7 Offcchd use or_y Do.not wrLz ir.Y a,4rec;to,becompleted by'city oT f0 offxiat City or Town: Permit Ucense T . T.SS"3i;gAutbormv{Crete:o:te): 1.Tdoard of Health 2.Bus�ding.Departmrst aCityrowwClerk,'d:;Eiewicml.aaspeetor°5:"Inab aa�:Iaspertor 6.Ot'ser Contrct 1'a-son Phone T 1/3 initial payment before start of job, 1/3 upon commencement, and the remainder paid upon completion. PAYMENTS ARE DUE IMMEDIATELY AFTER JOB COMPLETION. Payments accepted are: CASH - CHECK- MASTERCARD -VISA-AMERICAN EXPRESS Any payments not immediately paid upon job completion will be charged 0.005%for every day after the given 5 day grace period upon day of job completion. Any deviation or alteration from,above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. Work Permit-I A, r" (Sign Name) give Fraser Construction permission to pull a W99permit for the work at 4I4 'A%4 sr If wsr- B*v.+Sty►eLz (Address) FRASER CONSTRUCTION, LLC: Carries Workman's-Compensation and Public Liability'Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: � eowner Fraser Construction, LLC r GRANITE STATE INSURANCE COMPANY 0103090=00 WC 0o9-93-060i 13102 0.13-82-0916-60 P VAN I A• FRASER CONgT;RRUCTION, LLC P.O. BOX 1 7 CO-UIT, MA 02633-2443 An At6'eompany MCEMITNE'Orr. C3 SEE EXTNStON OF TEM 1.OFTF.c"INFORIJAmoN''PAGE-WC990t'.'IA 175 Wier-St-cct Now,-Yom NY 1003E ID: MA JI_ TKG WFiOLESALE BROKERAGE: INC WOR-:QZS COM,PaISATION AND'EMPLOYEn •144 TURNPIKE'ROAD L ABILI D Y POUC:r"INFOMIATBON!PAGE SUITE ISO SDUTHWgplJGM. MA'01 . __C000 LIMITED LIABILITY COMPANY R7dEWAL 00 9930601 OTHER WORKPLACES NOT SHOWN ABOVE: SEE'EXTEMON'OF iTEY,!.,OFTHE INPCRNATION.PAGE- WC990S1C rt�i: Pover Pwoo am,xiu.s�eaare i:me at do In_-eroey o9/26716• 7o 09/26M mm e A. Workers-Compen=tion tr=r.Inxt Pmt•One.of the polite'appliec.to•tho•Werker:Comp==ion'L-w of ttse ti^:�I cd here: KA 8. Employers Liability ln=rm=:P:r.Tuo.0fthapoliry appli=,W thra1orc•in CaO.state*V00 In'itern•S.A. The limits of our'liabjEty t.-der?aR Two we: g�1Y;In�.yy.Acddcrt S: 500.000 c=t: eeircr:' . Soc"lylnjury'byDixrc :S 500.000 pol'ieyrimFt Eo'Efly*6m.•by Disease S, 300.000 cach:amployee C. Omer States lnairanco:.PJrY7hroo of.-bo poLGy=plim.0 the--taft—s:if-=W.;listed.hers. AK AL AR.AZ.CA'CO CT DC D=_:FL GA..HI• :IA ID IL IN.KS KY LA.MD.ME,"M' MN MO-MS.NT.NC.'NE!NH N3 NM NV NY.'OK'OR'PA RI- SC•'SD'TN'TX"UT"VA'VT.WI 'W. D. This policy includes,these'endOrsomentS:end SCheCUle_ SEc ExrENS10N OF:R-IN"30.•O=THE INFOFMATiON PAGE:-WC990612 Esc The pirmiam'forth;s policy will bedetcrtaiaedby-our.Mzntmisof'Rulos,.Clsaif. ions.'Rates and.R7ting.PLL)s. AU iteormation required below L•subject tometifieation and•ehaagL.by'avdiL P•druren.Pa�G CS.."''flGti0.'C CbCe'MaC:G. Tt�Sfir'�xcJtlOn sieO OF ire-• •Rtil7lCn_ -AaA:I 03YC 'menorr>en QX AnraAl�3'Ycs SEE SolagSION OF REM 4.OF THE INFOFMAT ION PAGE- WC7754 TAXES/ASSESSMENTS/SURCHARGES S2.097' 0xx=C0N.-ZArrrtotccrrVM=APPvorml.EEr=T.1 S338 MA I I ! ama:UMX=Iuin S500 14A S39 680_ t'in6Cste0 od0�•J.ir::eAT aOjuxntnt d ycitiur.'r mm oc.. 0 2m:amally 0 a=.Iy 0'I cm"y m70srPRE= 1 08/24/16 PARSIPPANY 82 ft.—o t. ra.;,v air" ao<no�e.°rJvprrmroWwe WC07.0007A amcr Owe awe* i ItomOf00 . lii kq siuinipD \I�IFIJIlUl1i'1��I..LS1'�i tl8§\'2LI U 1 Vad 009180•S�,aiue�l•1 elijGpliel5liu�suutje��i0321 dil�pjin(!lii.j�iQij�j �` Ajejub ntjgnd ju jUIOUJOUJoq=sllasu'y'aesseYJ _�' c P�- 1 1 i r CONSTRUCTION TO CONFORM TO THE Y4FCM 110 MPH EXPOSURE B MANUAL new windows E r;g E E existing roof to t remain as is a oz zg ��- 6 3 existing to remain 93 EEI31 DTI new windows EIJI LLU IMPORTANT E ANY CONSTRUCTION THAT INCREASES LIVING SPACE new door BEYOND 1200 So.FT.PER LEVEL MAY REQUIRE THE INSTALLATION OF ADDITIONAL SMOKE DETECTORS, N FRONT ELEVATION scale: 1/8"=1'-0" NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE M 41 0 INSTALLATION OF SMOKE DETECTORS -THE ELECTRICAL ya ILC PERMIT DOF 40T SATISFY THIS REQUIREMENT. Q N 0 � O a t o 3 existing to remain new windows ®® and transoms a u o� Wv IYoa �mE 0 v m Date: RIGHT SIDE ELEVATION no change) REAR ELEVATION scale: 1/8"=V-0" 1-16-11 ReAslons: 2-b-11 Final Plans: 2-26-11 BUILDER TO CONFIRM ALL CONDITIONS AND DIMENSIONS ON SITE Accepted by: Date: Note:These plans are for the sole purpose and use of Capiai Home Improvement and are not to be distributed or used for construction other • Accepted by: Date: than by Capizzi Home Improvement CONSTRUCTION TO CONFORM TO THE YVCM 110 MPH EXP05URE B MANUAL Ln existing cons block E E 5 walls to remain ' ,�0 o W yy 6 a E c 0 E 3 z Ez ' 3/2 x 12 girt I I » o rerric 46.wds ing shim £ £ Exdsdng 2x10s 16"oc/blocking @ midspan t Foundation yr m c 1L > 0 of v All construction to conform to 180 GMR Massachusetts c 30"x 30"x 12" State Building Code,'Ith Edition r o deep cons figs n 3 q--2 Lq' 110 MPH Exposre B Wind Zone,1.50 Aspect Ratio 3 1/2"dia lalh All sheets of ply wall sheathing to be Installed vertically, �_ or horizontallyw/blocking at edges,3"edge/12"field nailing 3/2 x 12 girt ` All LVL lumber/beams to be 1.qe L/480 load Follow all manufs specs for Installation of all Simpson components „ ^` NNE N mei r E M e°i4 's6 d. Date:1 16-11 build new closet on existing slab/ new 8"conc block Revisions: front step 2-6-11 wall;verify height and footings In field Final Plans: 19' 2-26-11 BUILDER TO CONFIRM ALL CONDITIONS AND DIMENSIONS ON SITE Accepted by: Date: FOUNDATION/FRAMING PLAN scale: 1/4"=1'-0' Note:These plans are for the sole purpose and use of Capizzi Home Improvement and are not L to be distributed or used for construction other • Accepted by: Date: than by Capizzi Home Improvement CONSTRUCTION TO CONFORM TO THE 19'-6 1/2- WFCM 110 MPH EXP05URE B MANUAL E m n E I4)M 0 E 3L �Da oZ �a _u"a � N:2 remove existing l m v chimney WINDOWS v d Andersen 24410 double-hungs 2-6 1/8 x5-0 1/8 5 see note on plan:VERIFY step down 1 riser Andersen 2410 transoms 2-6 1/8 x 1-0 1/2 5 see note on plan:VERIFY s (new 5-0 c.o.) Andersen 2442 double-hungs 2-6 1/8 x 4-4 1/8 2 Andersen double-hung To Be Determined 1 (to match existing) t o FAMILY ROOM iv c OC i PINING ROOM EXTERIOR DOORS SmoothSlar Fiberglass 3-0 x b 8 1 Model TBD 6 c > NOTE: exact location TBD leaving Na Nv area for built-ins along inside INTERIOR DOORS = o of half-wall and 3-0 min hall 18'-15 3/4" t o width to additionflaundry 6-Panel Pine 2-6 x b-6 3 IL len th as drawn of halftuall gas fireplace b-Panel Pine bl-fold 5-0 x b-6 Is"hall" to leave a 4-9 wide stack ry "hall"at Entry;this dimension W/D + /TBD per homeowner o �4-q- 5 m closet 12'-11/2" v E (V 0 provide clg access w + (2)ex.dbl hungs to be relocated; 43 hatch for HVAC p D add(1)new dbl hung to match ex. { Y m step down 9t riser OFFICE tp E x 5._8„� a m V (raised floor over new 2xb construction @ 0 existing landing) overhead to be removed ,o not shown 5 11 -D v 2'-2"_� I I I I Dater existing steps and landing 1-16-11 11,4 3/ Revisions: 2-b-11 15-1" "r "fw Final Plans: 4,4„ 2-2b-11 BUILDER TO CONFIRM ALL CONDITIONS AND DIMENSION5 ON 517E Accepted by: Date: - Note:These plans are for the sole purpose and FIRST FLOOR PLAN scale: 1/4"=1'-0" use ofCapizzi Home improvement and are riot to be distributed or used for construction other • Accepted by: Date: than by Capizzi Home Improvement CONSTRUCTION TO CONFORM TO THE WFCM 110 MPH EXPOSURE B MANUAL d Q E c r E W Ma 8 o� 21E E. E �t a d =oz � 8 all trim,rake,fascia and 5hinglevent II solid vinyl ridge vent v soffit to be pre-primed, sealing all end grains and matching existing including all gale fasteners R-38 Ins 2. E 2xl2s 16 oc d o sister framed 3/1 314 x 9 1/4 LVL header r c Simpson H2.5 hurricane dips o w R-36 Ins all new Interior = at all rafter ends -partitions 2x4 16 oc Andersen 2410 transoms(5) o t_ j NOTE:verifyheights' 01 m Ni �v 2x6s 16 oc n p 1/2"0513 zip sys sheathing ® neuAy Installedn R-19 Ins dgs and walls 'NOTE:verify per existing t o to be bluebd wall height and new 3 and plaster finish-floor height o Andersen 24410 double-hungs(5) trims;casings, NOTE:verify heights' o basebd to be 2x10s 16 oc colonist sd)e box sills and bridging v We shingles over Amowrap Q Rear and Front elevations 3/4 T&G Advantech subflr R-30 Ins existing a new 8"concrete wl footing @ overhead N i door(to be removed)/ 3/2x12 PT girt 6" OCOa new 2x6 wall 30"x 30"x 12"—,/ a dla tally deep conc fig m ;n d 2xb PT sill wlsealer and anchor bolts: Install anchor bolts at 48"max Date: w/Slmpson BPS bearing plates 1-16-11 place bolts w/In 6"-15"of each cpomer and to 8"min depth SECTION 0-FAMILY ROOM scale* 1/4"=l'-0' Revisions: 2-6-11 Final Plans: 2-26-11 BUILDER TO CONFIRM ALL CONDITIONS AND DIMENSIONS ON 51TE Accepted by: Date: Note:These plans are for the sole purpose and A use of Capizzi Home Improvement and are riot �_yT to be distributed or used for construction other • Accepted by: Date: than by Capizzf Home Improvement i 110 .s D mmau0 0 0 TS _ 2 / Town of Barnstable Final Inspection Affidavit Date: J 7 ! 6 Thomas Perry, CBO i Building Division 200 Main Street Hyannis, MA 02601 Y 0A, s4, •off, RE: Insulation Permits 99,1,s Dear Mr. Perry, ��lF This affidavit is to certify that all work completed at: Street: 7 Village: has been inspected by a certified Building Performance Institute (BPI) Inspector. All work performed meets or exceeds federal and state requirements. Permit applicati n n ber: Issue date: dot Sincerely, Francis Sheehan President Frontier Energy Solutions, Inc. 502 Harwich Road Brewster, MA 02631 Office: 774-237-0410 Email: fssfrontierenergy@gmail.com W" tfa 4` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 000 Application # �� 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 Village 4A)EM-Z- AALL lim is Owner�_ K 1 JA) ®� Address sn Telephone Permit Request�7�/�� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Xi U00 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ►9'/Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑❑ ❑ DING DEPT: Yeb No On Old King's Highway: ❑Yes No UIL Basement Type: ❑ Full Crawl ❑Walkout ❑Other A�cIL� Basement Finished Area (sq.ft.) Basemem�pn{%_*6vea (sq.ft) Number of Baths: Full: existing new TOWN dPIfBA A 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 Qelo If yes, site plan review# Current Use Proposed Use °D10-A1— APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name t1irS C�} 7� , Telephone Number Address License # Home Improvement Contractor# Email Worker's Compensation #\o I00, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I?R Qiom A- 1, SIGNATURE DATE9�q&617 FOR OFFICIAL USE ONLY APPLICATION# - DATE ISSUED I - 4 - r MAP/PARCEL NO. = , ADDRESS VILLAGE OWNER' DATE OF INSPECTION: ' y FOUNDATION FRAME _ ' r INSULATION FIREPLACE ► ELECTRICAL: ROUGH FINAL ' }; PLUMBING: ROUGH FINAL • GAS: ROUGH FINAL `=r FINAL BUILDING DATE CLOSED OUT 'y ' ASSOCIATION PLAN NO. Townvf]Ba .table TA ; siori • � � - ��omF $ gfioa�mmdssto�c 2.00'Mik Siren H�sanis.` l Oi w9aiv�dwVle.�iati� 4c�r 306�-403$ Faoc: 508-790. 2,30 t cp3P; .. ,as fay - E: ;eIto. .. m all miters,nlaoive w mAoized-tlis: Pam. licatton fox: �1� Oak c�`i . . bvES� �kR-tJ�6mlc MA. t3S ate:t0 t IJ :i .spettioas.aare•gcdDAW :a : ccpd, [�lAmw r ' V 1 r'3� f6 Ike:- f The Commonwealth of Massachusetts Dep,artment of In dusnial A ccidents I Congress Stree4 Suite 100 r � Boston, MA 02114-2017 www mass.gov/dia Ii orkers' Compensation Insurance affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PER.YIITTING AUTHORITY. Applicant Information Please Print LeQibiv Name (Business,Or?anizatton/Individuaf): ��� ��LS P,10-6'� �L��U�d„S ��-L Address: l�ti�i�t�v r:� - n ., City/Stare/Zip: re-L 2 5+Q . G�C { Phone#: 7 %,�.` 2 C 7- Li G 1 G i Are you an employer?Check.the �appropriate.box: Type Of project(required): Calf am a employer with y. employees(Full and/or part-time).' 7, New construction i 2.❑I am a sole proprietor or partnership and have no employees working for mein $. Remodeling any capacity,[into workers'comp.insurance required.] • 3:D t am a homeowner doing al{work myself.[No workers'comp insurance required.]r 9. ❑Demolition 4.®1 am a homeowner and will be hiring contractors to conduct all work on my property 1 will 10 0 Building addition ensure that all contractors either have workers'compensation utsurance or are sole I.I.0 Electrical repairs or additions - proprietors with no employees, 13.❑Plumbing repairs or additions 5.a 1 am a general contractor and I have hired the subcontractors listed on the.attached sheep 13,❑Roof repairs _ These sub-contractors have employees and have workers'comp insurance. 1 j 6❑Wt;are a corporation and its officers have Yercised their right of a _mption per MGL c. 14. ' Other 152,§1(4),and we have no employees.[No workers'comp,insurance required] •Any applicant that checks box#t must also fill out the section below showing their workers'compensation policy information. t homeowners who submit this affidavit indicating they are doing all work.and then hire outside contractors must submit a new affldavit indicating such- 'Contractors that check this box must attached an additional sheet Showing the name of the sub-contractors and state whether Oraot.thoSe entities have employees.. If the sub-contractors have employees,they must provide their workers'comp.policy number. am an employer that isproviding workers'.compensation insurance for#w enTloyees. Below is the policy, ar:d j®b site i»for»iativn. -(' t Insurance Company Name:A J .�"�v��G�� �Sy f u.I•C§_ _TVV oe-�4-, Policy b or Self-ins.Lie.ff T ?j, [W 2c 1/4V�,� �1L'" ICI ,� U( Expiration Date:_ G Job SiteAddresVK!'Zorkeors"Compensation ( City/State%Zip: ���attach a copy policy declaration,page(showing the policy Amber and expiration date4DV01i Failure to secure coverage as required under MGL c. 152,:§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DI.A for insurance coverage verification. hereby certify under t►'tc pain of perjury that the information provided above is true and correct Sienature: date Phone#: -7'71 f 2 3� 614 ( 0 Offtcial use only. Do not write in this areas to be completed by chf or town official City or Town: Permit/License 9 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#: , _ �Z,,OMtt of Consumer ARdn h Business Regulation ME IMPROVEMENT CONTRACTOR License or re�iitrotion valid for individul use only V-fgiatrstlon: 160854 TypO'• before the expiration date.1ffound return to Plmtl°n: 918r2016 LLC Office of Consumer Affairs and Business ReguiPtion c +- 10 Park Plaza-Suite$170 FRONTIER ENERGY SOLUTIONS Boston.NIA 02116 FRANCIS-SHEEHAN 502 HARWICH RO / BREWSTER MA 02631 denrrret t-"' -with t•signnturr Construction Supervisor Speeiatty - •;toss ncnwVN7,6 Restricted to: E303,d of su+idt-p:ZCyN 11116ns°4 Stanaar is CSSL-IC-Insulation Contractor Latcnsa CSSL-105941 FRANCIS S SKEE14AN r 602 NARWICN RD BREWSTER MA 02671 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. i 02117/2018 DIPS Licensing Information visit:WWW.MASS.GOV/DPS 3/ 16/22015 12 : 35 : 39 PM 8626 02 /02 CERTIFICATE OF LIABILITY INSURANCE DATE(MMfD �-' 03f16/2015015 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 REPRESENTATIbc OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 00509-001 NRMEA Jeffrey Ford Rogers 8r Gray Insurance Agency AHONE El: (800)553-1801 FAX.No.: (508)398-0246 434 Route 134 EMAIL South Dennis,MA 02660 ADDRESS: INSURER(Sl AFFORDING COVERAGE N0.IC 8 INSURER A: A.I.M.Mutual Insurance Company 133758 INSURED INSURER 8 Frontier Energy Solutions Inc INSURER C 502 Harwich Road Brewster, MA 02631 INSURERD: , 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 TYPE OF INSURANCE INSR U POLICY NUMBER PtdADnYYY) LIMITS GENERAL LIABILITY I I 1DD (Y F.n(-.H OCrl1RRFNCF 'COMMERCIAL GENERAL LIABILITY ( I DAMAGE TO RENTED I$ PREMISES(Ee occurrence CLAIMS-MADE OCCUR !:iED EXP;Any one person) S PERSONAL&ADV INJURY GENERALAGGREGATE b 1 3EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG :$ F-2 p [_.00 I I AUTOMOBILE LIABILITY ( COMBINED SINGLE UMiT $ tFa accident ANY AUTO BODILY INJURY(Par person) $ ALL OWNED —SCHEDULED I BODILY INJURY(Per accdent) $ AUTOS AUTOS HIRED AUTOS I I NON-OWNED I I PROPERTY DAMAGE AUTOS I I I Pereccidenb i I I UMBRELLA LIAB OCCUR I EACH OCCURRENCE $ EXCESS LIAR CLAIMS MADE A-G-GREGATE I- S i DED I RETENTIOiI $ + I I — y�pR�ERg CAM pTIpN �y t� $ AND EMPLOYERS4LIABILITY I X TOY L�MITS OEP ANY PRRpP♦j;k?�:IPAR,TN�R'EXECUTi J1 Y f N I I EACH ACCIDENT £ 1,000,ODO.00 A OFFICE M k E)(`LUISED? !� NIA VWC-100-6015315-2015A 3/14/2015 3/1412016 (Mandatory in NH) E.L DISF_ASE-EA EMPLOYEE $ 1,000,000.00 6K'1M�rf P&0,"GPE'RATIONS below E.L.DISEASE-POLICY LIMIT I$ 1,000,000.00 i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION Town of Sandvdch 16 Jan Sebastlan Drive SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 'Sandwich,MA 02563 THE -EXPIRATION DATE THEREOF, NOTICE WILL. -BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The-ACORD name and logo are registered marks of ACORD 2630 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 1 Od6Map Parcel L% pplication �# Health Division Date Issued k 13 Conservation Division - Application Fee Planning Dept. Permit Fee 1 Date Definitive P.Iaq Approved by Planning Board Historic - OK (f c�(Q�I 5 v�W ation / Hyannis ' Project Street Address Village �re-0 Owner I aA k C Address '6 7 Uti k S t r eJ Telephone 6 ( U - 16 6 0 8 r1 ii Permit Request f if M 6 V(: Z i„l+act o(„lS G'v- J avi re &ce. tr! P v- 6 ` J oo r l` 6 f'' S U',f e S 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. :e�-' Number of Baths: Full: existing new Half: existing °"' newt Number of Bedrooms: existing _new Z Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other b Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove:cfl 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 ,y (BUILDER OR HOMEOWNER) Name 014, frtAkr Telephone Number Z 3 Address � I?Uc��[I�1� 1�� License # g 7 6 6 Pie A 07,6 y C Home Improvement Contractor# 112 3 Worker's Compensation # We, 6 G t ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE r i FOR OFFICIAL USE ONLY ' APPLICATION# t� DATE ISSUED MAP/PARCEL NO. i ADDRESS VILLAGE OWNER DATE OF INSPECTION: '« FOUNDATION FRAME �'�2 i 9�,�a .t f&A—Q- INSULATION FIREPLACE 'y ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ' ROUGH FINAL I: FINAL BUILDING j. DATE CLOSED OUT ` ASSOCIATION PLAN NO.. III� �``.%•� i � " 1 r ZkA he�'orll WnWea&k ofYassac&4!SEtfs Dep aft ent r3,fIn&trio Aceiden t F f . f)ffrce ofTrcves7igakons 600 WashbW on,Sbeet t Workers'Crnoaton s .mas gov/dia mralaTso eA Affidavit en fCanti2de sfEAectricianvPhmbers Name�Q Pierre PritttL oalhraividaai}: ra 52 Y �a nS-lf t�L~�\c� L Z- .Address: �S I CitylStaxe/Zrp: c.sfc3z-� 1�,4 C�ti3'S P.Iwae�;. Sad•- �28 � I Arm$ea as empioyar?Cb�the appropatM b= o� 7o? I. I am a employer with V 4 0 I am a ge¢eral C=ftltul and I Type ofpr*ef(req*md): 2.[ emPloYees NU anerlar'�Ohm)* have hhdthe sub-corffzaa to s 6 [1 New cansbnrction f !am a sale prDprietcr M pie!- Usted.ortibe Wached sheet 7. ,Remodeling 1 ddPamdbavenoanpioyee§ Themmb-contras =1mve 8 working farm in arty rapacity =PloYees andbave workers' D=oMart i NO workers'camp msivance D camp iamra¢ee t 9. ❑Bmlding addition 1 3 loam a�homeo�vnerdor' $. We Om a corgaradm and its 10.f Electzirrl repairs or additions ag aII work officers bave exercised ter my self,INe wort me comp. light of exemption Der ma I LEE Fimnbiz.-repair or aeons � ms�razrce re4 T ' c I52,§l(4),and V-Ve$ave no 12-[]Roof r%,2i s 1 emPIOY=-[No workers' 13.0 Othm ` coraR m nmauce zegrrized.] { "�'aPP�Z�Celtciesbox�I ams:ahoffiloafti3ese:•GoabeBa:shewiagf�ir • ?F.omeossneawJrosabmitihisaffxdavit�di�bn °itl�tieYa�!'v�tioa f tlsazche-kti�isbaotmu�t g98redoag3Ilworkaadrh�bireodesotsabmutanecva€"ud virmdieatagsac§ f aS�c}xdaoz,ffi,, Jorslieet�+toaiggthaaameoftltesu5 odn�a aadsfatewhetherornotmoseenbfieshave empioy..m IftbCsttb-etmIIacmrs>taveaapIaytcs,�cy.�P�et$eirvradcas"conm ok P e5'�cLcr. d am as�P tlim'is provirbrcg rverke�s'co r vea atioa i►rs:rranceformy omProyei•Befmw&the t �o>�� polity aad fob site ... iDsruaace Company Name: AjDs7QI Folicy#or Bel-iris..I.ic.#: W C C, bcPSratioaData: O17 24 ao Job Site Address / d �kC S�fC2 ^ f A ®,�`6� Attuh a copeo€Stewozkczs'eozrt ez on Czty/5 R U- rl�`t S��`t /t Z,6 Fare to secaae ca P Pommy declaration page(slro�g the-1PONrY rtUmber and easxe4�mderSection25AofMGLc 152cmleadto the im �Fpenaldes f . fine auto$4500.00 andlor one-year hApnso�2iweIl as eiv17 Positron of c alpanalties cfa ofap to MSO-00 a day ag�nstihe violator. I3e advised that a DPe W&S i�ate form of a STOP WORR ORDER and a#sre Invesdgatious ofIhe MA fiar-irrsurance coverage verification_ lhr ent maY be f worded to$e Office of ' i I de hereby cer a rs d paraf&e4 ofpo jzr�9 t&ar the v}orr on ' pr*ded tab ve is andconr� • I --- CJbwaf DemerW&t Zhrsareq,fa he comptewbyd&ortoxmOfflUQi t City or Town: PeamivVeense# ? gAul&orify(circle ore): L Board ofHealth 2.13f1diagDepartm ml 3.QtYJYowrr CIO* 4.Ejw&i¢s➢ S Other Iut iectorr 5.PlmrrbingBspector Contactpasom 1 Phone#: i 1 ' j FRASCON-01 MOSU CERTIFICATE OF LIABILITY 1N DATE(MM2012YY} INSURANCE lots/za12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEP, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ,THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WANED,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 (508)676-0309 NCOAa"nE� Suzette Moniz V'rveiros Insurance Agency,Inc. ac°.";. ;508-676-0309 375 Airport Road FAX Ne:508-324-9147 Fall River,MA 02720 ADDRESS:SMoniz@Viveiroslnsurance.com INSURERS)AFFORDING COVERAGE NAIC 1NsuRERA:National Union Fire Insurance Company INSURED Fraser Construction LLC INSURER B: P.O.Box 1845 INSURERC: Cotuj% MA 02635- 1NSURERD: 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, E(CLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAWS. L TYPE OFWSURANCE AD L 5U591 POLICY-1517V POLICY EXP GENERAL LIABILITY INSR WVD POUCYNUMBER MWDDNYYY) (MMfDDrYYYYI UNITS COMN,EP.CWL GENERAL LIABILITY EACH OCCURRENCE S PREMISES Ea occurrence S CLAIMS-MADE OCCUR MED EXP(Any one person) S PERSONAL&ADV INJURY S GENERAL AGGREGATE S GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG S POUCY p� LOC S AUTOMOBILEIJABILIIY �M31NSINGLELIMIT S ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per person) S AUTOS AUTOS BODILY INJURY(Per acddert) S HIRED AUTOSNON-O PROP PROPERTY Per acdtlent S 5 UMBRELLA LLAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE I AGGREGATE S DED I I RETENTION S S WORKERS COMPENSATION TC S[A O R AND EMPLOYERS LIABILITY YIN X Y A ANY PROPRIETowPART muDcEcunvF- Co09930601 9/26/2012 9126/2013 E.L.EACH ACCIDENT S 500,000 OFFICERIMEMBER EXCLUDED? NIA (Mantldfory In NH) baunder If yes,desen•De en EJ-DISEASE-EAEMPLDYE S 500,00( DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY UMr7 I S 500,000 -T DESCWPTIONOFOPERATIONS/LOCATIONS/VEHICLES(ARazn ACORD•IM,AddWonalRemarks Schedule,if more space isrequired) CERTIFICATE HOMER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Fraser Construction LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 31 Bowdoin Rd ACCORDANCE WITH THE POLICY PROVISIOTIS. Mashpee,MA 02649� AUTHORIZED REPRESEWA•nvE ACORD 25(2010/05) The ACORD name and lo ©1988 2010 ACORD CORPORATION, All rights reserved. go are registered marks of ACORD t� -Fll 1 �( . c < L o � _ T n � D rZ �r� • - r r• G a a Biruce Devlin cos }2s ��� Des 'no . Tot!-Free:800-597-ROOF 774-23"773 31 Bowddsn Rd..Mashpee,MA 02649 tylsissuChuSetts-Depao-tment or PuWc'Saie6, Board of-Building Regulations and Standards•: C.&nglt'ui fit�ri Supervisor License -License: Gs 97668 17EA1� Ft LAST FA t4 A 02536 - .. l_��t?.�Ll�l�li(yj - Expiration: 617/2M Conimissiortn.. Tr#: 16692 I je 04 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 112536 Type: DBA Expiration: 3/23/2015 Tr# 237059 FRASER CONSTRUCTION CO. DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 Update Address and return card.Mark reason for change. Address Renewal n Employment Lost Card SCA 1 a: 20M-05/11 U/ee�parrurnarrcuerrll/o�C�/l/laeeac�uaeG/d Office of Consumer Affairs&Business Regulation License or registration valid for individul use only SOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 112536 Type: Office of Consumer Affairs and Business Regulation xpiration: 3/23/2015 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 FRASER CONSTRUCTION CO. DEAN FRASER 104 TWINN VIEW LANE E FALMOUTH, MA 02536 Undersecretary Not valid without signature low t Fraser Construction, LLC P.O. Box 1845, Cotuit, MA. 02635 Email: fraser_construction@verizon.net www.fraserroofing.com Phone 1-508-428-2292 &FAX 1-508-428-0123 DATE: 4/4/13 PHONE: 610-781-6688 NAME: Jack Clark EMAIL:jwcemsc85@gmail.com MAIL ADDRESS: 878 Oak Street,W.Barnstable,MA 02668 JOB ADDRESS: Same Install homeowner provided door with sidelites Plans and permits $450 2. Protection, demolition and removal of existing door,windows and sheetrock on deck and back walls $1,960 3. Re-frame and install owner provided door.Exterior trim to be Azek and interior trim to be 2 % colonial.Patch existing opening and siding with white cedar shingles. Labor and materials $1,940 4. Install closed-cell insulation per code in exterior walls $900 5. Install sheetrock,tape and joint compound Labor and materials $900 g, Remove existing clam shell trim and replace with 2 % colonial, remove and re-install existing baseboard and crown moulding. Labor and materials $950 Total job cost$7,100 Initial 2 3 t 1`S Any extra carpentry work(i.e. rot repair or unforeseen circumstances) shall be performed time and material at a rate of$65 per man per hour with a 15% mark-up applied to materials. Extra work to be performed only with signed acknowledgement by homeowner. Any electrical work to be completed time and materials at a rate of$80 per hour with a 15% mark-up on materials. PAYMENTS ARE DUE IMMEDIATELY AFTER.TOR COMPLETION. Payment Schedule to be worked out prior to job. Payments accepted are: CASH—CHECK—MASTERCARD— VISA—AMERICAN EXPRESS i * Any payments not immediately paid upon job completion will be charged 0.005% for every day after the given 5 day grace period upon day of job completion. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION,LLC: Carries Workman's Compensation and Public Liability Insurance on the above work,certificate available upon request. DATE OF ACCEPTANCE: 4/J2�13 vU • m�m� Homeowner Fraser Construction, LLC •p :! f •gin: n;;:J„ .r{;.�. r.: N nt� .�5 f "=+7. .8x -: `•ry i`: i• e, .<:a. i #. '.r .•I. ,:l .. A- ,t. F_c rtE=; ^.i`f,.?e �'- r f i y, �g r� �-'4 ,._ f 7 r; r 'f f fde i r 'G ss _�..l;t.i.xb, rS. Y:i7` sr AP iir +ri Al t.-l.r. ff�. L �. +? -� {��.:. -u �:4'�J: i'� r• tf .•iti. it y+:•.,,•3•.l=:ifa a 6'S 91 � f. .- r.r. i -r'�.d irs'�'!t4'�8 + v J•. �t .sl-. t + >,1;.,,rem,',,.I' 'P'A,u. . �(� i. ,r 'r..rt.�,x�hX�tr...d �'.r'.C( r..,.;i-.�r-„r''s4. '�� SY•J h 9..ti1»i a c L + f ti i q+� t r t &'a. i( { aJl7 .;K.-•,.{.f k i sy h.{Y #. N •:r' ._ ;r wx+,F r f '3.:}`r" Q {.r .Nit;. t h �-. � -�k .r,,..,:'r.-. .;<< _::t+�I ,,,i, i. Y.-fV. ..G$:+ r � � n,f?:.K'tn'?.h4RA•.i 'i'E I .,r .t i ,+..3 r t (((���¢r � r tq• f � d g I C t f w t w I' r € i it �' zj t,+r u P v �t ! ti ff �' f ��. ��'�S-t'�' k% I i�`$'l. fir,;r r t r 1 r ,1. r. �S� r •�, is r' r,t .\ a �:� _...! .,d Y r � �t- �. {-+ •�' a 1, f r Al f .Ir S / r Y � _�• i r, It aa o� Barnstable Old Kings Highway:Historic District Committee 200 Main Street,Hyannis,MAL& 02601, TEL: 508-862-4787 Fax 508-862-4784 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; 1. Building construction: ❑ New ❑ Addition ® Alteration 2. Type of Building: ❑ House ❑ Garage/bam ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting, roof ❑ new roof ❑ color/material change, of trim, siding,window, door 4. Ste_: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall . ❑ Tennis court ❑ Other 6. Pool ❑ Swimming ❑ Other man-made pool ❑ Solar panels ❑ Other Type or Print Legibly: . Date 7 3 NOTE AH applicadons must be signed by the current aw er Owner(print): J 0,C(-C Telephone#: 1 79 1 Address of Proposed Work:_ �G V. Sc •ee j Village rr W, ��:h SiAt k I L Map�t# 2 Mailing Address(if different) Owner's Signature e-t CO', C(wte, Description of Proposed Work: Give particulars of work to be __done: `eV't0 LLC_ rb Or O-CA c V e-y c✓1 f-C en cL, ��o � +LA) ©�,z - �o� e.J,,1, Agent or Contractor(print): De ez �rr, r Telephone#: S-0 9 y 2 1�' - 2 `1 7 Address: �vt,, t A-- L' 7 y= Q z e `{ Contractor/Agent' signature: ommittee use only. This Certificate is hereb RO !&ENIED r � Date . , Members signatures �, R17 `03 RQtNT1.1 ivy;: - :r.:.,;� i GV. 4�-� ,�,� A P P R®VET Town of Barnstable Old King's Highway Q:IBoards and Commissions101d Kings HighwaylOKHApplications10KH2O11 CertAppropriateness.doc Committee 4 & ,M, Ql 70.,,rfw 0 q �:V� nl�:Tl 'lip-.1Z A -.1tt: ....... 1!'4::-p0q,1io V-0 art al f.0 Nt it- .41 "A- "7it'r, CERTIFICATE OF.APPROPRIATENESS SPEC SHEET t. sit submit Foundation Type: (Max. 12"exposed)(material-brick/cement, other) Siding Type:' Clapboard shingle other Material: red cedar. white cedar other Color: -Chimney Material:. Color: Roof Material: (make&style) Color: Roof Pitch(s): (7/12 minimum) (specif y on plans for new buildings, major additions) Window and door trim.material: wood J other material, specify Size of cornerboards size of casings(1 X 4 min.) _ color Rakes Ist member 2 nd member Depth of overhang Window: (make/model) material color (Provide window schedule on plan for new buildings, nicyor additions) Window grills (please check all that apply_.- true divided lights_ exterior glued grills-Y' grills between glass removable interior-)( None Door style and make: V&I 'kl'47 kd material-Urk �- 1-4t� Color: L✓h44 e- Garage Door, Style Size of opening Material Color Shutter Type/Style/Material: Color: Gutter Type/Material: Color: Deck material: wood other material, specify ppRfNErD" Color: Skylight,type/make/model/: materiaMkY 0 9 2013Color: Size: n Barnstable RECEMD Sign size: e/Materials: TOV' .9��a.',g I 11,444 hway Color: WI—dornmWee Fence Type(max 6' )Style material: Color: APR 17-2013 Retaining wall: Material: GROWTH MANAGE ENT Lighting, freestanding' on building illuminating sign OTHER INFORMATION: THE ATTACHED,CHECK LIST MUST BE COMPLETED AND SUBMITTED Please provide samples of paint colors,manufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (plan preparer) Print Name 2 Q:1B.aards and CommissionsIOLd Kings HighwaylOKHApplicationslOKH 2011 Cert Appropriateness.doc k. /�/ � '.'l .��11 � � 1 1 1. ''1•:i �...,,,"E+�!'°'"-`"� -- I I , 77 I - - •_.___.1�.--"�---�'.ram-=-tr„�_„T,i,�.�: a � r I �w�?�-•�r > •� �. -�--- -.-.-. .I i 1 j9� � r IF , - 1 I l �,' ;,r r �� } -Ij ,.� ram_ .-``� t _ v S LA c � � C) �- E�O Z Z 'E Wd GE FIOZ t { .Pow LAW. A r� �Ml�uu — �--Lv11�•/.":�nn.el�.a.�+t. u.n.+ rt" � I 44 R C WO 9VViSNVU J0 001 - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2 Parcel b Application # C I O 1'bL0 Health Division Date Issued Conservation Division Application Fee q Planning Dept. Permit Fee oZ Date Definitive Plan Approved by Planning Board v.r Historic - OKH Preservation/Hyannis y Project Street Address Y I d' Ou/f Sfyee r Village �Aj of 1 6(/i2/vfrA3 le r _ Owner �ro htv W Cl Q v/< Address 73 Jy ct? mvve. de. .Pea41,(,s P4 /0 - 7�/- 6 G�1 Telephone - -- v1V0- i�.¢- e rifr/tif 6�e- cum Permit Request S � drily 'Zooln Zy 011lie �/o °/o u x !z '7i " et/1 b Q yRd"Y flee, AN Square feet: 1 st floor: existing proposed c 2nd floor: existing proposed ® Total new '114 Zoning District Residekfi4A /o Flood Plain NB Groundwater Overlay Project Valuation J�6/0001 Oa Construction Type WoitV FirArne -Remode/°nf —a 6. 6 C) Lot Size Grandfathered: ❑Yes &No If yes, attach supporting documentation. Dwelling Type: Single Family d Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes l(No On Old King's Highway: `O Yes W�Go Basement Type: dFull ❑ Crawl ❑Walkout ❑ Other ' '�''J Basement Finished Area (sq.ft.) ° Basement Unfinished Area (sq.ft) [ s- Number of Baths: Full: existing_34 new 4e Half: existing new d Number of Bedrooms: existing a new Total Room Count (not including baths): existing 7 new f First Floor Room Count Heat Type and Fuel: ❑ Gas C(Oil 0 Electric ❑ Other Central Air: ❑Yes Uf No Fireplaces: Existing New Existing wood/coal stove:-,0 Yet ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing Unew size_ Attached garage: ®'existing ❑ new size _Shed: 0 existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ co ate Commercial ❑Yes �No If yes, site plan review# Current Use IL?S/d�i��'�a Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) C,�/�/22/ 116#ie Name Telephone Number l�dUeinPNT 9�0 Y2f' 1S/r f Address `/� AJeIJJ�0WN KP License # U C 5 yGYO 0-Z 4 3,f Home Improvement Contractor# j 00 7 YO Iv.4 n olvt/ GAWNie /�✓fd�L Worker's Compensation # N V) C C I/s01,YJ ve ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO e4JeI%/ WIt(te. cJ -eo i6-e a0 c/&/& die 4 /ou 6z6W 3 SIGNATURE DATE 0 3 "0 1"z.0// T➢ 1 i FOR.OFFICIAL USE ONLY APPLICATION# IS 2 DATE ISSUED l , MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: �] FOUNDATION (,COS o� Sl3r�� Rrk� Kate G: FRAME CZ7 111 INSULATION 8/nl5 0 7���i FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING �,¢?�� h- I DATE CLOSED OUT ASSOCIATION PLAN NO. i �TM�r Town of Barnstable . Regulatory Services s Thomas F. Geiler, Director i6s9. Building Division ArED FN� Thomas Perry, CBO,'Building Coro_=ssioner 260 Main Street, Hyannis,MA 02601 www.town.barnA2 ble.ma.us r Offices 508-862-4038 Fix: 508-790-6230 a PLAN REVIEW �r, L o/1 o l O L o �. Owner. 1�*k Map/Parcel. Project Addressr?d Oq t W a Builder: '. C, N i L`' t The following iferns were noted on reviewing: EC_ zoos Reviewed by: Date- Page 9 of 9 CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES 14. Was it explained to you not to hire directly any employee or subcontractor of Capizzi Home Improvement or make any payments in any name other than Capizzi Home Improvement unless prior authorization is given by CHI representative? N/ es NO A 15. What are the most important things to you on this job to assure a raving fan? The items listed above have been explained to me and I am satisfied that there is a mutual understanding of what is being provided. I have read&understand the New Arrival brochure. STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I,JOHN CLARK,OWN THE PROPERTY LOCATED AT 878 OAK STREET IN WEST BARNSTABLE, MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: 73 CAMORE DRIVE, READING,PA 19606 OWNER'S TELEPHONE: - -1�►—66 SrY LESSEE'S SIGNATURE: LESSEE'S ADDRESS: ACCEPTED BY ( J�R�� A� DATE THI P GE IS PAR OF AND IN CONFORMANCE WITH PROPOSAL# 33 � r� d Page 10 of 10 CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit,MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: ACCEPT D BY DATE T AGE IS PAT OF AND IN CONFORMANCE WITH PROPOSAL#33s 6 6 r- ' ✓no 'tOanrinaanwe¢Glh of✓liCaeaaclzusetld • Office of Consumer Affairs&Business Regulation -License or registration valid for individul use only OME IIb1PROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation " RegistrationaGO TYPe 10 Park Plaza-Suite 5170 Expirafiri`== SupplementCard Boston,.MA02116 CAPIZZIHOME=ifti3- QE{v�E1 C. GARY GUSTAFSQ(i 1645 Nevjton Rd. •� :iy ,�-� 4:7 Cotuit,MA 02635 Undersecretary No id without signature +�. \las achu.cit, t?rl�s�rintcnt of Public Safch Bt�ard of Buildin�! Ri_ulati�m• and 'tnntlM � Construction Supervisor License I License- Cs 74640 i 1 GAR GUSTAFSON I 8 SHORT WAY SANDWICH, MA 02563 Expiration: 11lZ912012 ('unnni:ci.riirr Tr=: 7058 - The Commonwealth of Massachusetts Department of Industrial Accidents OfJlce of Invesdgadons kv 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Afftdavit: Builders/Contractors/Electricians/Plumbers Aunlicant Information Please Print Legibly Name(Business/Organizatiot✓Individual): C API ZZ i H 0 IM(_ ")&o V e m e/J'f" Address: 1 t0 4S' Al-euJ +-ounl Rp Ci /State/Zi : C o -Nl*.� 1%4A 0 aG 3s" Phone#: 5,0 Lta e gSI8 Are you an employer?Check the appropriate box: 1.V I am a employer with t/O r 4. Q I am a general contractor and I Type of project(required): employees(full and/or part-time).• have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. Q Demolition working for me in any capacity. employees and have workers' [No workers'comp. insurance comp. insurance.; 9. [ 'Building addition required.] 5. Q We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their t 1.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL c. 152, 12.Q Roof repairs insurance required.] ► §1(4) and we have no 3a.❑ I am a homeowner acting as a employees. [No workers' 13.0 Other general contractor(refer to#4) comp.insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensatioAtolicy 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. tf the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that Is providing workers'compemadon insurance for my employeez Below It the policy and fob site information. Insurance Company Name: A G ?V0 Pe IQ.Ty C�- C A SU4 L11 s,t/s Policy#or Self-ins. Lic.#: N C G S�� 3 a. D�' Expiration Date: Job Site Address: City/State/Zip: �- ��k12./U• Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify airs and penalties of perjury that the Information provided above It true and corrrckt Sigila G 2011 Phone#: r U S LF A 9- - q F only. Do not write In this area,to be compkted by city or town of)9eial wn: Permit/License# ssungAuthority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other IL Contact Person: Phone#: Information and Instructions , • s for their empb�. • Maasachnsetb t3enerd Lean chapbr 132 requica all amPloYdn�the sarvrcwAde woel��oo���anp contrsd ot>�iee�., pursuant to this atatuts as emOliyw is defied as ...every PA-4 express or implied.otai or writtes." " amaoci-da%corpoation or other legal entity,a any two or most As taylger i.defied aas individual,Parmesah>R �v"of s deceased emp IOPYCOL Em or the t the of the foeeping eappd in a joid edespdsq dla and inchg the kpi repelaa reedvar at k wt,r of an iadividmL pertaarshipr needed=at othw kid eaffty,empibyisg� owner ots dwelling boaae having not moor than three apartmemb and who reside d"+ri4 or the occupant of the dwelling house otanother who en4loys person to do maintenance,comtincdoa or tepok work on such dwelling house of on the pomda of building gppwjc=wthaem shall not beceaw of such en4byment be deemed to be as esiployet." MOL chaplet 152,12 C(6)alas stet"that"every ebb Of fecal Uostsdag apney AA widdwU the knaves w rasewd et a Bssnes w petmk In oPrsts a badness w is to—' 'buddtap In do ee-0 Vw WNW apptleant who kne set prodwed aaepbbk rvWkmw of eomPilsnes with floe Iwramw esverap regmkW Additionally.MOL chap0ei 132,125C(7)states"Neither the comononweaifb sot any of its political MdMHvidoas shill eater ido my contract tbt the pahrmene of public work until acceptable evidence of compliaoee with the isarrance reguitwme>mr of this Asper ban been Preaeated to the contracting authonty." APPHUMN Please f1l out the wvrkese,compemsdon afgdavO comptebh►,by cbacldag the boars that apply to yore sib""and,if ase"aary,supply arbeontracta(e)nsn*s).add=Kes)sad Phone mmba(s)abng with their catisca*s)of iasrnanea Limed Liibiliry Caatpsaf"(LLC)ar Lhn d LWA ty Part U$NP(LLP)with w employe"other than dw nmmbae at pub=%an ad required to carry waste'oomPematios Wgwanot. If an LLC or LLP dose have enP1*vM a Pow is rued. Be advised,that this afilda���and dab tks adidavit, Tlr affidavit should Aoeideate tbt coa&madan of I -i -,e eavaaP. of be retw - a to the city ar town that the sppikWim fbr the Pawk cr Boense i.being eegseated,stet the Department fnduadfal Accidents. Should yce haw any gseationa eapsdbrg the law ar if yos err eegairsd b obtain a warbrs' cou peaestion polky,pkass cad the Department at the n=d w Bated below. Seltinnned=nV@ w should eder their sdfriastaaes license sanmb r on the a--0 ,-5 Boa City w Two OMdab Please be sure that the al2<davit is coalplete and printed legibly. The Department hie provided s space at the bottom of the afij&vit for you to a out in the event the of&@ otlavesdgations has to coated you mwrdb*the applicant Please be stare to fill in the perrait(lleems m mbw which will b.a need as a reference nornbat. In addition;an applicant that meet submit mu*18 pesmtitldcenss applies dow is any gives year.need ody submit ace afgdavit ieioatiog c=nW policy karmation(if necesaary)and under"Job Silo Addre a the applicant should writtr"aU loeatbos i• (city of tows)`"A copy of the affidavit diet bee been officially dwiped w Milled by the city ar taws may bs Provided is the appBesd r proof that a valid a®devit is as fills!lot fiber permits Of UcCO a A new atsdavit must be filled out cub yea.When a home owner at tibias is obbisiog a Bcmw Of permit sot mbdcd tO any busisae of con=wc'd v"we (i.e.a dog Beams or permit to bun leaves etc.)said person is NOT required to congtkte this affidaviL The oflke of lnvestigadow would ir7oe to am*you in advance for yarn cooperation and should you have any gaadkmk please do ad hesitate a give us a call rho Dep>rmrent'I addnm telephone and fine ounrbe c The Commonwealth of Massachusetts Depmtme d of hWuMid Accidents OtDa of Iffesdpdons 600 Washington Street Boston,MA 02111 Tel. 0 617-7274900 at 406 or 1-877-MASSAFE Fax It 617-721-7749 Revised 11-224)6 wwv,num,gov/dis Client#:47298 CAPIHOM ACORDr. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01/04/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME:CONTACT Karen Walther Rogers&Gray Ins.-So. Dennis PHONE A A/C No Ext:508 398-7980IX 434 Route 134 DD ,No E-MAIL waltherka@rogersgray.com P.O.Box 1601 PRODUCER CUSTOMER ID a: South Dennis, MA 02660-1601 INSURER(S)AFFORDING COVERAGE NAIC tl INSURED INSURER A:National Grange Insurance Co. Capizzi Home Improvement,Inc. INSURER B:ACE Property&Casualty Ins.Co Capizzi Enterprises,Inc. INSURER C: 1645 Newtown Road Cotuit,MA 02635 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DDL UBR POLICY EFF POLICY EXP LT NSR lWVD POLICY NUMBER MM/DD MM/DD LIMITS A GENERAL LIABILITY MPB1075H 06/08/2010 06/08/2011 EACH OCCURRENCE $1 000000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $500,000 CLAIMS-MADE EX-I 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 AGO $2,000,000 POLICY I I PRO- F1 JECT LOC $ A AUTOMOBILE LIABILITY BPO10786 06/08/2010 06/08/2011 COMBINED SINGLE LIMIT $ 500000 A ANY AUTO M1M28044 06/08/2010 06/0812011 (Ea accident) BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS U1 $250/500,000 X Drive Other Car U2 $250/500,000 A UMBRELLA LIAB X occuR CU61076H 06/08/2010 06I08/2011 EACH OCCURRENCE s5,000,000 EXCESS LIAR - CLAIMS-MADE . AGGREGATE s5,000,000 DEDUCTIBLE .. $ X RETENTION $ 10000 $ B WORKERSCOMPENSATION NWCC45843208 12/25/2010 12/25/2011 T X STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? a NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101;Additional Remarks Schedule,If more space is requlred) Workers Comp Information Included Officers or Proprietors CERTIFICATE HOLDER. CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE 198 -2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S61971/M 61970 M EE [ � � ' ^4TVC Godde /o Wood in 8��h � id �uo�/ �}� �o»� �Yx�/��uu � .� / -Massachusetts Checklist for Co=�- ��]0�^ ce (78O Cl1&B 01:211) Cbvuk � Cv"e"="= 1.1 SCOPE ' Wind Speed (3-sec dust)-----.----------------. ................................................ 110 mph WindExposure Category................... ............................................... ........................................................... '8 Wind Exposure -----EngAoahngRequkedForEntireProjnc -------------C --_- 1.2 APPLICABILITY � Number of Stories(a roof which exceeds 8in12slope shall be considered a story) / stories s2stories RoofPitch..............................................................................(Fig 2 Mean Roof Height -----------------'r-- z; BuUdingVVidU1 VV ------------.-------`'y,gu) -�_- Building Leng�. L --------------------�(Fig .................................................. � 8���g�spou Raho 0-8�) -�-.'------------0=�4)---------------' � Nominal Height o[Tallest ...................................(Fig 4)................................................W:5 68' � 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)............................................................... -��- � 2'1 FOUNDATION FoundabonYVa|�mooUngmquinemon�of78OCk�R54O4i ' | � Concrete .............................................................. ................................................................ � Concrete Masonry-------------............................. .........................................._.._____. � 2.2 ANCIHIQRAbE3OFOU0DATO0'-' | AnnhorBoko�nbnddedov5/8^ � Mechanical Anchors aoana�amaUveinuunon�e� nly � Bolt 4)---------------' -��.�� � ' - -' � �G^ 12^ Bo�Spa�hghom and�u�dcfp�� -----.---- 5)------�--'----�� � - ' A�� . - -� ���� Bo�Embodmand-onnu�eb�---'�---------..<FVJ54------------'�-'�-'`��- , k��1�� 8o�Embadms�-maoonry-----.,-------U�g5)'---./---------- PlateVVushe��...............................................................(Fig 5)................................ .............b3^x3[x�� . . 31 FLOORS � Floor-framing member spans.checked ................................(per 7OUCMR Chapter 55)-----------' Maxkn�n Floor Opening �ons�n------_---..'�.(�g G)-_-.',-_'.�--------.����g12' FuUHe�hdVVaUStm�mdF�urOpan�go�uo�an2'fnomE�ehorVVaUU�gG)- .................................. M�ixfrnum Floor Joist Setbacks Supporting LoadbaohngVValls orShoanwaU................(Fig 7)............. ....................................... O ft 15d Maximum Cantilevered Floor Joists � � /� � �d Suppn�ngLoadbnohngVVa|ourSheonwaU-----.(F� -----------.`-----.�^- ..Floo.rBrac.ing at Endwo|ls-----------------'(r�*)----------------------. Floor `'-----------------..(par78O��RChap�» 55)---.--.:................. � Floor She g Thickness `-------------'..-. CIVIR ........................ FloorSheathing Fq�eh�g--..-.------_---'.-�ab���A'�=��naUoad �, � edge/ �'N�o� � 4.Y WALLS � | VVaU Height vwyUa......................................................... 10 and Table � woUo......--�-------'---. and Tab�5)-----.---����� �2} � VVoU'~~' ^~~~~---� ........................... ------'�' ] and Ta�a5)------ Z& in.�24^o.c. � VVaUSbx�Stud Offsets .Spacing --_'-------------.(�go7&8)--'�----_----__.. � � �d 4.2 EXTERIOR WALLS Wood-Studs f Gable End Wall Bracing' or.1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays__Iz, Double Top Plate «�~~ -~.-- � Table G)---' `------_ �L ��� � AWC Guide to Wood Construction in High 14,'ind Ai•eas: 110 inph Wirid Zone Massachusetts Cheeldist for'Compiiance (7s0 CNIR 5301.2.1.1)� Loadbearing Wall Connections / Lateral(no.of 16d common nails)................................(Tables 7)..................................................... Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Table 8)....................................................... Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9).................................. O ft O in. s 11' 1/ Sill Plate Spans ........................................................(Table 9)..................................eft o in. Full Height Studs (no. ofstuds)....................................(Table 9)........................................................ Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9)" Header Spans.............................................................(Table 9).:................................ O ft /O in. <- 12' 1i Sill Plate Spans.... .......................................................(Table 9)...................................Vft -?;'in.s 12" v Full Height Studs (no.of studs)....................................(Table 9)...........:...........:..............:................-0 ✓ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously° Minimum Building Dimension, W Nominal Height of Tallest Opening2 ...............................................................................ems 6'8" t� Sheathing Type..............................................(note 4)..................................................... &I CDjr" Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................ in. Field Nail Spacing..........................................(Table 10).................................................min. Shear Connection(no. of 16d common nails)(Table 10)........................................................-P Percent Full-Height Sheathing Table 10 :............... ... . ° 5%Additional Sheathing for Wall with Opening> 6'8"(Design Concepts).................... Maximum Building Dimension, L _ y Nominal Height of Tallest Opening2........................................................................ ��s�'�6'8" V_ SheathingType..............................................(note 4)....:................................................ l'Y� Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ in. _�✓ Field Nail Spacing.......................................:..(Table 11)................,........................,....... di in. Shear Connection(no. of 16d common nails)(Table 11)....................................................... V All, Percent Full-Height Sheathing......,::.....:..... .(Table"11) de 5%Additional Sheathing for Wall with'Opening>6'8"(Design Concepts)..................... 1� Wall Cladding Rated for Wind Speed? 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ................................... ...............(Figure 19) ............._0 ft s smaller of 2'or L/3 JG'Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift..............................................:.(Table 12)......:.....................................,U= plf Lateral.............................................(Table 12).............................................L=/ If v Shear......................:.....:..................(Table 12)............................................S=_,.2Ej—plf , _AC Ridge Strap Connections, if collar ties not used per page 21.' (Table 13)...............................T= V plf .96fk Gable Rake Outlooker................::......................:.(Figure 20) ............._ft s smaller of 2'or L/2 Truss or,Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift. . .......................(Table 14)............................................U= lb. ev . . /Y Lateral(no. of 16d common nails)...(Table 14),......................................L= lb. Roof Sheathing.-Type................:..................................(per 780 CMR Chapters 58 and 59) ............. .� Roof Sheathing Thickness........................................... .....................................:.......%in.>-7/16"WSP ✓ Roof Sheathing Fastening . Table 2 ......................................................... 5- Notes: 1. , This checklist shall be met in its entirety, excluding the specific exception noted in 2,to comply with the requirements of j 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: o. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 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. AIVC Giiide 10 JI/ood C'otistiviction in HIJIr 1•VU7d Aj.eas 110 mph JYitrd Zone lYlass ichusetts Checklist for Compliance (780 C IR 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 and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. 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 5. Glazing protection:a)new house or horizontal addition—required if project is 1 mile or closer to shore(generally, south of Rte. 28 or north of Rte. 6) b)vertical addition—not required unless there is extensive renovation to the first floor c)replacement wiridows—needs energy conservation compliance only(chap 93) 6. Wood Frame Construction Manual (WFCM) for 110 MPH, Exposure B may be obtained from the American Wood Council (AWC)website. --WHEN THIS EDGE RESTS ON FRAMING USE Ed WAILS AT6'o.0 _-� ------—--rr-- -- u 11 u 11 ii ii i � tl 11 Ir w � 1 6 z'ry e 11 16 1 O , I z Q 11 ; : 1 ,,CC 11 I I tN,• 1 t I1 Y 11, 1 r 1 1 O I I I1 �•' j 1 1 1 I II ~ li 11 m 1 r 1 a - _ ied 11 I t7 1 / Tu r'n } Y7 11 11 ,Z I 1 Z W 1 11 In O d �I I1 Il 60 n I 1 b 1 1 d 1 FRAMING MEMBERS EDGE SCTERMEDIATE 1 r 1 I 1 1 11.a u �1 uJ 1 1 1 . 1 ? 1 sm / I I a i i i i raJ 1 1 1 1 1 • O F 1 1 1 It u ii 3 i ({3"WINWIN`JI j i STAGGERED UAK:$gyp ------ �• TAIL PATTERN � PANEL PANEL a 1, PANE_EDGE DOUBLI=NAIL EDGE SPACING DML See Detail on Next Page Detail Verlicaf and Horizontal Nailing Vertical and Horizontal Nailing for Panel Attachment for Panel Attachment s' BARSTABLE T0',�+14 i'L' R " to Barnstable Old }gs itj. w storic District Committee NIA 1 508-862-4787 Fax 508-862-4784 200 Main Street,Hyannis, 26 , 9 iM,t48. ,era 4oMSll APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with four(4)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,aap,,51y; 1. Building construction: ❑ New ❑ L_°7 Addition Alteration 2. Type of Building: House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting roof ❑ new roof ❑ color/material change, of trim, siding,window,door 4. Sig_: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court ❑ Other 6. Pool ❑ swimming ❑ Other man-made pool Type or Print Legibly: Date: 0 3`".3 1—a b d Address of proposed work: House# * 7 8 Street: G< i( 5+k--ee.+ Village Wesr Be,a#jr116leAssessors Map Lot# Description of Proposed Work: Give particulars of work to be done: C oyy-eAf the etixrinj 4!laeltod -1-wo efR lakwSe 1oyTo w Fi�naily � aoim. CIWA- ✓2Ej 7'o 2v111 be wf,vaocjs ZOO t!®aY . Li//<s Ddcv� Gee. f4pie (14bdee.ePn Veo wf-Zk 1,,yxeet-J J aJ AA1,Y4 </ a jy.e ' 13p•eez•e 2U1M Nell/ e wl;o-a (!d jjgpOCV f 87 4/4 14 el e i-/�ytJ P 0�v 4y Agent or Contractor(print):CQIf g2/ //10M4 XtW/°#'Otlel¢'N7�Telephone#: s0V 10a e� Address: /&YS- #OUJAOl Ilv Rb e.4b1; i9 Uo j!>'- Contractor/Agent'signature: / NOTE All applications must be signed by the current o e Owner(print): 3.ee /.j 11-4 t E( (L fd�/#d Ir>`y�}>!o/s Telephone#: A P R 9 7 9 n i i Owners mailing address: tfL lbwn of Barnstable Owner's signature: in 's Highway uOmplupp For committee use only. This Certificate is hereb /DENIED R ECEIVED Date Members signatures � . APR - 5 2011 7OWN OF BARNSTA13LE HISTORIC PRESERVATIOt IAny con ition ap r 1 C.Documents and SettingsldecolliklLocalSettingslTemporary Internet Files10LK110KHCert Appropriateness 07.doc Town of Barnstable Old King's Highway Regional Historic District Committee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 4 copies Foundation Type: (Max. 18"exposed)(material-brick/cement,other) e e M?6e/-�' Siding Type . 5 �'n r, ftJ material: WGIoje Caday Color: C 1 Chimney Material: NIH Color: Roof Material: (make&style) N1 R (A10 f k f N f e f 2V 00) e Color: Pew fe✓ V00,0 Trim material T 1 h t Color: To /Kq.-re h Bx ✓ft r,r, 81de k �v►ze 13fn jGsutn! thoove r�iJfani�, Roof Pitch:(7/12 minimum) Cc!!ec•tiej LiVU "tle 2J Viny4. Window: (make/model) hd.e Vie si 1) 14 material C/[! Woop color �� e Size(s): "�k.e rm a-�r v 2 L� Door style and make: 1 material ri le✓q QA 1 J Color: VV h i-fie. $ I U t Garage Door, Style N 1A Size Material Color Shutter Type/Material: N1A Color: Gutter Type/Material: A114 ^ D o Decks: material Al 1,4 Size �P 1 Color: Skylight, a/make/model/: material R ti� Color: Size: nof ba mslaUM Si size: N/A T Pe/Materials: dAjpwaK_ogmmeey Color: loon a Fence Type(max 6' )Style Al/A material: Color: Retaining wall: Material: /t/1,4 APR - 5 `[OWN OF BARS-S A �E Lighting,freestanding N�A on building illuminatin s n_RIL`pRESERVA710N Please provide samples of paint colors and manufacturers brochure of style of windows,doors,garage door, fences,lamp posts etc ADDITIONAL INFORMATION: 11 v rn e- ;.i W n d o wti `✓ fie v,`aa a-,a -rh•ei,e iyea/ e .Ve Fl,,/.�6le Ws �r Jae woe din5 (Iegll, d ult/<in5 r'�Z�f� a Jta�e� yr td�y . J Signed: (plan preparer) print name 'QQ�/ �E•tJe,44�e If tel.no. YG' '9'IdO f4cation of application: Street no. Street 0 R k SZ Le, Village Q/1O /�-9.RlJ•J`f+0t</G' 2 C.lDomnents and Settingsldecollikllocal SettingslTemporary Internet FilesIOLK]IOKHCert Appropriateness 07.doc '4. SIGNS Diagram of sign,showing graphics,size,design and height of post,color and materials. Spec sheet. Site Plan on a GIS map or mortgage survey,OR photographs OR to-scale sketch of building elevation showing location of proposed sign;and any tree to be removed near a freestanding sign. Fee according to schedule. 5. FOR LIST OF ABUTTERS: PL E S OKH STAFF SIGNED (plan preparer) Print Date: 03 , 3 y0li el.4hone no's: NOTE RECEIVED ALL applications MUST BEACCOMPANIED by the CERTIFICATE OF UNDERSTANDING APR - 5 2011 The Old Kings Highway Historic District Committee MA YDENYINCOMPLETEAPPLICATIONS TOWN OF BARNSTA 3LE HISTORIC PRESERvAnON ATTENDANCE AT MEETINGS: If the applicant or his/her representative is not present during the hearing is scheduled, the application may be either CONTINUED OR DENIED APPEAL PERIOD APPROVED PLANS PLAN PICK UP There is a fourteen(14)day appeal period for approved plans. This is necessary for each Certificate of, Appropriateness and/or Certificate for Demolition issued by the Old King's Highway Committee. Plans approved by the Old King's Highway Regional Historic District Committee may be picked up at Growth Management,Regulatory Division,200 Main Street,Hyannis,after expiration of the 14 day appeal period. If the 14`s day falls on a Saturday, your plans will be available the afternoon of the following business day. DENIALS Applications that are denied may be appealed to the Old Kings Highway Regional Historic District Commission within 10 days of the filing of the decision with the Town Clerk. For more information, see the Bulletin of the Old Kings Highway District Commission. BUILDING PERMITS,OTHER AGENCY CONTACTS In most instances,before commencing work, a Building Permit is required. The Building Division will require a certified plot plan for new construction and/or demolition. Commercial work may require Site Plan approval. Demolitions: the applicant should check with the Building Division as to conformance with Zoning requirements. Other Regulatory Agencies at 200 Main St,Hyannis MA 02601: Building Division 508-862-4038 Conservation Division 508-862-4093 Health Division 508-862-4644 QUESTIONS ABOUT YOUR APPLICATION? PLEASE CALL THE BARNSTABLE OLD KINGS HIGHWAY OFFICE AT 508 862-4787 5 C:IDomnents and SettingsldecolliklLocal SettingslTemporary Internet FilesIOLKIIOKHCertAppropriateness 07.doc { Town of Barnstable 1ME Ip�� p� r BARNSTABLE. Regulatory Services T MASS. 039• �0 Building Division prEO MP'�� 200 Main Street,Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection 13 ri�;V Location ��� QWK-'57T, L--i R Permit Number Z0 / to 2-CD Owner C �� Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: loll Old RU,07- �Q'd7� -f' O�IG�T -'> 0L r T'J'&0-6, &9 6 o Aqcr W>i-r� 4Fo Act- B L -7- Ott T t4 5 oti / u� `2,. fi C � .LGS �`r%� J IQ E-f3 C-0 C K Ol,e7-;57/0E C{J i- %r 416 L"U 5r"u b Co( �% - pg, r�,e.�' c'P Please call: 508-862-4@" for re-inspection. Inspected by � 1 "Date G o2 Home Energy Raters LLC BTorrey @EnergyCodeHelp.com Box 989,E.Sandwich,Ma 02537 888-503-2233 Duct Leakage Test ' Address: 878 Oak Street, Ma 02668 Date — Aug 5, 2011 Test Type — Post Construction Total Leakage to outside.- Conditioned floor area =2373 Sq FT. To comply with Section 403.2.2 Of the 2009 IECC Code in this home the Maximum duct leakage CFM = 189 CFM (2373/100 x 8 = 189.84) Duct leakage tested = 124 CFM Post Construction Test — Combined Duct Blaster and Blower door This Home complies with Section 403.2.2'Of the 2009 IECC Code Date of Test:Aup 5 2011 Technician: C Nta2zola Test File: untitled Customer: Bob Bourque Building Address: 879 Oak Street $ 8 Oak Street Job N 35835 West Barnstable,tuts 02608 West Barnstable,tutu 608-790.2887 Phone:508-790-2887 Fax: --s Test Results 1. Measured Oust Leakage: 124.0 CFM!23.4 sq.in.(+1- 0.0CD 2. Duct Leakage as a Percent of System Airflow: Ev 3. Duct Leakage as a Percent of Building Floor Area: 5.2 % x' 4. Leakage Split: Supply Side: Return Side: i S. Duct Leakage Curve: Flow Coefficient(C): 18.0 o s &ponent (n): 0.600(,4ssumed) 6 Test Settings: Test Mode: Pressurization Test Pressure: 25.0 Pa Equipment: Series B Minneapolis Duct Blaster Test Type: Outside Leakage (Combined Duct Blaster and B16--wer Door Test) Building and System Parameters: Floor Area: 2373 sq..fit. . Awerage Supply Operating Pressure: Pa System Airflow: Aorerage Return Operating Pressure: Pa Contact our office with any questions, Bruce Torrey, Certified HERS Rater Home Energy Raters LLC f� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �� Parcel Application # 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 Village .l S-=G_- 0 l-P— Owner L Address 7 TAA. Telephone -7 ��— �� 10' Permit Request �G/ �`T 'b 44G �'�v� N�lnl C/ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay CD Project Valuation J 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 oA -A I Basement Finished Area (sq.ft.) Basement Unfinished Area(sgft) 1 Number of Baths: Full: existing new Half: existing -�-�� near cn 0„ Number of Bedrooms: existing _new - -� cr, Total Room Count (not including baths): existing new First Floor Ro� Counn , Heat Type and Fuel: ❑ Gas ❑ Oil O Electric ❑ Other w rn Central Air: ❑Yes 0 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 I Telephone Number Jcr()- 7�Z� 'c) Address ?o C l 7— A-v L-- License # yw+-' Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO C ' -LES 10�jd SIGNATURE DATE F 4 FOR OFFICIAL USE ONLY APPLICATION# , o N• -Y y J v I •. 1 DATE ISSUED ' MAP PPARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION - FRAME t INSULATION — FIREPLACE � ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL' GAS: ROUGH FINAL FINAL BUILDING s DATE CLOSED)OUT 4 ASSOCIATION PLAN NO.�,�, The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations kv 600 Washington Street Boston,MA 02111 www.mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 4411- p o cl e qv f -rt l\ (USG« -cry', /iLIc- Address: er 7&� - -z Ci /State/Zi : *i,J 5 � Phone#: �— d% tf u 7 Are you an employer?Check the appropriate box: Type of project(required): 1� I am a employer with 9_ 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' comp. insurance.; 9• ❑ Building addition [No workers' comp. insurance P• 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 I LO Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required] t c. 152, §1(4),and we have no 13.,7q 3a.❑ I am a homeowner acting as a employees. [No workers' �1I Other general contractor(refer to#4) comp.insurance required.] (( __ 'Any applicant that chocks box#i must also fill out the section below showing their workers'compensatiod�olicy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors dw check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 121L C' I-f A-" , 1 IP-�S Policy#or Self-ins. Lic.#: Expiration Date: S / O/C;L- Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c VY nder the am' s and penalties of perjury that the information provided above is and correct TO Phone#: 1J — -7 gQ Ofj'icial 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): 11 I. Board of Health Z. Building Department 3.CIty/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: DATE(MM/DD/YYYY) ACORP. CERTIFICATE OF LIABILITY INSURANCE 06/24/2011 PRODUCER 508.997.6061 FAX 508.990.2731 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Southeastern Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 439 State Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 79398 North Dartmouth, MA 02747 INSURERS AFFORDING COVERAGE NAIC# INSURED Bourque Heating & Cooling Co. , Inc. INSURERA: Merchants Insurance Group and B and L Equipment LLC INSURERB: PMC/Chartis Ins Co. P 0 Box 770 INSURER C: Marstons Mills, MA 02648 INSURER0: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSA DATE MM/DD/YYYY DATE MMIDDIYYYY GENERAL LIABILITY TBI 05/17/2011 05/17/2012 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTEIDT X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 300,000 CLAIMS MADE a OCCUR MED EXP(Any one person) $ 5,000 A 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 X PROJECT LOC AUTOMOBILE LIABILITY- MCA7015458 05/17/2011 05/17/2012 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY A X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) include GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY TBI 05/17/2011 05/17/2012 EACH OCCURRENCE $ 3,000,000 X OCCUR CLAIMS MADE AGGREGATE $ A $ DEDUCTIBLE $ X RETENTION $ 10,00 $ WORKERS COMPENSATION TBI 05/17/2011 05/17/2012 X X AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVEr7 E.L.EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under SPECIAL PROVISIONS below NO OFFICER EXCLUSIONS E.L.DISEASE-POLICY LIMIT $ 11000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Town of Barnstable IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 367 Main Street REPRESENTATIVES. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Karen Bernier ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r/ t � BARNSTASI.E, "� i63q. Town of Barnstable vQ ��� 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, o as Owner of the subject property hereby authorize f �� to act on m behalf, y i in all matters relative to work authorized by this building permit application for: ng OWK �f , lot VIrik4c, (Address of Job) Signa re of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\dccollik\AppData\Local\Microsoft\Windows\Temporary Inicrnet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 • I Town of Barngtab-le OF THE ��. Regulatory Services Thomas F. Geiler, Director t6M 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 i HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 0 (/v 'C v�("�i` `" "4 0-0Ek l umber^l n� street village .HOMEOWNERC�JU� name home phone# work phone# CURRENT MAILING ADDRESS: W YJA © 2c.6�- 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 ri-pNmurn inspection procedures and requirements and that he/she will comply wiEk'said procedures and qu e nts. Si of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 12TO Construction Control. HOMEOWNER'S EXEMPTTON 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.).] -Licensing•of construction Supervisors);provided that.if the homeowner engages a person(s)for hire toAo 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 ofawarencss 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 uhimaWy 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/eertification for use in your comununity. Q:forms:homccxcmpt � ,ry Vl 0 O3 �t r '�f ' LOBE TP f MASSA 14 CROOKS r 1� M'ARSTjON$INf LSf MA< = • 02�4 -1 J ' aszs�ueo .,COMMONWEALTH OF MASSACHUSETTS' SHEET METALWORKERS AS A MASTER-UNRESTRICTED ISSUES THE ABOVE LICENSE TO , ROBE'RT BOURQUE , 14 ,CROOKED CARTWAY ' • r r MARS-TONS' MILLS MA 02648 1.l 6435 05/28/12 9722' �.; TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map pp v Parcel V Application# Health Division Date Issued a d� Conservation Division : Application'Fee. J Tax Collector Permit Fee 6"06 Treasurer pk U Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village r Owner �ij r, �� Address Telephone �O/d Permit Request 4 .41 Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 60 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) jAge of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: 41yes 0 No v Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other PBasement 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: 0 Gas ❑Oil 0 Electric ❑Other Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:0 existing 0 new size Pool:❑existing ❑new size Barn:❑existing ❑new size l f Attached garage:❑existing ❑new size Shed:O existing 0 new size Other: I c� C; f � Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ M — �z N f,ommercial ❑Yes ❑No If yes, site plan review# t"$ `s' Current Use Proposed UseI a� / BUILDER INFORMATION C,3 Name C % Telephone Number // 2 6 Address License# ?,Z(P J� Home Improvement Contractor# l�J C) 6 i Worker's Compensation# �j ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0/0 1'n X41 SIGNATURE DATE Ct' 6 t FOR OFFICIAL USE ONLY ;APoPLICATION# DATE ISSUED MAP/PARCEL N0. o ` ' ADDRESS i VILLAGE OWNER ' s • DATE OF INSPECTION: FOUNDATION , FRAME INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FVAL FINAL BUILDING F ' DATE CLOSED OUT- ASSOCIATION PLAN NO. r = The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111' www.mass.gov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information .Please Print Legibly 14 Name(Business/Organizationa(iividual): . c G J C/' Address: k City/State/Zip: Pam• i_?e �l^ may/ > /,�� Phone.#: Are ou an employer? Check the appropriate bog: .Type of pioject('required):. NAII 4I am a general contractor and I 1.` I am a employer with 6. ❑New construction . employees(full and/or part-time).* • have hired the sub-contractors listed on the'attaclied sheet Remodeling 2:❑ I am a•sole proprietor or partner- These sub-contractors have ship and have no employees ❑Demolition working for me in any capacity. employees and have workers' 9 Building addition comp. ' [No workers' comp.insurance co insurance. 10.[]•Electrical repairs or additions required.] 5. We are a corporation and its 1.0 I am a homeowner doing ill-work . officers have exercised their 11.[]Plumbing repairs or additions myself.[No workers'comp. right 6f exemption per MGL 12,[]Roof repairs insurance.required.]t c. 152, §1(4),and we have no 13.(] Other employees. [No workers' comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, xContractors that check this box must attached an additional.sheet showing the name of the$ub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site' information. e / Insurance Company Name:' / J / j�j�._7 Policy#or Self-ins.Lic.#: C C �U t) 4� �� ZU�Expiration Dater Sob Site Address: a Lz_ fV City/State/Zip: Attach a copy of the workers'.compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK•ORDER and a.fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the.Office of Investigations of the DIA for insurange coverage verification. I do hereby certify under th pains•an altie f rjury that the information provided above is true and co/r�rect. Si ature: Date: V' — Phone#: �° 2 Fr only. Do not write in this area, to be completed by.city or town official, n: ' Termit/License# hority(circle one): Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector . rson: Phone#: Board of Building Regulations and Standards _ ConstructiongSupervisor License i` Lie 31�:\ C$ 2265 13429 xp►cat! —1!'i8Y2010 Restri , a LARRY D NICKl1LQS— = i . PO BOX 570 W BARNSTABLE,MA 0 fi68 Chi iffiiWdOr OT Board of.Building Re-sutatiolis:and Staodaxds ' HOME IMPROVEMENT CONTRACTOR Registration _1.00496 Exparatj6h -6/.18/2008 ? Type :Inifividual LARRY NICKULAS ' -Larry Nickulas 20 CEDAR ST '` ~ Admm�strator,, W. BARNSTABLE,MA 02668 Beputy' +_._.-- I I ,7 Board o Building Regulations and Standards .:;. � Construction Supervisor License Liee�ns�es CS 2265 13429 S xp9,raClon11;8'2010 . TiF m d LARRY D NICKUL •• co PO BOX 570 : . A . k W BARNSTABLE M 0 fi68 Commissioner ✓iLC 60�7/I7.LdILUJ ya''e, .. �\ Board oC.Building Regulatiogs and Standit HOME IMPROVEMENT CONTRACTOF ca gist _ Re tin 100496 w Exp_ iration-.6/18/2008 ype`inwidual r LARRY NICKULA-5 Larry Nickulas �\ q 20 CEDAR ST. Y ' " V+1•. BARNSTABLE,MA 02668 1)eiiury'Adm mistrstg r: •' U. OFIHE Tpy, Town of Barnstable Regulatory Services BMWSTABMAS&M� Thomas F.Geiler,Director F&6 9. 16%. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I C! I Z , as Owner of the sub)ect property hereby authorize v ��G to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Si-&natfite of Owner ate �a i h CI, Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORM&OWNERPERMISSION r , • THE Town of Barnstable �OF Tp�� Regulatory Services + BARNSfABLE, Thomas F.Geiler,Director 9 MASS. �A i639• .0 Building Division jEn �A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. . DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building pernut. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and ' requirements. , Signature of Homeowner Approval of Building Official J • ' 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:forms:homeexempt M� TGA GE' IIAT.SF'_'C TIO jV PLAN i TOWN: WEST BARNSTABLE APPLIC4+i�T: CLARK & STIMMEL—CLARK i ` N/F COOMBS ' so I N/F SUNDERLIN41 $ #878 ( DECK / I I fII I ! N/F EMRICH 4 N/F MULLEN s°v Lj -. r 0. 1'Y 0. ..i FLOOD PANEL: 250001 0005 C FLOOD ZONE: "C" DATE MAP REVISED: 08/19,/— F.. if R!:i3Y'ali TiFY THAT i?IIa k JTGACi_R]SPEC11CMl PLAN' iAS ?F.£i!n=:rA�i'iD r f:: DATE: 06j 29/.0 i SCALE: 'I" = 40� r WACHOVIA MORTGAGE COMPANY DEED REF: 13086-16 PLAN REF: 436-'39 �tt`v L(';A!iU`< +'r '•"•w :>1�!�dC SiivttN =CES N?TF;k.t +�iTHtti •, SY£Cii•.l.`:ti.°� Fl4Zn:--ULl:: :r i.^.r;,l !T4? -'i{ "iG cyi .. ^r. 'rF£ S:'?UCTUR SSC`V' Tf 5 HlA'(L A� �MSI LC":Y f'+^•N ,:.1• li E' { :Fcy -.•?: !'i - - OK` L:: Ac�EARS T?. .iNF(Y.RV ry ':!i [6 _AWS _ CCT r t!J'rN U.7 Yc.,, V.t �L':iEycNi.i Clay`. :a:?ySir,E};.+Fi:T CjrivtY WA5 vc2:'^✓.•i;:.. A?dD if)C r.T(?IS 5 .r�`••: ,4C t l: C'i S";ii:.iti.:;�. 't.`. v!-?SreCT :?HU Z!1P!'�i tA21_.5:13. ^:c1Fai.::fi_ ry •a_r, ^i''FOR P'ei:CJS.t. DClaliilv.:iQl-1 or,*>U!!L'-.NC 0-"AT!0 ! is ::'a" _.0 'R•Jd�'i ! Ca lt: :k5.`4'ilt�ii"( tn'.. iv C:Sn. _ C:Q Ij c�ry:T till,:- N"i ''R?t l.M1`IQClZ wF •rENE£:pi,V:V(j C•:•t1✓T�_' '�^%' •y:.:r.=:: �4ER WA Af,S!25S PRCu'EH iY' 'lAtJiC'ct_' ..FJ+7 'lu RC 4�ti'.S, Fti: =RIST.FI", .:!tT r ._e;: :!,i T:' A;i?Q,?STH THE EECItF1: k FhC--P?S. i:.-tir`t Gr r•.'A., �� o � >: AC�t'rJR^•1.13df'Fj e't"r�`.aLV, FT:.;Ie YzJ"IC'i, rlE:Ni:: D_ SUP-4- _ _ _ - :iS?•:: JJR:_ 'CV:F,•t'! :�?Pi.NOT E_`iEL` - 'Y•czr41 - c ;C�?'::S 0: RECORD, it A,y�CHE �A>'� _E, R::Q _ - c- .:?:ER lHArl•'+0'(.`.GAGE[NrJ=�CiIUN ••' t.!.:F F!`�,Hv. 'A"•Q'i_ r:�` LF 'ilia` -i,.i : F;5-t- At. i:iE Srsei L:+i.9: iSCkt fC•',:E A'iv'Urt . v •�.- TELEPHONE: • 508-428-0055 YAIVKE�' LAND S U1�V�' ' COMPANY, INC" 40 Industry Road, Morstons Mills, MA 02648 FAX: 508-420-5553 ,�nnLaoaiir�rp�n�l nM%(1St.net www.vcnkeesurvev.com { 39111 SH i SPEC TIO 1V P�A1V j >�OR TGAGE I1�T "-- RK & STIMME�—C�ARK TOWN: WEST BARNSTABLE APFLIChi�T: C�A -� I s N/F C001VI8S N/F SUNDERLIN `4 #878 i DECK ,/ I L _ i / s?0 N/F EMRICH 4 N/F MULLEN .ate 7��'� •:..'�: _ \® - ,•�1 - `ice 7 CM yet .. .. i FLOOD PANEL: 250001 0005 C FLOOD ZONE: "C" DATE MAP REVISED: 08/19/1985 HI.Ki3Y i:CRiIF`t TNni i)it(i eIUATWCt itdSP'tCiIAN PUN !tAS'3F.°:?i DATE: 06/29/.0 i SCALE: 1" 40' = l PLAN REF: 436-39{ WACHOVIA MORTGAGE COMPANY DEED REF: 13086-16 i� tS!• LCChf�S;t; I.F :H ii .HN L NOTFAi_i, WITME{i 'WLGJ.L Fi:h,0 WIZARD Y.C•NE. .(, �� i'i•i�:i HCR'R`'A is i>{<�PEC"i:)V pL.Ari �tiC•_ �-n�'aTfiC EC Trr;- �!+ •c'�.I '•'?1.iC SriC AGE c rtv c. _ er r, ��r` •�'1'ILILS. 'k'AAAS TO.cr)OPOW r;) - :vtL MION: ovi q;h5 ;;F.Lr:r'?SC ,'SRuC?URE2 5;.....J =L.+. - - l ':.c - - cn r~ - }�`: q;RXTY WAS!wT.a"f?t"itA�:CI .Sid(I LDC ATtL?tS 51.10L•N �1!ih Jew?, ;Q11 �:v v:W SJ:'MAC.: fi_�!F.,'t�c.cNi:., C.._. ::C;iNS J:1.L-+: _ r I r nq '<,';: 7trYvl.+ F[eT TO iiC:�ZOK':i i,J_ S `,. _c> <^ !t: t\S:'9ii{'Liit Sv:c;SY i :_C^�SnRY FOR FiZ£G?E DCit?1A41.V e Dt'1 J. >.Itl!L'aNC: { 1t��l�h }:.urT c;?^-J pt.^.:-c^;�� :F:F P.'Jar~`•i *:.rI �•N�E;•. --E4VAL l:.oiA _-tJ✓,-_.. _ hr nraoss�N:'ss+F_'N iY Li!«`.5. 'rANk1!: i,=1+•: Is l,� _ u5 F:� G - .•iiii4::C.?iiJ.C�.V.Z:ti i„ `- {:;'i EhlSY.F-!'^it:R Vi •C j°.` r-`Tt -:e- • TCi T_ a�i0��i:N i}IE E:'.1£R" __ rd? _ Cr r'.'.... c 'c ACiLL rr}R ^_•AlJAC:ES R"rf.i.:1i I:VG i tC;te .:Y _t•_ C':i`'1 _ _ri:.Ni:: :J_is S(1 v_ _ G g `;•I' „cAn,--4: JJR:_Y C•4'rnv" ..�'=I.:SOi EE HEL` L+ �:�.St `ES'• C r1S Cr REC,'RD. it Alit�;� SriA_,. =F�A:>J n..'.r 'F;F^.^-:ce OleER WAN 5'.0(:T.GAGE INS=-UION s _ qt Trii r S r' t.RE 0. i, kL FQ2:=E AN--`eff£C . j FLFPAX: a—a2$—OosSYANKED' LAND S'URV'Y COMPANY, INC,EHONE: 5044Qdustr�mnrngt netons w w.vcnk es02ve. om 39111 SH I 508-420-5553 i Massachusettj Depar-tmcnt of Public Safety Board of Buildin!- Regulations and Standards . Construction Supervisor License .License: CS 2265 Restricted to: 00 LARRY D :NICKULAS .PO BOX 507 1 ,. . . W BARNSTABLE 'MA 02668 Expiration: 1/18/2012 ('onunissii,ner Tr#: 14331 T� ���ZCCFECJ:LGiL �✓�iOaac/zecael�a Office of Consumer Affairs&B siness Regulation License or registration valid for individul use only ; HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Reg istration:,4-s100496 Type: Office of Consumer Affairs and Business Regulation �I 10 Park Plaza-Suite 5170 Expiration: �-6/-18/2012 Individual s Y- Boston MA 02116 LA RY NICKULAS - - Larry Nickulas M 1~I 20 CEDAR ST. t _< W. BARNSTABLE, A;02668If Undersecretary`�•-�:._�-_� y Not valid without signature I : . •sue rs�� -� ���.-� ��,�� 21 1� . . .. . . . . . . . . . . o N k AW =�I'Illy S TOWN OF.BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel APP lication#e,-�66 b�O Health Division Date Issued N77 Conservation Division Application Fee Tax Collector Permit Fee D. Treasurer p jr Planning Dept. 61. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis 1 Project Street Address OF Village 7 �4 AOL Owner � � a/� Address .� �Y t..Lt.w,d✓� .D� Telephone .f--rj "Z U 20 y d Q Permit Request %� 2Cl 17,.Aawf< A1,e*1A�L Square feet: 1 st floor:existing proposed 2nd floor:existing proposed 7 Total n Zoning District 14F Flood Plain Groundwater Overlay `Z�4- --� Project Valuation Q O e Construction Type �Q"y.,e Lot Size zc— Grandfathered: Ayes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family rwo Family ❑ Multi-Family(#units) Age of Existing Structure / Historic House: ❑Yes %_00 On Old King's Highway: es ❑No Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1 Number of Baths: Full:existing Z-z new -- Half:existing Number of Bedrooms: existing new C-5 _ Total Room Count(not including baths):existing new 1 First Floor RooCDmf f Count °' ' Heat Type and Fuel:_4%s ❑Oil ❑Electric ❑Other �o r. Central Air: Yes ❑No Fireplaces: Exis ing New Existing wood/coal stove:0 Ye. Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:J:iexisting ❑new sizyShed:❑existing ❑new size Other: J,,:: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes � to If yes, site plan review# p Current Use .�i ,�� �h� Proposed Use J� l4 BUILDER INFORMATION 2 000 Name Telephone Number S711 3 CoZ 'Z�Cf ,ram Address L U License# (') Z Z (� A-8 ��/i'I f 4 Home Improvement Contractor# AdW_V':Z Worker's Compensation# �� a ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Y✓'� c,A �A i'/J ° SIGNATURE DATE 7 l :x ' FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS - ^> VILLAGE T z ;OWNER DATE OF INSPECTION: t FOUNDATION ] FRAME s, , INSULATION D FIREPLACE ELECTRICAL: ROUGH FINAL s PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT z, ASSOCIATION PLAN NO. �� �� ` TME�° Town•of Barnstable Regulatory Services sasrrs AEM _ Thomas F.Geiler,Director 'a' Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax; 508-790-6230 Permit no. Date • AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, .improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered c tractors,with certain exceptions, along with other requirements. T e of Work: /�r%y✓� ma w / Estimated Cost l cf vV . yP . �� �� ',Address of Work: �, G �!{ ' C� /...1� /,�C,� ,/'✓� ti Owner's Name: < � ✓1 �4 •y Date of Application: _ -9 /r ) I hereby certify that: Registration is not required for the following reason(s): (]Work excluded by law ❑Job Under$1,Q00 Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY I hereby a ly for a permit as the agent of the owner: / v r/ L/ to ntractor Name Registration No. OR Date Owner's Name r The Commonwealth of Massachusetts Department oflndustrial,lccidents Office 9f Investigations ' d 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le Name (Business/Organization/Individual): GI ry C c. � .f •G '.� c1 U L�� C C^ • -Address: • City/State/Zip:1i1. a `t'/'/I Phone.#: —� Z Z �j� Are you an employer? Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. I am a general contractor and I 6. ®New construction . employees (full and/or part- have hired the sub-contractors 2•❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. 'Remodeling ship and have no employees 'These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp. insurance. #. required.] 5. We are a corporation and its 10.❑Electrical repairs or additions officers have exercised.their 11. n re '3.❑ I am a homeowner doing all work ffi h ❑Plumbing airs or additions• P 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' . 43.❑ 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 ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below isihe policy andjob site information. J Insurance Company Name: t[. CeG GS C� Policy#or Self-ins,Lic.#: Expiration Date: Job Site Address: (I'T VG J/f City/State/Zip: `' it�i!/'' �/. Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date),, Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification, I do hereby certify under the ns•and Pena of perjury that the i armation provided above is true and c re Sienature: �/ /� p . Date: _ Phone #: J, y Official use only. Do not write in this area,'tb 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 CIerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Town of Barnstable Regulatory Services Thomas F.Geller,Director BuRdnng Division � tFLMA'� Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 5 08-862-403 8 Fax: 5 08-790-62-3 0 Property Owner Must Complete and Sign.This Section If Using A Builder as Owner of the subjectproperty J hereby authorize C "A?. r to act on my behalf, in all matters relative to work authorized by this buRding permit application for, , owr f (Address of Job) L S' tore cl Owner Da e � . Jar Print Name l QFoP MS:0WNERPERMISSI0N . t Cl/ I A-IC 0 2, © 9rZ V/0 A// C v�G�a.��a.� - /Y✓�//JJ s� � �c,/nc��.. �o� .fir, C . 3 Vl/ll 1s lr � Cite_ Ce c e �L s Iz sG . . 1 . . ✓�� Gam'� �� I { Cf de;" ee" -Z/ I 67 . 3 'G 1 l • ✓die i oo7zmzaouueatf� a�:�y`aaaac�uaelTs BOARD OF BUILDING.REGULATIONS License:. CONSTRUCTION SUPERVISOR _ Numb&-.:.CS . 002265 Bi rthdate:.01/18%1955 Expires: 0 1/18/2008 Tr. no: 14065065 lit Restricted:`00 ' LARRY D NICKULPS. RO BOX 570 . • = -" W BARNSTABLE, MA 02668 Commissioner ' ,. ......:.� ._. GJ�ie Toanin?a!?uleci� °��/OGaGd`z�zaaelt6' • Board of.Building Resu.latioiis arcPSYaodai'.is HOME IMPROVEMENT CONTRACTOR, i Registrations'�1.00496 Ezpiratio x.8/2008 i ^. pe—f'ncJivfdual LARRY NICKULAS _ -Larry Nickulas 20 CEDAR ST. °�- W. BARNSTABLE,MA 02668 Deputy Administrator . • 780 CMR Appendix J —— ° Trade-Off Worksheet EnforcementAgency� Builder Name v'' O G v Date I Permit'i Builder Address 0-2 (1 -y- d I Checked By— Building Address c A r� nn Zone N G I Submitted By ptr ::'i' rA c./tJ Phone Number S'—d d' .7a Z G Z 7� L - °a -J PROPOSED REQUIRED Ceilings, Skylights, and Floors Over Outside Air Insulation Required Description R-Value U-Value x Area a UA U-Value x Area UA CeTng z _ I )Vft2 f) ,�, ° ftz �, Floor Over Outside Air , �-��' Y m Skylight — ftZ ftz Ceilings:Total Area I / .tR Walls, Windows, and Doors Insulation Required Description R-Value• U-Value x Area UA U-Value x Area = UA Wall 3 Q& A/0, tt2 9Z, Window — F � i/y`ffn Door = iR , Sliding Glass Door . 33 C/ tt2 11f fn R2 ft2 Walls:Total Area Floors and Foundations Required Insulation Insulation U-Value or Area or U-Value or Area or Description Depth R-Value F-Value x Perimeter UA F-Value x Perimeter UA Floor Over Unconditioned Cj`/ G tt �/ a „ /ryJ ft2 •' Basement Wall tt2 ftt Unheated Slab in. ft ft Heated Slab in. ft ft ft2 Total Proposed UA Total Required UA • , /1/ tip Total Proposed UA must be less than or equal to the Total Required UA- Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans,specifications, and other calculations submitted with the permit application. . A 4 C✓ Builder n r Compfiny Name D to 53 2ND FLOOR BEAM AT REAR OVERHANG ® Ti-Beanng)6.25 Serial Number:77005111� 35B 9� 2 Pcs of 1 3/4" x 11 7/8" 1.9E Microllam® LVL Page EngneVersion:l6.5.1 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Ell �.F21 d 12• Product Diagram is Conceptual. LOADS: Analysis is for a Header(Flush Beam)Member. Tributary Load Width:8' Primary Load Group-Residential-Living Areas(psf):40.0 Live at 100%duration, 10.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Uniform(plf) Floor(1.00) 520.0 300.0 0 To 12' Replaces SUPPORTS: Input Bearing Vertical Reactions(Ibs) Detail Other Width Length Live/Dead/Upliftrrotal 1 Stud wall 3.50" 3.35" 3120/1869/0/4989 Al:Blocking 1 Ply 1 3/4"x 11 7/8" 1.9E Microllam®LVL 2 Stud wall 3.50" 3.35" 3120/1869/0/4989 All:Blocking 1 Ply 1 3/4"x 11 7/8" 1.9E Microllam®LVL -See TJ SPECIFIER'S/BUILDERS GUIDE for detail(s):Al:Blocking DESIGN CONTROLS: Maximum Design Control Control Location Shear(Ibs) 4850 -3924 7897 Passed(50%) Rt.end Span 1 under Floor loading Moment(Ft-Lbs) 14147 14147 17848 Passed(79%) MID Span 1 under Floor loading Live Load Defl(in) 0.259 0.292 Passed(U540) MID Span 1 under Floor loading Total Load Defl(in) 0.415 0.583 Passed(U338) MID Span 1 under Floor loading -Deflection Criteria:STAN DARD(LL:U480,TL:U240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 9'2"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist(TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application,input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. -Note:See TJ SPECIFIER'S/BUILDER'S GUIDES for multiple ply connection. PROJECT INFORMATION: OPERATOR INFORMATION: LARRY NICKULAS Bill Rubel STIMMELL JOB Mid-Cape Home Centers 878 OAK ST PO Box 1418 WEST BARNSTABLE MA 465 RTE 134 South Dennis, MA 02660 Phone:508-398-6071 Fax :508-398-4559 brubel@midcape.net Copyright ® 2006 by Trus Joist, a Weyerhaeuser Business Microllam® is a registered trademark of Trus Joist. i Y Application to (91b Ring's 3bigbWap Regional 3biotDrit Mi.5triLt Committee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four 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 CATEGORIES THAT APPLY: 1. Exterior building construction ❑ New tKAddition Alteration , Indicate type of building: XHouse Garage ❑ Commercial ❑ Other 2. Exterior Painting: 5r�- 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other TYPE OR PRINT LEGIBLY: ((�� DATE (1 ADDRESS OF PROPOSED WORK Q 7 P 0 A. k ( �'� ASSESSOR'S MAP NO. OWNER 7 C)/7/7 CIA s� !L ASSESSOR'S LOT NO. 1 r) (•� HOME ADDRESS 3 C-ne-~ 0 - TELEPHONE NO. ac Oe�7 aa�� q �• / q6 G C- FULL NAMES AND ADDRESSE50F ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheetif necessary.) AGENT OR CONTRACTORAe&l2 TELEPHONE NO�d`P 3lo faZT�/ ADDRESS �d (/ J e1 X' DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. /. Signed Cl Owner-Contractor-Agent For Committee Use Only n VT ,tom I This Certificate is hereby Date �� ! Approved/Denied AUG 0 8 ZO I Committee Members' Signatures: TOWN OF f,,UI iS1MUE HISTORIC P ESERVATION t Town of Barnstable W Old King's Highway Historic District Committee SPEC SHEET FOUNDATION .S °� 7 V /^ i/,' '� SIDING TYPE /% 1'r rf'G�Co COLOR CHIMNEY TYPE G COLOR ROOF MATERIAL 4,17 C. /� COLOR PITCH WINDOWS COLOR ��/, SIZE TRIM COLOR DOORS rA--1"7 —COLORS SHUTTERS S���� COLORS Sin GUTTERS s r�� '� COLORS Grp DECKS `T MATERIALS dt a c� GARAGE DOORS ;(-'m .. Q COLORS s ' b SKYLIGHTS f'C-� �ZG�t/'� SIZE COLORS SIGNS \/ COLORS �! 4611- FENCE COLOR /S'T��Iin, �I p �s�'' this / NOTES: Fill out completely, including measurements and materials/colors to be used. Four oyA1 _ form are required for submittal of an application, along with Four copies of the plot plan, 3aadsEape plan and elevation plans, when applicable. SPECSHT Revised 11/98 C� , —� UtId 6ulwNJ 4001A puO:)aS UtId 6UIwNA 400IJ }Sall r.•r c..i���rg elaem 91e-as n v�•t LOOS,�4w O)rp.O AY YLDY a repea m up eua YO , yfeusal..n..wYe cee�.awj at. �i p DLDaON00 u.ya s e�.l m P Iq m11N^•�.../i ur �hwwP paluae q m Dm mW P sq IP aYI I- iw•N.tna C N..Dm9 x L/1 P tuul PL'aN.T•aM HC e e..ynap O3 snvm agaalxa oca° a�ainn. 4 g No — DYl aas aewa m.ufe i O �^Wl&M a%a�Y •• wo•Lt MMn - ba.pnp�a1 of M . o (3 n' 9a00aLu O� rb Fn, WH h� •+Mr�•n Wl.w ((L�➢ � •w..Pap,[/1 u•.[/I C CT!} 0 o C N rb T UOIPDS SS04D rb �o UtId 5ulwe4-q jOO'l n � lUDWDDOe 6Y()w8 ipoJ6 2 o6uoya ou P•wwlwv.ypo l"�W �oov�a�V Bu�iel.a - -u P—s 6upslND I I // •e v l a e D l l r l i �� D � __lam �a•m /I�__ � a e D I s= ro D 6 p 1 , 1 .vaYa acY ' m m ms m m P�o e E m �a a N tias+ne e.v� =N zs 0 Ll ❑❑❑❑❑❑❑❑ Am ❑❑❑❑❑❑❑❑ mn w e.m r•d e.ur Side Elevation Front Elevation WINDOW SCHEDULE -Y Ow•M wYue l� R MONOXIDE PlhS "•°":-�•o.•w•�..•.+ems.`wr�' °•.m V CAP INSTAEIEO E o r .a°. V oe..ro gON pEP� MUST BE GUILD � a Del w.n rorw r-a yr..•-e MASSACNUSETTS 1NG B D.wm5 T=041 r-]yr..•-e ve• R SMOKE DETECTORS REVIEWED i M«- TWIll r-a�r.r-e Vr D Du Mvp T®O1D r-a Vr.r-D r/B• p e I Ce...ml C215 r-0 Vr.5'i D/r • y�j D a r c.w..m Dmv .•-r.s-o yr 'N ARNSTA°LE BUILDING T 0 v Tar RESd 0 DATE w FIRE DEPARTMENT _ u'c v 90TN SIGNATURES ARE REQUIRED FOR PERMITTING 0 -F+ °"°°d••+ I i l .nw a.a w••..--.I I e wr.R 00 � W I� I I 000 Bedroom d �� II I °6 ea aw.e—� i� I I 1•mu,a e.s� __________ ILLUI lr I wr•eea b �+a•n+Ir �I "'"+ EH I I �I Sunraom ® II II e�e�w0.w. .e+ro wr c/a-r-c A_ Rear Elevation SUnroom Cross Section u2Id aooIJ IS41J 99aZ r w � 44v.9-.9• A..a-.z ,pwp.. V wooy 6�N, a N 0 3 I O O O K o 4 q v aayaur V N 4 Ma U t I d a o 0 I J �uo�as 0 b — �,.nwn L[[[.y[e' •'_•` .s-s -ot-z A-.z vn 7 - 0 N M p a a J Q Q•Q zi n ❑70q A-Zl N Au F 7F-- 00 )asoq I I �V/ I O I " O S? 0 T= y s= m � WITH TI T'OWN 0 F BARNSTABLE BUILDING - I'NSPECTOR TO THE INSPECTOR OF BUILDINGS: The undersigned.,.hereby applies for:per ii.t according to the follow'7ing information: ........... Roofing ..............t.. .. ..4_&�................................................ Floors ............ . .... ...................................................Interior .............. ... ...............3...e�'. ........................... ' �— o � Fireplace ---------------------------.App,oximoxeCoo .._�.������.,--.. '^ Definitive Plan Approved by Planning Boon] lg----. Area. «$ Lot of � and Building with Dimensions Fee ____.~��_���~_c$ _____ SUBJECT TO APPROVAL OF BOARD Of HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the.Town of � . ' . � � � . . � . , / / ' � ^ . � ' � ~ � ' ~ � ' , ' � � � � | Barnstable regarding the above Nam ��» —'�J�./�� -----' .^�--- ~ - | " / M\NNZ, ()DI00ET8 ` ` 24186 Build Dormer No ...... .......... Permit for .................................... � ' 'Single Family Dwelling � ---~-----.-----------.-----. ^ � Oa}c St�eet Location ---.—.-----.---.x~���e---.. West Barnstable ----------^'--^------------'' Quinoetb Maooi � Owner ---------~------------ Type of Construction ...Fzao»a.......................... � | ` ! ---^--'--------'------------ '} � � ` P|ot'--------.. �� ----------.� � ` ' | � June 28, 83 � Permit Granted -------------]9 � � � Date of Inspection 19 � Dote Completed l� � ----'. =''=-~'---' � | ' � � | � ' . � � � . � � � ^ � � � . � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map (t Parcel 0 Application Health-Division Date Issued ��. Conservation Division Application Fee Planning Dept. Permit Fee -� Date Definitive Plan Approved by Planning BoardG�C Historic - OKH Preservation/ Hyannis Project Street Address A7 cDp k J Village ej"o> S, /Ycr/�7 c,/, z,,/.P Owner s /7 4 r Address E"�l r c, a 'r Telephone �' r� �o �i Permit Request4��f �6Z C,,17 ne Al Square feet: 1 st floor: existing proposed 2nd floor: existing proposed _6 U Total new �� d Zoning Districts Flood Plain Groundwater Overlay Project Valuation 6 0 Construction Type Lot Size 3 7 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. i Dwelling Type: Single Family ❑ t Two o Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway/. VYes ❑ 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" Q Central Air: ❑Yes ❑ No Fireplaces: Existing New —0 Existing wood/coal stover❑Yes' 2 Ax.70 pYo Detached garage: ❑ existing)<ew size—Pool: ❑ existing ❑ new size Barn: Elexi'sting ❑:'new L ze_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 5 w � iCN Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use.k �'� 9 A_ ��--+ Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name I G.f Telephone Number 20 Rq CG Z Co �lJ Address z7%( f� °'!— License # J Cl/!�J fir/ 4 Z 4 i��c Home Improvement Contractor# d2 (f Worker's Compensation # I=r::9fC �—�---� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 6?Zl� Af2 FOR OFFICIAL USE ONLY APPLICATION# DATE,ISSUED ' MAP/PARCEL NO. ADDRESS r VILLAGE - OWNER , r DATE OF INSPECTION: , IQ FOUNDATION FRAME AW& l - d - INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUTr ASSOCIATION PLAN NO` - C 1 .J t r Town. of B arnstab e = eguatory Services ,,;xRN rage Thomas F. Geiler,Director Muss- to)F¢: Building Divisiozi Thomas Perry, CB O,Building Cojumissioner 200 Main Street, Hyannis,MA 02601 www.town.barns�able.ma.us Fax: 508-790-6230 'Office( 508-862-4038 PLAN RE Owner: Map/Parcel: ° �/'f�' �rlT� Project Address_— The following iteras were noted on reviewing: fl /.0 7 tj � a Z � 4L � . . L., ' u Reviewed by: Date: The Commonwealth ofmassachuset`tS .Deparfrnertf of I ndustrial.4ccidentr rA Office of rttvesfigaiions 500 wash ngton Street Boston, AAA 02111 raWW,rn ass.gov1dia k9i . Workers' Compensation Insurance Affidavit: Builders/Cointractor5/Elcctricians/Plu nib erg Applscant XnformatiMri Please Print Leffib N3Mr, (Busi.00so rkanization/Lndividud): C-4 001 Address: �---- V>' J-6 City/StateJZip:G �,T� / , i/ �v� Phone.#: 3G Z- Are you an erployeO Check the appropriXhavc : Type of project(required): I.❑ I am a employer with 4am a general contractor and I 6WNc•w construction , cmployccs (full and/or part;tirnc).* hired the sub-contractors , R.cmodcling 2.❑ I am a'solc proprietor or partner- IistLd on the attached sheet 7 ❑ Thcsc sub-contractors havc g• ❑ Demolition ship and have no employers cmployccs and havc workccs' 9 ❑ Building addition worJang for me in any capacity. . insurancc. [No workcrs'.com an p.•insvrce comp, 10. Electrical repairs or additio E] a S, We arc corporation and its �' rtqu�red) officers have exercised their 11_❑Pl=bing repairs or allditio 3,❑•T am a homeowner doing all work m tion er MGI, myself [No workers' comp. rit of exe P p 12.❑Roofrcpairs inerirancc rtquircd]t c. 152, §1(•4), and we havt no 13.[� Other . cmployccs. [No workers' comp.insurance rcquired_J tAny applicant that check box#I rnurt also fill out the soetiou below showing their workccs'eompmr4m policy inform.-ation. t HomcowntrY who svbroil this a$davit indicating tlocy arc doing a]1 work and thcn hits:outside contrerlor5 must rubmil anew affidi'ntindicating Neh IContractorr(fiat shack this box nnwst atbachcd m additional;heat showing the name of the rub-contracta"and rtak Whether or not Most.enddrs havc cmployccs. If the rub—co ntraetorr havc cmployccs,they murt pro-vidt:their workers'comp.policy number. lam an employer that is providing workers' comperna•atinn insurance for r y employees Below is the policy and job site informaflo,L ks���" r �/'',� /l/P��/ Z 3 /�3Q if lnsuramco CompanyNamc: e,S40Yr2 ®-to Expiration Ditc: Policy# or Self-ins. Lic.#: D C / Job Site Address: n�p � U a ��2� City/State/Zip: J- �0 r/7 Attac$a copy of the workers' compensation policy declarati on.page (showing the policy number and expiration date) Failure to secure covcragc as rc'; t cd Under SGetiDu 25A of MG c. 152 can Iead to•the imposition of u im al penalties of a fino i p to 31,500.00 and/or ono-ycu imprisonrncnt; as well as civil pmalti•cs in the form of a STOP WORK ORDER and a fi ainst tho violator. Be adv-iscd that a copy of this statcmcrit may be forwarded to the Ogee of of up to $250.00 a day ag IUYe a sti tions of the bIA for innsurancc coves a vcri_5cation ofpejury that the information provided above'is true and correct. I do hereby certrfy under the ains•cvtdpertalties Date; /V G — Si aturc: Phone f#: f Z Offuial use only. Do not write in LhLr area, fo be complefed by city or town offciaC City or Town: Permit/License# Issuing Autbority (circle one): 1. Board of Health 2. Building Department 3. City/Towu Clerk 4. Electrical Inspector S. Plumbing Inspector 6. O th e r Info , Massachusetts General Laws chapter 152 requires all employerseto�pbdworkers'noth comP ndcou for by c ntract�of birc, pursuant to this statute, an eRiPlayee is defined as ...every pers n express or implied, oral or written-" ociatio corp o oration or other legal entity, or any (wo or more An amplDyer is dtfincd m "an individual,partnership, ass n, rP or the of the forcgoing.copgcd in a joint cntcrprisc, and including the legal rcprescntatives of a dcGca sl0 ccs employer, of the receiver or tnisteo of an individual, partnership, association or other legal entity, employing Y e O(ZuPant Of thc owner of a dwelling Douse having not more, than three apartments and 4on`o c. Rif wor therein, or kh on s ch dwelling bousc dwelling house of another who employs persons to do rnaintcn , or on the gzounds or building appiirtcnant thereto shall not bccaLse of such employment be deemed to be an employer." MGL chapter ]52, §25C(� also states that"eYery state or local licensing agency shall i�ithhold the issuance or renewal of a license or permit to operate a busnness or to construCe buildings in co ep age required.for " applicantw.ho has notproduced•aeceptable eyidence of compLan AdditionaIly,MGL ohaptcr 152, §25C(7)states "Neither thecommonwwcbleth nor Bn of compli.enof its .c a2th the, ur�e cater.into any contract for.the perfbrmancc of public work p have been presented to the contracting authority. requirements of this chapter Applicants. the boxes that apply to your situation and, if . please fill out tho workers' compensation affix ss()and bone n by ccEag umbcr(s) along with their ccrbficate(s)of necessary, supply sub-contractors)aamc(s), insurance. Limited Liability Companics'(LLC) or Limited Liability Paztnss�ps (��)�oroLLP doesc�vthcr ffian the mombcrs o'partners, arc not required to carry workers compensation ins Of employees, a policy is required Be,advised that this affida s may o sls''bmitted.to the and date thcDepartment The affida»tlshould Accidents for coafimatiorl of insurance coverage. Also be 1'n bo returned to the city or town that the application for.the permit or liccnsc is bo margc request to b tain a ppu cut of Industrial Aceidents. Should you have any questions regarding the law or if y COII�Cnsahon poky,please call the Depaxtment at the number listed below. golf insured companies should enter their self insuranw license number on tho appropriate line. Clty or To MP Offlclnls Please be sure that the affidavit is eomplctc and printed legibly. The, epar Dtment has piovidcd a spacc it the bottom of tho affidavit for you to fill out in the event the Officc df Investigations bas to contact you regarding pP Iic ar ant Please bo sure to fill in the permit/Liccnsc number which will be used nccd only cs'ubmitonp affidnt indicating c rTcnt that must submit multiple permit/liocDse applications in any given y , Y policy information(if pecessary) and under"lob Site,Address" lho applicant should write"all locationsr town e city Y Provided to th tY or town)."A cbpy of the a$davit that has been bfficiiallfysttamp o mzxkid b s�A nowoa�daY7t mustbo tilled out each app4ca nt as proof that a valid affidavit as o permits year.- hero a home owner or citizen is obtaining a license or p,c�it not related fo any business d commercial venture (i.e. a dog license orpermit to bum 1CavC5 Ctc.) said person is NOT required to complete this affidavit you in advance for your cooperation and should you bayc my questions, Iba Office of Invcstigabons would h7ce to thank please do Dot hcsitato to give us a ca1L Thd Department's address, tclephone.and fax number: Tha Commonwir 4th of Massachusetts DePar�eAt of ladustiod Accidents Gffice of I.mvestiptiaas 600 Wa_shi.nj ton Stme:t $�ston, MA 02111 Tc1; # 617-727-4900 ex1406 w 1-8.77-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www...masS-gov/dia o¢THE7pw Town of Barnstable Regulatory Services SAu4s,rADLE, Thomas F. Geiler, Director p hLks& t619. - Building Division Tom perry',, Building Comm{ssioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.mn.us Office: 508-862-4038- Fax: SO8-790-62: P opetty Owner Must Complete an4 Sign This Section If,Using A Buildei T �� h C l Gt ✓ , as Owner of the subject property ZO/O act on my behalf,herebyauthorize � i•� ' in all matters relative to work authorized by this building permit applicadotl for: (Address of Job) S g-nature of Owner ate Print Name If Property. Owner is applying for permit please complete the Homeowners License :Exemption Form on the reverse side. tr , ` 'own of Barnstable Of YHE rp��"' Regulatory Services' . Thomas F. Geiler, Director EARNSTAB[.S, . hiA53 Buildiag Division i679 �� Eo µPtA Tom Perry,Building Commissioner . 200 Main Street, Hyannis, N A 02601 A wly.town.b2rlistable.m'a.us Fax: 508-790-6230- Office: 508-862-4038 ----_�- -- Eo0 fEOwl%TER LICENSE EXEAIPTTON please Print DATE: J013'LOCATION: street village number "HOMEOWNER": home phone N work phone# name CURRETIT MAILING ADDRESS: rip code city/town slate ts or Icss cupied The current exemption for"home rs11 was extended o include not ,ossesss a I cense`provided that the owner acts d to allow homeowners to engage an individual for hire who does p supervisor. DEEI21ITION OF HOhiEOWNER P erson(s) who owns a parcel of land on'which he/she resids or intends oeo r toiduch us atn�orr farm tiuctures.dA to be, a one or two-family dwelling, attached or detached structuresrY person who constructs more than one home official on aflforma period eptable to the Building Offishall not be considered a c alo that h�he shall be "homeowner"shall submit-to the Building res e onsibl -for all such work performed under the buildin crrnif. (Section 109,1,1) th the State Building Code and other The undersigned "hoeowner" assumes zcspo assns m ibility for compliance wi applicable codes, bylaws, rules.and regulations. The undersigned "homeowner" certifies that he/sthc under and stands �she �nl G mpl Barnstable said proccdurges)and went minimum inspection procedures and requircmen requirements. Signature of Homeowner Approval of Building Official ' Note; Tbzcc-family dwellings containing 35,000 cubic feet or larger will be required:io comply with[he State Building Code Section 127.0 Construcgon Control. OOpyC(ER'S EXEMPTION The Code states(hat "Any homeowner work for which a building permit is required Shall be exempt from the provisions of this section(Section I oq.),1 -Licensing of construction Supervisors);provided Dial if the homeowner engages a persons)for hire to do such work, that such Homco\rncr shall net as supervisor." the res onstbililics of a supervisor(sec Appendix Q, Many homeowners who use this exemption are unaware That they are assuming P artiwlar)y Rules &�Rcgulalions for stunlieenicd persons. Inthin casc,sour Boaid2eenno p This rocc d aga nstcncss often rc Rsthe.unlicensed personru in a snit wouldus H the licensed when the homeowner hir P Supervisor. The homcowncracting as Supervisor is uitimetclyresponsiblc, art of the omit application, To ensure that thehomeowner is fully aware of his/her responsibilities,many communities require,asp P lha.t the homeowner certify that he/she understands the rts���nt)itics of SuPc nsor. On the nityagc of this issue is a form currently used by ' AWC"Grtide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 0 Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust).................................................................. ................................................ 110 mph WindExposure Category.................................................................. .............................................................B J- 1.2 APPLICABILITY Number of Stories(a.roof which exceeds 8 in 12 slope shall be considered a sto Z sto es :52 stories ✓� RoofPitch...........................................................................(Fig 2) ......................... ----- 1 C�<12:12 MeanRoof Height ..............................................................(Fig 2).................................................1 z ft s 33'27- Building Width,W ...............................................................(Fig 3)................................................ ft 5 80' ✓ Building Length, L...............................................................(Fig 3)........................ Building Aspect Ratio(L/W) ...............................................(Fig 4).......................Js. ..... ....�Ot,<_3:1 Nominal Height of Tallest Opening2 ...................................(Fig 4)................................................ ✓ 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)............................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete..................................................................................................:............11..--------.. ConcreteMasonry.................................................................... ....................................4.................. 1L 2.2 ANCHORAGE TO FOUNDATION'3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concre6_�— BoltSpacing—general..........................................(Table 4).......................................... Bolt Spacing from endpoint of plate.............................(Fig 5)..................................... �/' Bolt Embedment—concrete.........................................(Fig 5)...................................................X in.z 7" 1L' Bolt Embedment—masonry.........................................(Fig 5)............................................ in.>_15" PlateWasher................................................................(Fig 5)..............................................>_3"x T x'/<° 3.1 FLOORS Floor framing memberspans checked (per 780 CMR Chapter 55)................................... Maximum Floor Opening Dimension...................................(Fig 6)................................................... 12 ft:5 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)....................................................O It s d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)....................................................-C..> ft's d FloorBracing at Endwalls....................................................(Fig 9)......................................----......................... Floor Sheathing Type ........................................................(per 780 CMR Chapter 55)........................ ......... Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55)........................ in. Floor Sheathing Fastening..................................................(Table 2).._Xd nails at �in edge/�'n field 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5) ft 510, Non-Loadbearing walls................................................(Fig 10 and Table 5)........................... ft 5 20' Wall Stud Spacing . ........................................................(Fig 10 and Table 5)................... in. <_24"o.c. WallStory Offsets ........................................................(Figs 7&8)............................................eft s d 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls........................................................(fable 5)..............................2x _ C{ ft a in. �✓� Non-Loadbearing walls................................................(fable 5)..............................2x� 7�ft W 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)...................(Fig 11)............................................. Z ft>_0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft..o.c...(Fig 11)............................................................. ✓' or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays :&:_�___ Double Top Plate .Splice Length ........................................................(Fig 13 and Table 6).................................... 4 Splice Connection(no.of 16d common nails)..............(Table 6)....................................................... AWC Guide to Wood Construction in High Wind Areas:110 mp/z Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)I j Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Tables 7)..................................................... Non-Loadbearing Wall Connections Lateral(no. of 16d common nails)................................(Table 8)....................................................... Z. Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9)..................................eft O in.<_11' ✓' Sill Plate Spans ........................................................(Table 9)..................................e ft_M in.511' Full Height Studs (no.of studs)....................................(Table 9)....................................................... t/ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.............................................................(Table 9).................................. ft a in.512' ✓� Sill Plate Spans...........................................................(Table 9).................................. ft-Z57in.s 12" ✓' Full Height Studs(no.of studs)....................................(Table 9)....................................................... ./ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously, Minimum Building Dimension,W I Nominal Height of Tallest Opening2 ......................................................... ro s 6'8" _Ae Sheathing Type..............................................(note 4)..................................................... WSP ✓' Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................ in. v Field Nail Spacing..........................................(Table 10).................................................TZ in. f/' Shear Connection(no.of 16d common nails)(Table 10). ...................................... [� R Percent Full-Height Sheathing.......................(Table 10444!! Z.G?!�.'D!+� ..l�.4 ° � 5%Additional Sheathing for Wall with Opening>6'A(AesiignnCConce is ...� ..... u Maximum Building Dimension,L P Q Nominal Height of Tallest OpeningZ.......................................................................lob 6'8" SheathingType..............................................(note 4).......................:............................. p ✓� Edge Nail Spacing able 11 or note 4 if less ........................ Of in. �f Field Nail Spacing..........................................(Table 11)................................................. in. Shear Connection(no.of 16d common nails)(Table 11). .� Percent Full-Height Sheathing ......... able 11 `�Vie.� 1 v!!.... �...... _°/ ✓' 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................... ✓ Wall Cladding Ratedfor Wind Speed?.............................................................. ............................................................... 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19) ..............G ft s smaller of 2'or U3 _1�- Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)...........................................U=,401 plf ✓� Lateral.............................................(Table 12).............................................L= "Zra Pti .� Shear...............................................(Table 12)............................................S=_]1 plf c/ Ridge Strap Connections,if collar ties not used per page 21... (Table 13)...............................T=ZZ?plf ✓' Gable Rake Outlooker..........................................(Figure 20) ............. 0 ft<_smaller of Z or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors � Uplift................................................(Table 14)............................................U=4 71b. !/ Lateral(no.of 16d common nails)...(Table 14).......................................L=&�qb. �r Roof Sheathing Type...................................................(per 780 CMR Chapters 58 ar�d 59)............ Roof Sheathing Thickness........................................... .............................................Sf�in.a 7/16"W t--ov 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. .STIEVEAW GOO K Coin r i 64y t I(SP GEC 3/z7/iv 1� r AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)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: L Panels shall be installed with strength axis parallel to studs. i 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 and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. 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 --WMN TM®GE REM ON FRAMING UW8d N"Z AT6b.r- 11 11 of AL 1 11 It 1 11 11 1 Y Y 1 11 11 I 11 tl tl 11 1 r 11 11 1 tt 11 f If fl 6K t 11 1, 11 It•F O /Y Il 11 11 Q 1 1 d u �1 m 1 O n rl Z 1 1(� a Q 11 11 ONJ 11 11 1 11 I p{ W ii ii $1 11 11 U 'J , a u � Y 11 1 11 1 11 t y NAH SPACING See Detail on.Next Page Vertical and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)' a , 1 1 N 1 1 , 1 , y1 1 1 1 1 O , 1 .l I- MGEWERMEMATE 1 1 FRRMRiGME6�EF3S 1 ! 1 1 , I ------- STAGGIRM f AWL PAT rEM PAM. PMM EDGE DQLME W&SXE W=NG MP& Detail Vertical and Horizontal Nailing for Panel Attachment i 4 � I� /4(033 __^_.---- --- - -��+-'..11�I�G�r_/_/._d,n .. ./ I..V/17�i�_ /. / (/.V.�K•...�,..:/_Qf�.____��.C..._.__._. _.._ _ _. :: .___...._ _�✓�/.ilk e...._ C_ _.�V f_i.7.._.__��.�`,..._... _.._...--- 3 � / ._---..._._�_._.....__ ... _�.T.-/._-✓ "!/C-/ --� _.___.___L�% .1..____._._._ _.V_CI:_... ........._.......V` 1_ /___. `-.'. _---_._..._ --------- --- . i 00000 1LGyX�c ---__ .�.!-!�•'�/J -- - _ _ _.___�U c.��C'f�'�'_�__ �i.i ''7 /mil-. � �/�� `____ / ep 4/1 li �e7. _.. -- v G�J Cam_. v !!J_Q'? .. r :' _. . � �. , 1: � . - _ C - f / 0-7 i - �R WCIP P ='. 1SSUING OFFICE 181 workers Compensation and (INFORMATION PAGE Employers Liability Policy AICCOUNT NO. SUB ACCT NO. Liberty Mutual Insurance Group/Boston 1-375894 0000 LIBERTY NIUTUAL FIRE INSURANCE CO 16586 POLICY NO. TD/CD SALES OFFICE CODE SALES CODE N/R 1ST WC2-31S-375894-010 XX X WESTON 102 REPRESENTATIVE 3000 1 YEAR ASSIGNED 2010 Item 1.Name of LARRY NICKULAS Insured FEIN 02-0461140 Address PO BOX 507 RISK IDi---.25964 WEST BARNSTABLE,MA 02668 Status 01 INDIVIDUAL �� t - •`' Other workplaces not shown above: SEE ITEM 4 Mo.Day Year Mo.Day Year Item 2.Policy Period: From 01-05-2010 to 01-05-2011 �h, ;:�F, 12:01 AM standard time at the address of the insured as stated heirem. ' Item 3. Coverage %� ~ r' A. Workers Compttinsation Insurance: Part One of the policy applies to the Workers Compensation Law of:the states listed s here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident 100,000 each accident Bodily Injury by Disease 500,000 policy limit Bodily Injury by Disease 100,000 each employee C. Other States Insurance: Part Three of the policy applies to the states,if any,listed here: SEE END WC 20 03 06A D. This policy includes these endorsements and schedules: SEE EXTENSION OF INFORMATION PAGE Item 4.Premium - The premium for this policy will be determined by our Manuals of Rules Classifications Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Rates LINE 110 Per$100 . Estimated Code Estimated of RE- Annual Classifications No. Total Amoral Premiums muue.ration Premiums SEE EXTENSION.OF INFORMATION PAGE Minimum Premium $ 500 ( MA ) Total Estimated Annual Premium $ 500 Interim adjustment of premium shall be made: ANNUAL Vl This policy, including all endorsements issued therewith,is hereby countersigned by e rep rive ate 01-27-10 Loc.Code Term. Oper. Audit Basis Periodic Payment Rating Basis Pol.H.G. Home State Dividend 01-27-10 NR MA NEW i GPO 4030 Rl Copyright 1987 National Council on Compensation Insurance WC 00 00 01 A Broker Copy RAMSBEAM V2 . 0 - Gravity Beam Design �ic*ensed to: Dan Braman, P. E. Job: 878 ,Oak $tr. West Barnstable Steel Code: AISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = W14X30 Fy = 36. 0 ksi Total Beam Length (ft) = 26.25 Top Flange Braced By Decking LOADS : Self Weight = 0 . 030 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 0. 00 26. 25 0 . 140 0 . 140 0. 000 0 . 000 0 . 560 0 . 560 SHEAR: Max V (kips) = 9. 58 fv (ksi) = 2 . 56 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 62 . 9 13. 1 0. 0 1. 00 17 . 97 24 . 00 17 . 97 24 . 00 Controlling 62 . 9 13 . 1 0 . 0 1. 00 17 . 97 24 . 00 --- --- REACTIONS (kips) : Left Right DL reaction 2 . 23 2 . 23 Max + LL reaction 7 . 35 7 . 35 Max + total reaction 9. 58 9. 58 DEFLECTIONS: Dead load (in) at 13 . 12 ft = -0 . 215 L/D = 1463 Live load (in) at 13 . 12 ft = -0 . 709 L/D = 444 Total load (in) at 13. 12 ft = -0 . 924 L/D = 341 - �l:rssachusetts- Department of Public Safeth 9 Board of Building.J2;�. u(atirms and Standards Construction Supervisor License License: CS 2265 Restricted to: 00 LARRY D NICKULAS PO BOX 507 W BARNSTABLE, MA 02668 • I Expiration: 1/18/2012 (' nunissi uicr Tr#: 14331 ✓!ae >°oo�inUyn�uea a�/vccraaac�ucaeaa r . _ :auaro e;guilding Regulations a-W Sti ndard:.- - Hi .License or asgis2ratton valicl'for ind4vi¢inl rise oa'iy HOME IMPROVEMENT COP!F 'T7P y,,b�fore.ttie'exlasiaflob dat�.::f found re�iaoe Registration: 10rl49� FEoard of-Bwldift'Regularro'.s knd.Standards Expiration 6/1S/2 10 2611i1I ; One Asitiii lhog Plaee kiii'i 1 TYPe k,Iry d�1 $ostpdj,. a 1t2108 LARRY NICKULAS i � - ! Larry. Nickulas 20 CEDAR;,T. :1'. RARi�'ST,L�c e,°..02 6'8 uin,:' ::or i 1LTof roa$id wtl�oi:t swnatur,� .... .. Vlassachusctts- Deportment of Public Safety Board of Buildin« Re-ulations and Standards Construction Supervisor License License: CS 226 5 • 0 Restricted to. 0 LARRY D NICKULASY PO BOX 507 W BARNSTABLE, MA.02668 ^' t ��- Expiration: 1/18/2012 Commissioner Tr#: 14331 v.:E �oFtHErowti Barnstable Old Kings Highway Historic District Committee RA „�16LF- ; 200 Main Street, Hyannis, MA 02601;TEL: 508-862-4787 Fax 508-862-4784 y MAS& n rE0 MA�� APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four(4)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; 1. Building construction: New ❑ Addition ❑ Alteration 2. Type of Building: ❑ House XGarage/bam ❑ Shed ❑ Commercial ❑ Other I Exterior Painting, roof ❑ new roof ❑ color/material change, of trim; siding, window, door 4. Sign : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court ❑ Other 6. Pool ❑ swimming ❑ Other man-made pool Type or Print Legibly: Date: 0 Address of proposed work: House# Fj Street: /� . �� Village I /-/!�Z Assessors Map Lot# 2./G 6 d Description of Proposed Work: Give particulars of work to be done: (3, G'G/•a , L ,74 Agent or Contractor(print): /'r'y f��C�� /a�' Telephone#: —d Address: ---� 4�4 g / ;/:;, { a2kz. e' Contractor/Agent' signature: NOTE All applications must be signed by the cit eft owner Owner(print): _ ,� .� t /� Telephone#: ��6 15 L•� �? Owners mailing addre : e- r' / zl . Gt. U I i Owner's signature: LL - -, For committee use only. This Certificate is reby APPROVED/ NIED . i 1 Lr� 13 '� '�"' ��• ° ; Date Members signatures ' 4t�1� MAY 03 Ij IW i 1 1 An o s provalVA*mmr PPROVEY MAY 2 6 204 Old King's Highway 1 Committee Q:I GA-fD-Groups101d Kings HighwaylOKH New App10KH Cert Appropriateness 07.doc Town of Barnstable Old King's Highway Regional Historic District Committee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 4 Copies Foundation Type: (Max. 18"exposed) (material -brick/cement, other) e'Q r C/.� � SidingType yp -GhC material: / �� S Color: � o- Chimney Material: o � %rColor: j Roof Material: (make & style) r y D Color: '/-ram U ire C.r �P.✓�i 1e*1 meo�2 I Trim material / C Color: Roof Pitch: (7/12 minimum) I f e A Id in i .Y / Window: (make/model) rZ��C3 material a e v( color /7 �l Door style and make: material Color: CC,RC CYP ' Garage Door, Style L' W 2"3 Size G} x > Material s/ Color /v . Shutter Type/Material: ILI Color: d v Gutter Type/Material: LZ 41��-�i�! �,�-r�-, Color: e Decks: material !V Size Color: Skylight, type/make/modeU: _�f/ material Color: ASize4 Sign size: Type/Materials: -10 Color: Fence Type (max 6' ) Style . material: Color: qA\ Retaining wall: Material: \ 10 0,RtC pR Lighting, freestanding l/ on building , illuminating sign -Please provide samples of paint colors and manufacturers brochure of s�7 r a ge door, fences, lamp posts etc ADDITIONAL INFORMATION: oid King%Highway Committee Signed: (plan preparer) % � print a � G X v /C4�1 tel.no. S �` ��7 [, Location of application: ,� Street no. CS Q. - Street Village ���e s t fyc - 2 QAGMD-Groups101d Kings High waylOKH New ApplOKHCerrApproprialeness 07.doc • -� OONf.RIDGE VENT rn,.aDRw ea.aD u ttM—.e T '� ROOF 6NNDIEe� . • V FWFIE eO.ADe cEOOND R00R 6UeFInOq_ TOFO_P,6TE ttv.sv„e cDRNEn6wlms . 5�.1D MF.�TER� E:1 r °�TRW AT OJl 8 0000 ooa ooa o000 oa o EX EIEZE:11=111, TO>DF FOM . VERIFY YFR.e BTYIE OF . RIGHT ELEVATION FRONT ELEVATIONT EL � e� z � 4 ' � .aWYINW CilT1F.R8 DDrmmaure 6ECAND F100R BIIeFLOOR T0V OF�ATE FM TOP OF MLNiX REAR ELEVATION LEFT ELEVATION COTUIT BAY DESIGN UIC NEW GARAGE FOR: SCALE: DRAWINGNO.: Q - 1/4'-F 48 BREWSTER ROAD MASHPEE,MA. 02649 JO'HN CLAR'K DATE: PH.(508)274-1166 FAX(508)589-9402 878 OAK STREET WEST BARNSTABLE, MA 4/1/2010 A 2 xBd P.T.x.80. R 6WPBDN FR.WNOwP.T. ed Bd sd ra notD01NN AT MB'COMR B• O.BP041 FOR ONlY Dl1E OP TO VfX • rtAU Mrmvm WALLM ryEE DW —————— ———— -- ---- — I. r---- -�-- ———srEa— •NFi r ` I 'I Br.xr.+rOEEP I I LOC ON $ I I I e CONCRETE FOOTIM3 I .I WOTFLL'Jr ANCIK1R 90LT8 ATTS en vAK I UtlOER 6TFELFosT� —J DWOR ON BPE E'BFARDG PIATEe 4 I POLE eoETay�n��� PXR1 I I CORNER AND TO A E•IDNMIY OEPin +S DEEP LONG --- 'I I I i0OON0 ,I I: •I I' •I I, I GAf2AGE I :I GARAGE I ,I I. �.I 'I ImCOulzroo°H DDow M.e'f:ONOFEfE I '.I � A p FouxmAnoNvuun I 'I TYar.+rcoc I 'I FODnNGBwxFe WKer I :I I b F •I d I, I I. :I B+YGBONDMADET RNERBPEN I I OROP TOP OF—D. FW�F OAPAw»DPORrAI N I. ,I AT OII Doovn IL--------- ----- ----------� I. cDNc rtEEl Posr ' �� IDCAlK1N ------ FOUNDATION 'PLAN as r awe�., AN C HO R BOLT PLAN WSTALL TVq POLL NFIONT 611L4BTw]ULK r P' CORNER ANDIOAe'YINWNY , FOR ENOINEEFt B AT EACn WDEOFALLROODNOPFIeN= DEPTH CONSnRFCf GARAGE FNDwV1B Q b UGOR:THE R...0 PORTAL WALL FRAN+NG EOAPPUGl10N9� b _� 1 • wMOLD DOOMBPEA FORL NO.Ti-+DS /V///� �� b �' - � 16EE ENFAOSED DETiuIE+EEI) P.l.x.edLLWEFAIFA ' (ROIIOn OPEMW� KBND � - WBTALL ea ANCHOR eAT1t P.c wx. ' O P{AGE B TB�WIfNIN CORNER AND TO A e-IBle1ReA OEPfN ROUGH OPENING STUD DETAIL. ANCHOR BOLT DETAIL (UNLESS NOTED OTHERWISE) ANCHOR BOLT DETAIL SCALE:V2•=r-(r SCALE: DRAW U9GNO.: aEKINCOTUIT BAY DESIGN..LLC NEW GARAGE FOR: r o 43 BREWSi'ER ROAD.M '%mtl A MASHPEE A. 02649 JOHN CLARK DATE: A 3 PH.I5 878 OAK STREET WEST BARNSTABLE, MA aivaolo FAX(508)08)5399402 ma ' xva ua ua u.ceasw iwxw I I I I I I I xv.axr N I III I I I ti nnurE °"' tiw wux i a� 4 I fj 1 N•� GARAGE (i mna— CN7TOQAwom UNFINISHED .nay„ H i Twzun A A STORAGE R � era AI 4 3I 4 a A• A A A ...AS .AS { w.ry o.n Doan vamuaou.aorx: ov.ty o.ra 000naamvaou�eme cone Tw x.c axon, ira ua as va .•a va as ' xea xva FIRST FLOOR .PLAN SECOND FLOOR PLAN NQTES: 1.)CONTRACTOR4S TO VERIFY ALL EXISTING CONDITIONS 8 DIMENSIONS'1N THE FIELD 2.)CONTRACTOR TO VERIFY ALL INTERIOR&.EXTERIOR MATERIALS, DETAILS,&FINISHES IN THE.FIELD WITH OWNER 3.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSE17S STATE BUILDING CODE,SEVENTH EDITI 4') 110+MPH EXPOSURE B WIND Z .00 ASPECT RATI 5.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, OR HORIZONTALLY WITH BLOCKING AT.'PANELEDGES 6.) SEE:INCLUDED 110 MPH CHECKLIST•FOR ADDITIONAL FRAMING DETAILS 7.) FOLLOW ALLMANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL SIMPSON.COMPONENiS B.) ALL.CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS TO BE3000`PSI ' 0.) TIMBER•F.RAMING TO BE SPRUCE/PINEIFIR NO.2 GRADE 10.)ALL LVL LUMBER/BEAMS TO BE 1.6e U48D LOAD MEAN(� SCALE: DRAWING NO.: COTUIT BAY DESIGN.LLC NEW GARAGE FOR: I/4 = I-0 43 BREWSTER ROAD Al MASHPEE MA. 02649 JOHN CLARK DATE: FH.A I(50)5 9 94 878 OAK STREET WEST BARNSTABLE, MA �° �"�FAX 1508)539 9402 p o 4/1/7A l0 . ma m4 No CO2hR f 60.8TEB POEf6 ONLY DUE TOLACNOF UNDER EACH END DF STEEL BENT WALL SPACE(BEE DETYy FFFF IIIIIII I IIIII IIIIIII b1 Yf. IIf1KBEAM I I I I 1 I I I �QI t$1 R e I 1 r-m R p a A 6 I � I I I � I 1 A A A A A5 I I AS AS I - 'Y1sw:.n 9�e LNL eEA1 6OL0 is a BLOCNIMO eJ TIEOUTDOE NPBON IbTAM�� WTIQ FIXBT TWDiWO YFEON L6TAM 8fPAP mRN10W� FOR Ni PER FORM NO.TT.tOOB J015T mue FFA WRY NO.TT-1D8 FIpW ON T X UIII1F% .ROOF M WRTN WNL Ana FRAxOMA WRTx— m0 6NFATNM mo BLOGONO AT BEAM SECOND FLOOR FRAMING PLAN ROOF FRAMING PLAN x.1OAYSTe CONJT m OINASEEN—S WEIDEDro 6TEEL fAWxOWIAIE NOTES: —NGO o�rrtel�FD�uTroxB 1.)ALL ROOF RAFTERS TO BE 2 z 10's 1w nolDDDwNSPw NOTT-,� ImMNaTFFLBEAY ALL ROOFRSS RAFTERS NOTED 'mFwooD FIATEro ISEE FNCLOBED DETYL 61ff.E� D'sT..w—ON vri¢irce'olroi.a 1.�if� 2.)USE(2)SIMPSON H2.5HURRICANECUPS PLYWOOD/OSB PERCENTAGE PER WFCM 110 MPH EXPOSURE B GUIDE, Ne @ BTm coY AT ALL RAFTERS ENDS I3LDO.DIMENSON BLDG.SIDE REQUIRED% PROPOSED x 3.)VERIFY GUTTER TYPE/LAYOUT w FIRST FLOOR FRONT S1K 3M NOTen r.r.1¢BTEFLFUIE W/OWNERS wE1DFDrofAf.1N' ' w F.625T FLOOR REAR St% 100fi STEEL co—N.Dwua W SECOND'FLOOR FROM 25% MI% oRDYFFDRYtr—r- W BECGND FLOOR REAR 25% SB% THREADEDRODW.N— WA.MNSOR—OIA TIYEN Im L FitST FLOOR LEFT 25% BD% BOL1SIDtt.4 L FOIST FLOOR RIGHT 25% BOx WUNDAnDNwAu NOTES: t.UBE 7'EDGE NAILING 61YFIc nNAILING SPACING ON ALL WALLS STEEL BEAM/PST DETAIL PRELIMINARY DRAWING 2.TDD ASPECT NAIO J.UBEAPA WOOD NARROW WALL FRAMING DETNL AT GARAGE D.H.DOOR WALL SCALE:1/2"=1'-0" FOR DESIGN REVIEW TO COVER THE LOWER PLYWDODPEF:CENTAGE _ SCALE: DRAWING NO, COTUIT BAY DESIGN.LLC NEW GARAGE FOR: MASH E N ROAD ^tee =o MASI08)2 MA. 02649 JOHN CLARKPH. pAT FAX(508)7539-1 02 4/I/2010 A4 878 OAK STREET WEST BARNSTABLE, MA • �COM.RIDGE vEIIT , NAILING SCHEDULE 110 MPH EXPOSURE B WIND ZONE TYR'.ROOF qR!$$. JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING x 2.10 Hoof Rafters f 16" O.C. ROOFF.RANwo: xP BX O Is'.. �10 �1/2" CDE Plywood Roof sheathings BLOCANO TO RAFTER ROE'N•VIEO) am x•lm EACH END Asphalt roof shingles 15 Ra190AND TO RAPIER(F11D NA8ED) a1aP Y1m FACN END lb fleet paper WALL iRAlluro: 1 2x12 Ridge Board roP Pu,Ee Ar OnpwECTuxN9(fAOE NAUD) 41m }1m Ar JOaJ1e b1w 1�clF,s oNOrrtLL 12) simpeon H2.5 BurrlGe110 glUD To-0aw—NIUIED) �wX xaF11tl xa'ea ALONG EDGEt ENO WAND ARE FAON e11pe at ell ref tare HEIDER TO HEADER(FACE NAOEO) Rggg,O RAFTEPo :Ice/eater shield at bottom 1 FLOOR FMYRD CROSS E ® 3• Of roof JOLT T0 9aL TOP RAZE OR ORDER ROE MAAEO) 4m 41m PER AW! gLOTM016 TO JOSTe ROE NAIED) xaF } RACNEND STORAGE gLODHRO To DR TOP RATE RDE NAKED) }1m F'm EACN BLOCK OJ aRIPaONIft?�jl4ml6o6 - LEOffRiTRIP TD hB,LTORD02OER ffAOE NA8ID) 11m m EAON AIGT 1@MQCM RARER JOBT ON IEMERro BEAItROE IIAxED) 11�m 41m PFJI AmT W T t 0 RTVMOp TYP.1 t 8 SORIT t BAMD xNBT ro Am31 IENONAREDj PER FOOT SECONDSECONDFLOOR 6U8ROOROLLIEptNAtED FAr—BOIRDSW BAND A7mTro8LL OA TOP PIAIE ROE NM rm }l88 }1m BUBRDOR 1 i 8 FRIEZE 80IJ� ROOF SHFATIUNR Oi tt 10101bT8®1e"a 2t IOJOURedlrea —aBrRWCTMKPANELg(RWA7oD) _ w1AA xI8TEEl lEAN CAM.I,LRRIM RAREit808•,liUbS63,6PAtEDwrole ea m Im IERcbIP RELD RAFTER404'.TRIFSbEabP�CEDOVeR 1B'o4 CcR WNTN tm 8'EDOEC RELO �;�1 OAskE.ENO�WAW RAMS Ok E'4�1RU86 WA)OVEPoNxO•. m OABL£ENONVYL R111LL q1 RA1�TRueB m Tm 8'EGOE!'RELD W18TRUCTLFUL OUROOIFHe 1 OABtE END WALL MIF ORMIO:TRUba NTIOQ DUT ROOFS m tm rEpOEM'i1FL0 GARAGE TY?: 1<G© DEaIND gHUT®D: _ DK3UY,EIroeoO, mGOOLFRt rEDOF1ID FEID WALL 6NEATNOIG: :1. 2,6 etude ! 16" O.C. ' WWDbrRWCTUMI PANELe(RYM.0001 2. 7/16 D.S.B. sheathing vertieel aTODs.sgADEo'w rozG'ea BO 1p1 SEoa REIN Kco—CLAS 3. M.C. shingle siding I 1?a_.FI8EAe0ARD PANED m _ 1EDaEnp Pm �� •' , EO COOLER. .1,5. r".k vapor barrier nr OYPSUYMDLLBWRD _ INODD 6'(RUCIWAL.PANEIB(PLWAOD) ., ,T.y.��t,� 1'OR lE38 MXIMNEbb am 1� e'FDOEnr FETD FOUXDAnON WALLS GREATER 1MAH C THGKXEBb r EIN1Ee'FD3D TYP.at18'CONCREIE ®� GOOTRJ0.4 WI xt AKEY A SECTIO?J @ GARAGE m� IADL,tiP s,tms 2x6 WALL ..dam. aEA DETAR� > NDOR xa OIA NiK FJlxfil IQ1L REtm ^a ttTaza a!e I Duc Fw PDsr d aN, S•OL L DL wu w�i Xma 1011 IQDpVX 1d0 IWN � � Y Tnunua rNn RCavo R'¢����1� Am to P r TO rE To r ogvN TRIM ON NRAOvx O'ER TIgA® LOCATED RIM M TOP OFipww,roF VALL AND PER Ew"k—_ rpccv anam iRgr . VIEW E"ATWN VIEW S3TR 1 00-ANOmi@LA SST3 ARNDVL AT,I N STUD,AT WD,Ty GORIER TOGS R VRN pIACdNAI.DI COINER m RDVS rT I6g,1162'i Z!7 NRLLS AT 6'.FORSmILLLL� •. PPLItATBiM ENO s,ORAN &'f r B ATTAW S,UOS AT WIT' Clyt101�GEnERG40, :SSTD IOLW"VXe• d EO�LE,�T W I .A,��yy GB GOVS.Di l6d ta/6E'A 3z XP62 AT A'OLes'FOR 2x6 VALL STACFOIEDi0R'liYHOLDDOWN @ PLAN VIE Mix BUILT-UP CORNER DETAIL EXTERIOR BUILDING CORNER D.R. DOOR: TA'IL sloe eLevnrtm+ PER APA WOOD PORTAL WALL FRAMING TTA DOC METHOD SCAI£: DRAWING NO.: EaEK04 COTUIT BAY DESIGN.LLC NEW GARAGE FOR: ` 1/4"=1'-W 43 BREWST'ER ROAD �"*�^ A MASHPEE AAA. 02649 JOHN CLARK _ L; .;a DATE: 1H1 PH.(508)Z74-1166 o„ ae m 4/1/2010 FAX(508)539-9402 878 OAK STREET WEST BARNSTABLE, MA r e ineering Dept. (3rd floor) Map Parcel ` Permit# 02-0 t / House# Date Issu d .3 �oZ Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) — 0-6 - 2:00) VAnninrt Dept m Poo gGhool Admin Rtfjy,)j �� Def' 19 sir �Wf ®E �� ►'a s•� "' J��. OW OF BARNSTABL �����tl�.ArtONS � Building Permit Application Project Street Address Village , Ka a 10,S-rA f Owner �L2:/Y(Mg1 Cr% Address �] 1/A.-r 4 r-no2 r i2 d Telephone W f-LL5 L 4j /�J 2 / (J /r7 O �� q 3 6o - Set 3 8 Permit Request S J/;S�rg " i First Floor square feet Second Floor square feet Construction Type C> Estimated Project Cost $ a Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family (b Two Family ❑ Multi-Family(#units) Age of Existing Structure !S:0 — Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: J1 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 4 Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing C77 New First Floor Room Count Heat Type and Fuel: ❑Gas 00il ❑Electric ❑Other Central Air ❑Yes WNo Fireplaces: Existing New Existing wood/coal stove ❑Yes <;Zl No • Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) Z 2 `x-2 Z ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use I Builder Information Name� if v �1! /lJ Telephone Number Address // .d flax P17_ License G. C /LTLf /'1')/9 O�. �'� Home Improvement Contractor# Worker's Compensation# SOL NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ,�,2/U�' SIGNATURE DATE Z / BUILDING PERMIT DE IED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY , 0 3 PERMIT NO. , r• DATE ISSUED = ; MAP/PARCEh NO. ADDRESS = } VILLAGE OWNER ' r DATE OF INSPECTION: I w FOUNDATION + , ,4•. FRAME INSULATION f' g rcr FIREPLACE i ELECTRICAL: ROUGH : FINAL , PLUMBING: R GH : FINAL- GAS: FINAL FINAL BUILDING tswww �r DATE CLOSED 0 5 ✓=" ASSOCIATION PLA AWE : . The Town of Barnstable NIAM9�-EULPMAB �'` Department of Health Safety and Environmental'Services 16 Ec Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. ; Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 442A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction :of an.addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work-ZUZZ/?- f-LA/IS/�.�/- 1!f�9` �95�££6L Est.Cost Address of Work: <� CGS �� S7 IJaLV,S7 W,/3: Owner's Name LT:u— I/►M/Y)�L Date of Permit Application: "/ I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a ttas t o agent f the o n ate I Contra for Name Registration No. OR Date Owner's Name ' The Cunnnon't ealt/t of:1tascuchuscttt Xii :. __=j•�.= Department of Industrial Accidents ' I 011iceal/�estlgat/ons 6110 !f'ashin�tun Street i ,��::�.,:'• Buctun. 111uas. (12111 Workcrs' Compensation Insurance AlMdavit dpnl EWE information• name' Incition• city nhnnr I am a homeowner performing all work myself. ['l I am a sole proprietor and have no one working in any capacity r I am an emplover providing workers' compensation for my employees working on this job. comp•tm• name! address- City'- ,Phnne#- incur•tnce co ,�_.. ... ._.,, -,... �.._.._.--.-.-..---._�.•.. ._..---.. ..-.__.._.,_ter,._.. _. .._..._._...,. . �-I am a sole proprietor. general contractor. or homeowner(circle one) and have hired the contractors listed below who have � the following workers compensation polices: comnanv n•tmc •tddress• 2 LJ, '/ 2- cirv. C k9 k f/ /72) o2 I/2 phone 00- G -226- ?,'6 20 incurnncc cn /'L(.�`L� /Y/n�/�C,✓Y� /Tt�� �-1 nniicv 0 _ cmmP•tn%• n•ttnc• iddresc- rity• nhnne#- VZ 9 1 insur•tnce co noltev Attach additional sheet if neccss -_ _� ��"`' '"='�''• :aier•':w. Failure to secure coverage as required under Section:SA of NIGL ISZ can lead to the imposition of criminal penalties of aline up to 51.500.00 andiur one�cars'lisonment:u well:ts civil penalties in the form of a STOP AVORK ORDER and a fine of 5100.00 a day against me. 1 understand that acopy of thimad be forwai o the Ofr c of Investigations of the DIA for coverage verification. !do herchde tltr painpenalti of perjun•that the information provided above is true and correct. Signature Date Print name i1 1 Phone# 4� 72G w - ofricial use unly do not write in this area to be completed by city or town official city or town: if ritiuilding Department ❑Licensing board [ 0 check if imtncdiatc response is required ❑ Seleetmen's Orrice ►_ ❑ticaith Department phone f!; ri0ther contact person: i Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees...As quoted from the "law". an emploree is defined as every person in the service of another under any contract ofdre, express or implied. oral or written. An empl(!rer is defined as an individual. partnership, association. corporation or other legal entity. or any two or more . the fore�,oin�, cn.,a�,ed in a joint enterprise. and including the legal representatives of a deccascd emplover. 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 dwcllin_, house of another who employs persons to do maintenance , construction or repair work on such dwellina hous or oft tite ,rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that even-state or local licensing agency shall withhold the issuance or renewal of a license or hermit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter ita been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking tite box that applies to your situation and Supplying, company names. address and phone numbers as all affidavits may be submitted to tite 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' cotnpensation policy. please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of :he affidavit for you to fill out in tite event the Office of Investigations has to contact you regarding the applicant. Pleas :)e sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to :Ile Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. Tease do not hesitate to aive us a call. - File Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 «lashin;ton Street Boston,Ma. 02111 fax #: (617) 727-7749 phone ',,: (617) 7274900 ext. 406, 409 or 375 A p •� c a yry7F ti y r •� .'j aW�. z o = .Nr _ �,;� c~.a,���{,�,/��x°�•`d�El�►►••—.i.•k�r,�Y�`4¢ti $'. Y;„yit -,l • �Z a r�r X \ _ �' S� 1—�{.01 o f�.s� '�F.►-°OCR - +r-p'Y a Y !fill� r� i(1 trr t o;,a.c ne > .o z z ca�o r� I ro.�I o it�IM z m a � -' f o .'� � x i�i 1� .e .►-� i it►-. o x + oCt1°r",�rr t - :] ++ r i � r^ ►-. L� I I{ r -'1 ^r' M r►- irv�.rd=10 + , 0 o=e h n i}c'N rt W L'J` Lon WK. Y • ••1 y 1,S Z -gt,:. Y' _ S}yp�������'�'t 1>�� 7� �• 4-•Vv�o �1 �xic,�`r • _ :�' � i M..y t Iffy pp!i''�.� Assessor's map and lot number `. •... ................ ............... THE Sewage Permit number ........................................................ d R . Z BABBS'TAXE, i House number ......................................................................... r MAM �p 039. `00� 'F0 MAY a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION . ' s ... ............f......................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .................. ....... �r .....,....6 A ............... .... ....: .:. ::?:..... .......... ................................................ ProposedUse ................... ....................... ....... .. :: -.:: ...- `........................................................... ZoningDistrict ........................................................................Fire District .............................................................................. �� 50a GSd a c f N Name of Owner `.... d~;y.Z:.n.: .......... ,Address ......,............... �.............................................................. Name of Builder' .` .'�..�: ...?..".� .....:..:.. .t..l. ..................... � y q;,.:..:•...::....Address .:....... ........,............................................. Name of Architect .....................................................Address ..._........ °.......:................................................................ Numberof Rooms ..................................................Foundation............... .............................................................................. Exterior ...... ' r Roofing .........: f ......... ......... ................................................. Floors Interior Heating ........,.........................................................................Plumbing ....................................................:.....r.........:..:...:...... Fireplace Approximate Cost Definitive Plan Approved by Planning Board ---------------____-----------19 . Area .......................................... Diagram of Lot and Building with Dimensions Fee .............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH e� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....................................... ........................................ i MANNI, QUINNETH A=216-6 No 24166 Permit for ..Build Dormer . .......................... Sin le Fami ly-J-).w e-1 1 i-n.9..... LocaMgO.' ak Street..................................... West Barnstable ............................................................................... Owner ...Qu.i..n...n...e th M...a....n..n...i r. ... ......Trame.... ..............................I...................... Type of Construction ... .............. .................................................................. Plot ............................. Lot ................................ June 28. ........1982 ................... Permit Granted .............. Date of Inspection ..... ..............................19 Date Completed ......................................19 /oo 0/0 Assessor's office(1st Floor):. Assessor's map and lot numbed 0 a 0*THE to`. Conservation(4th Floor): Board of Health(3rd floor): Sewage Permit number rua Engineering Department(3rd floor).'' °o��e3o•`\�a° i House number Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN ,, OF BARNSTABLE BU DING INSPECTOR APPLICATION FOR PERMIT TO j2od TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: G © �; e*o 1 Location S7S - 5 l �� C�/ � �` Proposed Use Zoning District / I Fire District Name of Owner��LY����Tk`�� 5 S�/�i �� Address��� '��y �u7L�'4 Name of Builder V/C �/ r �� Address6 S J o'A; e& 19 `-� w� V �F/���• Name of Architect �" Address Number of Rooms Foundation Exterior Roofing tFloors Interior Heating Plumbing a d Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable g rding th bo a nstrution. Name Q / � Construction Siipervisor's License c '�°�`1 ! �005 STIMMWELL, WILLIAM & M. No 36148 Permit For Re-ROOF r Single Family Dwelling Location 878 Oak Street - West Barnstable ' Owner William & M_ StimmWell � Type of Construction Frame r - r Plot Lot Permit Granted August 8-, 19 9 3 - ' •i If Date of Inspection: . Frame 19 1 Insulation _ 19' '? Fireplace 19 _ Date Completed D' x2 9� 19 1� �. ^. ' ' s • � l f — i 1 'J 12 Application to 3 ^ 1 �'o.1Po wpa (. ypNPNS Of�N�ytEP�PNS 0pE e ES pt. Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a D D D CERTIFICATE OF APPROPRIATENESSe0D Application is hereby made, id triplicate, 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 CATEGORIES THAT APPLY / 1. Exterior Building Construction: ❑ New Building ❑ Addition Alteration Indicate type of building: �ouse rage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign Q O Q/� 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole Other (Please read other side for explanation and requirements). _ (7, k3 TYPE OR PRINT LEGIBLY DATE 7 ADDRESS OF PROPOSED WORKTO O /� 174s/ 6AIQI���g ASSESSORS MAP NO. eV 1 OWNER WWI1*l *N'47-09bi \3 //p)/`J FL.L. ASSESSORS LOT NO. �� b HOME ADDRESS( sTRV76"2 RF R0• '•at ' ! I sWS TEL. N061 s 3� 02181 C4.0f fa-h -36z - 03 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). 3o4IVAfu44e"/ a(02 wct ri, Af.0-Z(0 P'."vologD SAle// S Z2 aA,r J.` IV. AVA"i10,64t.,* 102 LI-% //q,4, /� AW- 22 I'Zf 0 z&`-1 V,0 u/v0 LrV BR�t c�c R E �ARks%��Sl F �Y�j�,@2!olv8MARK AeVCbddVr 6! co " 061. e.&s, / ��,TT•9gs. >c /'1�1t. 2 6 AGENT OR CONTRACTOR Zli aR M. WZZZt/i/t 49KVe 1 TEL. NO.�� $ "79a i�a7 ADDRESS J"N/�R RD, Ow7i i V/,4,4 $, �9SS. I 't• a2 (a32 DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including . materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Signed eag wrContractor-AgOW _VV line for Commitl use. RJei&1d D ate a Certific is hereby t'l�/ Date AUG -31993 -.�] ime A At A OWN OF BARNSTABLE IZKINGIS Fllr=y nv t Approved IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved 7 c . OLD KING Is UGMAY USTORIC DISTRICT Spec SYieet Foundation Type FX/S Siding Type e C �'f Color £� Chimney Type S� / 4 F�Roof Material l�nn/9� ���F����F /. J/Y/'�/ Color G A/-, Pitch `X/S' //N G Windows I.N6 I/VO&y �poulg e /�"O/V Si PX1,3`1ze 7 Trim Color I DoorsFX15e'f1-"Y6Ay CO 6 fl�M941 �' 7 �/G/� % Color Shutters ,772*— 6 t Gutters Deck Garage Doors �i�/s///y6 /�a /I�/C Color Nor es Fill out completely, including measurements and materials/colors tc • Three copies of this form are required for su�msttal of an applic„ along with three copies each -of the plot plan landscape plan and plans . when applicable. 'Plot plan need not be "Certified" . but should show all structures co scale . s 6 sus aill' "Eiis V /r�Jrj O �y 01 QU xv � �� �:,�• `� . CO o� (10o � s ar 9' `v Q k2 0 tv `' s•- '' 3 ZG ry moo, � �� s. � � ti • � o • a n� i y"fr��jli OF a•' ct : V�� JOHN z4�\ DOYLE,III y;`F No-33589 / Iy�F0S7rO n 1 St;R { a a 739. 92. �/3 / 4 ' 7- i95SE5S'v�S /l'I�9f 2/C r FOUit/vAT D/✓f/S--6dlL.7" ! JO,yA/ C L i4i4 ft /VEGV GAT'�E FO(/�ld/�7-/0�/ 878 0.9A sT,e,eE- T ln/, O" 3o' Go ✓0/-/iv /0' _4 oyLE, �Z s /70 GL �/EL D WAY 5 Cu ON y w � Al m Ao co 00 w O �