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Home My WebLink About0110 PIONEER PATH N SMEADR No. 53LOR UPC 12543 smead.com • Made in USA I ccFn i ooi� mL=NTmpRODww* SH o"MIMSOWWREQUMOAM CERTIFIED W SOURCING WW.SiFROGRAKORG -�._..._. �,_ ._ ,v_,..-.:.. •,=:s��_....,_.o_�.._..._..i�...,�.,��-tea- -• _ .n:.a .'��.:..,;a��w► Via Town of Barnstable Building .. _,. .� ... _ _W era Z Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job.and this Card Must be Kept MA & Posted Until Final Inspection Has Been Made..1639. Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has^been made. Permit Permit No. :B-18-3549 Applicant Name: D&G WHITE INC. Approvals Date Issued: 10/29/2018 Current Use: Structure Pr rmit Type: Building-Addition/Alteration-Residential Expiration Date: 04/29/2019 Foundation: Location: 110 PIONEER PATH,WEST BARNSTABLE Map/Lot: 128-004-004 Zoning District: RF Sheathing: Owner on Record: GILMORE,JONATHAN W&BARBOSA, Contractor Name: .D&G WHITE INC. Framing: 1 Address: 110 PIONEER PATH Contractor License: 118929 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $50,000.00 Chimney: Description: build a (2)car garage 26x28 with attached mud room 10x12,2nd Permit Fee: $305.00 Insulation: floor(storage) Fee Paid: S 305.00 smoke in mudroom heat detector in garage � Date: 10/29/2018 Final: Project Review Req: Approved plan may be picked up at 200 main and must be on site for inspections Plumbing/Gas Rough Plumbing: ,Building Official i - Final Plumbing: t Rough Gas: Final Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Electrical All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Service: work until the completion of the same. Rough: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Final: 1.Foundation or Footing 2.Sheathing Inspection Low Voltage Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.V1%ring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Final: 51 Prior to Covering Structural Members(Frame Inspection) Health 6, Insulation 7lFiraal Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Fire Department Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). 1A1, 0 D,"ZP. • Application Nwnbcr....66.......�5..Y 1.......... ...............Other FCC........................ MAM 11,91vsrjq Pcmlh Fee........... =......................... eC� TotalFee, .................................. TOWN OF BAItNSTABLE Permit Approval by... ............On.. BUILDING PERMIT ....................Parc&........ APPLICATION Section I —Owner's Information and Project Location Project Address. 'A 1 10 &--K Z- �PWN Village Y- AaL Owners Name k Owners Legal Address X City X CtRf State M zip Owners Cell# X �o 9,2 15el'33 E-mail Y- 0('-,)1 l'ID9. L r mc,45 Section 2—Use of Structare Use Group_ ❑ Commercial Structure over 35,000 cubic feet ❑ ercial Structure under 35,000 cubic feet Single Two Family Dwelling Section 3—Type of Permit ❑ New Contraction n Move/Relocate E] Accessory Structure E] Change of use ❑ Demo/(entire structare) ❑ Finish Basement [I Family/Amnesty El Fire Ahmm [Addition build ❑ Deck Apartment ❑ Sprinkler System F] Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4-Work Description M a ) aw*e zcxzs L A,,PJ/,O ;4,240 IF-36jf:5,Vj-.1 T-R.qt nndahExh 2/9/2019 Application Number.................................................... Section 5—Detail Cost of Proposed Construction) Square Footage of Project � E ' Age of Structure ! Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) VIQU-e 110 MPH'iW-md Zone-Compliance Method ❑ MA Checklist (�(VFCM Checklist ❑ Design Section 6—Project Specifics Ltd" ❑ Oil Tank Storage Smoke Detectors �lumbing ❑ Gas ❑ Fire Suppression VHeatLng System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal ❑ Municipal Site Historic District ❑ Hyannis Historic District Old Kings Highway Debris Disposal Facility: l�l� I am using a crane ❑ Yes ID No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No u Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks ' Front Yard Required Proposed A 3 Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑;Yes; ,;-,No Last=datei n/2.018 Application Number........................................... Section 9—.Construction Supervisor Name ��IE'J✓l 1.�+t�`� Telephone Number. Address City Vl'4V(4& State finch Zip C2rd License Number 612- License Type Expiration Date Contractors Email QL� LJ�(br'AiC4,Fleff Cell#l A79) 776-"f6(.7 NJ I understand my resp . 'es a rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Mas Code. I understand the construction inspection procedures,specific inspections and documentation 80 the T wn of Barnstable.Attach a copy of your license. Signature Date (� Section.10 —Home Improvement Contractor Name_ c Telephone Number • 7�� 7 Address'5�Z "M City YUWZW State Mct Tp Registration Number ` TEW�i Expiration Date CO &ZO I understand my responsib ' 'e es and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts S . I the construction inspection procedures,specific inspections and documentation required by 8 of Barnstable.Attach a copy of your HZC... Signature Date Z Section 11—Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responslilm'es under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date P WANT SIGNATURE Signature DateAZ 1:3 FF Print Name OtQU4 0J& Telephone Number 76-cV 7 E-mail permit to: uiq -fe® y)ef r e 4....a..ra.11 m mm o Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required ❑ Historic District ❑ Site Plan Review(if inquired) ❑ Fire Department ❑ Conservation `, 7� For commercial work,please take your plans directly to the fire department for approval. Section 13—Owner's Authorization I, as Owner of the-subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: �� i a'l��"i2-��T�T��,►fTi�i�l�ie-b�'ru�[,J� �/� � 6 2� ��-. (Address of j ob) ' ; aiFef Owner date Print Name Last wdatc&2J92018 Z, A C, 3;; a,C fln u, A-b Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust).................................................................. .................................................110 mph WindExposure Category................................................... .............. .............................................................B 1.2 APPLICABILITY Number of Stories ................ ........--*.........................(Fig 2)............ -1-`§tories :5 2 stories RoofPitch ........................F.-4.1---�.....................................(Fig 2) ..................: . - 12:12 MeanRoof Height ..............................................................(Fig 2)........................................ _3ft :5 33' Building Width,W ............J,.Q.............................................(Fig 3)................................................ !&ft :5 80- BuildingLength, L.............V?............................................(Fig 3)...................................................?"T ft :5 80' Building Aspect Ratio (LNV) ..................................(Fig 4)................................................ 3:1 Nominal Height of Tallest Opening ....................................(Fig 4)................................................ 6'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections.....................'Table 2).............I................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404 1 Concrete........................................................... .................................................................. ConcreteMasonry ...................................................... ............. ................................................................. 2.2 ANCHORAGE TO FOUNDATION',3 5/8"Anchor Bolts imbedded or 5/8" Proprietary %hanica Anchors as an alternative in concrete only in ....... 7 Bolt Spacing-general ......................... . ..... able 4).................................. ....4 Bolt Spacing from end/joint of plate .......... :Fig 5)..................................... -V-in. s 6"-12' Bolt Embedment-concrete......................................... :Fig 5)................................................._L in. �:7" Bolt Embedment-masonry......................................... :Fig 5)............................................ --in. 2: 15" PlateWasher................................................................'Fig 5)...............................................>3"x 3"x W 3.1 FLOORS Floor framing member spans checked ............................... .per 780 CMR Chapter 55).................................... Maximum Floor Opening Dimension.................................... :Fig 6)............................W ft:5 12'or U2 or W/2 Full Height Wall Studs at Floor Openings less than 2'from :-:xterior Wall(Fig 6)........................................ Maximum Floor Joist Setbacks . Supporting Loadbearing Walls or Shearwall................(Fig 7).................................................... ft :5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................ Fig 8).................................................... ft :5 d FloorBracing at Endwalls................................................... .Fig 9).................................................................... .Floor Sheathing Type .....................................L ..... ......... :per 780 CMR Chapter 55)..... ..in. Floor Sheathing Thickness ............................. ... ......... :per 780 CMR Chapter 55)....... Floor Sheathing Fastening....................................................7able 2).._Ld nails at in edge/L& infield 4.1 WALLS Wall Height Loadbearing walls:....................................................... Fig 10 and Table 5) . ....... ft :5 10, Non-Loadbearing walls..:............................................. Fig 10 and Table 5) .. . .........9 ft :5 20 Wall Stud Spacing .......................................................... Fig 10 and Table 5)............:...... 24"o.c. WallStory Offsets ........................................................(Figs 7&8)............................................ ft :5 d 4.2 EXTERIOR WALLS3 Wood Studs . ....... Table 5)ut .' fl—.2x�. -k--10ft in. Loadbearing walls................................... ft in. . �1• j1fD Non-Loadbearing walls............................ .... ............ :Table 5)2y. .47-4:5...OfE.2xy Gable End Wall Bracing' FullHeight Endwall Studs............................................(Fig 10).................................................................. WSP Attic Floor Length............................................... Fig 11)...........;... .....**..........?�6 ft 20/3 Gypsum Ceiling Length(if WSP not used).......1.D......VFig 11)............................................!JZ;1 ft a 0.9W 2 x 4 Continuous Lateral Brace @ 6 ft. o.c. Fig 11).............................. .............................. ah1CH .Ae ............... ...... ELEro............................ . ........ Le -,,�Z-� -----I- c:-}-_.,.. ............................................... Pt _ /% /,��,//rG /zc 34-774 140 A 10 , t. SSIONPA- HA BearingNon-Loadbearing Wall Connections Load Wall Openings(record largest_ _—' g --' � Header Spans ........................................................ � ~ill~ Plate = Non-Load Bearing Wall Openings(record largest opening but check all openings for com lian Full Height Studs (no. of studs)....................................(Table 9 Aa ��in.:s;Z Exterior Wall Sheathing to Resist Uplift and Shear Simultai ieousl Y4 5%Additional Sheathing for Wall wi h Opening>68" (Design Concepts)..U.4d;w,�. ' Maximum Building Dimension, L I Z^Wall Cladding_ ' Ridge 5%Additional Shea i for Wall wi,h Opening >68" (Design Concepts)...................... 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool, see BBRS Website) Truss or Rafter Connections at Loadbearing Walls _= -2-(V 1 Proprietary Connectors' __5)W if Strap Connections,- -- ' --- ---—'---- '- Tmss or Rafter -- Proprietary Upldt---------------' ______ Lateral (no. of16dcommonm�k�' ----`-L= - |b. Roof Typy----------------' ----' �� Thickness -- ' "'="="'y -------.~~=.��.-' --n��7�� ' RuofShoa�ingFoo�ning .----.�---------|nab�2)'��'ur-��- �� ---- Nu�u� ' 1. This checklist must be met in its entirety, excluding the specific exception noted in 2,to comply with the requirements of 780CIVIR5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not | required per the VVFCK411O mph Guide: / a. Steel Straps per Figure 5 b. 2O Gage Straps per Figure 11 ' c. Uplift Straps per Figure 14 d. All Straps per Figure 17 n. Corner Stud Hold Downs per Figure 18o 2. Exception: Opening heights ofupho8 ft. shall be permitted when 5%iu added to the percent full-height sheathing t `�' . ' as ► �� W61 ' ' lMnr.RMfiiltPtYE IN�t�IEDikTE LD`srb ! . [ + ��lriC� lAE�t TYP � m►a. -ar1iK. II l 'RhOL { 54 YYSP ATTACHMENT - AlOT To gGAI.�. ;0% V RT• 1SD t�i�tZ. ACTT ►G I It �1T NOT-,ES- Wood Structural Panels shall be minimum thickness of 7116"and be installed as follows: i. panels shall be installed with strength axis parallel to studs. 6. All horizontal joints•shall occur over and be nailed to framing. iii. On single story consuuction.,panets shall be auaebed to bonnet places and top memberpf the double top plate. iv. On two story construction.upper panels shall be attached to the top member of the upper double Lop plate and to band joist to bottom of panel:Upper amhrnrnt of lower panel shalt be made to band joist and lower aaachrnent marls to lowest plate id rust floor flaming. v. Horizoatal nail spacing to double'top platys,band joists,and girders ifm1I be a double row of fld . staggered at 3 inches on center per figures below:Vertical and Hatizonml Flailing for Panel Attactunenl ON 3�i'�ltJG - -- -; -- - 7-1 � I 1.4 f f i !• I ; i � � 4 I � r- d)i '"E' •i i �� ( I �I at i �170D SPMOCTOM FAMEL W-SP) , ime WSP ATTACHMENT 9dt tp 6CiA1.L 0 ARTI.ChL OR IZQWTA.L G i GENERAL NOTES AND MATERIAL SPECIFICATIONS: (Residential IRC Construction) SK-1 FOUNDATIONS 1.All,workrrtanship to conform:to the requirements of the Massachusetts State Building Code,latest edition. 2. For site location and grading information,see Site Plan,by others. 3.:Assumed=net on soil bearing capacity;q=3000 psf,for a medium sand/gravel composition. Other soils encountered, contact the'Engineer,of Record., 4. Concrete: Minimum 28 day strength,fc=3000 psi,3/4"aggregate,,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min.5/8"diameter, 12"long,w/2-1/2"hook spaced per Code Checklist,or in concrete piers w/Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage,Basement walkout, etc.). b.) All walls to have min.2#4 top horizontal,2"clTar,to prevent shrinkage cracks c.) All walls longer than 25'shall have vertical control joint with waterstopping between wall joint. FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code, latest edition. 2.Structural Design Loads Dead Loads:Actual Weight of Building Components Live Loads:Snow Load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf Decks and Balconies=40 psf Wind Load: Criteria used for 110 MPH Exposure B or C as noted per plans 3. Structural Steel: (as required) a. ASTM A572 Grade 50.shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter;punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Alternatively,field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. 4.Timber r Framing_ a.All new timber framing:Spruce-Pine-Fir No.2 with Fb=I000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c.Laminated Veneer Lumber:All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi,Fv=285 psi,Fc_per=750 psi, Fc_par=3035 psi. Parallam(PSL):All PSL shall be min. 1.9F.ES with Fb=2900 psi,E=1, Fc_par=2900 psi. Note that Microllam m and Paralla may be used interchangeably. 900 ksi,Fv=285 psi,Fc_per-750 psi, 1. Deflection Criteria: L/480 Live Load,L/360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 16"o/c; Rafter to Ridge Plate: Collar ties min. 1 x6@ 16"o/c at top or Simpson Straps over top of plywood spaced 16"o/c b. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 4'o/c: CS-14R-48"centered at band joist 6.Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in.wood shall be 1/32" larger than bolt diameter. Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion of job. 7. Blocking: a.Blocking shall be solid blocking,2x minimum,and full depth of member. b.Stud Walls:provide blocking at 8'-0"o/c,maximum height. Corners to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building corners. c.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 2-10d toenails ea.end,or 2-16d end-nails ea. End d. New Framing:Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges;attach Plywood edges to this blocking 8._Nailing Schedule: All nailing shall be in accordance with the WFCM Table 3.1 unless noted herein specifically. Multiple Studs 16d @ 12"staggered a.All nails shall be common wire nails. b. Sub-bore where;nails tend to split wood. 9. Headers less than 4'-0",use 2-2x6;all others per MA State Building Code. ELEVATION VIEW FROM EXT SIDE ELEVATION RIOR � ' Extent of header(two braced wall segments) Extent of header(one braced wall segment) 0 o 0 0 o o 0 0 0 0 0 0 0 0 0 0 0 0 Pon ° , Min.1000 lb tension strapl.Strap- y °wall shall be centered at bottom of header. o heightl a ° 0 0 0 0 0 0 (INTERIOR) o a o 0 0 o 0 0 0 0 0 0 • o o o o • o o o a o • 0 0 0 o Min.3"x 11-1/4"net header o 0 0 0 0 Sheathing filler if needed 0 a,o 0 0 o 0 o o a 0 00Tnai:s To late continuity a °o 0 oHeader shall be fastened to the king P p y is Do stud with 6-16D sinker nails required per R602.3.2 °° 16d sinker nails in 2 12' o 0 °° rows @ 3"u.c. Max. sheathing to header with 8d common o co total 3-in.grid patlem as shown and 3 in.wall °° all framing(studs and sills)lyp. o 0 0 hE ght Do 0 0 00 00 oo ao 0 0 0 0 o 0 o a Wood Structural panel must be c 0 0 0 o Minimum 10001b header-to-jack-stud strap shall be 0 0 0 o continuous from lop of wall to centered at bottom of header and installed on o a o o ba;.kside as shown on side elevation,each side of Do o a bottom of wall,or from top of 00 c o opening.(SIMPSON LSTA24/J wall to permitted splice area o 0 0 0 00 00 0 0 0 00 10, oo o 0 ° o 0 0 00 0 0 0 00 Max. o o a o For a.panel splice(if needed),panel edges shall occur over and be a o 0 0 h fight .0 o u nailed to common blocking and occur within the middle 24 in,of wall 00 00 0 0 Do height.One raw of 3 in.e.c.nailing is required at each panel edge. 00 00 2'to 18'(finished width) o 0 0 0 a 00 1 00 a Min.'angth based on 6:1 0 0 0 o le:16 n.min.for 8 ft.height. ratio. For example: 00 00 Me g Braced wall line with oOo 0 0 0 0 0 o o Min.number of studs continuous sheathing o e Do Full-length king studs a° Go shown-(2)2x4 R602.10.5 00 00 0o ao a o0 00 00 No.of Jack studs per o a Do 0 o Full-length king stud table R502.5(1&2) o 0 00 318"min.thickness wood 0 0 0 o Min.2"x2"XYle'plate washer,( o 0 YP� 00 structural panel sheathing • 2 Anchor bolts per 1 Per table Foundation per code R403.1.6 required R602.10.4.1.1 APA APA NARROW WALL BRACING METHOD NOT TO SCALE 1 OVER CONCRETE OR MASONRY BLOCK FOUNDATION S �_ C O ° MEMBER REPORT Level 2,Floor:Flush Beam PASSED r 4 piece(s) 1 3/4" x 18" 2.0E Microllam® LVL Overall Length:28'11" o o 28' All locations are measured from the outside face of left support(or left cantilever end).AII dimensions are horizontal. ........____ _..... .... . ... Design Results Actual 0 Location Allowed Result LDF Load:Combination(Pattern) System:Floor Member Reaction(Ibs) 6126 @ 4" 12644(4.25") Passed(48%) -- 1.0 D+1.0 L(All Spans) Member Type:Flush Beam Shear(Ibs) 5334 @ 1'11 1/2" 23940 Passed(22%) 1.00 1.0 D+1.0 L(All Spans) Building Use:Residential Moment(Ft-Ibs) 42572 @ 14'5 1/2" 77506 Passed(55%) 1.00 1.0 D+1.0 L(All Spans) Building Code:IBC 2015 Live Load Defl.(in) 0.571 @ 14'5 1/2" 0.942 Passed(L/593) 1.0 D+1.0 L(All Spans) Design Methodology:ASO Total Load Defl.(in) 0.938 @ 14'5 1/2" 1.413 Passed(L/362) 1.0 D+1.0 L(All Spans) Deflection criteria:LL(L/360)and TL(1./240). Top Edge Bracing(Lu):Top compression edge must be braced at 14'11"o/c unless detailed otherwise. Bottom Edge Bracing(Lu):Bottom compression edge must be braced at 28'9"o/c unless detailed otherwise. Member should be side-loaded from both sides of the member to prevent rotation. .......__._ Bearing Length Loads to Supports(lbs) SupportsTotal Available Required Dead Floor Live Total Accessories 1-Stud wall-SPF 5.50" 4.25" 2.06" 2407 3759 6166 1 1/4"Rim Board 2-Stud wall-SPF 5.50" 4.25" 2.06" 2407 3759 6166 1 1/4"Rim Board •Rim Board is assumed to carry all loads applied directly above it,bypassing the member being designed. o Tributary Dead Floor Live Loads Location(Side) Width (0.90) (1,00) Comments 0-Self Weight(PLF) 1 1/4 to 28 9 3 4" N/A 36.8 1-Uniform(PSF) 0 to 28'11" 13' 10.0 20.0 Residential-Living Front Areas Weyerhaeuser Notes in SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. Weyerhaeuser expressly disclaims any other warranties related to the software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards.Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES under technical reports ESR-1153 and ESR-1387 and/or tested in accordance with applicable ASTM standards.For current code evaluation reports, Weyerhaeuser product literature and installation details refer to www.weyerhaeuse..com/woodproducts/document-library. The product application,input design loads,dimensions and support information have been provided by Forte Software Operator OF MASsgch 2 �tGHELE a�, Z CUDT RpL m o S_ G u No 34j74 Q ISI10 9�FSSIONA Forte Software operator ,lob Notes 10/22/2018 10:14:34 AM MICHELE CUDILO Forte v5.3,Design Engine:V7.0.0.5 MICHELE CUDILO,P.E. 2018-298WHITEgilmore.4te (5081737-8521 MCUDILO@COMCAST.NET Page 1 Of 1 V V �� Q uj Q IN OF MqS oyG N Q S?EVEN W• -A 0 � � RUMBA rn O Np.357g1 m g U) w. Q o� EXI5TING % �w �A DWELLING o .o o ' PROPOSED LOT 2 ADDITION 44287. G S. F. 0.83"� N 3 W 28 s� BUILDING LOCATION PLAN •� FOR - O, 299.00 I 10 PIONEER PATH WE5T 13ARN5TABLE, MA PREPARED FOR JONAHAN GILMORE 1" = 40' I 0-1 6-2018 TMW - N P.[VISION: 9NRrNUMBCR: CPPC WELLER * ASSOCIATES P.O.BOX 417 CENTERVILLE.MA 02632 TELEPHONE:(508)328-4692 EMAIL: trisweller®gmad.com REGISTERED LAND SURVEYORS 4 ENVIRONMENTAL CONSULTANTS Traverse PC sc0z,*or€0 uot;ea►dx3 laud!sslu' OO 0�,8t9Z - L Q� gs1►.frSao1s,a . �M islum zrs N aftw3qf) OOL80l.-SO :asuaoi sp'epup .►ust:Va((ns,uu 1 �S-due-suo►;e u'nt,xun0 �!19nd.)o tuaut edaQ 6 sf rn►rn8.10 P eoB 4asrr4oessew - �e Ccomrma�uueull�a (J//fadduc�udelll Office of Consumer Affairs Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Coroorabon Reg!--sfr�aflo Expiration 178929= 06/01/2020 D&G WHITE INC:''.':-`;". GLEN WHITE 512 WHISTLEBERRYDR. ,;, � MARSTONS MILLS,MA-02648 ^ Undersecretary The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information u�,(,��&& L,.� tTp, ajei,,' /� Please Print rin�tt Le0biy Name(Business/Organization/Individual): �( eb (D �l (L ly"1 Gf ex . b,\",J z Address: c A&n City/State/Zip: MOVj-06 !'v(1!C W Z40 Phone#: � _?7?G-<TG(7 Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with- 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. �ruil;:g on worlds for mein an capacity. a loyees and have workers' g Y P h'• 9. addition [No workers' comp.insurance comp.insuranCe•: required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [N0 workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#': .JUV� Z U/ .. ` v Expiration Date: 2& cel Job Site Address: �Q City/State/Zip:�_ Rqj*)l e M�+ 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 ag .qt the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of insurance coverage verification. I do hereby certify h and penalties of perjury that the information provided aboove is ue and correct Si ature: Date: io Z Phone#: ��✓�� Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I i n Information and Intructions s Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, jexpress or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." I MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would bike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia , i NOTICE N NOTICE TO W TO a EMPLOYEES EMPLOYEES O,�M She The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 1 Congress Street, Suite 100, Boston, Massachusetts 02114 — 2017 617-727-4900 — http://www.state.ma.us/dia As required by Massachusetts General Law, Chapter 152,Sections 21,22&30, this will give you notice that I (we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: THE TRAVELERS INSURANCE COMPANIES NAME OF INSURANCE COMPANY P.D. BOX •1450 MIDDLEBORO, MA 02344-1450 ADDRESS OF INSURANCE COMPANY (7POUB-2E29017-4-18) 06-26-18 TO 06-26-19 POLICY NUMBER EFFECTIVE DATES HUB INTERNATIONAL 177 MAIN ST FALMOUTH MA 025402748 NAME OF INSURANCE AGENT ADDRESS PHONE# D & G WHITE INC 512 WHISTLEBERRY DR o� . MARSTONS MILLS MA 02648 EMPLOYER ADDRESS EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE o= MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services a provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably MOM connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS 003033 wzuP,G,s TO BE POSTED BY EMPLOYER K AWE, Town of Barnstable *Permit# Expires 6 months from issue dale r • Regulatory Services Fee ;3 RARNSPABIX r M"M1639. Richard V.Scali,Director :_'--$ui-tdiirg Division----- .- 7e?�7 Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 Sc www.town.barnstable.ma.us r oWN 20 Office: 508-862-4038 r 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENT�� l"IAL M C of Valid without Red X-Press Imprint `` Map/parcel Number :o �6 y Q6 Property Address J yt ee—n, , �C.> �esidential Value of Work$ J,873,` Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address V�>7 a e l9 l' (�Dyt,e Contractor's NameA tL d y C NDl Ll- Telephone Number 0 a 7"°q 3 OZ a Home Improvement Contractor License#(if applicable) oZ -7 Email: yul c�0 e Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I avi4be Homeowner have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑� 5-9,_R,�e-r of(hurricane nailed)(not stripping. Going over existing layers of roof) xe de eplacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home mprovement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FO building permit forms\EXPRESS.doc Revised 040215 N Ile Comntomveakh of- assach usetts - - IFDeparhnium of lindus&ial Accidents O,Tce of?investigations 600 WashingtOn Street - Boston,41AA 01111 - —--------- imm ntasmgovIdia Workers' Compensatian Insurance Affidavit BuiilderJContractors/FIechicianslPlumbers Applicant Infarmatian Please Feint LeQxbly Name(B,�smessf�DrganQaEioaat}: C c Address.-_, d S 1� itc City/St a-teJ . Phone-,a-- Are you employer?Check the appropriate box: Type of project(required): 1. I am a employer A*ith.2_ 4. ❑I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have lured the sub-contractors 2.❑ I am a sale proprietor orpartuer listed on the attached sheet. 7- R-R—mnodeling slip and have no employees. These sub-contractors have g_ ❑Demolition worsting for me in any capacity. employees and have worms' 9. Building addition [No worlcees' comp.insurance "'�comp- required-] 5. ❑ We are a corporation and its 10-❑Electrical repairs or additions 3.❑ I am a homeoumer doing all work officers have exercised their 11_Q Plumbing repairs or'additions myself- [No weskecs'�_ right of exemption per MGL IXEI Roofrepairs inmr nce required-]Y c.I52,§1(4�andwe have no employees.[No workers' 13.❑Other comp-insurance ed.] ;Any ap buud matchecksbox ftI mast also fillontthe sectionbelowsbgwing the¢woskele compensationpormyinformatann- Homeowners who submit fhis sffida%,t md5cating they are doing aU wo$and dien bile outside contractors mast submit anew affidavit indicating snrfi ICaatractm ffist check this box must attac}re d,as additional sheet showing the nzme of the sdb-c=UwA m•and state whether at not those entities bare employees.If thesub-contcam shave employees,egynsstpindde their morkers'rrmp.pGRU number. I am aril entplolvr fliatisprouidb g workers'compensation inmrance for uzy enrplojwes Below is ilia policy and job site rnformafrom C Insurance Company Name: -0-fiL<-7" 0A.aa C Policy 4 or Self-ins.Lic.#: ExpirationDate: �J Job Site Address: / f'.-o 1 i dol l w City/State Zip: 16X 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- 15,can lead to the imposition of criminal penalties of a fine up to$1,500.00 andfor one-Dear imprisonment,as well as civil penalties.in the form of a STOP WORK ORDER and a tine of up to S250-00 a day against the violator. Be addsed that a copy of this statement may.be forwarded to the Office of Investigations of the DIA for insurance coverage verifica#ion- I do hereby certify ceder rite d per El es ofpetyury fliat the infor madon proi ided above is bw mid correct Sienature: Bate: Phone ik j Offleial use only. Do not write in this area,to be completed by city or town o,,fftciat City or Town: Perm itUcense; L4suing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 1 Information and Instructions Mass lrnsetfs General Laws chapter 152 regai=all employers'tn provide wu33jkeas'compensation for their employees. ' pursuzottD this stye,an.empIvyw is defined as.'_.every person in the service of another under any contract of hire, i express or mapliecl,oral or wet ." An empkyer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged is a Joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees- However the owner of a dwelling house having not more than tbree apartments and who resides therein,or the occupant of the - dwelling house of another who employs pEssons to do mahtenancc,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(t7 also states that"every state or local I censnig agency shall withhold ffie issuance or renewal of a license or permit to operate a business or to construct buildings k the commonwealth for any applicant who has not produced acceptable evidence of cdmpliance with the insurance.coverage requined_" Additionally,MGL chapter 152, §25C(7)states`Neither the commonweaalth nor any of its political subdivisions shall enter into any contract for the performance ofpnblic work until acceptable evidence of compliance with the insurance. requirements of this chapter Dave been presented to the contacting authority_" Applican-ts Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and Phone number(s)along with their certificates)of hanzance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not requmed to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is repaired. B e advised that this affidavit may be submitted to the Department of Industrial Accidents for confumatioa of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be retrmmed to the city or town that the application for the permit or license is being requested,not the Department of Indristrial Accidents. Should you have any questions regarding the law or if'you are regaired to obtain a workers' compensation policy,please call the Depadm ent at the number listed below. Self-insured companies should enter their self-insurance license nummber on the appropriate line. City or Town Officials . i Please be sole that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in.the event the Office of Invesfigations has to contact you regarding the applicant- Pleas D be sure to fill.in the perritlli.cense number which will be used as a reference number. In addition,an applicant that must submit multiple pennWHcens5 applications in any given year,need only submit one affidavit indicating current p olicy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (�Y or town)-"A copy of the-affidavit:that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial ventu e (i_e_ a dog license or permit to burn leaves etc.)said person is NOT reginzed to complete this affidavit The Office of Investig'tims wound like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Deparlmenfs address,telephone and fax mmuber. T]he COMMMWeala of Massachusj t- , Departmmt of 1zidutial Accidents y , �itoe of lavesfrgahtio= t�Q�. ashingtan Boston,IA G2111 TeL#617 727-4900 Qxt 4€6 or 1-977-MLAS A� Fax 9 617-727 7M Revised 42407 p Vi .mug gav/dia I Y i ai tNE tp�� , snxxsrnBIX ' • ,0 Town of Barnstable - prED MA't� --------------------------------- Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5.08-790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder as Owner of the subject property hereby authorize ( c�� OLD to act on ray behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) ture of Owner D to Print Name e If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFILES\FORMS\building permit fonmsUTRESS.doc Revised 040215 Town of Barnstable Regulatory Services r. °Ft rqy� Richard V.Scali,Director. Building Division snaxsrASIA Tom Perry;Building Commissioner KAM 1 200 Main Street, Hyannis,MA 02601 _0 pTFD � 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: cityhown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. .Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the.State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection . procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control.. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. . To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFELES\FORMS\building permit forms\EXPRESS.doc Revised 040215 V GEK I I[—ILA I t UI- LIAbILI I Y INJUKHNk.0 5/15/15 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS �'TIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES @,ELOW. 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 endorsenent(s). PRODUCER CONTACT NAME: Gammons Insurance Agency PHONE FAX (508) 947-6844 A/c N Ext• (508) 947-3460 No: 328 Bedford Street ADDRESS: lnfo@ ammonsinsurance.com PO Box 1235 INSURER(S)AFFORDING COVERAGE NAIC# Lakeville, MA 02347 INSURERA:Main Street America INSURED INSURER B:AIM Mutual Insurance ACMD Inc INSURER C 32 Outpost Lane INSURERD: Centerville, MA 02632. . INSURERE: INSURER F: COVERAGES CERTIFICATE N UMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED 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 OFSUC H POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR ADDLSUBR POLICYEFF POUCYEXP TYPEOFINSURANCE INSR VWD POLICY NUMBER Q�7M/OD/Y (MM/DD'YYYY) LIMITS A GENERALLIABILITY MPT7047Q 12/16/14 12/16/15 EACH OCCURRENCE $ 1,000,000 GE ToX COMMERCIAL GENERAL LIABILITY PREMSES occurrence)E.RENT $ 500 000 CLAM-MADE 000UR MED OP(Arty one person) $ 10,000 PERSONAL&ADV INJURY $ 1 000 000 GENERAL AGGREGATE. $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-OOMP/OPAGG $ 2,000,000 POLICY PRO LOC $ AUTOMOBILELIABIUW (EaNBNaccm�INGLELIMfT $ ANYAUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODIL1bMRY(Per acddelg) $ .� AUTOS AUTOS HIRED AUTOS AUTOS PROP EfAY IMAGE $ (P er a cadets) .--o I $ UMBRELLA LIAB OCCUR EACH RRENCE $ 71 EJ(CESSLIAS CIAIMS-NIADE AGGREGAL $ DED RETENTION$ `'' $ B WORKERS COMPENSATION VWC10060197762014A 12/17/14 12/17/15 OR AMU- GETV (!� AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTN N!AE YIN EL.EACH g CICENT 100,000 OFFI(Mandatory EnNHEXCLUDED? EL.DISEA�-EAEMPL $ r.-n 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMR $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Addltlonal Rematks Schedule,If more space Is requ red) CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED W Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street , Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Robyn "McCarthy . _ ._... ..._ .... .____-`©"1986-2010ACORDCORPORATION.-All-rights reserve . ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: (508) 790-6230 E-Mail: Massachusetts Department of Public Safety ' Boapd of 13'uHding Regulations-.and StandardlD LlceiVe: CS 05644i Constru ction.Supervisor n MICHAEL d DINOIA��` � l,�� e 32 OUTPOST LN: .~. CENTUMLLE MA 0 1 ' . q i '., �°=tea• � Expiration: Commissioner iniisnw • r�+i/ry Q'pavncwooczt�+a/.(��Q��aaoa� �l i c�f'Cahnmtr 1Xff Irms $esd►> 3'R' ?ni9vii - ME IMPROVEMENT C01VTIf74C iYF1 egistration: R22.87 Type: I iratlon:g�a•.--` Corporation I, AC MD INC. �%�• `'_r I MICHAEL DINOIA \ �" i •- 32 OUTPOST LANE i CENTERVILLE.MA 02b'32 ` Underse�h tsry `•'� Gc,nat'rqun�.n �uZi.r�i�uu„�-• ..�� -, License:CS-05844I r. r MCfIAELJ-;DIN—g1A - �fi ►Ys. ; r 32 OUTPOST LNG = ,, CENTERVILLE 14IA'0263 •r 10/1-5/2015 ` .• Corninisioner V/te�pom>rnLoracuealC�o�C�/�ao,�/ucaetGt Office of Consumer Affairs&Business Regulation. License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR ! 6efore•the expiration date. If found return to: egistration: ;5,g2287 Type: !� Office of Consumer Affairs and Business Regulation 'Expiration:c-:__6l9/201Z_:_ Corporation 10 Park Plaza-Suite 5170 f^ — Boston,MA 02116 ACMD INC. `?=lt= MIL MICHAEL DONOIA - 32 OUTPOST LANE '�� •,_. ,.o: A. Not CENTERVILLE, MA 02632`...-� Undersecretary vali w' hout signature TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel plication 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 Ad ess L Village Owner "&41 1 VW E0 Address Telephone Permit Request kew air Xtl Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new ,Zoning District Flood Plain //�� Groundwater Overlay •Project Valuation o Construction Type v4 l .:Lot Size Grandfathered: ❑Yes ❑ No If yes, attach s, orting daum�tation. Dwelling Type: Single Family Z/ Two Family ❑ Multi-Family (# units) Q Age of Existing Structure Historic House: ❑Yes ❑ No On Old King"s" ighway:`_6 Yeses❑ No Basement Type: ❑ Full 0 Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing nevi' s Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes E No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION �C �`�°/ (BUILDER OR HOMEOWNER) Name C `I�Q �'l'I/`"�V Telephone Number Z Address l � G ( GvG' License Q Jay Home Improvement Contractor# �4� 5b Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE;ISSUED MAP/PARCEL NO. ADDRESS. VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ` . ROUGH- FINAL qINAL--BUILDING DATEa:CLOSED OUT ASSO ,ANION PLAN NO. F R Commonwealth of Massachusetts Paps A,Large,Capacity; License to-Carry F.Jreatms(M.G.L.•c.140;§131) License Number. 'Date of Issue:' ', piration Date 12496974A 01/15/2014` ' Issuing'City/r"n: YARM_O T.H_ - Resvictions:None. �} CASSIDY,-H EN,RY 8 SHED WEST YARMOUTH, 02..,-t v' �S I#X ff11X(z;1-J1CSC II:� 1 1 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 l IoIne Improvernent Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2b14 Trli 233831 CAPE COD INSULATION, INC . HENRY CASSIDY 18 REARDON CIRCLE _.----._..._..__....._. .. SO. YARMOUTH, MA 02664 _..._..__......_._____.._..___ ..._ Update Address and rettu•u curd. Marls reusuu fur change. L] Address CI Renewal (_I Employntunt I 1 bust Card ' �Plr• (4r'( ///.//G(//[[f4'[f�l� C��L'('r.[IJOrf c.I[!.1[!��J . :'_`_ Urlirr of c'nnsunter Aflairs ltusiness licgulatia,l License ur registration valid for individul use only befure the ex iration date. If found return to: .•__ UME IMPROVEMENT CONTRACTOR P e i Office of Consumer Affairs and Business Rc�ulatiou Ia a y aeration: 153567 Type: 6 ;Expiration: 12/'1'5/2014 Private Corporatic•n 10 Park Plaza-Suits 5170 t"r�+'± Bostun,NIA 02116 CL)I)Ih1;Il1LA'rI0N,_•INC. i I 18 RLARO(N CIRCLE ."I0 YARMOUTI'I.MA 02664 —�— ._.--_—A0tv;,171i ?iiat Zre t,ludersel'relarYho I The Coininornvealth of Massachusetts -n- . Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, AM 02111 www.rrYass.govldla Workers' Coai peaxs:ation fusurauce Affidavit: Builders/Contra ctors/.ElectriciaasJPIXIDlbers al,lllac:ttrt Inforn.uatioll Pleluse Pri.Y.'tt Letibly ;ltil� �iju,ulcsSJOrbttitirutio[t/1.udiYidt.usl): �`/�` � L-c' C/ J / r l'1tyr5talC/' i. : G c2r.%��/�� i.��`l �i Phone#: plc y, sllY etnptuytr? Check the appropriate box: Type ofprojec.t (required): 4, ❑ I am a general contractor and I ! I un a cnlpluycr with. - 6. [] New construction employee's (bill ancltoe part-time)." have hired the sub-contractors �) l ;ant a sole proprietor orpartner listed on the attached sheet 7. ❑ Reuzodeling ;tip alld have no C111p1oyCC3 These sub-contractors have g. ❑ Dernol.ition workwg for rric iu.any capacity. employees and have workers' 9 ❑ 8ui.lt i1. addition [No workcrs' comp. insurance comp, insurance.[ ICLILU ed:J We an a corporation and its I0.❑ Electrical repairs or additions } ❑ I wn a hotnc:ow-aer doing till work officers have exercised their rl,l.❑ Plumbing rCpauy or additions lllysclt. [No workoLs' comp. right of exemption per MGL 12.0 Roof repaixs lU fill-d11(G rCC'uircd.j r c. 152, §1(4), and we have no employees. [No workers' 13. i 1.(] I utu u hntrtcowncr acrulg os a Other U Sr.� ' scnerul contractor(refer to #�4) comp,insurance required-] 'Any Ipj)Ila,ut Ulat ClIC s txix#4 toast alp fill out the sccnoo below showing their women't:otttpcnsado4oiicy infotnwaon. tluuicuwucjs wllU 4ubruit this ltffiicluvit indicating nccy urn doing ill work and then hire outside contructon[oust submit u❑cw atlicLivit iudicuting vuch. : wlu+.ltus aw chi k lhia box must uttuched an uddi[ional sheet showing the aaaw of the sub-cauaacton uuti ywto whether oc not[lust cutitica tu.vc .:ugiluyccn. If the sutr-Wrlrraaurs have cr.nployees,thcy must provide their workers'comp.policy uumbcr. I un,an employer that is providing workers'compensation Las uruace for n,y employed& 23'eluw is the policy and job site rnfunrruliurr, Insulaalcc (:otuptuiy N:unC: Policy u ur.Self-ins. Lie. !#: /'G .�%'� �' h"��5� G� Expiration Date: « 2 L-- ►ob Site :kddre ss: DPlop�✓ Pd -a city/sate/zip: A .ell a.cupy of the workers' cotriple axutioa policy declaration page(showing the policy number annd expiratiou[la(e). F'ItltUC to Jccurc•covcragc as required under Section 25A of MGL e. 152 can lead to the impoSitloil of criminal penalties of a line up tkl 31,51?O.OQ and/or one-year imprisorunent, as well as civil penalties in the form of a STOP WORK ORDER and a fine O up to 'S350.00 a day against the violator. Bc advised that a copy of this statement may be forwarded to the Offlcu of lmcstiyuaotrx of the DIA for irlxurallce coverage verification. I ttu hereby certijy� nder the cYir lrrrai prnaltte� of perjury That the information provided above is trr�c and correct QdIC,u1 Dat arc only. Do not write in this area, to be completed by city or town official CiN or l'uwu: Permit/License# — Islulag Authority (circle oat): I. tioltrd of tlealttt, 2, Buildlug Department 3.•City/Town Clerk *4. Electrical Iu5pector 5. Plu►n1<biug Inspector b.iltltcr l.'ullfact t'ersuu: Phone#: — CAPECOD-27 MYOUNG '•�i �<.,til'�;1._>" _, onTr.INmruercYrrl CERTIFICATE OF LIABILITY INSUV�ANCE 71012013 nua L:LI<I If-ICATIE IS ISSUEp AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CEI TIFICAI'E HOLUEf:.THIS tI<IIPI Ahh OOES N01' AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHEPOLICIE•S uLIU'+'! 11115 CER-IFIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUREI;(S),AUTHORIZED I ItkPltliSLN'IAI IVL OR FIRODUCER, AND THE CERTIFICATE HOLDER. _ ..... . .._..........._.-.. u':I'UKIHN I': It Cllu curtitit.Okki, 1101dor is an ADDITIONAL INSURED,life policy(ies)must be enclorsea. IF SUI. ROGA11ON 1S WAIVED,�ub)ucllu till (VI I11:, .,lid conclltioll5 I,-)(Ulu laalicy, certain policies may t'eguiro an endorsement. A statement all this; cartiflcale does IIUL CUntur rights to Illu cllUle,au 1wltlUr ul lieu UI•sLlch iandorsc,11 ellt�s�. l.n cns� 1t l= I40G2{Idy tI<16;1 aI'.Sd NAME: Margaret YOLIIIC 1;1,';IIIU(81ICU Agency, Inc. PONC _. I PAX .1EIC.. o Exit: _.--- .._ ---......._._.._.._.__._...-......J:AX-,NVC. .... . .....—__. ,�adh Ulimi-..IVI!\OLL9G0 Ed,IAIL Ill OLIII 71'0(41 AODelESS: Y g I-''5GT(ay.001)'1 .. INSUIiERlS LAFFOrtDING COV F_RAGL NAICY INSURERA:PEERLESS INSURANCE COMPANY wsullErlo:COMMERCE INSURAIVCt! COIVII�ANY C•1111u L;.,d IIItiL112111011, IrIC. IN5UItERC:EvanstOn Insurance COI'Il zany ul Koor` ell cilvk= IN5uR1R0:A•rLAN'I'IC CI-IARTEI: IIVSUIiANCE GROUF) —_T.___. ---...-..•- --- _ --..__...._....__..__...... :,uulll YarnlUuUl, [VIA U''liG•} INSURER k: ... R.rY .'.........._-.... ..-_....__-__...—._.._.__.___.-...__.....-- INSURER F: Ck_R"FIFICATE NUMBER: RIEVISIGN NUIVIBEl1: :. I• I.1 ,'I.IC I II Y` THAT THE POLICIL'S OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 1'H POLICY PERIOD u.iIt:, 1`101V'dITI'STANDINI:: ANY I�EQUIREIAENT, TERM OR CONDITION OF ANY CONTRACTOR OTHEROOCUMIwI WII'IIRL:iPtiCl' IUWrIlo-fills u 1.' IL NI;1Y 61z' OIR MAY PERTAIN, THE INSURANCE AFFORDEQ BY THE POLICIES OLSCRIBED HEREIN IS'SUBJECT TO ALL IPIE I'ERLIS, u:,n IrI ANO CC.)NDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ ..._....._.__..___......_.___._.._._ApaL SUOR—_.'-"'—'-•� '- aOrrcY eFp- POLICY EXP"-'_....___.—._.__.__.._..._._.__.._....-.... Iu I I vvc tar INSURANC 6 ........... -.____...__.._..._—__..UYSL XIII, --..^--_ �.__._...--.--_.__.........__.._I.'S _._._ POLICYheEi IND1Y n11Y Yl� n M ....... _..._...._—_. EACH OCCURRLINCL } 1,000,U0 t,InInU:I<t.411.UtNLhAI_LIAU(LII'Y CBP3263063 4r112013 4111z'Q'1<} 1�AMt\C,I T0.11GNTE0'--'- x I tl°MIS;,f,I;Ancayratl-': L..___?._..... Lt Aln1'rMAUI:, X OCl'Uli Mtn)kP T (AIYI unu lorwn S 5,U0 _ I _ ..__............... PERSONAL�POV INJURY• Y ...... 1,000,00 GENERAL.AGGRL i"ll-'L: $ ),000,00 LIMIT APPL.IIS PEW COMPIa,AGG s .,000,00 ELL l ,I,I,•,t1u1u:L1 nu.1 r'i 1,000,00 -13MNIBCKVMK 41112013 41112014 BQDILYINJURY(Pal-PulSun) B ti 1 uroVIVL.I 1 X' `.SCHEOULLD .wIU'• AU'l IDS, 1100ILY INJURY(Pal ucClddrlt) 6 A In10.11 AliI X NCIN-iIWNLID (PO AL IOENl)___..._...___............... ...__.._ HLI'hO`i I A unu.t n IJAkl - ^ I,000,UU I.:r" X (1t;;CLlh LA41-I O,..CUI:IiL-N�.L "" 1H1'1 l'L.rUM�-MADE XONJ4535'12 t1'112p'13 4/'I/20'Ir} ^ I,000,UU I Iau � X� Iacll•'N11L:INS_, '10 UUO _s j.:,,I,,.,:11,,:unu•eN.A UUN —..-- '--- V1C:5fA'rl l• LYftl• �? L1,,•Nghu•luv2r<sl.1Al:11L11•Y u rrgmrcl nitimAlilNEwLxEL:urlvL Y N WCAOU525904 613012U13 613U1'=0'14 I,UUU,UU c E.L.EACH ACCIPEN'I' ' •,,,,rt(.1'At_nlUt:llEYe�LUDE.C1•r NIA __—__._.__..._...._._..._......_..._... i 41.11d.1ul h1 Nil) --"-- E.L.DISEASE-FA 1;nnPLOYr_I-' } 'I,000,00 :IIw Ann1�r I,UW,UU • „..,'Iu1�11UN ur Oh'ta<A I IC.114;i Uukriv G.L.0ISEA5F-POLICY LIMIT _b.__.... ...._..—_- �, nn•1...,1, u,.,_reA IIUN5 I I_UCA I IONS I Vt$NICL.dti (AIUCII ACORU 1e1,Agm1UlnalR.+nmrns Schrd„la,N mor.op,t=la rryun'acq ..,.,pe1.t'„nlp.•nn.aunn InCItIt:Iva Officers ar Proprietors. �.alGnm.tl Insul Utl Zta LLIs is IJroVjdU(J1 under the,General Llability when(egUlred by written contract or agreement with the Certificate Hultlur. rrtld ICAI't 1'IUl_t)k K CANCt ELATION -- ---l—___•------._.__. SHOULD ANY OF 1'HE ABOVE DEESCRIO20 POLICIES Of_CANCI'LLEO UEFORE :.11�� Cod III5ulcttlun, Int THE EXPIRATION DATE THI--RE01'. IVQ-I•lCk WILL UL' UftIVEItEO IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTIIORIZEU REPRESENTATIVL — _ ._.........------- ------_--- --- - -- �— — 0'1988-20'10 ACORD COIRPOI-\'.AI'ION. All fi�h(5 rhSl rend. .(0 i1,)z:;(zU I UlU5) The ACORD'name and logo are registered nlarlis of ACORD i mass save.. PARTECONTRACTOR . t.' �++oir• �r PERMIT AUTHORIZATION FORM I, Jonathan Gilmore ,owner of the property located at: (Owner's Name,printed) 110 Pioneer Path west Barnstable (Property Street Address) (City) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. s Signature Date FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: Participating Contractor ate M W For office Use Only Rev. 12132011 i Town of Barnstable *Permit � ��° Expire 6 mont ism issue date p�� PERMIT' RegulatoryServices k 'e SEF _ 4 2007 Thomas F.Geiler,Director Building Division (C�Jy TOWN OF BAR�STABLE Tom Perry,CBO, Building Commissioner 9 �0�10 200 Main Street,Hyannis,MA 02601 . www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address I � Residential Value of Work / Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name_6 �1./l� Telephone Number Home Improvement Contractor License#(if applicable)_ Construction Supervisor's License#(if applicable) LnWorkman's Compensation Insurance Check one:. ❑ I am a sole proprietor ❑ I am the Homeowner [ /I have Worker's Compensation Insurance Insurance Company Name zi e f r� , Workman's Comp.Policy Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) &Re-roof(stripping old shingles) All construction debris will be taken to 'e-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission, A opy of the Home Improv ent Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 .. _�- _ �..�.__._� _. f ✓/ae ToomvrreonarealCl a�/f/laa�ac�cateCGs i Board of Building Regulations and Standards r - II License or registration.valid for individul use only } _ _ HOME IMPROVEMENT CONTRACTOR t before the expiration date. lf.found return to: Registration: 100497 Board of Building Rcaulations and Standards Expiratiow .6/18/2 E One Ashburton Place Rm 1301 Boston NTa Type Pr Vate Corporation A .02108 - DAVID COX;INC David Cox . 19 LA'•1ENDER LN :;;?; .; ��` {; �(f�/J • W.YARMOUTH, MA 02673 --Deputy Administrator `; Not valid wi.hout signature _may l `ACORD CERTIFICATE OF LIABILITY INSURANCE DATE LMIA9 Df:9"rY) OP ID zt DAVID-2 07/27/07 ?RODJ•CER THIS CERTIFICATE IS ISSUED AS A MATTER.OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Northwood Insurance Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 805 West Main St=eet ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis b1A 02601 Phone: 508-771-3.632 Fax:508-393-2955 INSURERS AFFORDING COVERAGE �NAIC9 INSURED !N3UPEP.a The Norfolk & Dedham GroHP-+. IN''UREA° 7Ylen Irvuc once Company David Cox, Inc. INSURER= P. 0, Box 401 ,N;,,R S Yarmouth MA 02664 Itti_LIRE? COVERAGES THE POLICIES OF INSURANCE L13TrD 3ELCW HAVE BEEN ISSUED TO TiE INSUPEC LIA 1EC ABOVE'OP THE POLICY PEPIOD UDICA,ED.I,CT.A�ITySTACUIG AfJY REGU!f{Ef4E:vT.1'=RM Oh CCi'i11:�K OF t1NY'=ONTPACT OR 07HEi?COCLUGE!J I'roITY.1ESP°C i TC YVHICH-HIS C RTiFICATE w'4 BE!SZL=D OP MAY PERTAIN.TF-E INSURANCE AFF:_FCED EY THE POL!C ES DESCRIBED-iEREIrJ 63-31J3!ECT-0 ALL-HE-ERME,EXC_L•SIONS AND CONDGiOv_CF SUCI- POLICIES Al',3REC•A'E LII:4?S•^_-rk:MTJ 1 A'V PkJE SEEN F.ECiXfD BY^aID CLAP,* LTR NSR TYFE OF INSUFtANCE POLICY NUMBER DATE IMhLDD1YYJ DATEDATE;hl LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 j C01AME4Ci0LGENE:IALL_',48!_ITY I ?PENIS ES;Eaeceurence) 5 $50,000 'A ! I C'aiNS MADE I !JC:."IF I MED=XP!�.ny rra Pzrson) �>$5,0 00 X !Business Owners i R00309545 03/14/07 03/14/08 i?ERKNIALaA_YINJURi S$1,000,000 I GENEFALA.GGREGAT= S$2,000,000 ' I — 'iEPr:AGGREC,- LINLT AF'F_IES PER: ( I P E ROD CTS-CC'MP/QP A:33 S $2,0 0 0,0 0 0 I=' 1-1 OL I-"(f—JET LOC AUTOMOBILE LIABILITY - I_� COA'B!'JEDS!INGLELIS!IT I S ALL Ali i (E?wclderr.) ALL C"+'VVE^AUTIiS I � BOGIL''!PLA-'•Y c SCHEOULEDAL'TM I I I(Pzr P?'sOrn HIREDALITOG ! BODIL"INX Y 1404-0\NNED AUTOS {F'?'alcrcid=ru I I ?RJ IFEF.TJ CJXVN3E i 5 I I I (P-r z�cidFnF•. GARAGE LIABILITY ) I AUTO ONLY-iA ACC!DE`JT S —1 I ANY Ali 0 I � EA.ACC H I I AJJT0 ONLY: _ I wro orJLY: EXCESSIUMBRELLA LIABIUr! I EA.-CH OCCURPENCE S OCCUR J CLAJNS W1ADE I A.GG?E6A.T= S DEDUCTIBLE S RETENT Or, S WORKERS COMPENSATION AND _° T�„RY LIMITS EP. __ ENPLOYERS'LIABILITY B 6KUB910X742207 07/15/07 07/15/08 !El acHA rl:)aJr s$100,000 ANY FCW RRIETC'F:.'r'r9fNco%EXECU idE I I I c_.L DISEASE-EAE'r_O'!EE $100,OOO If ye!.describe under '7=C AL FFGVISION b?I>'H I E.L.DISEASE-POLICY Lli`dIT S$50 0,0 00 OTHE't i DESCRiPTJON OF OPERA.TIOf'IS I LOCATIONS i VEH,ICLES!EXCLUSIONS ADDED BY ENDORSEMENT i SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOWNBAR SHOULD ANY OF THE ASOb'E DESCRIBED POLICIES BE CAJ CELL ED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSUP.ER`.HILL ENDEA%,C•R TO 4VJL 10 DAYS h'FITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,SUT FAILURE TO DO SO SHALL 367 MAIN S STRFET TOWN OF B IMPOSE NO OBLI3ATION OR LIABILITY OF AN KIND UPON THE INSURER,ITS AGENTS GR ' TREET HYANNIS MA 02601 REPRESENTATIVES. AUTHO R'PRESEIWW ACORD 25(2001/08) `4P.ACORD CORPORATION 1988 The Commonwealth of Massachusetts . Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers" Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLyibly Name(Business/Organization/Individual): Address: /Z= ;Q City/State/Zip: /JI,�n Phone.#:_ 7 R Are ou 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-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• $ . 9. ❑Building addition comp. insurance. [No workers' comp.insurance required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11. 3.El I am a homeowner doing all work h idh Plumbin❑ g repairs or additions myself. [No workers' comp. right of exemption per MG 12. Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13. Other comp. insurance required.] . *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contactors 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. _f Insurance Company Name: ES3j Policy#or Self-ins.Lic.#: ��Q�i� y� Expiration Date: Job Site Address:9 e,&Ml Ism / 9f 25 City/State/Zip:l�//, 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 pains-and penal 'es of perjury that the information provided above is true and correct: Si afore: Date: Phone#: — Official use only. Igo not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two.or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee-of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the' dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to*operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 'The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference'number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all-locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call'. The Department's address,telephone-and fax number:. The,Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 4.06 or 1-877-NUSSAFE Revised 11-22-06 Fax 4 617-727-7749 www.mass.gov/dia A,f 14E1ok�Y Town of Barnstable Regulatory Services ' anartasis,WAM + Thomas F.Geiler,Director �'Arfo;A. Building Division TomFerry, Building Commissioner ft 200 Main Street, Hyannis,MA 02601 www-town,b arnstable.maxs office: 508-862-4038 Fax: 508-790-62 30 Property Owner Must Complete and Sign.This Section If Using A Builder as Owner of the subject property hereby authorize= ,ev� 6,xl ZA� to act on my behalf, in all matters relative to work authorized by.this building permit application for: , (Address of Job) afore of Owner Da ' bruit Name QFOP MS:0-Wi TF-UERMISSION Town of Barnstable ''Permit# Expires 6 tnontAs from usys date i Regulatory Services Pee tee Thomas F.Geller,Director Building Division �oZ Peter F.Mann, BulMing Commissloner Z 200 Main Street. Hyannis,MA 02601 S r7 J Office: 508-862-4039 0 Fax: 508-790-6230 ��O EXPRESS PERNM APPLIC TION - RESIDENTIAL ONLY Y" Noe Vaud w6hottt Red X-Press Gnpnint Map/parcel Number Property Address //® ®.lii��2 fid y►/ ✓f� AResidenfial Value of Work �� Q Owner's Name dt Address Contractor's Name Avk/OKD "a"� e 0 � �i��/�Telephone Number POI 3Xo+69z Home Improvcmcnt Contractor License!1(if applicable) - Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I amp a sole proprietor ❑ I am the Homeowner I have Wor)UT's Compensation In9ttrance Insurance Company Name //Yl d 1 Workman's Comp.Policy 4 00 y li,�5—0.5zo Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over' existing layers of roof) ❑ Re•side 2 . Replacement Windows. U-Value (maximum.44) ❑ OtAes(specify) .h1UW,1ZZ r ARYL;; :2 M STG1.w P"'er/x, •Whue mquircd: Inuance of this permit done not exempt complisnee with other town dep■rment regulations.i-e.Historic,Conservation,etc. Signature Q:Fecros:cxptaag Rcvised12190) I I '' .y :' %• �/ie iJ .:roes/!/i a «aa,urd 92e�apv.,.,�a..aralOf�./�iuw�/uunlG � anwxa �✓ tu,:�• HORT INPROYINENT CONTRACTOR j BOARD OF BUILDING REGULATION Registration: 100020 f License: CONSTRUCTION SUPERVISOR Expiration: 6/8/02 f I Number.CS 029090 Type: Private Corporatio I Birthdate:1 111 9/1 9 5 3 NEYPRO, INC. Expires:11/19/2003 Tr.no: 83K THONAS FOXON Restricted: 00 26 Cedar St THOMAS P FOXON ffE Yobufn NA O1801 ! 230 WALNUT ST ADL•uNISTRATOR READING, MA 01867 - Apr-30-O 1 0 7:, --__^_�� Administrator AC01M CERTIFICATE .OF LIABILITY INSURANCE- 0Ak,�. :gp . NSWDR=1 04/30/01 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE American First Ins agency Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR 122 Quincy Shore Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. North Quincy X& 02171 COMPANIES AFFORDING COVERAGE James J. Farren,CPCU Come Y PIN,Ie VP 617-770-9000 F,N Nu. A Arbella Protection Ina. Co ,NswtEo __ ---. -- CUWA NY B Arbella Mutual Inaurance Co. • cOMPANY _..... - Newpro, rnc. C PO Box 2696 Woburn PA 01801 D COVERAGES TNIS LS TO CERTIFY TWIT 1 HE✓OUCIES OF HSUPALtCF 116=AGLOW HAW BMI LSSVm TO TRIP INSURea M W t0 ABOVE FOR THE Pot C'PFR100 -0 CATED.NOTWm ISTAmD*4 ANY ncouptamew.Tema OR comm r10N ON ANY CONTRACT OR OTNSR DOCULIGNT wrm nespccT TO wmcm MIS CERnFR:Ait MAY UE LSMO OR WAY PFRTMN.TRIG NSURANM AFFOAOGD By THE PC4XMS DESCRIBED HEREIN tS SUSAC 1 TO ALL THE TFRAIS. "CLUSIONS AND CCNORIONS OF SUCH r cuc:E&umms SNOW,MAy NAYS BEEN kMICM RV PAID f1ALLS I TAR TYPE OF WSMWtCG Pmcy Numoca �YIWMrCCTIVC POLICY COPM DATEMM,DOr'rIO Yj OENERAL LtAekry GENERAL AGGREGATE $2,000,000 A X coMNEnctftGetan LIABILm 850000010649 01/01/01 01/01/02 -onooucrs•-O0MPOPAGG s2,000,000 CLAM MAW U occun PFRSONY B ADV MWRV S1,000,000 X OWNFASBCONTRACTORSPROT EACHOCCURRENCF $1,000,000 _ rueo—e(A.,Pro rnl 950,000 e FXP(AT—P« ) F5,000 AlrroMODlts uAetun We B ANY AVID 5860S000001 12/31/00 12/31/01 COMBB1ED SINGLE Low" 311000,000 ALLOWNEOAUTOS X SCNGDUISDAUPDS BOOILr INJ . s person)) X NNEUAV(OS SOOLY PLAPRY S X MON•OWNED AUTOS (psi mxio v), .. PROPERTY DALAAeF S WAGE UA&LITV AUTO ONLY-CA ACCQFNT j IT ..•I ANY AUTO OTNeR THAN AUTO ONLY: ACORECATE I •• OttSSLue<1^ EACHOCCUnnENCS 25,000,000 A X UMBARIAFOR. 060050439 OS/Ol/Ol 01/01/02 AGGREGATE s5,000,000 O-kil IMAM UMBRELLA FORM - ' s WCRNERS CONITNSATION AND X T S ATu OTIf tNFLOYERS•L1MlITr R M n Ft FACt AC- NT $500,000 B n'GpROOg1 X NCL 0013180500 05/01/01 05/01/02 ELOMMASC-POLICY Lurr 55000000 pAMNOLLTOIGCUTYG OPFICFJIS APl: IXtx FI rsSEASE-EAtmetOytt 5500,000 OTHC" OCSCMPTION OF OPFAATIONSA OCAI ip,IS/YENICLESSr'ECIAL IrrMS ltstail window sales and installation CERTIFICATE HOLDER CANCELLATION RR=13 SNOULDANYOF THE ASOVC DESCRIBED POUrAS RF CANCELLED BEFONt INt GXPIPATION OATF rHENEor.1 Nt ISSUPNO CONPANy WLL eNocAVOn TO MAL Rhode Island Nall 10 nAYS""'ENlwTCETOTHecERnriCATC-CUXRww6OTOTNFi FFI. Bur FAIWAG TO MAA SUCH NOTICE AIL IMPOSt 40 OBUUAnCN OR L VBL-TY warwick RI 0286 Or ANY NPm UPON THE COMP44,WMIMIS OR REPRESewArmcs Aur>.owze J s rrran {• QC C�� ACORD 25-S 0/95) ACORD CORPORATION 1988 L DEVCO PRODUCTS INC. . NFRC letter Code; DEV Murnber Cade: 393 • e*manen Label 4 Temporary Label Extsnelon Double Olazrd OoubN gam' TdPb glad. Triple glared, ` JlrporJAlr filled,Low KrjD rjArgonlAlr K►YP'•on►A►yonJAh Double gku", Cooflr� fM*d,law a tt'3&6 111led,Low a#3 a5, ArpotJdr filled Series d Operator T Muntfns Type -001 -00 -003 Te 004 r:p label order f;urnber_ 00t deM I dew devA1 1 5000 Doub a Hu Res Non-ResSR Non-Rea Res Mon-Ree 393-K-001 Res Mon-Ree Res Non-Res 2 0•46 0.47 C.31 woo Horiton;al Ssde• 3e3 K GCZ. 0.23 0.2 1 0.2J 0.46 0.47 0.31 u.ZZ 0.44 0.45 50W FixeJ C J 1 0.23 393-K-C 3 021 0.23 0.22 C.t4 0.45 r 0 46 0.47 - -- ---- 0.3 0.3 4 �00 Casement 0.21 0 21 0.21 0.2 - - -- 393KOCu 04S 0.46 0.3t Gas 0.45 5 70)Awning 0.23 0.21 0.23 0.71 393-K-W5 3.45 0.46 0.31 0.3 C'•4l 0.44 E 5100 Caserr►ent 0.22 0.21- `0.2J 0.21 - -•.3�3Y. 0.43 044 _ u.s3 o.t•r 7 S10J/!nsiing 0.2P 0.29 C.21 0.2 0 21 393-K-007 0.43 0.2 0.41 042 8 0 4� 0.2fl 0.29 C.21 0,2 -' �'Ietdcd Casemece 39}K4M 0.2 t C.2 0.41 i C.42 9 dlelded Awning • ~ 393-K-009 1C Lech FrarelSash DN 393-K-0t0 r, 11 Mech Frame/Sash HS 393-K-011 12 Welded Deadae _ 393-K•012 y r Label Information Line 1 Devco Products,Inc. Line 2 ) f . Une 3 Series ri Operator Type hornab Une< ove �- Line 5 + Phone>e 608.376-9463 c Pndw Dina 1,M-bw o' �-' S*arae rnab�le:typ,+ � rtntfior.. Cbtinpdesciav!Foi Vvs e fp�,�gry • NtYlOshtsh: E�vstiify w►w+ � a M n 0 c ' O o .1 ' ' o Tc:o o 8 A� 40 a c 0, O O � $ a ® i > _ a C N : r ' A e u z F_ a N ffl I _ m � The Commonwealth of Massachusetts Department,of Industrial Accidents =3 Office ofloyesGgatioos 600 Washington Street Boston, Mass. 02111 Workers Com ensation Insurance Affidarh name: location: city phone# ❑ I am a homcm%mer performing all work myself. ❑ I am a sole proprietor and have no one working in a o ca City I am an employer providing,workers' compensation for my employees working on this job. fAmPAn\'name:.. � INC..:: ..:•.:;`:::.. •�. ... ...::.`..; ':;::�';::Y:.::'::;?;:�:;;;:;!�:ai::;'•�i`::5:�:>;':�>:::;:>'•:: ess.. :.:..:: .:::: CEDI R. STREET ;. ..i:;.:_:.:;;..:iY;:.i:;.:.:f;.:;-;:f.:.Y}:..:.i: addr •., . B. .;;;: >:. .'.::...:.. .:... . : .: 8 . :...... ...:: ..::.. ..:.:. .:::.. ::.:.::.. 781 932-8300 >::<::::::><:>:::::>::>::<::<:;>:::;<:::::<:<:>:<:<::�: city: :;.: ::.:.:.:?.;... ..:.:... :....:,..:..::.::,;;:::•:..:•.:;. . :. � phone ,......:�:._.::.:�::::::.Y'.>::.}.::.::•.: AIRBELIdA' :. trance co;. ....:.. + . : ':' :' :::>>::::>?`':` :' .ins :.::Y:.:. ..:..::.: .. . ..:. oltcv0043180500.:.:. > :>:<:'::::Y:<::<:Y::::'<=:; ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers'co tionpolices: M -' ;:}•. 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[[ .>.rvnv r..:.vm::f...........:.:::::•-.:v::v;......•• T:..f..r...tr.:::::::n•vnvi.•hyw.+•vx..........::::.:.. :�::.�::::•.:::::,,.::::.::::.�Y:•:��Y:�»:�:!•?i::.._::•:::.r.::Y:::::?:•r:r.t•::::::::::.::n!:.�::::•�..�.�:::::.�,�:n�..................r:.....:...n3......c........r..... .:...:{.�:.?�:>:�:tr:}•.�.�..... -- -.:•r.......................... ..:............<.............................:......::.:::::::::ran{.,.,.!...,.........r..}t!. .:.f: .t?..:....... camPan name. ..... . .:..:::.:}..:::..;;;:a:a::.:::f:::;:�;::}::;:�::!-;•!•:};Y;:::}.:.::::...:..:r:•:•?:•!•;Y}::.;:;:.}•;:.Y::�:<::•:�::�::!:::.;:.;<:::�:�:�:�>;::;:f:Y:A>:«::>:r•::�:�f:«:::�: :. addr s. ............ .......i:::::.:..:..... k:»a:•f :. ........................ ........ ........ ......:::;:{::::::::.::.:.. :,.... .........:......................:.........::::::..:............ �:;:.::::.::.:: ,. ......................................................:::.:.::!;.:.:!.::a.i:tr:a:.Y.;•::•YY:?:i: }i:.}::t.}:...Y:•:.;............:::,:•}:!:..: p OQC :�: ;<:� ;;::;;::......n.... >: ^�#:z;:. i Failure to secure coverage as required tinder Section 25A of MGL 152 can lead to the Imposition of crkninal penalties of a flee tip to S 1,500.00 and/or one years'imprisonment as well as cfvil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me_ I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. . I do hereby certify under the pains and penalties o erju hat the information pro 'ded above is true and correct Signature Date Print name THCMA'S P.. FOXON fo NEn]PROr INC. _ Phone# 781-932-8300 official use only do not write in this area to be completed by city or town official city or town: pertmit/ilcense a epaJ- -OLBuilding ❑check if immediate response is required ❑ oaP q s O❑ artcontact person: phone H; Q . 3 2 MA Reg.f100020 FederailD N04-2714773 CT Rog.#51I 62 GorBereM/M�tlIC i Eee1r at.I.D.mz a»a WOM..MA CIM (nispnAroe r•axxt-3112.2211 THIS CONTRACT MADE THE. . . . . . P,. . . - day of c17t.r M• . . 200.'1... between. . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . , . . . n Pbma o �w (tWme Pnotla) (6to Fusser' p, of. . .I.I� . .0 .IP!v�'ttf. . A''�.T./.�. . . . . . . .W,. . . .�`.vs.?�. VAMO" IS'mks) (ZIP Coda) the"Owner'and NEWPRO,INC.,"NEWPRO". NEWPRO hereby agrees that it will for the consideration hereinafter mentioned.furnish all labor and materiel necessary to install the following described work at the Premises located at ut, lase Addnwa) AdditlonO TOTAL CASH TOTAL crows Pureftased NEwt>'ItOwork PRICE Wm ColorsDwihF Glass Door DEPOSIT Cappirig Color Simi Sewrity Door WITH ORDER 10,fVq Double Flu Leaded Glass Picture Window 1 Obscure Glass I TOP BOTTOM BALANCE Slationary Casement Screens ULL DUE AT ant-Model If INSTALLATION 3 Lite Slider 7 L NEWpftw do" ea do any pueung er IW/BOW Frame "snotrooppatt Balance Paid to Garden mdow a onaaa.e.nas beyond"a eoMrol�ufq A Installer at M9tagoon AwrM aandotNtMon rowahtine from or am to Pro- Omar r G f SIMI dontild"s. FINANCE Bank Cwwwon GRIDS Di amond Grooved I Form Signed at tnstauation DESCRIBE WORK: e !i w%t,1t. of ut a OQ?e A11 041011bomV doom will cave a 3/0 aluminum aNeehold Installed error aablbfg Mraehdd.0 C r InM-hSTSSd IY Eat SIM Date: •t` Est Camp.DO*: k- 11►• OIL Security Interest: Yes 0 No IA It when be the obligation of NEWPRO to obtain any and a0 pandits necessary 1nlder Mier agreement.as the Owner's Agent.The Owners who secure suer own corrotnrce 400ted pemWe,or dad wm tgswpraw"Contractwa wvn Do aadudwd from the guaranty fund Provisions of MOI.C.142A. AR Home(mproyemerit Cant—end Subcontractors all be replateeed by the Director and any Inquiries about a Contractor or Mraebr rettaft to a roglstru an should be dlreeted to: Chatter. Norse Improvement Contractor Registration. One Ashburton Place. Room 1301. noses,MA O210B,(6i7)727-ft%. If the Owner is obmktIng tlnerrping by way of a Retail Irtt3faRtrorll Sales AA�� suM Agreement shall Include a time schedule of paymetrre to be made Weer said corMraet and MB amount of own payrlldnt ettetwd m=a�inClmudm all Charges.The Retail Installment Sales Agreement stall be Incorporated herein by reterdnce.II tiro Caner a rtbtdnhtp a rovoMng C'8aR Rno to pay,in whole or in pan,for the contract amount herein, the terms of Ma rovit"Ww of credit bmituding edar�f ratty aid payment terse,anaB be agarly sat out on Me wed l app�cation.T1e portion of the debt application referencing a taro sNrduio of payment to be made under oft controa.and Me amount W eaM 0'."Gp sates In don inelud% all Manse r SW$.shall be moorporsted hareirt by WWW4e. NEWPRO reoreaer a that It carries Wodtmon's Compensation and Pubne Uabinty Insurance in the amount of$100.000•SM,0 0. It fine Owner refuses to perdu NEWPRO to p0Meated with 110 work herein.or In Oro event of any breach of the Owner of tin s agreement for any reams whatsoever sham cares Ore owner to pay NEWPRO a arm of Morey eQual to tniRy-iNee ere erne-M'ed percent of Ma Price agreed to ba geld,u hinted, tiqufdeted end escatmkrod d rM0 not u a penalty,without ItNthar proof of loss or damage. NEWPRO Streit not 00 held OM' In tlemagea to daUytt N de psAamarla d tills contras sus b causes beyond its roa�nable CpMrd. 0—waMaras mat he is the owner of the Will"an~BN.*is to be peftr ad or that he is otherwise authorized on behalf of the owners to enter into this Agreement. The conbart nlfresenis that aria agreement Dwewaen the Owner and NEWPRO and Canna(la changed exaW by a writing signed by both the Owner artd NEWPRO. You We entitled to a copy of the Contract ol the time you sign.Keep It to protect your legal rights.We,ttW aforesaid orynM.o t(ly that IMMedlately after the signing of the aforesald agreement,a copy was furnished to us. You may CenCN thus agroeftWd If It has own OWM by a pafty thereto at a place other Man an address of the seller, which may be his main office,or branch tt rW,provided you notify seller In Writing at hie main office or branch by oMMary mail posted,by tsiegram sent or by dsgYery,not later than midnight of the third business day following the stgning of this agrearrtent.(Saturday is a"I business day). See the attached notice of civamelMton flemt!or an ellplanaton of this right DO NOT SIGN TW8 CONTRACT IF THERE ARE ANY BLANK SPACES. The Owner ttas seen harfM*'wash tgldui:lball-vAil.boomvided by NEWPRO upon installation. ® Semple warranties provided to Own w. IN WITNESS WHEREOF,the parties have hereunto sighted their names this Ik day of kZ=rj M, epre Signed � �/&- a Owner AoeN BY T�atgned Auihonzod Wonalture tntw Owner WOBURNBRAt1CHOFFICE SHREaSWW BRANCH OFFICE WARWU BRANCH OFFICE HANOVER BRANCH OFFICE WALt1NOFORD BRANCH OFFICE 26 Coder guest ISt-153 MemorMl DIM BKeat Ps► aS ONUS Beael 200 Wooster Strom 4 Rewareh Parkway INOW,MA 01801 subs B-C worow In 026M Mansur.NIA 02339 Wailtho .CT OW2 TEL 751-ow-830ww 330 sheane,dy.MAaSe5 Ta:401.rM.2e07 TEL,781-87e-708 TEL:2*202219 aw2tb9974(FROM Nei TEL:50"42.OM NaM3312(FROM NEI e00-e58.0811e(FROM HID 67758IEVIPRO FAX:7e1.932-0860 800-058d566(FROM 1 FAX:a01.7d2.1371 FAX:7e,-V?.8539 FAX:M;Iss-amr FAX:60a6e29208 WHITE: Branch Copy YELLOW:Customers Copy PINK:Fee Copy GRAD:Finarxe Copy US-13 10"KG. 5100 L M Thomas P. Foxon Jnstallation Manager 781-932-8300•Fax 781-932-0860 Imo\ PMR,O THE REPLACEMENT WINDOW PEOPLE Corporate Headquarters•26 Cedar Street•Woburn,MA 01888-1296 Tel 781-9334100•Fax: 781-933-9626 4 X-PRESS PERMIT e� JAN 2 2 2002 January 18, 2001 TOWN OF BARNSTABLE To: Barnstable Building Inspector From: Thomas Foxon Enclosed please find paperwork for a permit to replace windows and patio doors at.110 Pionear Path. I am unclear as to whether the permit is mailed, or if I receive a call when it is ready. If you have any questions please call me @ 781-953-8146. Thank you in advance for your help and cooperation. Very Truly Yours Thomas P. Foxon -,._ ... .._moo .,.•�.�..-i"-�f'•'+-�•--•skaYt-"•`�,•*:- ` ..Is.,.�'t.:.._,F-�:.:::.�,+�v...,.�+.++-.�'.'r �c''trhsrs}mtwo.•}�^Na=..:..x.,�r...r...,...:-..,,,s-.-�._..-.. _...:�,::._ �.M...�, , - ., ,� o�TMsro` TOWN OF BARNSTABLE Permit No. 313M ....... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash biusv !l -.,-.HYANNIS,MASS.02601 Bond ......�...�..� �V CERTIFICATE OF USE AND OCCUPANCY Issued to Greenbrier Corp. Y Address Lot 42 110 pi onpor pAtb _- .t West Barnstable, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY-THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE i BUILDING CODE. - v December 24 19 CL .......................... .....89........ . ................... Building Inspector �,.y�. .. ,�, ,,,,;:_m,.vy',w,.,,,,,�,�„n.,,e,K'qsd��. 1A0"�1�'��'y""rwr"�'�i►'n"..�.."p��ll �, a..�,;+'�T+ a.=.s'�.^+ �^'�':-T.^.. '�-'�• 1 uTM TOWN OF BARNSTABLE Permit No. 33.39.4....... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash �to�ur ��....HYANNIS,MASS.02601 Bond ......X... rV / I CERTIFICATE OF USE AND OCCUPANCY Issued to Greenbrier Corn. Address Lot 42 'l 1 n pi n"Anr tea# h West Barnstable. Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY-THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. December.14........ 19.....�.�........ ... aL............... Building inspector r I I TOWN OF BARNSTABLE BUILDING DEPARTMENT' = ssa ST NUa TOWN OFFICE BUILDING � ru HYANNIS. MASS. 02601 �OIUY M. MEMO TO: Town Clerk FROM: Building Department DATE: Q . 9 An Occupancy Permit has been issued for the building authorized by Building Permit # _ /�_ _ ___....._.. .................... ...__.... ._...... _ .. ... _... ._ ... issued to �.. _..............._.... ._.__ Please release the performance bond. G� O , BUILDING PERMIT NO. 33 9 DATA ASSESSORS PARCEL N0. CONTINUATION OF ROAD BOND The undersigned owner/contractor hereby agree to maintain their road bond in force until the following work items are completed to the satisfaction of the Engineering Section of the Department of Public works: l/ loam and seed shoulders as soon as weather permits: other (explain) LO ATION: /0'/ �r 2 0 /ONE�7Z ✓ �A G SIG.�E7A-�OWNER/ Oi CTOR) (print name ) 0 :rEER T/i G AUT'HORIZ TION g� ' I !d" Tq-4% N OF BARNSTABLE, MASSACHUSETTS �� bUILL)i j 1 A='128-004 DATE ^NbVe,nber 3O, 19 8� PERMIT NO.�•T® 3331D4 z APPLICANT Greenbrier Corp- ADDRESS Lls�ed Belo�� Owner ;#001397� • INO.) .(STREET) (CONTR'S LICENSE) / NUMBER OF =>t PERMIT TO till ICE DWP_1 1 nCf ( ) STORY �7 nq ^' F�mi1e. DSTe��b�Lj�WELLING UNITS • (TYPE OF IMPROVEMENT) NO. / (PROPOSED i9E) ,] !' ZONING �iJ ( Lot #2 110 AT (LOCATION) PinneF+r Patti , -w Ra .__ L j:�,• I E ir T3St-a.h•1-_ DISTRICT— RF e 5• (NO.) (STREET) t e BETWEEN AND (CROSS STREET) (CROSS STREET) ` ' LOT SUBDIVISION LOT BLOCK SIZE ? BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION Y ): TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION - (TYPE) 'f( ' REMARKS: Sewage #89-701 l ... BondAREA OR j i VOLUME 864 SC;. f�. ESTIMATED COST $ 45,000. 00 00 FPER EEMIT 77 6['• 75 (CUBIC/SOUARE FEET) n ,j Greenbrier Corp. t OWNER � E 'ADDRESS P. O. Bo:{ 510, Centerville BUILDING DE PT, BY OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL. QUIREO,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI 70 BEFORE FINAL INSPECTION HAS BEEN MADE.' 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 3 HEATING IN ECTI APPROVALS, ENGINEERING DEPARTMENT OTHER 2 �y�(,C, f� BOARD OF HEALTH 1 u VZ19L Dzc_(78� y� Y WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. N/F GARY A. MILLER 300.03' CA DRAINAGEDRAINAGE EASEMENT a, N O 0 95_00= — c,J , J o Lot 2 u 44,287 sq.ft.f 24.0, 62.8' 0 a n O O 2g9 6,s I� J F 1 9 13 89 INITIAL ISSUE I ELK THIS PLAN IS NEITHER INTENDED NO. . DATE I DESCRIPTION Bl' FOR, NOR SHALL IT BE USED FOR AS—BUILT FOUNDATION PLAN—LOT 2 MORTGAGE LOAN PURPOSES. PIONEER, PATH a BARNSTABLE, MASSACHUSETTS FOR GREENBRIER DEVELOPMENT CORP. •` SCALE: 1" = 40' JOB N0. 1120/11202ASB I CERTIFY THAT FOU DA ION SHOWN ON ' AN, TED °�j PAUL A. 1 U 40 ao ON THE GRO ¢� ASALE I LEVY i tiC/�/�� " No. 10617 th, �� (�k, LEVY, ELDREDGE k WAGNER ASSOCIATES INC. 4, Ay\ 'T I ��` IN6RIM IAIIDS IPI Iif7Q1iC15 P61M!®t4 -ug surm'OR4 DA E � REGISTERED LAND SURVE OR `'.5`r�q�l�� 889 WEST MAIN STREET CENTKRVU E MA 02632 ji .K �. IL . I\ '.ta.OL al . f It Nam`• . .I m e ..r —..•...•.- ---.�—•i.. .•. .• • 1 i it 1 (d ~ r • � l � b c\ �+ s .1 . too I C � I 00 9 �i + + Zit 21 9 ® ; , i 1 i s S Milk n � • r �. ,C a e+ """O'O'pr� tt��.rl .•...D • a • wee z e. NrDbti� . t . i 1 ti oa OQ PTIC SYSTEM DMIS `Assessor's 6ff ice•(1st floor):, / arc '+r; THE Assessor's map and lot number ... . .�..a�. ..�.�0:� T �►d�►LLED IN COS ` Board of Health.Ord floor): /-> r WITH TITL` Sewage Permit number ............................�.... ............... / / ENVIRONMENTAL ment (3rd floor):/ TOWN REGU a Engineering Depart �D o , 39- e0� House number ''�o ray a` ................................................ ....................... Definitive Plan Approved.by Planning Board ---------Ioz__- _2___-19 t . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............ I..15Jyj� ...... . /�1Q�1.1.1•`in I.................................. TYPE OF CONSTRUCTION P�.4.'.1 ............................................................. ......................U�! ..........................Y. . �C�......19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 2 pp' ... .�... ....P - 1,Location ........... .. i'•••� . 1.. Q s'G.` ...... ProposedUse ...... ., /.1.iC........ Q�. . ...4. ....................................................................:......................................... Zoning District ................. --.1... ...........................................Fire District ...........1 . Name of Owner ...`'L !��.'✓.�..�.' ..L_�J.Y.. .......Address .....��.0....J;� x.:.��l..d/.�..�I.(:. Name df Builder ......Z Old...........................................Address ................ /Y�' . ...... ......................................... Nameof Architect, ..........................................................Address .................................................................................... ..............................Foundation .......Number of Rooms .......... ...................... .W...[. � .....(�O1..11.-1.. Roofing Exlerior ( � ....... �n.�. ..`?"f�.... ... . . ... g .............. . .. ``"` ... ...:�°..lg.(J�✓...... Floors ...V.•t........ '... ...( '►••• ..'�./f.................................Interior ..............(� - t .�� ......... . . Heating /�..�!l). .... Plumbing ............�........ . A :....... Fireplace ..v.U..1..�t.............................. ............................Approximate Cost ....... .. ......... ............................ Area ..... ............ . ........... Diagram of Lot and Building with Dimensions• Fee . ..�. ....................... J7 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 ...... .. ... . Construction Supervisor's License ........ .1 .7..7 P GREENBRIER COR 1No ... Permit for J.1....Story ........................... Sin T.�Mi�y Dwel in!� . . ......... ... . .......... Location ....L...o.t......#..2..,......110...Pioneer- Path ........................ W. Barnstable . ............................................................................... Owner .....G.re.e.nb...r.....ie...r...Corp.. . . .................... .. .... .. .... .. .. . .. . Type of Construction ..Frame................... ....... . .. .. .... .. Plot ............................. Lot, ................................ Permit 16'ranted .'N' ovember 3 0 ......19 89 . ............................... Date of-I-nspecti'p'n. ....................................19 Date C0'Mpleted....... 19 UA N/F GARY A. MILLER rnWJ , 30 0.03 DRAINAGE I— NAGJE EASEMENT T OO 95_00= O Lot 2 U 44,287 sq.ft.f 24.0• 62.8' o a .. O C) 900. ti 6Js' n 1 � o� �2o ti 1 9 13 89 INITIAL ISSUE ELK THIS PLAN IS NEITHER INTENDED NO. DATE DESCRIPTION BY FOR, NOR SHALL IT BE USED FOR AS—BUILT FOUNDATION PLAN—LOT 2 MORTGAGE LOAN PURPOSES. PIONEER PATH _ a BARNSTABLE, MASSACHUSETTS .OR GREENBRIER DEVELOPMENT CORP. odd �c'? SCALE: 1" - 40' JOB NO. 1120/11202ASB I CERTIFY T THE FOUNDATION ,� PAUL A. o LEVY . 0 40 80 SHOWN ON TH S N IS LO ATED ON THE GR ND AS CA ED. No- 10617 3 !' <. _ �.ST LEVY, ELDREDGE WAGNER ASSOCIATES INC. DA E REGISTERED LAND SUF�V OR t�i- V BA6Ui�5 UTMDSClPB Imumis P!�II�t4- URD.SURYt!ORS,.- E 889 WEST MAIN STREET CENTERVM.LE MA 02632 COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY 1010 COMMONWEALTH AVE. '• OF BOSTON,MASS.02215 MASSACHUSETTS ENCLOSE CHECK OR MONEY ORDER LICENSE C FOR REQUIRED FEE, / EXPIRATION DATE CONSTR. SUPERVISOR 06/30/1993 6 EFFECTIVE DATE LIC-NO. d MADE PAYABLE TO RESTRICTIONS "COMMISSIONER OF PUBLIC SAFETY" NONE 06/30/1991 001397 mWILLIAM E DACEY m (DO NOT SEND CASH). 290 GREEN DUNES DR PO B SS .a .030-38-6830 WEST HYANNISPORT MA 02P EASE NOTE FEE INCREASE PHOTO(BUSTING OPR ONLY) FEE: 100.00 E FECTIVE FEB. 1, 1989 HEIGHT: NOT VALID u+m NED BY LICENSEE AND OFFICIALLY - STAMPED- -SIGNATURE OF THE COMMISSIONER DOB: 10/26/1950 �! D NOT DETACH LICENSE STUB THIS DOCUMENT MUST BE SIGN NAME IN FULL-ABOVE SIGNATURE LINE CARRIED THE PERSON OF SIG NATURE OF LICENSEE • THE HOLDER WHEN ENGAG. OTHERS-RIGHT THUMB PRINT ED IN THIS OCCUPATION. COMMISSIONER 20OM•2-87-81429 . j z .>t, c Is {stC;.;i<;tas:; :>c, ;1i<6rs�:k�ii:ris :ee�si: >s<r:,c,t}trz ;ia.6csrlt>¢>w•ses2sr.2,�Rse.tft>'tfn-.)� ;iu% i I>it ,i:..;;::>;:., ••::r r r•,: .. n•,c - 1<t :;t xfviF1lt c rr [,,t>seizsr., :;<r,.I,tr;.,.. rTi:,;,(!t1..t.. .,... ... .•>t . ,•:;ar;t;z,:�3. .. ., .. ,•s «Hs;::rt�..;,z P.isr;a)s;iti:crs I:;:>,t r,s t -.r,• .. ,•< 2fi ErFstW.Kt ,S t Assessor's office (1st floor): Assessor's map and lot number — y THE l.a.. ......LI o't o o.. � �t BE Q Board of Health (3rd floor): SEPTIC SYSTEM r, '^ ply '7 �� INSTALLED IN C®�f��'r�,ANC Sewage Permit number ......... WITH TITLE 5 MAO&Baa Le. Engineering Department (3rd floor): rues House number �/D �.... ENVIRONMENTAL CODE AN °o.�i63I aye Definitive Plan Approved by Planning Board ________________________________19----___-TOWIN REGULATMS APPLICATIONS PROCESSED .8:30-9:30 A.M. and 1:00-2:00 P,M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......f.:'.`..'.,k' see-a�-2Ld /4 ........ ....................�..................................................................... TYPEOF CONSTRUCTION ..................................................................................................................................... ..............�... �.....................19.4Z. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a perA mit according to t e following information: ,LQ Z //Q •✓Hc-.z ,v s,' • a. ,ba9 s 6,96 AeLocation ........ . ....................... .................... ...........�..../..................... ............................. Proposed Use ......... `�'s sip Seed /oor dT ...... X�'a.. .. .................................................................... 1 Zoning District ........................................................................Fire District Name of Owner .... S�sat ,/C�c�a�✓s.......Address ��Q. . °� ee 26L 6/, �j.,,str�S(,e ................................. .......... .......y............................................ Name of Builder �Ye,�hr�c............................................Address ..!�:�:....!3oX s /Q........ e.�bc.�..:<4ti...M/� o-263z .... . Nameof Architect ................... ..............:..:.........................Address .................................................................................... Numberof Rooms .............................:......................:.............Foundation ..................................:..........................'............... Exlerior ..................:.................................................................Roofing ..................... Floors a✓�{6 /v1•�y� ..Interior ....... !�eK• 6rne [.. Heating N A ti Ga 5 g ............................. ....................................................Plumbing / a-6 .................................................................................. Fireplace ...........................Approximate Cost .... .. GUI �. ............... .................................... d La Area ... ... . I 1� N..0 L Diagram of Lot and Building with Dimensions Fee ..'..................................... ...... r � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform 'to all the Rules and Regulations of thhTowo!.Ba nstable regarding the above construction. Name .... . ....... ............................................ Construction Superv'so 's License lSU�3 9y RICHARDS, JEFF & SUSAN Permit for JFINI.S.H...2ND...F.LOOR ... .. 5-��p i ly...P5�!��j.ling.......... ....... ... ..... Location 1.10 Pioneer Path ................................. 't...Aarnstable . ................. ........................................... ai Owner .......J...e.f'f &***S*u's'a'n***R*i c*h'ar*d'q... Type of Construction .....FKATllQ........................ ...................... Plot ..............I.............. Lot' ................................ Permit Granted ....February 3....................................19 92 Date of Inspection g-R?777 7 R.............19 19 Date Completed ........ .. F BARNSTABLE, MASSACHUSETTS BUILDING 0E'** RMI I I28-004 DATE November 3U♦ ,ems_ PEFiM1T NO.�t�'! ""��f 4 APPLICANT Greenbrier (-j �. ADDRESS L1S�`:(� 13� ] fJCd �)S�ner 0013 IN0.) (STREET) (CONTR'S LICENSEI PERMIT TO r-Sl] ('� i)WP 1 Y1 ( ) STORY Si 7 YL }t� F'ctRlll��li`T' 'r' DWELLINUMOF NG UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED IfSE) - AT (LOCATION)Lot Ill 110 pin nu-,or U94"�1 �TV }�"o'^"`r ZONING 1 E f { JJ �tti)�.t-.'� DISTRICT— tl' (NO.) (STREET) � BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT, LONG BY FT. IN IIEIGIII AND SHALL CONFORM IN CONSTRUCTIOi ' TO TYPE USE GROUP I. BASEMENT WALLS OR FOUN DA fION - �.' - I:YPEI REMARKS: _ Jf.'WUq,.^ 8 9-7 U j f. AREA OR 13(UilC;l VOLUME �64 sq. 1 ESTIMATED COST $ U0 FPER EEMIT $ 69. 7- (CUBIC/SQUARE FEET( OWNER Greenbrier i:orx,. BUILDING DEPT. �• ADDRESS P.• U• box J 10. Centeryll le BY )�J I , ., �P-c•`�AB;•.•SU E101VI o,-,-N"RE TRICr.-`i=rrr'r.'f�`bti'�iirC'crr"1`rrrSr`rt'i ivfF'Y"'v ei c's`Ivb-i"-Ir't t'r risr_"t'rTr: nr'F%1:'ff:..A..N..!....Y RUtN..L-F.F_.0 OW7J11 !U ry OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL INSPECTIONS REOVIREO FOR APPROVED PLANS MUST BE RETAINED ON JOB AND I'HIS Witt-RI L APPLICABLE SEPARAr ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ELECTRICAL• PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MF..CHANI CAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI 70 LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. , POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROV LS I I I Cl'I11CA1 INSPECTION APPROVALS p 2 3 II1,AIIN(1 IN:''I CI1( AI'I'IIIIVAI:: i III,II II I Itll lt.IA I•P•IIIMI Pll ' J OTHER 1/jj e�ZGr//?IL 110AM I 01 I II Al II I r; P.9— WORK SHALL NOT PROCEED UNIII. IHI: INSPEC. PERMIT 'N!LL BECOME NULL AND VOID IF CONSTRUCTIONl — .— TORHASAPPROVI:D IHI.VAHWUUSSIM;Es01: I WORK IS NOT STARTED WITHIN SIX MONTHS OF JA1C. 1'!If. I .IIn!a.INIMAIIUON Ille,t:A!iu(.AII - CONSTRUCTION. (I PERMIT IS ISSUED AS NOTED ABOVE, ucl+,�n!;III I(!I+ I+� III!I'lluNl uli lvlulli NI(III II.AIII rt4 BUILDING PERMIT NO._ �3 �� DATE n e a ASSESSORS PARCEL NO. CONTINUATION OF ROAD BOND The undersigned owner/contractor hereby agree to maintain their road bond in 'force until the following work items are completed to the satisfaction of the Engineering Section of the Department of Public works: i l/ loam and seed shoulders as soon as weather permits: i other (explain) LO rATION: r SIGNED' tOVNER/CO,' CT0R) (print name ) r ,GI_vEZ �- IG AUTHORIZ TION ............. i BUILDING DE1 IT � a GuPoLA �'�-�. ___' :'' -----------.....;_.__-...__.._.._.......-....------_.._....._._....... _Bat'IlSla)��?'-�-�:� -----• - ---------------..........__ �, pt' OCT 2 2019 �.� RIDGE \/ENT WITH Approved by:—f st41rIC-iLE GAP -, �( ,0 T�WN OF BARNS BLE ASFI-IALT RooF f�1 V 1 35(� I Ix2 PINE PAD. orl i V IX8 PINE PAD. - / - " \ 514 1t4GLES — Perntit : -- __ CEDAR. 6LAP604/RDS 14 To WEATI4ER I�Iz, .. .. ... .... ._...._. _ I _ Ix5 I*� PIrIE. 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A _. .- .... _ LI Luv .._..__----- --.._.._.. -.:: < GEDAIZ SFIIhIGiLES �I �1 _..----...-. 5 TO WE ATI I E fZ cp t'•`. . .- 4� � 'nni;ra.•.l- DATE ��142 • -- BOTH SIG.,a,1 U: E.7 AR i�EQUIRED FOR PERMITTING i Ca I L MnRE I�nusE. t�lEi.J AODI T IorJ I i Ilo Pior-�E�1� PATI-I P�ARNSTAP�LE,.M/a Z81-O'' SCALE:I//.1 - 1 APPROVED BY: Q .- I 1-O` DRI�Wry By r F-W GARAGE REVISED DATE: 3 A. LEFTS IDE Et_EVATIL-) I/�.1- II_O- - BRUOE re FruRAL_ rJ gnuRNE, MA . i ARGI-i I TEGTURAL DESIC,N 5OP�-27�1-o�l�o I pR A�VIND NVMBER E�-L_E_VAT ic OF 8 j o:. I /14\ ASP�InLT KoOF r- _..::.__-- �. <— IA f,IrJE PAD. oil SNIrI!aLES —. i--.._.. -- '\ i Ix8 PIrlE BD. �. 12 SIaiI�G�LcS \` G 12 ._._.. - ....... _ 5, To WEn-I'N._-R _.._.._......._...... _._... _.-.....- ..._....._._......_.....-...._--_-_.._.... .. ._.__ _........_.......__._._... .__.._.. - -----.._..........................---------------------- _............ ---------- -- - .__.__._._.__._ . - ----... --............................... ........ ....... ......._ . . -_... ... .... - __ _.ter--_—.T,-._.-_�_....--------- -----_... - -------------------- - - =' ;; _............ ....... __ ..._ --_....._..__ - - Ul ---------------- r- r ExiSTIi-�G — ---- rlEw .ADDITIoICI --- -- _ i I REAR L-E-\/A� Inr`I I • j i .. f GILMORE HnuSE NEW ADO'TIOt-I -.i 110 P O A 1-1 �AR"IJ�� A ' I tJ E F' T APPLE. M T I • I SCALE:lm1 II &1 APPROVED BY: I � - DATE: I0'9'18 REVISED I • I3RucE A. PETERSOI-J 6ouRN�, MA ' ARGNIT[Q7EGTIuKALL D^ESIIGN I 5o6-?-1 -o4}-lo NUMBER j Of g 1 I iJEW AID OIT1oN _�• / /i STORAc,EDR( H GLOSE I I REt-14VE ExiSTinIG SL,r>Efz t _ j I It4',T LL NEW 10<1.3 UP nL , PncxET DooK �y 5 P u p—� i Eyz Nl t N• 2 2 S. - - ( 11-IR RATED a0l i FIRE Doo(Z / 0 I � 00I i• AUov� � 1 - � a• I _C, t- ZFIREcoDE + I Ex.ISTIrJG I IoUSE ' N i S14EI-(RocK@ — X II- FIFE-WALL Q O = CaA(ZACGE GEILItJe, I i KAGiE I01-0 NLd 13 -� nIEW AnviTlonl I ' I -s--r-- P I APRo .......-- - -- --- ccIJG(iETfl � I �I I ± L(0 NEW Ar��ITIoN I I I , .r )5 MASSA I ` ChG�r i�"•J.,c o�o � �, C�I L r�n FZ E I-t C�U 5 E - ICI 1<I�l A D�I T'I O iJ I o Sta�3,,,40PIoNE�R I-'A�"I-I 5ARNST/�.C'�LE, M/�. f ND P'"�� .1- 1- II APPROVED BY: (J, P�U SCALE: I/,I Ip'O E$$IOµ OATS: IO-�'Iu REVISED �l T'•�L �� 6RUGE A. PE �RSorl � '?,ourZNE, MA- XIt Lzib /�� /L 7 /aRGNI rEG(UR.p L DESIGN 508 2��-04�0 1'IT FLOOR. PL,Ar-i 3 of 8 6 I i i I I 31 �� 14IGI4 IJALL� I I,.10 0 D I I � i ExiSTIh1G I--�nLISE 1 I L RooF FSELOW �.I 1•S FJ I � uN� Er� .I -- '+'-CI'14IGFi : }c--=l-r: EIIGIII K;JEEIAALL KrJEE-r4*ALI..-- i I i I I 1 I 'I I P - : I 1 rJG I n I d 2 FLontz Lar\I s E I C_:r': !✓102E NoL15E - NEW ADDiT ior-J 110 PION1=aR PATH �ARNSTc�,BLE,I�•� I I SCALE: I 11, I-O DRAWN Y r'II APPROVEO BY: r'7.A�L � � B {yI� DATE: EV.SED 6 _32UC>= A. PF-TrRSor--1 � P au2tJE,M� - DRAWING ff D,FLOOR (�LAIJ UMBER !>F 8 1 ' II ' ! S1'eDr ��;,�ta, ��t (3f3>t'r� �A�' 4✓�'�''� __..._.. .._.. ... ��..91��q�o,:�ic. � • DO LJ EL K III`LON C, �DROr' WALL FOR I a IS"c.c.JeRI: E - I - �,j1T1-llGi� ,c3'=10��LIIaFII'DLIRED ' I GorIGRETE FOLIhIDATIOhI WALL Ohl I _ O°WIDr x I�'SEEN GcNG.Foo(IrJG 0 - GLIT 30' --'�" - tJ/ 2--`-I Kr--( I i TTLRAWL Space FA To NEW C R AW L SPAGb {f( I I 1 `V'GONG SLA(3� tV7 1-._ <II'GOIJGRE(E SLAl3 W/ I l WIRE ME51-I RElthroRGII�G - - i I -- tt11 .toW=L r• IZ"L0tJ6, jr, �k, VAor I,Mttuc4,L- _ rGr 5ASEMFhI -�_ V r N)Vwy-� N I I I I �reW ADD I•r101,4 -z I I i I PRoP VIALL FvR C ARP.GE PVORs 3G1 d — EXI I C-t sT j l .. .......... . _. ... ..I 2, -3 I Gl -Cr ?-o yII `1-Co 2-3 a-- ----........_._._...._—..._..—_..--- ---_1 -- -- �— ALL C000RETE TO PEE -6000 Psi Mlx Z(o -01111I JIh -:,-rp LL `'/e,"x 12" AI-1G1-IOR F50 Lr5 w, PLATE. WAsNERS@'� 0"f(-.MAY' 5PAC-IN�Qv*Aer% 4'-*jL.&1"DN. I t�IEIJ AD�I (IPI� vAMPPRnoF EyTFFLIoR OF F•oL11�IDATIOnI FALL TO OrRADE AT GFZAWL SPACE OEW frC10 4^-flOtIl TO Af-ROx. g" LOWER 1'NA0 i EXIhTlhlCa I-IOLI�jE �nLIhIDP'T`IUhI T=-XAG"T' bIME.rl.lord ! C7 l_1 r-�D n.T I C) P L A F- I/4 I I= 11-01 FU E T E-R t`/l I E-D P,-( 6 t-1 T RA/-TorR. ``� ` I l0 PIOrIEER Ia/aTl-I P0Al2NSTAP�LE, M/�. 4 � o vscNE O r 0• �A\ NBG;74SCALE: I/L1 11 I I_O11 APPROVED BY: DRAWNO -f/]411. LDATE: IO-q-IBREVISE ti' TSSIDNP`�G 5RUGE A. FF-TF-R50N �nuRJE, M?. �:�i{ ti � �l/-�• ARGNITeCTURAL DESIIaN -10 O /la �j DRAWING NUMBER FouriD� Iar-I PL />t•! 15 OF 8 se T bs O I 2 x&5 OR ICo o.C. gloce I i - � v ` E x I ST I r1 G 1-2 uJ = - _ .9 ROOF 2 x 12 RI 1)C4e I — , - VA n x 1 I 2 x 1os @ Ito O. c. i � I f i I I --' -' r• t-IDR. V 2-2-12 Now GUbt C t�-i } i / II RnoF FRAMIr1� �LAr� FLOOR- i I I i j 13 I D� I I.IG i I i I t I I I I •Z"�{iN,vvOCY> tsDvJL pi�'� I OF y;aca !:`�EICNELE c�c G71LMC>1 F- I-IOUSE — NEW ADDITIO1J I IC> PIDhIEER f ATE �ARI�ISTAP�LE MA I' FL OC�ft FRAMIIJ Ca ( 'LArI . I/III— I, OI `� CqT GA` N -._ ..-_.-_-- I ••\- �O`C SCALE:1/cl 11_I-OII APPROVED BY: ORAWN BY 1 6.A.P It _SsrovuE`°�' DATE: IG-q-15 aevlseD T;RUGE A, r'ETEIZSoIJ I F5OURNG, MA P ARC I-1ITECTURAL_ DESIGN 508-Z-74-04-10 Z i D ORAW INO NUMBER .9 iif iiF��- l FRAMII`46 FLANS (2) OF8 I I !i i I Top/F1*-TOP OFPL. I \ U� \` o rn I x�z Nam_ om L17- . L ' �m� )> Dm 17�1 Z'➢ c i ' \� � i n �73 LA zm m z al L- 00i O F 3 _3 of I Zz I / m< z o m °I i p= ,d <m 11i Z I a• m z L I D7Q Nw If, 7m0 p A �6 � ^_Q ➢ U% 0 zZ 0 N i +max QI m o-as c� N (fie 7 D --A 3 Z —p v m r —k r..•c• -�J, {N lu �cv_r' 0ZO < Z Z in J m N 37 79 —........ i Ul k'/z CI Ili 7 N 0, I: I ^ I-�O oIP Lp /-0 m n - ZA " sA� �m`°yam I m - m N p F i-A 7o n r� rj Z ( A�U�D 0 , D m o p 1 ' r\ z_o o7p o N z 7'o6 ICm > rn m ro 6Z�p�(� Lh i I m i � Z c i o;Z z- Z o Z ➢ c U m o D F N Z m z Z warm o Imo ➢ D � a _ �o rn o f` NOTES: c�' CGENERAL 1. The Contractor shall verify oil existing on -.new dimens ons and conditions of the site and report any discreponc;es to the Architect before ordering material and proceeding with the work. 2. All work shall conform to the requirements of the Commonwealth of Massachusetts Stole Building Code, One and Two Family Dwelling Code. 3. All sections, detoils, notes, methods, or materials shown and/or noted on any pion, section or elevation shall apply to oil other similar locations unless otherwise noted. ' 4. All work shall be controlled. Testing and inspection agencies selected by the Owner and approved rements of by the Commonwealth of Massachusetts Materials Safety Board. All work shall require odherence to the require ASTM designation E-329 entitled "Recommended ProcGce for Inspection and Testing Agencies for Concrete and Steel Used in Construction". 5. Design Live Loads: Roof 25 psf + Drift Floor 40 psf Wind (Exposure C) 110 mph 6. Structural drawings shall be used in conjunction with Architectural, Heating and Ventiloting, Plumbing, Eleciricol these drawings shall be referred to for size and locotion of and Mechanical drawings and specifications and openings, vents, pipes, inserts, hangers, etc. High Wind Areas for One and Two Family Dwelfngs";.WFCM, by 7. Refer to "110 mph Guide to Wood Construction in AWC for "General Nailing Schedule" and other connections. ' 8. Existing structural members shall not be cut, removed or altered unless° the Contractor has verified existing/new suppprt conditions for adequacy and has notified the Engineer of any discrepancy. 9. T�e Contractor shall shore and/or underpin existing work as required to safely install new work. This work shall be . the �ull responsibility of the Contractor and no act, direction or review of any system or method by the Engineer. shall Chong or effect the Contractor's responsibility. j FOUNDATION 1. Footings shall rest on firm, undisturbed material capable of sustaining o beonng pressure of one (1) ton/sq..it. 2. The Contractor shall retain a.professional soils engineer to verify soil beorin_g pressure. _ 3. Aft granular till moteriDl under slobs shall be placed to 95% relative density. 4. All footing excavations to be finished by hand and inspected and approved by the testing engineer before any concrete is placed. } 5. ockfill shall be, placed to equal elevations on both sii:s of foundation walls. Where bockfill is on one side only war shall be shored or hove. permanent odjocent construction in place .before bockfilling. 6. T e sides 'of oil beams, walls, footings, etc. shall be formed and concrete shall not be placed against earth' 7. Footings shall not bear on frozen soil and oil exterior footings shall be not less than 4'-0" below adjacent finish : 'grace. r i \ CON RETE -1. I concre a shall hove on ultimate compressive strength of 3,060#/sq_ in. of 28 days. Moximurri 3/4" aggregate,, t airTntroined. Submit mix design for review by the Architect. 2. �einforcing steel shall comply with the requirements of ASTM-A615 Grade 60 billet steel. ASTM-A185 for wire ars deformed to 305. d3esihnBrete cover: footings tings and walls -A Bottom 3". Sides 'Amencan Concrete Institute p - -84. 4. All concrete work shall conform to the requirements of he' itut 'Specification in ACI '301 5. AII.reinforcing to be supported in forms with necessary accessories and securely wired together m accordance with) CRSI Recommended Practice for Placing Reinforcing Bors. 6. AII reinforcing shall be lopped'40 bar diomelers (1'-0' min.) except as otherwise noted. LUMBER 1. Lumber shall be in 'accordance with Notional Forest Products Assocjotion "Notional Design Specifications .for Wood \\\ Construction," latest edition. 2. Framing lumber, shall be Spruce-Pine-Fir'No.1/No.2, Fb = 875 #/sq.in. (single member uses), E=1,300,000 j 3/In general, members shall be doubled at all floor, wall and roof openings.' k .. . 4. Provide steel soddies for members fromed flush top. 5. Provide temporary erection brocing for roof and floor members. 0". 6. Partitions and exterior Stud walls shall be bridged with 2x4 blocking at intervals not exceeding 6- 7. All joist shall be bridged with 1x3 double cross bridging at intervals not exceeding B•-0". B. Noiling shall be in accordance with Massachusetts State Building'Code "Fastener Schedule." 9. Laminated veneer lumber (LVL) min. design values Fb = 2400 lb/sq. in., E=2,000,000#/sq. in., (Fv = 250 #/sq. in) (Microllom LVL or equal.) 10. Provide pressure treated lumber for wood in contact with concrete or.masonry. 11. Multiple LVL members shall be bolted together with 1/2" diameter through.bolt of 12"o.c:, -top.and bottom (2 rows). 12. Double studs at all openings. V 13. Minimum size of miscellaneous framing members required to complete work shall .be 2x8 ® 16". 14. Install minimum 6x6 wood post of ends 'of all beams. .. I C�ILMd(ZE I-�dUSE - I`I�W P,PDIrIoN Ito PIoN�>;R: Po.TN...P�AfzI�sT/a.6LE,Mi`. SCALE: APPROVED BY: DRAWN BY: ' DATE: I O-1. I REVISED: BRUCE A. PETERSON BOURNE, MA. ARCHITECTURAL DESIGN 1 50 =75 DRAWING f GENERAL, NOTES ] OF S i ,I '