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0349 SANDY NECK ROAD
Roe Y { = I I Y � M 4 A• i� ;a 1 I aJ j V `o�tENT dgi`� W U JJ+ O� Q W O MCC Z ,CT0 g U)J vi N c7 rM Z �UL a o N �z . � ��� � ,� o � �� oo �� � � .. . . o� , . . . �� a . � .. ;, r. _r' t t f tit i �. i (. t �, I ___ �. Town of Barnstable 6 o Regulatory Services Thomas F. Geiler,Director MASS 039. Building Division 94, �b;q. �0 g �Fc► Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-623( PERMIT# FEE:5 Z a S OCR� $ SHED REGISTRATION 120 square feet or less i Location of shed(address) Village Property owner's name Telephone number V �0 Size of Shed Map/Parcel# . C � � N a C] ignature Date -Z-r c~n 4, Hyannis Main Street Waterfront Historic District? o -o Old King's Highway Historic District Commission jurisdiction? gip/'U✓ ac,� L Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM. MUST BE ACCOMPANIED BY A PLOT PLAN ` Q-forms-shedreg REV:042506 y LOT 13B /' LOT ' 13A ; N87 5926"E N87 5926"E 75'f —30. 00'— , • ,, •� - `g9 Locus LOT 20 LOT 5B / HOLWAY HNC y LOT 6 ' A/M 136-9 ARNSTABLE / 00 LOCUS MAP p0 a d ♦�, PLAN REF 159-73 ^ p DDITOO K ♦� ASSESSORS MAP.- 136!8 / Z z � ♦ A �� DEC ZONING: RF �� o. ♦N ♦ -,%% N SETBACKS.• 30'-15'-15' .♦ . ,,,,,,,,,,, o O DEED REF 9357-284 ; K7.s o t ,,,,.......,,,. o_ LOT 4B �� o`♦ d .� DEc18'1 #349::.... �- " """""""""""' PLOT PLAN OF LAND 40 .o LOCATED AT.• 11.0 "�1 LOT.5A \ AIM 136-8 349 SANDY NECK ROAD � �91 AREA=30011fSF WEST BARNSTABLE, MA. L`FJ THE SEPTIC SYSTEM I t WAS DRAWN FROM THETOW OF BRNSTABLE C:� .y SEPTIC INSTALLERS CARD ; PREPARED FOR' UN ROBERT D. BURNS �°`�ly, 0.00 •O• �,�<.s,®®�� MARCH 09, 2005 �1 / pi - i LOT 4A 15 .� c` Q`�\r -?`". `�� ® o s AIM 136-7 oA �J. s REV AUGUST 16, 2005 / t �0 poYL= b REV oo 1' f. -- �d� REV YANKEE LAND SURVEYORS �- & CONSULTANTS AND GRAPHIC SCALE P. O. BOX 265 . 30 0 is 30 60 UNIT 1, • 40 INDUSTRY ROAD �. MARSTONS MILLS, MA 02648 min TEL• 508-428-0055 FAX 508-420-5553 ,� t 1 inch = 30 ft. SHEET 1 'OF 1 JOB ,�! 53847 JF . = J pELuE E SEPIoN071 �J!! TOWN OF BARNSTAB F L HISTORIC PRESER`JA i ION i L Town of Barnstable *Permit# 4070f' oExpires ionths fi om issue date Regulatory Services Fee / - S' -r s Thomas F.Geiler,Director MAP 0 6 2,001 Building Division OW(v' P'BARw Tom Perry,CBO, Building Commissioner I� o� 200 Main Street,Hyannis,MA.02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6.230' EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY . Not Valid without Red X-Press Imprint Map/parcelNumber w Z n Property Address �—I "1 6_46io KSI1\eGI�C. "IU— �/I /'Y.f (A Residential Value of Work („ ,r'j C� ' Minimum fee of$25.00 for work under$6000.00 r ` Owner's Name&AddresshP Contractor's Name_ ►`t c. A r O C— , L,[IjOC cA J a,, Telephone Number L p 8 -)')I 117 3 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Ch ck one: I am a sole proprietor ❑ I am a Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders. U-Value 3 3 (maximum.44) 112.E T-6 i '*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: 1 . Q:Forms:expmtrg Revise061306 J . � �fze ��minza�z,�r/„p✓�Oacliude�.a I 'T Board of Building Regulations and Standards i HOME IMPROVEMENT CONTRACTOR II Reg isteation: :148730 I (S'E-LrAtlbrn'__0/19/2007 t =TYPe-f tlividual RICHARD E LEB'OtJ1 1R.' <<n i r� „ _ RICHARD LEBOEUF R_ a' w � . 10 LOCUST STD, _ i HYANNIS,MA 02601 Administrator ;j The Commonwealth ofA assachusetts Department*oflndustrial Accidents Office Pflrivestigations 600 Washingion Street . s Bosto'n,MA 02111, V)vw-mass govldia ' Workers} Compensation Insur; uce Affidavit;Builders/Contractors/Eledtxldaiis/Plumbers' licant Information � � .Please Priat LeaffiLy • . ' atIIe(Businessl0rgamzat(on/IndividuaT):• 1 / �, Liv�O�U= 3 l� • • •Address: 'S �: . City/state/Zip: ( Phone.#:_ OF 22 Li-I 7 3 Are you an employer? Check the appropriate box: 1;❑ I am a employer with 4, ; . [] I am a general coAtraator Type of project(required): and I . employees(full and/or part time),*. have hired the abb-contractors 6• ❑New construction . 2. I am a'sole proprietor or partner- listed qn xhe'attached sheet: 7. Remodeling and bave no employees These sub-contractors have 8, []Demolition. -Working for me in any capacity. employees and have workers' (No workers' comp,insurance comp,imtuance4'. 9. []Building addition required.] 5: [] We are a corporation and its 10.[]Electrical repairs of additions -'3-. I-aara homeowner•doing-a7l:work - officers-have exercised their 11:0 Phmmbing repairs or additions myseYf [No workers'com'P, right of exemption per MGL' insurance.required.]t c.152, §1(4),and vyahaveno 12,E]Roof repairs-. employees, [No workers' .13 C) er '(i)l V Dow comp,insurance required,] *Any epplieant that checks box#1 must also,fill aut the section below showing their workers'compensation policy information. t Nomeowners,who submit this d Edavit indicating they are doing all Woik and then hire outside contractors must submit a new affidavit indicating such, tContraotors that check this box must attached an addidimal theet ibowing be name of the¢ub-contactors and state whether arnotthose entities such, employees, If the sub-contractrs havoe employees,they mustprovidb their workers'comp.policy number. I ant'an employer.that is providing workers'compensation insurance for my employees. Below k the policy and job sire'information. Insurance Company Narlie: Policy#or Self-ins.Lic,A. ExpirationDate; --------------------- �ob Site Address: city/State/Zip; Attach a copy of the workers'•cgmpensation pglicy declaration page'(showing the policy number and expiration date); Failure,to secure coverage as required tinder Section 25A•ofMOL c. 152 can lead to the imposition of criminal penalties of a fine tip t6$1,500.00 and/or one-year imprisonment,as well as civilpenaldes in the form of a STOP WORKORDER and a fine` of tip to$250.00 a day against the violator, Be advised that a-copy of this statement maybe forwarded to the.office of-' Investigations of the )I for insura ce covers a verification. ' I do hereby certify under the pains-and penalties of perjury that the information provided above is true acid correcr: Si afore: • Date; Phone#: 1' Ndz -77) Ofj`cctal use only. Do not write in this area,to be completed by,city or down official City or Tdwn: ' Xermit/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#• .LEL1U�'I: ULJLUJJ 411 1J1��L1 i�� 6.111+3A� ' Massachusetts General'Laws chapter.152 requires all employers to provide workers' compensation for their ernpIoYees. Pursuant to this statute, an gmployee is defined as".,,every person in the service of another under any contract of hire, express or implied, oral of 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 dwellfng 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,confitrmtion or repair work m such dwelling house or on.&e grounds or building appurtenant hereto shall not because of such employment be deemed to be an employer." IvI:GL 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 construgt buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required,". Additionany,MGL ahapter..152, §25C(7)stags"Isetther tfie commonwealth nor any of its political subdivisions shall enter into any contract for,the perfomiaince Of publiawork unfit acceptable evidEnse of campeeitlstlsea' requirements of this chapter have been preseated'to the contracting authority,.'! Applicants i Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to you,situation and,if necessary,supply sub-contiactor(s)name(s),address(es)and phone numbers)along with their certificates) 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 app4cation 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 requirecl to obtain a workers' compensation,policy,please call the Departmental:the.number Listed below. Self-insured companies should enter their . self-insurance license number onihe appropriatvline - City or Towit Officials Please be sure that the affidavit is•complete'and printed Legibly. The Department has provided a spacq 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 fain the permit/license number which will be used as a reference number: In addition,an applicant that must submit multiple pemrit/license applications in any given year, 'need only submit ono 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 aft davit thst.has been officially stamped or marred by the city or town maybe provided to tine applicant as proof that a valid affidavit is on file for f dwe permits or licenses. -Anew affidavit mustbe filed out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (La, a dog license or permit to bum leaves-etc.)said person is-NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for.your cooperation and should youhave-and►questions, please do not hesitate to give us a call TheDepaxtuient's address,telephone•and fax numben. no CQMMMWWIh OfMamd, dS• Q "of 111"Ves itous B6Ston MA 02111 Ta.0 617-727-4W ext 406 of 1- 7-MASSAIFB Revised 11-22-06. Fax#617 727-7749 • www,masa s6v/dia i •�ofw •; � Ti Town'of Barnstable Regulatory Services 9XAS& $ Thomas F:Geller,Director E 639, p`0 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 ffice:. 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Ownex of the subject property l P pert9 . hereby authorize (Z -90r-QE Y 2 . to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) firi o atetaiw r2c Q a?r -0 u 2�,L 5 Print Name 1 Q:F0RMS:0VNERPERM1S SI0N TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel + ' �.5�Application#t4Uf!��( Health Division J-°f 6 3 Conservation Division Permit# Tax Collector Y J��i,--- Date Issued rO Treasurer Application Fee Lb Planning Dept. Permit Fee 5' Y7 I Q Date Definitive Plan Ap�p/ro-ved b ining Board Historic-OKH r r �re ervation/Hyannis Project Street Address _ Village �/�e5� i �® r.�r neslen 1 c—. Owner ��5 _T ; � Address y 6CA&kv n eck ►zc�. Telephone /� q `-1� Permit Request _ �'' wj I�� v 3 \ �l� n v,_vz�w� � 1'L.I z ,eel►.� �26� -De- k Square feet: 1st floor:existing 1110 roposed 5LI`I 2nd floor:existing • ►S�uoposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 13 0-00 � Construction Type 17 Lot Size d �n� �,k-- Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. ` Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No r ' Basement Type: [Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 991. 5;X: Number of Baths: Full:existing new Half:existing i new Number of Bedrooms: existing_ new Total Room Count(not including baths):existing 73 new_ First Floor Room Count Heat Type and Fuel: ❑Gas coil ❑Electric ❑Other Central Air: ❑Yes KYNNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes 4No Detached garage:❑existing ❑new size Pool:O 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 Cl Yes to If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name!:]Z c 14A r cZ2_ �-t r,E—� Telephone Number. Sy _7f7/ �►k�i `�-� ` Address )0 o C uS License# O C Home Improvement Contractor# f 5/ 2 3 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 01, FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: , f� FOUNDATION FRAME Dbr INSULATION FIREPLACE { s ELECTRICAL: ROUGH FINAL y �. PLUMBING: ROUGH FINAL E GAS: ROUGH FINAL FINAL BUILDING S DATE CLOSED OUT g�g ASSOCIATION PLAN NO. LOT 13B i� LOT 13A N87 5926"E N87°5926"E ; 75'f —30. 00'— ,yy LOCUS , , LOT 20 SAN , LOT 5B i HOCWp y y`//40 HLA HAWAY LOT 6UA ' o i . % AIM 136-9 -BARNSTABLE ED LOCUS MAP PLAN REF 159-7 � i \ ' pR�ITICN. ' ♦ ASSESSORS MAR136-83 D ♦ ZONING: "RF" of AD ��� DECK ,� �� ♦m ♦ .... SETBACKS: 30'-15'-15' DEED REF 9357-284 17. ♦ 9 ♦ Kq•8 0 ...........A O LOT 4B , � � �• „)ei; ;#349;; ; N ,b. -";"' PLOT PLAN OF LAND 2 6. 9 N...... LOCATED AT.• 17 D ...LOT 5A 349 SANDY NECK ROAD " AIM 136-8 a91 i AREA.=30011-+S.F. WEST BARNSTABLE, MA. � LYJ THE SEPW SYSTEM I WAS DRAWN FROM THE —a TOWSEPTIC /NS A OF 6LERS CARD IRNSTABLE ; PREPARED FOR: N r ROBERT D. BURNS o 0.00 m'' ,"IF ,®�� MARCH 09, 2005 i' LOT 4A A AIM 136-7 0 S Ew=N ® REV AUGUST 16, 2005 J 6`05 q0 TI A oo,�_ �1 � =�7� � ► REV.: i N6 ao = s%°toe e REV.• vvo c N� YANKEE LAND SURVEYORS & CONSULTANTS GRAPHIC SCALE P. 0. Box 265 ►✓ 30 0 is 30 60 UNIT 1, 40 INDUSTRY ROAD MARSTONS MILLS, MA 02648 7EL• 508-428-0055 FAX 508-420-5553 1 inch = 30 ft. SHEET 1 OF 1 JOB �•• 53847 JF e commonweaith ol massacnusetts Department of Industrial Accidents Office of Investigations a 600 Washington Street Boston,AM 02111 '' •`' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plulinbers Applicant Information Please Print Legibly Name (Business/Organization/Individual)�i2I Cgart o 1 ze 1i Address: I City/State/Zip:_ QQ,( 6•I Phone #: ,t,z `�`� 1 — if) Are you an employer? Check the-appropriatfb x: 'Type of project(required): 1.❑ I am a with 4. I I am a general contractor and I employer6. ❑ New construction employees (full and/or part-time).* hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ 7• El Remodeling ship and have no employees These sub-contractors have; 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. g addition [No workers' comp. insurance ' :5. ❑ We are a corporation and its required.] officers have exercised their 10. Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.0 Roof repairs insurance required.] t _ employees. [No workers' 131-1 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 their workers'corrrp.policy information. I'am an employer that is providing workers'compensation insurance for my employees. Below is the policy an`8,yob site information. Insurance Company Name: Policy#or Self-is.Lie. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500..00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and'a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties ofperjury that the information provided above is true and correct. SignaturC .0 JC _ Date: �/y I 0 L Phone#: Official use only. Do not write in this area, to be completed by city or town official. 1 City or Town: Permit/License# Issuing Authority (Circle one): 1.Boa-rd of Health 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5.Plumbing Inspector 11 6. Other j 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 permivlicense 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. -74T 617-727-4900 ext 406 or 1-0077-MASSAFE Fax # 617-727-7749 Revised 5-26-05 www.m2ss.gov/din i i q ry °F1ME T Town of Barnstable Regulatory Services 4 � sa M a Thomas F.Geiler,Director y rsASS.nss. g �1DlE1 39. �,e Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost ' Cr0V Address of Work:" y� 5n 4AL ✓l u� �eJ[ (tia IgXrvi SleAn A1-� _ (YL . Owner's Name: 1 n 6e(L.t— t i21f1 Date of Application: !9� I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as nthent of the owner: Date" Contractor Signature Registration No. OR Date Owner's Signature Q:wpfiles.forms:homeaffi day Rev: 060606 c of,►+��oy� Town of Barnstable °* Regulatory Services z �" = Tbomas F.Geller,Director ' as�ss. Building Division.' Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA b2601 www.town.barnstable.ma.us office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Scction. •If Using A Builder as.Owner of the subject property hereby authorize r IC Mlt'D 'FA 6 QQ F—U f: RZ . to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Aix 7 2.7 0 al of r ate Print Name Q:F0RMS:0WNERPERM1SS10W JOB TAYLOR DESIGN ASSOC., INIC. SHEET NO. OF 28 Barnstable Road HYANNIS, MA 02601 CALCULATED BY C-7 DATE —cz TEL./FAX:(508) 790-4686 1 CHECKED BY SAA1. OF FL ........................................................................................................................................................... .... ...................... 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C> U i . 5` ' 4 y'1 • Permit# Permit Date CiREScheck Software Version 3.7.3 Compliance Certificate Project Title: New Sunroom / Master Bedroom Report Date:07/26/06 Data filename:C:1Program FileslCheck\REScheck\#5687.rck Energy Code: Massachusetts Energy Code Location: West Barnstable,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 34% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: 349 Sandy Neck Road Robert&Paula Bums Richie LeBouf West Barnstable,MA 02668 349 Sandy Neck Road Richie LeBouf Building West Barnstable,MA 0202668 10 Locust Street Hyannis,MA 02601 508-771-1973 Assembly . - - �.. Ceiling 1:Cathedral Ceiling(no attic): 156 30.0 0.6 5 Ceiling 2:Flat Ceiling or Scissor Truss: 388 38.0 0.0 12 Wall 1:Wood Frame, 16"o.c.: 966 21.0 0.0 36 Window 1:Wood Frame:Double Pane with Low-E: 212 0.340 72 Door 1:Glass: 120 0.320 38 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space: 544 30.0 0.0 18 Furnace 1:Forced Hot Air.90.2 AFUE Air Conditioner 1:Electric Central Air:16 SEER Compliance Statement:The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of esign load as specified in Sections 780CMR 1310 and J4.4. 1(e/0 Builder/Designer Company Names 1 �, Date Project Notes: REScheck by Cape Cod Insulation,Inc. 455 Yarmouth Road Hyannis,Me. 02601 1-800-696-6611 #5687 New Sunroom/Master Bedroom Page 1 of 4 REScheck Software Version 3.7.3 Inspection Checklist Date:07/26/06 Ceilings: ❑ Ceiling 1:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: ❑ Ceiling 2:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: i Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Glass,U-factor:0.320 Comments: Floors: ❑ Floor 1:All-Wood JoisUTruss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Heating and Cooling Equipment: ❑ Furnace 1:Forced Hot Air.90.2 AFUE or higher Make and Model Number: ❑ Air Conditioner 1:Electric Central Air:16 SEER or higher Make and Model Number. Air Leakage: 0 Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. ❑ When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1• Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2• Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 Us)air movement from the the conditioned space to the ceiling cavity.The lighting fixture shall have been tested at 75 PA or 1.57 Ibsht2 pressure difference and shall be labeled. Vapor Retarder. ❑ Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment must be identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ❑ Insulation R-values,glazing U-factors,and heating and cooling equipment efficiency must be clearly marked on the building plans or specifications. New Sunroom/Master Bedroom Page 2 of 4 Duct Insulation: ❑ Ducts shall be insulated per Table J4.4.7.1. Duct Construction: ❑ All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturers installation instructions.Mesh tape may be omitted where gaps are less than 1/8 inch.Dud tape is not permitted. ❑ The HVAC system must provide a means for balancing air and water systems. Temperature Controls: ❑ Thermostats are required for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: ❑ Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: ❑ Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ❑ All heated swimming pools must have an on/off heater switch and require a cover unless over 20%of the heating energy is from non-depietable sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. New Sunroom/Master Bedroom Page 3 of 4 Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature("F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range("F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressurerremperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) New Sunroom/Master Bedroom Page 4 of 4 j ✓ 69Cfl�BLll(/L;o�,i:/Y7 •••sI A6.a'" � .. BOARD;OF BUIEDIt�7G rE[i License: CONSTRUCTION SUPERVISOR NUMbeCS 090801. r i ' rn xp�res: 11l06/2008 1 r'n`o: "80801V R s r clad. 00' F RICH, RUE � = 10 LOCUST STD i� HYANNIS. MA 0260.1 y Cominisslone� f . ✓le-Poommavu..eislf�o�../�aaa�udelLt 13oard o[Building riegutations and Standards i HOME IMPROVEMENT CONTRACTOR strati n. 148730 t r;Expiration 10/19/2007 ` t # individual i l � r Yf { RICHARD E LEBOEU I �-I i RICHARD. LEBOasEUF.JR 10 LOCUST ST HYANNIS,MA`02601 Administrator RESIDENTIAL BUILDING PERMIT FEES . . . APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 Alterations/Renovations $ 50.00 Change of Contractor/Builder $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 9 Cry square feet x$96/sq.foot= (,74 v)Cbb x .0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= D Z, x.0041= /C.. . 99 plus from below(if applicable) GARAGES(attached&detached) square feet x$32%sq.ft.= x .0041= ACCESSORY STRUCTURE>120 sq. ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50:00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: j square feet x$96/sq.foot x .0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 AUG. 8. 2006� 5:29PM ASSOCIATED INSURANCE N0. 6821--rP. 2/2 CERTIFICATE OF INSURANCE 1/07/20 "'M`°° ' PRODUCER TH6 7'E IS ISSZIED�A MATTER OA TION ONLY AND CONFERS NO RIGHTS UPON THE CERTUICATE HOLDER. THIS CERTMCATE White&Quinn Insurance DOES NOT AMRND,EMEND OIL ALTER THE COVERAGE AFFORDED BY THE POLICISS BELOW. Agency Inc COMPANIES AFFORDING COVERAGE 223 Mass Avenue Arlington, MA 02474: INSURED Susan Belanger �� A A.I.M. Mutual Insurance Co 559 Old Stage Road Centerville, MA 02632 COVERAGES THIS 5TO CERTIFY TK-LT THE POLtCffs OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENI',TERM OR CONDrr10N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPBCTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HUM IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONAMONS OF SUCH POLICIES, LIMrrS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TNR L TYPE OF INSURANCE POLWY NUMBS 1 M/Dp 1 OLIC M LDM S DATE(mGENERALLIABRM GENBRALAGGREGATE S COMMEROAL GP.NERAL LIABILITY PRODUCTS-COMPIOP AGG. S INS MADE R ERSONAL&AOV.INJURY S OWNER'S&CONTRACTOR'S PROT. OCCURRENCE I TIRE DAMAGE Wry am fue) S ' MED.GXPENSE URy ane pCISM) S InWOU=LIANUTY COMBINFASINGLL• S ANY AUTO MR ALL OWNED AUTOS BODILYWURY S HEDULED ALTOS IPn Pam) HIRED ALTO BODILY INJURY S NON-OWNED ALTOS (per r,ARAGE LIAIJIIITY PROPERTY DAMAGE s EXCESS LIADILTrY EACH OCCLJRAGNCE S MBRELLA FOAM AGGREGATE S HER TITAN UMBRELLA FOAM WC STATU• UTM- WORKER'S COMPENSATION AND X TOAXIMITS F,MPLOYBRS'LIABILITY S , 6007213012006 0025noo6 04)25n007 A THE PROPRIL-TYJR/ HINICL V.I.D BASE-PDLICY s 500 ow PARTNERS/mcEL WE PJ DISEASE- ,BMPLOYEE S 100 000 OPFIC ERS AR& OTE= OH OF OPRRATiOW1LOCATLO?49VMC='8PMAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCIT LED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO JIM LEBOEUF MAIL 10 DAYS WRTITEN NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHE IFFr,BUT FAILURE TO MAR.SUCH NOTICE SHALL D04)SE NO OBLIGATION OR 10 LOCUST ST. LIAEILJTY OP ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE. HYANNIS, MA W01 DATE(MMIDDIYYYY) 4 -M CERTIFICATE OF LIABILITY INSURANCE OS/08/ZO06 PRODUCER (781)648-2661 FAX (781)641-3223 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION White &°Quinn Insurance Agency. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 223 Mass. Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Arlington, MA OZ474 INSURERS AFFORDING COVERAGE I NAIC 8 INSURED Susan Belanger INSURERA: A.I.M. Mutual Insurance Cowpan 559 Old Stage Rd. INSURERS: Centerville, MA 02632 INSURERC: INSURER 0: INSURER E: COVEMES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANI 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 SUEUECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SU POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR d CY EFFEC TIVE POLICY EXPI TION UMrcs TYPE OF INSURANCE POUCY NUMBER EACH OCCURRENCE 1 GENERAL UABIUTY paaaGE TO RENTED = COMMERCIAL GENERAL LIABILITY USEsJI;F■eeewe"• CLAIMS MADE D OCCUR MED EXP(Anyone person) f PER9014AL&ADV INJURY S GENERAL AGGREGATE 1 GENL AGCREOATE LIMIT APPLIES PER PRODUCTS-COMPJOP AGG f POLICY JRa LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (FA ooaident) ANY AUTO ALL OWNED AUTOS 8001LLY ;INJURY ED 1 SCHEDUL AUTOS HIRED AUTOS BODILY INJURY 1 Per eetiee m NON-OWNED AUTOS PROPERTY DAMAGE 1 (Persedden0 ALTO ONLY-EA ACCIDENT f GARAGE LIABILITY ANY AUTO OTHER THAN EA ACC f AUTO ONLY: AGG S E)(CESSNMBAELLALIA60.1TY EACHOCCURRENCE f OCCUR L CLAIMS MADE AGGREGATE f E S DEDUCTIBLE S RETENTION S WORKERS COMPENSATION AND VWC6007213012006 04/25/2006 04/25/2007 X WcsTA` OTH. ijmcls EMOYERS'LIABILITY E.L.EACH ACCIDENT i ZOO,OOO PL A OW=MBA P tEWE E.L.DISEASE-FJ1 EMPLOYE 1 100 00 If yyeeee BeaCAbo under E.L.DISEASE-POLICY UMrr S 500.000 .- PROVISIONS Delew OTHER OBSCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS Foundation seal coating CEgnFICATE HOWER CAN_QIELIATION SHOULD ANY OR THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLOER NAMED TO THE LEFT. Richard LeBoeuf BUT FAILURE TO MAIL SUCH TICS SMALL IMPOSE No OBLIGATION OR LIABILITY OFANvNIND Hp*19trft ITS AGENTS ORRE S.PRESENTATWE lO LOCYSt Street Hyannis, MA 0Z601 AUTHORIZIFDR A ACORDZG(2001108) FAX: (S08)778-9372 (PACORD CORPORATION iM I CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/27/2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Edward A. Grazul Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO Box 337 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marstons Mills, MA 02648 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Scottsdale Insurance Co. Richard Leboeuf Jr. INSURER B: 10 Locust Street INSURER C: Hyannis, MA 02601 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INUK AUULI POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS A GENERAL LIABILITY CLS1282485 07/27/06 07/27/07 EACH OCCURRENCE $ 1000000 71/ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 50000 � CLAIMS MADE PREMISES Ea occurence $❑ OCCUR MED EXP(Any one person) $ 5000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2000000 POLICY M PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ a $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? E.L.DISEASE•EAEMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER 0 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnsstabletable Building Department DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis, MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. M E EN TIVE ACORD 25(2001108) ©ACORD CORPORATION 1988 08/04/2006 12:53 6173288675 AGNITTI INS PAGE 01/01 *-------------------..-------+ + - - -- -- ---•• DATE OB 04 06 (MM/OD/YY)I ( C E R T I F I C A T E O F L I A B I L I T Y I N S U R A N C E ___ ---•------ --- • -+-THI •ERTIFICA-E IS ISSUED THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO I GHTS I UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER AGNITTI INSURANCE AGENCY THE COVERAGE AFFORDED BY THE POLICIES BELOW. -• - -__- + - -- --- - - • - - - --- - -- •-- - - 21FRANKLINSTREET INSURERS AFFORDING COVERAGE --- I MA 02169 - ------•-------------•-----•--------------------- - OUINCY ---------------------LLE A: HARLEYSVILLE WORCESTER INSURANCE COMPANY -• _-____-_+ ---------•----------4------------------------------•- '' "" '- (INSURER B: COMMERCE INSURANCE COMPANY • I INSURED ----•-----'--"---•- BROWNING EXCAVATORS. INC (INSURER C: -------•---- POB 310 +_--�-------- -- IINSURER 0: ---- MARSHFIELD HILLS MA 02051 +------- ---"" ------------------------+ (INSURER E: --•---------------•--+ +-------•-------------•-----•------------• -•----------------------••----•-----•-------------------------------------------------- COVERAGES+--•-- ---•-----------•--- •--- THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED t0 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INC[ NOTWITHSTANDING BE ISSUEDROR�MAY PERTAIN, THEDINSURA OF NCE ANY ABY THE POLICIES DESCRIBED(WITH EIS SUBJECTCTO ALL CERTIFICATE MAY THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWNHAVE BEEN REDUCED BY PAID CLAIMS. +----+.-----•-•••----"----------- (POLICY EFFECTIVEIPOLICY EXPIRATION( I LIMITS LTRRI TYPE OF INSURANCE POLICY NUMBER GATE ---------- DATE ---------- _________________+_.._____..+ + -" "+" - EACH OCCURRENCE $1.000.000 GENERAL LIABILITY FIRE DAMAGE (Any one fire) % 100.000 A [XI COMMERCIAL GENERAL LIABILITY 03-03-06 03-03-07 MED EXP (Any�one person) S 5.000 [ ] CLAIMS MADE [XI OCCUR CB 6J6635 PERSONAL & ADV INJURY $1,000,000 ([ GENERAL AGGREGATE $2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG-__-*%2.000 000+ [X]POLICY ( ]PROJECT [ ]LOC ---- ----- ------ •------------•--- --•----------- ----- •---+-------•-----. COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Each accident) [ ] ANY AUTO 06HMRYK622 03-03-06 03-03.07 BODILY INJURY $ [X ALL OWNED AUTOS (Per person) [ ] SCHEDULED AUTOS BODILY INJURY S B E ] HIRED AUTOS (Per accident) ] NON-OWNED AUTOS PROPERTY DAMAGE S (Per accident) + •+ [ ] - -• +- ------- --------►---------•------------- ---------------•-----•- ---•+---• ---- +------- AUTO ONLY EA ACCIDENT + + GARAGE LIABILITY OTHER THAN EA AGGIS $ ] ANY ALTO AUTO ONLY: ___.4- •-- +-•------•-----•-------------- ---•---------• ------ EACH OCCURRENCE S EXCESS LIABILITY AGGREGATE $ [ ] OCCUR [ ] CLAIMS MADE i [ ] DEDUCTIBLE S [ ] RETENTION S +---•---------••-.....----- •---------+ ----+--•------•----------------------•+---------------- ] WC STATUTORY [ ] OTHER WORKER'S COMPENSATION AND CERTIFICATES TO BE E.L. EACH ACCIDENT S E.L. DISEASE•PO EMPLOYEE S EMPLOYER'S LIABILITY ISSUED DIRECTLY BYLICY THE CARRIER E.L. O------:------ LIMIT E OTHER DESCRIPTION OFICATEATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL GENERAL PROVISIONS --------------•-----•---------------•------------ ------'-"'"_""' CANCELLATION _ -CRT- - HOLD• _ + CERTIFICATE HOLDER [ ]ADDITIONAL INSURED: INSURED LETTER: --- +------------•-----•------------_-- -- - +SHOULD ANY,OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR RICHARO LEBOEUFF. JR BUILDING & REMODELING TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED 10 LOCUST STREET OR LIABILITY OFUTANYILKINDRE TO 00 UPONSDTHE�INSURER. ITS OAGENNTTSTIOR MA 02601 REPRESENTATIVES. ------- ---------- HYANNIS RIFF - -- `AUTHORIZED REPRESENTATIVE -•------------------------------- -+--•---------•---------- Page 1 of 2 (7/97) ACORD. CERTIFICATE OF INSURANCE 8/4/2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agnitti Insurance Agency,Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 21 Franklin Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Quincy,MA 02169 COMPANIES AFFORDING COVERAG COMPANY RFD A Atlantic Charter Insurance Conwany VDAC COMPANY B Browning Excavators Inc. COMPANY PO Box 310 Marshfield Hills,MA 02051 COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED er THE POLICIES OF.SC 1JWM HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAtm& GO TYPE OF INSURANCE POLICY WIMBER POLICY EFFECTIve POLICY EXPIRATION UNITS Li4 DATE IMN14W ) OATSMMNC/WI (InTTmuwwe) GENERAL LWBILITY BODILY L W y OCC 1 COMPRENENSIVEFORM BOOILrUi1URVAGG 3 PREMISE6/OPERATIONS PROPERTY OAMAOEOCC S UNDERGROUNO PROPERTY DAMAGE AGO S EXPLOSION a COUnPSE HAZARD fit a PO COMWNEO OCC i PROOUCTO COMPIETFD OPER &a PO COMBOLEp AOO i CONrRACTuAL PERSONAL INXIRYAGG f INDEPENOEM CONTRACTORS BROAD FORM PROPERTY OAMACE PERSONAL wNRY AUTOMOBILE LMDILRV ANY AUTO BODILY NUURY ALL OWNED AUTOS(Pelvmp Peb) IPerpw" S BODILY INIURY ALL OWNED AUTOS 1wr eooiaenq t (Ouse/Ines Prirme Passpw) IUREO AUTOS PROPERTY OAMAIIE S NON-OWNED AUl'OFi GARAGE UAWTY BODILYUUUAY 8 PROPERTY DmaM EXCESS LIABIUTY COMBINED S EACHOCCURRENCE S UMBR£LLAFORM AGGREGATE s OTi+ER THAN UMBRELLA FORK WORMERS COMPENSATION AND S X STATUTORY LILOTS EMPLOYEAWLMBILITY WCV00706900 3/10/2006 3/10/2007 EACHACcIDENT s 100,000 015 POL�vuMn s 500,000 DISEASE•EACH EMPLOYEE S 100,000 OTHER OESCRIPTON Of:OPgRATIONBrLOCATHINbvEHICLESISPECwL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Richard LeBoeuf.,Jr.Building&Remodeling EXPIRAT10N DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 Locast St 12 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. Hyannis,MA 02601 BUT FAILURE TO MAIL SU NOTICE SHALL IMPOSE NO OBLIGATION OR LL481LI OF ANY KIND UP.ON'THE MPANY,ITS AGENTS OR REPRESENTATIVES. AUTNORQED REPREBENTAThIE ACORD 254Y 3 0AC0R0.C6RPORAT%6N"93 Z00/TOOQj 1029 996 L19 Yvd 9£:91 9009/VO/90 r Date: 8/7/2006 Time: 2:50 PM To: Construction, LeBoeuf ® 9,1,5087789372 R4G Ins. Aqcy. Page: 001 Client#:4597 CCINSUL ACORD. CERTIFICATE OF LIABILITY INSURANCE 0&71�"°°"""""' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.Agency,Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. P.O.Box 1601 South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC 1t INSURED INSURERA: Peerless Insurance Cape Cod Insulation Inc INSURER B: American Home Assurance 455 Yarmouth Road INSURERC: Hyannis,MA 02601 INSURERD: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN G SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY TE MMMOtTION LIMITS A GENERAL LIABILITY CBP9587416 04/16/06 04/16/07 EACH OCCURRENCE $1 000 OOO X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 4 $1OO O00 CLAIMS MADE OCCUR MED EXP(Any one person) $5 000 PERSONAL dADV INJURY $1 00O OOO GENERAL AGGREGATE $2 OOO OOO GENT_AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG s2,000,000 POLICY PRO LOC JECT A AUTOMOBILE LIABILITY BA9587917 "10106 "10/07 COMBINEDSINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $.j�0� X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $500,000 X NON-OWNED AU70S (Per accident) PROPERTY DAMAGE $100,000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $R AUTOONLY: AGG $ EXCESSAIMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND WC8962496 06J30/06 06d30107 X WC STATU- OTH- EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $SOO,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500,000 If yes,desabe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Insulation Installation&siding CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION Richie LeBoeuf Construction DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TOMAtL __UL DAYSWRrTTEN 10 Locust St. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108)1 of 2 AS23657IM23464 CBR ©ACORD CORPORATION 1986 From:Margaret Swanson Technical Assistant At:HUB International LLC FaxID:HUB International Ne To:Richard Leboeud)ate:a/82006 10:25 AM Page:2 of 3 acoRv. CERTIFICATE OF LIABILITY INSURANCE S DATE(MTdIDDI RCCIVCZV-1 08/08/0/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HUB International New England HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 437 Station Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. So.Yarmouth MA 02664 Phone: 508-394-0946 Fax:508-760-1407 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: rational Grange Mutual ins. Co INSURER 8: R C Civetti Tile Installation INSURERC: 15 Leda Rose Lane INSURER D: Marston Mills MA 02648 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE(MWDDIYY) DATE(MMID 9) LIMA GENERAL LIABILITY EACH OCCURRENCE $300000 A X COMMERCIAL GENERAL LIABILITY MPS03379 04/01/06 04/01/07 PREMISES(Eeoca rue nca) $500000 CLAIMS MADE Fx_1 OCCUR MED EXP(Any one person) $100 00 PERSONAL&ADV IN"Y $300000 X CCC GENERAL AGGREGATE $6 0 0 0 0 0 GENL AGGREGATE LIMIT APPLIES PER: PRODLICTS-COMP/OPAGG E 600000 POLICYF_j PRO- AUTOMOBILE LOC LIABILITY COfvd31NE0 SINGLE LIMIT $ ANY AUTO (Ee acciderd) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) E HIRED AUTOS BODILY INJURY $ NC40VVNED AIJTOS (Per acciden) PROPERTY DAMAGE $ (Per socidenl) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSAIMBREL.LALIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ E DEDUCTIBLE $ RETENTION E $ WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY ANY PROPRIETOR(PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFFICER40EMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION ------1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Richard Leboeus Building & NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Remodeling IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 10 Locust Street Hyannis MA 02601 REPRESENTATIVES. AUTOO PRE NTATIVE ACORD 25(2001108) 0 ACORD CORPORATION 1988 r Client#: 737900 2WRIGHTCO ACORD- CERTIFICATE OF LIABILITY INSURANCE 03/28/06D""") PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling &O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ncy HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR West Main St. PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: St Paul Travelers Insurance Company Wrico, Inc. D/B/A The Wright Company 1112 Main Street, Unit #10 INSURER e: Guard Insurance Group Osterville, MA 02655-1566 INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE MM DD MM/ D LIMITS A GENERAL LIABILITY 1680526K9841COF06 01/01/06 01/01/07 EACHOCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTPREMISES IF,occlED $300 OOO CLAIMS MADE a OCCUR MED EXP(Any one person) $5 OOO PERSONAL&ADV INJURY $1 000 000 X OCP GENERAL AGGREGATE s2.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2 000 000 POLICY PRO- E T LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO $ (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUf Y-EA ACCIDENT $ ANY AUTOEA ACC $ OTANAUY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND WRWC600599 11/27/05 11/27/06 we srATu- oTH- EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500 OOO Oyes,describe and EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500 000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500 OOO OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Insurance coverage is limited to the terms, conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED R PRESENTATIVE ACORD 25(2001/08)1 of 2 #42178 LS1 0 ACORD CORPORATION 1988 Date: 8/8/2006 Time: 1:49 PM To: ® 7,15087789372 Dowling 6 O'Neil Page: 002-003 Client#:12411 2HINCKLEYRO ACORD- CERTIFICATE OF LIABILITY INSURANCE 08108,s°""'"' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 9 y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St.PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: St Paul Travelers Insurance Company Robert P.Hinckley&Son,Inc. INSURER B: Guard Insurance Group P.O.Box 651 INSURER C: Centerville,MA 02632 INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I POLICY EFFECTIVE POLICY EXPIRATIONLTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMMUIVY DATE MMOOf" LIMTT9 A GENERAL LIABILITY 16808163H724TIA06 01/01/06 01/01/07 EACH OCCURRENCE $1 000 000 OX COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDf1 OOO OOO CLAIMS MADE M OCCUR MED EXP(Any one person) $5 000 PERSONAL 6 ADV INJURY E1 00O OOO OCP GENERAL AGGREGATE s2.000.000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2.000000 POLICY PRO-JECT M LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $ - ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per per5on) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per acdderd) PROPERTY DAMAGE E (Per acdderd) GARAGE LIABILITY AUTO ONLY.EA ACCIDENT E ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG E EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE_ $ OCCUR ❑CLANS MADE AGGREGATE $ E DEDUCTIBLE E RETENTION $ $ TH B WORKERS COMPENSATION AND ROWC701250 01/01/06 01/01/07 TORY WC LIMIT ER. EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $100,000 ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? E.L.DISEASE•EA EMPLOYEE $100 000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1500 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Richard E.Leboeuf,Jr. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN Bldg.&Remodeling NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 10 Locust Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE NSURER ITS AGENTS OR Hyannis,MA 02601 REPRESENTATIVES AUTHOR¢EDR PRESENTATIVE ACORD 25(2001108)1 of 2 #d3886 LS1 0 ACORD CORPORATION 1988 l / Application to ®Yb ing'ss AMbbiap Regionat AW5toric Mi.5trict Committee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for: —goo. CHECK CATEGORIES THAT APPLY: m oD n 1. Exterior building construction: El New ® Addition ❑ Alteration A -C-� Indicate type of building: 0 House ElGarage ❑ Commercial El Other �. rn® 2. Exterior Painting: ® U r— } 3. Signs or Billboards: ❑ New Sign El Existing Sign ❑ pain Reting Existing Sign -rn 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole - ❑ Other' TYPE OR PRINT LEGIBLY: DATE 1/13/2006 ADDRESS OF PROPOSED WORK 349 Sandy Neck Road ASSESSOR'S MAP NO. 136 r_ OWNER Robert D! Burns & Paula G. Curry ASSESSOR'S LOT NO. 008 HOMEADDRESS 349 Sandy Neck Road, W. Barnstable TELEPHONE NO.508-362-8283 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet ifnecessary.) AGENT OR CONTRACTOR Northside. Design Associates TELEPHONE No.508-362-2210 ADDRESS 141 Main Street , Yarmouthport , MA 02675 DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Plege include locations of proposed signs. Modification to previously approved plans including shortening length o�'� addition by 6 ' -0" . Deleting transom dormer on addition , deletion of air of French doors , move window over and replace with d e window, and delete windows on gable end of addition . Proposed ifications are rated on plans . Signed x0m ex lCoatyaclxc Agent For Committee Use Only This Certificate is hereby Date M Approved ' d Committee Members' Signa o _ 1 349 Sandy Neck Road - House _ Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION poured concrete front clapboard , painted white white cedar shingles , SIDING TYPE3_� s COLOR natural CHIMNEY TYPE n/a COLOR ROOF MATERIAL to match existing COLOR PITCH see plans WINDOWS Andersen double- COLOR white SIZE varies , see plans hullys TRIM COLOR to match existing DOORS atrium & as shown on plans COLORS to match existing SHUTTERS n/a" COLORS GUTTERS aluminum COLORS white DECKS see plans MATERIALS frame lx4 mahogany GARAGE DOORS n/a COLORS SKYLIGHTS n/a SIZE COLORS SIGNS n/a COLORS FENCE n/a COLOR NOTES: Fill out completely, including measure_-nents and materials/colors to be used. Four copies of form are required for submittal of an application, along with Four copies of the plot plan, lands i plan and elevation plans, when applicaL-le. SPECSHT Revised 11/98 N► loo �r•' .t •f,;� �.: ':.1rS,r" It 71. Mil �. �-a ', � „f 's-'t �. axe ..a4yt r ��'► �� '�!'�«, .cam .I+r aRr � �.� ,. � �` ;.:ter. �f � 7 ly n •'•r' i 1. i.• i l TOWN OF BARNSTABLE Permit No. ..30442..... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash , HYANNIS,MASS.02601 Bond ..... ... , CERTIFICATE OF USE AND OCCUPANCY Issued to Donald G. Kethro Address Lot #5A, & 5b, 349 Sandy Neck Road 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. Julx..9........ 19.....87........ ................. ......... Building Inspector DOD j 7 q. engineering Dept.(3rd floor) Map / 3Parcel Permit# House# ,3�q F� Date Issu Board of Health(3rd floor)-(8:15 -9:30/ 1:00-4:30) YT / n Fee Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) �����A , ���$'�► Definitive Plan Approved by Planning Board 19 A D TOWN OF BARNSTABLE 'F"�40��4% Building P rmit Application Project Street Address SA Village s r Owner 1Q:21 �a e c s Address 3 �z Telephone .�,2 82:3 2- Permit Request ,?��7�/lS '?� /2iZ ac i/ ,P�tes/,v is�—/�� CA-�J s,E,�� g7l-a S .06'Y&4L,-� RBTD/0 1c/2"/7— 3' 4 iC?-T—/LV First Floor square feet Second Floor square feet Construction Type A2,p9-c,*1 -=37is'�i.J6 a� Estimated Project Cost $ "— Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway 10 Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half. Existing New No.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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) " ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes (r10 If yes, site plan review# - Current Use Proposed Use w Builder Information Name D /Z-Z V/1 Telephone Number Address�� 6!�� ZL=2aZA2 License# e5-r74 32, (f"/2?-1_1 ,C1?v,� c 9 Home Improvement Contractor# "750 Worker's Compensation#4do_;9&4?W NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. 2q` DATE ISSUED i MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION t FRAME INSULATION FIREPLACE 1 ELECTRICAL: ROUGH FINAL PLUMBING:° ROUGH FINAL GAS: `.. C ROUGH FINAL FINAL 801I.1`5II�b b DATE CLOSED OUT ASSOCIATION PLAN NO. f fir- .-' �: :e �,; =,� �s� •: .. •• _ _ _ _s•-: �. .. 077l� •� t • .t - W 'Ot'E . TMpP;OVEt-'ZNT CON►P,ACT�RS P_CISTRATIOi`t t d a- BuLLCins Rest-, and Standards . Ashburton, Place — Rooc 134z t '. gQsto n, t;assacl-usetts 0=06 c I` P:ROVEM�`l► CON►QACTOR -- Lon 100740 ExpLration 06/Z3•/56 t �°, ,•�.l.l ..�- PR7VA T E COFZPO£"',A T ION _ t =.'� lfa:ru � C.YT'ct:iCtJFC T hccmiaS C2P l —i - 5i _ i EK:Ci�16 Cc to i t-;A 02635 l t C:9' , s i DEPARTMENT OF PURL i, ONE ASHBURTON PLA 605TON, MA 021 CONSTRUCTION SUPERVISOR LICENSE . Number. Expires: ' Restricted lu: UU - _ - 5 X CAPIZZI JR ' :CU PERCIVAL OR '. W BARNSTAOLLs MA 00660 _ •, ' F The Commonwealth of Massachusetts ( - 00 Department of Industrial Accidents _ OfflcE vl/dYes7fgailvtrs 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit FT - Zz c. i /G! 4ZG phonei! 9S�g I am a homeowner performing all work myself. O I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. ft .. addre : nhone city- insurance co �f / %�r�a oolic� " Q���i3 z`: 8'Z�",':>•: '.:.:=.:: I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the conti-actors listed below who have the `otlowing workers' compensation polices: cornriany name- address: ire•: nhone`: 'n urance co. li V m any name, address- CjtV7 rinsuranre co. licv= —ram 7�F `.'T, 'Attach sddidotisl�sheet if tie= saw - �_.s " ,,..-�'�a`'' "�- ` Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposirion oCerininat penalties oCa fine up to 51300.00 and/or one wears*imprisonment as-ell as civil penalties in the form of a STOP WORK ORDER and a fine or Sloo.00 i day against me. I understand that a copy of this statement may be rorv'arded to the Office of Invesrigations o(the DIA for cover2er verification. 1 do herebt•cenijr u pains a penalties ojperjury that the Information provided above is trse and correc-f Sienatuic Datc 7 Z - 97 Print name ,/�O/1!�"z'� Phone orlicial use only do not v.rite in this area to be completed by city or town omci21 ei�'or town: permit/license ! r-tBuil:N.pr2,r1M'tD1' t Lic Ofri t check if immediate response is required ❑Sele Heacontact person: phoneg: rl0th ire .ml i•^a P)AI THE r The Town of Barnstable • awxrrsMEM • 9e� & �0� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date 7_1Z—,97 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. r oa Type of Work: Est.Cost 113oO ff Address of Work: l- ' Owner's Name U Date of Permit Application: 97 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 7-2 97 Date Contrac or Nameti Registration No. OR Date Owner's Name e- t ' �:+• TOWN OF BARNSTABLE Permit No. ..30442 . BUILDING DEPARTMENT ` TOWN OFFICE BUILDING Cash � 6 9 �j Four HYANNIS,MASS.02601 Bond .......... CERTIFICATE OF USE AND OCCUPANCY Issued to Donald G. Kethro Address Lot #5A, & 5B, 349 Sandy Neck Road Nest B3irnstable, 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. July 9, 19 87 ............ �. ��....,.......;... Building Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING out ♦� iejq �� HYANNIS, MASS. 02601 �o r�r►• MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit# OT a..................... .............................................................._ ...................... .».... . issued to ` [ '_ ................................................._.........�..._ ..... _........._.. _..__ ............. ... Please release the performance bond. TOWN OF BARNSTABLE, MASSACHUS--TS BULL F)IMG PERMIT )ATE 19 PERMIT NO.. APPLICANT ADDRESS (N0.) (STREET) ICONTR'S LICENSEI I. ABER OF PERMIT TO (_) STORY C _LLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) — ZONING AT (LOCATION) DISTRICT (N0.1 (STREET) 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 ZHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: o' .,AIT AREA OR— VOLUME / ESTIMATE) COST $ rtE ICU IC/SOUARE FEET) OWNER — BUILDING DEPT. ADDRESS -- BY THIS PERMIT CONVEYS NO. RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS 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 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICA"FE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. P ST 15 CARD SO IT i5' \0101BLE FROM STREET I G! ION AP 04 I PLUMBING IP.SPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 --'---- _ _ S OTHER - y TAIIII/ELIH ' WORK SHAL! NOT PROCEED UNl'li_THE INSPEG PERMIT 'N!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE ;0R Hi,-, 4PPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT )S ISSUED AS4407ED ABOVE. NOTIFICATION. 111 r . No. Bearina Distance No. Delta Radius Arc Leng th L1 N66'05'40"E 32.84' C1 70'23'55" 50 61.43 L2 N43'30'25"W 48.66' C2 109'36'05" 25 47.82 1: L3 S36'01'33"W 40.68' L4 S43'30'25"E 26.86' L5 N46'29'35"E 30.00' II ,a�w .pp'05 "E NBa =s p4.76' f-: h v 4500 SF ►a� 25$540 Sr S A fti tr9 v `` : J tiV v Off' Q3 r jQ� p •Oct� • 2 � S�O�aa� ` ' n oo So v lb o is N C1 4 29874 L LN`��S f:�; goy a1 N v CERTIFIED PINT PL.a.N .Oy 6 LEI- E-�)A GB/DH fND. ItJ ., . :' :-. . • E.I...L.�S � TI-�Ut_.IN It�C. �"3�E E)C\STII�G 1=0L.1t�1�A.T10N -joa clo: '-t-18 RO uT E loA. OIJ N.\S C�p-r 1 s (_G�s�TED 'DR,eY: Re 1 N 2E1b.-T 1 Ot-4 TO TIxE EX\ST- • EAST SAtJD�.,!lGl-\�N`b•�0253'1 c.1-� ��/: ncT 1t�IG M.oNLaM T SI-10W1�1 SH�EZ' \ OG 1 Nw As"sessor's'offtoe (1st floor): %ENE i Assessor' .............s map and lot number ......(. ..�...9...... WQ••� T��o Board of Health (3rd floor): �� d Sewage Permit number ..................E ; �.. ..�..�r �", p''STALLED SY�T'EM MusT e • B6HII9TGDLL. ! Engineering Department (3rd floor): � IN COS PLIA �o MAX& 0� House number ........................... � \ V�, ... .... ' �' TIT 5 111�:i ��MAI d\ APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only ;� -,%GiNEER fUMUS i _ TOWN OF BARN 5Ty',�'B 4 " STAU EDI IN 1STRIG BUILDING INSPECTURE TO PLAN. APPLICATION FOR PERMIT TO . Cn,�rC ...>v4'/I� / "7 1 .�1 / TYPE OF CONSTRUCTION .f,� ..�fp� +e......C/`.... ��/� .4 / .......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies aappliess��for a permit according /to the following information: Location /1�.K•••. � •.�..CJ•Q� J���` / ..........G4!•.. G /`+ ►..00W................................... Proposed Use �, !/ %•—'. •yl...L�..day...4 1C�1►/�cy� ... vU� ....................................................... Zoning District ........./.�F..............d..........................'.!............Fire District ..(.x/ 8(9". 14 .......... Name of Owner /om. /a(..(�,T,.../\�:d/J�(.�?.......................Address PL1!./��T.O � (dfrt•G' Name of Builder / �/.p7�..t �/`....................Address i2.)p/.1J.LAr••.......1.gLtf� 1�.�....... Nameof Architect .../............................................�.................Address .................................................................................... �(.�.. .. .. �.. Fe ...........Foundation Number of Rooms J F � .. ��f�.���,.,,,,••.,,,•,.••„•,,,,,,•• fing f•'C •��r...�1•i•//I°! ............................... Floors ,1�.... �x.. >rf�� Yj�p,..,�Q +t........Interior /�...���flQ�d .�AI "+'�•• /4�tIF� ..... Heating � Q.�...s•!•iL�,[+....�. .....� ............................Plumbing ..11.....�. � .................................................... Fireplace�I i�f e �..�3 . .UQs......................................Approximate Cost .. ,A...///J. S/.C.rS . .. . P?................. ......... ,/ ,I Definitive Plan Approved by Planning Board v------------------------------19 . Area . f ai Diagram of Lot and Building with Dimensions (Se SUBJECT TO APPROVAL OF BOARD OF HEALTH Fee ...................�.�................. {{ -3� o �n oD �� . OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of Tow of ornst le r ding the above construction. Name Construction Supervisor's License .4:�4 g*........... a / ' is cLTHRO, DONALD G. -� 30442 Two Story No ................... Permit for .................................... , Single Family Dwelling Lot 5A, & 5B, 349 Sand Neck Road r � ' Location - 17 West Barnstable ,' i .. ............................ .. ............... Owner ......,Donald G. Kethro - ..... ............ r ./ Type of Construction Frame.....:................... • 1 }'; Plot' I.., ! . T�.. .... Lot ........ .......... Permit Grante'd'F .Fe brua.ry....l %......19 8 ��,,• r' -� V �.; Date of:-Inspection3 ........... 1>9 Date Comp et cI � �/.. .`, . .19 71 ON �. _ y}• ' "� lr� . � .j` '_ �r�y O _ � •/" •/J (( .!' ti.rn � � •der'i •• - - � .. rj ri ' � s -i ''� ,`' '-:� "-�', r`' �`"''r gyp.:: •."��I. 1 , + oK►A AfproVed-2 S/ ��u-w "a, Assessor's office (1st floor): �j f 7 J R.1-3.4 �r�CSYS�ii�MV�7, BG �FTNEAssessor's map and lot number . . . ... .......�.......... � �Q.. �o Board of Health (3rd floor): n , d Sewage Permit number .......?.7"..��. .i. .................... i BAHl9TSDLL, ! Engineering Department (3rd floor), V `"-N� o rma House number / 4.s,1639• `00� .. .........:1:.............:.......... ' •FO OR O Definitive Plan Approved by Planning Board ________________________________19 -------- . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR �A9 APPLICATION FOR PERMIT TO 2 . . .uGT...RL?lJ/T.trQ�l/..."CcN>S' TYPE OF CONSTRUCTION ......zGV.d ..`. ....................................................................................... .z......................19&-9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby (alp�plies for a permit according to the following information: Location *349....�J..oll�l..Cll..Neck...1U.....C�.of...54 546).....G W. sDros�a��� 11�...:..................... &M Proposed Use . .1.......~...�j� QQ • ... ...... /r !JI.O r.,l................./I �SA• C./�' .................................. Zoning District ...../.).!..............................................................Fire District .................................. . .! .11.!!J ... ON.► Nome of Owner ............................Address 1349... Wyl-- .Y..e4!f..IS.�...CrS/,..D.p7 Name of Builder � ddress ... ....�'o..u��` .2/ Name of Architect .. el"�7Q/'Li�J ...........................Address .................................................................................... Number of Rooms ......../........................................................Foundation .6.//..x.4./....h .4QvK.rCQN.O.�).. Exlerior 2��. '�X....a'.Ve..AptwaF.d... ..Roofing ...P2....CQ'X......f.. ��...,s lN.( 2.......................... Floors 7..�..IGQ�x...... Pry/Pa .........Interior Heating /..Q/Q"LN.2C?1V2..1 ay. .. /. ....:..[TiVLy..�!/........Plumbing I... �,.. . J I Fireplace ..........0.0/1I ......................... ....... .....................Approximate Cost 0.00 ....................................... Area .....32.4..4 Diagram of Lot and Building with Dimensions � ' Fee ............. 9.r ............................. t2�5,54os. 1. 49 13FA&I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the inLoAnsto le rega g the above construction. Name ...... ... . .. .11....... Construction Supervisor's License ..04--:2 T 2:.............. -, KETHRO, DONALD No `�.7.... Permit for .ADDI•TION S.xx��.ie •Family.. Dwel•linq........... r Location ....3.4.9...S.a-ndy. Neck Road.......... -- ............. ..................... ` Owner .....AQ.nA1.d...Kethro........................... A� �- Type of"?Construction .....FX.alne........................ ,,i�. •,. - � •� - _ • }} ram. ....................................... ........ /� � �. !� � '�• - •y � � _+ _ - -. .._ � .... -... _. �. �' � ` -.. ,--...-- -_._-. `�' - Plot ......' .............. Lot.'.................................. ' r ` ... ............. .... ' ; ' \ ✓ i �/ i .( • ' i • •.- _ 1 Februray 2� r Permit Granted .. ......1s9 89 -! Date,of Inspection s: `� ... .d... -19 Date -ComCe ed .........l...:�.. ' 19 •� . r �i / V � !• 'e - � tom•' y !. V ro �q�r...,y' Y a.s' fa ri.•}e�;,y<_"f:+� Y,ij.y:.� •.� .. Q..i...0/..`...O(.�.,t5w f, T ✓ Assessor's Office (1st floor): pr Rj..3Assessor's map and ,lot number ...... ..... ....... i 3-..•a:.. Board of Health Ord floor): `O�Q Sewage Permit number .......g�....7..� .�..a........ i eaaas•rente. S �. ` v rasa Engineering Department (3rd floor): oo ,a 9• House number ..........................v. ;..........�........... 'etcraY Definitive Plan Approved by Planning Board ________________________________19-------- . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only. TOWN OF BARNSTABLE t BUILDING INSPECTOR APPLICATION FOR PERMIT TO �� 5/ �IT A /.17���...�q' .!1(J,, /.... ......................... .�. .......... TYPE OF CONSTRUCTION ........ ....................................................................................... ....................................................................................... ....../F. . ..Z .....................10 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for/a�per/mit according to the following information:: L /�/� Location .tt'.., .... .t�1!V4�!/ ..!.!. / ! ...ed..... ..!!'C� ..-��!T�� �.....W.O.,al.rA/Sl 91je.!...!�..'.�............. Proposed Use Re Sid e-,v ,/ ...... . ............. .......... f t� Fire District .... ✓.�,►rr V�Zoning District ..... .................................. 1 ed Name of Owner ................. ............................Address t.... .....s. ...�....... .:...... .. .._ c /1, ,/ r J Name of Builder /..C.f.L!... d .!!/,�/7C/!o�/�/.(.C%tc1dress ..2j....104. 1.f/. ...! ,</./�C/Qe..F.:. l✓.G?C?/! �/+�4 wer1jer.G�K� . uName of Architect ........................ 11 ....Address .................................................................................... Number of Rooms ......../ ............Foundation .4!......X.. .......f..l. .W �!.... CQf ,(���Q�.. Exterior !/1...C.rJk...f./>��C . !.� �Xi .r.�... �✓,�C. Roofing ...V2.....cdx....f..�� ..-�AIadle.......................... Floors f''...i'��x... '...,y.4. c✓id..P..piu�..60c.1'�p.........Interior � ClV . . ` ......Plumbing �....Heating ...Q1 -e Fireplace .......... Q Q.......................... ......................Approximate Cost ��..�rJ.f..00 ....................................... � 2 Q Area 18A.18..^....a3.2..4..sf Diagram of Lot and Building with Dimensions / Fee ...............��f if on9.hwA? 93 - g �Iyt�kl 9, e n ,8, �vlSA 25 % . JAO' l ` 4a SANPI NE'Ck 912. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the4T.,ownBa ni' sta^le regarding the above construction. Name ..... ...... ......................... - ejtvao Construction Supervisor's License ..n_ 4—.:.26Z4............. �. 1 KETHRO, DONALD 009 No - 7.... Permit for ...APj?!NIQN............ ......siagj.g...T4Mi.1Y-.DWQ.Ui-n-g......... Location ...3.4.9....San.dY...NQ.QX...R.O.ad.:.......... . .. . ....... .. .....................We.S.t,.Barns t.ab.j.e.................... Owner ......PqPA1.0...KP.t.h.1rQ......................... Type of Construction ......F..r.ame....................... ............................................................................... Plot ............................ Lot ................................ Permit Granted .....Fe.b�4.ary... ...19 89 ..... ....... ..... .. Date of Inspection ....................................19 Date Completed ......................................19 d A I Assessor's offiee (lst .floor): _Assessor's map and lot number ......1.. J. ..^... ................. Qo� Toy` - Board of Health (3rd floor): � Sewage Permit number .............c.1..-...1. .�.\r7 I Z PARISfADLE. S Engineering Department (3rd floor): p ���� '°o r639• 0� House number ............................ ............ ... .........` ....... 0upi0'. 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 ., +, ...� ...av :.... ........................... •• TYPE OF CONSTRUCTION .....(1.?/2....(.. ,! ' ........... � , la /`7 ......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the �folllowii�ng,�iinnformationn: Location ����,lT .e�� .crs� .?..�lQ')/ i.,/ +t+ ' `��•;..........l,,.',;�•••��� ••*:��C?�v:�J:...,�.................................... Proposed Use i3l J�p-. c ?1..:./....1...r� � '"• ...�'/t�f.1�✓ .� vtlroe....................................................... Zoning District K ......................................................Fire District � Name of Owner .,. `1 r ...t,,T..... .......................AddressP � .�'-5-7 0......ul; .;..,..�t� l.(' Name of Builder / ��`/.��,/tin'af,.... C�� Address n%..+,/i'/ //I/..t ........�i� ���./.�'�r� ..�v��...... J" ' ...........�� ................................"Name of Architect ................................. ...................Address ........... Number of Rooms .. .. . CAN Foundation Exierio.r 2. ..Y'a' ,.. '!`.;...m0`1 � ' •. r. �.......� Su �n g �'PCl ..Cgo.lno/.^... y .. '..C �.j ! /....Floors .......Interior . .... . • ..n/ A.. ....... �Heatin ....:.Plumbin 2.74 Fireplace/0.�.�.,:r,.4,iy �..e.a. .. ..I�A......................................Approximate Cost ..����...�l..�,.�.�............................ Definitive Plan Approved by Planning Board v_____________________________19`��. Area �� p'J.dvl... c./,................. Diagram of Lot and Building with Dimensions a1a Jed ^lot /�9 g -SPe V ✓ �/ Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town' oflBarnstable regarding the above construction. Name .. _ .. tea.._ ............ ca Construction Supervisor's License ............ KETHRO, DONALD G. 36-8 No Permit for ...Two wo...Story. . ............ .... ..... .. .... ..... ..... le F ...Dwell.ing......... Location ....Lot...........#5A ............. 513......3.49..Sandy Neck Road ;I West Barnst4)�JQ.................. ................................................ Owner ....Donald G. Kethro .............................................................. Type of Construction ........TKAMe..................... ............................................................................... A Plot ............................ Lot ................. ............... Permit Granted .... .19 87 Date of Inspection ........................... Date Completed ............................... ig a k 1 ZZ3 ` W W d p p SM K ETECTORS FIELD REVIEWED ADJUST NEW PNO HEIGHT.AS TO HAVE NLn EW T.J.1'6 AND SUSPLOOR CONTRACTOR SHALL �O +`I FIND BE FLUSH WITH EXIST MAINTAIN•IB MINIMUM FLOOR 3{•-O• FOOTING COVERAGEWALL FOR BARNSTABLE BUILDING DEFT. DATE oI POST W SUPPOR 2'-ir • O 'i _ ___________________ ________ ___________d 2 _ T ., ___`_ __ a_____r - I _________ • TH_________ ______________ I -_________________- Q FIRE DEPARTMENT DATE `" SIGNATURES ARE REQUIRED FOR PERMITTING ,gIZE C TOP OF BLKHD DROP B- HERE N W. I • U W I 1 psi;zt a•I A� JI Ily Q FND L•_ w; NEW FULL ° Mgob _ WALL FO o BASEMENT POST yZy SUPPOR •XF� to o � "' Q to Q � "+�o������ p �BSMT O � $o x M - SASH '---- ' I ROD AND ' U zo:u z�s Skl<o PROVIDE AM.BONG US E ' ' KEY TO ' PROVIDE L'CONY.► IN G FOR NEW FND W/ 7:13/1 X 9 I/7 NDR ADJ US NEW PND z w FOR COL IN SUPPORT ' 3-�• k-----_____ EXIST ----- ----- i HEIGHT AS TO HAVE o ____ NEW T.J. AND OR y� DE FLUSH WITH EXIST �) O o I FLOOR w w t R NOTE. T ______________ _•____ CONTRACTOR SHALL .4 d '$� MAINTAIN 10'MINIMUM En FOOTING COVERAGE S�-L• 2'-2' .�, U S" NOTE, ��O Je PIELO VERIFY PNO POST SUPPORT WALL ' AND 80NOTUBfi LOCATIONS _ W� w W N I POURED CONC. SLAB =z^ NEW S- AND HVAC UNITE 12 ER ��ip ' ��� bapg8d� eta . 'dgg7�?a �'78^M��lggN (� (0 0 � Q o 4 �M LL Y = zQUW O °=3zQ F= °a>-un ` Microllom LVL. Porallam PSL Q OQ 0 Z or 7lmber5 trond LSL 0 3 eV z Q B A 5 E P1 E N T NOTES: Backer block: Instoll tight to tap flange (tight .yy _ Q ED to bottom fl Ones with face mount hanger S). AttOCh L with 10-10d ( LLI 3') be. noils. clinched when poselble. In Top I.MAIN FOUNDATION WALLS TO DE IO"POURED CONC.W/2Fe6 TOP hanger N O ~ 1 BOTTOM BARS 1 S BARE 1'-O'O.C.WORIZ.AND VERT. Tlmber5 trend LSL RIM BOARDLIJ REST FOUNDATION ON 10'X20"STRIP POOTING. Face mount •� PROVIDE 3..S HORIIZ.BARS CONTINUOS IN STRIP POOTING W/ hanger Lod bearing or ah oar wall above O Co KEYWAY.PROVIDE S VERT.DOWeLb 21"O.C.HORIZ.EXTENDED (must stack Over wall below) 3'-L'MIN,ABOVE TOP OF POOTING.PROVIDE 6/8'X12'ANCHOR BOLTS a 1'-O'O.C.MAX. - ' 2.ALL STRUCTURAL STEEL COLUMNS TO BE 4'X4'X6/IL'SQUARE STEEL TUBE Blocking ponal For Information on lateral load c COLUMNS TO EXTEND TO POOTER BELOW.PROVIDE L'XA'XS/B'CAP mb PLATE 11'X12'X3/4'BABE PLATE W/2e3/1'OIAM.BOLTS.WELD ALL CONNECTIONS current ice refer to TIeron . _ FOOTERS TO BE 12"XIYXI6'SQUARE CONCRETE W/30s6 BARS EACH WAY. rim board Ilter d LSL or5 ttune r 3. DOUBLE FLOOR JOISTS UNDER ALL PARALLEL PARTITIONS. <.DUST CAP TO DE 1'POURED CONC.ON COMPACTED PILL. Filler block; Noll with IO-10d (3••) CUT JOINTS ALONG WALLS AND BEAM COLUMN LINES. box nulls• clinched when poselble. - . Uae f0-t6d (3 1/2••) box Halle from S. CONTRACTOR E PROVIDE R ECHA VENTILATION 48 Web Stiffener. are required fr REQUIRED BY CODE IWINDOW6 OR MECHANICAL) each aide with TJI Pro 550 joists. if the Side. of the hanger do - F` '� Hat laterally Support the TJI L.CONTRACTOR SHALL INSURE THAT ALL FOUNDATION WALLS MAINTAIN • With top Nange hangars, bucker .t top flange and per current OO 4'-0'MINIMUM COVER, block required only when hanger Tr 'Web stiffeners required 13/y" Mitr011am board may also load exceed. 250 pounds _ True JOlet MacMillan literature each side at B1W be used oe rim board i 1.PROVIDE WEB STIFFENING PLATES AT ENOB OF STEEL BEAMS.TYP. S.SEE STRUCTURAL DRAWINGS FOR LOCATIONS OF ALL STRUCTURAL COLUMNS. TYPICAL XTAX C INTEWCTON OF TYPICAL WAIL OF F1.11S11 FRAME TYPICAL DETAIL 9 LOAD TYPICAL DETAL 0 EXTERIDR WALLS 1.CONTRACTOR SHALL NOT SCALE DRAWINGS FOR DIMENSIONS. ANY MISSING. DONEE MEMBERS ' AT MICROLLAM BEARING WALLS « INCORRECT.OR OUESTN)NABLE DIMENSIONS NOT BROUGHT TO THE ATTENTION '^ a OF THE DESIGNER BECOME THE RESPONSIBILITY OF THE CONTRACTOR. •d O Q •SZDAA Aw •u •rL �p Z m2990oT ?o F► ADO m 0 Dp3AY ZI a, op. P= 10A'mogA OA n2 n% yp yymTl(I z^ pm n m Wwoy yXI i-�CmG z% mA mp C. OO TT► MT at. oe OgmmqI IZyllMyO� A� AN mN y= 0p9Z� m'O'% OA U m1. mn 0 i D•O Z =r AOmDA� m 8DpArl myOm0 OP 0fi A 2 P$R '002 03AZ Z0 N y O EXIST NEW FENCING NEW FEN NO e = < a m w k, M•-0- Ve A�' 3•-10- T-g• � Aw -m m X_ 'z> r' In Ag = m E c m0 = f y m P= y m> A w xn 5 m D 2 X t STUD WALL R-19 INSUL T 1 y VE D e o w FLUSH STEEL i-�PI , yZ X O 6 ng P ITT me \ y ZX3 A ',1 mm 111 z y u 0y0 ___ _____ V___�Xm ee OTI>Z ,w3 DO m Ile y DDm m; ;_° 0 ; �'m� �(FIE y ° 0° 3 GE y _�co = o� Ilp� io r ALLIGN W/ = rI D O y EXIST WALL sXm jf� _ _ EE ry 41 O \ ry``` 1:1 j G� � III VIA '=_ j S�m ----------- _m , O X ---��� FLUSH STEEL ' •mm y -- {I "� Xm wa y wo T E e V ~< Cm D pm 1 m P D 3 zy z Eo 'z cl IS E ',' y ► r r X_ T ; ____ _A� u PO 6 T Cm = O• E TW2 a TW2a1a TW2tft TW2Ll TW2t1t 2 X a STUD WALL I, {, EG R-H INSUL EXIST Mille V m� �yg P= o 10p A z f m3 D t in, VAIL D �f1C. r r '•11 L 1 � { ldltE t M'd me TO C L VARY COPYRIGHT DATE "SONS OREAILY ACROSS 11E OINRM. FIRST FLOOR PLAN '�N`M""ANOY`I�'Y"""E`E5 NORTHS[DE Aposro�wrtrsa rPo�isa n a NdRTHSDE HEREBY EXPREAY A p 1 1 • oMAIPSq SS E[2 ORa mmN RESERVES ITS COMMON LAW DESIGN AS9JAME5,ro IRSP01T8UTY on uAeury DESIGN COPYRIGHT. THESES PLANS ARE ron A.n Aossa a oAwas Nalmlm NOT TO BE REPRODUCE. DAIS NEW ADDITION FOR: "A 10 LARmt 0A0 nO N PE ASSOCIATES CHANGED OR COPIED IN ANY DRAWN St�EET BOB E PAULA BURNS , ...NAK OS" _" FORM.R MANNER YMATSOEVER lom/ R[ BEFORE NOWWOPO aar AOMSFS MAT BETOIS OOMMOrtIRO OO""N000N WITHOUT FIRST OBTAINING THE 319 SANDY NECK ROAD "SSE RAMS IE TMOI ro WAR LO'AL o)snHcnvE RESIDENTIAL a COMMERCIAL.E9QV EXPRESS WRITTEN PERMISSION CHECKED BJIUM0 OWMIMJNT APO/OR NSPECIOR I MAIN STREET.YARMOUTHPORT•MA 02875 AND CONSENT OF NORTHSIDE FOR REVZW NO APPROVAL PEOARONO ANY L500y 202-2210 L508 -)M2 W2 DESIGN. WEST BARNSTABLE. CIA. 0240 POSSIBLE OS(ROICH SNS NCM!L . / yiD,1a AI" •u •rO d AO.on gn ^.D ^D 1 IL•-O• >A3Az Lz Or Op'. ( ymwpa On Az nm ::gnnD An AA `• �O i-AmOy ZO O A =z1A aA I 40mn> ,T 09 O; m '♦zrar p� Z� Ir mw.HOr A A AO' A ZD OOmzm 0fe A = IS a wyOn9 A mD R g Ei m � mOz y► m> •Hm ym n mfi m ?may>rr' p� mM mm m� 9� P q w 7 y4.0Am EQ43 E _ •5 OOz 7`I on P -OE °�E o oO nzw p m N o _n_______ • A =w w mfi x' (p LE y IZ'-1' RIB S xr ' P rur#r e y 5._2. Q_O m ixm s 0 OM ax_m ' o ° x - ----a-_-- p = y w m sc d O N m z yO o 70 x A Z A T Ly ii� O T y m E O is C3 X� r4� a V U w LA pw 4 y x i t D n ' Z „ ` o ---- - ------ e yi EQUAL EQUAL EQUAL d, i V { � A t k +� • I I ' • I , sewn,atiT'd L N4 r _ wunr AC11047 INE aun'A V r COPYRIGHT DATE REVISIONS SECOND FLOOR PLAN icmwruzANYOIMEN osseE"9 NORTHSIDE s"u ""O sal mrmnas.°�- NOftMSIDE HEREBY EXPRE%Y UNO MAIOWEC O. r cros v OESIGN a , 1 • • a�°°'"'°"E °`NsaE Dc" DESIGN COPYRIGHTVES. T COMMON LAW Assna AY SPv s�TY aR uAeMR COPYRIGHT. THESES PUNS ARE NEW ADDITION FOR: MANY L05�M0—MS p1Q"M ASSOCIATES NOT TO BE REPRODUCED OATS m m vw0RS m orsvws"i CHANGED OR COMO IN ANY DRAWN SHEET In BOB E PAULA BURNS "•""5mswx ou'° m" FORM OR MANNER YMATSOEVER To/zT/os m OISOI.NORMSOE OESOI Aa s 349 SANDY NECK ROAD ME eDVK ooluENONc EammlKmN WITHOUT FIRST OBTAINING ME �'1RasE n ws eE TAKEN w row LocAl DISTINCTIVE RE4DENilAL k COMMERCIAL DESIGN EXPRESS WRITTEN PERMISSION CHECKED L DJRDM 0VMTYpr"/CR wVMTOR I.I MAIN STREET YARMOUTNPORT w ozar5 AND CONS04T OF NORMSIDE FOR REMEYI MQ AWR &KA.ImOW AIR (soe)502-221G (SOB)W2-980] WEST BARNSTABLE, MA. 02448 IWS59E MSfRO O♦CE4 R sri3O AN. DESIGN. I A:a■� a■aar-.. � � aaaaa.�aaaaa. 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