The URL can be used to link to this page

Home My WebLink About0056 WIINIKAINEN ROAD o v �' �� i� �� j �I { f �I i; i� 4 � �'� 1� A ryv �I l 5I j 7i 1 i `� / .� im Town of Barnstable Building Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept .SARNMABILM � �� Posted Until Final Inspection Has Been Made. _ K' -: - x Permit LWh'e a Certificate of Occupancy is:Required,such Building shall Not be Occupied until a'Final Inspection has been made. r Permit ill Permit No. B-18-1880 Applicant Name: WILLIAM L SCHMITZ Approvals Date Issued: 07/13/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 01/13/2019 Foundation: Residential Ma /Lot: 156-058 _ ZoningDistrict: RF Sheathing: Location: 56 WIINIKAINEN ROAD,WEST BARNSTABLE 1• -Map/Lot: Contractor N Cape&Islands Kitchen&Bath Framing: 1 Owner on Record: NAGL,SUSAN&PAP,PATRICIA ' L -Remodeling Inc 2 Address: 56 WIINIKAINEN RD __.__Contractor License: 160266 E Chimney: WEST BARNSTABLE,MA 02668 } l Est. Project Cost: $26,713.00 1 Insulation: Description: RENOVATE EXISTING BATHROOM TO INCLUDE REPLACING TUB, ' . Permit Fee: $ 186.24 FLOORING.VANITY AND COUNTERS Fee Paid: $ 186.24 Final: Project Review Req: Date: 7/13/2018 Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and theiapproved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: r j Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy t7�'? Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: . "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT p Application Nimmber... ..�.1. .....� �................ + r * p d�ABB. Permit Fee........ ..fa. ..:. .. . ...Othc Fee.................:...... 03 TotalFee Paid..................................................................... TOWN OF BARNSTABLE Pamrt approval by.................................on........................... BUILDING PERMIT /s G, .per 0.6�.. APPLICATION Section 1 — Owner's Information and Project.Location Project Address �� C�,'=v;,�c-, ��s.., _Pillage . s 1. s144� Owners Name Owners Legal Address City State Zip owners Cell# J`�� 737- 510 . E-mail am 0)C'_o,%Ac,+%-+,N Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3—Type of Permit } ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(eatua structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Snkler System ❑ Addition ❑ Retaining wall ❑ Solar �2 G 2 � Renovation ❑ Pool ❑ Insulation 0� > G Other—Specify -� N; Section 4-Work Description ; 6� (Zg.,o u a-@ ma's�,�n4 Ac� c_ T ACt mvLgte :2AW 9 Application Number.................................................... Section 5—Detail Cost of Proposed Construction o Square Footage of Project ` ;;�-e Age of Structure / �`� lig Safe Number #Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone'Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics d ❑ Vni g ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ HeatingS ❑ Masonry Chimney ❑Add/relocate bedroom Y� my eY Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District. ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: LL k l an A vk-e,3 . I am using a crane ❑ Yes7'S No Section 7—Flood Zone i Flood Zone Designation I Within or adjacent to a wetland, coastal bank? Yes ❑ No El Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last=sated:2/9/2019 i Application Number........................................... Section 9—.Construction Supervisor Name Telephone Number Address CA-a,�,,_J SR• City 2-, Fa, obi State ogA zip S 3 G License Number License Type Expiration Date Contractors Email _ 6; 11 63 C A-pf=V= ; ,-4 Iis .co,,6 Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CUR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and dommicntation required by 780 CUR and the Town of Barnstable.Attach a copy of your license. r Sim Date r . Section-10—Home Improvement Contractor Name CA-d��. J s� , {-' Telephone Number • - _ S'76 Address ll 5,4 . l City 5AGR-.4oa!i?e4-,,t State 1--tA Tap d�S6oZ Registration Number%!OX& Expiration Date 7-;-/1 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts S Building CoA I understand the construction inspection procedures,specific inspections and documentation required b 780 CMR Town of Barnstable.Attach a copy of your EUC... Signature �~ Date Section 11-Home Owners License Exemption Home Owners Name: Telephone Number of GVork Number I understand my responsibrl ti es4dregulati�for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State ding de. I understand the construction inspection proceduu es,specific inspections and documentation required by 780 CMR and the Town of Barnstable. F Signature Date APPLICANT SIGNATURE 71 Signature Date t4 r Print Name W 14 Telephone Number S "a /-�3/fl E-mail permit to: r l 69) C04(J<:_ k"4& Z y5 . f-0 VV-1 T e..F.....i..a-.i.,1 m nn,o Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fie depardnent for approval, + Section 13—Owner's Authorization I, Owner of the-subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: { { (Address of job) ' I Signature of Owner date . Print Name 1 1 { 11 1 II mar j Last=dalca:2J9R018 (T11".. n.irar�rarrrue(zN'.o.p/l`ad�ac�rucCld License or registration valid for individual use only \Office of Consumer Affairs&Business Regulation before the expiration date. If found return to. • IMPROVEMENTCONTRACTOR Office of Consumer Affairs and Business Regulatio�i egistration. 16p266 Type: i l0 Park Plaza-Suite 5170 �W;; ME Expirationt'r7j7 18'..~, Supplement Card l Bos4AUV4 Cape&I;;lands Kitchen8G15ath.iReiTrocleling Inc „ - r -- 7 .. °A SCHMITZ 99 State St.:7ore Beoch,MA 02562 Undersecretarydhout g ..ture si n Commonwealth of Massachusetts Division of Professional Licens.ure i Board of Building Regulations and Standards Constr-.Q&j�A i�dpg,rvisor CS-076571 `�. L 4pires: 09/0912019 Wli-";_ WILLIAM L SGHMITZr3;, 66 CARAVEL EAST FALMOt�TFil i Cj. Commissioner J. The C'oixnonwealth of Massachusetts Department of Industrial Accidenfs Office of Investigations 600 Washington Street Boston,MA 02111 www.trtass gov/dia Workers' Compensation Insurance Affidavit:.Builders/Contractors/Blee-tricians/Plwnbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: r2�Q, City/State/Zip:Are you an employer?,Check the appropriate box: Type of project(required): 1, am a employer with 4. ❑ I am a general contractor and I 6 ❑New construction employees(frill and/or part tune)." have hired the sub-contractors d 2.❑ I am a sole proprietor or partner- listed on the attached sheet. T. ❑Remodeling shipand have no employees These sub-contractors have 8. []Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers'comp,insurance- comp.insurance.) ❑ g required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am-a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.)t a 15Z§1(4),,and we have no employees.[No workers' 13.0 Other comp.insurance required..] 'Any applicant that checks box 91 must also fill out the section below.showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside coutraetors must submit a new affidavit indicating such. tCentractors that check this box must attached an additidnal sheet showing the name of the sob-contractors and state whether or not those entities have cmployem If the sub-contractors have employe=,they mast provide their workers comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below Is the policy and job site information. Insurance Company Name: .Policy#or Selfr ins.Lic.#: '�<J C- �( 5;' Z Expiration Date: 7 3/8 Job Site Address:_ LQ ��,'/L7 i rU �O City/State/Zip: 0"-54- gmrz T .� 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$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine 'of up to$Z50.00 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 p nd penalties of perjury t/ the information provided above is(true and correct: Si` attire Date: Phone —03 f Official use only. Do not write in this area,to be completed by city or town offrcial City or Town: Perinit/License# Issuing Authority(circle one): 1.Board pf Health'2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.'Piumbing Inspector 6.Other Contact Person: Phone#: .Aco CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 0 711 7/2 0 17 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terns and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: Christine Davies DOWLING&O'NEIL INSURANCE AGENCY PHONE 508 775-1620 aC Nu: E-MAIL , cdavies@doins.com 973 IYANNOUGH RD INSURERS AFFORDING COVERAGE NAIC# HYANNIS MA 02601 INSURERA: LM INS CORP 33600 INSURED INSURER B: CAPE& ISLANDS KITCHEN &BATH REMODELING INC INSURERC: DBA C&I KITCHENS INC INSURERD: 99 STATE ROAD ROUTE 3A INSURER E: SAGAMORE BEACH MA 02562 INSURERF: COVERAGES CERTIFICATE NUMBER: 173797 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1�7R TYPE OF INSURANCE ADDL SUBR POLICPOLICY NUMBER MMIODY EFF MMI DI EXP YYYYJ LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ TO CLAIMS-MADE F-IOCCUR PREM ES(RENTED PREMISES Ea occurrence) $ MED EXP(Any oneperson) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY F-IJECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILnY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NO"WNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Peracddent $ I UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DEO I RETENTION$ $ WORKERS COMPENSATION X I STATUTE ER AND EMPLOYERS'LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ 500,000 A OFFICER/MEMBEREXCLUDED? NIA WA NIA WC531S369904027 07/03/2017 07/03/2018 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govAwd/workers-compensationfinvestigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Bamstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 Danie M.Coy,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 3711 i, 79" 538" I �� 48 Z" I;1A 3n , NEW LOCATION __.__..____._...__......__.__.L, NEW DBL HUNG WINDOW O7 i co i - FLOOR TILE: i 6"X 24" CRATE WEATHERED : 4. \ W/SMOKE GREY GROUT w 112 SQ. FT. LLJ N /Z�� V 1 �_ _y 1 y ® ZZ m �•N I` f -4 S m FRAME NEW WALL W/NICHE - .... - � N 60R;BATH 1 mw w '; - w 9 1. o� 80.SQ TFT y i w -WALL TILE 4 X 16 I (p ;` HITE:.STAGGE ZENV1/ —3611- 30 — [ �3 R i 'I 4 3 n / 60" -43 11' 4 , 674„ All dimensions_size designations 20 Thi's is an original design and must Designed: 3/1/201 given are subject to verification on TECHNOLOGIES not.be released or copied unless Printed: 5/17/2018 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. Pap All Drawing#: 1 No Scal Note: This drawing is an artistic 20 2 Designed: 3/1/20V interpretation of the general TECHNOLOGIES Printed: 5/17/2018 appearance of the design. It is not meant to be an exact rendition. Pap floor plan Drawing#: ] i w w o o All dimensions_size designations � `� This is an original design and must Designed: 3/l/2018 given are subject to verification on 0 IO0� not be released or copied unless Printed: 5/17/2018 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. Pap top Drawing#: 1 No Scale. V ` •` I it —� Cn, .r_ t to Owd '. r- _ZZ\ A 1 116" 37" �� 7911 538" 48211 14e NEW LOCATION NEW DBL HUNG WINDOW \ , C? O W = W r O im m min _ co FLOOR TILE: 6"X 24" CRATE WEATHERED ; A W/SMOKE GREY GROUT W I I 1^ 112 SQ. FT. � 1 1 V/ M j _ aIJ C 1 I I " - W `G O z ` _C . � I I p J co FRAME NEW WALL W/NICHE � I L! N L 60R-BATH-1 1 m� 00 80 SQ. FT. 0) R' U-WALL TILE: 4"X 16: (D, ZEN WHITE STAGGERED 0) 3611 30"— ' 37;11 73,✓ 4 43a" 60'1 .�4„' ' 67'-a" All,dimensions_size designations 20 20Sm This is an original design and must Designed: 3/1/2018 given are subject to verification on TECHNOLOGIES E not be released or copied unless Printed: 5/17/2018 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. Pap All Drawing#: 1 I No Scale. FL El ° ° El El III I E Note: This drawing is an artistic 20 20 Designed: 3/1/2018 interpretation of the general TECHNOLOGIES Printed: 5/17/2018 appearance of the design. It is not meant to be an exact rendition. Pap floor plan Drawing#: 1 i J LL-I Note: This drawing is an artistic 20 20 Designed: 3/1/2018 interpretation of the general TECHNOLOGIES Printed: 5/17/2018 appearance of the design. It is not meant to be an exact rendition. Pap floor plan Drawing#: 1 . r w w i O All dimensions_size designations 2020 j� This is an original design and must Designed: 3/1/2018 given are subject to verification on TECHNOLOGIES(� not be released or copied unless Printed: 5/17/2018 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. Pap top Drawing#: 1 No Scale. v � d v s ' 1z z cc F gN J 1 -6 s-•o 1. D Y (' 7n T h g 'F CAPE&ISLAND KITCHEN AND BATH REMODELING INC. 99 State Road, Route 3A Sagamore Beach, MA 02562 Phone: 508 8 8-4762 Fax: 08 833- 1442 Contract Date: 3-9-18 To: Patricia Pap 56 Winikainen West Barnstable, Ma. 508-737-4010 Cape & Island Kitchen & Bath Remodeling Inc. will provide the following renovations as per plans provided. Included areas follows with respective allowances: Plumbing: • Cape & Island Kitchens will provide all the rough and finish plumbing as required by code. • Supply and install new Right hand Tub. Allowance: $600.00 • Supply and install new vanity faucet. Allowance: $300.00 • Supply and install new tub& shower valve with shower head and hand held sprayer. Allowance: $750.00 • Reuse existing toilet. No allowance for new. • Disconnect existing heat for placement of linen cabinet. • Provide baseboard heat left and right of linen. Electrical: • Provide all rough and finish electrical as per design and code. • Supply and install [2] 5" recessed ceiling lights. • Supply and install [1] Panasonic Fan/ Light combo in shower area if possible. Vented to exterior. • Provide GFI receptacle as required.. • Hang owner supplied sconce over vanity. • No upgrade to existing service panel. Tile: • Bathroom floor tile: Allowance: $6.00 per sq. ft. • Tub and shower wall tile: Allowance: $8.00 per sq. ft. • Supply and install recessed niche. • No decorative tile included in quote at this time. Must be selected and priced out. • r-roviae proper nome protection ana aust control. • Provide trash container on site. • Remove wail board from [2]walls and ceiling. • Remove existing flooring and reroute plumbing as required. • Frame tub and shower as per plans. • Supply and install new double hung window over toilet. Window allowance: $450.00 • Repair exterior siding to match existing as best possible. • Insulate exterior wall. • Supply and install Durock in shower area. • Provide Hardi Backer underlayment throughout bathroom. • Blue board and plaster 2 walls and ceiling. • Replace all trim in bathroom. • Provide chair rail molding if chosen. • Supply and install Y4'flat mirror over vanity. • Install all owner supplied towel bars and paper holder. • Provide blocking where possible. • Tile to be chosen at Best Tile Plymouth. If notice is given I would like to help with the selections. • Plumbing fixtures to be chosen from Snow&Jones or Ferguson Supply. Just make selections. I will place order upon review. • Clean work area each day. Not included in this proposal: • No vanity or top. See other proposal. • No Linen cabinet. See other proposal, • No painting at this time. TBD Total job: $26,173.00 . Payment schedule:- Deposit required upon signing contract: $4,000.00 • Payment due upon completion of demolition and window installation: $10,000.00 • Payment due upon completion of Blue board and plaster repairs and the delivery: $9,573.00 • Final payment due upon of work: $2,600.00 We propose to furnish material and labor in accordance with the above specifications for the sum of TOTAL OF$26,173.00 . In the event that it is necessary to pursue any legal action to collect any outstanding balance the customer shall be responsible for the total balance plus all.legal costs. ACCEPTANCE OF PROPOSAt� SIGNATURE DATE Michael Heinrichs Project Manager C#774-208-2362 Town of Barnstable � a4 :. Building, Post This Card So Thai It Visible From the Street'-Approved Plans IVlustbe RetainedonJ.obandlthis CardyMust be Kept Posted Until Final Inspection Has Been Made. . � _ �� x�� ;- � . Permit ' ,a < Where a Certificate<of§O.ccupancy is Required;such Building shall'Not bey0ecupied until a Finallnspectionhas beenamade. Permit No. B-17-2903 Applicant Name: SANDWICH CHIMNEY SWEEP,INC. Approvals Date Issued: 08/24/2017 Current Use: Structure Permit Type: Building-'Sheet-M dtal" Residential Expiration Date: 02/24/2018 foundation: Location: 56 WIINIKAINEN'ROAD,WEST BARNSTABLE Map/Lot: 156-058 Zoning:District: RF Sheathing: Owner on Record: NAGL,SUSAN&'PAP, PATRICIA SANDWICH CHIMNEY SWEEP, Framing:. 1 .INC. Address: 56 WIINIKAINEN RD . :� � 2 � �� Coni%actor Eicense 120859 WEST BARNSTABLE, MA 02668 � Chimney :. Description: Remove Existing rotted out chimney system and replac ng'with new x£st.,Project Cost: $0.00 class A Chimney System.for use with Oil Furnance ��'. `P.ermit Fee: $85.00 Insulation: ., 2 Project Review Req: Remove Existing rotted-out chimney system and replacing with Paid, $8500 Final' new,class A Chimney System for use with Oil Furnance m` Dates 8/24/2017 'Plumbing/Gas, Plumbi ng: ing: -'' . ........ � R final Plumbing. - ;-Building Official r �. z ,�g "�\ Rough Gas: This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within six'monthsafter issuance: All work authorized by this permit shall conform to the.approved application and the approved construction documentv#oriwhich;this permit.has been granted. final Gas: � � r a All construction,alterations and changes of use of any building and stnuctufesishall M in with the local zoningby-laws and codes: This permit shall be displayed in a location clearly visible from access street or,roamand'shall be maintained open for pubiic inspection for the entire duration of the work until the completion of the same. 3 " �'' `� Electrical' �, a _ Service: The Certificate of Occupancy will not be issued until allapplicable signatures.by�ttie Building and=Fire'Officialslare�provided onthispermit: Minimum of Five Call Inspections.Required for All Construction Work: Rough: - 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level-before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed priorto Frame.lnspection Low Voltage Rough:- 5.Prior to Covering Structural Members(Frame inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. : final: Work shall not proceed until the Inspector has approved the various stages of construction. ' "Persons contracting with unregistered contractors do not have access to the.guaranty fund"(a`s set forth;in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit-Cards are the property of the APPLICANT--ISSUED RECIPIENT Commonwealth of Massachusetts Sheet Metal Permit Map I� Parcel j Date: Permit r Estimated Job Cost: $ 14 a1106.13 Permit Fee: S Plans Submitted: YES NO V/ Plans Reviewed: YES NO Business License Applicant License 1a0 S� Business on:Inf Property Owner/Job Location Information: M* Car Dame: ,6in tmnw 5 M Name:. Street: P o. ��9� `, Street: L1 "n D'Rd City/Town: am>tS i LMR City/Town: Telephone: 6 l� Telephone: &Z6a-1111 Photo I.D. required/Copy of Photo I.D. attached: YES_ZNO Staff loitw J-1/M-1-unrestricted license 3-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft: l 2-stories or less Residential: 1-2 famly V Multi-family Condo/Townhouses - Other Commercial: Office Retail Industrial Ec -r�� ll Fire Dept. Approval Institutional_ Other 2017 AUG 2 4 Square Footage: under 10,000 sq.ft. over 10,000 sq. P. Numb e to Sries,. ��+ T0��n�0 btu ABLE Sbeet metal work to be completed: New,Work: Renovation: HVAC Metal Watershed Roofing ' Kitchen Exhaust System. Metal Chimney{/Vents V ,' Air Balancing Provide detailed description of work-to be done: I tbOh naZ Cams A Ei 1 115 , • i INSURANCE COVERAGE: I have a current liability Insurance policy or its equivalent which meets the requirements of M.G.L Ch.112 Yes No ❑ ; If you have checked Y11 indicate the a of coverage by checking the appropriate box below: A liability insurance policy Other hPa of indemnity Bond _ ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the I Massachusetts General laws,and that my signature on this permit application vmlygq this requirement Check One Only Owner ❑ Agent [Q Signature of Owner or Owner's Agent By checking this boxo,I hereby certify that all of the details and Information I have submitted(or entered)regarding this application are true and ' accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO I �ro�ess Inspections Date Comments r � FWal InsDktion Date Comments f I Type.o censer 3y Master ❑Master-Restricted I I own. C,Joumeyperson Sig ture of Licensee �emtii# ❑Joumeyperson-Restricted License Number. tee 3 F Check at www.Mass.govldnl nspector signature of Permit Approval i f The Commonwealth of Massachusetts = Departutent of Ltdustrial Accidents I Congress Street, Suite 100 Boston,MA 02114 2017 61 www mass.gov/dia Workers'Compensation Insurance Affidavit. Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PEIMITTiNG AUTHORITY. Applicant Information Please Print Leeibly Name (Business/Organization/Individual):Sandwich Chimney Sweep, Inc./Keith Cliff Address: Post Office Box 90 City/State/Zip:Sandwich, MA 02563-0090 Phone#:(508)888-5114 Are you an employer?Check the appropriate box: Type of project(required): I.Q 1 am a employer with 19 employees(full and/or part-time).* I 7. New construction UCtion 2. 1 am a sole proprietor orpannership and have no employees working for in ❑ r 8. ❑ Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.a I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 4.[:]I am a homeowner and will be hiring contractors to conduct all work on my property. ]will 10 ❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions S.Q I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ]3.a Roof repairs These sub-contractors have employees and have workers'comp:insurance) 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14•Q Other lnbwb &u-*A 152,§1(4),and we have no employees.[No workers'comp.insurance required] Mewl 1.Y1 "Any applicant that checks box#I 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 therrhire outside contractors must submit a new affidavit indicating such. tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 ant an employer that is providing workers'compensation.insurance for my employees. Below is the policy and job site information. Insurance Company Name:Atlantic Chatter Insurance Co. Policy#or Self-ins. Lic.#'.WCV01153101 Expiration Date:05/13/201» Job Site Address: E-At X&I i11WWDM M. City/State/Zip:�-,ala sbwe.m(�oata Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to S 1,500.00 and/or one-year imprisonment,as well.as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby ce tify,ut er to pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#:(508) 888-5 4 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I Boaro of Building Regulations and Stanaaras �- Office of Consumer Affairs&Business Regulation License' CSFA-058557 ii 'HOME IMPROVEMENT CONTRACTOR Construction S pervisor 1 a sg cd egistration: 120859 Type: t Expiration: 3/12/2018 Private -,� at Corporatic. KEITH A CLIFF PO BOX 90 SANDWICH CHIMNEY SWEEP,INC. SANDWICH MA 02663 KEITH CLIFF 28 EMERALD WAY � �- � FORESTDALE,MA 02644 + r Ex iranon: Undersecretary P Commissioner 02/27/2019 v.COMMONWEALTH OF MASSACHUSETTS N • i • • ^ SHEET METAL WORK9RS N Tim ISSUES THE FOLLOWING LICENSEO < MASTER-UNRESTRICTED W ` > IN _ KEITH A CLIFF U 28 EMERALD WAY :`�� FORESTDALE;MA 02644 1530: _ to 11088'.. 02128/2019 269694 Construction Supervisor 1 &2 Family License or registration valid for individul use only Restricted to: before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 Failure to possess a current edition of the Massachusetts Not va 1'd�V' hout signature State Building Code is cause for revocation of this license. DPS Licensing information visit: WWW.MASS.GOV/DPS CONTROL# LJ0 57 Q -� ra_ ;_=T = o-_:' ``s�> n IMPORTANT s f V &g __ CA G 4 O, j t_O If your license is lost,damaged or destroyed;is inaccurate;or -yam r;� �j�o� needs to be corrected,visit our web site at mass.gov/dpl for ? o £ -_ " instructions to ensure the proper mailingof our Renewal "" =" ^'- _ ` ` =' Application and any other correspondence. __ =_ =` -____ a; O This license is subject to Massachusetts General Laws and "_ ,z a o a o ^ regulations.Your license is a privilege,and cannot be lent or assigned to any person or entity under penalty of law.Keep this license on your person or posted as required by law and/or regulations. to CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD/YYYY)08/2112017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or.be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NONE Erica H.O'Connor HART INSURANCE AGENCY,INC. PHONE FAX 243 MAIN STREET AC.No: PO BOX 700 06s: eoconnor@hartinsuranceagency.com BUZZARDS BAY,MA 025320700 1 INSURERS AFFORDING COVERAGE NAIC• INSURERA: ESSEX INSURANCE CO 39020 INSURED Sandwich Chimney Sweep INSURER e: ATLANTIC CHARTER INSURANCE COMPANY 44326 PO BOX 90 Sandwich,MA 02563 INSURER C INSURER D INSURER E: INSURER F: .. COVERAGES CERTIFICATE NUMBER: i REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L TYPE OF INSURANCE lNgn WVn 08R POLICY NUMBER i M1DOY EFF POUpY EXP LIMITS A COMMERCIAL GENERAL LIABILITY 3EH4072 1 10/09/2016 10/09/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea ocetirrencel $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL O.ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY C PRO- JECT LOC PRODUCTS-.COMP/OP AGG $ ..1,000,000 OTHER: \ $ AUTOMOBILE LIABILn'Y r COM8INED SINGLE LIMIT $ { E acdde ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per as dent) $ e HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Peraccident) $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $- DED I I RETENTION tttt , $ B WORKERS COMPENSATION WCV01153102 05/13/2017 05/13/2018 NA STR ETH- AND EMPLOYERS'LIABILrTY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) ) E.L.DISEASE-EA EMPLOYEE $ 500,000 If descafbe under !1 - DESCRIPTION OF OPERATIONS below t E.L-DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is requtred) 5 t r CERTIFICATE HOLDER CANCELLATION Fax#:(508.)775-3344 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN OF BARNSTABLE ; ACCORDANCE WITH THE POLICY PROVISIONS. 200 MAIN STREET I HYANNIS,MA 02601 AUTHORIZED REPRESENTATIVE /�/, �. ► i ©1988=2015 ACORD-CORPORATION. All NgFits reserved: ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD I 4 I ' Town of Barnstable Regulatory Servvices Thomas F.Geiler,Director Md► Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstablLma.as Office: 508-862-4038 Fax: 508-790-6230 .Property Owner.Must Complete and-Sign This Section If Using A Builder as Owner of the subject property Cl � ' k�eze p authoaz 1 lti'i1 {�, to act on my behalf, in all matters relative to work authorized by thin building permit (Address of job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted, Sk azure of Owner S ature o licamt V Print:�lame Psrit Name 'Date QYORMS:OWNERPERMISStONPOOfS ' Town of Barnstable r w Building Post This Card So-That it is Visible From the Street-Approved Plans.Must be Retained.on Job and this Card Musf be Kept Posted Until.Final,lnspection Has.Been Made ;> n �. a FX� Y fA • Where a Certificate of Occupancy.is.Required;such Buildingshall Not be Occupied until a,Final Inspection has been made, w 41 Permit Permit No. B-17-769 Applicant Name: • Carl Rebello Approvals Date Issued: 03/27/2017 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 09/27/2017 Foundation: Location: 56 WIINIKAINEN ROAD,WEST BARNSTABLE Map/Lot: 156-058 Zoning District: RF Sheathing: Owner on Record: NAGL,SUSAN&PAP,PATRICIA Contractor Name: Carl J Rebello Framing: 1 Address: 56 WIINIKAINEN RD Contractor License: CS-084358 2 WEST BARNSTABLE,MA 02668 Est..Project Cost: $2,268.00 Chimney: Description: Insulation n&Air Sealing PermiFe)� e: $85.00 Insulation: Project Review Req: Insulation&Air Sealing Fee'.Paid: $85.00 Final: Date 3/27/2017 Plumbing/Gas :... Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within`six months-after issuance. r t Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-.laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. r Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing Inspection -- -- 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable RECEIPT ` m" " 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-17-769 Date Recieved: 3/22/2017 Job Location: 56 WUNIKAINEN ROAD,WEST BARNSTABLE Permit For: Building-Insulation-Residential Contractor's Name: Carl J Rebello State Lic. No: CS-084358 Address: , Swansea, MA 62777 Applicant Phone; (508) 567-4109 (Home)Owner's Name: NAGL,SUSAN&PAP,PATRICIA Phone: (508)737-4010 (Home)Owner's Address: 56 WUNIKAINEN RD, WEST BARNSTABLE,MA 02668 Work Description: Insulation&Air Sealing 'j; ow cn w o r- w M Total Value Of Work To Be Performed: $2,268.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Carl Rebello 3/22/2017 (508)567-4109 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $2,268.00 Date Paid Amount Paid Check#or CC# Pay Type I Total Permit Fee: $85.00 3n2n017 $85.00 Paypal Paypal i..........................................._._..... - Total Permit Fee Paid: $85.00 'THISISjNOT A;PERMIT' t.. T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' I Map Parcel Application # Health Division Date Issued SAM Conservation Division Application Fee, Planning Dept. ` Permit Fee- Date Definitive Plan Approved by Planning Board I'Yl Historic - OKH _ Preservation/ Hyannis f Project-Street Address �//}�� Village- - -14)est .6eAi2 S4v_4L1 Owser`- a_ a ` try Address Telephone Permit Request � —, r- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation (0 00• i Construction Type_ &4 deOt°>1ti� a+ Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family we" Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes a'Noy( On Old King's Highway: Wles ❑ 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 r; Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Ro`o��rQ Countco Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other �. cn Central Air: ❑Yes ❑ No . Fireplaces: Existing New Existing wood/co I stove: @ Yew No r i Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ exis ng 0 new s5zve_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing 0 new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name f tL Q� '-Telephone Number �9- 331 ' d 0 Address 'S(,,, POicXense # 10,e.ST ,hA"- - 62-4 Home Improvement Contractor# ►-r( U" Email i D&� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO CSIGNATURE c•-DATE ' Y� FOR OFFICIAL USE ONLY # APPLICATION# DATE ISSUED MAP IPARCEL,NO. ADDRESS VILLAGE ,l OWNER DATE OF INSPECTION: FOUNDATION FRAME - I,, INSULATION FIREPLACE . ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i The Canzlnonweat&ekf Massaehrrsttr Dgwrwtent ref Inxdrxsb.Ea!Accidents Office-rrf estigafians 600 Tfasli<irigtow&reet &astarg,Mi 02111 wmvanasmgmaldia Warkers' Compensation Insurance Affiidavit-Bu lders/Cantractors/Eiectricians/Plumbers Applicant Formation Please PrintLegibly Name ....... �— � i . I\J i 1Ne Are you an employer?Check the appropriate box: Type of project(required)- L❑ I am a employer with 4. ❑ I mm a general contractor and 1 6- ❑New consauctim employees{fiil1 andlorpart-lime}* have hired ffie sub�ontractots listed ❑ I am a sole proprietor orpartner- on the attached sheep �- �� ship and have no employees Thesesub -oontractots have g_ ❑Demolitioa working for me to any capacity. employees and have wodcets' 9_ ❑Building addition [No.workers' Comp_insurance Comp_mcnrdace0 ] 5-❑ We area corporation and its 10-0 Electrical repairs or additions 3_)Qam a homezwner doing all work 'officers have exr_rcised their 1 Y-.❑Plumbing repairs or additions xxryse f [No workers'ccmp- zit of esxmption per MGL 12 0 Roof repairs. ance ed,]t c-152,§1(4} and we Im-e,no fi w 13_❑Other employees_[No workers' comp-insurance required-1, tAay aQp t fiat cbecks boa*1 nmst also M out the section balow shneeiarg ffi&vedus,eomwensation polity affibnnatiom fi Someaarners vrbD submit this ai2davn umEcidirg they aye doing aR a and Hier bire outside conttacturs nmst submit anew affidavit inrrautm such- tcoutcactors fist Apck this box mint sttarhed aII additinos]sheet sbotving the mame of Ste sub-ao3ff2ctois and state whether Drum ff mse have emVlmyees hf the sob-contractors bxwe—pkry-ees,they mist gruvide their tv IeW camp.policy Mmfl r I am are employer that is prvi*b eW workers'compensmion irLmrance for my employees Belau is the policy artd fob s&v informadam Insurance Comp myName: Policy 9 or Self ins.Uc_4-- Expiration Date: Job Site Address: CityfStatef : Affach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to se=e coverage as required under Section 25A o€MGL c. M can lead to the imposition ofcriminal penalties of a fine up to S L50Q-00 andfor true-yearimpr_so as well as twirl penabies in the fbrm of a STOP WORK ORDEP,and a fine of up to S250-00 a day against the violator- Be advised that a copy of this statement may be forwarded to the Office of Investigations of the IAA for insurance coverage verification- I do hereby certify ilrspains Z2�= he information provided above is.h-nre and carrect Signature: Bate: Phone# (Wrdirl use anly. Do not sprite in this area,to be completed by city or town officiaL City or Town:. Perm VUcense# Issuing Authority(tarcle one): L Board of Health 2.Binding Department 3.CityJTGwn Clerk 4.Electrical Enspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 16— 6 Information and Instructions ' Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an errrployee 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 i 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 Iocal 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 inettrance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certifica±e(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 are that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit(license applit;ations 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 Depaitmmt of Industrial Accidents Office of kvlzsfigatians 600'teaS�an Siree Boston,MA G2111 Tel,#6 1 7-727-49-QO W 4II6 or 1-g77-MASWE Fax#617-727-7149 Revised 4-24-07 ' Wvaw.massgov/iiia . AFVC Guide to Wood CanstruciYarr irk Higfi Wnd Areas: 110 mph Wind Zone Massachusetts Checkli.�>< for Compliance(ran cmRs3ol_m-r)I Loadbearing Wa!!C6nnec6ons - La>aral(na.of 16d common nails) --gables 7) Non-Laadbeaiing Wan Connections Lateral(no-of 16d common nails} -__---(Table B)—___ �_•---_-----_-__ Load Bearing Wan-Openings(n=rd largest opening but check all openings for corriplance to Table 9) Header Spans -_ __ _ _—____—.(Table 9) __-_ _ ft in._<if, Sig Plate Spans ft—in__<11' Full Height Studs (no.of sfvds�_-__.-^—._.(Table - Non-Lead Bearing Wall Openings(remind largest opening Wit check all openings fix compliance ID Table 9) Header Spans------ _._.__._.._____-_.__.----(Table 9}--______-.----._ft—ui 12' Sig Pldie Spans.__.__---------..--___.(fable 9)_. -- ---_ —ft—in_512` Full Height Studs(no.of studs) -(Fable 9)__-- --___-- -- Exterior Wall Sheathing to Resist Uplift and Shear Simulfaneausv hfmimurn Bidding Dimension, W - No,minal Height ofTanestOpening2 ................ ---.----__-,--=SIiB` Sheathing Type---- __________.(nota4)^_--------___ ----_ -Edge Nail Spacing-;-_-_-----t_---(Table 10 or note 4 if less)_---_---_ m- Feld Nail Spacing.-_.___ -_ -----(Table 1 D)_.- _—.- - in. _ Shear Conneciian(no.of 16d common nails)(Table Percent Full-Height Sheathing.-_' __- -(Table 1 b)_-__._-__-__---__ _% 5%Additional Sheathing far Wall with Opening>6'r(Design Concepts) Maximum Building Dimension, L Nominal Height of Tallest Dpening2__.__.__----------------------------------------------------- Sheathing Type------- --_-(note`() --- ---- ----- Edge Nail Sparing--_----_ --{Table 11 or note 4 if less)--�.._-_ irL Feld Nail Spacing.-.__--.__�_.,-_ (Table i1)-- __-__ - .__ irL Shear Connecfion(no.of 16d common nails)(Table 11) Percent FulkHeight Sheathing_.,-----_gable l l) 5%Addi5onal Sheathing for Wall with'Opening>T3'(Design-Concepts) -.- Wall Cladding Rated for Wind Spei<d?- 5.1 ROOFS Roof framing member spans checked?._--_(Fbr Rarlers use AWC Span Tool,see RBRS Website) Roof Overhang .---------------_-.-•-----------_-_-.{Figure 19)..__:--- ft 5 smaller of 2'or L13 ' Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Upfift_----=-- _ --- (fable 12)-------- -------- P� (Table 12)_—_--- -----L= plf -Shear--------- -_-_(Table 12)___-_-—___-_-___ 5= Pit. Ridge Strap Connections,if mllarties not wised per page 21._. (Table 13)_-__._--------------T= pff Gable Rake Dudo(Dker- .--__------ 2D) .____,_._.._ft s smaner of Z or L12 ' Tnlss or Rafter Connections at Non-Loadbearing Was Proprietary Connectors UPS------= --- _:(Table 14)------ ��Li= Ib. Lateral(no-of 16d common Waits)--(fable 14)_____________,:______._-----------__L= . lb. Roof Sheathing Type (per T8D.GMR Chaps 56 and 9)............. Roof Sheathing Thickness__._._.-- -- _ —in->_7111i VV3P Roof Sheathing Fastening____-_----•---.-." (fable 2) f, : This cheridisE sha be met in ft entirety,excluding the specific.exrep5on noted in 2, to comply wn the naquiraments of 7BD CMR530 121.1 !tern 1. tf the checkfst is met in tts entirety then the following metal straps and hold downs ar-i<not requirad per the WFCM 11D mph G-LAde: a. Steel Straps per Figure S b. 2b Gage Straps per Figure 1 i Uplift Straps per Figure 14 d All Straps per Figure 17 e_ Comer Stud Hold Downs per Figure 18a and Figure 13b. Exreption_Opening heights of up to 8 ft.chap be permitiE when SA is added to the percent fulkheight sheat-ring - requinnierds shown in Tables 10 and 11. The bottom sill plate in e.>detior walls shag be a minimum 2 in-nominal Nckiess pressure treated Zvi ace: ; A FCC Guide to Wood Coast wdiort hi Hi;Tlr H,57txd Areas:110�npIr Wad Zone' Massachusetts Checkffst for ComPance(7eD c m dot l.I)r - C6m�ptlmn�. 1.1 .SCOPE Wind Spud(3-ser.gust)- -----___._-- --. :_ -_-:._- ' 11 D mph Wind.Expamre Category - - Wind Exposrira Category................Engineering Required For Entire Project-----------------------------_......._C 12 APPILCABILITY Number of S'mries(a ropf which exceeds B In 12 slope shag be'considered a sfnry) stories _<2 sfnries Roof P r-h (Fig 2) --- --- _<1:2:12 ` Mean Roof Height'-- -- ----_-•- ---{Fig 2)_--_.--.------- -._.__ ft _f33• Building Width,W_- ------_-.-- _(Fig 3)--__---_-_----- _ft <BB' Building Length,L ___-- -.-----___-_(Fg 3)—�-� : -_- _ft Building Aspect Ratio(LNG ___: _ -(Fig 4)_-_- _- _ 53.1 Nominal Height of Tallest DpeningZy__-___-_.__ _ i 4 _�-__- 5 TEr 13 FRAMING CDNNECTIaNS General compliance wrltr framing rinnecfions 2.1 FDUNDATIDN Foundation Walls meefing requirements of 78D CMR 54D4.1 CDn _._...�.. -- _......--".-..._..........:......•--••--•------------------------ •----• -- ---•-•-- Conci Masonry--•-------- ----_._-._---_- ----- - ------ _._._.:_ Z2 ANCHORAGE TD FOLlNDATIDNt13 5/8"Anchor Bolts4mbedded or 5/9`Proprietary Mechanical-Anchors as an,alternative in coriarete only BDIt Spacing-general--------------.................__ :.(Table4)-�.__.—.--------__--._ in. Boft Spacing from end(oint of plate-----•- ---(F9.�--_-_---------------_, in._<6"-12'. Bolt Embedment-conrxefE-----_-_-_--- (Fig 5).._._-_�.-__._-:---_ in_>7- BDf Embedment-masonry (Fig 5) -_--=----__:._--__ in.?:15` PEaI>:Washer-_.— -_---- ---------- �9 5) ----- --------''-3 x 3`x Y." 3A FLOORS Fioorframing member spans checked' 7BD CMR Chapter 55) _-- Ma.)dri-rum FloarOpening•Dimensiori_---•-- --_(Fg6)--_-------------------..—ft<_12' Full Height Wall Studs at Flow Openings less than 2`from Exterior Wall(Fig 6)................._.__.._.._:..._...., f4.tdrnu:m Floor Joist Setbacks Suppoi-fing l-Dadbearing Waf[k w Sheamall—.__--(Fig Ivta)tmum Cantilevered Flow Joists T Supporfing Loadbearing Walls or Shearxall....___.___(Fig 8)._-- ------------_-_:_.._ft _:d FloorBrac.ng at Endwalts—_�-_-_ __-- __-_-(Fig B)- _-_—.___..—_-----_-.__• Floor Sheathing Type (per7B0 CW-CliapW5S)-- ---,-_------- Fiaor Sheathing Thidmess _•-----------__- -:_-(per 73D GMR-Chapter 55)_.... -_:_. in. Floor Sheathing Fastening _—d nails at in edge!_in field 4.1 WALLS Wall Height Lcadbearing walls._' -__-- _ (Fig 10 and Table 5)-.-- -__ft c-1 fr Non-Laadbeating uafls_._--:--- —_(Fig 10 and Table Wall Stud Spacing _--_ -.._.- -_---(Fig 10 and Table 5)—_:_ _'in 5 24=o_r- Waff StDIry Off ets- -------. ---------.(Figs 7&8) - -..—- --- —ft s d ' 4-2 a>, R OR WX LLS' " Wood Studs _ —ft_h. _-...._-.(Table 5)—----- ---2x ft �- - - Gable End Walt Bracing t — — — Full Height Endwall Studs ._.---._ -_"-.-_--(Fig WSP-Attic 11)_--__ __•--•__--- ft LW/3_ Gypsum CeTing Length[rf WSP nat used)_. - (1=1g 0-9w and Z x 4 Continuous Lateral Brava @ 6 ft n-c.-(Fig 11 .....................-- _ br 1 x 3 cefing firing strips @ 16"spacing min with-2 x 4 blDHdng'@ 4 ft.spardng in end joist ar truss bays iDauble TDp Pilau Spfice Length -•---_._: - —.—(Fig 13 and Table 6) ------- _ft ' -_ SpCice Eatrnec5ott (nQ_of 16d common nails)—.___._(T•able 6)_____-.�-__. _"�_-- - � . ,-I TT(- LYRRIZEIG Tr Goa arc u on ur - ram r rrc eas_ rrzp r H1,'rJ7d Za.ae Massachusett Chec.Ust for Cbmpliauce (780 CPIR5301-2 r:I�i -. 4, a. From Table-10 and 11 and location of Wall stieaifiing and 6Wdmg Aspect Ratio,determine Perr_&nt Fu&Height Sluing and Nall Spacing requirements b. Wood Structizal Panels shall be minimum thidmess of 7116'and be ins`faged as fogowsr L Panels shag be installed with strength axis paraBel to studs. I All horiznnial joints shall DC=over and be nailed to framing. uL On single story aonstruction,panels shag be attached to bottom plates and top member of the double by plate. - iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel_ Upper attachment of lower panel shall be made to band jo,1st and lower attachment made to lowest plate at first floor framing. v. Horzontal nafl spacing at double top platias,band joists,and girders shall be a double row 6f ad staggered;t 3 inches on center per figures below:Vertical and HoimntaPNaiirng for Panel Attachment b. ,Glazing proterton.a)new house or horizontal addition—required if project Is 1 mile,or closer to shore(generally,south of Rte.28 or north a-Rte.6) b)veriic-,W addition—not required unless there is extensive renovation to the first floor c)replacement wuidows—needs energy gonserv-4C)n compliance only(chap 93) B.Wood Frame Construction Manual(WFCM)for i 10 MPH,Exposure H may be obtrined from the American Wood Council (AWC)websda l TMEMERES-Mou usEaa wars ATStc • u Ik 1t u - u 1 u tl It l it • i tf ,f � I j 1 l 1 - F ti I e- .• ll j � a• 1l{t I1I 1 1 [' CL is V l l EDGE&a 1 •tl U ! t - LI � t l - ' it fu [ �r Z [ 1�- II ll)- I 111 S [ •[ l [ [ V It tl [ l ! [ [I t [ - t-� Irk^ [ - -�� - • L�Dd18Q�i t STABRIEFEDa*hdCd �A I 2�tQ PZ • Ptid� _ 1 _ � P/t!tlli F�� OQrh�E51AtL�]]GE SPR�I4G DEIAL See Data on Nad Page Vertical and Horizontal NaTng ' for Panel Attachment Vertical AT)d Hatizvntal I aitrng for Panel Afpa hmerjt . Town of Barnstable Regulatory Services • saxxsrwsts. • 9 Mass. g Richard V.Scali,Director �6 MA.is�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Secti If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work au rize by this building permit application for. (Address of Job c- Pool fences 7/e ms are the responsib 'ty Lfthe applicant. Pools are not to br utilized before fence talled and all final inspectionsormed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date ----------------- QT0RMS:0WI MUF-RMISSIONP00IS Regulatory Services oFTKE ri Richard V.ScaIi,Director - �' ° BIIIIC71IIg DIVISIOII Tom Perry,Building Commissioner `0$ 200 Main Street, Hyannis,MA 02601 QED ' a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION / Please Print DATE: , ` / A / JOB LOCATION: ( ,V t' N �,��/L C�- !�' "HOMEOWNER'•:_ pa,numb ! l/L,� (/ �/ village KJ � name F home one# work phone# / CURRENT MAMING ADDRESS: 77 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner" shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. - The undersigned"home e ' rtifies that he/she understands the Town of Barnstable Building Department minimum inspection pro ce sand require ents at he/she will comply wi procedures and requirements. Si ature ofHom Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &ReguIations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fuIIy aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 Ij LUJ y- RANT ��9 Tb'=0 r��l S/ O -7 S r� ` S L r � I �««mot• � �.• '( • .� M A-406441 V- is r r. L / n� Z�� ix ��/ Rnr43��5 �d'eAW r1 'aV D ,Ice 1b a C� �iMQs ts 1K ! GO V1tox lD Gr i=oo�(urn c. 77 1D b r-(ks� �i ZS 2 I s;7,=2-,=9, 9-1-- 3 a INET°��°� The Town of Barnstable BARMAf,q E. Department of Health Safety and Environmental Services ' MASS. g. P .7 t6yq. �0 MF'M Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location S�� .c//%�/iit/G—,rJ Permit Number Z 0 1 Owner A)W e-, G Builder One notice to remain on job site,one notice on file in Building Department. The following items need correcting: /ace e C'se 761 J Please call: 508-862-4053S=for re-inspectio Inspected by 14 Date 3�° s 7z L� PROJECT NAME: ADDRESS: PERMIT# OL,U ) 3 b 1p G1 PERMIT DATE: 1 �l M/P• LARGE ROLLED PLANS ARE IN: BOx 13 SLOT Data entered in MAPS program on: Ih BY: q/wpfiles/forms/archive TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map , �� Parcel � Application • ` 6 0 Health Division Date Issued j Conservation Division Application Fee Planning Dept. Permit Fee /)o Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address 5� l IJ 9-yq 10J ell/ '�Q- � �WtZ4J S Village W 4 �� ST Owner (L r�Ci � Address u Telephone S 6? 14 7 J (a I Permit'Request '06FW0Vt✓ A-r.1bDCZI�- i 'Z-5( 'x / 0,("', X Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 4�' K Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 3' Two Family ❑ Multi-Family (# units) Age of Existing Structure 7 Historic House: ❑Yes No On Old King's Highway: KYes ❑ No Basement Type: 0,Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area ft) � Q Number of Baths: Full: existing 2- new Half: existing new Number of Bedrooms: 3 existing —new > x0 Total Room Count (not including baths): existing 7 new First Floor Room Cou Heat Type and Fuel: I(Gas `5dOil ❑ Electric ❑ Other i Central Air: ❑Yes QKgo Fireplaces: Existing New Existing wood/coal stoee: ❑Yes No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes �(No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION y (BUILDER OR HOMEOWNER) Name �� Telephone Number 77 —`f 0 7 7`71zl Address �4 7�✓L � License # e S ad 31 SZ/ �y /Vis Home Improvement Contractor# T d � Emaila . 6CY-144'1 L, 6o Wx Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE / C i FOR OFFICIAL USE ONLY } APPLICATION# } DATE ISSUED MAP/PARCEL N0. 1 ADDRESS VILLAGE OWNER DATE OF INSPECTION: 4,--,FOUNDATION:._ `S nos t FRAME M G -3 ® < R-A D} INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL E PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING ' DATE CLOSED OUT } ASSOCIATION PLAN NO. x o f L -w� •• _ The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass gov/tUa Workers' Compensation Insurance Affidavit:,Builders/Contractors/Electricians/Plumbers Applicant Information ,, l Please Print Lep_ibly Name(Business/Organization/Individual): - Address: < < COTTerz- i4-V6-` City/State/Zip: N1S (A4 A 07-0 O/ Phone#: 5-D�— 3 75-7 Are yqn an employer?Check the appropriate bog: Type of project(required): I am a employer with_�G 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers'Comp. insurance comp, insurance t 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions exemption myself [No workers'comp. ri�t of p lion per MGL 12.0 of repairs insurance required]t c. 152, §1(4),and we have no employees. [No workers' 13.[- Othar comp.insurance required] djC l.STI N ZT (74=Z *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: �,��LC�lis �'7✓� 1/l� '4�� "p.S Policy#or Self-ins.Lic.#: -7P,J-y�j —��r�y��Z 13 Expiration Date: �7 a ��o l I N1 PA-i_,✓cw 1rnN s /�Job Site Address: City/State/Zip: .7 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$1,50-0.00 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 tnhepains andpenalties of perjury that the information provided abo a is tr a and correct: Si ature: "7 Date: Iq Phone#: fj� — `J 3 /— q'7 5 / . Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): i 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions , Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant-to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance. requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the.affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Offlee of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASWE Revised 4-24-07 Fax#617-727-7749 www.mm.gov/dia I Rightfax N2-1 8/20/2013 8:25:21 AM PAGE 3/004 Fax Server y A o� CERTIFICATE OF LIABILITY INSURANCE a-�.za1z ETHIMStTIFTCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATECT THIS CERTIFICATE DOESNBELOW.OT ATHISFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGEPOLICIE ING UJURER{S)AUSTHORREDREPRESEN ATNE R PRO RCATE OF R,,AND TH DOES EOCERTIFI�CATTEE HOLDER-TE A CONTRACT N.7. I the oetdifll:ata holder is an ADDITIONAL INSURED,the PdkY flea)M14I W�o�' H SUBROGATION IS WANED, mdod to the terms and condWwm of the policy.certain Policies 910 requha an endorsement A statentert on this certificate does not confer r%ft to the o to hotdar in ileu of such endorsement(s). CONTACT PRODUCER NAME FAX OCEANSIDE INSURANCE GROU PHONE 52 WEST MAIN ST EAW HYANNIS,MA02601 INSURERM)AFFOROMDCOyERAW NAICO INSURER A:TRAVELERS PROPERTY GgUALTY(,OMPANY OF INSURER B: rWHiTCOIUA,B::REAAODEUNG NC INR 5 wsuRER D: NNZ601 INSURERE: INSURER F: A R ' 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 ICONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CER71FICATE MAY BE ISSUED OR MAY PERTAIN,T14E NSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS D CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDL SW POLICY Em POLICY up uwrS LTRR rpECOOB1A�E INfR WAD p�Y NUMBEREAOI OCCURRENCE 9 �uimm DAMAG TO RENTED S COWAERCIAL OENERAI UABILM 6 "O"OD 1 OCCUR UEDEXP anc 1 S J PERSONALaADVINAOtY S GENERAL AW1REEGATE S PRODUCTS-OONPIOP AGO S . GENL AGGREGATE UMrr APPLIES PER: S POLICY ,�T LOC MRINED SINGLE LIMIT S L IAB4.tT11 ��fen7 6 BODILY IN,NRY per0e1>Anl ANY AUTO S BODILY ALL OWNED SCHEDULED W,AIRY(Peraolide�U AUTOS AUTOS E S HIRED AUTOS AUrOSS S EACH DCOIRLPENCE S U MLLALIAB AGGREGATE S EXCESS LIAR (xA1M3MADE 4 CPO RETENTION S INC&TATU- am. W010MRSCOMPOISAWN X TORY LIMIT Y FJt AND EWWVEOW LIAaILM AV EL.EAGH ACCIDENT 5100.000 ANY pROPR1ETORlPARTNERIE7IE OFFICERWMBER EXCLUDED? N NIA 7PJUB 0T-18-2013 OT-t13.2014 F1 DIePaSE-EA EMPLOYEE 8100.000 tmw4*ry In NHl 6811808 ye�,dcwIbuu� E.L.DISEASE-POLICY LIMIT S500.000 Ir DESQOPIION OF OPERATIONS Oebw TWIN OF OPERATIONS I LOCATIONS 1 VSKLES(AtdaI+ACOND tot.AdoWd RAmwkg Sdw",It man TUM N MWtl+R ------------ TOWN OF BARNSTABLE BUILDING oEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF 200 MAIN ST NOTICE WILL BE DELIVERED IN ACCORDANCE WITH TH HKAIJNIS,UA 02601 POLICY PRmstom. AUTW"WEDFVWMLE tTAT W ACORD 251201IN" The ACORD name and hW are m9 httare1 ntarR O ACORDCRATIOtI.All n8hts ICfe(Yed. =.. .:,.....-„w.,...„:_�...:.:�r•:H.:�ie�pomvnzaru�ea�o�C/v/,aoaac�ucael�:. Office of Consumer Affairs&Business Regulation '- - OME IMPROVEMENT CONTRACTOR egistration: ,''I'. .11 Type' xpiration--�9I2 005,� Individual r,. CHARLES WHITCOMBJEi. CHARLES WHITCO` 707 MAIN STREET HYANNIS,MA 02601 Undersecretary partment of Public Safety Massachusetts-De Board of Building Regulations and Standards Construction Supervisor , License:.CS-083184 CHARLES A TCOMB JR-1P1. PO BOX 501 A` i .y o Expiration Commissioner 04/28/2014 i ..... ........ License or registration valid.for individul use only j 'be fore the expiration date..If found return to: I} Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 1! Not valid without signature. i'. Massachusetts'-Department of Public Safety I Board of Building Regulations and Standards • Construction$up!en-isor• �F i License: CS-083184 4 CHARLES A iITC&D JR''�� PO BOX 501 �.. ¢ W. 2 M ,.�,... � �sjn, Expiration Commissioner 04/28/2014 a ,. r - : Town of Barnstable Regulatory Services • R�RNCPIRTn • , MASS. � Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize (A)(rV'1 Z.c31M13 to act on my behal� in all matters relative to work authorized by this building petmit 69 !1 N 1 1G14-7 P tV 12,;b (,ll . 3+r4JS`I-Ai3I C Get l4 (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print awe Print Name Date QFoxMs:OWNExPEP-WSSIONPoor s 62012 Town of Barnstable Regulatory Services Thomas F.Geiler,Director pmm � Building Division Ec►�' Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occuuied dwellings of six units or less and to allow k homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\decolldc\AppDataV.ocal\Mcrosoft\wmdows\Tempomry Internet Ft7es\contmtOutlook\QRE6ZUBN\EX:PRFSS.doc Revised 053012 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TORN OF BARNSTABLE Map Parcel / Application # 06 30(0 1013 OCT -2 1.�1 �9� 23 �ealth Division Date Issued �1 L conservation Division Application Fee( . �/n Planning Dept. DIVISION' Permit Fee to 5 ce , Date Definitive Plan Approved by Planning Board jl4storic - OKH _ Preservation/ Hyannis R Project Street Address 54o 1/1/1"h / K al n -e n Village Q we 5 t F fL rh I 1-"/- Owner cJ /V 6' C Address & I Vllazkaln -enlzd Telephone 3& Permit Request 0 nS L-k Y— Square feet: 1 st floor: existing—proposed / 2nd floor: existing proposed —' Total new�76 DA7L-T, AP- a t+ -ePbb Zoning District 12F Flood Plain - q•`d.5-Grroundwater Overlay Project Valuation 0 0 K Construction Type�� Lot Size ; ' q0 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family tid Two Family ❑ Multi-Family (# units) Age of Existing Structure d-7 Historic House: ❑Yes X°No On Old King's Highway: res ❑ No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) /,5-9D Number of Baths: Full: existing new Half: existing Z new Number of Bedrooms: _? existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: J4Gas 40il ❑ Electric ❑ Other Central Air: ❑Yes VNo Fireplaces: Existing New _Z Existing wood/coal stove: ❑Yes VNo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes _XNo If yes, site plan review# Current Use Proposed Use 7_ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name /y��h� i1��5 � '� Telephone Number 11 �s3� �77 Address . `30,L ,- l License # Ci o Zf 3l k# VJ -ERY_ 4YJX)1SCL (I17 MA 0 Z&7Z Home Improvement Contractor# f Z �7 mai �TcI,M132WO1✓z1"G— -. 6t orkers Compensation # I TO0 6 911 MK ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SS Leo - pu,- yF SIGNATURE DATE / ! 3 d I 1 3 ti - FOR OFFICIAL USE ONLY Y APPLICATION# Y 91r DATE ISSUED MAP/PARCEL NO. '4 ADDRESS VILLAGE OWNER z . DATE OF INSPECTION: r a r<LFQUNDATIONatt3 .. � �o ,3[ Q 3 -1P M f FRAME "�.�/' 'isFsv t d� " -✓�� - -� ! - INSULATION. 9.< Y FIREPLACE y ELECTRICAL-: 5 ROUGH FINAL ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING:` "��_; el t f� S DATE CLOSED OUT ASSOCIATION PLAN NO: - V �ti. Town of Barnstable Regulatory. Services ELAMETABM ` Thomas F. Geiler,Director Building Division Thomas Perry,CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW -#2013 069gs7* i Owner: NA(5*-A010 Map/Parcel: 56 0 6T Project Address 56 14)ts4lriiAZAAEs1A. Builder: W�f/7'cn�'H-Ij The following items were noted on reviewing: c,A-- ��/ vo i2 C 6-f LGS lGN �Ef�tc9�l #E-Q Lt-f le.E;!g c/,ol, r3 �itJ6r o�2 4Rc#-HtEEC,Y S /PEVIC-W �iu�Na �oB� � Sr2�c.�TitK�� C'od 6 MU-Sr $E 140✓<d" JF:;A A7rIL SAq-cE /N NE w �A)&ZJ Fa u. v 6 vof OULPE SV&r-1 Etc- CAS CZ- 12141(- bS-r4-/L. ON l4C,A}iLJ ��r6.c.' WU-1- Nor MEle—r CDZ& iQE I,�-1QENtENtS Reviewed by: Date: Q:Forms:Plnrvw The Commonwealth of Massachusetts Department of Induytrial Accidents Office of InveshFgations UF 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information /-,/`L Please Print Legibly Name(Business/Organiration/Individual): V #77-eO IM15 Address: D: -0011- S-01 City/State/Zip: VJ. ,5 hW 0, 6 241 Z Phone#: 5bf '5-3'1--5 75-7 Are you an employer?Check the appropriate box: Type of project(required): 1.,�I am a employer with Z- 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7• remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers 9. ❑Building addition [No workers' comp.insurance comp.incnranceJ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.El Offer comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and slate whether or not those entities have employees. If the sub-contractors have employees,they roust provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:__ T1741/e-ie&-5 e(20 Pall-r1 A-TA) CA-5a kily co p F- po t wit C,4 Policy#or Self-ins.Lic.#: �'f nO�OS ( O 0 0 6 Expiration Date: 1 J�o VJJ I A/I KAIN� FJh�t E It(A Job Site Address: City/StatelZip: 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 pairu�enaLdesofperjury that the information provided above is true and correct Signature: da . Date: Phone#: 5— 0 ',6-3 4 —5 7 S Of,jYcial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant-to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shaJ1 withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their 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 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 permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"-the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of J vestigations 600 Washington Street Boston,MA.02111 TO.#617-727-4900 wd 406 or 1-877 MASSAFE Revised 424-07 Fax#617-727-7749 - www ma=gov/dia Rightfax N2-1 8/20/2013 8:25:21 AM PAGE 3/004 Fax Server A o& CERTIFICATE OF LIABILITY INSURANCE . 2��3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAT10N ONLY AND GOFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING tNSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. WPORTANT: N the caTNticate holder Is an ADDITIONAL INSURED,the polky(im)mus!be endorsed. If SUBROGATION IS WANED, subject to the terms and condilims Of the poft.Certain po6cias may mquba an endomement. A statement on this ced icft does not confer A9hts to the coullIcate holder In tiau of such endoraemenitsj. CONTACT PRODUCER NAME FAX OCEANSIDE INSURANCE GROU PHONE 52 WEST MAIN ST EAWL HYANNIS,MA 02601 INSUREMS)AFFORDINO COVEFU Nate e OISURERA:TRAVELERS PROPERTY(',ASUALYY COMPANY OF ruduffl�EwINSURER B: TCOt REMODELING INC 013URERCBOX 501 INSURER D: YANNISPORT,MA 02601 INSURER E INSURER F: R• VFR A THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED EQUIREMENT, TERM OR CONDITION OF ANY ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY R 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 ANO CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EW POLICY IMP LIMITS amTYPEOPOeIAWCE 94SR WVD POLxYloluku R EA{hI OCCURRENCE 9 ORAL UASLM DAMAD TO RENTED $ COMMERCIAL GENERAL LIABIM P Ler•�-�e.^F. OCCUR MEO E7(P am prrma) S PERSONAL 6 AOV tNJURY S GENERAL AW403ATE S PRODUCTS-COMR'OP AGO S . GFJYL AIGOREGATE LIMIT APPLIES PER. S POLICY PRO. LOC MBI O SINGLE UMR $ LIABILM ae BODILY IN,NRY 6'Brpemonl S ANY AUTO S ALL OWNED SCHEDULED BODILY INJURY OWsc3dmlU AUTOS AUros E S WREDAUTO$ AUUTTOSS S EACH OCCURRENCE S UMBRELLA LIAB OCCUR S EXCESS LIAS CLAIWSWADE AGGREGATE S CEO RETENTION 4 we sraTu. OTN WOIOmRS CQItiPE}LSATm X TORY LIMITS ER AND EVPL4DVUWLIABILITY M EL EACH ACIM ENT E100.000 ANY PROPPoETORrPARTNER XE OFFICERMIKMRER EXCLUDED? N N/A 7PJUS 07-18-2013 07-to-201d �D -�� vEE 5100.000 twAr4sImy In NH) 8B118688 N ym d.. w d. E.L.DISEASE-POLICY LIMIT .5500,000 DESCRIPTION OF OPERATIONS bebw DESCpp OP OPERATIONS I LDCATKM I VBCCLES UOich ACORD/0%A4dHBaId RaIlulla 9ehOdIM.a Nwn>f0�N � ------------ --------------------- TOWN OF BARNSTABLE BUILDING DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF 200 MAIN ST NOTICE WILL BE DELIVERED IN ACCORDANCE WITH TH HYANNIS,MA 02501 POLICY PROVISIONS. AIRFSOR{�DAT� ®19e�ota ACORN TION.ALI A9flts rBumod. ACORD 25(2010185) The ACORD Mune and RW are m919BTed Inirt(!i oT ACORN f �ie cpanvnaarcusea�a�C��uae�"f Office of Consumer Affairs&Business Regulation r OME IMPROVEMENT CONTRACTOR egist:ration: ::140251 Type: __. piration: 9/25/2015; Individual 1 : ) CHARLES WHITCOMBJR=,;`.=--_-- CHARLES WHITCOMBr t F ' 707 MAIN STREET 's;.•.°4:-,;y�. HYANNIS,MA 02601 '— Undersecretary 5 7 } Massachusetts'.-Department of Public'Safety �f Board of Building Regulations and Standards Construction Supervisor ' License: CS-083184 CHARLES AITCOMB PO BOX 501 gr•�y�1vNL�OR �02671 Expiration Commissioner 04/28/2014 .............. I THE Town of Barnstable o� Regulatory Services y� MASS g, Thomas F.Geiler,Director 'QED IJ F Brulding Division Tom Perry,Building Commissioner 200 Main sheet,Hyannis,MA 02601 www.town_barnstable_ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Ownet of the subject ptoperiy hereby authorize h l�c m 6 1I n to act on my behal in all matters telative to work authorized by this building permit (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be: filled or utilized before fence is installed and all final inspections are performed and accepted. SignstLne o Owner Sigmt ne of Applicant A ric linGLYl�S lN�l J C l Ml Print Name Print Name -57 2 3 Date Q•.F0RMS.0WNI RPERMISSIOreoor s EMU Town of Barnstable z Regulatory Services ` SASS Thomas F.Geiler,Director A.`0g Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax7 508-790-6230 HOMEORTIER LICENSE EXEN=ON /Za Please Print DATE: J JOB LOCATION: j /1_1�C! �n--r r7 l eOU number shed village /_ "HOMEOWNM7 9 U � / �i r�/it a, J�Y-3 4Q— '7/4 name borne pbone# 4work phone# CURRENT MAILING ADDRESS: / V Q CE'tip ��(lr Yf15�/.hie cityRown state up code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended.to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible far all such work performed under the buildine permit (Section 109.1.1) The undersigned"homeowner"assumes.responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedra Zi Tr—ements and that he/she will comply with said procedures and requirements. 5ignatine of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMBOW?"S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fnIly aware of his/her.responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in I your community. C:\Users\decoUk. ppData\LomT M crosoft\wmdows\Temporary Internet Files\Contrnt0utlook\QRF-ZUBN1EXPRESS.doc Revised 053012 c (\ n tA711 AJlrll��Al /vex/ A FYC Guide to Wood Corrs"cdorr in Hi;, WZ-rrd Xreas:110 niph Wr'nd Zone Massachusefs CheckUst fay- Compliance(78D CKR 301 f.l)t Compliance 1.1 SCOPE Wind Speed(3-•see gust)__.______..._.._:_.____......_._..___...__.__.._.-._.__..-.._. :_.11 D mph ExpDSUM ategory Wu�tdd ExposureC mow'-_................Engirieering Required For Entire Project........... .. ---..-C 12 fIPPUCABEIfY. Number of Stories(a roof which exceeds 8 In 12 siope shall be considered a story) , stories <2 stories Roof Pftctt_—..._._.._.;..._.__._..—_____----._....(Fig 2) Mean Roof Height _____.._._-_--•--_ .._. - -(Fig 2).__._.._.~_...__ — _ ft s'33. Building Width,W-. .. .._._.-__._.__ _(Fig 3)_._._-.._.__ L_ _ ft 5 9a (Fig 3)—....—_....... ft 5 8cr V� Building Length,L ✓ Bulding Asper#Ratia(L/Y►�_.�---___.__-. .. (Fig 4)_._:..—_._-_ Z>� ✓`�<_3:1 Nominal Height of Tallest OpeningZ __.___...--.._-_-•(Fig 4)_--_ _- hN -.f --- s 6'g' 1.3 FRAMING CONNECTIONS General compliance wrltt framing connections_.___..._..(Table 2.1 FOUNDATION Foundation Walls meeting requirements of 78D CMR 54D4.1 ore 6eow �� Comaia........................... ..---.._...........:....._............_.. .. ..._...................---- Concrete Masonry. ►� Z....._. __._.-•---- 22 ANCHORAGE TO FOUNDATION',' L)PL IF-r 21 -7 1,4Tryt*L- 13 z JNv*TZ(PLF) 553 5/a'Anchor Bolfs�imbedded or 5/3'Proprietary Mechanical Anchors as an abmaffvqln M on! Batt S ringeneral ........:.:-------__:. able 4 `/' ' _._ in. Bolt Sparing from end(oint;of plate_____.._-:_-__..._(Fig 5).-_._-- Bolt Embedment-concrete___. in.>_7" Bolt Embedment-masonry-_.-,..__. .....__._.____.(Fig 5).____-.t._.__ -..___-._ • in.>15" • Plafie Washer_:.__..__...._--.----.-•-------•---__._. ( g )_..._..___—_.__. .__-._ 3.1 FLOORS Floorframing member spans checked _:_---..___._ _(per 730 CMR Chapter 55)_.-•------_-•----.--_--- Maximum Floor Opening Dimension O ft512, Full Height Wall Studs at Floor Openings less than 2'from Frior Wail (Fig 6)....................................... MtDdm►.im Floor Joist Setbacks Supporting Laadbewing Wafrs or Shearwall -__-(Fig 7).___.-.�..._...___._._:.__.-_�__.. ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearin Walls or Shearwall......... r 8 / F1oorBracing of Endwalls (Fig 9)_.. Floor Sheathing Type T5� _ �__ _(per 780 CMR Chapter 55)_��_j_!o A Floor Sheathing Thickness _ _ -_(per 7&0 CMR Chapter 55)__.._._____.__. in. _: i�oN I�I.S Floor Sheathing•Faste6mg_...�� 1 ._...___...__! __..�.(Table Z)_�d malls at kn edge/ I n field 4.1 WALLS ' Wad Height Loadbearing walls...__a._.____.___ _.___..-__(Fig 10 and Table Non-Loadbearing walls__.____ ._--_--:—__._.(Fig 10 and Table 5) Wan Stud Spacing (Fig 10 and Table 5)_._._..._.._ in-5 24'mr. Wan Story Offsets _---.__.___._______....___(Figs 7&8) ft s d ' 42 EXTERI0R-W.AL Wood Studs o Loadbearing walls (Table 5}_._.___..__..... 2x fo ft i. V Non-Laadbearing walls._-__---- .._....__._ .__.(Table S)_ _2x _ft_in. Gable End Wall-Bracing Full.He1g�d Endwall Surds_.__.___.__-_ __ .(Fig 1 D)_.-.--_ WSP-AfSc Boor Length— -(Fig 11)_ •�_- ..._.__.-__.- - ft zWr3 _ Gypsum Calling Length(if WSP not used)_ .: _._-_-_.:(Fig 11)�. s w•S ft�0.9W - • and 2 x 4.Continwus Lateral o. ral Brace @ 6 fc._(Fig 11)__.. 7... ............. .../em..._.�.1...�_..-._ or 1 x 3 ceiling furring strips @ 16'sparing min.with 2 x 4 bloddng @ 4 ft spacing in end Joist-or truss bays Doable Tnp Plate 6eUC16�_ &-4J4-rN - (lei cam,ram. /•3 Avi.D;-N& � 1 Z/Pr gf`/6C-GorJar�j0A) (No. OF lb GoPuwwry -JA-1ilS) A FYC Guide to IVood CorrstructWi is Higtr Wind Areas: 110 mph w7rrd Zofie Massachusetts Chec�ist:for Compliance nsn C&4R5301_2.1.1)r Loadbearing Wall Connections 2, V Lateral(no.of 16d common nails).._-..-_-....._.-_- (Tables 7) Non-(xadbearing Wall Connections Lateral(no.of 1-6d common nails)-------. _--.:-- Table t3)-------- --------------_---._. 3�2 Load Bearing Wall Openings(record largest opening but check all openings for compf'rancejD Table 9) Header Spans _._._-.---------------__-_--_-.._-...-(Table 9)__..:...____•._._.-.-___�ft�_in. Sill Plate Spans .___.-.._._.__ ____....`-..___(fable 9)_•--_- .__.._-_ ._. ft in. 11' Full Height Studs (no.of'sttids)-__.___—___._-__---.(Table 9)-•-.-_..--_-_-_r--_.._... NO ad Bearing Wall Openings(record largest opening but check all opening r compliance to Table 9) _.-_.._..--.--_._._._._._.._ . able 9 ft in.<12' Header Suns...... (T }.-_._.... -- — — SiQ Plate Spans.-... .-._ ___(Table 9)-_-•___-• fr—in <12' -------- -- Full Height Studs(no.of elude)_.._-._.__ ._____....(Table 9)----.___..._- -- ----- F�erior Wall Sheathing to Resist Uplift and Shear Simulfanbously Minimum Building Dimension, W Nominal Height of Tallest Opening Z ^__--•--.•-----_.._-. _ 0 Sheathing Type.-.. ��-b`___..(Table 10 or t8�F s _ .._..-- Edge Nail S acrh �/i /r - �j y Feld Nail in. Shear Connection(no. of 16d common nails)(fable 10)_- '_ __ ..(P_:..O: -_-- N,( o v-1 Percent Full-Height Sheathing..___:_...... (Table 10)._______-- -- ------__ 5%Additional Sheathing for WAU with Opening>SW(Design Concepts)_..__._.._._.__. Maximum Building Dimension, L ' I Nominal Height of Tallest Opening?.._..--_----------------- _._.._...-.---.... note Al -0j>ex?,t293U t. - lG �i 3 lY Sheathing Type_.-------•------------------( ) -- - - -- Edge Nall spacing. i 1 or note 4 if 0 Field Nail Sparing..__.__....-.._.__ �._-_(Table 11)__. r F �•- L ._ in. �a Shear Connection(no.of 16d common nails)(Table 11)_.. J ... L-�2__Q_CCC-��-=•_� �� I1� Percent Fuff-Height Sheathing_---- ----(Table 11)..__._-----_-__•--__� !o j 5%Adddional Sheathing for Wall with Opening> 6W(Design Concepts)_.._:._ ✓ Wag Cladding r Rated for Wind Speed?__._.._.._r.._.__...------ --.._.____-.....-_. ---------------- -----�.� i.1 f ZOOFS Roof framing member spares checked?_.__.___-..(For Rafters use AWC S an Tool,see BBRS Website) Roof Overhang --------------------------------------------------:(Figure 19)__..-•--_-.I ft_<smaller of 2`or L13 - Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors / Uplift....-..-..........-----_.-_--�.......(Table Lateral---------•------------•-------..-. (Table 12) - - _- --- - -----L=I plf Shear.-_._...___.-.-----------P__ :(fable 12).........._---.--._..__-._-__-S=- pff • �,,1 Ridge Strap Connections, if collar fi t used per page 2f.., able 1 ...__.T=/ pif - /Vr /� (Figure ) U ft s smaller of 2'or U2 ' Gable Rake Ouflooker..............•-- ---_----.-.__-_-._. Fi re 2D �. ._..__ Truss or Rafter Connections at-Non-Loadbead6g Wails Proprietary Connectors � ( y� y� Uplift-_--_._ .lam _1-'_-.-_-..(Table l4)-.. 1 _ U= lb. V Lateral(no.of 16d common nails)_.(Table 14)......__.._.N_-.,�7___...... lb. Roof Sheathing Type_._._----_:._.....-_.._. ----.(per 7B0 CMR Chapters 58 a0d Roof Sheathing 2 Roof Sheathing Fastening-----._----_..___.__..-_. (Table )-._.---__-.._ �.-___. � )� Aes: 4 0C-•VP4� (p O-G rrs f� This d�ddist shall be met in its entirety, excluding the specific exception noted in 2, th comply with the require.sne of. 78D CMR•53DI Z 1.1 Item 1.If the checklist is met in its entirety then the fnUowing metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Fgkire 5 b. 2b Gage Straps per Figure.11 r- Uplift Straps per.Figure 14 cL All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 1Ba and Figure lab Exception:Opening heights of up to a ft-shall be permitted when 5%is added to the percent full-height sheathing requrnernents shown in Tables 10 and 11. -' The bottom srlf plate in exterior walls shall be a minimum 2 in.nominal thldmess pressure treated#2-grade. °F S iQry Barns ble Old Kings Highway Historic District Committee 200 fain Street; flyan.-nis, MA 0260i, TEL 508-862-4787 Fax 508-862-4784 9$ X&S9. APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made, with `our(4)complete sets,for the issuance of a Certificate of Appropriateness under Sez ion 6 of Chapter 470,Acts and Resolves of Massachusetts, 1971,for proposed work as described beiow and on plans,drawings,or photographs accompanying this application fo:-: tr Check all calegories that apply; 1. Building construction: ❑ New IIV ut Addition ❑ Alteration 2. Type of Building: 19 House ❑ Garage/barn ❑ Shed ❑ Commercial J Other 3. Exterior Painting, roof new roof ❑ color/mater:aI change, of tri.m, siding, window, door 4. StLtn : ❑ 'New Sig i El Existing Siam ❑ Repainting Existing Sign ---i co 5. Structure: ❑ Fcncc —i Wall ❑ Fla-pole ❑ Retain:rg wall ❑ Tennis coin' Othe=r_ 6. Pool ❑ Swi_ml ❑ Other mar_-rr_ade pool ❑ Solar-panels ❑r1.10ther-- Type or Print i.egibly: Date _� � NOTE All applications must be signed b---the cur:e Nnl owner Ut Owner(print): 1._Gl frl G f r/a, / a� z J i Q o Mil (� � Telephone f<: SG• -J;� ' -3 Address of Proposed work: J h 1.I 1 Village �&Nlap Lot" Mailing Address(if different) `y.G - 7" Owner's Signature 22 Description of Proposed Work: Give rarticuiars of work to be done:-_._..I --..._ 6v t _(.Lc_Lr2__'r/L'S•>✓f t,/Q a U, - - _. �.t:` ' tC il� is S�f i l•' -t LI`r'v! rti•`1 ---- Agent or Contracior(print)--- /`t// /{� �Vh r C �j,r�1+ - --Telephone#: 7 7 el 7/41 Address: 7CJ �y"1/i 7��// -- = Contractor/i�gell signature: ( 1.(; UL ;:�-•l ._._., For comcaei e u oral. This Certificate is hcreb t1PP1'�®W;i�l Date 860-11Y Members signatures RECEIVED } MAY 24 2013 GROWTH MANAGEMENT ' APPROVED JUN 12 2013 Town of Barnstable Old King's Highway Committee , QARt rr,ie and co m+iNSion.A01d Kings Hi,hn7ay :KH Applir•admi+•10K11 DRAFT 2071 C;err Apprupriatenes}DR-1r-T doy- CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 copies t'c)undatiun Type: (N-lax. 12".'-xposed) (materiai -brick/cement..other) ::-r i-1-7",/? Siding Type: Clapboard shingle other C /I Material: rec. cedar ,N;hitc cedar other Color:'y set Chim-fley Material: CQ10L Roof Material: (tnake& styl.-=) a- r' ch, /re, a �s F fI k Colo:: 1-1 (j. Roof Fitch(s): (7/12 rninimurn) 2- (.Npeci6-on plansfill-neli: 1111ildings, Ina M Window and door tr':—n-m- aw ial: wood other --:aterial, specity Si7.c-,of'cornerboards Pl d h-h size.cif casings ("IX4min.) LK4/ cold- Rakes ist nienlbCT nicinber --, . Dopthofoverhang Window: (makehTiodel) -r color oJor i (Provide ivindow schedide buildings. majoradditions) Window grills iplease chock c-31 that typply MIC divided filghts xtericr glued grills grills bLtween glass removable intericir� Ncne Door style and make: /Z L r-'I- -e rl 6'11 material Color: z-v,I-/ Garage Door, Style Size of'openins-, Material Color Shutter Type/Stylcfflacerial: Color: Gutter T)?e/.N4atcria': 4"Ll h r >I-'c'. "o si ><c A Deck material: wood other rriaterial. spoc.r�; J 7- -r K C 'JCC'olor: Skylight, typehnakch-nodeli': material —Color: Size: Sign Si7C: Type/Materials: VpPqC)\/t:U Co""PECEALEP Fence Type(niax 6' )Style material: I I 1 -11-00 r: ju MAY-2 4'.201 Retaining wall: Material: jrwn 01 5arnstabate wj,gmy bldK%0 CO9� MMAjee GROWTH MANAGEMENT Lighting, freestanding on building Z!,--- — nating sign OTIff"R INFORMATION: THE AY]CACHED CHECK JLIST MUST BE CONIPLETED AND SUBMITTED Please provide samples of paint colors,nranufacturers brochure of windows,doors,garage door,fences,lamp posts etc Ey Print Name IV al� h A 1 Signed: (plan preparrer). 47'�n Q.-\Bejards and('onunissionsOld Kings h*-t.q/nva%WK11 Apphratimis\61KII DRAFT 2011 Cen Appropriateness DRAT-Telor Plans shall include the following: _Name of applicant, :treet location, map and parcel. _Name of Builder Designer. or architect; original signature of pi an preparer-and stamp; place date, and ail revision dates. ALL NEW 110 S>;OR COMMERCIAL LlUIU NG PLANS MUST HAVE AN ORIGIlsIAL SIGNATURE AND STA:ViP, IF ANY.-BY A REGISTERED ARCIRTECT, MEMBER OF AIBD, OR A LICENSED MASSACHUSETTS HOME 11VIPROVEMENT CONTRACTOR, UNLESS THIS REQUIREMENT 1S WAIVED BY 77M,OKH DISTRICT COMNETTF,F. A written and bar c-awn kale. _ Fievations of all(affected) sides of the building. with dimensions including* height from the natural rg ade adjacent to the ouilling to the top of the ridge;location and elevation of finished grade,roof pitch(s) dormer Setbacks;trim style. window and door styles. Changes to exisong buildings trust be clogded on dravvinhs. _Window schedule c i plans. Landscaping plan,5 copies draw-i on a certified perimeter plan containing the following infortttation: _Name of applicant, s-'reet address,assessor's map and parcel number. Name, address and-.Icphone number of the place preparer; plan date and dates of revisions. The location of exis°ring and proposed buildings and structures, and lot lilies. Natural features of s-ite(e.g. rock outcroppings, streams, wetlands, etc.;. Existing buffer area: to remain. Location and species of trees outside of buffer areas greater than 12"caliper to be retained or removed. —The location, nur_ib-zx size and name of proposed new trees and plants. _Driveway, parking areas, walkways, and patios indicating materials to be used. Existing stone walls, and proposed walls including retaining walls for siope retention or septic systems. (for removal of stone w.-dis, file.Demolition Form). _.All proposed exterior fighting and. signs. Sketch or photos of adjacent properties,(1 coP),only) A sketch(s)to scale a-photagraphs of nearby adjacent buildings, where present,along both sides of the street frontage, showing the proposed new house or commercial building in scale and in relationship to the existing buildings. Please discuss with staff if you do not think this is relevant to your application. Photographs of all sides of existing buildings to remain.or being 0et only). 'Fees according to schzdule. APPR®� Please complete the following: JUN 1.2 2013 RECEIVED of Barnstable Existing, building,foot print: Town. ,SHighWay MAY 2 4 2013 13t ildin� 1 OldKtng _ 1 _ sq. 1t. Building 7 Committee Existing Building,gross floor area, including area of finished basement: GROWTH MANAGEMENT Building I _-D 7. -;�- sq. ft. Building ? New building or addition,foot print: Building i 3 sq. ft. Buildin- 2 New Building or addition, gross floor area, including;area of finished basement: Building I ... '' 3 2— sq. ft. Building 2 QAHoards and C'wnnd.ui0 nq\Q1d Kings H_.:,-h wa%N0K11 Applivarionu\UKl!DRAFT 2011 Caen Approprielleness DRA!-T.dor 5. SIGNS Diagram of sign, shoa.ing g-anhics,size, design and height of post, color and materials. Spec sheet. Sate flan on a GIS alas or mortgage survey, OR photographs OR to-scale sketch of building elevLtion showing location of proposed sign; and any tree to be removed near a freestanding sign. Fee according to schedule. 6. SOLAR 1PAN—t-, S _ Drawing of location -)!'panels on house shou-ing roof and panel dimensions_ RECEIVED Site plan showing to ation A building on propert�-% (:assessors r_tap may k submitted) Height of solar pane, above ihc-roof. MAY 2 4 2013 Color of panels Finish(matt or gloss..,) GROWTH MANAGEMENT 7. FOR LIST OF ABUTTERS: PLEASE SEE OKH STAFF SIGNED (plan preparer)_ _l6:ft 1�r 4 A, Print z Date: Tel. t gone no•s: f Gr J- NOTE APPROVED f 71re Old Kings Hi,r{Its-vrry Historic District Caruriittee,ti1rtY U6rVY IN'COMP1_F.TF.APPLiC.-3110.E:5 JUN 12 2013 le ATTENDAr':C E AT MEETWGS: If the c.7�I�licattt nr hii/her reprc:sentutit a is nor present drtring the hcarilt,Town f Barnst waypp u ct licatio nay be either C.'ONII14UEL)OR DENIED Committee r - APPEA1, PERIOD APPROVED PLANS PLAN PICK UP There is a ten 00)day appeal period, pleas a 4 day waiting period for approved plaits from the date the decision is filed wi11t ToN n Clerk. This is nec:cssary for each Certificate of Appropriateness and/or Certificate for Demolition issued by the Old King's Highway C'orrmittve. Plans approved by the Old King's flighway Historic District Committee may be picked up at Growth Management.Regulatory Division, 200 Main Street, Hyannis, af;cr expiration of the 14 day '`wait"period. If the 14"'day falis on a Saturday,.yeur�)ians will be available the afternoon of the following business day. 1 - DENIALS I Appiications that are denied may:.3c appealed to the Old Kings Highway Regional Historic District Commission within 30 days of the filing of the decision with the Towr. Clerk. For more information, see the Bulletin of the Old Kings I ighway District Co-r:nission. BUILDING PERMITS,OTHER AGENCY CONTACTS In most instances, before corrmercing work, a Building Permit is required. The Building Division will require a certified plot plan fo:new construction and/or demolition. Commercial work may require Site Plan approval. Demolitions: the applicant shouid check with t e Building, Division as to conformance with Zoning requirements. Other Regulatory Agencies at 200 Main St, Hyannis MA 02601: Building Division 508-862-4033 Conservation Division 508--8624093 Health Division 508-862-4644 QUESTIONS ABOUT YOUR APPLICATION? PLEASE CALL, THE BARNS`I'ABLE OLD DINGS HIGHWAY OFFICE AT 508 862-4787 5 �):�Ltourd.�and Canwdssiuus\D!r!Kira.e 1.:',�kn a}�Ulifl Apptirariars\UKtI DRAFT 2071 Cert Apprup:iatenes.+DRAF I.dor Town of Barnstable Geographic Information System May 24,M3 *A32045 10 59 050 167001 158013 #90 132013001 #640 00 At 621 • 158016 1511011 0742 132010 13200133002 # 156 12 94 #100 132026003 1116 049 1 SW67 132012 #651 156014 #710 132OZO;1326 N 166063 4111111, #6 q� S 132026001 938 T/RTF #75 sq 132016 ,32029 j w r �156005 158017 �#101 132021003 132018 # #696 156059002 156062 ' 156016 #820 . �#62 #27 0725 #741 A #780 132037 #147 132027 ,132021001 i#7611 • � #86 #40 ® 156060 132021002 #15 A 70 40 132008 #161 156059001 5 1 132046 #35 0� It #176 132022 166068 e • v �1# 1#825 #146 966 56003� 12 �\ � #12 132023 047 #186 • 156002 #69 156033 #60 156030 #837 132024 1560 10134* #208 156001002 #101 #66 156029002 156001001 #35 #204 • 132025 #230 156028 131022 155042 #881 #246 131042 #9 155012 156014 155011 #139 #50 #132 ~# 19041 1 6 Feet ® 1#147, 15SOD5001 16511 43 #141 DISCLAIMERS:This map Is for planning purposes only. It is not adequate for legal Map:156 Parcel:058 Selected Parcel boundary determination or regulatory Interpretation. Enlargements beyond a scale of Owner.NAGL,SUSAN&PAP,PATRICIA Total Assessed Value:$404000 V-100'may not meet established map accuracy standards.The parcel lines on this map W E are only graphic representations of Assessors tax parcels.They are not true property Co-Owner. Acreage:2.72 acres Abutters boundaries and do not represent accurate relMlonshlps to physical features on the map Location:56 WIINIKAINEN ROAD f/ such as building locations. Buffed ice-' �' ,,�• ��{{�..+ '♦,T�•,r �t t�• _!L �. �� "�►7. 1 +�t � , phi� • St r ,S"� Kill /�a� n i I n i K ain i a Mv ,Va. w �y'f�1,,`r }+�� r � �rf.-.,?�y� •ii s:as"+�JeIN yE..ri,, ** .'""�+ ""1: +ili�.,� � � K 1 �i 1::-1..hj.«.��,�: �,�.tt�a•"^_G' ��.�'i, �t} 1 � •'+i-7 ,��✓A+nM�^� "' ...may. .1... l LOCUS INFORMATION REVISIONS: CURRENT OWNER: PAS AN OVEAIAY DISTRICTS:' AP—OKH— RPOD 6A NO. LATE DESC. IA PAP TITLE RUERMM' DEED BOOK 8115. PAGE 218 NITROGEN SENSITIVE — ZONE-- NOT A ZONE a HEt� 149 N Pl/VI REfEAt7U.E: PLAN BOOK 247.PAGE 148 FEW FLOW �IN — ZONE DISTRICT: V.DATED 8-19-W — ASSESSORS MAP. 156 PANEL#250001 0011 C LOCUS — PARCO 05S s MINIMUM LOT SIZE:- 67.1203 S.F. — ZONING DISTRICT: RF E70STING LOT SITE 110.620l:S.F. SETBACKS: FRONT JC SIDE 15' EXISTING LOT COVERAGE: 2.424t S.F. (2.4lf,) — REAR 15' PROPOSED LOT COVERAGE: 2A32t S.F. (2.6* �St CEO I or.US MAP I CERTIFY TO THE BEST OF MY NOT TO SCALE PROFESSIONAL KNOWLEDGE, INFORMATION AND 8ELIEF THAT THE LOT CORNERS, DIMENSIONS AND SETBACKS TO THE STRUCTURE AS DETERMINED BY INSTRUMENT SURVEY AND AS SHOWN ON w//N/KArpN AD N RO THIS PLAN ARE CORRECT. , Al" $1 PROFESSIONAL LAND SURVEYOR DATE LOT 1 CERTIFIED PLOT PLAN m WITH PROPOSED ADDITION AND SCREENED PORCH 1Ztgy AT 6 156 %% .wn IN ExLSTwG ` WEST B�� NSTABLE DRIVEwATGDT 9w25 MASSACHUS`..V TO WTI=EN IRON PIPE `ROAD % FOUND HELD A \ .w2. IRON PIPE (BMNS ABLE yQVNM .w25 �J1'4et f1a.G1• F0UND6 6 � \�� ` . �� '' b MELD rva22 awe,q_ ,6 'b o AO , wn VIN-. LOT 2 •�'`� �., � '� W►Y n4 2013 (I%62Q1 SF.) . I- m ��• •�� L I 1 IRON% o SEPTIC ` EKI9TING .y ; PARIDNG -- O LOCATION ARFA ) EXISTING 056 It PREPARED_ SHED ,b �1 T�.w,S •\� DINELLNIC �// .T•2 Mr CHARLES WHITCOMB POSED y / ,q Ow,. WHRCOMB REMODELING. INC. L1 I I DITION IRON PIPE P.O. BOX 1 FOUND HELD WEST HYANNISPORT, MA 02672 O nN whitcombFemodeGllgOgmail.lam �O ` DECK / GROUP O PROPOSED .R SCREENED ,6 b FOR. ,a►' �/ I ' 349 Route 28,Unit D zes3armouth,Massachusetts sachusettsRECn J G7 508 778 8919 w MAY 2 4 20 O RON ' �/ � • © ao,a Th.RISC Drop D6 I III"' SCALE: 1 40' �•-.0001 0 23 6JD Im GROWTH MA�NAGEM -NT ,1,, . 'Rs/Ea 1vIo1 a 20 40 2 0 OR. PROL MGR.: CRAIG FIELD .W. 6R FIEND. P. HAGIST/ M CREIgRON C&C./OESKiN: K. MEALY g NOTE: DRAWN K. MEALY SEPTIC LOCATIONLSAPPRO% TEANDIS CHECK: CRAIG FIELD SASED...�IRIILT Fl BARNSTASLESOAROOFNEALTN, IE AT THE FINE: iFI49-4CPP.DMG w- NO: 6IM-01 L JOB. NO: 4-9749.00 1 SHEET 1 OF 1 EXISTING ` �� 1 DRIVEWAY OUT \ #VV_P5 —� TO WIINIKAINEN ` IRON PIPE `ROAD FOUND&HELD I �' #W-24 IRON PIPE ,\ il� N75'31'46 E 215. FOUND& '#W-23 94' HELD #W-22 #W_2 #W-19-21 00 LOT 2 (110,620±S.F.) `{� �\,`� �` �� 2p '•, / •`�,/ `�\ /� \\// '` IRON PIPE s #W-16 FOUN',&HEL EXISTING y SEPTIC / �� PARKING ,\ 0011 C S LOCATION AREA j 1 EXISTING �/ SHED 1$ / #W-15 #56 EXISTING /_ \ ' �� // bid #T-2 k ? / / ` p V� / ? DWELLING / .00 •/ PROPOSED ~�v / p� / / 15 #W-14 J 's�� AUDITION / e/P IRON PIPE �2'x22' /� // ` r FOUND&HELD #W- / fn O /' .�-".. EX STIN 1Q 1' ' Nb ? / *� ov-,P �0•' � DECK /�� / / #W 1 4 20 of O ' /'" /� O � � PROPOSED f / // #R-7• • J/ p SCREENED/1fl-� a,�� -qW 10 p 'PORCH 1' 'x2 12' •� l -t �O S• / #W-9 t 3 � �p / � I IRON 15' / / �O/ O /� HELD D& #R-6 N O #R- #R-4 -2 a' gP. .41 N #W4 #R-3 w #R 1 ng5 yp"N IIS O fTHE Project:56 Wiinikainen Road,Barnstable File:49749.00 Last Updated Date B Revisions:05/24/13 u 70°23'30"W 70°23'0"W 70°22'30"W 4 -a, -,"- ya".� � �-- �.. �-' a n d w4 c h " Barnstable -du- Mdshpte • . _ w�/' — Yarmou jr ,, l F - ,. b♦♦ a LOCUS _ i` , • 10 PIZ 70°23'30"W 70'230"W 70'22'30"W Scale: 1:12,000 Source: 1 inch = 1,000 feet 56 WIINIKAINEN ROAD, BARNSTABLE, MA USGS 1982-1990 0 500 1,000 USGS Site Locus Map BSC Gli�uh Feet THIS DOCUMENT IS INTENDED FOR GENERAL PLANNING 8 INFORMATION PURPOSES ONLY.ALL MEASUREMENTS R LOCATIONS ARE APPROXIMATE ,/ (1 Assessor's office st'floor): �:�� •�. ��' f THE T Assessor's map and lot number .......:..:....:............................. Quo o`♦ Board of Health (3rd floor): g 6 _ 3 ® � Sewage Permit number g .............................................. Z BABH9TIlDLE, Engineering Department (3rd floor): �'� 'oo 1639. Housenumber ..........................:............................................. APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR' u tams .S i MG 1-- FA m I� I p3,C L U l Ai Pam. I r � C� � APPLICATIONFOR PERMIT TO ................................................................................................. .............I........... TYPE OF CONSTRUCTION .............OQ PiC ............................................................................................................... y:-•---.......:..........19.... � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: L-L)T * a' n1 W I t tJA i kA r EnI Location ..... /.................................Q �............................:...........':............................... . ................................................. .......Proposed Use FAMl. .4 Y "e ' .. ..... ...................... ...................................................................................................................................... Zoning District F Fire District .......w' ,_ ARMS il3C ........ .... .............................................. 'rhaMAg Co1f e > '�ha w� 2"31 4 AAre-S WAY H f ANNI S, Wt� , Name of Owner f e✓► ...Address Nameof Builder ...................................................................Address ........................:........................................................... Name of Architect .C�:SN.0"?f' .................................................Address .................................................................................... Numberof Rooms ............. �dwC�..........................................................Foundation .........:.................................................................... Exterior WoQ> S14iN6Lt (.vOQ� tf/KIGLL' ...................................................................................Roofing .................................................................................... .� Sf�EE1— ROc�c Floors .........................:....................................................Interior 1 HeatingpfL ..........Plumbing .....`....../ .._............................................................ O!� , Fireplace es' .....Approximate Cost 50i0 .............................................................................. ............. ............................................. Definitive Plan Approved by Planning Board --------------------------------19-------- . Area .... Diagram of Lot and Building with Dimensions Fee `' SUBJECT TO APPROVAL OF BOARD OF HEALTH j ( i r U Al � a I � d� \ i V OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and "Regulation's of the Town of Barnstable regarding the above construction. 62. Name ..................... ...................................... i v i Construction Supervisor's License ��N '. HIGHAM, THOMAS & COLLEEN A=156-058 No ...29443 Permit for .....I Story Single Family Dwelling ............................................................................... Location ...Lot #2, 56 Wiinaikainen Road .................................................. West Barnstable ............................................................................... . Owner „.Thomas & Coleen Higham ..................................................... Type of Construction Frame ................................................................................ Plot ............................ Lot June 2, 86 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 I r y FF IRE f,� TOWN OF BARNSTABLE Dermot ►�o. .�`�. 443,,,,.., a BUILDING DEPARTMENT { D°81�` I TOWN OFFICE BUILDING Cash .a. �.. � HYANNIS,MASS.02601 Bond X.... CERTIFICATE OF USE AND OCCUPANCY Issued to Thomas & Colleen Higham Address l,Ut :�2, 56 Wiinaikainen Road test 13arnstable, .;ass. 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. / . �.r...... 19.... 7......... .......... ....��GGG..... .................... Building Inspector a`�y�••'. TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING mug HYANNIS, MASS. 02601 '�o lur►• MEMO TO: Town Clerk FROM: Building •Department DATE: ]/ 7 An Occupancy Permit has been issued for the building authorized by BuildingPermit #...... ';T ...._..................................... ................................................... . ._._... ....... » . » issued to ` _. � �'�!�! . f.....»L �.............. ... ......._» f Please release the performance bond. I - - - --- ( • 'y ®� t 4. NOG B ' 11. 1 TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT , 1 •f JOB WEATHER CARD DATE 19 PERMIT NO. I APPLICANT ADDRESS (NO ) (STREET) (CONTR•S LICENSE) . NUMBER OF DWELLING UNITS PERMIT TO (_) STORY IT Y OF IMPROVEMEN•) NO. (PROPOSED USE) ZONING Q9j, DISTRICT AT (LOCATION) (NO.) 7 (STREET) 1 - BETWEEN AND I, (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE • BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION ! t. TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION r (TYPE) f �� I !. REMARKS: f AREA OR PERMIT $ j VOLUME ES ,MA COST FEE jy�`• (CUBIC/SOUAR T) OWNER BUILDING DEPT. ,..ip ADDRESS BY a ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY MUOR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMI THIS PERMIT CONVEYS NO RIGHT TO OCCUPY TTED UNDER THE BUILDING CODE, MUSTTBEE AP- ` �^ PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED I FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS i E OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. / MINIMUM OF THREE CALL JAPPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE ! INSPECTIONS REQUIRED FOR. PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. ' 1. FOUNDATIONS OR FOOTINGS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. i 3. FINAL INSPECTION BEFORE OCCUPANCY. ' rA, POST THIS CAR® SO IT IS VISIBLE FROM STREET � BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I 7 z Z 2 f G'✓t g �• / �S / . 3 - HEATING !NSPECTING APPROVALS RE I I CTION APPROVALS 11 1 OTHER 12 2 f_ F .',NCRK SHALL NCT PROCEED UNT;L T14E PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION iNSPECTIONS iNDICATED ON TH!S CARD :NSPECT^k AAS APPROVED T`+E vas Cu5 WORK IS NOT STARY" b WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR By TELEPHONE $ • OR WRITTEN NOT.IF(CATION. STAGES �F CONSTRUCrDN. PERMIT IS-'^."""-"• '"-"- -• i JOSEAI`16;'DLuz 'S TELEPHONEt 773-tt20 Building..Commiuionts = EXT. 107 TOWN . OF BARNSTABLE , BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS. MASS. 02dol September 11, 1986 Mr. & Mrs. Thomas Higham 231 Bearses Way Hyannis, MA 02601 Re: Barnstable Building Permit #29443 Lot #2 56 Wiinaikainen Road, West Barnstable Dear Mr..- & Mrs: Higham: The frame of the` dwelling .under construction was inspected and approved on August 14, 1986. However, the front roof shingles were found to have too much exposure to the weather for 18" shingles. On or about August 20th .your builder, Douglas Williams, was in the office on other business. I mentioned the exposure of the front roof shingles on the Higham house. Mr. Williams said that I must be mistaken as the shingles were 24". I returned to the dwelling on September 20th to measure the front roof shingles and their exposure to the weather. I found .the singles to be 18" in length and an exposure of 7". Recommended weather exposure for No. l grade, 18" red cedar shingles is 5}". Very truly yours, Alfred E. Martin Assistant Building Inspector. AEM/gr / I A � � ,ice �i . ' , .: � ,� � _ ... '' - .� �.• i l� -i �► ��.. ,' .. �,� it � , �� , . . �� i � �� :� •, L� �: ssessor's office (1st floor): Assessor's ma and lot number ...../...... ..� �g' CF THE TO p SEPTIC SYSTEM MUST S Board .of Health (3rd floor): � 0 � k. �. Sewage Permit number � 6... INSTALLED IN COMPLIAN .............. BAUSTAILE, i Engineering Department (3rd floor): WITH TITLE 5 °oo M639• 0� House -number .........................,.......��:.............-............. ENVIRONMENTAL C_O®E AN '°�o�aY a� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN REOU N IONS A P P R O V E D sapristahle ConservatioaTUnWIN OF B A R N S T A B L E Z�LAL" y ILDING INSPECTOR Si Led Date L—b _S-i IJGL-E FA-MI L r :1:)u3t L LI Aj APPLICATION FOR PERMIT TO ........................................... TYPE OF CONSTRUCTION ......w PCO.........IF&A M C ............................................................................... �l 1..... ...............19....9z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location LOT # 1A)I I N A I KA I IJEAI Iq 1h,� .................................................................................................................................E'................................................. ProposedUse FAIM I i-Y RC `.............................................................:........................................................................................................... F Q Zoning District ...R.................................................................Fi�District .......w.....,JARI�I .. '`h D I N AS +-Co 11 e�� 1w'�h. 3 r gE RsES wA I ANn/�S n�c� Nameof Owner .......... ........................... ...............Address .........................................................................I.......... 't Name of Builder ....0WN>r.R.................................................Address ..........................................................N Name of Architect ................Address ............................. .................................................................................... Number of Rooms Foundation ..e©!i '(ht'f e. .....4.......................... ..................................................... Exterior WOOj slf7N6..� .......................................Roofing ......GvOQ� FloorsJ.M 1 :JOO, .'.............................;......................Interior .. EE'T..ROChC.................................................. A 6a-* Heating .L......................................................................Plumbing ...........�a-:............................................................... Fireplace ...... .eS:...................................................................Approximate Cost .....`1�� ;O .a..................................... . Definitive Plan Approved by Planning Board ________________________________19-------- . Area. ..... �.. O iagram of-Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ,,�� yy��•� k OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....e..�. � .................................. Construction Supervisor's License .....owN0fI.......... HIGHAM, THOMAS & COLLEEN who .2..9..4. 43 Permitfor .... . I Story . .Single..Fam4;��)wellfhg ................................. ............17�...................... C., Location ....Lot...#.2.,..y.....M..�ininaikainen Road .............................. v. West Baft J`zt .................................... abli......................... Thomas & rdolten Aigham Owner .......................0................ Type of Construction .... ..................... .......................................... 0........ ......................... Plot ............................ Lot ................................ Permit Granted .......June.............2.,...................19 86 Date of Inspection ................19 Date Comple ecl ;7.:- VC7 .......... —( 19 J ENDORSE HERE i DO-NbT WRITE,STAMP OR SIGN BELOW THIS LINE! _ RESERVED_FOR-FINANCIAL INST,ITUTION_USE-*_., i i The security features listed below,as well as those 8 not listed,exceed industry guidelines. Security Features: Results of document alteration: MicroPrint Signature Une Small type in signature line appears as dotted line when photocopied Chemical Protection Stains or Spots appear with chemical alteration Erasure Protection White mark appears when erased Security Screen Absence of"Original Document" verbiage on back of check R *_FEDERAL-RESER,VE-BOARD-OF_GOVERNORS_REG.CD,, � w/� i i J ' � TOWN OF BARNSTABLE Permit# MASSACHUSETTS * RAMSTAsLE, *' Date: . y MASS. i639• ,0� Fee: ArEo .�A SOLID FUEL STOVE PERMIT 362- -7 l 6 r Owner: Phone: 36 L - 9146 Address: Village: w . Approved by: Date: Stove A. New t — Used B.Type/Radiant Circulating C. Manufacturer iMAWE�;T't Lab No. I H 71 D. Model No. RC-- 36A- Chimney A. New I-' I Existing/if yes, date of last cleaning _ B. Flue Size V C. Are other appliances attached to flue? ►.�oU'e D. Pre-Fab type and Manufacturer -E. Masonry/lined Unlined Hearth A. Materials Co R Ca f B. Sub Floor construction pL,`f woo 7 Installer 1ZoSll�-- F-6RG-C t.WL Address -� DLO v.HOLiZ�&5S R 3R�wsT �� a�3 Phone 5'6 ss—gab _ 656 5 Location of Installation L-�m 4u G- RM►^--- "Polaroid Photo Necesswy r "'This constitutes an ollicial stove pennit after inspection and approval by Building Inspector t ��` TOwti TOWN OF BARNSTABLE Permit# MASSACHUSETTS * * Date: * BARNSTABU& MASS. i639• ,0� ArEo,39 SOLID FUEL STOVE PERMIT Fee: 362 l 6 Owner: AT9kcI P i -p Phone: 36 z - S y6 6 Address: S (� w 11 u1 VC r�i u��► R Village: Approved by: Date: Stove A. New tom' Used B.Type/Radiant Circulating 4�-- C. Manufacturer V-kAWES—,(e- Cep Lab No. I H 7 Z D. Model No. RC `Chimney A. New 1--' ` Exisdng/if yes, date of last cleaning _ B. Flue Size V C. Are other appliances attached to flue? D. Pre-Fab type and Manufacturer c�"�`"'`0ay R. Masonry/lined Unlined Hearth A. Materials �o+►�poSi ( r� Roves V-�d�SeS;�e �oV wI S� B. Sub Floor construction pl.�r woo i) Installer CZoS7�- ERG-C WC 0 h6-421� Address Phone 650 5 Location of Installation ��;uG- (��►� 'Polaroid Plioto Necessary ""This constrtutes wl ollici&sto ve pennit after inspection and approval by Building Inspector 71 Assessor's Office-(1st floor) Map J y Parcel ermit# 1 y Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Date Issued / —nj Board of Health(3rd floor)(8:15 -9:30/1:00-4:45)) Pool G�''r✓ Fee o76—, Engineering Dept. (3rd floor) House# SEPTIC Tsu d, @E P '" I Planning Dept.(1st floor/School Admin. Bldg.) INS TALL,E �y LIXIM`o Definit' a pproved by Planning Board 19 Z,,..XMr j r %; TOWN OF BARNSTABLE Building Permit Application Proje*treAddress &Z AZ1eA1A1V,4J Village &IF Owner .��;i9 l+J AAT L Address •s'G AJ;cJV14AJAIE U i'Z Telephone 7yG-®2777 7205—70 Z D ,3 6Z —7/.41 ' Permit Request lAlisaly-4 .O,6 D 77Ai C/e ;e yZSA yb &Q E .5'J'!1 i/J.�/N G ��?��TJrr/6 t�-L �i!'ly�-��2�� iq�� 7`-�=�5��'►7� I First Floor square feet .Second Floor square feet Estimated Project Cost $ �9bp Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family ✓ Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name em G /Z2/ T� Telephone Number 6�2B-9S-IG Address 1G1,5'/�4W PAS Al License# Home Improvement Contractor# A70 7V0 Worker's Compensation#69 al, 1Aw �X3V,? 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 i95�Ul1?� SIGNATURE DATE •— �� BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. T , DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION . FRAME ' INSULATION - FIREPLACE ELECTRICAL: ROUGH FINAL , PLUMBING: ROUGH FINAL , GAS: ROUGH FINAL F FINAL BUILDING c1/t Igce 9p DATE CLOSED OUT R � 1 ASSOCIATION PLAN NO. t ` � ✓�ie T> o��/�a�c�u�el� I I 1 ,HOME .IMPROVEMENT CONTRACTORS REGISTRATION ' Board of Building Regulations and Standards t " One Ashburton Place — Room 1301 :Boston, --Massachusetts 02106 • j ' I HOME IMPROVEMENT CONTRACTOR —L "'-"""---'""--------- �Registration 100740 Expiration 06/23/98 j 'Type — PRIVATE CORPORATION HOME IMPROVEMENT CONTRACTOR E Registration 100740 CAPIZZI HOME IMPROVEMENT', INC. I Type - PRIVATE CORPORATION Thomas Capizzi , Sr . Expiration 06/23/98 1645 Newton Rd . i Cotuit MA 02635 CAPIZZI HOME IMPROVEMENT, INC Thonas Capizzi, Sr. Newton Rd. A°MI"tSTAAWR Cotuit MA 02635 I 1 • DEPARTMENT ONE A514DUR 1 DOSTUN F2�'�";tea:+.Ya�.;'`...• , 4kUG, �ONSUPENVISOR LICENSE 1a'Expires: . 00 ,yl(:,4-SECURIT:Ys4:-.-030-58- 494 ,..•{ �S X GARIZ I:FJR:- lkS BL Ci 1-65A-''02668 t J''r�:�° 1. a •T --' 19 . - The Town of Barnstable MAL Department of Health Safety and Environmental Services Building Division 367 Main Stroe:,KYaanis MA Mw1 Ralph C== Office: 508-790.62Z7 13MI Commissione F= Sob-775-33" For office use Only Permit no-- AFFIDAVIT ROME U"ROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION renovation,that the 142A requi rccon=c c- tes " ttm aitexatzozu, tion,repaint modezam�o�.COIIves MGL gi on of an addition to any ptz'cas�g awVaer unprvvemeuz..r a c � rnmrnal, demolition. or catmstrmttxi ��an building containing at least one but not more than four dwelling vans or,to to such residence or building be done by registered contramors,with caiain=Ttions, along with Other I Type of Work: Est.Cost i AI c-170 Address of Work: �5'� lit'/ , Ov.7=Name: �GCSfIr✓ /�/ G Date of Permit Application: 9 3�� I hereb<=dfy that: �. l Registration is not required for the follming trason(s): f Work ccWded by law Job under s1,000 Building not aw=-o= ricd per ywliag own permit Notice is herzby ghTn that: OWNERS PULLING TI�IR OWN PERMIT'OR DEALING WrISNUNKEGOT ��.� FOR APPLICABLE HOME DOROVEIvENT WORK DO ARBr ATION PROGRAM OR GUARANIY FUND UNDER MGL c 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owzmer: . - Date OR ' -The Commonwealth of Massach itsetts a;,� Department of Industrial Accidents o1/Ice e1/eves91119"s 600 Washington Street a Boston, Mass. 02111 - Workers' Compensation Insurance Affidavit Applicant in _ r� locatiom6 S wA /� d �/� enZ.- phone a y2� yl'S�8 1 am a homeowner performing all work myself. I am a sole proprietor and have no qne working in and capaciR I am an employer providing workers' compensation for my employees working on this job. company name: address- ciq: phone#: insurance co�Z�� i�T�� policy# 4!57,6 G 1E20V 9?4y I am a sole proprietor. general contractor.or homeowner(circle one) and have hired t who contractors listed below have the following workers' compensation polices: company name: 3v2zc address: ch.. phone#: insurance co policy# company n address: - phone#• insurance co —posy# Failure to secure coverage as required under Section 25A of MCL 152 no lead to the imposition of crimimA penalties of a time up to$1,SN.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of S100.00 a day against sme. 1 mmderstamd that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. t do hereby certify-under t ins an a alties of perjury that the information provided above is true and corrects Signature .0 Date / — 94 ' Print name f o�G®�? Phone N official use only do not write in this area to be completed by city or town official city or town- _ - _ _ permitAicense# 17 Building Department OLicensing Board O check if immediate response is required oSelectmen's Ogee oHealtb Department contact person: phone M._ __ nOther (re.'ised)J95 PJAI - ,�TNrr, TOWN OF BARNSTABLE Permit No. .29443 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ....... '��nur► HYANNIS,MASS.02601 Bond ��"n CERTIFICATE OF USE AND OCCUPANCY Issued to Thomas & Colleen Higham j Address Lot #2, 5.6 Wiinaikainen Road West Barnstable, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL h SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ...tT�i.jy..28........ 19.... 7......... ' Budding Inspector .E 'I ` #56 lie `� ♦� `�#W 27 WlINIKAINEN ROAD CV #W-26 IN co � g WEST BARNSTABLE EXISTING S \ DRIVEWAY OUT �#W-25 MAS SAC H U S ETTS N TO WlINIKAINEN IRON PIPE -- - r `ROAD _ FOUND` & HELD #W-24 _ (BARNSTABLE COUNTY) `� \ •#W-23 N75'31'46"E 215.94' F #W-22 #W-2 #w-1s H #W-21 — Go �;� -_ ' # MAY 17, 2013 LOT 2 (110,620t S.F.)CL 1♦ �/ �� — i' �_ le EXISTING SEPTIC / `�♦ PARKING F N ��s LOCATION ♦ ARE, ) SHED EXISTING .`' // % #T #56 `1^ .�� PREPARED FOR: c ,� �\22 EXISTING \• �.00 p� 4i �� Mr CHARLES WHITCOMB N DWELLING. r- �, — ��• WHITCOMB REMODELING, INC. PROPOSED / �5 #W-14 DDITION P.O. BOX 501 '12'x22' IRON PIPE ,/ •,� / FOUND & HELD WEST HYANNISPORT MA 02672 /' / #W- ��,�.� whitcombremodeling®gmail.com c EXISTINGDEC / #V.12 20 /� '- ,�4j #W-11 GIUU..vc. PROPOSED ;; #R-7 E9 .BSC SCREENED IB -PORCH 2'02'./ /cam• !� p I 349 Route 28, Unit- D #w: / I West Yarmouth, Massachuse ;J � * /I • / 02673 IRON 1 11 W p0SO 2013 The BSC Group, Inc. \ HELD - , /' �' / • SCALE: 1" = 40' #W4 ... / / 0 2.5 5 20 METERS y \�(#/W '. �� #R 5�DGE of 0 20 40 80 MEET o Q -2 ' ``- �o� #R-a PROJ. MGR.: CRAIG FIELD #W-4 #R-3. FIELD: P. HAGIST / M CREIGHTON � - #R-1 r�/,50^N CALC./DESIGN: K. HEALY 5 59 DRAWN: K. HEALY 5 18 a SEPTIC LOCATION IS APPROXIMATE AND IS Q 0 CHECK: CRAIG FIELD BASED ON AN .AS-BUILT PLAN ON FILE AT FILE: 9749-CPP.DWG E THE BARNSTABLE BOARD OF HEALTH. .......... ........................................... --------- ........................................... ............................ .......... ................ ............................................... ............................... :_................. ... ................................................... ..................................................... ......... .... .......................................... ...................:...... ..,.......... ............................ ..........................................................................I.......... ....... .......................... .................................... .............--- ............I..........................:.......................................... ..................:............ ..... ....... ....................................... .................................................................................................................................................................I................................................. ....................... .................... NEW ..................................................... ........ ............................................ ...................................................................................................................... .............................. ....................................... ................... ..................................................................... ............................ ....... .............................................................. ........................ ............................ ------r-------- .................................................................................................................................................................................. ....................................................... ...................... ..................... .......................... ........................... ...............7..................................... ....................................................................... ............. ........................... ................... ................................. -----............................................:............................................................................ ............... ............................................................. ...................................... ................... ........... ..................--- .................... ...... .............. ............. .................... .............. ................... ....... ......................!............. .....................i.............I............................................................................................I...... .......... ............ ..........................................................:........ ..............................:.................................................................................................... --------------- ................................................................................................ .................................... ............................................... ........................ ...... ...................................... ................ ..............:.......... ...................................................................................................................... ............. ..... ..... .....................I................................ .......................................w b............................... ...................................!........................I.............................. ........ .................... .... ............... ..................................................................................:... ---------- ................... ................................. ......... ......... .......................................................................................................-----...................... .— ——.. ............. ..... ............... ... ...... .............................. .......... ........... --- ...... ....................................................................................... ........ ....................:...........................:.........:................................................................................. .......................................w................................ ........... .......................................... ....................................... ................................................... CD ............... ............... .................................................................................................. ....................................................... -. r.'- ..................................... ..................................... ........ ......................... . ............................................................................................ A................................................................................... ......... .... .... ...................... ........ ............................................. ..................................................................................................... ........... .... .......... ............. C_ -—---------------—�.']............................. ................. ................................ ................................................................................................ .................................................... ........................................................... 1. ....................................... ....................... ......................................... :.........a..................... ............................... ............................. .......................... .................................... ........................................... ............................................................... . ................................... ............................................. ......................................................................................................... I _< —>.' NEW .............................................................................. ................................................................................................................ ............. ............. ........................................................................................... .................. . .......................... .......................................... ................................... .....................................I...................................--.................. ..... .... ................... .......... .................!......................................... ...............7................. ......... ............................ ......................................w......... 8, 2' ffZ ............. 10/12: .......................*........................................... ...... . . ................ .............. ....................... .................................... ................ .................................................. .............................................................. ................... ............ .......... NOTED rn Roof ShiAffAs ...................................................................................... ............... ............................................................................................ .................... Sidewall Shingles ................... .................................. ..................w...................................................................................................... —— ................................ ........................................ .......... ................................................... _._.............................................. .............. ............ ..........I......... Trim Style&Dimensions C? CV To Match Existing zo CN CY3 C\1 C-j 01 60 ti TT__ iT7777 4Lt t EW North Elevation ua SCALE: 3/16" = V-0" DAR DiBER7 1-11.11 x 11 IlLge! No. 10730 YAPMOUTH PrIll PAP & NAGL ADDITION PORCH 56 Wiinikainen Road, West Barnstable, MA, S/ MASS. 2013 I - 3/10 s _ 10/12 10/12- --- - - -- - .................. ._: ........ ....: ........._ NOTE: - - - - - - . - _ - -- - - - - - _ - _i =Roof Shingles -- ---- _ - - Sidewall Shingles - - —- - ...................................... Trim Style&Dimensions _ -_ _ __-- -_ -- ___ ---- _•-�' _` `� NEW "v To Match Existing — -- -- - - -- - - - - --��— � _ — _ - - - -- -- - - i = =— N E W _ --— — _ -_ _ ......._ _--- .... ................. N N NEW East Elevation SCALE: 3/16"= V-0" -05ERT T�lFc w No. i 073 YAWOU T H POR 4 MASS. J' PAP & NAGL - ADDITION i PORCH . 56 Wiinikainen Road, West Barnstable, MA, - 8 R�THOFthassp° 212013 r� 3/10 10/12 8' 4 z o =......... .. - - -- — - - - -- - .. ; — NOTE: _.........:..............._.....................__.,...._...,..............._........._........ .....: Roof Shingles _ _ _ _ Sidewall Shingles , Trim Style&Dimensions_. : _ _..................._.._._....,..... To Match Existing ....._.._........._........,....:..._.....:......._.._....._._...............-----€... ........_......... ..._._....... . -- - ........................ . to -.--- N -1117 fflil or r � , � Pa NEW West Elevation SCALE: 3/16" = V-0" -D Ar�y�r — ��, ERT TQ w No. 4,,0730 YARMOUTH PO y oy PAP & NAGL - ADDITION / PORCH - 56 Wiinikainen Road, West Barnstable, MA, - OF N c- >f tn, llt - I '4 . UN� E� L�-QT • v o vo Le ) /Xtff*/aF s r Nanh t- Z X / O 56' i 12' >_r v ':�^ •..tea.-, .�_"_'° -h .-.k_-x-. _ - ..` NEW �,:^�.�.�. Yf-.:.•-s: s--�. �crt -•'"•t---=y3._:ii�a. �.'.t-.,. :z>�T iE C.. z .r. t3 y �- --+.._ _ r +-' Ci-,..A�.�^ '- ,S. -sl-•r<.�.tra�.fa�:a� 4F ,'• C� .r K'wa -.._.. .. ' - .) V+ _•4. t..� _ PLC �..�.��_ `,....r,�.c_(j7 wf11_ 11.•'�r+r .v_;' 'y�?r •t'�a 4,'_."'a^'.t 1. N.. v '^ :p. ••f- .a„tfo. �: 4"F`_�'-w cn ;.q ..�-'r"...x•2 :S" TU �c -.;-h C:3--..w•r+ Yl.. ..,a-... a- _L x.V i^ � -4A _ Y .•yl t . I- .._ ._ ... 11 _.y. - FP H+f_ ^- s'-+Y_"^ 4-•.-•. __e�.s++4-.�.- _rlra .rSv ._.,.�._f ... j } 17r ,T.. 9 - p. _:x•.cs-a- _.�y.u., Ka' '�^.�r„'a_jt'q"''•-- x. t -"T •� +`-psi«"`a_'i..:7 rr •`^^} "^` 't -,.i=:,�-T�.i-.+�:9+ '-.�. ..f.';:Z 1�- aar'r.• e---•'-i-*a_ r }"'-'.� . Z - ,� M—.:_..,: x„ _ r-q-..9 - -:n--+'-f-- -?!u•' -�+-'1+a.4 +; r?*= t} 3- f!. ___af,.--y.wr=r .t.q Ly.�ia A - •� - 4•.e. —� �- [�. ,..�. 1'Lr.,L•li.�y%+� - ^ii•M:'1"f,.c 1 �� '.�.z. �f •T 1{w+-r \ �-..,. c=i -a _..'.-a.-�•.' 3� _ .`•Vxtr �'ba- ...w+• a•x-t-. *--sr^'t.y -.a `r.e---�. b -'4-b - if-west .- - - -_.-_.•- -_--__. —____ _____- .- _:�--,_.. __"".-., u_ _ _ _ \ .._..._ ......... .._._..: _...:.:..:...........:.. -.:........__ - - ....:..................._......:..:.....:.........:..__ ....... _.__:............................_. Gas.F.ttepl ............_.....��......_.:..........:...................:.-.... ......................_...............-....-.......... ...._..............................._._...-..........-....._............._............................................................_..........._.._..._.._..........._............. ....................... ....... _...__._.._......._................._ ....��........ _ ..........._. _ .'.- ...__-..__-_______.._-__..._.,_.-.__.._-___.._. _..._.. .� .. -. .... _ ................._..._-..........._........._............__. BOOKS:'_:::::::':_::::::::::::::::::::::::::::-:::::::_:�_::_::�:::'::::::::_::::::::.�::::�::::::.:::::�__:::::;:�:::::::::�_::_::::::::::::::::::::::::::. .. -..----- __ __ _ _ rn ...._...__.__....._._.........._... ..........._...___....._..-......._.................................._..__..._.....-....-..._....-_...._._......_._..........._...._....-.-..._._. .._.._..._..__..........._.._... ._._......._......_.._....__....._...._.__... ._.._.................... ................._.......................... ................................. I.._—_-..__--___-__. ___- ___.__ _ .................... ..........'........ ............................................................................ -_ — -__--___ __- - __._ ...--y-._:_.__..-....__.-_ -_.-_�___.__-__-..a -___ _ _ _ _ _ -- _ ._-_--.-_-._..-.._.--__�.-_-.._._......_..-_.. -t' -r=.-.. - ._ .. -- __ ..__ - - - -...__.....-_._..._...__........_.....' ----- YOGA---------- - =—POWDER—_ - - --- -KITCHEN-_=— '------ -DINING ___.- - - - BEDROOM GA .....-_....._....._.................._.._...__....._...--.................._... __....__..... ......-..._ ......_..............._...................................' Eas[ ._....__...._.............. ......._........ .-_...... ..-................................................ - -. - ..:....... .. _ _ 7 . _. _ _._-_- _____________.._.--._____. ___- __ t _ ........._._.. -_ - _. —__ ..._-___..____ ....__..-.......___. ..............._..................................... -.. ....--.............................................._.-_..._.._........_._....._....................__........_............._.............._................._...................-...-_..._...........-_._......._-_....._.CG-Gng.._.._....-.-._.. _:...._._............._..... DRESSER• DRESSER....:.li ____.____..___-�.____-_.,_.- _-_�.._ ! fi Top of Stays'--____-�_____..- -�_- ---. _--------- - W 7 _. -. . _........_............._..........._.............................................- ................................................................._...-...................-......--...............-......... ...................._....:.. _....�;:ESecor7dFloorp --_.--_-------____ ----------- it Z ._-.__-.. _.__. _-� . _ - o --'----- _ : _......._....._-.... -.._._...._.............._. ......................... .................................._.........................-...................................._................._..._--.._...._-._.. .................................................. ............................ ---------- _.—, - —t -_—_ - ----- -- - ---- - - -- _— __ --- - - - -- - - ---- -- ---.. _. -. r __----- -- WALK IN - - .... L ET_..................................._............... COS.._..............._...._....._.. _-._..._...----............_....__._.................-...... !.__.-..._...........- _.._ -MASTER: - -- - '- - - =�1-... •. -_. -- -- / _ :- BAT _..............._............_.._.........._................. - f' ' s -..........-.........................................._...................... ....... EAT .........--._............................................__...._........ ................. - -----= �=----FAMILY_.';---:..--... -- - - LIVING ROOM...._::.'--...-.-..-....................: ' :::::::::::::::::-::::-:::::::::::::::_-::-::::::::::::_ .:.::_:-:::: ::::::::::::::__:::-::: ...._._........-::::::::::::::'----::: _ 2-53/4x3-11 3/4 n- - ---- r. AREA '- -- -- --- - - _ ...............................__............-............._...................................................... : .....................-..-...............................__............__.........................._........._....._...................... ---._- NOTE: - - --' --- - 2 5 3/x 11 3/4 2 5 3/x 11 3/4 ._._------.........----.......................__.._................_............_..... ........................_....._....._.._-_.._...__-._....._._..........._._................__................_......._.f 4 3- 4 3- Roof Shingles � ---'----------------------^._..- �._-' _-'-`-'--'-'------__-_-- .__'_ -'-- .'__.-__--`_ -_-_-� L� NEW Shingles ..----------- -----_-_.._. .- ---.-......._«-...._- . ._. . ._ _. 1 Sidewall or Clapboard . --_..___ -__._____---._____. ..- _ __ _ -- .........- ...': .... Trim Style&Dimensions O • _.......__......................:.............................................---....._....._...._........._......................._.._.................._......... . _-----_-::::_::'_.......................................::::::::..:_........... ...._.........._............__........................_......_.._...._.._..._................._.......-_._-....................._.. To Match Existing ._._................._..............._._...................__............._..............._............................... ..............................................._...-.....__......................................................_..._._.._.. 1:..v===---_............. ENTRY --40' 16' NEW= 12' South._% t FIRST FLOOR OVERVIEW �5.E�0AR-y,, e-,OZERr T SCALE: 1/8" = 1'-0" o No.10730 YARMOUTH PO kf MASS, y T 21 2013 PAP & NAGL - ADDITION / PORCH - 56 Wiinikainen Roasl, West Barnstable, MA, - 8/ H OF V0.SS*`' + , 7. a. ♦ - NEW . ,. r� • < 4 2 0 - - - - 8' 41. 'NOTE: _1_5 11 1 1- = Roof Shingles. Clapboards — - N N =R_ Trim Style&°Dimensions- -To Match Existing'"' - r - a r— .. N cli ILA------------- AP ROVE P pry 1 n - . ti r . .NEW South Elevation JUN 12 2013 r - 1 SCALE: 3/16" = 1'-0"1 `^; r • . • Town of Barnstable' +. Old Ktng's Highway - Committee_ RECEIVED _ • ,k MAY 2 4.:2093 t' GIB®W' 'H MANAGETAEivT ` PAP & NAGL - ADDITION / PORCH 56 Wiinikainen toad, West Barnstable, MA, - 5/23A3 Y y _.�• _, �..�, -� : t-•.t -+r.. '-'r y,..-• _ 'a. -.t.-�.eu. .,L"-�,4w-«..,~.=a 3... - _ ��.�.-a-4_.. . .•�,,..- "-r..a„'�:.. - - -a• '+-zd"�# _,+•.,_ NEW - �.�- -77 ------___ :_ - - -- _ --^'��- - NOTE: _ Roof Shingles T—,--,==, Sidewall Shingles Lr C? N _ N �'- Trim Style&Dimensions N To Match Existing N N CV N I IF 1 i - - i NEW North Elevation SCALE: 3/16" = V-0" APPROVED JUN .12 2013 Town of Barnstable Old CommttteewsY RECEIVED MAY 2 4 2013 - GROWTH MANAGEMENT PAP & NAGL - ADDITION / PORCH - 56 Wiinikainen Road, West Barnstable, MA, - 5/23/13 t 41 3/10 z� 8, 4• 2, U -10/12- - =10/12- NOTE: Roof Shingles '— Sidewall Shingles Trim Style&Dimensions — — NEW To Match,Existing --- — - - - NEW - ---- -- — CN ----- - T+ -- -- ,.-. 7t N V 1 / 11 -. _ NEW East Elevation APpROVE SCALE: 3/16" = V-0" JUN .1.2 2013 Tam of 13arnstabW- RECEIVED MAY 2 420113 GROWTH MANAGEMENT PAP & NAGL - ADDITION / PORCH - 56 Wiinikainen Road, West Barnstable, MA, - 5/23/13 3/10 - - - -- -- -- —--` —10/12— 8' 4' Z' 0 — — — ----- — NOTE: Roof Shingles Sidewall Shingles NEW '� Trim Style&Dimensions _ T —� To Match Existing CN • CN - "- r ---.- ... ---.-- UQ V NEW West Elevation APPROVE® SCALE: 3/16" = 1'-0" JUN 12 2013 Town of Barnstable Old rings Highway RECEIVED Committee MAY 2 4 2013 - GROWTH MANAGEMENT PAP & NAGL - ADDITION / PORCH - 56 Wiinikainen Road, West Barnstable, MA, - 5/23/13 56' 12' - NEW - ( (• HOT = I( TUB q . �--- -- - — --- .—..Gas firepla e �� • O BOOKSMASTER I I � _ POWDER KITCHEN DINING BEDROOMI YOGA Lj I DRESSER DRESSER it M � i WALK IN II L 1 \ / ET CLOS / MASTER BATH • � --- - -� LIVING ROOM FAMILYAREA j 2-53/4x3-11 3/4 ' + 2-5 3/4x3-11 3/4 �f 2-5 3/4x3-11 3/4 I NEW ENTRY --J NOTE: - Roof Shingles Sidewall Shingles or Clapboard Trim Style&Dimensions. To Match Existing 40' 4 16' 12'- 4. z 0 RECEIVED NEW First Floor MAY 2.42013 SCALE: 1/8" = 1'-0" `�] GRO VY 1 :'/:z S PAP & NAGL - ADDITION / PORCH - 56 Wiinikainen Load, West Barnstable, MA, - 5/23/13 0 I N Existing $.outh' Elevation SCALE: 3/16"= 1,_01. RECEIVED MAY 2 4 2013 GROWTH MANAGEMENT PAP & NAGL.- ADDITION / PORCH - 56 Wiinikainen Road, West. Barnstable, MA, - 5/23/13" - - IF - T — -- —. ---- -' 8 4 2' 0 (V CV - --- r— cli Existing North-Elevation SCALE: 3/16" = V-0" RECEIVED MAY 2 4..20.13 I�OW't�: ' :.EMENT PAP & NAGL - ADDITION / PORCH - 56 Wiinikainen Road, West Barnstable, MA, - 5/23/13 --- 3/10 - 8 4' 2' 0 - » -----= - 10/12- - _- - F-- - - N _ Existing East Elevation SCALE: 3/16" = V-0" RECEIVED MAY 2 41013 GROWTH MANAGEMENT 13 PAP 8� NAGL ADDITION / PORCH 56 Wiinikainen Road West Barnstable, IVIA 5/23/ . 3/10 - --- -- - ---_ - -10/12- 8' 4' z' zt -- - - C - - _ - _ __ - _ �--_ __--�___- ___-__ ►1 i Existing West Elevation SCALE: 3/16" = V-0" RECEIVED MAY 2 42013 GROWTH MA_"'��GEMENT PAP & NAGL -ADDITION / PORCH - 56 Wiinikainen Road, West Barnstable, MA, - 5/23113 a 1. v 1 a - : •F. _ •t - v , r f } t - : 777 U / - ?' Ay oe , t g , •. c a . ` - - moo , •, .,.t�� v I . • , o • , - r , P 2 , 0 �l G - , O• c p .CY f V1 _ ^ v C- E .RTtEO PLOT PLAN (� L O CAT t O N � 1 1 FOR S C A LE 000 ' D AT E 0 ? 19V ?lei l /9g� <=�.�/�°"��, • - - - REFERENCE : - y'--�` - , - , , C - RTi ,.Y TO THE• 8E T F= S OF vtY KNt?wLEDO.E AN"O HEtt£ -FROM ORMATt O N ACC _ U i .RED THA T THE SHOW ON. N TGROUNp 4S SHOWN , EON t5 'A LO A . . .., .. .. _ , . , - , - g _. DAT Pa' FESStONAL LANb . OF SUR tY•OR MEW M 0 NA H A Ns J R. L A' o. 13sso tf' THtS PLAN DOES :NOT 13EAR'A ;RED SEAL'E SIG1VATURE THEN SSO � lAT'E $ N THtS:.P.LA N 4 �o IS; AN ` UNAUTH�ORiZED REPROOUCTtON A PROFESS � dNA'L LAND SURVEYORS �, � '�EGeSTER o Nb J. KA0NAHAN JR. & ASSOCIATES E N`GI N E,-E R S ,� �y ANb -OR �o suR� THE PROF'£ SSI ONAL LANDURVE'f�'OR OR E1VGI NEER 'WHOSE SEAL 'TOWN E PLAZA,� 940 ROUTE t34 SOUTH DENN4S, MA. :02660 APPEARS HEREON DO NOT ASSUM E ANY RESPONSIBILITY FOP ITS CONTENTS. �- a -.. , .. .':.'. r r. ., •' . . LOCUS INFORMATION REVISIONS: CURRENT OWNER: SUSAN NAGL OVERLAY DISTRICTS: AP - OKH - RPOD 6A NO. DATE DESC. PATRICIA PAP TITLE REFERENCE: DEED BOOK 8115, PAGE 218 NITROGEN SENSITIVE — ZONE: NOT A ZONE II �NEN 149 N PLAN REFERENCE: PLAN BOOK 247, PAGE 148 FEMA FLOOD `NVN`y ZONE DISTRICT: "C", DATED 8-19-85 ASSESSORS MAP: 156 PANEL #250001 0011 C 9�F LOCUS — PARCEL: 058 MINIMUM LOT SIZE: 87,120t S.F. ZONING DISTRICT: RF EXISTING LOT SIZE: 110,620t S.F. — SETBACKS: FRONT 30' SIDE 15' EXISTING LOT COVERAGE: 2,424f S.F. (2.2%) — REAR 15' PROPOSED LOT COVERAGE: 2,832f S.F. (2.6%) I f r LOCUS MAP I CERTIFY TO THE BEST OF MY NOT TO SCALE PROFESSIONAL KNOWLEDGE, INFORMATION AND BELIEF THAT THE LOT CORNERS, DIMENSIONS AND SETBACKS TO THE STRUCTURE AS DETERMINED BY INSTRUMENT SURVEY AND AS SHOWN ON $ g THIS PLAN ARE CORRECT. C /v IN '�. �20' �l�l R 9 SN OF INgssq WIDE-) D ��` oy ry N 0 KNERi4"A A o LY cn NO.49135 OJb st LLANDSJ ..t0 40.00, N / N78 4 15„E 113 ROFES NAL LAND URVEYOR OATE \ao°c'' 0, LOT I oI �g N CERTIFIED PLOT PLAN •o° WITH .� p0 #W B-1 ` #WB-2 #W 31 PROPOSED Ne 1 GREENED PORCH ??000£ #W 29 Se8'1S?e�� 00, AT #W-28 lid ` `� 1-27 MINIM INEN ROAD �� ♦` N IN Go `` �� ` #W-26 WEST BARN STABLE N o „� STAB E EXISTING03 s `\ DRIVEWAY OUT `� #w 25 MAS SAC H U S ETTS N TO WIINIKAINEN IRON PIPE ROAD FOUND & HELD (BARNSTABLE COUNTY) `\ 215.9 ' I 4 F#W 22 #W_2 #W-19 H - .i #W-21 N MAY 179 2013 LOT 2 l (110,620f S.F.) SEPTIC / �� EXISTING ..�, ri R Go ys PARKING A I F N a. LOCATION AREA > EXISTING SHED PREPARED FOR: ate' \\2 EXISTING > /�/ / oho v;�j� Mr CHARLES WHI1fCOM6 Co 2 DWELLING �� /jam / �`'/ WHITCOMB REMODELING, INC. s40"* �d �6 0 P 0 #W-14 PROPOSED / 5 ?off '$. , �• ��0 20N /i ti° 6� 1 / / P.O. BOX 5©1 IRON PIPE ti FOUND & HELD WEST HYANNISPORT, MA 02672 e'`lOy whitcombremodeling®gmail.com £XISTI NG� XU 12 DECK oCL 20 Ljp ,\o ,. �g #Uli-11 r #R-8 -�7 mot, PROPOSED #R-7 3rO J�`�p SCREENED 8 - / . ;,7iBSC z O / PORCH 2'x12',/ / a'�6 W-1%/ � � / �,. ,_ �' .. o � ' 349 Route 28, Unit D o �o #w.s West Yarmouth, Massachusetts 02673 � 0 508 778 8919 IRON 1 J / p0Q 'V j © 2013 The BSC Group, Inc. tv O c C Q HELD D & ' #11/6 p #R-6 `'' � ' SCALE: 1" = 40' W-4 /' 0 2.5 5 20 METERS 40. #R;5006C OF 0 20 40 80 FEET !R- o #R4 PROJ. MGR.: CRAIG FIELD $ % FIELD: P. HAGIST / M CREIlGHTON #w4 #R-3�1 CALL./DESIGN: K. HEALY a #R-1 l g59 DRAWN: K. HEALY 19. NOTE; �°18 a SEPTIC LOCATION IS APPROXIMATE AND IS O CHECK: CRAIG FIELD BASED ON AN AS-BUILT PLAN ON FILE AT FILE: 9749-CPP.DWG E THE BARNSTABLE BOARD OF HEALTH. DWG. NO: 6188-01 SHEET 1 OF 1 JOB. NO: 4-9749.00