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0218 WILLOW STREET
�I I 1 ' 7 ij Ox�brdNO. 152 1/3 ORA __ � �. �� � I � �I� o \v � t 4 �, �l 0 �• t E �' -- — -� i 7 J {{ 20-3696 Ps 123 T6i�.39 01-30-2006 & 132 = 17c> AFFIDAVIT L Joseph M. Niemi, owner of the property located at 218 Willow Street,West Barnstable,MA agree to obtain all of the necessary permit and approvals in order _. to create Jiving above_a three bay garage constructed on my property under building permit#87831.dated 10-21-2005 and obtained from the Town of Barnstable Building Department. Signed under the pains and penalties of perjury this 30 .►day of S A,JSU A P,,.,\ 2006. y Joseph M. Niemi J COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. On this�Lday of 2006:before me, the undersigned roved to_me throu notary Public, personally:app ed ,Gt ._,P._ . satisfactory evidence of identificati loch was. to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he/she signed it voluntarily for its stated purpose. o blic My ommissio > JAKS.:DEVINE NOTARY.PUgLfO'- Car MWftM-dMMi&Mua ,USA *:COrtn*ft EVLm f4ov.13,200. . i a `of Town of Barns#able. *Permit# g� `7' -7• 9 S� Erptra 6 niontlra front Isarre date Regulatory Services -Fee-. S Thomas F.Ge1ert Director Building Division Tom Perry, Building Comm4ssioner 200 Main Street;.Hyannis,MA 02601 Office: 508462-4038 Qcl� Tak: 508 790-6230 ,'CW V 8Vk �p45 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONL�F E,q Not Va4dw thoittReifxpresslnepriat PtParcei Number r TSo o Residual Value of Work I ,DOu GU Minimum fee of$25.00 for work under$6000.00 ner's Name&Address Yin itracior I�Jame/V►'C h �C 3 n �TlJ Wye V�t� ,y e�'�v �Telep�ho=N�;�r_r� me Improvement Contractor License#(if applicable)-- eS e� utruetion Supervisor's License#(if applicable) W0xk nW.s.Compensation Insurance Check one: E] I am a sole proprietor ❑ I amthe Homeowner I have Worker's Compensation Insurance ]ranee Company Name Gann 's cdmi,policy# W c r ' 3t s 3'i k i � - d — a3`- )y of Insurance Compliance Certiricate7 must be on Me. mit Request(check bog S4Ojv�xrn 01 red Cc � Ili-ZOOf(stripping Old shingles) All COnStltictiOn debxis will be W=to T I4 n �/L —5�j N f e e ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U Value ( .44Y- 'Where required: Issuance of this permit does not exempt aompIiaace with other tows department regulations,i.e.astoriq Conservation,eta ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. tatare mss:expmtrg ' se063004 - Oct 13 05 07:42a Mark Nickerson 508-255-6107 p,1 Town of Barnstable Regulatory Services wolm Thomas F.Gtilcr,Director ' ,. Bunding Division Tom Perry, Boildin comrissioaer 200 Maas Street, Hymns.MA 02601 nww.town barnstable.mawna Oiacc. 509462AO38 Fa�c: 508-790-6230 I property Owner Must Complete and Sign This Section If Using A Builder SQSr i} nr►. 6U It,m t ,as Owner of the subject propeaY herebyaucho:ize 1111 LKCa �-bmb xnrPB+ hc�n to act oa ray behalf, in all mattets relative to work anthoriaed bydi>s bt�permit appLcstton for. kAddmss a ob) Signauae of Owner Date Priat Name L'd 96b9-Z9£-909-L IweiN ydesor e99:OL 90 £L 100 ✓/re �arivi�raiuisvrtll/ n�%IJJac/%uJel12 Board of Building Regulations and Standards License or registration valid for individul use only. HOME IMPROVEMENT CONTRACTOR , before the expiration date. If found return to: •' Re istratlon•.e 133851 . Board of Building Regulations and Standards Expiration:. 8/17/2007 One Ashburton Place Rm 1301 Types.:Private Corporation Boston,Ma.02108 NICKERSON HOME IMPROVEMENT MARK NICKERSON 12 COMMERE DRIVE ORLEANS,MA 02653 ~ Administrator Not valid without signature , d :. Page W. 0.: T INC: ...... .......:. NICKERSOtV,..: .:...........:....."..::EMEN .. 12.Co rome - ORLEANS..MA..O 6.5 ....._... .. .. . _ ..:::......... : Fax;.(5.08)..:255.:510...::....:.::.::.::,:..-.::.,..... . ... .. .. ......... ...... ...... . .:_::.:,. ...::,:.<:.:.::......: :..::..::.:::..:,::.:�:�:_.::.:::,.-is<:_:..:"...:.:.:: ,::.. .:. ..:....;:.::...::. ::.::...:.:... H ....:..:::..... •c ...._. _. .... _..... ::.: .:..:.... Joe N .: S -p 0 8:1 B. .. 8 W_ :..... . ...::.;::..;. ..... .....:...:...... :.B:. arnst W...... ......... . .... . ... . ... • • •- • e - • 477 _. and shed,com --. . _ esp,roo ... ..:.....:....: ... Install drip edge'on alT lower edges Install ice&water shield on all lower edges and around all openings Install 301b felt paper on remainder of stripped areas Install red cedar ridge boards on ridges Install red cedar shingles on stripped areas Dispose of all debris properly Supply all labor,materials and debris removal OPTION: lasWl -above Only items specified above are included�in this proposal Rotted wood repair is not included in this proposal Materials guaranteed by manufacturers Nickerson Home Improvement Inc. guarantees workmanship for 10 years WE PROPOSE hereby to furnish maferial and labor—complete in accordance wifh'the above speclrtcations,for the sum of: Dollars dollars($ - )• _ - �.--,,oyment`Loon-�naae�as-w�iow��_._._.. _deposit upon signing,progress.payments upon request,balance upon completion All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifica- Authori tions involving extra costs will be executed only upon written orders, and will become an Signature extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tomado,and other necessary insurance.Our N e: is proposal may be workers are fully covered by Worker's Compensation Insurance. withdrawn by u if not accepted within 30 days. ACCEPTANCE OF PROPOSAL —The above prices,specifications /\ • and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. 1 p) 'D 1 O 5 Signature Date of Acceptance: r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel +t� ! Permit# �' 7 Health Division Date Issued /°�- S k5. 7 L 0^ � Conservation Division .► a o /3�.S n,;v l0/`3la.-. Jy Fee a4 Tax Collector 04 -!2L9 l�� Treasurer �d �..., � PI' PS�CSY�pRppMS G Planning Dept. CheAS'InI& OF gE r Date Definitive Plan Approved by Ple�a nin Board A roved By Historic-OKH 1 PrX'e% Hyannis Project Street Address 0/6 kle,601✓ SZ�UI,117 Village Owner I(� /�i� 1` /`�i9�>' /�✓//. •�1/ Address f Aul"j.f/. Telephone 6-.?6 6 r Permit Request CGly'SAIV67- '214(9 slriljoo/.b6 CA4_ 9A4-46d,vivo � w�f'C A,nI.D a!Q c�'".C�° ©� �2��i►�1 l �'f�i�hr.�ti9/� /s7��►� , r�Y Square feet: 1st floor: existing proposed /U6 2nd floor: existing proposed Total new Q Valuation ��la 0 60 - Zoning District Flood Plain Groundwater Overlay t Construction Type Li GCS© Lot Size b/ y 4 Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. t; Dwelling Type: Single Family 0 Two Family O Multi-Family(#units) LL Age of Existing Structure Historic House: ❑Yes O No On Old King's Highway: �Yes :_C] No Basement Type: O Full ❑Crawl ❑Walkout ❑Other -• Q Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: O Gas ❑Oil ❑ Electric O Other 2 Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No Detached garage:O existing Cdnew size Pool:0 existing O new size Barn:0 existing ❑new size ZS Attached garage:0 existing Cl new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded O Commercial ❑Yes 19 No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name C12,6/_� /,�Ss66,11lM_( /X G, Telephone Numb-c!�-V i- 67 - 51770 Address Y0b 6O.>C 0! License# U/O /Y4, OZ 6 3 O Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ���� FOR OFFICIAL USE ONLY • yt 6 PERMIT NO. 0 DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION t�1 L (�j �` 5 (pv-/C FRAME INSULATION IC r a -7 FIREPLACE ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH h = FINAL GAS: ROUGH= C�Z FINAL s FINAL'BUILDING cV rr DATE CLOSED-OUT ASSOCIATION PLAN NQR :; 1 r oF?"E rays, Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Permit no. Date IL AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done.by registered contractors,with certain exceptions,along with other requirements. ` Type of Work:.111f 1 r,#A0 S444 Estimated Cost z opu— Address of Work: 7,/6 It//O.GV i S'_ 142 12.i 4-49,<1�06bf /'N. Owner's Name: Date of Application: 1/1_-Z cold I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH.UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name Q:forms1omeaff day �t++E Town of Barnstable Regulatory Services 41 MASS. Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must. Complete and Sign This Section If Using A Builder I, (7 S,�j01,/ j➢//(�/�J/ ,as Owner of the subject property hereby authorize C-91/j` 19JS 6 G/'o , I)d 6, to act on my behalf, in all matters relative to work authorized by this building permit application for: 2/6 ��LGULU S�, Ltd .Qr92�S IA�C (Address of Job) Signature of Owner Date Print Name Q:FORM&O WNERPERMISSION ti -:s BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 003010 F Birthdate: 12/25/1948 cpires: 12/25/2005 �T no: 11876 Restricted: 00 WILLIA SWIFT PO BOX 108 BARNSTABLE, MA 02630 Administrator '7 07 +. Boi o uz ulatns�an ansd e lding_ One Ashburton Place - Room 1301 Boston. Massachusetts 02108 +' Home Improvement Contractor Registratioi i Registration: 100110 Type: Private Corporation Expiration: 6/9/2006 CAPE ASSOCIATES, INC., WILLIAM"•SWIFT PO Box 1858 — - '"~ N. Eastham, MA 02651 Update Address and return card. R1a-1c reason for change. 1 Address 1 ' Renewal ..1 i-Liiijiloyment i' LoStCard DIIS•CA1 w 5OM-04104-G701216 • fCi�b� L�., ppp ,1 � i^ ✓��: '1909niJ7t!/9tff/P,U��� Of`.//�Ja-C'.Jt.UAP,��4 IDo:n-d of 1luildinl;Ilegulalio,s and Standards Liceusc or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: � Re fierr�� p Board of Building Regulations and Standards 1' One Ashburton Place R►n 1301 !` Expiration: 6/9/2006 Boston,Ma.02108 Type: Private Corporation 1 CAPE ASSOCIATNr :j WILLIAM SWIFT 345 Massasoit Rd N. Eastham,MA 02651 Administrator Not valid without s4lifiature -,F.,.,,..a;.,.;•;, w^:�:'.M: :,^..•,•a-,...� •'yx�.::�':�*!. ,,.,,.,.;y,...,+,r;.v7p".a-;a��+tier�N+7,- .We''�,I;' ..r.�iw.p�.c'���, M1.r�.«r,•wpyar ,A,�,.:.,;.... wswrt.a�+•wur••r�son `.,�n,.e:x:n•.: a..kN:r»�rcr*:^.^•.^. : :.,r,•..y[K,,:q..,v:;•,..,..•.; _ • Application to OCT fi;. ! 3 , ,. Fri 1: 20 ®1b Ring"# 3ftbWap 3legional 3&IisstIIr[C �iotritt (Committee In the Town of Barnstable tir ` GL- 0. �,� I CERTIFICATE OF APPROPRIATENESS Application is hereby made,with four complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for. CHECK CATEGORIES THAT APPLY: 1. Exterior building construction: —_2 New .'Addition . ❑ Alteration ❑ Indicate type of building: !_ House 1@'Garage ❑ Commercial Other 2. Exterior Painting: 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other Q G TYPE OR PRINT LEGIBLY: DATE ADDRESS OF PROPOSED WORK• c3 /L•C-®lJ S7' ASSESSOR'S MAP NO. OWNER \j Q SSPAY /I, jr-1 IMAZY A.I. /V/A�w ASSESSOR'S LOT NO. _ HOME ADDRESS 2-16 LIc. w, Se ')- 107" TELEPHONE NO. ja FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any 'public street or way. (Attach additional sheet if necessary.) AGENT 0 CONTRACTO /-VG. TELEPHONE NO. .717-_• �'�D ADDRESS DESCRIPTION OF PROPOSED WORK: Give particulars of work tp be done, including materials to be used. Please include locations of proposed signs. 3x Carte G , Signed Owner-Contractor-Agent . To Ply This Certificate is hereby Date 1OWN OF BARNSTA LE Approved/Denie HISTORIC PRESERVA ION Committee Members' Sig I eP-22-97 02:02P P.O, ? 4. 00 to zsrsvr. .tip:. •D'�.r:. q '+ � l .::SS••:? :•:i-.l•L•i : rL •� 0 ry •lfY •-iY DECK E A g �1� ore ! • j . 1 0 i _. HANDf 5 �9"IO1R'� ! .��.�. / ► �• ` `--lap / � ► ` sew DECEOVE � `�► 1JN�At ; P �R of SEP 0 8 2005 IVOO i TOWN OF BARNSTABLE HISTORIC PRESERVATION RF . ZONa "Rr This MORTCACE INSPECTIONpwn ' Fcr FLOOD ZONE, 'C' TOWN: - REGISTRY OWNER.- ,ET8MML�, ���IA�� DEED REF.• 1.. — —BUYER: DATE: -�/. L�7 — _ — PLAN REFF�Y�d _.. _ ... _ "- — —.— - -- — — A :} 0 __FT ANYCt�i ►i 'TO _ - .----THAT YANKEE SURVEY SHOWN ON THIS PW1N iS LOCAED N THE GROUND�ASG CONSULTANTS SHOWN AND THAT 1TS POSITION DOES .»__ CONFORM PAUL 408 (SUITE 1} TO THE 20NINC LAW 21rMACK J=UIREMENTS OF THE A. TOWN OF AND THAT �nt�teti aINDV3TRT ROAD 1T DOES_ ._ ut VITH1N THE' SPECIAL rI OOpp HI}JAZARD �'�000 MAMONS IIIUX MA otb•ld AREA AS SHOWN ON THE H.U.D. NAP DATED_.212/92_...... 1'EL• 428-0055 VIgII� Town of Barnstable ' Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE QH I T13 CA OM S'-f ib66& COLOR IaA�r u/1.4 L CHIMNEY TYPE COLOR ROOF MATERIAL / � G �A2- COLOR PITCH WINDOWS %�JO��..�C��9 COLOR M/1M11)V&IZE TRIM COLOR _O/L- DOORS COLORS SHUTTERS VIA - COLORS AklGUTTERS "-9 COLORS DECKS MATERIALS GARAGE DOORS )2410 0162 - COLORS A14:1'PIt4 ' SKYLIGHTS L4Z,1)Y- SIZE COLORS / EN OR o5 SIGNS / COLORS I STpR C pRFSNSTAe� • FR�AT/p� FENCE r/g COLOR NOTES: pill out completelyt including measurements and materials/colors to be used, Four copies of tbie to= are required tar submittal of an application, along with Four copies of the plot plan, Undscape plan and elevation plans, when applicable. SPECSHT 80iSE- BC CALCO 2003 DESIGN REPORT - US Friday,October 07,2005 10:38 Double 1 3/4" x 18" VERSA-LAM@) 3100 SP File Name: Cape Assoc Willow st.BCC: Level 2\13_2 Job Name: 3 Car Garage-218 Willow St Description: Address: 218 Willow St Specifier: be City,State,Zip:West Barnstable, MA Designer: Customer: Cape Associates Company: Shepley Wood Products Code reports: ICBO 5512, NER 629 Misc:. 3 2 I 1 I Standard Load-40 psf 110 psf Tributary 14-00-00 Ilk BO B1 6490 Ibs LL 7171 Ibs LL 2620 Ibs DL 3023 Ibs DL Total Horizontal Length-10-07-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 10-07-00 Live 40 psf 14-00-00 100% Member Type: Floor Beam Dead 10 psf 14-00-00 90% Number of Spans: 1 1 attic Unf.Area Left 00-00-00 10-07-00 Live 20 psf 10-00-00 100% Left Cantilever: No Dead 10 psf 10-00-00 90% Right Cantilever: No 2 Roof Unf.Area Left 00-00-00 10-07-00 Live 30 psf 14-00-00 115% Dead 15 psf 14-00-00 90% Slope: 0/12 3 B_5 Conc. Pt. Left 08-04-06 08-04-06 Live 1173 Ibs n/a 100% Tributary: 14-00-00 Dead 693lbs n/a 90% Controls Summary Control Type Value %Allowable Duration Load Case Span Location Live Load: 40 psf Moment 25186 ft-Ibs 46.9% 115% 3 1 -Internal Dead Load: 10 psf Neg. Moment 0 ft-Ibs n/a 100% Partition Load: 0 psf End.Shear 7722 Ibs 55.1% 115% 3 1 -Right Duration: 100 Total Load Defl. U843(0.151") 28.5% 3 1 Live Load Defl. U1191 (0.107") 30.2% 3 1 Disclosure Max Defl. 0.151" 15.1% 3 1 The completeness and accuracy of the input must be verified by anyone Notes who would rely on the output as Design meets Code minimum(U240)Total load deflection criteria. evidence of suitability for a Design meets Code minimum(U360)Live load deflection criteria. particular application. The output Design meets arbitrary(1")Maximum load deflection criteria. above is based upon building Minimum bearing length for BO is 3-1/8". code-accepted design properties Minimum bearing length for B1 is 3-3/8". and analysis methods. Installation Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing of BOISE engineered wood products must be in accordance Connection Diagram with the current Installation Guide Consult project design professional of record or BOISE technical representative for connection design and the applicable building codes. Member has no side loads. To obtain an Installation Guide or if Concentrated loads are not considered in side load analysis. you have any questions, please call (800)232-0788 before beginning Connectors are: 16d Sinker Nails product installation. BC CALCO, BC FRAMER®, BCI®, a-2 l d BC RIM BOARDTM BC OSB RIM b=3" _1_ BOARDTM BOISE GLULAM rm c= 12" a VERSA-LAM®,VERSA-RIM®, d- r • —� • • VERSA-RIM PLUS®, C VERSA-STRAND TM, _ VERSA-STUD®,ALLJOISTO and • 1 _ • • AJSTm are trademarks of Boise Cascade Corporation. a —f b Page 1 of 1 f BO1$E- BC CALCO 2003 DESIGN REPORT - US Friday,October 07,2005 09:25 Single 18 BCI@ 90-2.0 DF File Name: Cape Assoc Willow st.BCC:Level 2\J_09 Job Name: 3 Car Garage-218 Willow St Description: Address: 218 Willow St Specifier: be City,State,Zip:West Barnstable, MA Designer: Customer: Cape Associates Company: Shepley Wood Products Code reports: ICBO 4665, NER 446 Misc: Standard Load-40 psf 110 psf PC Spacing 16" BO, 1-3/4" B1, 1-3/4" 742 Ibs LL 742 Ibs LL 185 Ibs DL 185 Ibs DL Total Horizontal Length-27-09-12 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value OCS Dur. S Standard Load Unf.Area Left 00-00-00 27-09-12 Live 40 psf 16" 100% Member Type: Joist Dead 10 psf 16" 90% Number of Spans: 1 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location Moment 6445 ft-Ibs 45.4% 100% 2 1 -Internal Slope: 0/12 Neg.Moment 0 ft-Ibs n/a 100% OC Spacing: 16" End Reaction 927 Ibs 40.3% 100% 2 1 -Left Repetitive: Yes Total Load Defl. U610(0.547") 39.4% 2 1 Construction Type:Glued Live Load Defl. U762(0.438") 63.0% 2 1 Max Defl. 0.547" 54.7% 2 1 Live Load: 40 psf Span/Depth 18.5 n/a 1 Dead Load: 10 psf Partition Load: 0 psf Cautions Duration: 100 Web Stiffeners are required at each bearing location. Disclosure Notes The completeness and accuracy of Design meets Code minimum(U240)Total load deflection criteria. the input must be verified by anyone Design meets User specified(U480)Live load deflection criteria. who would rely on the output as Design meets arbitrary(1")Maximum load deflection criteria. evidence of suitability for a Minimum bearing length for BO is 1-3/4". particular application. The output Minimum bearing length for B1 is 1-3/4". above is based upon building code-accepted design properties Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation. BC CALCO, BC FRAMER@, BCIO, BC RIM BOARD rm, BC OSB RIM BOARDTm, BOISE GLULAM-, j VERSA-LAMO,VERSA-RIM@, VERSA-RIM PLUS@, VERSA-STRAND'rm VERSA-STUD@,ALLJOISTO and AJSTm are trademarks of Boise Cascade Corporation. .F Page 1 of 1 k f s0I$F- BC CALC® 2003 DESIGN REPORT - US Friday,October 07,2005 10:38 Triple 1.3/4" x 18" VERSA-LAM® 3100 SP File Name: cape Assoc Willow st.BCC: Level'2\B_5 Job Name: 3 Car Garage-218 Willow St Description: Address: 218 Willow St Specifier: be City,State,Zip:West Barnstable,MA Designer: Customer: Cape Associates Company: Shepley Wood Products Code reports: ICBO 5512, NER 629 Misc: 3 Standard Load-40 psf 11.0 psf Tributary 01-04-00 BO B1 . 3949 Ibs"LL 1173 Ibs LL 1666 Ibs DL 693 Ibs DL Total Horizontal Length-27-08-08 General Data Load Summary. Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 27-08-08 Live 40 psf 01-04-00 100% Member Type: Floor Beam Dead 10 psf 01-04-00 90% Number of Spans: 1 1 B_6 'Conc. Pt. Left 03-09-04 03-09-04 Live 2740 Ibs n/a 100% Left Cantilever: No Dead 786 Ibs n/a 90% Right Cantilever: No 2 Wall Unf. Lin. Left 00-00-00 04-00-00 Live 0 plf. n/a 90% Dead 60 plf n/a 90% Slope: 0/12 3 Stair Unf.Area Left 00-00-00 03-09-04 Live 40 psf 06-00-00 100% Tributary: 01-04-00 Dead 10 psf 06-00-00 90% Controls Summary Control Type Value %Allowable Duration Load Case Span Location Live Load: 40 psf Moment 18671 ft-Ibs 26.7% 100% 2 1 -Internal Dead Load: 10 psf Neg. Moment 0 ft-Ibs n/a 100% Partition Load: 0 psf End Shear 4935 Ibs 27.0% 100% 2 1 -Left Duration: 100 Total Load Defl. U668(0.498") 35.9% 2 1 Live Load Defl. U1001`(0.332") 36.0% 2 1 Disclosure Max Defl. 0.498" 49.8% 2 1 The completeness and accuracy of the input must be verified by anyone Notes who would rely on the output as Design meets Code minimum(U240)Total load deflection criteria. evidence of suitability for a Design meets Code minimum(U360)Live load deflection criteria. particular application. The output Design meets arbitrary(1")Maximum load deflection criteria. above is based upon building Minimum bearing length for BO is 1-1/2". code-accepted design properties Minimum bearing length for B1 is 1-1/2". and analysis methods. Installation Entered/Displayed Horizontal Span Length(s)=Clear.Span+1/2 min.end bearing+1/2 intermediate bearing of BOISE engineered wood Connector Manufacturer: Simpson Strong-Tie®Company Inc. products must be in accordance with the current Installation Guide Connection Diagram and the applicable building codes. Consult project design professional of record or BOISE technical representative for connection design To obtain an Installation Guide or if Nailing schedule applies to both sides of the member. you have any questions,please call Member has no side loads. (800)232-0788 before beginning Concentrated loads are not considered in side load analysis. product installation. BC CALCO, BC FRAMER®, BCIG, Connectors are: 16d Sinker Nails BC RIM BOARDTM BC OSB RIM a=2„ d BOARDTM BOISE GLULAMTM', b=3"- — VERSA-LAM®,VERSA-RIM®, c=4-5/8" a VERSA-RIM PLUS®, : d_1•2. ° VERSA-STRANDTM' c e=3„ VERSA-STUD®,ALLJOISTO and � AJSTM'are trademarks of 'Boise Cascade Corporation.' 77 tl Page 1.of 1 ' BOISE, BC CALC®2003 DESIGN REPORT - US Friday,October 07,2005 10:38 Double,1 3/4" x 18" VERSA-LAM® 3100 SP File Name: Cape"Assoc Willow st.BCC: Level 2\6_6 Job Name: 3 Car Garage-218 Willow St Description: Address: 218 Willow St Specifier: be City,State,Zip:West Barnstable, MA Designer: Customer: Cape Associates Company: Shepley Wood products Code reports: ICBO 5512, NER 629. Misc: Standard Load-40 psf 110 psf Tributary,12-00-00 4 BO 131 2740 Ibs LL 2740 Ibs LL 786 Ibs DL 786 Ibs DL Total Horizontal Length-11-05-00 General Data Load Summary Version: US Imperial ID ' Description Load Type Ref. Start End Type Value Trib. Dur. S, Standard Load Unf.Area Left 00-00-00 11-05-00 Live 40 psf 12-00-00 100% Member Type: Floor Beam Dead 10 psf 12-00-00 90% Number of Spans: 1 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location Moment 10064 ft-Ibs 21.6% 100% 2 1 -Internal Slope: 0/12 Neg.Moment 0 ft-Ibs n/a 100% Tributary: 12-00-00 End Shear 2600 Ibs 21.3% 100% 2 1 -Left Total Load Defl. U1974(0.069") 12.2% 2 1 Live Load Defl. U2540(0.054") 14.2% 2 1 Max Defl. 0.069" 6.9% 2 1 Live Load: 40 psf Dead Load: 10 psf Notes Partition Load: 0 psf Design meets Code minimum(U240)Total load deflection criteria. Duration: 100 Design meets Code minimum(U360)Live load deflection criteria. Disclosure Design meets arbitrary(1")Maximum load deflection criteria. Minimum bearing length for BO is 1-1/2". The completeness and accuracy of Minimum bearing length for B1 is 1-1/2". the input must be verified by anyone Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing who would rely on the output as Connector Manufacturer: Simpson Strong-Tie®Company Inc. evidence of suitability for a particular application. The output Connection Diagram above is based upon building Consult project design professional of record or BOISE technical representative for connection design code-accepted design properties � and analysis methods.Installation Member has no side loads: of BOISE engineered wood Connectors are: 16d Sinker Nails products must be in accordance with the current Installation Guide a=2" V d and the applicable building codes. b=3" To obtain an Installation Guide or if c=4-5/8" you have any questions,please call a _ (800)232-0788 before beginning d- 12 • • • product installation. C BC CALC®, BC FRAMER®, BCI®, • _l • • BC RIM BOARD rm, BC OSB RIM BOARD TM, BOISE GLULAMT"' VERSA-LAM®,VERSA-RIM®, —t— • • VERSA-RIM PLUS®, a VERSA-STRANDT"' j VERSA-STUD®,ALLJOISTO and 7 b AJSm are trademarks of Boise Cascade Corporation. Page 1 of 1 L SeP:.22-97 02:01P P.01 Op l O gZ t 2422' c• DECK p7.78 t E tisI Ze t A ASSA=RS LOT e P� 6 J 5� �e 020 or . ;►, � nuA�c r Q�4 Las �o; � AS SSORS LOT 7 r \ i r CN 9 LOT 1. . ... �, r r ► \ i PROPBRfY IJNE h1 ,3 CEXTER OF Dnw i RES. ZONE- "Rr rhis MORTGAGE INSPECTION p tin : For FLOOD ZONE. -C" Bonk um oftly TOWN: , , _ REGISTRY OWNER• jSTW4V& AN&1AWMA DEED REF• J!2' 1 _ _ _ —BUYER: .BEFJ/y WFIL .... DA,FT,E�: �2TLj,9�TO PLAN REF: 4 _KCAL .1= 10 FTlu,.: YC�KrA — THAT THE BUILDING �r►o� YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS CONSULTANTS SHOWN AND THAT ITS POSITION DOES ____ CONFORM PAUL • ' TO THE 20NINC LAW SMACK "QUIREMENTS OF THE (� AL INDUSTRY (SUITE 1) TOWN OF Akd&&SZ,�l.�_ AND THAT INDUSTRY ROAD 11 DOFS_ _ Ur, WITHIN THE' SPECIAL FW0Qp IJyAZARD ' f+a um moms MILLS. MA Dtb-Ia AREA AS SHOWN ON THE H.I]-D. MAP DATED-2/2/92-....-. � '•.+"G'•+�= TEL 421B-0055 Bk 20696 Ps 123 "60339 eat—30-2006 a 02 % 570 i AFFIDAVIT L Joseph M. Niemi, owner of the property located at 218 Willow Street,West Barnstable, MA agree to obtain all of the necessary permit and approvals in order to create living_space above_a,three.badgarage constructed=on my property under building permit# 87831.dated 10-21-2005 and obtained from the Town of Barnstable Building Department. Signed under the pains and penalties of perjury this day of E AJ U A Pam. 2006. M Joseph M. Niemi i COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. On this 50 day of 2006, before me, the undersigned notary public, personally:app ed..- Tf r i. �c" .:proved-to me through _ satisfactory evidence of identificati hich was a to be the ..... _ person whose name is signed on the preceding or attached document, and acknowledged to me that he/she signed it voluntarily for its stated purpose. o blic My ommissio :JAMESDtVINE NOTARY P!lBL1C CMMxWWM'otllAesiadae ,USA MY won 6�s Nov 9 S, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# Health Division Conservation Division' Permit# Tax Collector Date Issued Treasurer Application Fee d Planning Dept. Permit Fee 6U Date Definitive Plan Approved by Planning Board O� Historic-OKH Preservation/Hyannis d Project Street Address / Village 7 7:&=Y1 Owner Address c 1' 197W� Telephone J`��' 3(v Permit Request //z-S/-)a k1 ZD 4O V//V�fL L/� crli(///�9/yl//�Fj And jC120(11VD Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation3,�,i�llll,•(0 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) o ` n-a Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Higher: El Yes— ❑4No cr Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Cl No Detached garage:❑existing ❑new size Pool:❑existing Xnew size &0 Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authoriz to ion ❑ Appeal# - Recorded_❑ Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name elephone Number - �02-2 J12 Address Q' /t& License# Home Improvement Contractor# /2-,C� Worker's Compensation# TI i4 G OCA't( ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A/69 SIGNATURE DATE S FOR OFFICIAL USE ONLY. PERMIT NO. DATE ISSUED MAP/PARCEL NO. i a ADDRESS VILLAGE -OWNER _DATE OF INSPECTION: FOUNDATION ,FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING (4-1 told' DATE CLOSED OUT I ASSOCII TION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office.of Investigations: 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Apulicant Information Please Print Legibly Name (Business/organization/lndividual): Ary_ . Address: City/State/Zip: Phone#: J A" 7 7 .2S_0__'e Are you an employer? Check the-appropriate box:. Type of project(required):- 1.❑ I am a employer with 4.�ZI am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. We are a corporation and its 10.❑ Electrical repairs or.additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions 4 myself. [No workers comp., � c. 152,§1O,and we have no. 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.�a Other /-nn comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: `• t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site information. Insurance.Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: City/State/Zip. Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50Q.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 forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided a bovet: ove is true and correcSi ature:. Date:. S 0 Phone# -Y ?17 Lfwl Official use only. Do not write in this area,to be completed by city,or town official City or Town: Permit/License# . Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, lied,oral or written." express or imp An employer is defined a�:"an imdMdual,..paTmership,,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or.the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work-on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence-of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its-political subdivisions shall enter into any contract for the performance of public work until acceptable evidence.of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es) and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners; are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below.. Self-insured companies should enter their... self-insurance license number on the appropriate line. City"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 �L(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.Anew 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 In vestigations 600 Washingfon Street . Boston,MA 0211L. Tel. #617-727-4900 ext 406 or-1-877-MASSAFE Fax#617-7274749 Revised 5-26-05 www.mass.gov/dia i I :J4. °FINE to Town of Barnstable Regulatory Services BARNSTABLE, ' Thomas F.Geiler,Director v ' sass. 139.,a Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. 0 06; Type of work: a �6 !� y /, d U 4� �/ stimated Cost .3) ao 0 Address of Work: 04 O W 7— J Owner's Name: Date of Application:/0 -- /A-0 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 E]Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: �-/o 6 —?�� /,//(f Date Co tr or Signatur Registration No. OR Date Owner's Signature Q:wpfiles.forms:homeaffi day Rev: 060606 °FINE ri Town of Barnstable Regulatory Services RAMMASSSTABM $ Thomas F.Geiler,Director 1639. �0 A�EO MA'I A Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, as Owner of the subject property hereby authorize / 'Z act on my behalf, in all matters relative to work authorized by this building permit application for: 2l� xjazay sr (Address of Job) Signature of#lner Date Print Name Q:FORM&OWNERPERMISSION ati+,l ti Yy' �. ti. ti�l �••. y. , 1 ,�. ttihr i�ti` t1 t 1 t 't t h 1 t t' •t at t �1t1 1 4 t 1ti ., ; N d�1t `I•C N, c . L t. ... t :,;ai` q,,,. _ � ��ie Toor►>rrnanu�eal�i o�✓�aaaac�ruoel� 4 ; Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 128202 Expiratlon: 3/10/2007 `r;l., "sr,,• t ,�,, th c t 'TYPe Private Corporation HOLIDAY POOLS " WALTER ZUROSKY-y. 53 CAYUGA AVE t " MASHPEE,MA 02649 Administrator CERTIFICATE OF LIABILITY INSURANCE SEE �.ac 4/20/21 G&MO SR 'MM COMWOUATE 13 SUM MCA�A f.'11�0=1. �alriC� A�QX 0 aF 00.O1tlRAY[DAI &0 8aa 1235 01ilY AND CONFERS M8 RlBldis ldA�Ok�CE3ltO�Cm46 328 Radford StowtHOWEP ► 8 Dir n D►ou s snoDOES MW AMO .MEW w. Lakovills M 02347 Phone:508-947-3460 F&x:508-947-6844 �yg Womm p6bO!@O?MO COVERAGE' 1tA�6�+ Assoctwttd Yadnatsgla of qLAnw conteaOting Ina �' ` tr'•""s'•• iO' =a Tftmc yea •.a Mh ae 02347 ►e COVERA6E9 sr e THE rotes 04 t�TED otxA4vwtae R ACTop b TEE u+nm rw¢a �t Tf9t10!1d1/�pp woKwT:D,NvrWt MTAM uO +11�Y1lQWRQIityMr.TEJ►i!QRW rautOittA►C08rrrt/�GYGR MotOOMW"WmmvwTOWKHT"CEitItmigIIaYmosmOR ANY POITAN.T1tE salAtaMC!tt S'y THE f ![�45Etl� �aLl T#CETt� � f9i8ilfii t MXU.AWFUATQ LMM&qWWMAY HAVE MM EMUCED eY Pram AID aAful � a! t�aacr aa�etcR 0 oeUt,WABLUr �+ o 500000 S X Mmratax.cEMEMU48 w 1=447019 0,9/14/06 04/l48/07 050000 �p c uts WADE I OCCUA M�t7�Wgr.nses�? 85000 PUMO ALatWWA RY t 500000 6E�tA►tO�etE t 10000QQ OO1lt tTt=tiiavti�uEsEER FFAQvM-aoA0tt AW 61000000 rau�r tiac strratiosti tuaUnV AWOA o MUMOL etaU wF t AMOWUMAUTM tssmoe Is■ei o HMAUM taros vtwRr t: �ttwaum MJr &L't-rr►o=mw s OM AM 071fERTlUW u•cc s taro oker. A f �RaaRiYsmtwweanY t�1 s OM a QA1W3MAM tt3dFOATE a oeoticrs� s t A6Tta�011 i t t�ieam�� 1C A tRY VWC6008367012006 04/16/06 04/16/07 ELayapAc=Bff •1000 ,. v t L.o -� 1100460 esoMUw-PoUcwzzr a50o000 p0<W QS rewr i Zzoavating J A00� Jittfl6tAL CUTMATO (X=Q EJnifCBi f./►T 1 SCQ.IDJIY .wY a ns,�.ovs ott�a.vacua u ctRreusa st10RlT7lst�t! OAT*IKM os-7WX uROMM VILLMMVMTetfAIL 10 oLLrsMRntOe KoLmw Pools Ro*,csTo �,rrrie�Ts o�ot otR wusa TO T+s .suroaruee roao oo weaa 55 Cayuga AV* +�aeNooEwATtoMasu�wRosa+wRSlousaoTte�lua�nsAonesae �4slypea b91 RsrRsa:Dn�► t ..s. �aat2Mrop o T€OMTg$i r FROM :WELL—BUILT POOLS FAX NO. :15086799047 Mar. 21 2006 12:39PM P2 LIUUliOui 03/21/2006 13:26 FAX 15086748424 B & G DATR cf micom+rn A CERTIMATE OF LI►13ILITY INSURANCE 02 2O 2006 vNAswm (S08) 990-1397 ONLY CEFi C r8 ISSUEDJ1S A R OF IN ION ONLY AND C,ONREltB NO pI1GH'CS UPON THE CIERTIF1CAtE I�Ls HOLD! THIS CERfIFICATC DOLES NOT AMEND. 9"END OR WTER THE Cal 0F,AFFORDED BY POLIOFS BELOW. 48 stave Id. INSUROM AFFORDING COVlRAGe NAIC f vo. Dartmouth - INSUIIER A n;TmTAM FZltE Fi CASUny INWREH LrBBATY )+ItJ'St1)iL %= mr-mv � INSURER Q i 611(fAbTaS$A DdA 02777— INsuRLIR� THd Pf�U T F imsuRANCE IL N S! CONTRACT OR ISSUED QTMER DO"EW VdTH ESPECT T vwiteN THIS SURED NAMED ABOVE FOR THE POLICYCERTIFICATE MAY E I11SUED Of MAY PEWMK RµFAUI Ce AFFOROl�O DICly THEDIP PANY Ce DESCRIBED OTHER +I 19 SUBJECT TO ALL THE TERMS, RXCLUSIONO AND CONDMONS OF SUCH POLICIES. A06R6�iATE LIMIT SHOWN MAY KWE EEN REDUCED BY PAID CLAIMS. LfMI78 TYPE0RUVSURANO! F*,WVNUIIM9 DATf:1 Lrn 1,000,000 A WNi�fALLUIEiUTY CL75265976 03/18/a004 0S/1$/3007 t:ACMOGcuwven $ P ra RENMDR� y I00,000 X CO"M0IAL ►m' 5,000 CLAW ilADf2 4CCIIR MED E)IP �,o $ PERSONA INJURY 1,000,000 NWALAc 904TE g 110601000 )OP AGiQ0 1 000 000 ftWLAGGREMYE LIMfF APPUE3 PER Pn1-Ic UDC, AuretaGel►Ja uuLlgrfv / / COMINKo SINGLE LNrr 9 (Es aomdwm ANTAUTU AIJ.oV BODILY INJURY i �IueDluliT�08 (Pot pmos>td RCHEOLLED AUTOR HiREo wren / / / / soo0.r I.&W s (per amosm 1400OWNED AUTOS pIiOPERTY W4A7AGE fPaf W*N" 41ARA LIABLf1Y AUTO ONLY-EAACCIOW T $ ANY 11Uta / OTHERTHAN EA A= IF AUTO ONLY' A 0 $ EMOESWEAMMLAUAMUTY DFC� CLAMoAA06 AMCIREGAlt � S DEDUGTIRLEFI RETENTION a g WOII�COLLPENSATIONAND 02/22/2006 02/22/2007 XjfiWLfMhj EYPL rfW UAMILM a.L�EACH ACCIOW s 100,000 ANY PROPRIRrewPARiNpjWcunVF 500,000 Ityea der 2-uma e.� PouCY� lo0,000 8 G tAL PROD below DEwRIPnON OP QmmTmwLcGATK»15 AmmLEiacILdIQNB ADOEO EN ENoome IurmpEGIAL lowmium t�17 E CANCELLATION (BOB) 679-9047 ( ) — SkOULD ANY OF THE ADMa ONCRIOW PMXI S 8E CAN"." 9ucim TMC EOWATION DATE TN§RpF THE IOUMO INCUR" VA" Q"DCAVM Tp MAIL' 10 DAYS WRrTM WTIM TO THE C"MACATR NOLOBR NAMED To THE LPFT,BUT HOLZDAIr POOLS FALUIll TO DO 60 IMPo96 ca iGAW OR LIAHILIYY OF ANY KIND UPON THE IN fig RTATIVM 35 RAXOOII AVENL3E A TATW ggp mA 02649- ACOR OCORPORATICN 1988 ACQRD 23(;100'M) PAge 1 of7 �';�•iir8025(oiae�,ao eFci>zcxvlc LASER FORMS,INC.-{eGD� I 08/28/2006 14:43 5084205584 MYCOCK INSURANCE AGM PAGE 01/01 .'ACORD CERTIFICATE OF LIABILITY INSURANCE °e�n/06 PRODUMR THIS CERTIFICATE ISISSLEDASA MATTEROFIWEaORMATION Mycook InaTa�axi� Aig9zs�► ONLY AND CONFERS NO RIGHTS LPONTHECERTIFICATE 20 School Street FOOLDER THIS CWTIRCATEDOESNar A!<S% EXTEt�IOR ALTER TIE COV IERAGE AFFtORM BY THE POLICIES MOW PO Box 437 Cotuit, MA 02635 INSl FWS AFFORDING COVERAGE NAIC# IncsuRF� INSURERa XS Brokers HolidaY Pools, Inc. INSURERM Commercial Account INSURER C! Q 0 Box 61 INGURI R D! xashpe®, MA 02649 INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAKED 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 NIAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL T IE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- IN9R POLICY NUMBER POUGYITFE_CTiVE FOUCyt%PiR'q LWITS cENERRALIrAtsIUTY EACH occU OCCURRENCE s 300 000 NL" h A COMMERCU+LGENERALLIABIUTY CLS1267115 5/12/06 5/12/0-7 PREMI8nftgsf2M $ 50 000 X CLAMS WDfi 0OCCUR MEDEXPtAm&"e2Lwjn $ 51000 PERSONAL&ADV INJURY $ 300,000 GfrNERALAGGREGATE s 300 0_00 OENIL AGGREGATE LIMIT AMPS P6R: PRODUCTS-COMPIOPAGO $ 300,000 , Poucv FIZET El Loc AUTOMOSILRUMILPFY COMBINED SINGLEUMtt $ ANY AUTO (£o xdFlnt} AI.LOVWEDAUTOS BODILY(NJURY 8 (Perplr-m SCHEDULED AUTOS HIRI;DAUTOS BODILLYiN�JURYiftrsoc! S NON.oVW ED AUT06 PROPERTY DAMAGE $ (Par Nddenq GARAGE UABILITY AUTO ONLY-FAACCIDENT $ ANY AUTO EA ACC 9 °uy� Yc� AGG 9 E)MM$fUMBRELLALIABILITY EACH OCCURRENCE S OCCUR CLAIMSMADE AGGREGATE $ DEDUCTIBLE $ RETENTION 6 $ ViIC STATU- VTF+ W 0 RK IR S COAIi PENSRf ION AN D EMPLOYMS'LIABILITY ELEACHACCIDENT $ ANY PROW IETORIPAATNERIEXECUTILE — OFF'ICERIM IUtExCLUDED7 E,LDIST:ASE-EAEMPLOYEE $ SPE�1°A 009 ON 6 WOW E.1,DISEASE•POLICY LIMIT 8 OTHER I D FBORIFf10N OF 0 FERATIONS I LOCATIONS!VEM C LES I PXCL USION S ADDED BY END ORSEM @FT 18PF.0M PROVISIONS Swimming Fool Installation CERTIFICATE HOLDIM CANCELLATION SHOULD ANYOF THE ABOVE DESCRIBED POLIOIESBfiCANCI;I,LXD BEFORE THE EWRAtION DATE THEREOF,TMENWINOINSURM WILL ENOEAVOItTOMAIL 10 DAYSWRfTTEN TOWA of BaXnStabIC NOTTCETOTHECERTIFICATEHOLpERNAMEDTOT14ELEFT,BUTFAIWRETODOSOSHALL I MPOB END OBLIGATION OR LM ILITY OF ANY KIND UPON THE INSURER,ITS ACONTS OR RVRE9ENTATI4Eg ED REPRESENTATIVE i ACORD 2S(2001108) 0 ACORD CORPORATION 1980 Application to ®Ib ittg' igbbiap 3.egiottar �Eqiotoric Miotrict Committee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS Application_i,s-hereby made,with four complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior building construction: ❑ New ❑ Addition ❑ Alteration --4ca Indicate type of building: ❑ House ❑ Garage Commercial ❑ Other oD 2. Exterior Painting: 4' 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Re ainting Existing Sign 4. Structure: Fence ❑ Wall ❑ Flagpole Other Z.rn X 40 l o1n� Q40L- 0-1 w TYPE OR PRINT LEGIBLY: DATE SI�Q ►�.r,� . �. & 21$; W tf`1.aW S` ADDRESS OF PROPOSED WORK WESa 5JVJ kP&k:5L ASSESSOR'S MAftO. SS OWNER �� M� M� ASSESSOR'S LOT NO.IAWALIf HOME ADDRESS `u�5�&��._,2%g W kL4W �`' W'W'Wi�G '02bLALEPHONE NO. Sb8 S62.` OU FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) Q�i.�iS � c'CzKal�>,1 to 'tli'�i�s��3 @p �DF►+��-9 nnq• OZt?�2 �H �� � VILLAIN L•+J•� W�i� �aSr;pBlc" .M9� 02�� �r�kh� Po 'fix W11 , was; %U SJABvc AGENT OR CONTRACTOR "OLi(b�j PbDLS TELEPHONE NO.SD$ 'V-1 1�;%g ADDRESS MNP - 02bj DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. T��Ro�►� Zo'x 40' Swt+�nnn ►*%0 PuD� w iTM 8 �a � A� �►�® n S� ��1Ai.� .�►�K �� ly, nnE�y �'I�i�cs Sh�Rdu►�1�►�t �►�1 �UDI. Signed Ow er-Contractor-Agent For Committee Use Only t1 re rra Date V This Certificate is hereby p o e enied SEP 0 6 2006 ' nw(2&e,�, Co ittee Members Signatures: r0'A.1N1 r T EA,^PMQTABLE ed Town of Barnstable ' Old Ying's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH WINDOWS COLOR SIZE TRIM COLOR DOORS COLORS SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS n E U !EP On 6 !,Ldu0 ;1. SIGNS COLORS TOM-OF LLj` L HISTCR `; tic�A3S FENCE 51 n110 �f',• =S -CAN,3 COLOR K NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plane, when applicable. SPECSHT IRevised 11/98 f 102 :i/li/SR A(r100![t10Af w p JIRf i+[piltAli tr rlA,.l' - tt,..,�r ;AT TJN +0 At oils rW YI wmL. •3 PLANS FOR •~i`I I � Vf' ®ts gLT.IlF2-i-F�' I s� t . SBRAACEI Irt7As IN I. '6 S C 11 N G4 GYY-VnMl ._ IWEL lUOPO ti •f n AND 2 y.S/B•e WOi@ 1 AeE ao AdTNlaoEss ¢G�4c,ALv& VR/YL LNER ISEE SER.Or2 AND. - E-f#BIaC17ED 0.OTH FOR EMX N W2 - STAIR 155E}iSu •1 5-3fe#NUTS HD SOr11ER rrErSM Hiles STAR LINE - TYP J 1 rtE.RIRRIflrED rt177/!9 20 MIL 2O MALM TM00ETT1 STAIR ASSEMBLY 2 LINER VINYL LOER sTa1R CULGALM STm STAR LME s-!AS•�LLla7S CCRIER IVIEL - rN5AM2 �S• 3F{' MASHERS TTP.EA. HI&L EJO SERIES 550 G 650 STAIR CORNER SERIES 750 STAIR CORNER r1 SERIES 850,950 EA 1050 STAIR CORNER /31 1 /'1 ro TOR SJOiET — FA-FRAW ASSEMBLY 2 7 ' �r : i E FLIER FM1ER • I RETURN �' I PERr.teHuy FL2E —►---►— ►�1 1 • ! v T L E•r1RN : TFIRAMES LIM j 3 � PETeAresrrly p 6NADED A' - gars I i 0 �PGR°Orms - 3H' 1 r:; UAT AJ4EA AREAS T ` =TAB AM CL Opn 'AL OR • s+ z p 0 2.2! It SURF.YlA•Z>fl06LL CAP LOCATED 1 SUCTION �w� GASP 1 Y (e m SI ESHOD—t6AiT 3G9.•IIF SI)+FYE°G JSBGl2 - t- MW InLL Sr Silf✓fARF.6 2LOCGIiI-E.F 1 :d R1 m '2ti.A0'j�S<s1RFARFwL 388.44 •L-- ►.—---J z co3 UND 'A'FRAME AlSEAA917 D TYPICAL wNERE S/IOwN Sg.9*MM.1044 734 SE SURF•AIEA II 24SG0 GAI.CAP. R PF � SMURS ARE OPTIO S°FETT—H-- �— — -- �s, SERIES 2100 9 2t50 tNGROUND' sow SHOWNrnze.ae so-Es_.zs sF s,.er.aE. 6 26WO GAL.CAP 1 z _ SERIES 2000 8 2050 INGROUNDPE T0N°L - ArTACAED . . SAFETY ME - 1 r9WOEO PDmlora I rt RCpgESfMS �= c. per' w D N Hn I I ' ! 'A'FRAME ASSEMBLY � � 2 L—►---•►-- V vE S,HwN RILf� scm 901/r:I9.3►767 SS S>w AIR/LL 20MO GAL CAP V-- AL30 XJ. F.tpr:l'717 SFSUREAREA.L242SS GAL.CAP - ZCk GM SE SURF AREAL aMZ3 GAL GAF SERIES 2100 a 2150 NGROUND r,1 00 � I BOARD OF BUILDING REGULATIONS i Llcerm: CONSTRUCTION SUPERVi&OR m Number: CS 087703 ; N ! Blrthdate: 0W2811877 f I Expires: 081202007 Tr. no: 87703 i Restricted: 00. ,� j GARY 0 MEDEIROS. 1294 LOCUST ST - FALL RIVER, MA 02723 ' • j Commiasloner I r` �i m r` oo x �1 �j zo xs�x�ka ems Board of Building ReWmtions and Standards U- `' [.iceaee or HOME 3A PROVEMENT CONTRACTOR rregistmtioa valid for indlvidul use only _.1 befog the expiration date. If found return to: z �eFstratlon: 142062 Board of Suilding RtPlatiaas and Standards ExPiration: 311112008 One Ashburton Mee Ran 1301 Type:. DBA Boston,Ma.02108 Weel•Built Pools Gary h4edeires 7 1294 Locust Strset li rn Fall Raver, MA02723 J oAdmiaistratar Not Valid without signature i f I J J W 3 E O W D m n A m A N N O Cl mm (DR _ D 5 6 m N I ® � q m i x N S a D O A N� O �E � U3 r m r D A E m ti a' Z �� m D �m �m m� 3 D O N ZZ mR 70 O� P C A IIA 06o O ro p9 Aa A � p�a F. m D -0 r mAa m m 0 2 A N 3 v m r3, r r Z m s�$ A 0 p322, �oA Did � O (lm0 w T D� 0�3 qq ll p(zmt mym o a8 ° a gF muv ymy O�a tl3 IM ° e�A IDq 6.no O a TH D ril Ica Hr q C �m Ap F iA >R amQ q �-_0 q . m dog o � O 99 Ti $ vi � gF m c� n � A � cn gaga Q�I a• � , �• � .' -..., 4'-0' --------------------------------- --- Yi-- .. u,o. W.O. _ D I 1 1 . 1 Di 1 3BM4 m I I 1 1 D .1 1 1 1 b '. p I 1 I'•1 , I I (p 1 3'914• e !1 jx I I 1 I I ' I d I✓ 1 I•.I m ' I 1 1 1 '•1 ' I I I-I I , • I I 1•. 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I O Iik Lk io A — I :Dtb'.e� 1 O xa 1p SDS. y ® I c•K ' � I T 14 O 11 III 1 7Xb•. 1 L• 1 s 'a ik 10•'LVL'e D a O S A - � y 2 alb•. IL 3• N 1 I m i el mD 7 acb•. I p I e � K•LVL'. 1 06 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map IJ15— Parcel O O 8 Permit# Health Division 411_:;F1 �. MAR 7 2001 J Date Issued Conservation Division a ( 9 L Fee : Tax Collector — `y{ ° • C�� Treasurer - SEPTIC SYSTIIM MUST ti y I INSTALLED IN COMPLIY; Planning Dept. WITH TITLE 5. Date Definitive Plan Approved by Planning Board ENVIRONMAENTAL q+"4 AND TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address 2/8 ` ,11-Low ,S Tfl ee?" Village we's T ,A&_A /S r&BG Owner S Te v e 4- 4Nw L,0q w.sryn/ Address 5A211F, Telephone 3 7s^ o d 3.3 Permit Request /o� X/P D d e— Square feet: 1st floor:existing proposed 28,9' 2nd floor:existing 27Z proposed Total new ze Estimated Project Cost 32-vo o Zoning District Flood Plain Groundwater Overlay Construction Type 1it/O DAD Lot Size 2 9 7. 2So Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Xf Two.Family ❑ Multi-Family(#units) Age of Existing Structure / 7 Historic House: ❑Yes XNo On Old King's Highway: ❑Yes ANo Basement Type: IS(Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) / Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing J/)-- new V Number of Bedrooms: existing_ new Total Room Count(not including baths): existing g new First Floor Room Count Heat Type and Fuel: XGas ❑Oil ❑Electric ❑Other Central Air: ❑Yes $No Fireplaces: Existing / New Existing wood/coal stove: ❑Yes ❑No Detached garage:0 existing ❑new size Pool:❑existing ❑new size Barnes existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes JS No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name =IlYJP" i'►�P�/T 5P&4/ LiSTSTelephone Number .3 7, 00,3 3 Address�.�,� Oy(`/ iPOf�D License# o/&:7 -e-'14 L S Home Improvement Contractor# Worker's Compensation# W_3g2! /k D f ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO I SIGNATURE DATE Z Z FOR OFFICIAL USE ONLY PERMIT.NO. r ' DATE ISSUED N MAP/PARCEL NO.. . ADDRESS VILLAGE f OWNER �•, ; , - - DATE OF INSPECTION: - FOUNDATION C�C� FRAME INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL { PLUMBING: ROUGH.' FINAL GAS: ROUGH. = FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ' f A= 2g Lr.l o 200, 15 7a C As L00 )ji IL � / 297,2.x7 S'.?. FT l �.f i :/� - �� ; ` f / JILL .1 ILL ) - .0000 .. � _ �.'' 1 .. .. rl1� •�: _ ; `.r.L.:)iv.., -,).f .. ice' i,� ♦ , � ). \,/ / �• / yip, <... 15 l000l 1 _ ,:h . cr c f R Ti E Y _TffAT TNc f�fi/ Cs�' 5�10 N ' , i INEkk 17 qL R. LLLL Q I i�• L >1 ic J+ t �Y���� I� :Y i.- :t Y6tALG - .y, • Y F 8 DAM. ..0• l - �'v. f .y .;y:, :�- yr.•. - �.•� 7 Y r: :l X. "a w .• Fr •.k �J ^s c - �'f i U - M• - ii -�,�-w �31 1" iY • s. - �ti•� - � •fit:.» - 7T- •34. •r. CL V AWE r, The Town of Barnstable z►ar,sr� . �e� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissio; For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: o c ® J �Gl" Est. Cost Address of Work: Owner's Name O� Date of Permit Application: 9 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY ` I hereby apply for a permit as the agent of the owner: Cc- /4e-- to V D Contractor ame Registration No. OR ` Date Owner's Name The Cunr»runlrcalth of atassachmeav •�:i! Department of lndusrrial.4ccirlews .tu 60N1 f'oshin�, n Street Easton.A1ays. U?lll ' Workers' Compensation Insurance Affidavit f'IiTi PRINT le-iljjv alililic�tnt information ' � b e Incition- 1 W Cit-A. 51-k f f Mhonc 0 I am a homeowner performing all work myself. ❑ I am a sole proprietor and have.no one working_ in any capacity 1 am an entplover providin:workers; compensation for m,. employees working on this job. nm tyro\' na •rddress• �J AI I tr: d14 or nhnnc OP t^_� f ' insorancc n. tat t.`T � nlicv to [l 1 am a sole proprietor. general contractor. or homeowner(circle acne) and have hired the contractors listed below who have the following workers compensation polices: cmm"•rnv n•rtnc �ddrecc• cit\ nhnnc a• incur•tnrr rn nniiry d_ _ cnm anv namr: addrescv tiro nhnnc tt- incur•tnce co nniicy 0 _ •Attach addili0_nal sheet if neees_ia_ry- '' ^-- � - "`' ";:-:: + 'M- -�"•��'•"'�~ +'µ �% ='•+'-'•°"%,"--^- ----. F::ilurc to secure covcrace as required under Section 3A of MG' 151:an:c_u ;u the:mpos+tion of criminal penalties ol'a line up to S1S00.U0 that a une\ears' imprisonment a,\\cil Is civil penalties in the form of a STOP'VOR1: ORDER and a fine of S100.00 a day against me. 1 understand that a cope of this statement ma% be forwarded to the Orrice of investieatuons of:hc for coverage verification. 1 do herchr cerrijr tinder the pains and pen tics ojperjun•that the i:rror,-a.ion nrorided above is true and correct. Si_anaturc Datc Print name e2 t/NJ Phone i* /�✓ — �1� ' ofrrciai use univ du not write in this area to be completed by city or town official ` city ar town: permibliccnse># r1tluildin.Department ` ❑Licensing Huard t t Selectmen s URcc ►_ 0 check if immediate response is required ❑ �•. ❑Health Department k contact person phone�: r'IUtlter Information and Instructions Massachusetts General Li%%'. chapter 152 section 25 requires all employers to Provide workers ctmipensation for employees. As quoted from the "1a��'".an emipinree is defined as every person in the service of :uuother under anv contract of hire, express or implied. oral or wrinen. An etnplorer is dciincd as an individual. partnership. association. corporation or other legal entity. or any two or m: the foregoing, engaged in a joint enterprise, and including the legal representatives of a deceased employer. or the iation or other legal entity, employing employees. HO%vc\'c. recciv er or trustee of an individual . partnership. assoc owner of a dwelling house having not more than three apartments and who resides therein. or the occupant of the d% clling house of another who employs persons to do maintenance, construction or repair wort: on such dwelling_ 1. or oil the :rounds or buiiding appurtenant thereto shall not because of such employment be deemed to be an empio• MGL cha*pier 152 section 25 also states that every state or local-licensing agency shall withhold the issuance or renei%•al of a license or permit to opera te a business or to construct buiidings_•in the common-we2lilt for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the cotnmonWealtlt nor anyof 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 cltapte- been presented to the contracting authority. _�—��^--�-�.:.. . •v .. +.� -:a ..:tip.- .w.. ��.._• �„• .. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation anc suF,^.!vin,, cotnparty names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for contirtnation of insurance co�•era`e. Also be sure to sign and date the affidavit. The at idavit 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 require to obtain a workers' compensation policy. please call the Department at the number listed below. City or -towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at tite bottom the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. P1- be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returner the Department by mail or FAX unless other arrangements have been made. The Office of investi=ations would like to thank you in advance for you cooperation and should you have any questic please do not hesitate to _rive us a call. The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations _ . 600 Washington Street - Boston,Ma. 02111 fax #: (617) 727-7749 OfpAATNfNI Of PUSH( SA111' (ONSTAU(TION SUpfAvlSnp :(foif Nusler: E�oires: Pir(hd+tr i IS 111351 11�1)119aq If.''llv�l A�et►lttd TO: N ,,,� • � OMIT A 0WARKIA 15 AAWAAO ST >� I 1ANAAlIfN. NA 1?664 _- i _- ►._ .� _7 d _® i — �iL� Vo917/llt4'12GG4'�" 0/.U � ulGe�6 HOME- IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston , Massachusetts 023.08 HOME IMPROVEMENT. CONTRACTOR .Registration 101014 Expi.ration 06/24/00 , Type - PRIVATE CORPORATION CAPE COD HOME JMPROVEMENT SPEC . Robert A . MacLaughlin 25 Iyanough Road _� tip, Hyannis- MA 02601 I c� GRANITE• STATE •INSURANCE COMPANY 13102 71109 WC 354 -87-65 -jwr.i-411tAJKKr,ws)tvur,1- r. Ito: AMERICAN INl'I',RNA•1'1ONAI ('I! P.() [ION 4n11 • • • • - . PENNSYLVAN I A PARSIPPANY. N1 07054-040() • • ••' on • • • I'HONI:: 1-900-645-2251) Member Companies of HOME IMPROVEMENT SPECIALISTS OF CAPE COD INC A171 American International Group 25 IYANOUGH ROAD HYANN I S MA 0260 1-0000 EXECUTIVE OFFICES: 70 PINE STREET, NEW YORK,N.Y. 10270 I.D# WORKERS COMPENSATION AND ROGERS & GRAY INSURANCE AGENCY 1601 EMPLOYERS LIABILITY POLICY 434 ROUTE134 INFORMATION PAGE SOUTH DENNIS MA 02660 PREVIOUS POLICY Nl1MBFR WC 351346o (RENEWAL) INSURED IS CORPORATION OTHER WORKPLACES NOT SHOWN ABOVE ITEM 2 POLICY PERIOD 12:01 A.M.standard time at the insured's o7/04/98 TO 07/04/99 mailing address FROM ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $- 100,000 each accident Bodily Injury by Disease $ 500,000 pollcV limit Bodily Injury bV Disease $ 100,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: SEE ENDORSEMENT WC 20 03 o6A ITEM4 The premium for this policV will be determined bV our,Manuals of Rules. Classifications. Rates and. Rating Plans. -- ..(.......— — ...Al. . ! c C� f Engineering Dept. (3rd floor) Map Parcel �� Permit# 3 J S G 1 House# I Date Issued _6 9 C) a!oo �, -T Board of Health(3rd floor)(8:15 -9:30/1:00-*!6M 7,J (/o Conservation - / D /v Office(4th floor)(8:30 9:30/1:00-2:00) /Z 1 JT 2 N CC.O Planning Dept.(1st floor/School Admin. Bldg.) 1HE Definitive Plan Approved by Planning Board 19 W'� . T BE INSTALLE IANCE TOWN OF BARNSTABL� WIT VIRONMENTAL CODE AND B ilding PermitAp lication TOWN REGULATIONS 7 Project Street Address Village Owner Address p�[ �` l�Ly,<T-t—r Telephone -- 0 Permit Request -, AP) '90A 14 4TItY0 11 First Floor square feet Second Floor square feet Construction Type \�l Uor� bpi M--e _ Estimated Project Cost $ S-3 !� ±� - — Zoning District Flood Plain Water Protection Lot Size a9 , Raj . Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout XOther7BP P—S .s�,,� Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing 3 New Half: Existing New No.of Bedrooms: Existing New -' Total Room Count(not including baths): Existing New _�First Floor Room Count (2 Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes -p4o If yes, site plan review# Current Use 1 Vc, l,p-- V-, k,L Proposed Use y✓i Builder Information /� p- Name e 60 r Telephone Number / � O 1, Address nlAt License# 1 �� 0 t Sa i Home Improvement Contractor# 1 o 1 0 1 4 Worker's Compensation# w C it6 S— NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALLtONSTRUCTION DE ',IS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 d I s C SIGNATURE DATE BUILDING 6R MIT DENIED FOR TH FOLLOWING REASON(S) 1 I FOR OFFICIAL USE ONLY 06 I � PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS � VILLAGE • . OWNER DATE OF INSPECTION: o FOUNDATION /( FRAME INSULATIONS �� O— nZ� FIREPLACE ELECTRICAL: ROUGH ' FINAL, PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING =` °=1 I DATE CLOSED OUT - r, ASSOCIATION PLAN NO..- 0 Board of Building Regulations and Standards; One Ashburton Place - Room 1301 Boston 02108 Home Improvement Contractor Registration Registration: 101014 Expiration: 6/24/02 ; Type: Private Corporation CAPE COD HOME IMPROVEMENT SPEC . Robert MacLaughlin 25 Iyanough Road Hyannis MA 02601 67 �om�nonuAea o�✓�aada�ivaeQd BOARD OF BUILDING REGULATIONS • Lieenae: CONSTRUCTION SUPERVISOR Numbeii CS, 010350 BIrdKfift 07r",941 " Eiipi :Oy/23T2001 Tr.no: 11071 Rlabd To: 00 ROBERT A.MAC' UGHLIN, _ 25 HARVARD ST ru" S YARMOUTH, MA 02664 Administrator Pf, I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I I I Checked by/Date I I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 3-6-2001 DATE OF PLANS: 1-18-2001 TITLE: Steve & Ann Lawson PROJECT INFORMATION: 218 Willow St.West Barnstable, Ma. 02668 COMPANY INFORMATION: Home Improvement Specialists of Cape Cod 25 Iyanough Rd. Hyannis,Ma. 02601 NOTES: Construct 16x18 master bathroom addition. COMPLIANCE: PASSES Required UA = 90 Your Home = 71 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 32 30.0 0.0 1 CEILINGS 268 30.0 0.0 9 WALLS: Wood Frame, 16" O.C. 370 19.0 0.0 22 GLAZING: Windows or Doors 55 0.320 18 GLAZING: Skylights 15 0.480 7 FLOORS: ,Over Unconditioned Space 288 19.0 0.0 14 HVAC EQUIPMENT: Furnace, 92.0 AFUE ------------------------------------------------------------------------------- I I I COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date I I I MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Steve & Ann Lawson DATE: 3-6-2001 Bldg. 1 Dept. 1 Use I I I CEILINGS: [ ] I 1. R-30 I Comments/Location [ ] I 2. R-30 I Comments/Location I WALLS: [ ] I 1. Wood Frame, 16" O.C. , R-19 I Comments/Location I I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.32 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location SKYLIGHTS: [ ] I 1. U-value: 0.48 For skylights without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I FLOORS: [ ] I 1. Over.Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT: [ ) I 1. Furnace, 92.0 AFUE or higher I Make and Model Number AIR LEAKAGE: [ l I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I , be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I [ ] I SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and w a I require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I [ ) I HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in. ) : I PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-l" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I [ ) I CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.) : PIPE SIZES (in. ) NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- r • "'"�'� The Commonwealth of Massachusetts Tj --- Department of Industrial Accidents Office 011HY850200S _ 600 Washington Street y ; Boston,Mass. 02111 Workers' Comi�ensation Insurance Affidavit �iiin�er��u'a ii�iii iviiaiii%%��%%%��%����%%�%��%�{ loll �„: �'�'a`�'�'�'/%/%���%��%/�%��/�%�%�/�%��//%%%%//.�%-""• name S Te Y� + LR l�Sd�t/ location ZI g 1/✓!'L'L--� S ?. city V✓; �'/Q�J �' phone ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity I am an employer providing workers compensation for my employees working on this job. eompnnv nameB/ l address city: phone#: 77%-f insurnnce cn. /3,1 V/V T olicv# 3 D ❑ I am a sole proprietor, general contractor, or homeowner(circle one and have hired the contractors listed below who have the following workers' compensation polices: com anv name: address: city :.:....:. phone#^ . ::::::.:.:.::::.:.:...:.::•:.:.:. :.:::. insurance cn. ///r%///x x x xo/%%////////////////////////////////////////////////%///////////////////////////////// cam anv named address: hone city ;>. ...:. .... icy# .::.• .:;:••::. ...:. .:. of . . .;•.......:: :•..:;:; :: Failure to secure coverage as required under section 25A of MGL 152 can lead to the imposition of criminal penalties of a ape up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Wee of S100.00 a day against me. I understand that a copy of thb statement may be forwarded to the OMce of Investigations of the DIA for coverage verification 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Date Priest name Q rr -�- /�Zf�G L I� Phone N 7�-3-94, li�iis r official use only do not write in this area to be completed by city or town official city or town: permitAlcense isaQBuelllmgg Board ard i once is required ❑Selectmen's Office ❑check if immediate response O$ealthDepartment contact person: phone#-, ❑Other�� (muses 9,95 P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an 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 divelhng 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 section 25 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,constructlbuildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required.•Additionally,neither the commonwealth nor any of its political subdivisions shall enter.into'any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be subinitted 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. City or Towns 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 peii it license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: NN The Commonwealth Of'Massachusetts Department of Industrial Accidents Office of Invesduatlons 600 Washington Street _,. Boston, Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 w 367 Main Street,Hyannis MA 02601 ` ff'icc: 508-8624033 Ralph Cressen i ix• SO3-790-6230 BuiIding'Co=M* io::_: Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building.be done by registered conaators,with certain exceptions,along with other requirements. Type of Work: Estimated Cost 32-yvo.�O Address of Work: -Z/9 VV-74L.0 W ,.F?iez°-,T Owner's Name: S7°P 1/ °� *- AioeA/ GRtYJ PA,1 Date of Application: 3 6 —e l I hereby certify that:- Registration is not required for the following reason(s): Work excluded by law E3Job Under S1,000 Building not owner-occupied E30wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MOROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the nzen of ther 9e�Ye e S G/S .S ram/P Date Contractor Name Registration No. OR Date Owner's Name q:fomu:Af day I � . I k--TD b P MASTER BATH a . 155 x 129 MASTER BDRME 0 l 0 77 x 146 T O a I � TD 0 I F f � I C F a /t d9 CLOSET rbxvl r to Framing Elevation Detail Master Bathroom Addtion & Existing Bedroom Renovations "' (Change Existing Bathroom To Closet) �� Steve&Ann Lawson Date: 1-18-2001 PAGE Home Improvement Specialists Inc. Phone 508-115-2815 21a Willow St. Scale: 1/4" = 1" 251yanough Rd. Fax.508-115-2881 W.Barnstable,Ma.02668 Designer: Paul Savage 1 Hyannis, Ma.02b01 I I j 66 New Master Bathroom Addition 18'x 16' Existing Master Bedroom Grade Windows: 1 Anderson Casement 014 Front Elevation Rough Opening 24 5/8 x 48 1/2 (Facing Willow 50 Steve&Ann Lawson Date: 1-18-2001 PAGE Home Improvement Specialists Inc. Phone 508-115-2815 218 Willow St. Scale: 1/4"= 1' E 251yanough Rd. Fax.508-115-2881 W. Barnstable, Ma.02668 Designer: Paul Savage 2 Hyannis, Ma.02601 Match Existing Roof Pitch 12/12 Existing Master Bedroom Beyond 01111 New Master Bedroom 0 Inset 2' From Front Grade YVindows: Relocate 2 Anderson G135 Rough Opening 24 5/8 x 41 3/8 (from existing Gable ) Install 1 new And. G14 Rough Opening 24 5/8 x 48 1/2 All units are terratone c r Gable End Elevation Steve&Ann Lawson Date: 1-18-2001 PAGE Home Improvement Specialists Inc. Phone 508-1-15-2815 218 Willow St. Scale: 114"= 1' E 25 lyanough Rd. Fax.508-115-2681 W.Bamstable, Ma.02668 Designer: Paul Savage -Hyannis, Ma.02b01 i i 5kyiight ON Rear Roof New Master Bathroom Addition Existing Master Bedroom I Grade j Windows: 1 Anderson triple casement 034 R. O. 12 3/8 x 48 1/4 1 Roto Skylight 52V1'7 or equal R.O. 45 5/8 x 4l 1/4 Rear Elevation Date: 1-18-2001 PAGE Steve 8 Ann Lawson Home Improvement Specialists Inc. Phone 508-115-2815 218 Willow St. Scale: 1/4"= 1' E 25 lyanough Rd. Fax.506-115-2881 K Barnstable, Ma.02668 Designer: Paul Savage 4 Hyannis, Ma.02601 r� Roof& Ceiling System: Ridge vent(over addtion) 4 1/2cdx roof sheathing Exterior Finishes: 2x10kd ridge Cedar Ridge cap 2x8 kd rafters lb" o.c. 25 Year asphalt shingles (see 1x8 collar ties 48" O.G. Match Exisiting Overhangs sample) 2x8 Ceiling joists 16" o.c. Red Cedar trim boards tr White Cedar sidewall shingles Anderson permashield terratone Walls: a windows 1/2cdx sheathing v Roto skylight 2xbkd framing 1 b" oz. F Typ. Headers to code 2x8 boxed m Floor System: 5/8 cdx subf loor Foundation: 2x10kd joists 16" o.c. Damp proof to grade 2x6pt mudsill 8" anchor bolts Foam Sill Seal 8' poured wall (match exisiting height) Elevation Demensions 8 Exterior Finishes Poured concrete footings 45" below grade Date: 1-18-2001 PAGE Steve&Ann Lawson Home Improvement Specialists Inc. Phone 508-115-2815 218 Willow St. Scale: 1/4"= 1' E 25 lyanough Rd. Fax.508-115-2881 j W.Barnstable,Ma.02bbb Designer: Paul Savage 1 Hyannis, Ma.02601• A= 29`t•I o 200, /5 r 0 )47 i L[ ` u A us. -ALL L 1 r I CAI Ir R ON T�F Y -Tf�AT H� 8fi 20, A714N C�NTfRLN . AF D+7r'N. .z:=� • .' . • ` , ._ .. 1�' 7�1f— •• r'':i.4"C�:' . . . • ' t .. i r '.,i:..r '. -_ �' � -.'•-?" .�: a OF ,ti;>, v •a - .i: . : ^`.` •?.',:� •,; \` r. :!yam `Y .. �!� • R u►� ova a . t',•� .. -`. DMw s X• i'. 7' h :R I , •ti: � o 341. 4 T - 'n.i' a�`. i!.W'" - -••`���! _ _. Y' .'-�,. Y-•n •.I. a 0 a 02 p Application to ®ib Ringo 30igbbiap Regional J19iotoric �Digtrict ;,,.- B��Fi�VSrr'rLE, i'�,gSS. In the Town of Barnstable ZOi `E3 20 pr1 3: 26 CERTIFICATE OF APPROPRIATENESS r Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior building construction: ❑ New ;R Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other ; 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: El Fence ❑ Wall ❑ Flagpole ❑ Other TYPE OR PRINT LEGIBLY: DATE ADDRESS OF PROPOSED WORKS 18 W/LLVW .ST, W. ,QNS ASSESSOR'S MAP NO. OWNER STE�y&N -0- A.y t/ LAW S,V/l/ ASSESSOR'S LOT NO. O o 8 HOME ADDRESS Sf4ML' TELEPHONE NO..37,r--o033 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) AGENT OR CONTRACTOR 11,014le.° ZA6e P,DYeM 7- 5,A91,J Itj.S MEPHONE NO.775_-251 ADDRESS ZS l��Noy /ems �Yf�/llil!/S DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. Signed A43 _ Owner-Contrac -Agent For Committee Use Only M This Certificate is hereby Date D 9 1� U VV nied AIDWEU JAN 2 3 2001 Co ttee Members' Signatures: .OWN � OF BARNSTAB E [OLD KINGS HIGH �� �- 20 - 3 l Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION C V/V C R e, 7'c- SIDING TYPE CP Di9R — /2L�. COLOR ZVR 2 !: AL CHIMNEY TYPE /V/�} COLOR ROOF MATERIAL ASPf�/4L T COLOR 4�RRT. /V Q PITCH j ,li-aawr z'x 316 .slog 'X,3•4 - Z"Xy' WINDOWS��(��/P S p/(( COLORT J?M7,orrieSIZE &4,k ire 'x V TRIM COLOR cap DOORS / //,A? COLORS SHUTTERS COLORS GUTTERS /��� COLORS DECKS �/� MATERIALS a � a0 3 0 GARAGE DOORS COLORS � L SKYLIGHTS � B YO SIZE C COLORS SIGNS COLORS D �AN 3 2001 FENCE COLOR TOWS OF BA NSTABLE H GHWAY NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plane, when applicable. SPECSHT Revised 11/98 rt Application to p,01,&t.E A0 c �SPapeV`'+P�S P L� o Pp oEN�tE P.N�S Ems` Old Kin 's-Ei hwa Regional Historic District Committee 16 0PE PEE e� = . g g: Y g � 999 � O in the Town of Barnstable for a CERTIFICATION OF EXEMPTION Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470, Acts and Resolves of Massachusetts, 1973, as amended for proposed work as described below and on plans, drawings, or photo- graphs accompanying this application. TYPE OR PRINT LEGIBLY DATE 1 Z_30—912 ADDRESS OF PROPOSED WORK -�1 $ Ui Q«o,,ti s 77 r✓, �'3.gR�1/S ASSESSORS MAP NO. 4E.C_ OWNER _-ST--P.M-__Al t 09Nit/ L A WSo.✓ - ' ASSESSORS LOT NO. 00g HOME ADDRESS SAMR_ TEL. NO. 37S 3,3 AGENT OR CONTRACTOR IleAl &7— S/°e JA4/.STs .. ADDRESS 2.4' Jj69 /®l/Ch/ /ee0 AVYWAY/Y/—S TEL. NO. This application is for exemption of proposed exterior construction on the ground that: 19 (1) It will not be visible from any way or public place. ❑ (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission. (Check applicable box) PROPOSED WORK: Describe and furnish plan of proposed work, showing location on lot,and, if an addition is involved, show- ing location of existing building.. 1,21c f Y ,,SVA1.t doff! eA/ ,ee-A e avoo, *�2vS e, SIGNED Space below line for Committee use. .� %Owner- ontrect •Ag�� -� i;`R'eceiveW.61.l•I.l.0`� The Certificate is hereby a ;( t; Date i.) I it !iIli i{`�II� � �'p liJ .1 Time.. '• q)_&_taVtAsba 'IL B� P 49 Date - Approved ❑ The categories of work entitled to exemption are listed on Disapproved ❑ the back of this form. i Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION C vNL ReT� p/eRs SIDING TYPE Cp_ Alf COLORAi�p-z.,AAz CHIMNEY TYPE__ AIJ.4 COLOR ROOF MATERIAL ,Q,s/'j��gL T COLOR 7y'� � ��y�' PITCH 3 WINDOW A✓aP�SorY SIZE TRIM COLOR �/FTv/eAL C /�i9/Q DOORS_ �'Lillii,I/' COLOR��y2 SHUTTERS GUTTERS 4 DECK GARAGE DOORS COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, i . - along with three copies each of the plot plan, landscape plan and elevation plans, when applicable. Plot plan need not be "Certified", but . should show all structures scale on the lot to I �Ir .� l L SPECSHT 6LA 97 r .01 ool ' ?'iti�;_c • ���yr �••�. 'fir..: �• s ni.' .!'. OL •try a''�''• a4:;-. �� .•j,��; •✓�i. �' � iz?y}irfl+i.'JjtY'♦iti j... .. '•..'•:�::a• ;Z'• ....J } 'ti.�•• �. 10 S SSn \ I/ � .� • jp Qj Ck Nzi - FROM TOWN Of BARNSTABLE �.� BUILDING DEPARTMENT Mr. �.,Francis Iahteine~-------,- 367 MAIN STREET HYANNIS, MA 02W1 1bwn Clerk �ta+9's•K suers>a.arc wr.•.•.ay4.ww.# :Y T Y-'G�F • Phone: 775-1120 �w9►srws«wst � , SUBJECT: FOLD MERE DATE Februpay 25 1985 MESSAGE � r Work has.h`een nleted nn 26782Lincoln wD� Scotty r ..... _ . ♦47:.�Mca under P it•R'l wN•.f'wKI '4-•. Y` tY"' 'd►�r^11 A's Please release Banda •R Nil+f st4 sa r4t"'►ra'►sVw.f•g9cWib♦tm s.BtA«.•IM6ts 4•-,Y tY aM•! M1k ' SIGNED DATE ' J i SIGNED N87•RMI RfiCIPIENT,RETAMW RITE COPY PZETURN PINK COPY • PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. TOWN OF BARNSTABLE Permit No. --_267R2- I Building Inspector" 11AUnAX cash OCCUPANCY PERMIT Bond _ Issued to i.inmIn D. Scx) t Address 1 R 1-7i11 rw St=v-_P_t. WSt BarnStable Wiring Inspector ��� a Inspection date Plumbing Inspector, Inspection date r Gas Inspector v r` - Inspection date -Engineering Department Inspection date Board of Health It A; �� Inspection date w_ -f/ _. 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. Building Inspector i 'lot number .....Assessor's map and c�5 " _�© 3EpTIC SYS I �1 j;���^, d 1 THE r � !f� A E IN CQ °,'�-,: .� �Q�o oho Sewage Permit number 1 ...... WTV1 TITLE 5 d � House number. ....................... TA. C - 2 HAHHST4DLE, i . ,•2/8...................�.. ,�. 9 rasa r� ,6/✓c -TOVVN 1Jffi�A: �± ., oo i639a�e� 0 MAY TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO �� ... ..... ..0.. $.... ................... �! .'7.'�............... ,! TYPE OF CONSTRUCTION ........:................... .. ..... . ............................................................................................ .. .. ................191. ) 3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: f�Location ....... �M\�Oya. ...... ��wv k�l ..........................:......:.....::... Jiti7e Proposed Use ............. ...�t.WM . .................. ................................................................ ............................... I Zoriing.`District .... �..........: ................... ...............Fire District .. ......................................... Nameof Owner ....... .........................Address ..................... ............. .............. Nameof Builder .. '. ? ..........................................Address ........................ ... .................................................. ji Name of Architect ...:. �� rE �.........:.`. ....Address .4i `i...4`��� � �`!1 �...,. S�ivV� .,.. � .4... .......... ...... Numberof Rooms ...........,...._.....................................`................Foundation - ..... .................................................. Exierior .................5-......... Q C ............................Roofirig .........:.. .............................•........ }� Floors ..�©uk. ...........Interior ........ ....... 2• it Heating .................................................................::.......:.......Plumbing Z ' Fireplace ............dY�.............. ..........................................Approximate Cost ® Definitive Plan Approved by Planning Board ___________________-----------19________. Area . Diagram of Lot and Building with Dimensions Fee �� ! SU'BJECT TO, APPROVAL OF BOARD OF HEALTH g^XLID -- O j/OUSF '176-7 a k Z 0 n ,00,0 ' '„��� .. C�11-,� Alt l�t �3�e.... •: • 1 d, -F s 4 OCCUPANCY PERMITS REQUIRED4 FOR NEW DWELLINGS ' I'her"eby agree to conform to all the-Rules and Regulations of the Town of Barns! le,regarding the above construction. �. Name Construction Supervisor's License ....Q.W.N.ly................ If SCOTT, LINCOLN D. A=155-8 No Permit for .................................... single fami. . ...l. ...y dwe. .lling/ba. . .rn......... . .. . . .... . ........ . ...... . ............... Location ..2.).$. W.1.).a.Qw..5.Lxe.e.t........................ ................. ............................ Owner .....L.1.n co.1.ct..A.....SQaU.......................... Type of Construction ................F rame . .................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .........A Y 9 us. ..............1984 Date of Inspection ....................................19 Date Completed ........�..: <:~.:-. ` ........19 TOWN OF BARNSTABLE Permit No 2`'782 .•'� �., . ------------------------------- t ' Building Inspector su»rw, Cash -------------------------------j 16". °" OCCUPANCY PERMIT Bond -__---- �_ - ---------------- Issued to Lincoln D. SCatt Address 218 Willow Street, West Barnstable J > ' Wiring Inspector R"��• Inspection date , Plumbing Inspector �� � � Inspection date Gas Inspector Inspection date f )€Engineering Department Inspection date Board of Health f��.� ,U l�, � Inspection date 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. A . ti,.... 5..., . ' .......... ---............................................ Building Inspector TOWN OF BARNSTABLE Permit No. -- � jW l ---------------------------- Building Inspector LEDrA1 Cash -------__---- � rua ��Y►Y•'`� - OCCUPANCY PERMIT Bond --------- Issued to Liohl yync 7. SCdtt Address able Wiring Inspector r Inspection date Plumbing Inspector .� \ Inspection date Gas Inspector Inspection date yEngineering Department Inspection date Board of Health _ , ._ Inspection date 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. ................................:......=2..T 19. �/ .......G� :��'...���' :�^..--- ................................... _. `' Building Inspector Assessor's map and lot number / s Sewage Permit number ^ .� �.� ...1.!��► d�' �� i f' Z/ 8 BAggAM LE i fi House number ................................. ....................................... ; oo 1639. TOWN OF-B-ARNSTABLE . BUILDING , INSPECTOR . APPLICATION FOR PERMIT TO L � C1'�'v .................. ............................................................................... f TYPE OF CONSTRUCTION .................... Y I n ................................................................................... ......... ................93 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .................. :....-... � .Hr!a�!3 .......................................................:.................................... Proposed Use ....... �.............................................................................................................. .................................... ZoningDistrict ........ .......................................................Fire District ..... ? ... ................................... Nameof Owner --�� �`!�.y. ��-.............. . . �o..................................... Address ....................:............................................................... Nameof Builder .......... .........................................Address ..................................................................................... Name of Architect ..... \r. v r ...................:........Address � a�l.`�...��-�+N . ..... A. Number of Rooms ..............................................Foundation .....CC!q��..: ?�a�'w ...........: Exterior . ..................:.........Roofing. \.ay . S�A� V ......................................... Floors 2��of?l.. my 7...A., Interior AvV.�N,a A.cay.& � Heating . .................................................................................Plumbing_........2-...:?.-............................................................... Fireplace ........<.��42 ........... ........... ...........................Approximate Cost ...... Ol70�r..................... .✓.. . .... .... ..... ... . . Definitive Plan Approved by Planning Board _________________-----------19_______. Area ..... ..................... Diagram,of Lot and Building with Dimensions' Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH - 2'a X LID — •O j`jYiUJ ./767 } 2 o n Zo r � boo l0 Y 2v 0 2 s, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above :1 } construction. Name ..•.✓................... ....... .......................................... . . Construction Supervisor's License ..........Mey............... SCOTT, LINCOLN- D. A=155-8 -476 No ..... Permit for ..,Z�......ft--.e............... Single...��T.i.].y..Dwelli.9g./B rn .............. . . ............ ..... . . . .......... 218 Willo Location ........... .. .. ................... ..................West...Barnstable............................ Owner ......L.i.n.co.].n...D.....S.co.t.t.......................... Type of Construction ............................ ................................................................................ Plot ........... ................ Lot ................................ Permit Granted ...........AtAg W 5.t...3...........1984 s. Date of'Inspection .....................................19 Date Completed .......................................19 �0 7, 0 MVP pt,N C� : � tine LOCUS celv' Z0 .•. r� e FOR REGISTRY USE CB H - S Spike Utility P Found Utility Pole - U�ility Pole Utility Pole Found Utility Pole Found Utility Pole S 7173'00" W �-20015' . ; . Utility Pole -- -- — — �+ L=tBt.27 R=1310.28 Found Utiliity Pole RJ3561 _ — _ _ _ _ _ _ — _ - � � -- LOCUS MAP �08 89 — OC j- 1 M 2 �- ftfn�defiltert:Fawn- itifip} �L/ �� . (Po�ement = 18= CB%DH SC = 000 t Utility Pole i S7173'00"W 20Q 15' Ede Of Po 20 ode � ., -• . 4 �»�rt ) r Found ASSI:SSE3RSr.Rf FR-T55•'PARCEL' �. ' .61 L=176.71 R=1277.28 Q. 'Pole. S IS WITHIN FEMA HOOD ZONES C. B • - - 28 R�t12 � _ LOCUS L.297 N7151017- 136.62' 32 L=68.03 R=32 &- A3 .(ELT1)...AS SHOWN ON -COMMUNITY ,/� PANEL #250001 0011 D_ DATED JULY 2, R=211.22 Guy M L=26.89' Pole / to Area=304060t Sq. Ft. i 6.98f Acres �2 / ZONING SUMMARY 9 (Upland = 4.11±Acres.) .% ...�...� Wetland = 287t Acres.)) •�• '� ZONING DISTRICT: RF RESIDENTIAL DISTRICT MIN. LOT SIZE 87,120 S.F. wF MIN. LOT FRONTAGE 150 . MIN. LOT WIDTH ,>L o - G ��1 MIN.- FRONT SETBACK 30' wF o, WF MiN: SiIIE SETBACK f 5; �'•• F�'%stn .+'r?%8 Qo \¢, v � ' off` l MIN. REAR SETBACK 15� \• 9 D Q. . . �. Q' ,� �1�• MAX-13UU- UG: HEIGHT 30 ALIL \•. r i,�ysR- 00 %s5_ �� • ! SITE IS LOCATED WITHIN THE RESOURCE WF 4-OF. wF wF%: PROTECTION OVERLAY DISTRICT - E ���• SATE ISr:-LOCA•TED MT FW-TH•E AQUIFER. ILL } % ` PROTECTION DISTRICT 27 7 w 2L 26 •�►.•;.�wF �E kgh• 00 25 �•••� i % , % OWNER OF RECORD ,. 24 ••� 18 JOSEPH & MARY NIEMI MAP tat PARCEL 5T •••1F ` - f AfAP 55 PARCEL7 1 23 Sl COLBY, ✓O.HN P && ✓UL/A Z 2T& V LOVI� STREET w /� ETZKORN, DENNIS Doi t' � off' \ _ _ - -WEST BARNSTABLE, MA_02668 - - - a1r. ch .+ �di � - --- -- _ .l Ga_, 1,�` --- -- 10 TRA/LSIDE''RD �_ 5 0 c e:, r �! MEDF7ELD, MA 02052 j pf ;` W TAF _A!� Q218 ,, ` wF ,� REFERENCES 'r 22 .. wF AL •�.•`•,• K'F • DEED BOOK 19572 PAGE 216 wF ..•�`'• 20. .- ., ,r PLAIt BOOI( 426-PLAGE -74- A 21IL rj 19 �l �•�- / w F ILI ALI it 17 saw/:ALL 'r o� 1 . 1 \ WF L 16 Lo ij \\\ q lo��C 14 '� \J 'r 'lye \ \\\ Ir, AL ���Gutofion Lined 300.00' �� -N OF LAID - 5707131"W 153.00' E g966, N 6851'10" E — —�— � • (0on�totion Line) II�k UARNSTABLE (WEST BARKYLSTABLE), MA PREPARED FOR MAP 155 PLARR 57 JOSEPMMAP 131 PARCEL 24 NICKULAS, LARRY D TR _ CONANT NURSERY TRUST CROCKER, JAMES D SR & MARGARET E P O BOX 507 CIO MAKI, WILL/AM E W BARNSTABLE, MA DATE: APRIL 10, 2006 328 WILLOW ST 02668 , I HEREBY=CERTIFY THAT THE- PROPERTY W BARNSTABLE, 'MA '02668 Scale:1"= 40' LINES SHOWN ON THIS PLAN ARE THE LINES DIVIDING EXISTING OWNERSHIPS, AND THE LINES OF THE STREETS AND WAYS SHOWN ARE 0 20 40 60 80 100 FEET THOSE OF PUBLIC OR PRIVATE STREETS OR WAYS:.. ALREADY .ESTARUSHED, AND- THAT NO NEW LINES FOR DIVISION OF EXISTING OWNERSHIP OR FOR NEW WAYS, ARE SHOWN. I CERTIFY THAT THIS PLAN WAS MADE IN ACCORDANCE- 114TK REGISTRY OF- DEEDS - _ off 5M 362-4Ut. REF: C:4f S:8'T-)f; M.O.L. ! tax 508-362-9880 _ i REGULATIONS EFFECTIVE JANUARY 1, 1976. AND AS AMENDED JANUARY 7, s of down cape engineering, Inc. �S� ZH OF M,�S� ARNE44 cy� �o ARNE .- CIVIL ENGINEERS � OJ N H. _ -LNI�... I3F'vtTEf�R . DATE ARNE H. . • N�suRVE'�o N • DATE s� P.L.S. �u9v CE #05-209 n,,-ono_RAcf= _(JRl I ' I I I - .. - - .--. - I--I I- 1. . � - li- - - �- . � � ,I - - , ".., - -- . , I , - ' - , , I , . - " ".-�", �,,� , , , ,� I , 7. , ;, "-,.�,j�7.- -,;,:�e ��:!-,.-,-,�,�:;;,��,;"-,,----�-t,:��A.. % ��O'-, , -�,..��- -�.IS. :-'.�--,��� ��,l , , t- : ��-,-,��:�,,�4,-,--.-.,.-,�0�I.;-�"i'-,Ia -��,-".�4, ," - - , I �.,o-- -, - . - . ,,- ;,;,.t- - - Is,-.1.-,� ,,, ,-,�M, - . - I . --,,--,-- T�- Im-11 7,-r-','�;�-'.,i�- �-Vlv,�,-- - �;--v " - - -:"�" -I'211-,J-,,-':�',,,l. 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