Loading...
HomeMy WebLinkAbout0031 BUMPS RIVER ROAD �� 4� i ��'� ;_ __ __ _ 0 • r /-� 1 9 i il ,r„ ;,,, � �� � - N F CERTIFICATE OF INSULATION NF NATIONAL FIBER NATIONAL FIBER PART I-GENERAL ADDRESS OF RESIDENCE: NAME &ADDRESS OF INSTALLER: P.®. Box 52 West Denn'-s, MA 09670 DATE OF INSTALLATION COMPLETION: PART If-AREAS INSULATED WALLS ( SQ. FT.) CIELINGS( SQ. FT.) FLOORS ( SQ. FT.) TYPE OF INSULATION: TYPE OF INSULATION:, TYPE OF INSULATION: MANUFACTURER:a a e-(., 14 MANUFACTURER: MANUFACTURER: R-VALUE AMOUNT R-VALUE AMOUNT R-VALUE AMOUNT INSTALLED INSTALLED INSTALLED INSTALLED INSTALLED INSTALLED PART III-CERTIFICATION CERTIFY THAT THE RESIDENCE IDENTIFIED IN PART I WAS INSULATED AS SPECIFIED IN PART If AND THE INSTALLATIONWAS CONDUCTED IN CONFORMANCE TO APPLICABLE CODES,STAND DS, AND REGULATIONS. I (AUTHORIZED SIGNATURE) This certificate must be completed and prominently posted adjacent to all areas which are insulated with program funds. Town of Barnstable _ Building Post This Card So That it is Visible From,the Street-Approved Plans Must be Retained on Job and this Card Must be Kept RAMSrABM 1MARL Posted Until Final Inspection Has Been Made. it 3P p�� Perm i6,,ut Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. P, Permit No. B-19-39 Applicant Name: FABULOUS HOME IMPROVEMENT INC Approvals Date Issued: 01/24/2019 Current Use: Structure F' Expiration Date: 07 24 2019 Foundation: Permit Type: Building-Alteration INTERIOR Work Only- P� / / Residential Map/Lot: 120-001-006 Zoning District: SPLIT Sheathing: Location: 31 BUMPS RIVER ROAD,OSTERVILLE Contractor Name:, ,FABULOUS HOME 3 I Framing: 1 Owner on Record: FRIDMAR, MARK& ESTHER IMPROVEMENT INC 2 Address: 32 ROOSEVELT ROAD -Contractor License: 172023 { `',IN_ Chimney: LEXINGTON, MA 02421 f �y. Est. Project Cost: $ 18,000.00 Permit Fee: Insulation: d� Description: finish basement-with bathroom meet to legalize existing� � $ 141.80 l entertainment room. finish basement for game room &bathroom Fee Paid: $ 141.80 Final: Project Review Req: ENSURE PROPER VENTILATION. Date:!] 1/24/2019 Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within sic months after issuance. Final Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted_. All construction,alterations and changes of use of any building and structures shall be in compliance with the local Toning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. Service: Zis The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided onpermit. Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. d-Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: . e The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 110 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): X-1Ar,✓6 Address: P - d`C ee4 UL)A'Y City/State/Zip: f.V YWA�/ -,A4-0-116 73 Phone#: JW 36 0 #Z 3 7 Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with_ z 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- wed on the attached sheet. 7. ®Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other F/M 5!�tz ,atetiw! comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: /4S�0,5W A-fZ� CtiLo6q§,o'61I1 Policy#or Self-ins.Lic.#: Si :O of SoJ(� AA&-A Expiration Date: 19171 VI,2ol f Job Site Address:_3 -ten Wil aS P�2- do City/State/Zip:���2c/7�(r,rrlrl QoK�,ScS Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under an enalties of perjury that the information provided above is true and correct Si ature: Date: 0 03 - Zo( 2 Phone#: S 36D 3 7 Official use only. Do not write in this area,to be completed by city or town ojfwiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions . Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees ' Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer-is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,-and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling'house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required.to carry workers' compensation insurance. If an LLC or LLP does have employees,a poI,y.is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for'you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill,in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current _policy information,(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A'copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext1406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 ;www.m*.gov/dia r Client#:761993 2FABULOUSHO DATE(MM/DD/YYYY) AVCCATE CERTIFICATE OF LIABILITY INSURANCE 01/02/2019 IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling&O'Neil Insurance Agy PHONE 508 775-1620 AX 5087781218 A/C N Ext: A/C No 9731yannough Road E-MAIL ADDRESS: P.O.BOX 1990 INSURERS)AFFORDING COVERAGE NAIC S Hyannis,MA 02601 INSURER A:Sa"1nsuranee company 39454 INSURED INSURER B:asc«®red Employers 1—m m Company 11 104 Fabulous Building and Remodeling,Inc. INSURER C 11 Sierra Way : INSURER D West Yarmouth,MA 02673 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP LIMITS LTA INSR WVD POLICY NUMBER MM/D MM/D A GENERAL LIABILITY BMA0026715 5/16/2018 05116t2019 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $100 000 CLAIMS-MADE ER OCCUR MED EXP(Any one person) $1 O 000 IX PDDed:250 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000 OOO GEN1_AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 X POLICY JE PRO-CT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION WCC50050150562018A 9/10/2018 09/10/2019 X WC STATU- OTH- AND EMPLOYERS'LIABILITYRY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT s500,O00 OFFICER/MEMBER EXCLUDED? a N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $5009000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. i CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE _w?So..� a G..� ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S226686/M226685 LS1 V (-p Ce �Cai�r"r�ra�eeaerel(�a�'�/lja::�tcc�urel(i Office of>Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:+;Subulement Card Registration,:__ Expiration 172023"- .. ,99/06/2020 FABULOUS HOME IMPROVEMENT INC JOAO:DEMOURA 11 SIERRA-WAY W.YARMOUTH,MA 02673 Undersecretary Massachusetts Department of Public Safety ts� Board of Building Regulations and Standards License: CS-109981 Construction Supervisor p JOAO DEMOURA 22 SMITH STREET HYANNIS MA 026011. r,J.nn Expiration: Commissioner 12/22/2019 Office of Consumer Affairs&Business Regulation HOME IMPRQyg!MENT CONTRACTOR TYPE:Corporation ReaiERVa in_:; Exaltation Ir,[1�_023=-----r, 09/0612020 FABULOUS H'OM851 V OVE-ENT INC EDSON DE 11 SIERRA W.YARMOUTH,MA 02673 Undersecretary I cfl� r ct� � � O 7'-0" 12'-829l32" 15'-0" 9'-0" 29'-6�Z) C AOI C Cn�2T�ir�dflC►�tP�-- �� � ,� m � IL__ ui Ir-- i cD Q I T-0" 14'-0" 11'-0" Wopo5e p ` h6c inen i SAit 6E Lnrtlf��CC ui u MP�Si C(L. -- AIL__ 1 u 14._= 'IL �1n1(1C, fLo��m ®V-110 I I ill oil\y �I,os�.�' ��f-f i�op,m C1o5c.r C I o5C T ro e e��: � ui ni . 1L III m irr---ni rya®®-NI W- -W �co IL Bowers, Edwin From: Bowers, Edwin Sent: Wednesday,January 16, 2019 1:38 PM To: 'createinccapecod@gmail.com' Subject: Permit/Application:TB-19-39 at 31 BUMPS RIVER ROAD, OSTERVILLE for Building - Alteration INTERIOR Work Only - Residential i Your application is denied as submitted for the following reasons: 1) Incomplete construction documents as required by Chapter 1 Section R107.1 of the MA amendments to the 2015 IRC (9" edition 780CMR) Please provide 2015 IECC compliance information And, if aggrieved by this notice; to show cause to why you should not be required to do so, you may file a Notice of Appeal (specifying the grounds thereof) with the State Building Appeals Board within forty-five (45) days of the receipt of this notice. Edwin Bowers Town of Barnstable Building Inspector 508-862-4025 1 i Bowers, Edwin �'R°�` ^'` "' From: Create Build & Remodel <createinccapecod@gmail.com> Sent: Friday,January 18, 2019 10:32 AM To: Bowers, Edwin Subject: Re: Permit/Application:TB-19-39 at 31 BUMPS RIVER ROAD, OSTERVILLE for Building - Alteration INTERIOR Work Only- Residential Hello Mr. Bowers, I wanted to let you know that the new walls that are being constructed at 31 Bumps River rd, Osterville will be closed cell 3" sprayed foam with an R-value of R21. Ceiling height is 7'6". I spoke with inspector Bob this morning and he mentioned that this information would be enough. Also for the part that is already finished and not permitted, we can see r19 on the walls inside the closets. And 1" rigid insulation. Please let me know if you need anything else. Contact info is Joao DeMoura 508 360-4748. Thank you very much for your time and effort. Sincerely, Joao DeMoura On Wed, Jan 16, 2019 at 1:38 PM Bowers, Edwin <Edwin.Bowers@town.barnstable.ma.us> wrote: Your application is denied as submitted for the following reasons: 1) Incomplete construction documents as required by Chapter 1 Section R107.1 of the MA amendments to the 2015 IRC (9`' edition 780CMR) Please provide 2015 IECC compliance information And, if aggrieved by this notice; to show cause to why you should not be required to do so, you may file a Notice of Appeal (specifying the grounds thereof) with the State Building Appeals Board within forty-five (45) days of the receipt of this notice. Edwin Bowers Town of Barnstable Building Inspector i 508-862-4025 CAUTION:This email originated from outside of the Town of Barnstable! Do not click links,open attachments or reply, unless you recognize the sender's email address and know the content is safe! i 2 >J {; Barnstable Bldg.Dept. 2 Approved by: 3.._ W �CD Permit#: p v� 7'-0" 12'-829/32" 15'-0" 9'-0" 0 RZ r o a IL__ iL__ 11 ,1 1 11 LLL �. CX I T �, �� a� � 0 T-0" 14'-0" I LnTiU��CC -- I(!m a Gl ot-T MASrL�- ��sv koorrN 100(L ��jCD�I^onl a ,rc-vim �IoS� �u �)�►goo m d o5c T. T- ®ems, ui w t—al w w SC coin lco IL De t. Barnstable Bldg. Approved by: Permit#: o `o 7'-0" 12'-629/32" 15'-0" 9'-0" 29;-6" �i► - -- _ — - co Y Gjo5eT :7c- C-� 1� C - C�Avn C aOD i o IIL_ I �_. 0 T-0" 14'-0" �t��psc- r) 5c 0-) ; GALNC)E LnriU��CC- ibfAn IIP®� I 116_m I LI V1 dlC, IZ.�l7d� �^ 1 IL 11 `iL��" III II ui u t)(_.O it IIL__ �3 C�koo a CIoS�-T ��rN'�oo,m CIoS�r C IoSC T m w IL m e'JI. m w L__-W Se coo�J � co IL ApplicationN=her........ ................... r 6' BUILD/NG- DES, PeitF=............. �:..Gt. ...Oth=Fec.................:...... 163 JAN04 2019 Total Fee Paid.................................................I.................. Tnwrv .. TOWN OF BARNSTAB �sE;AE3LE P� ?�.4 Aprova'by.. .......... ........... on.... .. ._ BUILDING PERMIT ../0::;u ..PWel.....W..2... . APPLICATION Section I— Owner's Information and Project Location Project Address --BU M,#�S k1V CP- village D S%«cJ1000_ Owners Name M4"C/fVJD &5al(--le Owners Legal Address 3 .8 yM/9 5 UL`� City ©�%C�eJI(�(,� /1 State AW Zip ©"5S owners Cell# 3 o 7 SO.1Z E-mail 1,10 4 S s-rP,a n C o,,,, Section 2—Use of Structure Use Group �i Pt ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3-Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other-Specify Section 4-Work Description 41/�-�� ?7� L� Z c- s4/J2T D C G�y✓�", 1*4'f (.tJ✓�-S NW51 --ev P/�Olz �^I/2Z ,�t.c1•�rC-2 Tact nndsAE%i-219/Ml9 { Application Number.................................................... Section 5—Detail Cost of Proposed Construction lk.aV 0 Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wmd Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics Wiring ❑ Oil Tank Storage ❑ Smoke Detectors Plumbing ❑ Gas . "❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal "❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: `�A2&.6t/?10' I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation # Within or adjacent to a wetland,coastal bank? Yes ❑ No ❑ Section S—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. 6 590 Total Frontage Percentage of Lot Coverage 4 #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last undated 2J9201 S Application Number........................................... Section 9-.Construction Supervisor Name ( /1/l9� Telephone Number gip? ?6,0 Address_.�� � T 9 T City ,WAA,-Al,? State Tip D,L 01 . License Number CS 10'3 q/,?' License Type C S C Expiration Date 2614 Contractors Email (-q-7PG "V CAC,q Pc EnAyZ Cell# 5W,? I understand my responsibilities under the roles and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section-10-Home Improvement Contractor Name_ Telephone Number • 5_UV•3 r®9.2 3 7 i Address &,S4 ftf v_ City U), �-4t State_:/n4 Tip OQA,73 Registration Number L7 oLe,1-3 Expiration Date I understand my responsibilities under the rales and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Buil ' ode. I understand the construction inspection procedures,specific inspections and documentation required by 780 of Barnstable.Attach a copy of your IUC... Signature AV Date 03 -.2O P Section 11—Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Sim Date APPLICANT SIGNATURE Signature Date d Print Name -ao ti Y- kto Telephone Number 5-0,Y 3 6o '?.a 3`7 E-mail permit to: F-4g0 GovS ago/4/ yi4G Co-, T a Section 12—Department Sign-Offs Health Department ❑ Zoning Board Cif required) ❑ - Historic District ❑ Site Plan Review Cif required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire deparbnent for approval Section 13—Owner's Authorization I, as Owner of the-subject property hereby authorize r(A 3 U LC�)S V,Lb[A)G ���0 OCY,� '�� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) ' Signature of Owner daze Print Name i Last=datEd:2/92018 r pF SHE Tp� - Town of Barnstable *permit# 0� Eepires 6 onrhs from is�dale Regulatory. Services, Feit M �ana�t.Ss S..PER ��tlAA TThomas F. Geiler, Director TfD rAAt A OCT 2 -2 2008 Building Division �1012-171uT Tom perry, CBO, Building Commissioner 70WN 0F BARNSTABL�oo Main Street, Hyannis, MA 02601 www.town.-banistable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid rvit/rout Rerl X-Press/niprint Nlap/parcel Number IT '6(A "OaQ Properly Address —7- x-6c—', Vf Residential Value of Work � 'Oc Minimum fee of$25.00 for-work under$6000.00 Owner's Name & Address p�/h / ��e �/ Contractor's Name Telephone NumberC�9,9- I lome Improvement Contractor License # (if applicable)_—_ 1. ` 1l02/ _ Construction Supervisor's License tl (if applicable) ❑Workman's Compensation Insurance C ieck one: a 1 in a sole proprietor ❑ .1 am the Homcowner- ❑ 1 have Worker's Compensation Insurance Insurance Company Name — Workman's Comp. Policy# ' Copy of Insurance Compliance Certificate niust b'e on file. Permit Request.(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum .44) *Wherc required: Issuance of this pennit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc. 'Note: Property Owner must sign property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SICNA`I't1RE;: Q:'WPFII..ES\FORMS'+.building permit forms\EXPRESS.doc Revised 100608 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street �< Boston,M-A 02111' .•�'y www.mass.gov/dia Workers'- Compensation Ins uranceffi Adavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/ludividual): Address: City/State/Zip: ��H�:c 4 Phone.;r:�S—��> 3?-•3�5� Are.you an employer? Check the appropriate box: :Type of project(required):. 4. �I am a general contractor and I 1. I am a employer with 6. ❑New construction . employees (full and/ox part-time).* • have hired the sub-contractors listed on the attached slieet. 7. ❑Remodeling 2. I am a'sole proprietor or partner- • ship and have no employees These sub-contractors have g, E Demolition 'working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp.insurance comp. insurance•$ required.] 5. [] We are a corporation and its 10.E Electrical repairs or additions 3.❑ I am a homeowner doing all work . officers have exercised their 11.E Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.E Roof repairs insurance.required.]t c. 152, §1(4), and we have no 13.E Other employees. [No workers' comp,insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners•wbo submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is.thepolicy and job site' information. Insurance Company Name: Policy#or Self-ins.Lic.M 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 tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK:ORDER and a fine Be advised that a copy-of this statement maybe forwarded to the Office of of up to$250:00 a day against the violator. Investigations of the DIA for insurance coverage verification: I do hereby certify un er the pttins and penalties of perjury that the information provided above is true and correct. Date: ze, Si afar — Phone#: Official use only. Do not write in this area, to be completed by city or town official City or,Town: Termit(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#: 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 hiie, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee-of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced.acceptable evidence of compliance with the insurance coverage required." Additionally,MGL ehapter..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 co npliauee�rithtlie insurance - eater 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-contiactor(s)name(s),address(es) and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members•or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the nu;gber listed below. Self-insured companies should enter their self-insurance license number on the appropriate-line.. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a refereace 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-locatioiis in (city-or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. -A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. Tb� CoWMoRwealth of M.assacbusut#S Df,�parto=t of lndusWAJ.A,coidl >mts Office of vestiga az�s 600 Washingtoii Street Boston,.MA 02111 Tel. #f 17-727-400 ext 406 or 1-977-MASSAFE Fax#6.17-727-7749 Revised 11-22-06 www.matss.gov/dia zHETti Town of Barnstable ` Regulatory Services vRAXNSTAIBr i `g� Thomas F. Geiler,Director j 1619. Building Division Tom Perry,Building Commissioner 200 Mein 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, RC6 n feu t,/- , as Owner of the subject property hereby authorize � a � ,� to act on my behalf, in all matters relative to work authorized by this.building permit application for. 3 t��, s ���2 (Address of Job) Signature of Owher Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. 0-r0P?,AQ-r)UnJP A PPP IAA TCC7rlU . Town of Barnstable. �pf THE 1p� „�P o Regulatory Services. BARNSTABLE - Thomas F.Geiler,Director . KA_9S. Building Division PIED Mpt A Tom Perry,Building Commissioner 200 Main-Street Hyannis,MA 02601 vrww.towmbarnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HO EOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village '.HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that`the owner acts as supervisor. t DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constricts more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official, that be/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The:uridersigned.."homeowner:"certifies that he/she understands the Town,of Barnstable.Building Department. minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements.. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing ConstructionSupavisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. in this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a for ✓certification.for use in your community. Q:forns:homeexempt tl \ I1uar.l of�3i�Id�ifg Regulations and Stzndards r T tcense or registration ' a} NO"aE icn@9' VEMENT CONTRACTOR before the a valid for find Tiff ttse < xpiralion date.Board of Builiiing Re if found efi�rii,to t Regi�tratjon 154921 ., 254974 ' One Ashburt in gulations and Stand.�;tl� ? Expirmion_; 4113/2009 Try Boston place l�iti 1301 Type DBA ,Ma.02108 --up, hs MATT GAGNON ROOFING: 4 g �� •h1ATT GAGNON �� t� .� x„�. t1 Ol D COUNTY. YAW Adtmui N t; SANDWICH MA 02537" ,, of Valid wi '-- thou. atur ---- °L Board of a i Build' � Construction$URe�uhtions an r pervisor d Standards ' } �' license License " i i y2t3/2009 Tr/f 1:,89 . t ` Re action ` t MATTHEW P GAGN50 ' E SONpWOLONY CH,MA 02537 �fx� . _. •- - ommissioner i � m ON .10 FRIEZE 8D. ._ SWIN - ■�■:;■�■i _�" -�: .� _ ■_■ ■terlow rc, 7111! �..= ' '' '�'' '11. QI ■_■ ■�■; :! '�-I lug -i i■�■ -1r:� Iow 0 III-IIIsma-MIMEN,IIIilNINON own EmsMON , 1 I 1 t2l LF-AC) FLAA7mwc, 4 12 t7-1�9 PE44TIL MLVIS, KO•WIM 1.10 wean liAF- DETAIL_ i g h t s i d e e, I e v a t i o n r )-VLLAP I FLA�kplsv-r -�-_4 12 W F- w•wiA,XY q I ili F-TA Is COIZHF-Fl, t;,D. 12 A 2. -�7 7.*:. ELLA P 10 AVY-IP-T bt) f t s i d e e l e v a t i o n NOTE: PRIOR MUST — -- .4 p Ig•_� 16- -- -- IS_� 1 r.00.w Tnsd a PEW D _4 A a.nTA aao+s a+rMiAr leu.� � I A A - — ..__.I t ` B S S F1A1_v_-W fa'�( bEG DLC-K O LIT -----`` b (cr OPI[JL� living I VAULTED CEILING 'I —,[ _ b -- !-BEAMh AtbO�2--- dining b ------ C71z.s=,d(o�tf�a� � Ir.•.Is•P - � s 9 master bi y bedroom ,.•.-.IS.BLi - - walk m . 1 10 IT OlA OfTER10R 7.6.6.6r b (T\•PrjZ COLUMNS k family a. L)�j I da. 2.6 PLUMBING WALL RAISED CEILING (I I') closet FRENCH ODOR + 1'-4 or ercan I ------- =powder t r� I bat i y 5'-4- 10'-E ISLAND b ...I © �•_Y _ C.TRE foyer _ -® VAULTED ;-- -_SHOWER CEILING 1 I - kitchen — L-...I-_.I 7'6.6's- �i ao: b WNIRIp00l TUB I I b Ib eor I I •13'P a1 10'-10- I 1'e' n enAT I Nrl11 1 1 1 1 1 1 I 4'7.6'6- laundr -- -- up b 3•-6- OW TCr !ti ('.IZE.b( 1 1 OO 1 �tl� ---- 1 __— I G R tIo CLOSET ^' 3 n b breakfast 1 >, S5 I S5 I�\ I PULL.DOWN STAIRS 1 A woo0 sTEPs >S'b -----•�L 7�r� B I I e•-Y A L- LJ l_/�x- -- 5/B"•sYPE'x'6N? 3•-Ir S-Y 4'-6 60. TN/g kJAL L. a-Or a r-- 3 garage >e b a 21'S.23'7 i o � b tir t, f i r s t f l o o r p l a n S1 scale 1/4- 1'-Cr ro A h _ n 1.4• 11-8' 16-0• IS-O• all,:nlhn of ll,n,,:: Cf,_0; �:010•NLD• OD OD CIMI[II OM1 0001 ens• II r- I I 1 o G $ I 0 open to below I ------- bedroom o U•4.414'B• I I in I bedroom o loft 15'6•.14'4 7'6'.6'6• I 6'10'.15'0' PL'•eO� 1A 11L A[(.BYS I I 1 ❑ do .__� 1 8•.8 a- 5'O•r6'6• 5'0'+6'6• open to below E T C L O S E T I :• I I I r`r o I bath e }� walk in OPEN TO BATH BELOW --------_ I __ - - - - - ----- I- I LINEN I I I n'CLNG.BELOw I I I ' I IL----------------------- I I I 1 IL 1 I 1IOFF ITS I S5 I �------- l A L_I 1 p G>S?, I 1 I I I I 1 I I s e c o n d f l o o r p l a n = I I stele 1/4' - 1'-O• ' I I I 1 � I p I I G A I I I 1 I I I • I --- - -- - - --- -- -- ---------- ---------- WINDOW SCHEDULE 2.12 RIDGE BD. N0. OR SIZE Qrr. R.O. REMARKS 2.10 ROOF RAFTERS o 16' O.C. w/ PLVWO.SHFATH O Lw2J5 I a•-9, .• 3'-5 3/5' ANDERSEN CASEMENT ROOF HINCLES WIND© LY/IB • 2'-4 7/8' a 6'-0 3/8' ANDERSEN CASEMENT u u u II J U p ' 12 WINDOW II II II II II 11 II ANDERSEN CASEMENT II II II 11 II 11 II ' Q4TAt= © CWI! 1 1'-! 7/8' a 3'-0 1/Y WINDOW II II 11 II 11 11 ' OANDERSEN CASEMENT Cw15-! 3 T- I )/e' • 5-0 !/8' WINDOW II 11 If u u u II d. /• O CIS a 2'-0 518' . 5'-0 J/e' ANDERSEN CASEMENT II II II II Ir WINDOW 11 II 11 If A OAPSJ 1 5'-0 3/8- . 6'-0 ]/8' PICTUREANDERSE WINDOW CASEMENT/ II R II ,�' �'/ 2,6 EXTER, WALL STUDS II .II 0 ?-'V D.C.w/5 1/4' FBCL. 11 1/2' ANDERSEN ARCH PLYWO.SHEATHING•TYPAR © AFFW505 1 1•-11 J/C . 3'-7 8/6 WINDOW NOOSE WRAP M SIOINC AS ' 2a8 CLINIC. JST 1 l•D.C. SHOWN ON ELEVATIONS O CWI35 2 2'-a 7/6 . 3'-5 3/8• ANDERSEN CASEMENT 3 �NooSI S•_0]/d' WINDOW CASEMENT family WINDOW �• J OA2.1•L 1 4'-0 7/V • 2'-0 3/8' ANDERSEN AWNING WINDOW tJi j • ALL WINDOWS - 'PRNRE STYLE* GRILLS -,Ol I © cw 15 A Z'•4 T�8 >< 5L O5/8' -�� 1 N"TT 1 96'T"PLYwD. SUBM. 1/2'alY cALv. A.B. 0 6'Ff 4 WINvcN I 2.10 FLRASTS O III O.C. w/2a6 P.T. 54L PLATE 1.• l. •�I. yTL•6'7M. , COR-A-VENT RIDGE VENT ' 3 1/Y 01A STL. LALLY 2X12 RIDGE BD. ------ COLUMN ON 17a.78 rJ� ---- GONG. FOOTING(TYPICAL) 2a10 ROOF RAFTES O 16 O.C. W/PLYWD.SHEATHING3 A 7'9'a8' CONCRETE FOUNOAn ASPHALT ROOF SIONCLE$ 98]'CONC.SLAB FAA.ON ON 8•a16' CONC. FOOTING CLEAN COUP.SAND BASE i a . 12 lA8 O 16' O.C. x3•-� N.GUTTERS h (T )DOWNSPOUTS 2.6 CERJNC J.s O 1S O.C. �— eNAM/'JTTt.b(aTHEj+�)j ' a»3=__ sz section thru family "rm. Za 5/8' TTRECODE GYPS.BO. ocp ! y 3/N12 HEADER scale 1/4' 1'-0" I o i 1 garage i O I N , ' DOOR SCHEDULE CALV.ANCHOR BOLTS 1' CONC.SLAB FLR. ON CLEAN COMCP. SAND BASE I '2a6 P.T. SILL PLATE NO. OR SIZE Qry, R.O. REMARKS _ A AND. FRENCHWOOO Map i1_•:I�1.1 11_... J180 AL 1 ]'-1� • e'-O HINGED PATIO DOOR • CONC.POURED F ?Till11:� , .• _1fT�:1�::R Ir, yj�7�'_ 1) LL ON FOUNDATION 1 '� A I' I FWH 6068 SAR 1 8'-O • 6'-e' ANO. FRENCHWOpD B.16 CONC. FOOTING _'.I i�_- 1 :I I O HINGED PATIO DOOR OFWN 6080 ASR 1 6'-O . 8-0' AND. FRENCHWOOO HINGED PATIO DOOR O FWN BO80 SAL 1 AND. FRENCHwOOD 1a•-O 6'-O . 8'-O' HINGED PNC DOOR •ALL INTERIOR DOORS ARE INDICATED ON FLOOR PLANS • ALL EXTERIOR DOORS - 'PRAIRIE STYLE` GRILLS S1 section thru ' garage stele 1/4" 1' 0" • o�::� ;ncollssl:1:.. e1w:1A-I�1:111:1••dvnq':c v .1. terrace deck layout - .0.1. yr-1•-v COR-A-VENT RIDGE VENT 2.10 ROOF SHINGLES O 16 O.C. A ---- ' W/PLYWD.SHEATMING @ 2.12 RIDGE 80. of ASPHALT ROOF SHINGLES 2 -_........... ... ..._ .... ... .. ... ] _._.____.. o.-_....... .. _._......... ..._ .. - _ ... 12 r ._ o_... _............ ......._............. _.... ...... .. . ... ._..... .._ -.............__ 5 ---wood terrace deck... ........._._....... vuJTcn nPJP 2.8 CLNG. JSTS o tE O.C. � ... ..........._..®' __..........t/Y GYP5.80. z 12 ....._....-.-_._... .. ._.....___...____ .._...._.._ �ru �'2t O.G. G bE�011D✓ _.. ...... .......... ..... n ALUM.GUTTERS t loft FUR DOWN FOR- —— ON 1.8 FASCIA 80. BEAM SIZE BY OTHERS �,J IN ALL VAULIEO AREAS 3/2`12 MDR 2+10 FLR.JSTS O 1K0.C. l' I 2.10 RIDGE 80. I `®® I NO ROOF RAFTERS O 16 O.C. Q I W/PLYWD. SHEATHING k living :l, foyer 11 SALT ROOF SHINGLES 2.6 EXi. WALL STUDS 1/ g� Y B o 2.�lo.c.w/s 1/i• F.INSL. t 1/Y COX PLtwD. SHEATHING TYPAR HOUSE WRAP O SIDING T G PLYWD SUBFLR. I � l� AWM.CURERS Sr FBCL.INSL. F'AS SHOWN ON ElS 6:DOWNSPOUTS NO CUIG.JSTS O IT O.C. T+10 FLOOR JSTS O 1T O.0 ti 7l~ I B' FBGL.INSL. WI I Y SOFFITF.IIM= —I� 14 KfO-V.N P,K N8x2f`.1L•am _ A-- RArsEo L---- _LEI full basementr 0TJeey CEILING HT. ,__ l O MAIN HOUSE y, �i _JT - J 1/7 W I LALLY- $V,!.CONC.SLAB FLR. 1 COLUMNS ON IY+3C+3d F.OIJc.Frc. `l 1 porch breokfost 7'T.T CONC.FOUNDATION WALL -_- ON e x I T GONG. FOOTING 2+10 M.JSTS O 1 B' O.C. 32'-Tf J'-7 ---- --------- C FBGLINSL / s4 section thiu main house - WB,24-BEYONOJ stele 1/4" 1'-0 — Im 7'9'+8• FOUND. WALL ON 606' GONG. FIG. �JY2COMG. SLAB FLR. - 4 7.1 I'6 10—G 19•-0• 1.16II:: °°I;1 .'.<... . •,I,.,1.IQq' s5 section thru breakfast & porch J15a1:nucics �n ,1 �. �..0 tenvrl❑ IC .1. /q _ stele 1/4' I-0^ 2.10 RR.JS15 O 12'O.C. 2.10 FLN.JSTS O IEr O.C. bee ". M( Tf UC I I d d 1 � a t: .. 0 0 F/x.10 - r it - - — - COR-A-VENT 2.12 RIDGE BD. 12 2.10 ROOF RAFTERS O IS O.C. HM1® 16•O•G C S 1/I O 12 0' FBGLINSL \ 12 24 CLNG.JSTS O 1 D.C.•', a 9 bedroom \ walk In closet 6/D FQG PLYWD. SUBROOR second floor framing plan •, '1. wale I/Y GYPSBD.ON tat STRIPPING 2.10 FLOOR JOISTS O 16' O.C. 2xe PLUMS.WALL i CW2]S WINDOW BOXED OUT 1 dining ' kitchen W/2/2'12 AROUND qrD TAC PLYWD. SUBFLOOR 2x6 EXTER.WALL W/S 1/1' - FBGLINSL.1/2' PLYWO. )� "2.10 FLOOR JOISTS O IV' oxfp)y "..i SNEATNING,TYPAR NOOSE WRAP 2.6 P.T. SILL PLATE a SIDING AS STIONN ON ETEV"S / 1/2'.IY WLV. AB. 6' FBGLINSL. _ O 6'0' O.C. _ WBAzq STL-bM- . full basement J 1/2' DA. STL.LALLY *IfJ- COLUMN ON IY.39.1G l-1 cONC. FOOTING 7.9'.6 CONC. FOUNDATION WALL _%V•(LONC. SUB FLOOR ON ON g.16' CONC. FOOTING CLEAN COMPACTED SAND BASE 7-1 f s3 section thru main house MISS I A g e r ;... scale 1/4� 1'-CI" 0,U�sr n•I. ,IIrnV I6'-0' 7S4 16'-0' 13'-0' 20_O. 3'-6' a.-O' 6•-3• 8 S3 6>S2 e'-o' ---------- ------ -------• 1 r------- -------- -- I 10" S'-3' ----- ----- - I 'p 7'-8• rAUs vl!fJP•: L':LI!'r.i'rap• J I`.4Iyahw r. any •I 1 , ,. n.::•ry: .., n:SrxlnS•fp41'/ for any BULKHEAD I ---__---- f� I • I MICRO-LAY-BEAM - FLUSH 1 • 1 OISCreVJnC:iS Or Irn'"'r!"C'S n01 orov0111 to IDO 45.00' I _ I SIZE By OTHERS I , ____ _____ 3 lont10n of the des,,,r. ' I . a. • I I �-- LAM-LAY BEAM -FLUSH �___� _________________ DEPRESS 8 , , SI2E By OTHERS •, ^ I �p 1/2'a12'CAM ANCHOR BOLTS 1 ' 1 0 6•0"D.C.(rwlcAL) ml I 1 1 m l - ------------ ----------� - gg�� I •- --------Im' 2S FULL BASEMENT 1111 ,,, I ', I 2'-•' I I IIII 3'CO E F B I I U IIII IA p CLEAN COMPACTED SAND SANG BASE •• I I • I G 6•-3' I F.1 13•-O' 0' - O I I I I n I I , 1: s;a li\� \ � uI ___ w \L\ M, O I I IIII I + 1 IIII WB.24 STEEL BEAM(A-36)3 1/2-D:A. STEEL LALLY f t r COLUMN '- ON 12'a]6'a38' 1 I � 1 (TYPICAL)CONC.FOOnNG IIII IIF----411� O III , • I I ' NI I � Ill----JII� u III , •' I •___ --_____ , IIL O - Dl----JII� III III III , of 0 TIE c=c c 311a II 7'9'a8'POURED CONCRETE FOUNDATION I I III III I I I I ON B'a18'CONCRETE FOOTING • , III IIIN O 111 I O ___________________ _ 111 -III I I I I f e l III III I I .I____________ _____ . o ' I III _--_-----MICRO- tSIO�'IEtRSr BEAMFLUSH 1.__ __ - ____________ __ ___________ ______ ___ 6•-3' ---I 'r:-------`1 • 1'r•1 •r__ -- - -- --------------------- ---- •l I c C I ' I I ♦ L^ 1 'O I 1 I I 2a4 KEYWAY W/N REBARS '] A 1 • O 12'O.C.,J'MIN.INTO EACH WALL 1 1 L- --- ---------- I I \f 01a.SOrONBIS __ I I 1 1 I I DEPRESS 12 I I I I 4'O'.8'POURED CONCRETE FOUNDATION a OPENIN I I I I WALL ON 8'a16•CONCRETE FOOTINGS 1 II'-0• 10'-6' I I I I 1 I I I 1 I I I NQTE-; ALL PpA`,E.MF_WT Iv WINDQpYP•DUFI.for-H 1 I I 4'CONL. SLAB FLOOR ON CLEAN I 1 I I COMPACTED SAND BASE I 1 Il I I I I I I I I I b I f tou n d a ti o n p l a. n 41s, 6A I I 1 I i scale 1/4' = 1'-0•' I 1 N I 1 •--------------------- J 1 , : - ------- ..................- -- - - 1 in / (� r a �9 3o.oa . 4 Li -RICHARD ' BAXTER IiD um GE.2T/�/E7 G4' 07 ILLAAl , T/-/.4 T T.�1� ',C4 vAT/oA) ,C C,4 T/OIL/ QSI BIZ�//LGE S, 7-,6A C/G I�E'�G i99s 7 AFEqU/.G !E.(/TS �Loa�"C7Z v,4 TE: 4141 4-7-9r L CC 71087 ,RA XT.E,C?s BASSO G�c/ 4,-V i2EG/STE.eE� ,mac% SU.e/i6}�p� /NST,2U�/,�it/j.-,S-U,2YEY� Tye OSTE,21//,G,CLc a 0.�,45'E'�-S S/,�aL,/�Sf�oULI� �t/pJ'- B� • MASS. l/.SED 7-� OE"T�,�-l/�E .LIST�./�(/�S .4�i�,L./C,Q/✓T �i4 ySiUE ,�vicUiu� Co. Ac/ T: 1jE5I 6 tiJ ._ ... vA7A 51►J FAMIL`( SUET' ( OF Z o .'6,AZF3A(,E G IIJ�E� SE'Fri c .TaN�. L)4 F loot/ !Ac- � `�DISPo�d _ Pil' i- ioop:�'�� 2},m►.� �� RMJ oN �A-uL �t-� SIDEWdLL Al. (g4S r BOTTOM AIZEA:. = -19 SF �Jc�JV1'PS �►'/�2. �p, So. Coves A 1,0 Y Qp, ToT-\L t*16N = r?4b 6f V. 7CTAL VAILY FZOri/ = Sgo a = o� 111)U 2M t►J v2(055 OF 11% OF .. uAR. WTER �� SULLIVANS NO. 2W33 co 40�E-b/iq/q3 F6=zto =39 _ TF=-44 PVG �tST luv GdL Ion 37,0 �. wMNa� : ALL- 5reruQEs stTUl STONE M00 TuaN 44 'DEep S14ALL. 'BE H-Zo S � Z .► ���'-��� 'PrzvFl L�•— Cif i'Fi r� Pt.o�- P[.d N • 1 �!o sccL� LaTioN ost- v, _._ ''11 � ► s--a LG—, l\(oo' -pA--= Man, �o,i�fis I C EP-TI T�'( :'1'�drt' T�E���e, PLAN �E�R o,rc� 5�{otvN �E2EDN CoMPL S y -rg Tub 5(DEU�E l-o4cT15D '`wl dIL-1 VE vtwor� r� ait,! 1,. C, . Cr. Z6 67 ►S NICT rya�� oN AN l�1;i�vti4E�1T p 'hlo�l��_ Au Suev��ox, Sulzvc AiJU rN� oFFSeTs �t�ou� u Uf" Z3E c Q J L_ E�1G�►J EEzs uSC-'» �'D. E�Ti�irLlS�, PEtzT y �a NL S �-5 7-V I LLG MA , SNc�T 2 of 2 y ! t V -,. t I �'' , � ! � , . • jam -- . . :� . . v Ill la`s -Da). \ �� \ 3sC. Au�L rq 5 \ t 1 Ilk .4 Aj OF PETER "j SULLIVAN NO. 29M $Rk Ell .Ap Mm OD 93223 z IU3N — JCO! .•_-- xn ±.r.i..,fr,. U. /jt�`Y u. 312]I?.�4]e„fi•,.fl�lb.' . �� `-� COMMONWEALTH , �falltOpOf�ftrf�Cll//rAt DEPARTMENT OF PUBLIC SAFETY . OF ONE ASHBOR TON PLACE Qj l ®A MASSACMUSLTTS ..609TO�K;�A'l.)npe�-:-�,.�..�_..�... 4llIf�NJhwl1. LICENSE CAUTION EXPIRATION DATE CONSTR, SUPERVISOR 04/19/19 96 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB NONE L►�1:f*r 06/30/1993 005645 PRINT IN APPROPRIATE ��g BOX ON LICENSE. R BRIAN T DACEY ` CENTERVILOL OK MAANE 02632 BLASTING OPERATORS MUST INCLUDE PHOTO. PHOTO(BLASTING OPR ONLY) r F Ypn 0 00 NOT VALID UNTIL::IGNED BY LICENSEE AND OFFICIALLY PAID HEIGHT: STAMPED•OR- ;IGNA10FOMMISSIONER 2 2 1993 THIS DOCUMENT MUST BE SIGN NAME IN FULL ABOVE SIGNATURE LINE CARRIEDONTHE PERSON OF IGNATURE OF LICENSEE ` THE HOLDER WHEN EN. /,� �I•-�,�• OTHERS RIGHT THUMB PRINT GAGED IN 7HISOCCUPATION. ER i � r Y. • COMMONWEALTH OF MASSACHUSETTS •�- ���E P DEFAFaNIM -r OF LNDUSTRIAL ACCIDENTS 600 WASHINGTON STREET BOSTON, MASSACHUSETTS 02111 fames.: Gamooei: •,pr..nrssrone' WORKERS, COMPENSATION INSURANCE AFFIDAVIT j I, Avu� (licenscelpermirree) . / ` with a principal gplace of business/residence u (Citylstammp) do hereby certify, under the pains and penalties of pe jury,dur. [� I am an employer providing the following workers' compensation coverage for my employees working on this job. 17 Insurance Company Policy Number (j l am a sole proprietor and have no one working for me. ( J 1 am a sole proprietor. ncnl contmaor r homeowner (circle one)and have hived the contractors listed below who have the following wor e:s eompmc=rion insurance politics: Name of Contnaor Insurance Company/Policy Number .. Jame of Contnaor Insu== Company/Policy Number Name of Contnaor Insurance Company/Policy Number 0 1 am a homeowner performing all the work myself. NOTE_ .Please 6c aware tiv wbilc borate- ers woo emeiov persons to do maintenants. construction or repair work on a 6wriiinc or not more than three unto ,n which the i0mccMvner aiso resido or on the Frountu appurtenant thertto am not etoeraD. eonsicemi to be cr_mo.Tn unozr the'Woricen' Competuauon Ace(CL C M.s� 1(5)), application by a homeowner for a license or permit may entente the ico suns of a.e empiover uncer the�Coricen' Compenutioa Act 1 unoe:stand that : coov or this sutc-rnt will be forwviced to cite Deoarrrtent of Industrial Accidents' Olnet or Insurance sot Cove" yen:tc.;:ion any : ta: :aiiure to secure cave-are as rceuircc undo Seenon 25A'or.IGL 15: can Iead to the impasiuon of cri=i3a+ oc:a)°c ecnstsane of : r,ne or ut: to S)500.00 and/or 1mpruost:c:.t or ue to one .a and oN-u per:aiues in the corm of a Stop W✓o." Ord" usd a fine of S I OO.ry a day a€a:ns: me. 37G��_3 J SHEETROCK: MEL REED: (L) WORCESTER INS - CB817530 (W) COMMERCIAL UNION - CBH557387 INTERIOR TRIM: DAVID'S REMODELING: (L) COMMERCIAL UNION -. NB F821442 DAVID BIK: (L) MERCHANTS INS GRP- 8CM0278579150 (W) TRAVELERS - 176K337-8-94 OAK INSTALLER: ROBERT BUDDEN: (L) NORTHERN ASSUR. - NBF528652 PAINTING: CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF (W) AMERICAN POLICY - WCC 186604 ROUSSEAU, AL (L) MERCHANTS MUTUAL - 8CM0278570179 (W) EASTERN CASUALTY - ??? GARAGE DOORS: ALL CAPE GARAGE DOOR: (L) U S F & G - ,BSC14667590301 (W) COMMERCIAL UNION - CBH573757 STORMS & GUTTERS: ALUMINUM PRODUCTS: (L) AETNA - MP0021014146 (W) AETNA - JC89258880 OAK FINISHER: AMERICAN FLOORS: (L) TRAVELERS - 680 342W754-0 CARPET, VINYL & TILE: CARPET BARN: (L) VERMONT MUTUAL - SBP6507393 (W) PHOENIX INS. - '6NUB476J652794 WIRE SHELVING: CAPE COD CLOSETS: (L") U S F & G - BSC146983441 APPLIANCES: KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098 (W) HARTFORD INS CO - 77WZNB1603 MIRRORS & SHOWER DOORS: L & M GLASS: (L) COMMERCIAL UNION. - CBR409003 (W) U S F & G - 0071439933 LANDSCAPE & SPRINKLER: COY'S BROOK: (L) COMMERCIAL UNION - ABR345850 (W) CIGNA COMPANIES - C41138178 DRIVEWAYS: NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945 (W) THE PHOENIX - UB387K530 i 1/ SUBCONTRACTOR'S INSURANCE ENGINEEER: BAXTER & NYE ENG: (L) FIREMENS FUND - S30MXX80564866 (W) LIBERTY MUTUAL - WC1312595563023 EXCAVATION & SEPTIC: DRISCOLL, JJ: (L) U S F & G - HGL 110093 (W) U S F & G - 7708711936 FOUNDATION: BAYSIDE FOUNDATIONS: (L) COMMERCIAL UNION - ABR406267 (W) LIBERTY MUTUAL - WC1312201785044 WELLS: DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92 (W) WAUSAU - 151300062926 CELLAR/GARAGE FLOORS: MICHAEL BROWN: (L) AETNA - MP0023672849 FRAMERS: ROBERT DORRER: (L) TRAVELERS - W680526K991TIA9 (W) AETNA - 006C0023972416C MICHAEL DUFFLEY: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL - WC1312492127024 ROOFER & SIDEWALL: JOHN MEE: (L) AMERICAN STATES - 01CD1486783 (W) TRAVELERS - 6NUB448K275894 MASON: SHERMAN, WAYNE: (L) COMMERCE INS CO - N60689 (W) WAUSAU INS - TO BE ASSIGNED ELECTRICIAN: CHAVES ELECTRIC: (L) HANOVER INS. - LHN2964649 (W) MISCELLANEOUS INS CO. - 0708878 91 1 PLUMB & HEAT: WHITELY PLUMBING: (L) TRAVELERS - 660365K1782C0F9 (W), EASTERN CASUALTY - POLICY IN MAIL ALARM SYSTEM: BALTIC SECURITY: (L) FIRST FINANCIAL - FF0131 G400831 (W) COMMERCIAL UNION - CB0743379 CENTRAL VAC: VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045 INSULATION: MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3 (W) U S F & G - 7711099932 Assessor's Office 1st floor MaR Z0 Lot UGI"f1 Permit# Conservation Office 4th floor .� ®°A� ���° � 6'A Date Issued Board of Health Ord floor) _�_�. � �a a�cw C eo EngineeringDept. Ord floor) House#' 3 � �°� �� �lip Planning De t. 1st floor/School Admin:Bldg.): ��,. ���� 's 's AULAUM ..� Definitive Plan Approved by Plaiming Board c� 19o �� a a ,�(7 L (Applications processed 8:30-9:30 a.m.&•1:00-2:00 p.m.) �� ' 2 TOWN OF BARNSTABLE Building Permit Application Q�,� Z �i/ Project Street Address 3 l ✓�( Village 2 o Fire District A (hvner t�!/j & ' � Address Telephone -2 71 `L('`-/U Permit Re uest: __70 al,4� e4 41�±4_4i A—&6 40-, Zoning District Flood Plain Water Protection Ile// Lot Size Grandfathered Zoning Board of APReals Authorization - — Recorded Current Use �'C.�".!�(/Yt/C _ Pro �sed Use Construction Tvne a & Gf � Existing Information Dwelling Type: Single Famil Two family Multi-family Age of structure �� Basement Historic House Finished ` Old Kin 's Highway Unfinished LAPA Number of Baths .4t. No.of Bedrooms Total Room Count not including baths First Floor Heat Type and Fuel a/14-k1 nn '',^,�( Central Air #k Fireplaces Garage: Detached Other Detached Structures: Pool Attached C Barn None Sheds Other Builder Information Namc ��'� Telephone number 7 71 qU Address__ �. s�/ License# 00 15-6 IYj Home Improvement Contractor# Worker's Compensation # zl/G i 31.E ,2a b 177013 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Project Cost C L e 6Z�4 70 t f 4ee �Sa SIGNATURE 6 DATE 7 S BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)- BPERM T FOR OFFICE USE ONLY 3/9/95 34r83- 120.001.006 ADDRESS 31 Bumps River Road (Lot 6) VILLAGE Osterville r OWNER Bayside Building, Inc. DATE OF INSPECTION: FOUNDATION FRAME INSULATION' FIREPLACE ELECTRICAL: ROUGH FINAL 'PLUNMING: ROUGH FINAL GAS: '" ROUGH FINAL FINAL BUILDING: DATE CLOSED OUT: ASSOCIATE PLAN NO. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map V VV Parcel ;; z r, Permit# Health Division r a Z ALE Date Issued K iD ' �5 IC 19 C/O�p Conservation Division d I l ll �"!' 1,9: 1; Application Fee Tax Collector _ Permit Fee Treasurer W Planning Dept. EXISTING SEPTIC SYSTEM LIMITED TO__�_#OF BEDROOMS Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address D I N Village ��i11,N , Owner /ffiAddress �2 1 Wl/ Telephone " , Permit Request f� fOf 6 VA,I I I � ��G✓ 6nd c i - ,IWAIA Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new �. Zoning District Flood Plain Groundwater Overlay Project Valuation.Valuation4 C 31 , 0,91_ Construction Type Lot Size Grandfathered: O Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family l/ Two Family O Multi-Family(#units) Age of Existing Structure Historic House: O Yes 2N0 On Old King's Highway: ❑Yes W No Basement Type: O Full ❑Crawl O Walkout O 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: O Yes 0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:O existing ❑new size Pool:O existing ❑new size Barn:O existing ❑new size Attached garage:0 existing O new size Shed:D existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded 0 Commercial O Yes ❑No If yes, site plan review# Current Use Proposed Use (�� BUILDER INFORMATIONName UI, j�i2, J�. Telephone Number �VD " �)S Address W License# CS Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE I DATE III 1 ll1 I U FOR OFFICIAL USE ONLY ` PERMIT NO. ' DATE ISSUED fs MAP-/PARCEL-NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: i 'FOUNDATION ' FRAME n F >t INSULATION FIREPLACE ELECTRICAL: ROUGH po FINAL PLUMBING: ROUGH F- FINAL'' GAS: . ROUGH FINAL _ FINAL BUILDING h N rr O DATE-CLOSED OUT in Q - , ASSOCIATION PLAN NO. M ,�• �" � ` r''r�: , . v'' ` �. i J.. �' . ,�,_. �a 1,�� �t..�; `�� �����o� CAPIZZI HOME IMPROVEMENT INC . SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6 STATE OF MASSACHUSETTS i LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, �wot,5 DISC,A OWN THE PROPERTY LOCATED AT IN 0 ,aA' I K MASSACHUSETTS. I HAVE AUTHORIZED CAPlZZT HOME IMPROVEMENT INC, TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,' THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: OWNER'S TELEPHONE: I LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 NEWTOWN RD., COTUTT, MA 02635 APPLICANT'S TELEPHONE: 5081428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHON ACCEPTED BY DATE �Z THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL # I Ill 2 IbVCE I L'`IK.I. 0L Vi'D I5i C0✓h0EW7;(C ;' I•fill J,J50b0p-VI' #� - F(E2b0Z21 VFF OLP.CEIS ,LElIbIIOvili" , ISE21)0Z,�CI?II-' OLLIC'EJi L.I':2h0f c{YTE OF,fa'CEJ! — —__ _ —�___._ —_—_ -- ----• i VI:,I.,I IC•,Jf.L,i� VL)DbL2 .'--•--'"�l�t� fil':.L�.�1�1 A1/���1.�/.L 7.1.1.LY il.': 1. v�' �_...- .-�. Ibl'I'IC vf I.,P �.J;l'f;Lf.ISI-• .i E22I:.F,2 JI)DIS117,:2". --•-_____._._. __.—.��_._�_...._..._.�.__—_-_ I'I'G21~L•',2 �?TGU'/:tI;ISF;� --__�_�_._..__ _._ _ ______.__..._.__--_____r__�___-^.__.� , 21C5;'J,l.:.lt{: vi. t)i',/,Lli� --- __—_--- .__----•—_--_..________.__._._�.— �!'!2ZJ(.Ilt,c�il.I. i.:.T.`.''.t.?, :;filtl)C'✓,� C,OD17- I'L2dEF, 10 JbI)TI LOL 'J Iy 'I'MC-0 DMC I., a fll-1 -I8•t> (..`E ', II{;; C'.i_l:r vI.I. }�I:ISbII22iC%:; i.tJ��__ ._._.._..._. �.i.'i�: i}Ji;2:..FIi:GI'i.l.�'. G,LJ.ri.F: El:`I.I`I'L1c� "t)Iy{" - • a; JI;.L V2 h?. 'il:L :.t 10 °II,I;JL EC, Void -AT.' .�. O A IRE r L,CJI,t.I,.t.1 CC)I.r'.t E;) '!.i__�, I'&f.J,EX OE VIIa:I{vIMv;L10A 10 'ii)br'l. LOB V rsfl sDJ.VC LE.11RII, 2,i.VIE lib Wr'12V(>IfiIi2I'',i��;�' 2l)E'*!PICVJ.10Aa V D Fi2,LIAVIE2 Yik'E; 0b 0- • G�lb.IS�I: IiOvli: I�bISt)I:1;iI�.lh 1�C ' �S �MaurZteth Chllson CIC At:The k1ccarthy Companies FaXID:87B9B8003B To:Caplzzl Home Improvement Date: 12/1UllUUJ I[:1/rrvI rase. I , DATE(MMIODIVYYY) A o D. CERTIFICATE OF LIABILITY INSURANCE c OP I 1 12 10 03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Norcross i Leighton Cape Loc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE C.J.McCarthy ins.JLgency,Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 437 Station Ave So.yasmouth tom► 02664 NAIC 0 phone:505-394-0946 rax:506-160-1407 INSURERS AFFORDING COVERAGE INSUREDINSURER A: National Granae Kutual ins. Co INSUTER8: Safety Insurance Coaopany C602 si Hoare Improvement Inc. IIISIrRERc: Guard Insurance Group 1 Newtown ILd INSURER D: Cotuit !SA 02635 INSURERE: COVERAGES PE POLICIES OF INSURANCE LISTED BELOW WIVE BEEN ISSUED TO 1NE INSURED NAMED ABOVE FOR 1HE POLICY PERIOD INDICATED.NOIWIPISI/VOIIJG ANY REOUIREMENT,TERM OR COM171ON OF ANY CONmACT On OTHER DOCLMENr WITH RESPECT TO W)dCH IRIS CERTIFICATE MAY BE ISSR IED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 10 ALL TIE TERMS,EXCLUSIONS AND COIDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Rq�tP L rA S TYPE of INSURANCE POLICY NUMBER DATE WDD DATE MIND EACIIOCCLRRENCE 11000000 GENERAL LIABLm 1 SOOOOO X COr&ERCK GENERAL LIABILITY MPS02733 04/01/03 04/01/04 PREMISES Meoccu"m' CLAIMS MADE OCCUR MED EXP(Any one parson) t 10000 PERSONAL S ADV INJURY 11000000 GENERAL AGGREGATE 12000000 PRODUCTS-comopAGO f 2000000 GENT,AGGREGATE LIMIT APPLIES PER: POLICY JECTT LOC ALIfONOBLE LIABILITYCOMBINED SINGLE LIMIT I B 160 ANY AUTO 1064 04/01/03 04/01/04 (Eeecclded) BODALL OWNED AUTOS (Per pe INJURY t],000OOO (Par prson) • SCHEDULED AUfOs • HIRED AUTOS (Per se idertjINJUR t 1000000 (Par eceidedl • NON•OWHED AUTOS PROPERTY DAMAGE 1500000 (Per accident) AUTO OILY-EA ACCIDENT t GARAOELIABLITY EAACC t OTHER THAN ANY AUEO AUTO ONLY' AGO t EACH OCCURRENCE t EXCESaM016MLA LMLRY AGGREGATE t OCCUR CLAIMS MADE I f DEDUCTIBLE t RETENTION t X TORY LIMITS ER WORKER!COWENSATION AND C EMPLOYERS'LIABLITY CANC401043 01/01/04 01/01/05 E.L.EACH ACCIDENT t 100000 MIYPROPRIEIOR/PARIPER/EXECUTIVE E.L.DISEASE•EA EMPLOYEE f 100000 OFFICERIMEMBER EXCLUDED? Ir s,describe under E L.DISEASE-POLICY LIMIT f 500000 SPECIAL PROVISIONS bel" OTHER DESCRPr10N OF OPERA SILOCA11ONSIVE CLES 1 EXCLUSIONS ADDED F1 W116 ORSEMENT 1 SPECIAL PROVIS NS CERTIFICATE HOLDER CANCELLATION 611OU D ANY OF TIE ABOVE DEECRIBEO POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUIINO INSURER WLL EHDEAVOR TO MAIL 10 GAYS WRITTEN NOTICE TO TIE CERTIFICATE HOLDER WMW TO THE LEFT,BUT fALURE TO DO 80 SHALL IMPOSE HO OBLIGATION OR LIABILITY OF ANY KNO UPON THE INSURER.IT#AGENTS OR • - REPRESENTATIVES. A PIORIZED RES A / [ CORD 6RPO1iATI.0N 1988 AcORD 25(2001ro8) ._ - ._.�..�..�_......._.. ,.,...,�........,. .....,......__...�,..,_.___....,.. .;.row....,:., Iis° �/r.n �n»r.»rena�enl/J� �,��eedcv�aAelrb.. +� BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Numbers Ct 057032 09126/2005 Tr.no: 7111.0 ReSlricled: 00 ►►IOMAS X CAPI7.7_I JR j 16,45 NEW TOWN I13 .,a..A CO-Mir, MA 02635 Admihialtalo► t . • � era ' The Co„►nfu„ivealth of Massachusetts Uepartrtietit of Industrial Accidents "=- Office 011HYcsU981100s 600 Washington Street �, c�3.• Bostott, Afass. 02111 Workers' Cutupensafion Insurance Affidavit � c i ISLGat10n' ci(y —phone N 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. V f ivLaJ,r ^� *— phone N ittsst>ansss9��� C� S LG�ZCI� -��� VO i Y N C41,tC M61 0 I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who ha.:. the following workers' compensation polices: ....... .. ..... . ... com Any name: address• city.. insuritncr9 posy# c9d11panyJlame• City: phone N: tinsu BCC CQ, policy N .L, Failure to secure coverage as required under Section 25A of NIGI,152 can lead to Cite imposition of criminal penalties of a fine up to 31.500.00 endio, one years'Imprisonment as well as civil penalties In the form of a STOP\VORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of file DIA for coverage verification. 1 do hereby certify under the pains and penalties of perjury that the infonrtation provided above is true and correct Signature Date Pr/- Print name LE C l throne N Ccheck i_v do not write in this area to be completed by city or town official permit/license N flnuilding Department I �I.iccnsing Board I' mediate response is required Selectmen's Office�Ilcaith Departmentn: phone N; 001her 1rc i,M.IM5 PIA) _ BOa: 0 _ ons ai.1.C� JTaIl=" ds One A hb-=ton Pla ce- Ro om 13 Ol Boston.Massy chuseits 0210 s . - Home Lm 0vem or Registation Repisiration: 1 OD74D 'Type: ;>nvate Corporation iratim 5.212DD5 C;?ill i0(Jl� 1(J??OVEIJIE �i N f, INC. .:: l _. Thomas Ca: ,jr. - iE45NevAon ?d. Corm:, MIA 02... Update Actress ant rm,-n card. Marl:reason for C ange. Address _. Renewal _, Lmplovmea: _ Los Card - Inc�osnsnooyuea�lr cl✓�cac�riu�r,�1i Boars o'Building Reguiatio'w 2nc Srznaares Li:ense or -eff,s:ra:ior.slid for individul use on)': HEN=Ih;?R1�-M=- i C:)K OR before the expi-avor, czta. I'iounc return to: Board a`Buiiding Recruiations ane S:zncards `�. Repis�:inr 10 ;4C _ One tshbu-tor,Platt:F:a :302 Bossor,ML. M OS : ?�•�e: ?rivste �O�nr�:inr: . HOME 154-Nemor;Rt. _� _fj.r.✓ �owr,1VL �2c3� sdminisr.ator Tiot aiid wiihou si�ra:ure j i i 1 l E �y,;;:r ir�.a.i- ,.ti*i,h'tr•?_y-.,.. -, :�ra'r'•'+y^-;"Y'-.�..�.•.4p ,;+^..: ..:v.::' Tr ....." .-+,d.-r ems.: a�w.. .. _... r'.+..+,;'...::-:- ti „y. �+^i".,T�s+". +*ss-• • �r �. �,y,. .i� :`iY- S7' ...�:'�'.iriaf�',�T`Xi:. .v +.*,.'-e�..<..�wvY.�_-,�;,;...:.� a rr .✓'4 TOWN OF BARNSTABLE Permit No. .374� ....... BUILDING DEPARTMENT I """ I TOWN OFFICE BUILDING Cash ............... 7 .YL repo• � feu+� HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Bayside Building, Inc. Address gl Bumps River Road Ost4a tfile, MA 02655 USE GROUP FIRE GRADING OCCUPANCY LOAD .THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. July19.. . ... .... .. .... .. ... ..... . . 19..95.......:... .r.........y. B .�.................... uildin Inspector i...'.'. '... . ..,,.. r:......i.._... • .n. .r • ..,...il �_ .. ,� .. [ ..£. a .. TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PERMIT A-120.001.006 .."), DATE 19 95 PERMIT NO. NQ 83 APPLICAAf 5�3.aq T. Dn.cLv ADDRESS 6' Ferbrook Lane, Centervi I i- D IND.) (STREET) (CONTR'S LICENSE) PERMIT TO Build dwelliing 2 STORY Single family duvikling, NUMBER OF DWELLrRG UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 31 Bump,'-- River Road 0,,i te rvillc.. T ZONING AT (LOCATION) Lot 6) DISTRICT. (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT—BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sawage #95-262 PERMIT s "CZ AREA OR • 7 lk_�0 ­0.25 VOLUME — ESTIMATED COST $290'000 FEE (CUBIC/SQUARE FEET) OWNER Sayni6e_ Bui-ItAng, Inc. I-L BUII ADDRESS _'5, ccaterviilL, 0_26 3 R "�v t THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR ► PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED.SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. —OCCUPANCY.POST THISNCARD SO IT IS VISIBLE FROM STREET BUILDING iINSPECT(qN APPROVA& PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS .off 01 .06- &� , �\ 0000- ! - 2 2 2 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 -7— BOARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIOULIS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION.