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0075 BRIARWOOD AVENUE
�� ���+�LfJOO�f �� 8�- ��.-� _ Town of Barnstable Building - lt,Post This Card So That it is Visible From.-the Street Approved Plans Must be Retained on Job and this Card Must be Kept I MAE&A,OgPosted Until Finahlnspection Has Been`Mad163 ey Where a Certificate of Occupancy is Required,such'Building shall Not be Occupied until a`Final Inspection has been made. Permit Permit No. B-18-1859 Applicant Name: Carl peterson Approvals Date Issued: 07/09/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/09/2019 Foundation: Location: 75 BRIARWOOD AVENUE, HYANNIS Map/Lot 289 084 Zoning District: RB Sheathing: - Owner on Record: PETERSON,CARL&HOLLY I Contractor Name: Framing: 1 Address: 67 EDGE WATER DR Contractor License 2 PEMBROKE, MA 02359 Est. Pro`� ect Cost: d Y r j - $2,500.00 Chimney: Permit Fee: $35.00 Description: Roof repair and new shingles �' Per ., ,r , Insulation: Fee Paid: $35.00 Project Review Req: ) Date 7/9 2018 Final: ilding Official Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced 11 within six,months after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the?:approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laves and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. ° i Final Gas. t- . The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on.this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:!" .;. 1.Foundation or Footing • Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: A�-L- .50-s-w-j" Town of Barnstable Nnk',ECEIPT MAW 200 Main Street, Hyannis MA 02601 508-862-4038 169%. Application for Building Permit Application No: TB-18-1859 Date Recieved: 6/11/2018 Job Location: 75 BRIARWOOD AVENUE,HYANNIS Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: State Lic. No: Address: Applicant Phone: . (978) 808-8063 (Home)Owner's Name: PETERSON,CARL& HOLLY Phone: (978)808-8063 (Home)Owner's Address: 67 EDGE WATER DR, PEMBROKE, MA 02359 Work Description: Roof repair and new shingles Total Value Of Work To Be Performed: $2,500.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). 1 understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Carl peterson 6/11/2018 (978)808-8063 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $2,500.00 Date Paid Amount Paid Check#or CC# Pay Type ,. ..._...... ...... .._,,.,. _...m.._._ _. ` . .._.._._. _... Total Permit Fee: $35.00 6/11/2018 $35.00 xXooc XXXX XXXX--I Credit Card 1 4115 .................. .. .................. ... Total Permit Fee Paid: $35.00 Town of Barnstable ;Regulatory Services oFttte rq� Ric hard;WSW!, Director..' Building Division � BA"GrAHLEj itul:Rom1.a,.Building Commissioner MAK 200IMain Street,, Hyannis,MA 02601 jFCMP'tA WWWaoWn,baCnstablema.uS', - Office: 50&862=A038 Fax; 508.-790-6230 HOMEOWNER LICENSE tXEMPTION Please Print � DATE: JOB LOCATION:__ 75 '*K 1 210WCU(� %A�/'<— number street village "HOMEOWNER": L.i'` I �C�T'�d�y `1 7 9b W S 0 0C�3 name home:phone# work phone:N CURRENT MAILING:ADDRESS: �� �C(l�e,l.U2 ... L'/Yt Be vim►/bYvKe_ NI✓� �� . city/towol stall z p_code The current�exemption for"homeowners"was extended ioeinclude,owner=occupted:dwellings of,six units or less and to allow home'owners:lo engage,an.individuah;for hire who.does not,possess a.license,provided thatthe owner'acts as supervisors. DEFINITION OF OMEOWNER, Person(s)who owns a parcel of land'on which he/she:reside's.or intends to-reside,on which there is;or is intended to. be,,a one,or two-family dwelling,:attached or detached structures accessory to such use and/or farm=structures: A person who constructs.more than one home in a.two-year period shall not be considered a homeowriar Such homeowner"shall submit to the Building Of cial on a form acceptable.to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building.Co.d and other applicable:codes,byla",rules.and regulations: The undersigned"homeowner".certifies tha(he/ghe.undersfands the Town of.Barnstable Building.Department minimum mspection:procedures and°requirements.-andthaf.he/shewill:.comply withsaid procedures:and requirements. ftnature:ofHomeowner Approval of Building Official Note: Three-family dwellings containing 35;000."cubic feet or larger will:be required to comply with-the State 13uilding Code Section.127 0 Conshvction Control. HOMEOWNER'S EXEMPTION T.he,Code.states that: ".Any Homeowner performing:Work for which a building;permif.ls.required. shall be exempt from the,provisions of this section'(Section 1o%1.1-Licensing of construction Supervisors); provided that if.'.the`,homeowner engages a'person(s)for hire.to do such work,that:such Homeowner:shWl act as supervisor.:" r Many homeowners;who:use<this exemption are.unaware:'that they are:assuming-the responsibilities of a sapervisor(see Appendix Q,Rules A Regulations forl;icensing Construction Super'Is ors,Section 2;15) This lack of,awareness often results in serious problems,particu'la'rly'when the.homeowner hires unlicensed, persons: In this case,our Board;cAnnotproceed againstahe unlicensed person as It would'with.:a licensed Supervisor. The homeowner acting as Supervisor s ultimately responsible. To.ensure that the homeowner is:fully aware ofhN/her responsibilities,many,communities require,, as,part of the permit application,'that the homeowner certify fhat;he./she`understands1he responsibilities of a Supervisor. On the 11*1:page of this issue is.a form currently used by several towns. You may care,.to amend. and adopt such,s form/cerdflcation for use in your cQnllnRni'ty. i The Cortrurorrivealth of Massncliuselts Departrrrent of hrdusfrial Accidents Office of Investigations 606.Washingto7r,6Yirmt: Boston,MA.02111 % wtv►t�ntass~gv Ad Workers' Compensation Insurance Affidavit:Brplder,s/ConfractordBIectritiang/Plmmbe-it Applicant Information Please,.h int'LLetibly: Ayr( N3rne:(Busine3sl0�rgffiiizafian/Individwt) '_ Address:_ �v+rC2 �U� -� �✓1✓)A3 i YVA CitylStatelzip: _ Phone# Q 7(2�' 2�O ia.' 60 c"D Are you an:employer?.Check the appropriate box. Type of project(regniu-ed): 1.0 I am s employer wi#h _ 4• ❑ 1 ama ge�ztd:!:T,tractor and I: 6. O New:constntction e 1 full ancl/ar art-time:" have hired the sub-contractors mP oyes (. P ) 7: Remodeling: 2;❑ !am a sole. e#or of, listed au the'attached sheet. ❑ g: PrO1?n. . P P �oy. These sub contractors have 0 Deniolition. alu .and have no 1 ees • � . $. working forme in:any capacity; employees and have warkecs' 9. []Building addition [Nova-r{oers'. coin'P.--:suratice comp:rnsura.mg I L/penquired.] 5. �' 11Ve are a coigoratitm andi ia 10.:(]Electrical repairs or;adili4ions 3. 1 am a homeowner dtimg. work officcrs'liave exercised their I I.Q Plumbing,repairs or additions mP:. - fight.of Lion tier MGL 12: `Roof repairs If o workers co ... gh �p insutwee,re, t c.152,§I(4),aiidVdhaveno d�� ' employees.[No:wgrkeis' 13.[]Other comp.insurance required:]; 'Any applicant that checkstox#1 nutst also;fill ant the_secbon tielajv showing their wok,ta'compensadou police imformition Komeowum who,submit This al"imdicahgg they.are daiag all,lrosk end then hire,outdde camuactors n=s it aubm new aff do t:iadicadug sack. tContracrorsAMdLKkthk box martattachedansd&danalsheet:ihowingtLenameofft, sdb-c4ntrKtnn'urd•steterrhetw:grnot1boseentities)taus` emplayees. If the sub-contuctars Late employees,they must proiide'their,warkars':comp:,polisy"number. I ant an<eniploy�er fliaf is:prgvidurg'ttbrksrs'comensrrtfon f�esttmttce jor rrey;eaipin,{ws, Bo+v fs.Nls potiey and joli site i fOrHIRkFOIL . Insurance.Company:Name: Policy#or Se1f'ins.Uc.#: Expiration Dates. Job•Sife.Address: City/Staw4g) Attach:a eopy-ofthe tirorkers'compensation.policy declaration page(showing the:policy number and expiration d"ate):. Failure.to secure'coverage as requurd-undcr'Section 25A of IV G t% 152,can lead:to the imposition of critnitial penalties of a fine up to. 1,500:00 and/orone-year imprison>aeat.as well as civil penalties in the forth of a STOP WORK ORDER azid a one of up to$250.00 a day against the'violator. Be advised theta copy of this stater=t may be,forwarded-to the Of.Sea of Investagatiana of the DIAL for insurance.coverage verification:. I do hawby cerh;fy ithdsr tho pains aril aiafhax Af psrfury:l.ItatYlie inform anPimided ubarais tins:and corrod, 43 Date! l l /�, ,q Phone.!€: q7`6 9� 50tO`-� O�icia!use ort4y. po'itat svr te'i►r tliis.area;td.bs completed by civ ar tow offldaZ City or Town: I'erwitucense im .Issuing Authority.(c rclevne): 1.Board of Health 2.Building Department 3,C4117owntlerki 4.Electrical Inspector S.Plumbing.Inspeector 6.OtIM Contact Person:, PhoneI: 6 r Q r n TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel APP lication # � r I Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee 1`7 2- N Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address W&PA, Ag== Village Owner r Ott" V-, Address Telephone ql$ -1a11i; &G O11d Permit Request �,�� i D x�S 3 S LM 0 r"w.� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay (Poecf Valuation " 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family d 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 ❑Other �_p Basement Finished Area(sq.ft.) Basement'Unfintshed,Area (sq.ft). Number of Baths: Full: existing new ./(J 2 H If: existing ' new Number of Bedrooms: existing _new TOW/V O_ ?®,, Total Room Count (not including baths): existing new "VSFirst,Floor Room Count Heat Type and Fuel: ❑Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name &alAlk P Telephone Number Address _o 3 0) r I u J'Td 0 /01" . License # J.�-gg 61 e'�Aveo A44 0771/9 Home Improvement Contractor# /d►DS©,� Email ro Ca, Worker's Compensation # C&4e 7gyk& ALL CONSTRUCTION DEBRIS RESULTING FR M THIS PROJECT WILL BE TAKEN TO Al oigtn�. SIGNATURE DATE 7//7 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ,ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ,S 6 9,1&11-749 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL gAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. OFFICE: (508) 997,1111 { ;; MA. B?.jilders Lic. #021330 FAX: (508) 997-1297 RE FREE Home Improvement TOLL FREE: 1-800=407-1111 Contractor's License WEBSITE: floWmeS Inc. #100503 MA. www.careffrrDeehomescompa�nyJ.com 239/HUTTLESTON AVE. (RT 6) • FAIRHAVEN, MA 02719 #15179 R.I. NAME (.(-r (An p- rf O1l1 �n2T�l�Orl, DATE y�27�r7 ADDRESS �7S l7rlGtd�G�pppC � ye, Fannis 1 MA ' ZIP CODE ©Z67a ADDRESS OF JOB HOME EMAIL ADDRESS CELL / JOB DESCRIPTION OLIAQLj C r7"i7'` Gus hmen Tv remov deck ^nd s e /Sx to 1-00rvz -- /ASS xvlee 6JAJI � 145S h,1r11 1(0�55-' ^n e-1S ec k cvt=f-A V-4A, p y-.4jGrr Sv ool— i ��e�' S�YIe Cvncr� e •�oy �ngS lie c_rl1V1t1d _0 yea(- "AfrA,�a GarG ee gvoieS 10 yeRr- Scheduled Start Scheduled Completion ieC- A. Replacement of missing or rotted lumber is not included unless specified. B.All start&completion dates are approximate and could change due to weather conditions. C.Stripping of roof includes removal of up to two(2)layers of shingles,each additional layer to be charged @ ftz. D. Replacement of rotted roof boards/plywood to be charged @ ft2. E. Existing chimney flashings will be reused; replacement, if necessary, is not included. F.Care Free Homes, Inc. is not responsible for mold/mildew conditions that are pre-existing or result from leaks not brought to the attention of C.F.H., Inc. promptly. The Company hereby proposes to furnish labor and material to complete the above work for the amount herein. Fulfillment of this order is contingent, however, upon the want of strikes,fires, and any Mt r disaster4,�t �a itjty,tp�obtain materials,or any other conditions beyond the control of the Company. �v"ryv2Sov `!! r! �.Jt' Cost of Project$ zq� v( �� PAYMENT TERMS 2 6-1)0•00 We p /G 000, 00 Z, yo q, off o L a4A Date q( Z-7 h 7 1. You,the Owner may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. 2. You,the owner of the subject property, by signing this contract hereby authorize Care Free Homes, Inc. and it's authorized agents ----to act-on your behalf in obtaining permits and all matters relative to work authorized by said permits. 3. You,the Owners agree to pay any and all expenses incurred by Care Free Homes, Inc. in collecting money due under this contract and enforcing the terms of this contract, including but not limited to, reasonable attorney's fees, interest and court costs. NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES E O CARE M NC. rRft. Buyer acknowledges Owner: QW I By receipt of fully completed copy of this Agreement Owner: All contractors and subcontractors shall be registered by the director and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston, MA 02108 Tel.(617)727-8598 MBLU 289-84 75 BRIARWOOD LN. HYANNIS, MA ,00 EX. 7i > �2 PROP. 10'xl5' SUNROOM %.��.Dc DECK EX. DWELLING EAVES LF � O O O o_ O TANK V'O L=201 .20, V- P� FZ- R-150•p0 RN�O � O O A 1! SEPTIC FROM ASBUILT ON FILE AT THE TOWN HEALTH DEPARTMENT BUILDER TO CONFIRM CERTIFIED PL 0 T PLAN PETERSEN RESIDENCE I CERTIFY THAT THE IMPROVEMENTS SHOWN OF SAS 75 BRIARWOOD LN. HAVE BEEN LOCATED BY A FIELD SURVEY. ��P� s90 HYANNIS, MA o� yGs DATE. JULY 21, 20i7 DRAWN: RBS ROBB „ JOB #: S332 o SYKES SCALE: 1"=30' DWG. CPP zj., No. 35418 EASTBOUND ��F �0�� LAND SURVEYING, INC. 7-21-17 s, P.0. BOX 442 ROBB'SYKES, P.LS. DATE FORESTDALE, MA 02644 508-477-4511 � r��e�a"rt»rrn�rraca�/��fr��raJaac�.asel�J -- , f ` _ ice of Consumer Affairs&Business Regulation License or registration valid fGv individual use only before the expiration date. If found return to: Ix €OME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation ., �. �Registratio g A005fl3-; T ve:, I. Park Plaza-Suite 5170 Expiration6/1912018, Supplement Cali Boston,MA 02116 CARE FREE HOMES ihlE } DANA .PICKUP JR. ..139 Huttleston ave Fairhaven,MA 02719 Not valid without Sig re Undersecretary € . fi Massachusetts Department of Public Safety Board of Building.Regulations and Standards License: CS-095228 Construction Supervisor DANA J PICKUP _ 239 HUTTLESTON AVE FAtRHAVEN MA 02719 ' Expiration: Commissioner 03/22/2018 r ' t F The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,•MA 02114-2017 5� www mass.gov/dia lVorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individu I): s Address: v V1\ City/State/Zip: AA J`�AAVC V-1 -Phone#: SG - 7 -_1 Are you 'employer?Check the appropriate box: Type of project(required): 1. I am a employer with employees(full and/or part-time)-* T New je 7. ❑ construction ' 2.❑I am a sole proprietor or partnership and have no employees working for me in $, emodelstr any capacity.[No workers'comp,insurance required.] ing 3.Q I am a homeowner doingall work myself t 9. ❑Demolition y [No workers'comp.insurance required.) 4. I am'a homeowner and will be hiring contractors to conduct all work on m 10❑Building addition ❑ g y property. I will ensure that all contractors either have workers'compensation insurance or are sole I I.Q Electrical repairs or additions proprietors with no employees. 12.QPiumbing repairs or additions 5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insuranceJ 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no 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 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 andjob site information. Insurance Company Name:_ Policy#or Self-ins.Lic.#: fit �i.f Expiration Date: Y 7 Job Site Address ��i a- f^-c) �. City/State/Zip: Attach a copy of the workers' compensation policy ueclaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by,a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verif ation. I do hereb cer,fy under a pai n alties o perjury that the information provided rbove is tr e and correct. Si nature: - Date: e� ° 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#: ,4coizo® CERTIFICATE CI LIABILITY INSURANCE DATE(MMIDD/YYYY) `-� I 9/7/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(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 endorsemen s. PRODUCER CONTACT NAME: Pat BOSS Herlihy Insurance Group P oNE 508-756-5159 Fax 51 Pullman Street C. e:508-751-5747 Worcester MA 01606 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Liberty Mutual Insurance Company INSURED CAREFRE-01 INSURER B:SafetV Indemnity Insurance Company Care Free Homes Inc . INSURERC:Guard Insurance Company 239 Huttleston Avenue Fairhaven MA02719 INSURERD: INSURER E- INSURER F COVERAGES CERTIFICATE NUMBER:458186880 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.QF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY.THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AUULbUBR TYPE OF INSURANCE POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MMIDD MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY BKS56134197 9/1/2016 9/1/2017 EACH OCCURRENCE $1,000,000 AMAGE D RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $300,000 X PD ded:250 MED EXP(Any one person) $15,000 PERSONAL 8 ADV INJURY $1,000,000 MOTHER: 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY a JE LOCPRODUCTS-COMP/OPAGG. $2,000,000 $ , B AUTOMOBILE LIABILITY - INED LIMIT 6213850 7/1/2016 7/1Y2017 Ea accident $1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL pWNED X SCHEDULED re AUTOS AUTpS BODILY INJURY(Per accident) $ d. X HIREDAUTOS X AUTO QED PROPERTY DAMAGE' $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION CAWC724811 9/1/2016 9/1/2017 PER OTH- AND EMPLOYERS'LIABILITY Y/N X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? �N N f A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 81,000,000 If yes,describe under .. ... .. ..:... ...: ... .,..::......, _ . .. ... DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H.more space is required) 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 BUILDING DEPARTMENT BUILDING WI MAIN STREET ACCORDANCE TH THE POLICY PROVISIONS. BAR NSTABLE MA 02601 AUTHORIZED REPRESENTATIVE a ;r _ ©1988 2014 ACORD CORPORATION. All rights reserved. ACORD 25>(201410:1). The ACORD name and logo are,registered marks of ACORD_ a Cl) CID - z 4 10 y r t� f JW v i< - u X� fir P6 ( � . ' s� fog cab s `"� .� Care Free Homes, Inc .239 Huttleston Ave. Fairhaven, a 02719 f p �� N , G2f row, PLY( �a // 5-za -Iq fF Town of Barnstable ,oFI"E'+ Regulatory Services + + Richard V. Scali,Director a + 9B"x"'S` LE, ' Building Division MA33. i639 A Tom Perry,Building Commissioner g 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 C Fax: 508-790-6230 PERMIT#o)0� / FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less r L co a ion of shed(address) Village O -- 3 Property owner's name Telephone number l d 2 0Z Size of Shed Map/Parcel# r Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) I� Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:040914 Town of Barnstable Geographic Information System May 19,2014 2899068 289081 #230 t 7 # 7 289086 y #55 l 289�27 #&4 e 289082 #239 289085� #65 o Q - 289096 f #48 t x 289083 s'.. 289084 7 45 a FERRWO®D AVE " O" 289104 288079004 ""�,, #41 #7 288078 289105 19 Feet #93 #31 3 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:289 Parcel:084 boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel 1"=100'may not meet established map accuracy standards. The parcel lines on this map Owner:PETERSON,CARL 8�HOLLY Total Assessed Value:$223900 are only graphic representations of Assessors tax parcels. They are not true property Co-Owner: Acreage:0.30 acres Abutters boundaries and do not represent accurate relationships to physical features on the map such as building locations. Location:75 BRIARWOOD AVENUE Buffer NIALL HOPKINS BUILDERS 75 BRIARWOOD AVE HYANNIST MA January 30, 2012 Town of Barnstable Thomas Perry, CBO 200 Main Street Hyannis, Ma 02601 RE:75 Briarwood Ave Hyannis Dear Mr. Perry, This affidavit is to certify that all work completed at 75 Briarwood Ave Hyannis has been inspected by a certified Building Performance Institute (BPI) inspector.R-19 Kraft faced sill blockers were installed. All work performed meets or exceeds Federal and State Requirements. Sincerely, Hopkins Builders Inc. -i ;Z TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 1 Application #-;;2n 6 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee ) Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village R Owner � Address [[�� Telephone 00% ul Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain^ Groundwater Overlay Project Valuation �v Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other -` Basement Finished Area(sq.ft.) Basement Unfinished Area (sq:ft); no ca 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 ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ��c U�l � Telephone Number Address , License # m -I l S, 61�11�Home Improvement Contractor# Worker's Compensation # l J11� w �`T I-59 ALL CONSTRUCTION DEBRIS R SULTIN,IQ FROM T IS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED x MAP/PARCEL NO. f - k 1 ADDRESS VILLAGE OWNER I DATE OF INSPECTION: FOUNDATION FRAME INSULATION:: FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL -,FINAL BUILDING F i DATE CLOSED OUT i ASSOCIATION PLAN NO. i ti The Commonwealth of Massachusetts •> f Department of Industrial Accidents Office of Investigations 600 Washington Street 1 i�liu i it �� Boston, MA 02111 c www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contract ors/EIectricians/Plumbers Applicant Information Please Print Le 'bl Naive fBusincss/Organization/Individual): Address: 2 City/State/Zip: s - Phone #: O-D X®r u an employer?Check the appropriate box: Type of project(required): am a emp.loyer with _ 4. ❑ I am a general contractor and I 6 El New construction mployees(full and/or part-time).* have hired the sub-contractors m a sole proprietor or partner- listed on the attached sheet 7• ❑ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for me in any capacity._ workers' comp, insurance. 9. El Building addition [No workers' comp. insurance 5. El We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 1 I..❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t. employees. [No workers' comp. insurance required,] 13.❑ Other *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. ' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must subm it a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'co ensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: tin Expiration Date: e Job Site Address: 7 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 undrer 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$250.01 aID ainst the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of for insurance coverage verification. I do hereby ce fy nd the pains and penalties of perjury that the information provided abo a is rue and correc4 Si afore: Date: �� J Phone#: Offccfal use only. Do not write in this area,to be completed by city or town offccial 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#; f 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 bean 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 inio 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 numbers)along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that'the affidavit is complete and printed legibly. The D.epartnent 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/licease 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 (Le. 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 1 Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-49.00 ext 406 or 1-8,77-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.m,ass..gov/dia i ,�►co CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 09/09/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(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: Mark Sylvia Insurance Agency PHONE Ezt: 508 428-0440 ac No: 508 420-9227 771 Main Street E-MAIL ADDRESS:mark marks Iviainsurance.com Osterville,MA 02655 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Farm Family Casualty Insurance INSURED INSURER B: Niall Hopkins Builders,Inc. 118 Lakefield Road INSURER C: PO Box 231 INSURER D: South Yarmouth,MA 02664 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY) (MM/DD/YYYYI LIMITS A GENERAL LIABILITY 2001 L6275 10/30/2010 10/30/2011 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 CLAIMS-MADE �X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 X POLICY PRO-JECT 1-1 LOC $ A AUTOMOBILE LIABILITY 2001 C53575A 6/25/2011 6/25/2012 Ea a.iden SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ 1,000,000 ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS X AUTOS 1,000,000 NON-OWNED pea RT DAMAGE g 1,000,000 HIRED AUTOS AUTOS $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ I I $ A WORKERS COMPENSATION 2001 W6459 9/8/2011 9/8/2012 1 we STATU- OTT AND EMPLOYERS'LIABILITY YIN T XER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED' FNI NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Carpentry,Electrical CERTIFICATE HOLDER CANCELLATION (508)790-6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD y OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at 5 riI(k r <j c� 0a tro I , (Property Address) (Property Address) Q JC 11�� hereby authorize 10, , (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. Owner's i nature Date tiJ ;t+•;ich»•t'ti• Wv irtItlent Of t t�lal3i Bu,tatl of I3taiitlia ltt��aristi+��»aa7c1`1.atul<ar€I nstrueticm SuPervis0t Lic ;gse: CS 84916 ��• NIALL J HOPKINS , BOX 231 SOS YARMOIJTH,MA 02664 4/212013 i Trz: 14504 �'�ntta�r*ninh.r' 17 HOME IMPROVEMENT CONTRACTOR Oi'ficc`<�f o umer i airs` Bifa�nt�Ytc�, * n (� License or registration valid for indmdul use only W~ TRACTOR before the expiration date, If found return to- Registration: 161773 Type.: Office of Consume Affairs and Business Regulation t xpiration t 1/20/2012 Private Corporation 101'ark Plaza-Suite 5170 Boston,VLr1'02 6 NlXLTHOPKINS BUILDERS°R?IC'r;, NIALL HOPKINS j 3 21 G rRUEAN AVE -SOUTH YARMOUTH:MA 02664 ' Tincterseerctary Not val' without signature j i t 1' t I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z Parcel . ��� Application # Q 7 6 Health Division 3 - Date Issued 16 `O Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address 7 5' b'k Or t,,/0 d t) Village W A/J Owner 46 L( V p6 ktFSr)A/ Address Sm rF Telephone��17$��� — a D Permit Request 1 - UAL AB C ,V T r"'s()I aZ 8 ' 7 n PAZ I Square feet: 1 st floor: existing_qLaroposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ( , 6 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family ((## units) Age of Existing Structure Historic House: ❑Yes Flo On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 2- existing _new Total Room Count (noZGas ing baths): existing new First Floor Room Count Heat Type and Fuel yp ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woos/ al stove Ye ❑ No Detached garage. ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑e cistmg ❑:pew maize_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: '' o Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# �..- "'_ Current Use --- ==Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ��5 W,,I N&f�ln/ Telephone Number 7 e?7 o U Address ELM cJ0 l) License# l DC� .(f P .,JTr6A/ _ RZ 0,2S/ D Home Improvement Contractor# 7 5? Worker's Compensation # 1%✓C�-ZIt-�S�f OJ 4' T ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO bl U c� SIGNATURE DATE AD FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: t FOUNDATION FRAME s INSULATION a FIREPLACE j ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH ° FINAL J GAS: ROUGH FINAL # FINAL BUILDING ` r ` DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massach usetts Department of Industrial Accidents ' Office of Investigations 600 Washington Street Boston, MA 02111 sy' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): !C�S�' kA1(f t ✓ KtV-C Address: an) kilb5 City/State/Zip: J-� Q Phone #: 0 1 7 Are you an employer? Check the appropriate box: emu( Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ERemodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp, insurance,# required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 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' 13.0 Other comp. insurance required.] *Any applicant that checks box 41 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 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 andjob site information.Insurance Company Name: TOE 17 R/ Alr Policy#or Self-ins. Lic.MA/C,)— 71(-(?z:5!? R7 y�`D/ q Expiration Date: 1 I Job Site Address: �^ 4LRI ,e t✓o c)(Z_� >l� City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi unde th nalties of perjury that the information provided above tru and correct. na Si tttre: Date: l0 6 o Phone#: y l act ^37L^0 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#: Page 1 of 1 The Official Website"of the Executive Office of Public Safety and Security(FOPS) Mass.Gov Home PublicSafety L Department of Public Safety Licensee Complaints License Type Construction Supervisor License# 100459 Restriction WS,IC Name Erik Nerstheimer City,State,Zip North Scituate, RI,02857 Expiration Date 3/28/2012 Status Current No complaints found for this Licensee. Back To Search ✓fze �arruinoo��eal�z a��.aaac�ucGeG�6 rf � y f Board of Building Regulations and Standarile License or registration valid for individul use only i HOME IMPROVEMENT CONTRACTOR : before the expiration date. If found return to: Registrat 1�' ionti 120979 Board of Building Regulations and Standards — _ Expiration 3%25/2010 One Ashburton Place Rm 1301 _ stotr,.Ma.021.08 Type _Supplement Card r I. THIELSCH ENGINEERING ERIK NERSTHEIMER � 7- Sei_ 1 1341 ELMWOOD AVE CRANSTON,RI 02910 ----- Admi isi ifor Not valid without signaty re- http://db.state.ma.us/dps/licdetails.asp?txtSearchLN=CSL100459 9/24/2009 ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: �� SI,Zs Site Address: print Town:On Applicant Phone: &a 7 g - Applicant Signature: Date of Application: l� NEW CONSTRUCTION: choose ONE of the following two-options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE-AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM Ceiling or Slab El Option 1: Basement P Fenestration exposed Wall Floor Perimeter U-factor floors R-Value R-Value Wall R-Value AFUE HSPF SEER R-Value R-Value and Depth National Appliance Energy 35 R-38 R-19 R=19 R-10 R-10, Conservation Act(NAECA)of 4 ft. 1987 as amended,minimums or eater as applicable Note: This form is not required if you choose either of the two versions of REScheck as listed below. ❑ Option 2: RES check Version 4.1.2 or later variant software analysis must be completed (780 CMR 6107.3.2) REScheck—Web which can be accessed at http://www.energvcodes.gov/rescheck/ ADDITIONS OR ALTERATIONS TO EXISTING BUILDINGS OVER 5 YEARS OLD* *Buildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the %o of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b- a) SF 100 x — _ % of glazing (b) Glazing area equals SF b a If glazing is<40%.use the chart below. If glazing is> 40.% roceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM Fenestration Ceiling and Wall Floor. Basement Wall Slab Perimeter U-factor Exposed floors R-Value R-value R-Value and Value R-Value Depth .39. R-3 7 a R-13 R-19 R-10 R-10, 4 feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e.not compressed over exterior walls, and including any access openings). SUNROOM—An addition or alteration to an existing building/dwelling unit where the total ❑ glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note: Owner to fill out Consumer Information Form (found in Appendix 120T) ill w v' ® OP ID 31 DATE(MM/DD/YYYY) ACaRD CERTIFICATE OF LIAR�LOTY INSURANCE THIEL-1 04 06 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Preston Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 150 Division Rd Suite 303 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 1 Box 810 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. East Greenwich RI 02818-0810 Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford Underwriters Ina. Co INSURER B: Hartford Casualty Insurance Co Thielsch Engineering, Inc INSURERC: Liberty Mutual Insurance Group 195 Frances Avenue INSURERD: North American Capacity Cranston RI 02910 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH - POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DDNPOLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR TYPE OF INSURANCE DATE MMIDD/YY DATE MMIDD/YY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000tu .. A X COMMERCIAL GENERAL LIABILITY 02UUNTD5678 04/01/09 04/01/10 PREMISES(Eaocourence) $ 300,000 CLAIMS MADE Fx]OCCUR ME EXP(Any one person) $ 10,000 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,0 0 0,0 0 O POLICY X PRO JECT LOC Emp Ben. 1,000,000 AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT B X ANY AUTO 02UENTD4850 04/01/09 04/01/10 (Eaaccidenq $ 1,000,000 ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS - HIRED AUTOS BODILY INJURY (Per.accident) $ NON-OWNED AUTOS " PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLALIABILITY EACH OCCURRENCE $ 10,000,000 B X OCCUR ❑CLAIMS MADE 02XHWF6573 04/01/09 04/01/10 AGGREGATE $ 10,000,000 DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND X TORY LIMITS ER - EMPLOYERS'LIABILITY C ANY PROPRIETOR/PARTNER/EXECUTIVE WC2-Z11-259874-019 04/01/09 04/01/10 E.L.EACH ACCIDENT - $ 500,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER D Professional Liab DVL000025902 04/13/09 04/01/10 Prof Liab 2,000,000 A Leased/Rented Eqp 02UUNTD5678 04/01/09 04/01/10 Equipment 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS - - (*Except 10 days for non payment of premium) CERTIFICATE HOLDER CANCELLATION TWNBARN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION - DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0* DAYS WRITTEN Town of Barnstable - NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Building Division IMPOSE NO OBLIGATION OR LIABILITY OF•ANY KIND UPON THE INSURER,ITS AGENTS OR 200 Main Street Hyannis MA 02601 REPRESENTATIVES. AUTHORIZED EPRES ACORD 25(2001108) ©ACORD CORPORATION 1988 RISE��� ����� Federal ID#0"405629 RI Contractor Registration No 8186 A division of Thielsch Engineering MA Contractor Registration No 120979 CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,RI 02910 �a �,BB ®®qq��oo (401)784-3700 Y�d FAX(401)784-3710 ®I��I1%jr-1 oT Page 1 THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS E NC—I ITT E E R I N G DESCRIBED BELOW CUSTOMER PHONE DATE Client# _ Holly Peterson (978)663-8093 07/06/2009 101991 SERVICE STREET BILLING STREET 75 Briarwood Avenue 15 Christina Ave SERVICE CITY,STATE,MP BILLING CITY,STATE,ZIP Hyannis,MA 02601 Billerica,MA 01821 JOB DESCRIPTION RISE Engineering will provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can nclude caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work will be performed at the rate of$66 per man per hour,which includes materials and testing. 5 man hours. $330.00 RISE Engineering will provide labor and materials to install 86 square feet of R-19 faced fiberglass insulation to the perimeter of the basement ceiling at the house sill. $94.60 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per calander year. $318.45 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE IFICATIONS.FOR THE SUM OF ***One Hundred Six&151100 Dollars $106.16 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 30 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES CaJ 4- j AUTHORIZED 8 N URE-RI gE ENGINEERING CUSTOMER ACCEPfANC NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE •q ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE —✓,w/ SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE J - �5 " RUSE ENGRNEERING AGREEMENT A division of Thielsch Engineering THIS CONTRACT IS ENTERED BETWEEN RISE AND THE CONTRACTOR FOR WORK AS DESCRIBED BELOW 1341 Elmwood Avenue,Cranston,R102910 R i S E (401)784-3700 FAX(401)784-3710 CASE• 101991 Page 1 EN C IN F.RING IT IS AGREED THAT: Pre lest: �� CONTRACT DATE CONTRACTOR 0998 RISE Insulation o ��;.¢ 07/08/2009 ,j� � Sa ADDRESS Mang ° AUDITOR Doug Brown FOR THE CONSIDERATION NAMED HEREIN,SHALL PERF jRM IN A FAITHFUL AND WO LIKE MANNER THE FOLLOWING WORK AT THE ADDRES CLIENT NAME Holly Peterson CASE ADDRESS 75 Briarwood Avenue cometeft 101991 Hyannis,MA 02601 PROJECT NO HOME (978)663-8093 WORK Q X- RIS-81-09-0035.442 CELL FAX FURNISH AND INSTALL: 07/08/2009 9:38:08 AM Perform 5 man-hours of air sealing Energy Specialist's NOTES: heat is gas FHA, seal open block cores in bmt.,w.s. 2 steel doors and bsmt. walk-out door,no attic Install R-19 kraft faced fiberglass blockers to the sills. 86 square feet. Contractor is responsible for all material delivered and installed in connection with the above work. Any deviations from the above specifications must be authorized by RISE personnel. Contractor reaffirms the covenants set forth in its Application for Participation.Violation of any such covenant is breach of this Contract Contractor Shall indemnify and hold harmless RISE,its employees and its agents from and against all claims,damages, losses and expenses,including but not limited to attorney's fees,arising out of or resulting from the performance of Contractor's work under this contract. RISE Authorized Signature Contractor Authorized Signature DATE DATE 07/08/2009 938:08 AM NOTICE OF MORTGAGEE'S SALE OF ESTATE. By virtue and in execution of the Power of Sale contained in a certain mortgage given by Alexandro Demoura to Mortgage Elec- tronic Registration Systems,Inc.as a nominee forAccredited Home Lenders,Inc.datedAugust 12,.2005,recordedwith BamstableCounty Registry of Deeds at Book 20160,Page 253 of which mortgage the . undersigned is the present holder for breach of conditions of said mortgage and forthe purpose of foreclosing the same will be sold at PUBLICAUCTION at 01:00 PM on May 16,2008,on the mortgaged premises.The entire mortgaged premises; all and singular,the. premises as described in said mortgage: Acertain parcel of land with buildings thereon situated in Barnstable (Hyannisport),Barnstable County,Massachusetts,being shown as. Lot No.18 on a plan of land entitled,"Subdivision of Land in Hyannis and Hyannisport;Mass.,property ofAlice S.Plaine,Jennie K.Paine and Maude M.Bacon",dated August 1928,George F.Clements, C.E.,MedwithBarnstable'Deedsin Plan Book38,Page91 bounded and described as follows:Norteasterly by Lot No.19,as shown on said plan,,122,20 feet;Southeasterly And Southerly by a curved line having a radius of 150 feet,a distance of 201.20 feet,and by a way as shown on said plan;Northwesterly by lot No.14 and 13,as shown on said plan,146.43 feet.These is granted appurtenant to the above-described lot aright of way in common with others now or hereafter lawfully entitled thereto in and over the ways as shown on said plan.So much of said lot as may be,by implication of law, be included within the limits of said way is subject to the rights of all otherpersons now or hereafter lawfully entitled thereto in and over the same,including easements for the installation and maintenance of public utilities.This conveyance is made subject to restrictions of record insofar as the same are presently applicable and in force. Subject to and with the benefit of easements,reservation,restric- tions,and taking of record,if any,insofar as the same are now in. force and applicable.. In the event of any typographical error.set forth herein in the legal description ofthe premises,the description as setforth and contained in the mortgage shall control by reference. This property has the address of 75 Briarwood Road,Hyannis, �MA 0260� , Togetherwith all the improvements now orhereaftererected on the' property and all easements,rights,appurtenances,rents,royalties, mineral,oil and gas rights and profits,water rights and stock and all fixtures now or hereafter a part of the property.All replacements and additions shall also be covered by this sale. ' Terms of Sale:Said premises will be sold subject to any and all unpaidtaxes and assessments,tax sales,taxtitles and othermunicipal liens andwaterorsewerliens and State or County transferfees;'rf any there are,aridTENTHOUSAND DOLLARS($10;000.00)in cashier's or certified check will be required to be paid by the purchaser at the time and place of the sale as a depositand the balance in cashier's or certified check will be due.in thirty(30)days,at the offices of Doonan,Graves&Longoria;L.L.C.,100 Cummings Center,Suite. 225D;Beverly,Massachusetts,time being of the essence. The Mortgagee reservesthe rightto postpone the sale to a laterdate by public proclamation atthe time and date appointed forthe sale and to further postpone at any adjourned sale-date by public proclamation . at the time and date appointed for the adjourned sale date. The premises is to be sold subject to and with the benefit of all easements,restrictions,leases,tenancies,and rights ofpossession, 'building and zoning laws,encumbrances,condominium liens,if any and all other claim in the nature of liens,if any there.be. In the event that the successful bidder at the foreclosure sale shall default in purchasing the within described property according to the; terms of this Notice of Sale and/or the terms of the Memorandum of Sale executed afthe time offoreclosure,the Mortgagee reservesthe right to sell the.property by foreclosure deed to the second.highest bidder,providing that said second highest bidder shall deposit with the Mortgagee's attomeys,DOONAN,GRAVES,&LONGORIAL.L.C., 100 Cummings Center,Suite 225D,Beverly,Massachusetts,01915, the amount of the required deposit as set forth herein within three (3)business days after written notice of the default of the previous . highest bidder and title shall be conveyed to the said second highest bidder within twenty(20)days of said written notice. . If the second highest bidder declines to purchase the within described property;the Mortgagee reserves the right to purchase the within described property at the amount bid by the second highest bidder. The foreclosure deed and the consideration paid bythe successful biddershall be held in escrow by DOONAN,GRAVES,&LONGORIA L.L.C.,(hereinafter called the"Escrow AgenP)until the deed shall be released from escrow to the successful bidder at the same time_ as the consideration is released to the Mortgagee,thirty(30)days after the date of sale,whereupon all obligations of the EscrowAgent shall be deemed to have been properly fulfilled and the Escrow Agent shall be discharged. Other terms to be announced at the sale. Dated:April 10,2008,HSBC Mortgage Services,Inc.,By:John A.Doonan..Esq:,DOONAN,GRAVES,&LONGORIA L.L.C:,100 Cummings Center,Suite 225D,Beverly,MA 01915,(978)921-2670, www.dgandl.com (1210.30/Demoura)(04/18108,04/25/08,05102/08)(109663), The Barnstable Patriot April 18,April 25 and May 2,2008 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION od Permit# scnl CD Mai �� Parcel Hedfi'h Division / BA Rf! � Date Issued Conservation Division l 9• 34 Fee Tax Collector �n ��- _ Treasurer .- Planning Dept. CheckeoaSPNG SEPTIC SYSTEM #OF BEDROOMS Date Definitive Plan Approved by Planning Board Apb�R%TO Historic-OKH Preservation/Hyannis Project Street Address ?S J Village 6Y,4AlAA Owner —Address Telephone Permit Request 1�CE DCY w A 1— -6 Ak • - CC44tc ., `C— Square feet: 1 st floor: existing proposed 61ap 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family W Two Family ❑ Multi-Family(#units) Age of Existing Structure 6 Historic House: ❑Yes �&No On Old King's Highway: ❑Yes -a No Basement Type: A Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing J new Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing 6— new new First Floor Room Count Heat Type and Fuel: .'Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes 40 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 10 No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garaga:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 0 No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name p �J� f�---4 Tele hone Number 3 6 0 f Z 3 Address e QJ00 _ C License# / . /✓tie PO2 i /K4 0�,2�'p ,2 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE _ � — -L• O S' FOR OFFICIAL USE ONLY R l L PERMIT NO. rr, DATE ISSUED f 19 MAP/PARCEL NO. ADDRESS VILLAGE j OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL C GAS: ROUGH FINAL FINAL BUILDING +� M1 ! DATE CLOSED OUT Lv L ASSOCIATION,PLAN NO. �. r ` The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual): Address: UJAO 1 r City/State/Zip: � �/ti°�5 r- Phone#: 360 3 C2 Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or par�er- listed on the attached sheet $ ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition corporation and[No workers 5.comp. insurance � We are a co� i d it 10. Electrical repairs or additions required.] officers have exercised their ❑ 3. 1 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. C. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 1.3.10 OtherR6PM-Cc- De,,v�cJ 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 subcontractors and their workers'comp.policy.infor oration. 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$1,500..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 certi and penalties of perjury that the information provided above is true and correct Signature: Date: 09 , p 5 Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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 Dire," 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 deerkd-o be'an-emp-loyer." 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 insura nce. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners; are not required to carry workers compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant ent affidavit indicating current that must submit multiple permit/license applications in any given year,need only submit one a g policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Acciden ts Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia °F114E 1� Town of Barnstable Regulatory Services BMW9 M SMS. Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: .508-790-6230 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. p Type of Work: R r lia CC_ j cu✓,��C/� Estimated Cost O,O--� Address of Work: 7! R�PAje kai oo T y Owner's Name: l<^h's.p 11i �_ Date of Application:. ()� ® � . O 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 yly 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: 1) Date Contractor Name Registration No. OR Na— Date O er's Name QIormslomeaffidav ' RESIDENTIAL BUILDING PER UT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Change of Contractor/Builder $25.00 FEE VALUE WORKS13EET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE 6C)o square feet x$64/sq.foot= x.0041= plus from below(if applicable) . GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 i >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= i STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projeost Rev:063004 t Town of Barnstable Regulatory Services t Thomas F.Geiler,Director + gARNSTABIZ M"S Building Division AIfD��p Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Ece: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: r. °A U)L uF r VQ ��, o� JOB LOCATION; �� `O�-( '( � L'� � � number village "HOMEOWNER!':��(��� �C /k ouaA J Os 2?e .5,?a$ >0-P 26�> Y'2 arne home phone# work phone# CURRENT MAU ITIG ADDRESS: 3 7 l c-2.g_)1 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building yermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department =ffo ores and requirements and that he/she will comply with said procedures and 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 pernut is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board-cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:fornwhomeexempt GENERAL NOTES: CBM ROOF/WALL PANEL NOTE5: 1. ENCLOSURES TO BE INSTALLED BY 6ETTERLIVING DEALER U51NG MATERIALS SUPPLIED BY CPAFT15ILT 1. TYPES,51ZE5 AND ATTACHMENTS OF STRUCTURAL PANELS SHOWN ON APPROVED LAYOUT DRAWINGS TO BE MANUFACTURING COMPANY(CBM). SELECTED TO PE5I5T COMBINED SNOW AND WIND LOADING(SEE TABULATED VALUES)USING PUBLISHED ^./ 2. MINIMUM DESIGN LOADS FOR BUILDINGS AND OTHER ENCLOSED 5TRUCTURE5 PER ASCE 7- 05 AS REFERENCED IN EVALUATION REPORT AND/OR CBM RECOMMENDATIONS. 2009 IBC/2009 IRC. 2. PANELS TO USE 3004 H374 ALUMINUM ALLOY/TEMPER(OR BETTER). 3. LOCAL DESIGN LOADS: 3. PANELS/PANEL CORE5 TO BE CONTINUOUS BETWEEN SUPPORTS. GROUND SNOW LOAD-30 P5F 4. PANELS TO BE INSTALLED WITH CONTINUOUS CBM 51LICONE SEALANT(MIN 1.5"WIDTH)ON ALL CONTACT SURFACES. WIND SPEED-115 MPH,EXP B. 5. ALL CONTACT SURFACES TO BE PROPERLY CLEANED PER MANUFACTURER,PRIOR TO APPLYING SEALANT, 4. ALLOWABLE STRESS DESIGN PER 2010 ALUMINUM DESIGN MANUAL. . 6. ALL PANELS TO BE MECHANICALLY ANCHORED PER AP?ROVED DRAWINGS AND TABLES. 5. CODE REFERENCES LISTED IN PROJECT NOTES BELOW ARE PER 2015 IRC. 7. ALL PANELS TO BE INSTALLED WITH AL H-STIFFENERS ALONG ADJOINING EDGES. 6. ALLOWABLE DEFLECTION NOT TO EXCEED L/120 PER IRC TABLE R301.7,NOTE c. 8. ALL PANELS TO BE ATTACHED TO H-5TIFFENER5(MIN#8 505 TEK @ 6 "OC)OR AS REQUIRED TO ACHEIVE FIRE 7. PROVIDE GUARDS ALONG OPEN-51DED WALKING SURFACES(STAIRS,RAMPS,DECK5&LANDINGS)LOCATED RATINGS. 30-INCHE5 OR MORE ABOVE GRADE PER IRC K312.1.1,K312.1.2,R312.1.3. 9. PANELS TO BE USED ONLY IN ONE STORY ENCL05UPE5 OF CONSTRUCTION TYPE VB,AS PERMITTED BY CODE. 8. PROVIDE WINDOW FALL PROTECTION AT OPENINGS OF OPERABLE WINDOWS LOCATED MORE THAN 72-INCHE5 ABOVE 10. PANELS TO BE USED ONLY IN ENCLOSURES WHERE CLA55 B OR CLA55 II INTERIOR FINISHES ARE PERMITTED BY FINISHED GRADE PER IRC R312.2. CODE. 9. EXISTING CONDITIONS TO BE INSPECTED BY CONTRACTOR AND ALL MATERIALS REPAIRED AND/OR REPLACED AS FOOTING/FOUNDATION /DECK NOTE5: REQUIRED TO RENDER THEM STRUCTURALLY SOUND AND COMPLETE. 10. CONTRACTOR 50LEY RESPONSIBLE FOR MEANS AND METHODS DURING ALL PHASES OF CONSTRUCTION. 1. FOOTINGS/FOUNDATION/DECK DESIGNED BY OTHERS. 11. OWNER/CONTRACTOR JOINTLY RE5PON5115LE FOR COMPLIANCE WITH ALL REQUIREMENTS OF AUTHORITY HAVING JURISDICTION(AHJ). 12. ANY DISCREPANCIES OR DEVIATIONS FROM DRAWING(5)REQUIRE REVISED ENGINEERING. A1515REVIATION5: 13. DRAWINGS APPLY ONLY TO STRUCTURAL/FRAMING ELEMENTS OF PROJECT. CBM=GRAFT-GILT MANUFACTURING COMPANY 14. DRAWING5 NOT TO SCALE.SCALING OF DIMENSIONS OFF DRAWINGS NOT PERMITTED. D=DOOR,M=MULLION,W=WINDOW,P=PANEL, 15. ALUMINUM SHOULD NOT BE USED IN DIRECT CONTACT WITH PRESERVATIVE TREATED WOOD. HC=HONEYCOMB PANELS,EP5=POLYSTYRENE PANELS, 16. STUDIO ENCLOSURES EXCEEDING 1&FTx20FT AND GABLE ENCL05URE5 EXCEEDING 18FTx20FT IN SIZE REQUIRE SITE AL=ALUMINUM,H=THERMALLY-BROKEN ALUMINUM H-STIFFENER, SPECIFIC ENGINEERING DRAWINGS. PT=PRESSURE-PRESERVATIVE TREATED OR APPROVED DECAY RE515TANT , 17. STUDIO/GABLE ENCLOSURES IN HIGH SNOW LOAD(>40 PSF)AND/OR HIGH WIND AREA REQUIRE 51TE SPECIFIC IN=INCHES,FT=FEET, MPH=MILES PER HOUR, P5F=POUNDS/SQ.FOOT ENGINEERING DRAWINGS. IRC=INTERNATIONAL RESIDENTIAL CODE, IBC=INTERNATIONAL BUILDING CODE, FRAMING NOTES: SPECS=SPECIFICATIONS,MAX=MAXIMUM, MIN=MINIMUM,DIA=DIAMETER, 5D5=SELF DRILLING SCREW, OC=ON CENTER,A5CE=AMERICAN 50CIETY FOR CIVIL ENGINEERS 1. FRAMING SHAPES AND 5IZE5 SHOWN ON APPROVED FRAMING DRAWINGS/FASTENER TABLES REPRESENT ND5=NATIONAL DESIGN SPECIFICATIONS FOR WOOD CONSTRUCTION. MINIMUM DIMENSIONS TO RESIST COMBINED WIND AND ALLOWABLE GROUND SNOW LOADS(SEE TABULATED VALUES). 2. EXTRUDED FRAMING SECTIONS TO USE 6063-T6 ALUMINUM ALLOY/TEMPER(OR BETTER). 3. ALL STRUCTURAL COLUMNS TO BE CONTINUOUS FROM FLOOR TO ROOF. 4. ALL STRUCTURAL 15EAM5 TO BE CONTINUOUS BETWEEN SUPPORTS. 5. END BEARING OF FRAMING MEM13EK(5)TO BE UNIFORM ACROSS FULL CK055 SECTION. 6. 15UILTUP FRAMING MEMBERS TO BE MECHANICALLY CONNECTED IN FIELD TO ACT AS A SINGLE MEMBER(MIN. 2#85D5 @6"oc/PLY). 7. BARRIER MEMBRANE(S)/COATINGS TO BE INSTALLED TO PROTECT ALUMINUM MEMBERS FROM GALVANIC ACTION BY OTHER METALS AND TO PREVENT CORROSION FROM CONTACT WITH CONCRETE,WOOD TREATMENTS AND OTHER MATERIAL5. 8. MAXIMUM MEMBER LENGTH/HEIGHT NOT TO EXCEED DIMENSIONS SHOWN&TABULATED VALUES. 9. MULLION SPACING NOT TO EXCEED THE LESSOR OF 7.5FT OR ONE HALF THE WALL DIMENSION. 10. WALL HEIGHT NOT TO EXCEED 98-3/4"(ALUMINUM ENCLOSURES)OR 111-3/4"(VINYL ENCLOSURES). FA5TENER NOTES: 1. FASTENER SIZES AND QUANTITIES SHOWN ON APPROVED CONNECTION DRAWINGS REPRESENT MINIMUM INSTALLATION TO RESIST COMBINED SNOW AND WIND LOADING IN TABLES. 2. USE FASTENERS THAT COMPLY WITH BUILDING CODES. 3. USE FASTENERS THAT RESIST CORROSION BY ACQ-C,ACQ-D AND CA-B OR OTHER TREATED LUMBER(WHERE APPLICABLE)AND/OR GALVANIC ACTION WHEN FASTENED THROUGH DISSIMILAR MATERIALS. 4. HOT-DIPPED GALVANIZED COATED FASTENERS TO CONFORM TO ASTM A153 OR BETTER. 5. HOT-DIPPED GALVANIZED COATED CONNECTORS TO CONFORM TO A5TM A653(CLASS G-1&5)OR BETTER. 6. 5TAINLE55 STEEL FA5TENEK5 AND CONNECTORS TO BE USED IN HIGHLY CORROSIVE ENVIRONMENTS AS REQUIRED BY BUILDING CODES.M05T COMMONLY AVAILABLE ELECTROPLATED GALVANIZED FASTENERS DO NOT HAVE A SUFFICIENT COATING OF ZINC AND ARE NOT RECOMMENDED. 7. NEVER MIX GALVANIZED STEEL WITH 5TAINLE55 STEEL IN THE SAME CONNECTION. 8. FA5TENER5 IN LUMBER(0.5>=G=0.6)TO BE INSTALLED INTO PRE-DRILLED HOLES WITH DIAMETER NOT EXCEEDING PROJECT DRAWING L15T FASTENER SHANK MIN DIAMETER(0.133"DIA FOR#10 WOOD SCREWS,0.150"DIA FOR#12 WOOD SCREWS,0.171"DIA FOR#14 WOOD SCREWS/0.25"DIA.LAGS)PER FASTENER MANUFACTURER'S INSTRUCTIONS. SHEET 1 OF 4-STUDIO ENCLOSURE PROJECT NOTES 9. MINIMUM SPACING BETWEEN FASTENERS TO BE 2.5xNOMINAL FASTENER DIAMETER. 10. MINIMUM SPACING FROM FASTENER TO EDGE OF PART TO BE 1.5xNOMINAL FASTENER DIAMETER. SHEET 2 OF 4-STUDIO ENCLOSURE WALLS/LAYOUT 11. ALL OVERDRIVEN FASTENERS TO BE REPLACED IN NEW HOLES. 12. BOLT HOLES TO BE 1/32-INCH TO 1/16-INCH DIAMETER LARGER THAN THE BOLTS. SHEET 3 OF 4-TYPICAL ALUMINUM STUDIO ENCLOSURE CONNECTION DETAILS 13. 15OLT5 TO MEET OR EXCEED A5TM A 307OR 5AE J429 GRADES 1 OR 2,OR BETTER. SHEET 4 OF 4-ALUMINUM STUDIO ENCLOSURE STRUCTURAL FRAMING 14. BOLT TO EXTEND THROUGH THE FULL THICKNESS OF THE MEMBERS. 15. BOLT5 TO BE USED WITH WASHERS NOT LE55 THAN A STANDARD CUT WASHER UNDER THE HEAD AND NUT MEETING AN5I 1518.22.1. 16. FASTENER QUANTITY/SPACING DESIGNATION 2x6 IN TABLES REQUIRES 2 ROWS OF 6 FASTENERS,OF TYPE SHOWN IN TABLE. WINDOW5&DOORS NOTE5: PROJECT- CONTRACTOR: 1. WINDOW AND DOOR UNIT DESIGN PRESSURE(DP)RATINGS TO SATISFY ALL CODE REQUIREMENTS. 2. WINDOW AND DOOR UNITS IN CONDITIONED SPACES TO COMPLY WITH ENERGY RATINGS PER CODE. q OF '9t PETERSON CARE FREE PATIO 3. GLAZING USED IN DOOK5 AND WINDOWS TO BE TEMPERED OR,IF INSTALLED IN HAZARDOUS LOCATIONS,TO 75 BRIARWOOD AVE 239 HUTTLE5TON AVENUE ALUMINIUM STUDIO CONFORM TO CODE GLAZING REQUIREMENTS IRC K308. y . CRAI J. � HYANNIS,MA FAIRHAVEN MA 02719 J®S ENCL05URE TRACT � �" DRAWN BY: CAP DWG NO.:SHEET 1 OF 4 I - 4032 PETER90N Stu Encl-10'X 15'-a f 120J ECT NOTES SCALE: N.T.S. REV: IRO DATE:06/08/2017 LAYOUT FLAN5 WALL 5ECTION5 EXISTING BUILDING ^ (2)1-3/4"x9-1/4" LVL coo ^ X FA5TEN TO OVERHANG X p W/(1)1/4"x 3"EMBED.MIN. O 84" 39" 75' 84" 39" A _ SEE DETAIL A ___ 75" (MAX) (MAX) O D V 4x4 TIMBER P05T V > _ O x X D r D M M r STUDIO SIDE WALL (A) STUDIO SIDE WALL (C) r 57"x60"W 57"x60"W 57x60"W Lho�o�oK1 B - WALL 45'-0" STUDIO FLOOR PLAN (NOT TO SCALE) 84 7" 7" 5 7"11(MAX) A55EM 13LY DETAI L5 _ WEATHERPROOFING/FLASHING/ E 5HINGLES BY CONTRACTOR EXI5TING TRU55 ROOF 3" Ef 5 CBM ROOF PANEL DY OTHER5, DO NOT CUT STUDIO FRONT WALL (B) WITH ROOF H5 @ " 0 O.C. 5EE DETAIL A (MINIMUM REQUIREMENT) MINIMUM 5LOPE 1:12 5IMP50N L50 GUTTER FASCIAADD 3/4" PLYWOOD TO WEATHERPROOFING/FLA5HING/ 3 10d X 3-1/4' NAIL5 INTO LVL HEADER 5UPPORT BEAM UNDER5IDE of TRU55E5 5HINGLE5 DYCONTRACTOR 3 10d X 1-1/2" NAIL5 INTO PLYWOOD I I 5EE DETAIL A • GLUE LAM BEAM (2)1-3/4"x9-1/4"LVL 3 1/4"x1"5D5 INTO TRU55 TRAN50M (OPTIONAL) FASTEN FIK5T FLY TOOVERHANG (PER MANUF.) 5LIDING DOOR W/(1)1/4"PIA.LAG x 3"EMBED. EXI5TING TRU55 ROOF OR WINDOW 51MP5ON BRACKET ACE4 }MAIN.STAGGERED @ 16"o.c. BY OTHERS, DO NOT CUT (OR EQUIVALENT) FASTEN 5ECOND PLY TO FIRST W/ (10)1rod NAIL51NTO P05T 10d x 3"NAILS,3 KOW5 @ 12"o.c. TEMPERED GLA55-� 10 16d NAIL51NT0 BEAM (PER MANUF.) FLOOR CHANNEL 4'x 4"TIMBER P057 ANGLE BRACKET 4"x4"TIMBER P05T ADD 3/4" PLYWOOD TO 51MP5ON A23 OR SIMILAR (TYP FOR 2) J(4)1/4'x 2"EMBEDDED U N DER5I DE of TRU55E5 DECK,DE5IGNED BY OTHERS 1/4"PIA.TAPCON r//��5CREW5(PER MANUF.) EVERY 6"o.c.ALONG TRU55 W/,"PIA.WASHER TYPICAL 5TU DIO SECTION @ P05T,2"MIN.EMBED. (PER MANUF.) ° CONCRETE FOOTINGS(15YOTHER5) NOT TO 5CALE MINIMUM 5IZE 18"X18"XFRO5TLINE DEEP DETAIL A d e TRU55/ LVL CONNECTION DETAIL N.T.5. PROJECT: CONTRACTOR: SECTION A-A ti�OF c PETEK50N CARE FREE PATIO P05T CONNECTION DETAIL AVE23 H TTLESTON AVENUE C � J. � 5 BRIARWOOD 9 U ALUMINIUM N.T.S. �3 ANNI5,MA FAIRHAVEN MA 02719 STIR UR STUDIO ENCL05URE 4 3 4 RAWN BY: CAP DWG NO.:SHEET 2 OF 4 +�1 PETER50N-5tu-Enc1-10'X 15'-a G E N E RA L LAYOUT FOR NOTES 5EE SHEET 1 - PROJECT NOTES % g_1 5CALE:1"=75" REV: RO DATE:06/OS/2017 ` TYPICAL FRONT WALL CONNECTION DETAILS ALUMINUM STUDIO FASTENER TABLES TYPICAL 51DE WALL CONNECTION-DETAILS 116 TABLE 35-FASTENERS FOR 115 MPH WIND,EXPOSURE B&40 PSF SNOW** h 115A 115A Fastener Quantity/5 acing(in) '177 z 115B 115C Detail ID Type Panel s an o 10' 12' 14' 16, 18' 8 d m 1158 115C 115A F1 1/2"Lag Screw into Stud 1 1 1 1 2 8 z 1158 F1* 1/4"Lag+3x3xOY'Washer - - - 1@36" 1Cc@36" 115C F1* 1/4"Lag Screw thru Al H'5 2@30" 2@36" 2@36" 2@36" 2@36" w 115C F2 #8x3/4"5D5@3x3 Post 2x4 2x4 2x4 2x5 2x5 115F 115F 115G 115G 115C F2 #8x3/4"5D5@Mullion/H 2x6 2x6 2x6 2x6 2x6 116E 116E 115D F1 #8x3/4"5D5@3x3 Poot 2x6 2x6 2x6 2x6 2x6 115D F1 #8x3/4"5D5@Mullion/H 2x6 2x6 2x6 2x6 2x6 115D 115D F2 1/4"Lag+ixtxO.1"Washer 2x3 2x4 2x4 2x5 2x6 115E 115F 115E 115D F2 1/4"Tapcon+1x1xO.1'WAsh 2x3 2x4 2x4 2x5 2x6li, 116D DECK,DE51GI 4ED BY OTHERS 115E I F1 8x3/4"5D501'o5t 2x6 2x6 2x6 2x6 2x6 DECK,DESIGNED BY OTHERS 115D 115E Note:`Lag thread to fully engage Al H flanges and Header top flange 116D SECTION 116B SECTION 115 116 Table valid for enclosed structures 115 (AT GLASS WING) CBM Panel SECTION 116 1/2" Diam. Lag 016"with 3"Embed(Min) CBM Panel Al H-Stiffener CBM Panel " into Wall Studs.Pre-Drill Holes. #8x3/4"5D506" 4-#6x3/4"5D5 @ H " 1-#8x3/4"SDS@Each End Fastener Tye F1 @ Mid Panel #8x3/4"505012" #8x3/4"5D5@12" CBM Silicone Sealant p Fastener Type F1 @ Al H's w/3"x3"xO.1 Al Plate WasherCBM Silicone Sealant (Continuous) Weather roof w/Sealant Weatherproof w/Sealant Contin )uous CBM Silicone Sealant #8x3/4"5D5@6" (By Othero) (By Others) ( (Continuous) CBM Panel CBM Silicone Sealant #8x3/4"5D5@column (Contin (Continuous)uous) CBM Silicone Sealant 3-#8x3/4"505@Each End #8x3/4"SDS @ 6" IG GU55 #Sx3/4"5DS@column CBM Panel #6x3/4"5D5012" #8x3/4"5D5@6" #Sx3/4"SDS@6" SECTION 116A SECTION 116A SECTION 1168 (AT ROOF/WING GLASS) (AT ROOF/PANEL WING) (AT PANEL WING) (AT GLA55 WING) Fastener Type F1 @ 16"with 3"Embed.(Min)into Wall Studs. Fastener Type F2 SINGLE PANE GL Pre-Drill Holes. for timber wall: for maeonry wall: SECTION 115A #8x3/4"505 @ 6" Fastener Type F2 #14x2"Hex @TB 1/4'A 1/2" Nail Anchors @TB #Sx3/4"5D5018" (PANEL HANGER @ HOUSE) SECTION 1158 Al Mullion/H or Post/Corner (IN BETWEEN POSTS) SECTION 115C (HEADER AT MULLION/POST) 248x3/4"5D5024" SECTION 116E Fastener Type F1 (Typ) (AT HOUSE WALL) 248x3/4"5D5012" 248x3/4"505 248x3/4"505012" 448x3/4"SDS Al Mullion/H or s Post/Corner #8x3/4"51)5012" #8x3/4"5D5012" #80/4"5D506"at every Fastener Type F1 #8x3/4"505012" 248x3/4"SDS door frame Sill Fastener Type F1 f:, Per ohino er Flashin Per Code FaotDiam.Washer J~~ r 1/4"x1 1/2" NallAnchor P@16'Code) �2-#8x3/4"SDS@12" 2-#8x3/4"SDS �—� 4E: _� g ( ) F/astene(T e F2 ) I' 1/4"A-1/2" Nail Anchor 016 for @ Post/Mullion Concrete Slab(min.4/unit) #8x3/4"5D5012" Concrete Slab(min.4/unit) w/3"Embed.(Min.) 2 #8x3/4"SDS " Perimeter Joiot5 "s #14x3" Hex@16"for Hex@ everyjoi5t(less than 24"0.0.) NL— #14xYWooden Deck(min.4/unit) � Faotener Type F1 (Typ) for Wooden Deck(min.4/unit) SECTION 115F SECTION 115F SECTION 115E SECTION 115P (AT TOP OF GLA55 SECTION 116D (ABOVE FLOOR LEVEL TO TOP) (AT FLOOR LEVEL) (AT FLOOR TRACK) (AT COLUMN TO DECK) KNEEWALL) (AT FLOOR/GLA55 KNEEWALL) #8x3/4"5D5012" SECTION 116C 248x3/4"51)5012" #80/4"5D506" #8x3/4"SDS@12" PROJECT: CONTRACTOR: PETER5ON CARE FREE PATIO ALUMINIUM 2-#8x3/4"SDS@12" for MULLION WITH �' GRP�� , 5 BRIARWOOD AVE 239 HUTTLESTON AVENUE 5TU D.10 ENCLOSURE for"H"CHANNEL DOOR/WINDOW JAMB JO S HYANNIS,MA FAIRHAVEN MA 02719 WITH DOOR/WINDOW MULLIONS 0 STRu R CONNECTION DETAILS T AND DOOK/WINDOW JAMBS SECTION 115G 4 2 DRAWN BY: CAP DWG NO.:SHEET 3 OF 4 SECTION 115G Alum-Stu-Conn 115 MPH - EXh B FOR NOTES SEE SHEET 1 -PROJECT NOTES SCALE: N.T.S. REV: KO DATE:6/8/2017 & 30 F5 F 5 N OW TYPICAL STUDIO ENGLO5URE HEADER ROOF BEAM PANEL z 0 CORNER MULLION m POST z m X FLOOR w CHANNE DECK DESIGNED BY OTHER5 I DECK DESIGNED 5Y OTHER5 ['MAX.COLUMN SPACING-� I PANEL FREE 5PAN--� FRONT VIEW 51DE VIEW WALL MULLION OPTION5 FLOOR / HEADER / BEAM OPTION5 2" .3" 1" Ll STUDIO WALL MULLION STUDIO CORNER STUDIO FLOOR CHANNEL STUDIO WALL HEADER - STUDIO WALL MULLION STUDIO WALL MULLION-H+2-MULLION5+2-JAMB5(MAX HT 7 FT-INTERIOR) STUDIO WALL MULLION-ELEC.MULLION+2-JAM135(MAX HT 7 FT-INTERIOR) 5TUDIO WALL CORNER+2-MULLION5+2-JAM55(MAX HT 7 FT-CORNER) 5TUOIO FLOOR CHANNEL STUDIO WALL HEADER+ARM(MAX SPAN 7.5 FT) MULLION MAX.ALLOWABLE GROUND SNOW LOAD(P5F) MULLION MAX.ALLOWABLE GROUND SNOW LOAD(P5F) MULLION MAX.ALLOWABLE GROUND 5NOW LOAD(P5F) MULLION MAX.ALLOWABLE GROUND SNOW LOAD(P5F) MULLION MAX.ALLOWABLE GROUND SNOW LOAD(P5F) SPACING SPACING 5PACING PANEL FREE SPAN FT 5PACING PANEL FREE SPAN FT SPACING PANEL FREE SPAN FT PANEL FREE SPAN(FT) PANEL FREE SPAN(F7) ( ) ( ) ( ) (FT) 8' 1 10 12' 1 14' 1 16' 1 18' (FT) 8' 12' 14' 16' 18' (FT) 8' 12' 14' 16' 18' (FT) 8' 10, 12' 14' 16' 15' (FT) 0 12' 14' 16' 18' 5' 100 100 100 100 100 100 100 100 100 100 100 5' 100 0 100 100 100 100 100 0 100 100 100 100 5' 100 100 100 97 87 5.5' 100 100 100 1D0 100 100 5.5' 100 100 100 100 100 100 5.5' 100 100 100 100 100 100 5.5' 100 100 100 100 100 100 5.5' 100 100 100 98 88 80 6' 100 100 100 100 100 100 6' 100 100 100 100 100 100 6' 100 100 100 100 100 100 6' 100 100 100 100 100 100 6' 100 100 100 90 80 72 6.5' 100 100 100 100 100 100 6.5' 100 100 100 100 100 94 6.5' 100 100 100 100 100 100 6.5' 100 100 100 100 100 100 6.5' 100 100 90 81 71 64 7 100 100 100 100 100 94 7 100 100 97 87 75 67 7 100 100 100 100 100 100 7 100 100 100 100 100 100 7 97 87 77 68 61 54 7.5' 100 100 100 95 84 74 7.5 87 74 64 55 48 42 7.5' 100 100 100 100 100 100 7.5' 100 100 100 100 100 100 7 5' 85 75 67 60 52 47 PROJECT: CONTRACTOR: q�OF � PETEK50N CARE FREE PATIO ALUMINIUM BRIARWOOD AVE 239 HUTTLE5TON AVENUE 5TUD10 ENCLOSURE CR s J. ��` YANNI5,MA FAIKHAVEN MA 02719 5TRUCTURAL FRAMING sou T R "' )PRAWN BY: CAP DWG NO.:SHEET 4 OF 4 UPTO 115MPH - EXI' B a0 A I Alum End 5tu 1508 Mul,Beam 10 FLOOR/HEADER BEAM FOR NOTES 5EE 5HEET 1 - PROJECT NOTE5 �d # SCALE: N.T.S. WALL MULLIONS REV:RO DATE:6/8/2017