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0076 CANTERBURY CIRCLE
7!p C�n�trbu� C'Grr/e '� _ - \J - Town of Barnstable Bildin 9 Post"This Card So;That�t is:Visible From theFStreet-<Approvetl Plans:Must�be;;Retamed�on�lob�and th�s Card�Mustbe Kept y 16 Pasted saa Permit Where a..Cerk�ficate of Occupancy is Required,suchBuild�ngshall Not be Occupied.un#il a Final Inspection has been made R Permit NO. B-19-2004 Applicant Name: Jamie Bricis Approvals Date Issued: 06/20/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 12/20/2019 Foundation: Location: 76 CANTERBURY CIRCLE, HYANNIS Map/Lot: 249 120 Zoning District: RB Sheathing: Owner on Record: FATER,GREGORY&LARISA , , Contractor'Name MY GENERATION ENERGY INC. Framing: 1 Address: . 76 CANTERBURY CIRCLE Contractor License 163006 2 u. _., . .. HYANNIS, MA 02601 ;K z '` Est.v Tbject Cost: $ 12,055.00 Chimney: Description: Installation of 19 roof mounted solar panels 45#ea,3#%sf,°18.5sf Permit Fee: $ 111.48 ea,total 351.5 sf Insulation: Fee Pai,. $ 111.48 a r Project Review Req: Date 6/20/2019 Final ,Y � u.� PI tubing/Gas Rough Plumbing ui i icia This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issue n Final Plumbing: All work authorized by this permit shall conform to the approved application and the3approved construction documehts'for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall`be in compliance with the local zoning:by laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for publicgmspectIon for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures 6ytl e Building and Fire Officials are,prouided`on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work i, 3 1.Foundation or Footing A Service: 2.Sheathing Inspection 0, � �� � � �� T ,�- Rough: 3.All Fireplaces must be inspected at the throat level before firest flu e1 ping is nstalled - 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection w Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Perso ting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Buildingplans are to be available on site p Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1 Parcel 1 c�� �� Application — Health Division /y Date Issued f 7�Y-14 Conservation DivisioriO� 0 Application F Planning Dept. ti0e Q�QJQ Permit Fee lO Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis e�F Project Street Addresse— Village iAm ou \►_s Owner /T QT i �' W� Address 31 EVI li S MN Telephone �Sd g� �� " a 1 b Permit Request { t!m\ �a� rOr�'C y Vj faj 5�q1' COVexc_ oA AION .9 xm;5 Lav sWna e-s +3 Square feet: 1 st floor: existing (O-Dproposed 2nd floor: existing proposed Total new Zoning District R% Flood Plain Groundwater Overlay Project Valuation I9 Construction Type WOOa K\-e - Lot Size b o 1A 0.Gre S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family')0 Two Family ❑ Multi-Family (# units) Age of Existing Structure q13 Historic House: ❑Yes`® No On Old King's Highway: ❑Yes�l 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: existing _new Total Room Count (not including baths): existing I//D new First Floor Room Count Heat Type and Fuel: "'Q Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes \q] No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garaged existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 'NU No If yes, site plan review# Current Use 4 i Proposed Use j i 10 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name V0.�3 R - ��xE' � Telephone Number Address 32 1 License # 9 Home Improvement Contractor# Email ®�\ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 3(&, 6\�Kgfi SIGNATURE DATE �� I � � b FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL "GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable Geographic Information Systern May 6, 2016 At 249121 ® Q #67 30 . YD Ar • 249120 <�" "' #76 E � 6S 249119 #71 iIWY A' 249117 0 9 Feet DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:249 Parcel: 120 N boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner.FATER,GREGORY&LARISA Total Assessed Value:$271600 Selected Parcel 1"=too'may not meat established map accuracy standards. The parcel lines on this map are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner. Acreage:0.29 acres Abutters a'?'"' boundaries and do not represent accurate relationships to physical features on the map Location:76 CANTERBURY CIRCLE such as building locations. Buffer P.R.O. Handyman Service,Inc. r k _iu vy. .e_-+rn+. ...,}.0 .a...,n.w..ro.rw�..,unr.cn.sa+aw.M.'e '.uwivMV.tiwroru:L-•`W.uAlw�iesrw,yw k ' �u � .f 1 k 4 _.........»»......,... .,....»...... nrP ..... .� I - ,4m�Q , i 1 SA n�.n.:.aw...<M? wn...:a:<:ry -.�i.A•r. -.u.wvnrv._..u:..rvu.nwx:.-.x.»,*+uM Aw.�iu...r:. ,.:��w.....u... � 3 .. �+nr�_r_-+,�n-r.�..+-N ... 1 P.R.O. Handyman y: Y Service,Inc. 1 Sfic�efi' i 5 F ....; 'C�;�`t�G� + 4 ' e Tl , 406QO� XcN 5���� s S► �� PkAN h is b ^ �C a P.R.O. Handyman Service,Inc. a t . jS4¢ 15 a s 9 ye � P.R.O. Handyman Service,Inc. V'a e ( - -�- r a j �. a Town of Barnstable Geographic Information Systern May 6, 2016 249121 ,,.,,,. #67 yk 30NO , F k 249120Air 76 249119 #71 x 249117 #56 0 9 Feet -,""`~— DISCLAIMERS:This ma is for planning Ma 249 Parcel:120 yy------��--�y p p g purposes only. It is not adequate for legal P� A , � boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:FATER,GREGORY&LARISA Total Assessed Value:$271600 Selected Parcel 1'=100'may not meet established map accuracy standards. The parcel lines on this map •cn, Co-Owner: Acreage:0.29 acres Abutters. "' „r are only graphic representations of Assessor's tax parcels. They are not true property 9 boundaries and do not represent accurate relationships to physical features on the map Location:76 CANTERBURY CIRCLE such as building locations. Buffed �L P.R.O. Handyman Service,Inc. th CZS SA r , t r. Service,Inc. S , 3I?C— 1b\S `\C 4x UA\) �� ,� v�rc�1 Sh r� Vic ? P.R.O. Handyman Service,Inc. r �1�q�v � P.R.O. Handyman Service,Inc. f Office of��fs�u�ISii"�l�'fn�i'i'�S�4�if'�Si'�Yess {i(fi't<Uhf`"��� License or registration valid for individul use only before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR e. office of Consumer Affairs and Business Regulation a =f;�2Registration: „134548 10 Park Plaza-Suite 5170 ' �'Expiration 1215/2017 Individual Boston,MA 02116 r '3 PAUOUELLETTEir:. PAUL OUELLETTE >4 382 CHESTNUT HILL RD. x k<,•.. -- ` ' MILLVILLE,MA 01529 "- _:= Undersecretary Not valid without signature r 4 Massachusetts-Department of Public Safety Board of Building Regulations.and Standards Construction Supervisor License: CS-095237 PAUL R OUELLETTE 382 CHESTNUT LiII.T R A]D fii NMLVILLE MA 01529`1 �. �r I Expiration Commissioner 07/28/2016 ofTy Town of Barnstable Regulatory.Services ' E A'/57NRT1RT4 E '. $ Richard V.Smg,Mrednr 16 $II11illhig DIVM' 'On Tom Perry,Em"i�Commissioner 200 Mam Sir=e Hy=3*MA 02601 WWW town-I sfable ma_us Office: 508-862-4038 Fa= 508-790-6230 Progeny Owner Must Complete and-.Sign This Section If US ing A Builder L Ce- 0 ��!S 0.�� ,as Qwmr of the sub'ect ro J P �PAY herel�p autb orize �O.V.� • O V. �� fi to act on my behalf; in all matters relative to work authorized by-this building permit appIicatioa for.' 4 • (Address off ob) '`''�Poolfences and alarms are the responsibility of the applicant Pools are not to be filed or tti&d before fence is installed and all final. .. ections. ormed and accepted. sio� S, of Applicant 02 Pi=Name Pristt Name D Q:FoxMs�wr�P�s�oozs . Town cif Bamsfable Regulatory Services Richard V.Srafi,Dirednr , Bu Ming W7LIOlt t t t ate • Tom Perry,E u[ffln Commkdoner 200 M26a St=at Hyamus,MA 02601 'rent wte W to VMbaMgbb e.maIIs Office_ 508-862-4038 - Fes: 508-790-623D HOM'EOWIM r rrEM EXEhTlON . .Plc�scPrint IJATE: JOB LOCATIOI�L- ' aambcr' rEcut �� , namr_ it®GphonG# W�Cphonc i` . 7 CQRPM T.MAII.IrIGADDRHSS. — zip code The=am-nt exemption for"homeowners"was extended in iaclIIde own(-,r-occQ of six units or less and to allow home-owners to engage an individual for hire who doesuotpossess a.license,ptoyided that tbcawneracts assapervisor_ DXFDZ JMX ORHOMEOWNER p mson(s)who opens a parcel of land on which he/she resides or intends to reside,an Which.tl=is,or is intended to ba,a one or two- family&Welling attached or detached stract n-cs accessory to such vse and/or farm strachaes. A person who cons5mcts more than one home i a a tWo-year period shaA not be cons& �,a homeowner. Such`homwwneew.shall sabmitt o the Bmldmg Official on a form acceptabletotheBm�Official,thathcAhrshaIlberesyonsible for allsashwarkperfoffiedtmdeathebniidmgyc�it (Section 109.L1) The rm& rsig e;d`homeowum-ass rrn--e responsIzlrty for compliance wrathe State BmZdmg Code and other applicable codes, bylaws,roles andrmg-a7at;ans_ - r the un&-Mgoed`bomeowneT'cues diathe/she finds tile'Town ofBamslable Bwlding Deparimrntmiuimmntnspection procedures zadregni=emenia andthat he-Ishe will comply with said pmcedures and reqcdrrmeOOts. • 5igua�ofSomcawnrr . Approval ofBm7d"mgOMci2l Note. Three family dweIlirV containing 35,000 conic feet or larger wIllbe t0 comply wifhthe Sta�Building Code Seddon t27.0 co, on.ConfmL HonMowN IS pox The Code statr_s that: a A ny homeowner performing work for which a building permit is regired shall be exempt from the provisions of this sectio�n.(Secfioa 109.L1-Licensnig of constradion SMpervisors);provided that if the:homeowner engages a person(;)for hire to do such work,that such Homeowner shaIl act as supervisor." M=y homeowners wiio use this e=mpfmIL arc unaware;that they are aSsuuLg the responsiibUdes of a supervisor (see Appendbc Q,Rules&Regulations for licensing ConsCrudion Sipervisors,Seeiion 2.15) This lack of awareness often results in serious problems,p=dcnlarly when fhe homeowner hires mmTcensed persons. In this rase,our Board cannot .proceed agzinst the=Hcensed person as if would with a licensed Supervisor_ The homeowner acting as Supervisor is vIfhnatrly responsiibIe. To eamwe•drat the homeowner is fully aware of his/her responsibMtles,many communides regnrre,as part of the permit application, that the homeowner certify that he/she rmdersbnds the responsibTides of a Supervisor. On the last page of this issue is a form cnrrenlig used by.sei mml towns. You may caret amend and'adopt such a fbrmlitertification.for use in your cammxn3fty. Q:l�dpFll�FOBZ��*�?'��P��s1�XPB.FSS.dcc Revised 061313 /�� a /6 PLAIV RTO {/�A' {/fir•/ TOWN: hYANNIS ;ys PLICART: EATER. I f?.CLE - 1 0:33 m� � y w JiYJVJJ J7J%Jli., �. r./Jii./iJii7J% 1� . . X. ' 35 zop 13 _ LOT 14 zor _Ile �p��Sa�A �, � •"< � `C���iJT[i7CU CSGr 9 s= :. SiEFi d — DOYLE P II _ C FLOOD PANEL: 250001 0005 C FLOOD ZONE: "C" DATE MAP REVISED:S08L 19/1985 INSPECTIDH PAN HAS e�Pr�PARED FOR: DATE: REF: 1363 REF- 205-95 r�av CERTIr"Y THAT THIS µDate-Act DEED' REF: 13fi34-40 PLAN MORTGAGE MASTER., INC. APE TrIE LOCATIOk OF THE DWELUNG SHOWN DOGS NDT FA:.L WTHIN A x"''EC1AL t•T�fTD i;A'�'�-C1'r- U ND 1N51RUAlENT SS1ON WAS'''E�C!M A D&Ai10N...--IO41N RR-i?FRDN6fATc pG�- TICS INS_PwiION T}!E D%.&a.ING APF'ciR_S TO CDNFD^n.` TC TH..LOCAL Z�1lAv 3lLAYr Ct2.vrcCT SUR1rY IS NEC�aARY FOR PPc_CISG'Dc'TERFAhIGt Del 'flDING LDCATIDNSSUR� hF iiic TilAE�1�Dld VIG ATIDN QdFDRCExIEN NMAL T�ACTION UNDSR AfAGRAI L 4CAiAaT'ric 137AE?1TS Qi is p�]AP- DES �rlaJ=CT TD AND t!iiK TNc o27EFlT DF 4L iil�l��, l IG�r D'wY AND ENCROAN NSTRU%ACHMENT:IF ANY EX15i EiTHG32 WAY ACRRiS P?O-E4TY JNc� y/�N}C1t[ftND ScCT10N 7_F EE lC= CTIDNS qp (p ANY TtuR_SiAL' �+ 4N'v 1N DrySURWY AOF THS PLAN FDR PUP.POSES OTHER THAN MORTCAGE NSP CTIGk.'�J TING FROM ANY U5= r.Gucr TS NY NATIONS AND R'c5TTT1 AS Trlc SAE ARE Or LEGnI FGrZCE AND _ 0�5 YAN�EE -LA11jl� SUR I�'Y COMPANY, INC TELEPHONE: 508-428 0 40 Industry Road, Marstons Mills,. MA 02648 FAX: 508-420-5553 yankeesurvey©comcast.net www.yankeesurvey.corn 80501 SH 17ie Conzrriorriveal'th a,f?t assacbmsetts Departinent off 1ndu.strial Accidents { 600 Washington&reet ti Baston,MA 027111 F R tt�fuxtrlydss gavfs�irt "J : ..:* , , .. '[corkers' Campensat on Insurance Affidavit:Builder-s/CuntractGrsmecfricians/Plumbers Applicant Infarination Please Print Le gib Name(SuUSmE�,'Dig3nrZ3Gian1ln,� nag} � � � Address: �b� C'Ity/StatctZip_ Phone 44, Are you an employer?Cl ee the appropriate boas Type of project(required)c 1.❑ I am a employer uith 4. ❑I am a general contractor and I employees(fish andlor part-time).* have hired.the sub-cantxactozs 6_ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet; 'T_ ❑Remodeling ship and haxre no employees. . These sob-contractors have 8- ❑Demolition worl:ing forme in any capacity °employees and have workers' [No workers' comp_insurance comp.insurant�$ ' g- ❑wilding addition, required.] We are a corpmtion and its 10.❑Electrical repairs or additions 3.❑ I am.a homeoumer doing all work officers have exercised their M❑Plumbingrepairs or additions mys elf-[No workers gip- ' right of exemption per MGL it's ,'ncrrxance required-]i c.152,§1(4k and we have no 12.❑Rnofrepa employees.[No workers' 13.0 Other comp.insurance required-] *Any applicantthstched:sbox 01 mast also fill outthe section.below showing the¢zmxRers'compensation policy informadoa Homeowners who submit this aftidaeii indicating they are doing all warm earl tfiea hire outside contractors ams#submit anew affidavit indic&,ting scab_ FC'onttsctorsthat ebwk this box must attached an additfanat sheet showh3E the name of the,sub-ccutrw-to-rs and state whether or not those entities have employees.If the sub{ontactamhave employees,theyMusfpmtmide their worker'romp.policy nrmnba- I am an en�pivj�rr tl'eatis pratzdnrg�aarkers'-caneresatfalr insuranser7r }�enrpla}�ees SeToty is the paTiay wad jab site information. Insurance Company Nam: . Policy 44 or pelf-ins-Lic. Expiration Date: Job Site,�lddress CitylStateJ�sp: Attach a copy of theworkers"compensationpolicy declaration page(showing the poficy number and respiration date). Failure to secure coverage as required.under Section 25A of MGL c M can lead-to the imposition of criminal penalties of a fine up to$1,500.00 and'or dne-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and.a F= of up to M-00 a day against the violator. Be ads}ised that a copy ofthis statement maybe forwarded to the Office of lavest gations ofthe DI,A,for insurance-coverage verification_ I do y lzRpairrs artdrrahFies ofpet fury tiiatfJee infanvtmFivit protiried ab Cm��is hue arrd crrrrect mature. Date: ^ 1 �' Phone 197 D Official use anTy. Da trot twits in this.area,fa be campfeted by city ortonrrr offidaL City or Tanis: PerrnitUcense# Issuing Authority(ca cIe one): 1.Board of Health 2.%ilding Department 3. ]Town Clerk 4.Electrical Inspecto€ 5.Plu- Bing Inspector 6.Other Coact Person: Phone#: Information and Mstrue.-ions Massachusetts General Laws chapter 152 requires all employers to provide workers.'compensation for their empIoyees. parmznttD this fie,an Pmp[gyee is defined as-"—every person in the service of another under any contact of hire, express or implied,oral or writtmm" An e nPrayer is defined as"an individual,partacrship,association,corporation or other legal entity,or any two or more of tho foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partaersbip,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 bu lldmg appn ten ant thereto shall not because of such employment b e deemed to be an employer." MGL chapter 152,§25C(6)also sues that"every state or local licensing agexrcy shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildiags is the commonwealth for any applicant who has not produced acceptable evidence of compliance with the iasnrance.coverage required" Additionally,MG-L chapter 152, §25C(7)states"Neither the commO1rweahh nor any of its political subdivisions shall enter into any contract for the performance ofpublic work imbl acceptable evidence of compliance with the fi su ter,ce._ requrirenimts of this chapter have been presented to the contracting authority." AppHcauts Please BIT.oiat the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), addresses)and phone number(s) along with their certificates)of ;,sii ante. Lmited Liability Companies(LLC)or Limited Liab�ity Partnerships(LLP)with no employees other than the members or pmtners,are not required to cauy workers'compensation insurance. If an LLC or LLP does have employees, a policy is requited. Be advised that this affrda7ih maybe mribm"fitted to the Department of Industrial Accidents for confirmation of in�ce coverage. Also be sure to sign and date-the affidavit The affidavit should be returned to the city or town thaf the application for the permit or license is being requested,not the DePartment of Ldtstial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please caIl.the.Depmtne:nt at the number listed belovi. Se1f-msrxred companies should enter their s elf-in turn ce license ntuber m the appropriate line. City or Town Officials Please be sure that the affidavit is complete and pried legibly. The Department has provided a space at the bottom of tilt affidavit for you to fill out in tine event the Office of Investigations has to contact you regarding the applicant_ Pleast be sure to fill in the permit/license number which will be used as a reference number. Ia.addition,an applicant that must sabmiL mvltiple pemit/license applications in any given year,need only submit one affidavit mdicatiag current policy information(if necessary)and under"lob 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 b e provided to the applicant as proofthat 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 citiz=is obtaining a license or permit not related to any business or commercial venture (fie. a dog license or permit to bum leaves etc.)said person is NOT regdae to complete this affidavit The Office of Investigations would h to thank you in advance for yotu cooperation and should you have any gnesfi inns, please do not hesitate to give ns a call- The Department's address,telephone and fax number. ThI C<a.MMMWeaja of Massarhus:ttts Df-paitnmt cif lndu-,irial Aden-% Of ace of 111VeSdntio.� Boston.,MA Q2111 Fax 9 617` 27 7749 Revised 424-07 masFgpvldi3 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map. pp Parcel / Application # I2 zo Health Division Date Issued 7 1 7 / 1 Conservation Division Application Fee Planning Dept. Permit Fee9 ' TV Date Definitive Plan Approved by Planning Board —� `!3 Pe Historic - OKH _ Preservation / Hyannis Project Street Address 7 G C,a i�e,-b��� Village #1,Jana i 6 Owner,,,., d- L,ar,�s:� l Y+l r r Address 3/ F'//,s 04. 01(,n { Telephone SDI - 73,( "- 24 o Permit Request Ste, 'I ck Y• ►0d, l ,n a loc e e-P -e.,<.,s Square feet: 1st floor: existing 14,Ar proposed 3,si 2nd floor: existing d proposed C� Total new 3&1i Zoning District Flood Plain Groundwater Overlay Project Valuation LI7.Gv� d� Construction Type e Lot Size y A4 Grandfathered: ❑Yes 2"No If yes, attach supporting documentation. Dwelling Type: Single Family 0'-� Two Family ❑ Multi-Family (# units) Age of Existing Structure o Historic House: ❑Yes UlNo On Old King's Highway: ❑ f Yes lq-o Basement Type: Vtul-ull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) NIA- Basement Unfinished Area (sq.ft) ,z Diu Number of Baths: Full: existing Q_ new 0 Half: existing 6 new m Number of Bedrooms: 7S existing Q new Total Room Count (not in ding bath 3): existing S- new 1 First Floor Room Count IP Type Heat T e and Fuel: Q G s ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes No Fireplaces: Existing i_New d Existing wood/coal stove: ❑Yes UJ/No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size Attached garage: dxisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: 01 `= Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes a No If yes, site plan review# Current Use j�es,��� Proposed Use �e APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Z t >r3�,1�/Iu ,� 1�,��,,,�-� Tti�� Telephone Number Address License # D& 1 Home Improvement Contractor# i�lI tia Worker's Compensation # 1 CUL3 -22 yo o7 s�,?--3 �9 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C4 o SIGNATURE DATE '~! FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED r MAP/PARCEL NO. ,t ADDRESS VILLAGE w F .V t' OWNER .a DATE OF INSPECTION: FOUNDATION FRAME ,INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ' M ASSOCIATION PLAN NO. I r Ltr j� h d t Le C011illLoll}VB[llflt ofMa.TSIIchuseft r 3 .: 1 Ytrtf. Yfi Xf .L `�` t t.2 i `rr�r, Y':'. !� D /d itfi R epaTtflie7lt Of�l! 1:tCQ O•�ce of�avestigatYorr.� .7 600 Washington Street. _ Bostair;hCA 02111 • 1VW1Y.171aSS goV�� ,. .. r Workers' Compensation insurance Affidavit-BmU&rs/Contractors/Electriciam/Plumbers Applicant Information qq Please Print Le>�Iy ,1 Name(susiness!--� '�xticm/F.,riipirinan: L + 13o,Id YX + P,Ck./��c •Address: City/State/Zip ,n4 .G�s-7) Phone.#: ' S;-o 9,(,Gi --5'G�s"S' Are you -employes?Check the appropriate box: -Type of pioject-(required):_ 1. I am a Io with • 4. .E I am a general contractor and I emP yet _ 6. E New construction . employees(firIl and/or part time).* have hired the subcontractors 2.❑ I an a sole proprietor or partner- listed on fire'attached sheet:: 7. 04U�deling ship and have no employees These sub-contractors have ' •8. employees and have workers' working fprme in any capacity: 9. Magding addition [No wmke ' Comp.Tnsm-ance- comp.insurance. req�] 5. El We are a corporation'and its IO.E$lectrical>epairs or additions 3.0 I am a homeowner doing ill-work officers have exercised their 11.E Plumbing repairs or additions.,- right ofexemption per MGL myself. [No workers comp. - 12.E Roof repairs ink seer required_]t c. 152, §1(4),and we have no employees.[No workers' 13.E Other cpmp.insrnancc required-] *Any applicant that choler box#1 roust also f U out the section below.showing their workers'compensation policy infnrmatian. t Homeowners who submit his affidavit indicating they are doing aIl work and Oren him outside contractors must submit a new affidavit indicating such. 1Co2hactors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not thQBC eutities have employ=. If the sub-contractors have employees,they mustprovidt their workers'couup.policy numbF. 'I am an employer that is providing workers'compensation insurance for•my employees. Below is the policy and job site information LmnanceCompanyName: Policy#or Self-ins.Lic,#k �� 'l l�' —2'Z �l U 3 ,3 i Expiration Date: Job Site Address: 7lr G,er n erbu^:i Cf ne_-4e City/StaWZip: r�,.`s ' �✓fi Attach a copy of the workers' compensation policy declaration page•(showing the policy number and expiration dafe). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine upto$1,500.00 and/or one-year nmprisommmt, as-well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against fire violator. Be.advised that a copy of this statrrm_c=n�may be forwarded to the Office pf Investigations of the MA.for Insurance coverage verification I do-hereby certify u ains-andpenaldes of perjury that the information provided above is true and correct Si tore: XG'/j. Date: Z/A,/j•�z Phone StG 1-1 0jj7c4 d use only. Do not write in this,area to be completed by city or town offzcid. 'City or Town: PennitlUcense# Issuing Authority(chicle one): 1.Board of Health 2,Building.Department 3.City/Town Clerk 4.Electrical Inspector S.Plmnbing Inspector 6. Other Contact Pearson: Phone#: y .. f i a 44 k�" 'i ATYC Guide to Wood Construction ir1 H441 Wind AI'eaS:110111ph Wi11d Zone Massachusetts Checklist for Compliance (�so cn�rR s3ot�.l.l)` - Check - Complianm 1.1 SCOPE WindSpeed(3-sec.gust). .............................. .............:....................................................... ..... 110 mph WindExposure Category................................................................. .............................................................B y Wind Exposure Category................Engineering Required For Entire Project.......................................0 12 APPLICABILITY Number of StDdes(a roof which exceeds 8 in 12 slope shall be considered a story) stories :5 2 stories Roof Pitch .........{Fg 2) _<12:12 Mean Roof Height ..............:........(Fig 2)................................._................/�L ft :5 33' �. BuildingWidth,W ...............................................................(Fig 3)......................................--_:.... .......:............. •ft _<80, Building Len L •(Fi9 3).........:.:........ Building Aspect Ratio L/W ............(Fig 4)................................................. s 3.1 Nominal Height of Tallest Opening2 ...(Fig 4)............................................... 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2).......................................................... ...... 2.1 FOUNDATION Foundation Walls meeting requirements of 78D CMR..5404.1 Concrete........ ............................... .......................................................................... 1z ConcreteMasonry................................................................................................................................... 2.2 ANCHORAGE TO FOUNDATION"' 5/3'Anchor Boltstimbedded or 5/8"Proprietary Mechanical Anchors as an altematfve in concrete only a BoltSpacing-general .............:......................... (Table 4)................................................ _in. Bolt Spacing from end(oint of plate ................:............(Fig 5)..................:................. r_in.<-6'-12". Bolt Embedment-concrete.........................................(Fig 5)....................................................-7 in.i 7" t/ Bolt Embedment-masonry..................:......................(Fig 5)............r............................... in_>_15" PlateWasher..:.............................................................(Fig 5)........................................ 3"x 3'x'/� 3.1 FLOORS Floor-framing member spans checked ...............................(per 7130 CMR Chapter 55 Maximum Floor Opening Dimension..................................:(Fig 6)......................__..._._......_...............1:�L 121 Full Height Wall Studs at Floor Openin s less than 2'from Exterior Wall(Fig 6)................................... 9 ._.. , Maximum Floor Joist Setbacks " l� Supporting Loadbearing Watts or Shearwall................(Fig 7).................................................... ft 5 d� Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall............. (Fig 8).....................................:_.......:.....R L ft _<d L� FloorBracing at Endwalls....................................................(Fig 9)................................................................... Floor Sheathin Type .............................(per 780 CMR Chapter 55)................................... Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55)........................4z in. J/ Floor Sheathing Fasternng..................................................(fable 2).. d nails at _in edge/ in field t� 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)...........................Z ft <_10' Non-Loadbearing walls............:...................................(Fig 10 and Table 5)...........................J�_ft's 2D' Wall Stud Spacing .........................................................(Fig 10 and Table 5)...................A, in. 24'D.C. WallStory Offsets ........................................................(Figs 7&8)............................................ G' ft c d !/ 4.2 EXTERI OR-WALLS Wood Studs LDadbearing walls...... ......:...........................................(Table 5-)..................._.......-2 4_ ft in, y Non-Loadbearing lls..................................:.............(Table 5)..............................2x�- ft in. 1/ Gable End Wall Bracing' FullHeight Endwall Studs..........................................!,(Fig 10)......................,........................................... WSP•Attic Floor Length..................:.............................. (Fg 11)............................... D ft>_W/3 -� Gypsum Ceiling Length(if WSP not used)....:...............(F 11 ............................................. ft>:0.9W 1 ' ' and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. ..(Fig 11)............................................................... _ or 1 x 3 ceiling furring strips @ 16'spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays_1z Double Top Plate Splice Length .................:......................................(Fig 13 and Table 6).................................... a- ft L/ car,-A rrnnPntinn fnn. of 16d common naffs)..............(Table 6).........................................................J v P. 7 f I F S 'I {� ' ' 1 AfVC Cuide to Wood Construction hi High` Kind Areas: 110,riz h Wind.Zoiie MassacIiusetts Checklist for Compliance(7so 0MR53011.1.1)I Loadbearing Wall Connections Lateral (no.of 16d common nails)................................(Tables 7)..................................................... X. Non-Wadbearing Wall Connections Lateral(no.of 16d common nails)................................(Table 8)....................................................... �- Load Bearing Wall.Openings(record largest opening but check all openings for compriance to Table 9) Header Spans ........................................................(Table 9)...................................q ft O in.511' Sill Plate Spans ........................................................(Table 9).................................. T ft d-in.511' f/ Full Height Studs (no.of studs)....................................(Table 9)....................................................... 3 Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans......:.....................................................(Table 9)..................................eft - in.512' Sill Plate Spans...........................................................(Table 9)....................................$� ft Cf in.5 12' Full Height Studs (no.of studs)....................................(Table 9)........................................................ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension, W Nominal Height of Tallest OpeningZ ...............................................................................4-45 6'8" SheathingType..............................................(note 4)........................................ ....... .... j_Sc_ �. Edge Nail Spacing.........................................(Table 10 or note 4 if less)......................... in. !/ Feld Nail Spacing p 9.......................................-..(Table 10).................................................. in. Shear Connection(no.of 16d common nails)(fable 10) Percent Full-Height Sheathing ......................." (fable 10).................................................... % 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts).................... Maximum Building Dimension, L 1 b Nominal Height of Tallest Openingz....... .................................................................DI-�5 6'13' l/ Sheathing Type..............................................(note 4)----- --__-____....._..__......... .... .___••---•--•-- 7//k Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................_,in. Feld Nail Spacing...........................................(1-able 11)................,........................,....... It-in. Shear Connection(no.of 16d common nails)(Table 11)....................................................... (- Percent Full-Height Sheathing........................(Table 11)...................................................�% % 5%Additional Sheathing for Wall with'Opening>6'8'(Design Concepts).................... Wall Cladding j Ratedfor Wind Speed?.............................................................. ............................................................... y 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool, see BBRS Website) Roof Overhang ....(Figure 19) F firs smaller of 2'or U3 .................. ............. Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift.................. _._.._..(Table 12)..................: - o p y....................... .........................U- r 7 if Lateral..............................................(Table 12)............_.-......._............_.........L=_Mplf Shear...............................................(fable 12)............................................S=-:U.plf Ridge Strap Connections, if collar ties not used per page 21... (fable 13)...............................T= 0 plf Gable Rake Outlooker......................:....................(Figure 20) ............. -fn smaller of 2'or 112 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift:......................:.....:..................(Table 14)..._..._.............. .... .U=�lb. Lateral(no. of 16d common nails)...(Table 14).......................................L g2=blb. Roof Sheathing Type................:..................................(per 780 CMR Chapters 56 and 59) ............ r/ Roof Sheathing Thickness.....................................:..... ........................ gjC in.>7/16'WSP r/ Roof Sheathing Fastening............................................(Table 2) ..................................._b Notes: .................. 1. . This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR•5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. A Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. I e r s 7-"S t r, ,k ' t ' f s s i A , AFy'C Griide to YYopd Corrstrrictiorr'iu Hiblr'1YinrlAreas I10 ntplr+l�ixrd Zone Massachuseffs Checklist for Compliance (780 cn•IRs301 2.1:I)1 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: 1. Panels shall be installed With strength axis parallel to studs. il. All horizontal joints shall occur over and be nailed to framing. III On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection: a)new house or horizontal addition—required if project is 1 mile or closer to shore(generally,south of Rte.28 or north of Rte.6) b)vertical addition—not required unless there is extensive renovation to the first floor c)replacement windows—needs energy conservation compliance only(chap 93) 6.Wood Frame Construction Manual(WFCM)for 110 MPH, Exposure B may be obtained from the American Wood Council (AWC)website. '-WHEN THE EDGE RESTS ON FRAMING USESd NAiI.S ATfi= • n 11 • u 11 li ii I - q r C3 o i 1 n it o I y. F1 itku FRANIryG MEMBERS ! U 1 t EDGE&"ERWMWTE II ll IL X . II o ii it I rc STAGGERED 3`MMJ. p `----- i NAA P'AT ERNN PANEL }r PfcNEi— — ��-4 PANEi E!DCCE QOUE3I.E N.AII EDGE SPAGiVG DZ=TAL See Detail on Next Page Detail Vertical and HOr[ZDntal Nailing 1Ierlical and Hotizantal Nailing for Panel Attachment for Panel Attachment e 21 IS 4 I 3 ,ry�rr r !i 1 , .b�a i d 1 } - rr I _Y 7 t,a i;. & r Y� , { t [ `�ir^b Z '.u yror1,; �t 3 -. i 4.f� 3I t i4� T- � :1 '^, j.-.It5UN � INE ° Town of Barnstable :R � e ato Services .. _" ' ` Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www:town.barnstable.ma.us. Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This .Section If Using A Builder as Owner of the subject property hereby authorize �. `� on , in all matters relative to work authorized by this building permit (Address Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is ' d and all final mspec 'ons are performed nd acre �Z/, �ao cKpnatut of er ignaLie of Applicant Print Name Print Name V Date v QTORMS:OWNERPERIMSIONPOOLS 6/2012 ) Z 1 _ j ihr4�x r I gY f •�,( '4 h, (t ! t z x i y7 y rp;x 1 yi.r '...i l x t S Town of Barnstable ' Regulatory Services " # Thomas F.Geller,Director 1639. .�� Buwi it Division . A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 " www.town.barnstable.ma.us Office: 508-862-4038 .Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ". Please Print DATE: JOB LOCATION: number - street. village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-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. DEFINTITON OF HOMEOWNER Persons)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 strictures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section`109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other. applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the,Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner I Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section•l09.1.1-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 y; 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:forrns:homeexempt 04/10/2013 11;00 Manero_I nsurance_Agency (FAX)5087577484 P,001/002 CERTIFICATE OF LIABILITY INSURANCE F94tlC/2013 THIS CERTIFICATE I8 188UED AS A MATTER OF INFORMATION ONLY AND CONFERS NO.RIGHT$ UPON THE CERTIFICATE HOLORR, THIS CERTIFICATE 130118 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 16SUING IN8URER(S), AUTHORIna REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. a comnaaw nolair a on AD DITIONAL INSURED, the po ICy(ee) Must be endorsed, if SUBROGATION , subject to the tonne ono CDndIvans of the policy, certain policies may require an andomemont. A statement an this onUflato doss not Center Aghts to the eortltfeats holder In Ilou of such endomement(s). PRODUCER ,, Chariea J. Manero t(anero Ynausance Agency : 300-757-4145 N,a08-767�7484 617 Dull 8traot ,NORIMIa manerojoa8 charter.not P.O. Hots 20709 INew4*)APPDwwwv mA wuce Woraester, Na 01520 INWRARA:TCavolora IHmo INSURrR a 1 L i J building 6 Renodelinq INOURER C: 11 Corbin Read INeuRelto: Dudley, ma 01S71 INIUMN, Immm r: COVERA093 CERTIFICATE NUMBER: REVISION NUMBER, THIS 16 TO CERTIFY IMAT THE POLICIES OF INS TED BELOW HAVE 'BEEN THE INSURED IME15 ABOVE FOR THE POLICY PERIOD INDICATED. NOTWTiHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS = CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY " POLICIES DESCRIBED HEREIN 18 SUWjCY TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REOUCED SY PAID CLAIMS. L111 TWF DID INGUIPIANCa NOR VIVO POLICYNIRIBER M (MlYppfYYYIT LIMIri aswiwLIABIUIY BACHOCCURARNOE O 10000,000. COMMlRCALGENERALLIABIUTY r-680-132SB79A %tip 06/20/12 06/20/13 PRE1MeE0 er-rq4Kw na► 1 900,000, CLAIMSIMAOE ®OCCUR r-680-1523370A in 06/20/13 06/20/14 MeolRPlAnyenrp�nen) t 6,000. PERSONAL 6 AN INJURY a 1,000,000, GIWAALAOGRIOATE a 2,000,000. OENLAOGRIGAT!LIMRAPPUEePER: PRODUCTS.CONProPAGO a 2,000,000. Pauev 71 MY 7 Loc s AUTOM68"LIAMUTY (PA.oaW.ntSTROLI:um ANYAUTO. B'DOILY INJURY(P.rpomm) f ALL AUTOS OWNED $CHEAVTOULEO O BODILVINJURY(Pa.waanp- f. HIR50AUTOf NON•QM9Q - - AUTOS 1 UWRA"LAa OCCUR EACHOCCURRENCa 1 exconI" CLAMi1MOR AGGREGATE f MD RET!wmN 1 f YIO LPEINRAMN - AND aMP1.OYMLIAetuTV Y!N TORY [R A o CEwR1ET0fflARNAEMWACLNUGEP0Ia0�V 1 ❑ NIA 12OB-224OM83-3-09 04/13/12 04/15/13 F-L NAM ACCIDENT f 500,000, (M-ObgInNo i3D9-2240M83-3-10 04/15/13 04/15/14 LLDIRRAGE•EAEMPWVEE 'S 800,000. rr 011cme W101t 46CIRIPTIONOFOPERATIONSbrlew Ia.LDI1PaS!•P000YUMIt f 80t);ODO, DEOWOPtION OP�IAATIONf f LDCATIONOIVEIpCLaO WbeA AD0110/OI,AddNhn.l IMewM.OeMAYN,a men fp�a h nq.lwd) CERTIFICATE HOLDER CANCELLATION VoMn of aanotable Building Department Trig ANY OF 7I46 ARM DESCRIBEO POLICIES N CAWILLga BEFORE THtt EXPIRATION DATE THERECF. NOTICIE WILL R DELNERED IN 200 Main $treat ACCORDANCE WRNIWO POLICY PNMIONIL 8yannia, NA. 02601 AVT110 ATT+/E CORPORATION. g ,,, marMi. ACORD 26(1010105) The ACORD norm and logo are registered rmfM of ACORD n -7 69 . e fi Existing roof 12 F �Y ma - v New 16*1W.Addition 6 e t r F Existing House , a , h 6 J UU" Aft Aai�R '< Back view 11 CORM ROAR Dmmy, 1 6x6 posts —Footings,, w �,� 12"x 48" . �� New Cobra,ridge vent. r New 30:year,arch.shingles . _ F , Vented,Dri .ed e Existing house New vinyl siding w_. Skirt below.floor to.6x6;PJ..timber,. New.P.T.steps 2ea. �l /ice side View F Existing Garage Existing Dinning Room ` slide New:fire door,36 Ex�stin g r New Entry.36" ,9 New Art Studio , New Family Room' ,n 2"x 4" Wall with open top 9 ' 16` , I o. 1311 sPI _ K, : s i New Harvey casement ,, New Harvey Double Casements both sides 1 Picture window I . 24' a_ Floor Plan Cobras ridge,vent 30 Year.Arch.shin 16 3-1/ 11=7/ VL 2x4 Collar Ties 4 ;: R-30C Insulation � - .::5 8" CDX�PI ood; ° Proper vents - r. v.'n f •r°+' • n '` .:.. '". a .. ,, .. .,. •'': .:. , ., . 301b.Felt Paper, :: ^ _2X10"Rafters E Ice Water Vented'I _ ' 1 2" B. o.. ard`& Plaster Simpson,Rafter bolt Overhang S W D C15600 •.. x� fi e : ..* Yr... '.+• .., icy ..fy f- a ` n i e „ 11-15:Faced"Insulation.. �° .P 2x4 WaIlL studs Vinyl Siding �T T ek:House:.wra . 4 - i 2" CDX'PI ood., —3/41j'T&G Plywood r R-38 Insulation - -- 2X10 floor Joist 16" O/C Sim son,H 1 Tie - r 5"x 12" P.T Beam Simpson D6 oodOIL 6-x6 Simpson D73 + • Posts at^96"O/C 3/4" Stone -,- ,0. .._ r 1�1OHT AG-E TM,,_7��i ,�@i P APPLICANT: FATER. TOWN:- 4;YANNIS C 1 f .CL E 61. ' 1 %/%III%IIII'/I�1/!I/!/I!/IIIII.I✓I!I/. � 2�. `fJ CV /VCW Ste„ { -115 Op, LOT 14 LOT 1� p,AAA :"frSz YIDS - S T EPH-N DOYL �. FLOOD PANEL: 250001 0005 C FLOOD ZONE: "C" DATE MAP REVISED: 08/19/1985 DAM 09/09/09 SCALE: 1 I H,,aY CERTIFY-MAT THIS MORTCAGE INSPECTION PLM HAS BEEN PREPARED FOR: DEED REF: 13634-40 PLAN REF- 205-95 MORTGAGE' MASTER, INC. THE tOCAT1Ok OF THE DWEWNG SHONN DO NOT FA:t WITHIN A S?ECIAL FLDOD HA?luRD ZC�e ONLY.NO INSTRUMENT SURVEY WAS PERfam AND: AiI0N5 r441y_ARe AP?ROl4MATc PAR T.A�@ 1NSPEC,T79N THE OIFJJ.IkG APPEARS TO CONFORSb'TO TFIE LOCAL ZON!NG 3YI.A16 R!.rircCF THE SIRUCTURr-5 SHOWk�'! Tf115 MORTGA(E INSP'cCTlL PIAN ARE LOCATED 5Y TAP�c,SURV: AT The TIME OF C�ISTRUCT!ON%Ti RESPECT TO HOR,ZOtJTAL 01ktENSIONAL�i$AC aREOJ'azBA-I1T5 AN BISTRUMEttT SURVEY IS NEC�iARY FOR PPSJS DETERMAT!04 OF 3UILDING LOCATtQNS OR IS EST FROM Vl(yATION ENrORCEIAENT ACTION UNDER MA Ot.N_RA2 LAWS C4A Tuc±{fA AND ENCROACHMENTS:IF ANY EXIST.EITHER WAY ACROSS P?O`M-Ty UtIES YANKEE LANO SECTION 7.REEF Ii�DEED°`ajECT TO AND%MN THE o'n'PFIE�T�G R!���GAN'v INSOFhR SURVEY COM?AHY INC, SHALL NOT BE HELD lJA9!E FOR DA�tAGSS RuJi T1NG FR0�4'ANY US AS-MEA R� � AND =O�sOF pECORO, OF THIS PUN FOR PURPOSES OTHER TRAN MORTGAGE KSPECTfGN- TELEPHONE: 508-428-0055 YANKE ' I,A11TD S VEY COMPANY .INC 40 Industry Road, Marstons Mills,. MAr 0264$ FAX: 508=420-5553 yonkeesurvey®oomcast.net www.yankeesurvey.com 80501 SH REScheck Software Version 4.4.3 Compliance Certificate Project Title: Sunroom addition Energy.Code: 2069 IECC Location: Barnstable,Massachusetts Construction Type: Single Family Project Type: Addition/Alteration Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 76 Canterbury Circle Joseph DiPilato L&J Building and Remodeling Inc. Hyannis,MA 02601 L&J Building and Remodeling Inc. 11 Corbin Rd 11 Corbin Rd Dudley,MA 01571 Dudley,MA 01571 508-864-5655 508-864-5655 Ijbuild@yahoo.com Ijbuild@yahoo.com . • Compliance:2.2%Better Than Code Maximum UA:93 Your UA:91 The%Better or Worse Than Code index reflects how dose to compliance the house is based on code tradeoff rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. liilG►a,�X Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 384 38.0 0.0 10 Wall 1:Wood Frame, 16"o.c. 450 19.0 0.0 18 Window 1:Vinyl Frame:Double Pane With Low-E 144 0.330 48 Ceiling 1:Cathedral Ceiling 448 30.0 0.0 15 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Sunroom addition Report date: 04/09/13 Data filename: Untitled.rck Page 1 of 4 REScheck Software Version 4.4.3 Inspection Checklist Energy Code: 20091ECC Location: Barnstable,Massachusetts Construction Type: Single Family Project Type: Addition/Alteration Heating Degree Days: 6137 Climate Zone: 5 Ceilings: ❑ Ceiling 1:Cathedral Ceiling,R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: Windows: ❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-38.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/doorjambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. ❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Air Sealing and Insulation: ❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 50 pascals OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. M Comers,headers,narrow framing cavities,and rim joists are insulated. Project Title: Sunroom addition Report date: 04/09/1.3 Data filename: Untitled.rck Page 2 of 4 (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: 171 Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: Materials and equipment are installed in accordance with the manufacturer's installation instructions. Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: Lj Building framing cavities are not used as supply ducts. All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181 A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). Cj Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 8 cfm per 100 ft2 of conditioned floor area. (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 12 cfm per 100 ft2. (3)Rough-in total leakage test with air handler installed:Less than or equal to 6 cfm per 1,00 ft2 of conditioned floor area. (4)Rough-in total leakage test without air handler installed:Less than or equal to 4 cfm per 100 ft2 of conditioned floor area. Temperature Controls: Where the primary heating system is a forced air-fumace,at least one programmable thermostat is installed to control the primary heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. Heat pumps having supplementary electric-resistance heat have controls that prevent supplemental heat operation when the compressor can meet the heating load. Heating and Cooling Equipment Sizing: FI Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: i Circulating service hot water pipes are insulated to R-2. ❑ Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping'Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: Heated swimming pools have an on/off heater switch. Pool heaters operating on natural gas or LPG have an electronic pilot light. Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Project Title: Sunroom addition Report date: 04/09/13 Data filename: Untitled.rck Page 3 of 4 I Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage—15 (d)50 lumens per watt for lamp wattage>15 and—40 (e)60 lumens per watt for lamp wattage>40 Other Requirements: Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement'c'). Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title: Sunroom addition Report date: 04/09/13 Data filename: Untitled.rck Page 4 of 4 2009 IECC Energy Efficiency Certificate �M0 Ceiling/Roof 30.00 Wall 19.00 Floor/Foundation 38.00 Ductwork(unconditioned spaces): Window 0.33 Door .(- .Eftmm= '[ Heating System: Cooling System: Water Heater: Name: Date: Comments: KeyBmnS 4.600d, 16 x 24 add'n 4-10-13 �mEleamFrqo026 MaterWs Database 142 Barnstable,MA 11:27am Materials IYarebase 1429 1 Of 1 Member Data Description:Beam R Member Type: Beam Application: Roof ridge beam Top Lateral Bracing: Continuous Slope: 0.00/ 12 Bottom Lateral Bracing: None Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Snow Load: 30 PLF Deflection Criteria: U360 live, U240 total Dead Load: 20 PLF Deck Connection: Nailed Member Weight: 10.8 PLF Filename: Miners-Carpo Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Replacement Uniform(PLF) Top a 0.001, 16' 3.50" 360 240 Snow roof/ceiling load 12'trib @ 30/20 16 3 8 16 3 8 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.009, Wall SPF#1t#2 2x or 4x End-Grain(1150psi) 5.500" 1.57Y 4791# -- 2 16' 3.500" Wall SPF#1/#2 2x or 4x End-Grain 1150 i 3.500" 1.573" 4791# — Maximum Load Case Reactions Used for applying point loads(or line loads)to carrying members Snow Dead 1 2824# 1967# 2 2824# 1967# Design spans 16 8.2W' Product: MASTER PLANK 2900Fb 1.75x14 2 ply PASSES DESIGN CHECKS Connect members with 3 rows of 0.131 x 3.5"nails at 12.0"oc Design assumes continuous lateral bracing along the top chord. Design assumes no lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 18790.'# 31049.'# 60% 8.23' Total Load D+S Shear 4078.# 120211 33% 0.4' Total Load D+S Max.Reaction 47911 106584 44°/a 16.29' Total Load D+S TL Deflection 0.5642" 0.7844" L/333 8.23' Total Load D+S LL Deflection 0.3326' 0.5229" U566 8.23' Total Load S Control: TL Deflection DOLS: Live=1001h Snow=115% Roof=125% Wind=160% All product names an:trademarks of their respective owners D Webster Hood Distribuition Copyright(C)2013 by Simpson Strong-Tie Company Inc.ALL RIGHTS RESERVED. Ayer,MA -passing is defined aswhen the member,floorjoist,beam orgirder,shown on thisdrawing meets applicable design criteria for Loads,Loading Conditions,and Spans listed on this sheet.The y design must be reviewed by a qualified designer ordesign professional as required for approval.This design assumes product installation according to the manufacturers specifications. Milton,VT Manchester,CT C ......... - K lie i�a�rvrizoixcuea/,/� �� a�uaeCZa Offic@ of ns Coumer Affairs 8c Bu mess Regulation y License or registration valid for mdividu4 use-on Y (� �4 HOME IMPROVEMENT CONTRACTOR before the.expiratiowdate.-.If found retura Registration toi 721140 I Type Office of Consumer Affairs and Business Regsulat�on s Expiration 4/10/2014 Private Corporatlo, 1,O Park Plaza-Suite 5170 L& BUILDING INC. Boston;MA 02116 J_; EPH DIPILATO Ili 11,CORBIN RDA Fa . DUDLEY, MA 01571 :"- Undersecretary i of valid without signature. y i �2Cu�S"ar:!�'ilh£'s; �'..,rJ3.�. •�..CI,..i1: Hoisting, En�,inlcr Licer;se: HE-037474 JOSEPH DIPILATO III J 11 CORBIN RD ft _ DUDLEY MA 01571 = F rnmds sic ne 04/13/2014 . F ;'ii�SS��,'tia;.�sez?s -i_�,•����6-,.: :aPi"fi:�.•5 ;'{1i33G�a'it.r�r Board of EtAld.ipg Regulations and S"'r:_n dai ds. Cmasttucflon�t7nL'±i'd9(II' License: Cs-065251 JOSEPH DIPILATO III ` IdiT,fill 11 CORBIN RD DUDLEY MA 01571` p Coda aissior a 04/13/2014 � 1 :� ✓1ze�aanvr�wnwe� a�JZL�craaacs/u4et�'d �\ Office of Consumer Affairs&Bu iness Regulation _ —rHOME IMPROVEMENT CONTRACTOR jj Registration: ,.,,4 1140 Type: 1 f, Expiration 4/10/2014 Private Corporation L& BUILDING&-EMODELING INC. jOSEPH DIPILAT0II 11 CORBIN RD DUDLEY,MA 01571 Undersecretary J of Town of Barnstable *Perm, # fd 00 Expires 6 mo_&Asfrom issue date Regulatory Services Fee Mirsrnsce, : Thomas F.Geiler,Director. SS PERMIT Building Division -Tom Perry,CBO, Building Commissioner DEC 9 ZOOS 200 Main Street.,Hyannis,MA.02601 www:town.barn stab l e.m a.us Office: 5MANQF BARNSTABLE � Fax: 508-790-62�0 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without.Red X-Press Imprint Map/parcel Number( q Property Address La-&F'..Y\Y l ey. '111� Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address DQ PIA VC&.)CtZ Contractor's Nam Telephone Number L�.(��l. " Home Improvement Contractor License#"(if applicable) X0 Workman's Compensation Insurance Check one: I am a sole proprietor 0.I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name 0 6,)M 4 Workman's'Comp.Policy# 1)C(UU Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping"old shingles) All construction debris will be taken to El Re-roof(not stripping Going over existing layers of roof). Re-side . Replacement Windows/doors/sliders.U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation;etc: ***Note: Property Owner.must sign Property Owner Letter of Permission. , A"copy f.the"Home Improvement Contractors License is required. SIGNATURE: Q:Forms:buildingpermits/express_ Revised 123107 r t The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations . a 600 Washington Street Boston,MA 02111' t wM SVe�',W www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): . Capizzi Home Improvement Inc. 1.645 Newtown Road Address: Cotuit, MA 02635 Tel.428.951 - - - City/State/Zip: Phone.#: Are you an employer?Check the appropriate box: Type of project(required):. 1 I am a employer with_ 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑New construction. employees(full and/or part-time). , 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7emodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an cap aci employees and have workers' Y P tY 9. El Building addition [No workers' comp.insurance comp. insurance.$ 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.❑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#1 must also fill out the section below showing their workers'compensatiodpolicy 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 providingworkers compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#:Wo&—l. C, Expiration Date: S Job Site Address aw 1 ( \llC City/State/Zi 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$250.00 a day against the violator.-Be advised that a copy of this statement may be forwarded to the Office of Investigations of the PIA fo insurance coverage verification. I-do-hereby-c-erti-; - -de e. in a-nd penalties-of-pe-rjur-y-that-the-info_r-matiompr-ouided-above-is-tr-ue andcor-r-true Si mature:. Date: _ Phone Official use only. Do not write in this area,to be completed by city or town official City,or Town: Permit/License#' , b ; Issuing Authority(circle one):.. . 1.Board of health 2.Building-Department 3.City/Town Clerk; 4.Electrical Inspector 5.Plumbing Inspector 6.Other' Contact Person: Phone#: f Client#: 47298 CAPIHOM ACORD,- CERTIFICATE OF LIABILITY INSURANCE DATE 06/12/2008YYY) PRooucea THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers$Gray Ins. -So. Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR I ALTER.THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 1601 -- South Dennis, MA 02660.1601 INSURERS AFFORDING COVERAGE - I INSURED SURERA. NGM Insurance Company Capizzi Home Improvement, Inc. :~SURER B American-Home Assurance i Capizzi Enterprises, Inc. --� ::NSURER C. I 1645 Newtown Road --- -- - -- - - -- { I NSURER� j Cotuit, MA 02635 - -- ---- 1 INSURER E COVERAGES ------------._.._...--- -- THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PCUCY 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 POL!C!ES DESCRIBED HEREIN IS SUBJECT TO AL_THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN,MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE 'POLICY EXPIRATION .. - - LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE IMM/DD/YY) DATE(MMIDD/YYI LIMITS A I GENERAL LIABILITY MPB1075H '06/08/08 06/08/09 IACHocc:ukRENCE $1 OOO 000 X COMMERCIAL GENERAL uA<Y - :DAIotAGE TO RENTED '_'PcM:S-S Ea c rr n S500 000 CLAIMS MADE x'I OC:;LR . V E EX?;Any one person) $10 000 _ I -_.--_. OERSCNAL&ADV INJURY $1 00O 000 i GENERAL AGGREGATE s2,000,000 I GEN'L AGGREGATE LIMIT APPLES PER - +?R•COUC TS-COMP/OP AGG $2 OOO OOO PRO- - POLICY JECT LOC j AUTOMOBILE LIABILITY CO±V.BlNED SINGLE LIMI! I ANY AUTO sc $ � � - E I Idenl) I 'ALL OWNED AUTOS --'--- -'�----= SCHEDULED AUTOS _ _ fPer Dersoni ---- — t HIRED AUTOS 1 ::NJURY 1 NON-OWNED AUTOS I-Per acooenq i$ � — � i f'RCh'F RTY DAMAGE i I I $ 'f)rr af.Cderl) GARAGE LIABILITY A Tll-0NLY-_A ACCIDENT $. ANY AUTO - EA ACC $ I 07HER iHAIN i AI-;-()ONM.v AGG 5 A EXCESS/UMBRELLA LIABILITY CUB1O76H O6/O$/O$ O6/O$/O9EACH OCCURRENCE $5 000 000 X OCCUR CLAMS MADE ' ;AGGREGATE $S OOO OOO -- $ DEDUCTIBLE - _- - $ X RETENTION $10000 • $ B WORKERS COMPENSATION AND ;WC6716562 12/25/07 12/25/08 IX `.N I ITS C STATU• CER Y EMPLOYERS'LIABILITY - _ ANY PROPRIETOR/PARTNER/EXECu''IVE ^_ EACH ACCIDENT s500,000 !OFFICER/MEMBER EXCLUDED? '~=• DISEASE-EA EMPLOYEE $SOO,000 If yes,describe under - t•== SPECIAL PROVISIONS below _ __-- DISEASE•POLICY UN41T $500,000 !OTHER --'--- _ DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT;SPECIAL PROVISIONS - Carpentry CERTIFICATE HOLDER CANCELLATION , SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable !DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL l DAYS WRITTEN 200 Maim Street I NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL Hyannis, MA 02601 1IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S36540/M36539 KW © ACORD CORPORATION 1988 ��ie 'COarra�novuaea�ll o�/vLaaacze�iueetta Lx Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to; (f':\ Board of Building Regulations and Standards RegistrA11.0; 100740' One Ashburton Place Rm 1301 xptlRt] 6 23/2010 t i 1 Boston,Ma.02108 6j, ? Re SIIPlement Card CAPIZZI HOME>IMfRVMJNII�I b RY GUSTAFSON,�;r 1645 Newton Rd. :r,. _ _ otna Cotuit, MA 02635 ' Administrator No valic itre onvnxa'� pL , l� �l!,iLU4t3t'Z6 - t Board of Building Regulations and Sta`hdards Construction Supervisor License License: CS 74640 B i rthdate: 11/29/1975 Expiration: 11/29/2008 Tr# 6430' Restriction: 00 ; GARY GUSTAFSON 8 SHORT WAY SANDWICH, MA 02563 Commissioner Page 7 of 7 CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, OWN THE PROPERTY LOCATED AT IN , MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. /f/S SIGNATURE OF OWNER: OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: CONIMONWEALTH OF MA;SSACk USETTS De partm.: nt of Public Safety O>ne Ashburton Place, boom 1301 Boston. MA, 0210 8-1618 APPLICATION FOR RENEWAL OF CONSTRUCTION SUPERVISOR LICENSE ,r GARY GUSTAFSON 8 SHORT WAY SANDWICH, MJ1 02563� Please note changes to mailing address. j License No: 74640 Last Name:: GUSTAFSON Restricted to: 00. i First: G°.RY Expiration: I . p. tio.n_ 1,1/29/2008 I --- - ty:Ci SANDWICH _ 1CH Lice Tlses not renewed by the expiration dat shall become void, slid shall a$er examination.of the licensee(780 CMR I 10_R5.2.4), one year be reinstated Only:by re- If you have arty other construction related state, city, or town,licenses or. re i.stratio Improvement Contractor Re isttatioll. HIC),pleaseg ns (including M,assachusctts Home g 'fil.l in the fol.lowin information: TY06 of issued license/registration. y License/ngistra-da, Expiration date number Nam. license/registraton holder. Please enclose a check or money order made payable to the.Coalunonwealth.of Of$100.00.DO NOT 1V1g1L CASH:Write the license num ,ber on'the front of thMassachusetts for the required renewal fee check or money order. Mail the completed ire newal form.w,itb PsYme>at to: Depa.Ctment of public Safety CSL Rencwal P.O.Ebx 414376 I AUTHOR -E DPS TO USE MY RMV PH Bostob,.MA 02241-4376 This option,authorizes the D OTO FORMATION(Please check box on the left). epartm.ent.of Public Safety to efectronically access rn . hoto h from.the Massachusetts Registry of Motor Vehicles database solely for use on this licettselz egistration.If ou �aP RMV photo or_do not have a MA RMV license, do not submit this rcnewalorata.Please visit Y do not authorize use of your Mh W.MASS.GOV/DPS/FORMS for additional inFoxm.ation oti tlae CSL licensexeneivalpEocess: the DPS wcbsite at I hereby certify under the pains aitd penalties of perjury i:hat to the rest of ray knowledge and belief tli.e ' Is correct and that I have filed all.stage tax returtas and paid al]'state taxes required bylaw and information.above Commonwealth relative to the withholding and,payment of child support. compl cd with.all laws of the option I gave permission:'for D to access m pport. I and by checking tits RMV photo procedu will result in. ,ou w y RMV license photo Information.Failure to follow.DPS license Y al status being changed to "Incotziplete"unt#1 a properphoto is received, photo. � >aa r 'of Applicant .�f �0�✓ Dateo .�LGl JUL{�IUllfLiloE9RD l.@R. S3L7 #iSRil q4 ...: - , - .. " CAPIZ21 HOWIF IMPROVEMENT,INC. 34266 q ' Vendor. COMMONWEALTH OF MASSACHUSET i S* Check: 34266 Check dale: 11/1812008 Invoice# Invoice Date Gross Amount Retn Amount Net Amount 74640 .111812008 License.#74640-- -'100.00 0.00 10o00 r 'r _ --•i: 90 .- �� Al�ttJlt • , e�Qyof7�ETo�°� TOWN OF BARNSTABLE ti� � B STAXIM 1639. i M �•� o Y BUILDING INSPECTOR pv a• 4 APPLICATION FOR PERMIT TO ..................... ... :. ,...:................:.:.................................... • f � TYPEOF CONSTRUCTION ............... `........,. ,.rqC . .. .................................:....................... ...................; .................. 9 '... TO THE INSPECTOR OF B ILDINGS:/ � The undersigned hereby a plies for a permit according to the following information: Location ... ..... �'rr" . .. � t�:.t .... . ..�< .. �/ !..: .. �,.r... .. .... ProposedUse ........R! :1 ............................................................................................................................... ZoningDistrict ........................................................................Fire District .......:....... ........................:.................................... Name of Owner f`� A 'dress .............. ''` .� .... '. . Name of Builder -,p Address ......... �t �;. ... ss ......... ..f.L�e� . ,p.......................................... Nameof Architect ..................... ..........................Address .............. .,�.................................. � a J , Number of Rooms ............... ,�. ......Foundation Exterior ..... #, ... . ; •g.. . ...Roofing .. �.R Floors ��r. . `•�,r�" .,. `�, .. ....:......Interior .......... .,. Heating .141:�"�'. :�'�`��!�. .. . 1�.�. .... . ......Plumbing .............. �/.,..... �..�r� � ........ Fireplace °' � .......Approximate Cost, '. • ,•• ... ...... .: .. . Definitive Plan Approved by,,Planning Board ._. -__---_-__-_------------ Diagram of Lot and Building with*Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH' 1y >w x w ''j� w) '� A 5v L L 0 :E gg. Ll Lt1 0 C, t!} I - H 1 <' LU `` fir LU b. <� CL , ji I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. s Name . s �, ..., k•, Rig, lee. . ` Cedar Acres Realty Trust / ` one � . No —�����— Permit for -----...��v^�--.. ` single family dwelling [ ----.—^--.-.--_---.--.-.—..----- � /� Ca ' ' bv ' ����'°'� �......'.........'...^:...'^^...........................'' � —'--'---..����oo�..—.------------. C^*nar ..........Cmdar''Aoreo''Real t�..Trust ._ | ' �ra�e Type of Construction -----.--------.- —^^'—`—^--^-^---'—~^^''---^`-----` �? p|of ------.--- Lot ----.-1�---.. Permit Granted ....... .4...............lA 72 � Date of Inspection ........................ 19 � / PERMIT REFUSED � � . ' -'---'--'.------.------' 19 � > ..—.—...-----.-----.—.--.~----.- ` / } ' ' '.~_.^...~..~.~..,~._.^..,.—_._.,.--..---. / ---------'-----'''---'—'---'---'-'— | �_-------_---'---_—'—_'__-----' Approved ................................................. 19 � ' -------------'--^--^--'^--'-- , -------'--------`~---^^^--~^- ` � � Certified Plot Plan in Barnstable, MA Address : 76 CANTERBURY CIRCLE Prepared For : PAUL OUILETTE Assessor's Map: 249 Lot: 120 Baxter Nye Engineering & Surveying Community Panel Number 250001 0562 J, Effective Date July 16, 2014 Registered Professional F.I.R.M. Map Zones: X (un—shaded) Engineers and Land Surveyors Plan Reference: Plan Book 205 Page 95 78 North Street, 3rd Floor Deed Reference: Deed Book 24070 Page 314 Hyannis, MA 02601 Phone — (508) 771-7502 Fax - (508)-771-7622 Owner: Gregory & Larisa Fater Job Number. 2016-042 Scale ; 1" = 20' Date : 06-09-2016 NO S: 1. ZONING INFORMATION: DISTRICT RB 2. A TITLE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE. THERE MAY BE RIGHTS BY OTHERS, EASEMENT, TAKINGS, MORTGAGES, RIGHT OF WAYS ETC. NOT DEPICTED. IF DETERMINED TO BE NECESSARY, A TITLE SEARCH SHALL BE PERFORMED BY OTHERS AND SUPPLIED TO BAXTER NYE ENGINEERING & SURVEYING. 3. THE PROPERTY LINE INFORMATION SHOWN IS BASED ON CURRENT AVAILABLE RECORD INFORMATION CONSISTING OF PLANS AND DEEDS. THE EXISTING FEATURES SHOWN HEREON WERE OBTAINED FROM AN ON THE GROUND FIELD SURVEY PERFORMED BY BAXTER NYE ENGINEERING & SURVEYING ON JUNE 8, 2016. auk EOP N CANTERBURY CIRCLE "oFe zoo OH W—, OH W--, OH EOP OH �cel,0" S 76*08940" E 67.20' 1 sE o-- / R IOPP ' I N PARCEL 249-120 a O• I 15.2' I IEXISTING I DWELLING J FNp #76 ® w fELjC:1 dND I CB IoN o ?� �- ce 1°" 1 ,O _ -J W N I 34.5' CV jQrn m I Q n- �- I XN0) I I BRICK PATIO CD N "J ILL, W O Q I O a2m� I O �w I 00 �O I Z I Z I I IcPP SEA Roo I 11 .00' �P FNo I E N 74*51'40" W N/F ALBERT J. I CPB�' MADDEN PED N/F FOUR HUNDRED MAIN REALTY LLC DEED BK 24284 P1 .134 DEED BOOK 24743 PAGE 284 PARCEL 249-117 PARCEL 249-118 I � � l I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING STRUCTURES SHOWN HEREON 1S LOCATED IN RELATION TO THE MONUMENTS SHOWN AND 1S NOT LOCATED WITHIN A SPECIAL -oOFDr1,1O�,� FLOOD HAZARD AREA. SHANE THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. pTIALLON - Cn 0 No-48687 ss su REGISTERED PROFESSIONAL LAND SURVEYOR N BAXTER NYE ENGINEERING & SURVEYING DATE r ,I