The URL can be used to link to this page

Home My WebLink About0158 ESTEY AVENUE 158 Es� f}ve . Town of Barnstable Buildink ° ',�... .� � as.f. s wn�, ,a .? Post is",CardSo That rt isVisible;,From the Street 9Approved Plans Must be„Retained on Job and:this Card Must be Kept • 6' gPosted Unt�I Final Inspection Has,Been Matle ,' Permit � • Where aCert fcateof®cupan�cye is Required,such Buildmg shallNot be Occupieduntl aFm 1 Ispect�onhas beenmade el lijl 1 Permit No. B-19-790 Applicant Name: MICHAEL J. WELNINSKI Approvals Date Issued: 03/14/2019 Current Use: Structure Permit Type: Building-Sheet Metal-Residential Expiration Date: 09/14/20.19 Foundation: Location: 158 ESTEY AVENUE, HYANNIS Map/Lot 306 194 Zoning District: RB Sheathing: Owner on Record: ANDERSON,DAVID J&CLAIRE M Contractor.Name ,,MICHAEL J. WELNINSKI Framing: Address: 15 TRUMAN DRIVE Contractor License 9674 �' 2 NORTHEASTON, MA 02356 m.� �: Est�Protect Cost: $0.00 Chimney: Description: Funish and Install(2) new duct systems for residential house Per Fee: $85.00 Insulation: Project Review Req: w Fee Paid F S 85.00 Date `. 3/14/2019 Final: gµkP r bur- Plumbing/Gas r a Rough-Plumbing: { x k I ` �� " ems, .• Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months°after,;issuance. All work authorized by this permit shall conform to the approved applicationd th,aneiapproved construction documents�for which'tFs permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. d This permit shall be displayed in a location clearly visible from access street or roa and shall be maintained open for public mspectibi for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the 86iidind Fire fficials acre provided on this'permit. v, ng a Oh Service: Minimum of Five Call Inspections Required for All Construction Work:',-, 1' � 1.Foundation or Footing x 2.Sheathing Inspection � � '� Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth-in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Commonwealth of Massachusetts Sheet Metal Permit Map Parcel Date: 3 rit# Estimated Job Cost: $ VIAR 13 2019 Permit Fee: $ Plans Submitted: YES NO OWN 0� IJN� di d: YES NO Business License# Applicant License# Business omzation: Property caner,/Job Location Informatio Name: ( l ame: Street: Street: �� 25:1 —14> City/Town.: City/Town: 14V/14'�k Telephone: &h — Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES NO Sfaff Initial J-1 0�- 111111estricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family/ Multi-family Condo /Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept.Approval Institutional Other Square Footage: under 10,000 sq. ft. over 105000 sq.ft. Number of Stories: Sheet metal work to be completed: New Work: ,,o� Renovation: HVAC Metal Watershed.Roofing Kitchen Exhaust System Metal Chimney/Vents ' Air Balancing Provide detailed description of Nvork to be done:, d t S �g�tS 1�NSURANCE COVERAGE: have a current I! If policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes�No ❑ If you have checked)Lai, indicate the type of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity [� Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement Check One Only Owner [� Agent Signature of Owner or Owner's Agent ' By checking this box[], I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application wi11 be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. . Duct inspection required prior to insulation installation:YES •NO Progress Inspections Date Comments Final Inspection Date Co—mments Type of License: .By aster TrJe ❑Pilaster-Restricted Cityfrown ❑Joumeyperson Signature of Lic nsee Permit# ❑Journeyperson-Restricted License Number. Fee$ i- El Check at yMtea, l2!904ovld 1 Email: ( Inspector Signature of Permit 4proval fill: t �i.2�9aI2f3O,TI�fi� �1��CJ�I�fP.�S 600 Wasag#Ort, et -leers' �pensa c nI czAfdavit B-ml-ilers/Cmtraciir--fE ieLbic n&[Plambers cal# safiD„ Peas Name At q Are yGu an employer?che the apprap b= ' Type of praject(rid)- � ElI am a gan�l caafractc�and I -LEI I asrt a etapl�s� '6. Q New oailsfr ' Ioyees{fizllandfa:part-f=s)-# 3�avelure�t$e subs ' ' � a sole Frnpsiet�s arga�ta�r- Iist�d onifite gibed sheet 7- dehing 5 7 and�I3lT# FLO employees �heS SCh_C=fMCt=h.Tv' 8 ,❑De=iaio I W0ding far me M- any capatiig.• "`�"��&II.i}IIa�T��t]I�5' 9- ��II1I��., SC�SiTF=e CCIItp_ksw3 �� ff 54d�EL4.�gyp_ IOLL]Elecfacal rapatts or adfrTFnns �-1 �-.0 Weare a torpazaii�sad�s 3.❑ ja= ahaneovmerddingznwck of'ncirs have CTR+ced ffiEk ILE]FInmbingrapaia ar adtfiH= c¢ ugasI`s�fGI. I?QRoafrgmim zap 1£[No wr krrs'i'amF c.152,g In andwe h=e n l ance re4 ;a-]i 13 �}iuec emPlayel-- [No wss camp-msum=e r--grnre6-] ' Y�F�� at chec3cs 6az�l slsa fi➢o are McCff—beTCW �E!kWO s¢s ®easafiaapo-S�fi vrm �a Snmeowa� submit phisXMEMixm �y��sIE��sudtbffi7�au5ir�ec�samstsQhmitansm�d<-�mdi�sa�sacs rC:a�6m check tr"s b=msst m sde�wasl sb�t sbo gthealiae of the sa�rcan�sch�sad shy�l s arnatffinsz bs�e =Hayes.if the &gMnntprcnide&- rsrc 'gip.Pab�a�m+hei am an�riploar tjin# grcriing workers'tatsrtln irarcra fvr } P�1'ees $ai`a�v is fli�lvacy m�job ada �ormafiots �,ur�n¢e Oamparrgl�$�e: 'Pofic� ar f ms Ito_ a Job Site Addres: . CcEg1S#afeE�sg: • amber and on Aff3c73 a rapt Qf-f3�tsarl�xs'�p�s�.n�agoTr��c7�rafiaa Page tsh�o-•�.tng�y'°T�sp �n� � Failure to seca�ca --W or as sequirecirmr er Se i 25A of WE c-Lr cat Imd to i fie imposifioa of cximinal perza'K of a fine up,to I CU Ot}andlar ane-gearin2pcisan Rs�l as civa.pe sin the faaa of a STOP WORK O DERand a f� of up frs 0_QQ a clad agar fie stialaft� Be a�dsisecl that a copy.of ibis shag maybe foswarded,t3 to Office Of n�P-crve� - T�'�s�gativns of the DJA f�+" � ��rrFtrzbcn•i frJo lr8r V c - - andpsu s a.feat .zt �fiiatt�ig �� a is and ar�rret phnae ai i a= er Fe aan} by cy rn c cra£D-a a 2- " City or Tamn: Pera�fL? Fssa I.Board�f$ sib 3.I g 3- o�rl� 4 E1e�rim111mpertOr Ph gI=iectDF' 1q, ne 9- 6 u_ c _a aw--a ■:•r_ ■:n c� �•au 1 .1uu .•�R u u ••n n■a�R .•u1u.■ _n m m i• ■ :nu • •at small t. a..w •:n./! .■. i■•■ .• a.aaa�■ -' ■~R■■ !t i■- • :!■•■■: 1n. _n ...altr r ■■ .0 - .+.v: goal. -• •Or a ••auw • ■ ��•• ■•;� ■-ata�■ .0 on ormalommizA ■.■ a w•.■O■ .wK.wr_n a1■ .0 .■ _n■■ • .u a -•. :Ingo a a■• •.■ u ■■■l - • u- t• "'•u• �+■_r-�■ u •1u a■u:' n•w- JI. u. a nu• u- - -w :�.cur.a•w ■ ■. � �. :1uu ■•� n i■- • ■ ■ ■� • :u Isla • ■u_ •_t■u.Run _wt.wru.■ ■1 •i■« -r_ .1nn rImsojlw•u_ :nu ■•► :•• is •--•�+ • _ •- In• ■.■ ■_•n• ■■ uu - u_u m� .ua ■u�uA J.e -a■• --la- i■� :1u n u- •.•«.ucm ■ u •• -1 u• ■•■ • .u■ 1: ■a .un ■• 1wR■u a ■■ u.urtw.nr mr■ ■ ■an a •_n - ■.. u■ n t ■- 6u: ■■u • as u !I Mason a ■as SEEN• .12.a. Ii1a.nl is o4ommim1axial • .■ ■ ■ .■ :uu ■ u:n ■ /—emu�■ u • .n ruu • I Cl ■.■■■:r • rn:. u J - - -tr.•r ■ .■r -.•1u -a :-1 -- i1 ■■ ■ i■ wr■ .■. - n -■ -. • ■ �_ - 1 ■" u■ n a■- .O- ■ 111b� ■ u ■■ ■ !r ■+. nu u L - r.anu■ • - ait {■ -■• ' . ■ ■ r_ ■ -■ ■ ■ _ ■■ ■ .■ 1 �■ -.r-■Y ■ - -• t-■r 1 aaa ■ - ■r- :af! ■•- uw■a - a _ • _ - _ _■t ■ �• ..u■■_ 1 ►I C7 ■.0 am. 6 r.r:. m.• o■ ■.uue■u• m ■• .0• • ■• •■ u■c 1•n• •1 ale ■_1 �■Ir is ■ -u .6 mor r ul al ■��■■ru.0. • .■■ ••n■. nW rr�.r_■ - - ■.1. - . •nu■_u - In n- It11 �a all �■■:429 • ur a:u 1r. ■. ■apt■ a �ur�a !. is 4■1■r.«■aa. .1ana.u - 71 •.■ t. . YI■■.1■■1■ ..I■ ■ ■a a. ./ •1.■ ■• ..1■1■1K 1.1 ._■u a _■u .�. - _n■ ■•m nuu• _ ■1/• ••las is"I a nn►_ua • ■ u.■■ - n■■■■ • .■ kiwAtweigat•.n1:.. .■ r/t■a.aa .■ .' •.■ ■■:f■.all. a■ ■■ai•■■:.t • ■.1 ■11 1R _. - a■ 9, R•. • ••s2w. 6411519 as•r.■t■1a /■ .. .1■ - J/ ■I • .•- ■.•- J■■• .•- •• as■u a■ ■ A-a on: as w it . •f 1■_• ■" ■•I.a.1a1a■ f■ .■- �a-U■■.ii.l ■ ■a1a 1■. . ■tA ■■ ■■.—L.O■1■ • Ia aO:l..- .■•d - . •- n - it 1 ■ .a■■ a a" J.- _■•al•- ■ r■ /.■ 1 ■■ ■ ww.•Y r.a A •1.•t ■ •■■ ■: _n• ■■:.■.0 .nun• u- u ■ •o•awR ■um�■ m ■•1 • r. r.1 u- fir■.■■•.:•u u- uuu■r w u. ■- ••• n u�. ruuu_■u.+ ■671119 a!/ u-■ - u uru - .1. - ume•:a ■n u- .n■ ■•n•_u- u- ■ - • ■ - 1 in r • as No.1 a■ ri...•I ■uun r :u■ ■uuta■ ��a �. :■.! ■u.n ■. u ■- a.■ .. r i■ a.uuu • an six._ •I at •■ Is 71 ■n n u a u •i.. • .•. ■-.0 u■ a. .■ .uur. •■■ :_■ e u_ ■. .■■11 Wm r_ - ■ u - u 7 n n ■--au 1 :.a mm to r ••n w■ 1 ■ .��. - r :�■ nuu•a ■ .■■na•■ :n -u a J■ an-■ e■t■w ■•at ■ 1• ■.... ■a.../a r■ - Ja■ r:..u■ 1■ ..a 9•a�a •r1 ■�:■ •■ ■■!■■1 •■ ■...•1 n■ w:■■■• ua as • I. •am- ■•t ■ 1. i J .0• n■a w •■ till- a.M ■ - JI■ ..Ia ■• a ^■It- .r. n wl •••■ •a• • ■■ .at.■.•1 al.I ■. •ia■ •.. Y-1• r_Ia■■■a■ .! 1a.1■. "/ •• at- MI •l ■■-YI ■■. •- • •• •�. 1■ a■- _u■ r_u u ■• tt-1 :■■ .u■_ •1 ■■ it n goon - r.rru ta. n .�■ ■ .i••.•f uu ■ ZI�a ■u ■ -a to It■Is vid"WEwa win■ar■a.■ a• .u.■ a .0• .■ u.. a r•u■u a w. •:+uw •a• r.1■ • a:1111 1 u ■uu as �t■ ■i R al LIP ■aa au.a a .uuu as .i.■. ■- u - • ■ v■•..a 1112111 ••.a • .r n n.n. •1 u .a•_1.. .1 e u .■.1 uru w .0■ ■■■ ■ •.• ■. _u• ■a a.■■n • as a ■.-Iru a J• ■w _ r l rr- - ■a a an -.n:+ r -..u■- .0■ r.• uuu a.t .■ouu• .■■ ■ t. c 05FORIYANN ••••, cr. ••■ • ccr Town. of Barnstable Building Department Services r 1ARNSTAM= = Brian Florence, CBO XAss. %639. ,�� Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8fi2�03 8 Fax: 508-790-623 0 Property Owner Must Cornplete and Sign This Section If UsLng A Builder •� ��5�� as Owner of the subject property uthorize Ll�'it ��ILAto.act on my behalf hereby a in all Matters relative to work authorized by this building permit application fog - Da (Ad ess of Job) **Pool fences and alarm are the responsibility of the applicant.Pools ate not to be filled or utilized before fence.is installed and all final inspections are nerfonned and accepted Signature of Owner Sign e of Applicant Print Name Print Name Q7FOKNU:0WNE$PERMIss1oNP00IS Rev:09/16/17 Town of Barnstable Building Department Services Brian Florence,CBO o Budding Commissioner 200 Main Street, Hyannis,MA 02601 xesa www.town.barnstable.ma:us s639 ,� Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICE NM EXEMMON Please Print DATE: JQB LOCATION: number shxcF. village "HOMEOWNER": name home phone# work phone# cUpjRMU MAILING ADDRESS: City/town• state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellines 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: DEFMHON OFHOMEOWNEB 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- fani y dwelling,attached or detached structuures'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 Bmlding Official on a form accepmbie to me B ui ? g cue], he/she ss 'be responsible for ail such wor'Y pe-dormed under the building per. (Section 109.1.1) The undersigned`lomeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations: a. The undersigned`homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures mzdregnirements and that he/she will comply with said procedures and requirements. Sign afine ofHomeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will.be required to comply with the State Budding Code Section 127.0 Construction Control HOMEOWNER'S EMUMON The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section'(Section 109.L1-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 afire unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regutlations 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 responsibffities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a formlcertification for use in your community. Q_1WPFILESTORMS\buildingpemutformsUMMS.doc y 08/16/17 . . . i � . �ib99L9 • f3ZOZ!$ZlL�'' 1MR-r r � _ i � zr - LL6j. L09ZQ 11W SINNt/AH . F 2l'044 1N2l0lil a8LL I)ISNINl3M t'l3brHOI1N I '$I {` (1310.1a1S32iN02131 Vw > l; 3SN33n JNIMOTIOd 3Hl S3f1SSl S'83YNOW IV13W 133HS -.. �o aadoa 'a S113SIi1H 'dSS1fW �O H11V3MNO .. .� r # " xa aO1 { CONTROL# _J j1 O.2 9 "4s 1 _ I IMPORTANT 3 . If your license is lost,damaged or destroyed;is inaccurate;or g m i needs.to.be corrected,visit our web site at mass.gov/dpl for instructions to ensure the proper mailing of your Renewal Application and any other correspondence. This license is subject to Massachusetts General Laws and . I regulations.Youcense is a.privilege,and cannot be lent or assigned to any.person or entity under penalty of law.Keep this i f .. .. license on your person or posted as required by law and/or _ - � regulations. 139 Queen Anne Road FRONTIER Harwich, MA 02645 Energy:Solutions, Inc. Office: 774-237-0410 Leaders:in Comfort and Efficiency Web:frontierenergysolutionsinc.com Certificate of Insulation Work Job Site Address: Crew Members on Site: 4 ke— !l'1 oc.6a 1 Description of Work Location: Square Feet: Material: R-Value: 1s o-� dv�� mil/ 3© t s-lo Ste t 2-qO ly 91 5(� b0 C1141-11 C1// R-Values per inch:Cellulose,loose:3.7,Cellulose,Dense Packed:3.2,Fiberglass:3.0,Poly-iso board:6.5,Closed Cell foam:7 Air Sealing Completed: Attic Access Treated: Blower Door Results: ❑ Attic ❑ Pull Down Stairs Pre-Work Test: ❑ Basement ❑ Hatches Post-Work Test: ❑ Living Space ❑ Doors ❑ No Blower Door Test ❑ None Notes: I certify that the address listed above was insulated as described on this certificate, and that all work was performed and installed in ac with state and local building codes. Job Foreman Z :8 NV Z Z 811 W 6101`. Date 78d1SNbbg J0 Nmoi i Town of BarnstableBuilding PostThis Gard So That<it is VisibleFr m-the�5treet-`A nto�ed Plans Must bewRetamed on Job andthis.Card Must beKe t \\ YANNf}Rww.c, � � a'€•'.�v ° .,.,'z& p p�+ .�*• � a � � k � � i p €\ \ b Posted UnttlFinal tnspectionHas Been Made ,' c� Y .� \� Permit Where,a,..,�a�Certificate of Occu""anc 3is Re uired,such.Buldmg�shall Not�be�Occupied�;untrf a Final°Inspection has�been made ,, �,..,.a.n.-..�: s�':`?ws�• Si �,.,\.,e��sp Y'a�i.«.,�.��*,�e�,•...aaa"A..".. �w.'�..a�,�:....�as,.„xe,...«rx�a c".�.,�,:.a.n:�;��.„,. �.1:.�..�Y,.,.a,.::�a�,..,., .�;.e`, � aA. v.:Y.,.mt'R.,..-'a,. rz:�a6�" �.:,f; �� :..�', Permit No. B-18-2705 Applicant Name: Daniel J Joyce,Jr Approvals Date Issued: 09/11/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 03/11/2019 Foundation: Location: 158 ESTEY AVENUE, HYANNIS Map/Lot 306-194 Zoning District: RB Sheathing: Owner on Record: ANDERSON DAVID J&CLAIRE M ( Contractor Name"•; Daniel J Joyce,Jr Framing: 1 0� Address: 15 TRUMAN DRIVE r Contractor License CS 102512 2 NORTH EASTON, MA 02356 Est Project Cost: $215,000.00 Chimney: Description: REMODEL SINGLE FAMILY HOME WITHIN THE ORIG1eNAL Permit F e: $ 1,146.50 FOOTPRINT. ADD NEW SHED DORMER TO THEBACK OF THE �` .� Insulations Fee° Pald� $ 1,146.50 HOUSE. UPGRADE ALL MECHANICAL SYSTEMS�RECONFIGURE INT. Final: WALLS. NEW KITCHEN & BATHROOMS.SOME STRUCTURAL WORK Date v " 9/11/2018 UPGRADE SMOKES - T� - - - - $ Plumbing/Gas (no cupola) -,mot r Rough Plumbing: Project Review Req: PICK UP APPROVED PLANS �. Building Official Final Plumbing: Rough Gas: Final Gas: r : ' Electrical This permit shall be deemed abandoned and invalid unless the work authored bythispermit�s commenced within six months after issuance. 41� r Service: All work authorized by this permit shall conform to the approved applicationrand,the approved construction6documents for which this permit has been granted. All construction,alterations and changes of use of any building and structuresshall be in compliancewrth'the to al ionrng by=laws and codes. This permit shall be displayed in a location clearly visible from access street orroad arSd,shallbemalntanedopen for public inspection for the entire duration of the Rough: work until the completion of the same. Final: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Low Voltage Rough: , Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Low Voltage Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Health 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 .��J Fire Department 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. Application Thmmber... .A ��..� o.?... .BARNSMAEM ...... � KABs. Permit Fee...... ...................:.............Other Fee.................:...... AUG 20 2010 TotalFee Paid.................................................... TOWN ................. OF BARNSTQIL :- TOWN OF BARNSTABLE PeApprovalby.... ... ........on..... ....... ........._ BUILDING PERMIT Z.D..w Map...... ..............PUcd.............d............................... 1 APPLICATION Section 1—Owner's Information and Project Location e V01age Project AddressDOG4 sI p Owners Name �^ y o'� C (6r [T e M' owners Lega l Address �S�.(U ✓t1 G� nr C, N�f��, S�o� State zip D s /� / owners Cell# v 0 — ab�_ �� Ismail Section 2—Use of Structure Use Grroup ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3=Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire struct=) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar Renovation ❑ Pool ❑ . Insulation Other— Section Section 4-Work Description on 2 r1 e S �s /c f ry �� O k� v fit' /y1 C 4 C� �. c ul'< icl0 'fit S C 9. U O T-qq nndated:2J9/2018 Application Number.................................................... Section 5—Detail Cost of Proposed Construction '?/�000 Square Footage of Project Age of Structure b f Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) 6 110 MPH Wind Zone Compliance Method [�,MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics [4 Wiring ❑ Oil Tank Storage ❑ Smoke Detectors (Plumbing Gas ❑ Fire Suppression Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal Municipal ❑ On site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: YAA C o (' (\d(I o.TF I an using a crane ❑ Yes No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes No ❑ Section S—Zoning Information Zoning District Y Proposed Use 51n �( F4�L-,MJ" Lot Area S .Ft.q1, Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required ;Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last=dated--2/9/2019 ; C M' Hanrahan Appraisal Service P.O.Box 924 East Sandwich,MA 02537 1-508-833-5013 03/21/2018 Mrs.Claire Anderson 158 Etsey Avenue Hyannis,MA 02601 Re: Property: 158 Estey Ave Hyannis,MA 02601 Borrower: Not Applicable File No.: 18021390 Opinion of Value:$ Sales Approach$1,900,000-Cost Approach Dwelling$517,731 Effective Date: February 28,2018 In accordance with your request,I have appraised the above referenced property. The report of that appraisal is attached. The purpose of the appraisal is to develop an opinion of market value for the property described in this appraisal report,as improved,in unencumbered fee simple title of ownership. This report is based on a physical analysis of the site and improvements,a locational analysis of the neighborhood and town,and an economic analysis of the market for properties such as the subject. The appraisal was developed and the report was prepared in accordance with the Uniform Standards of Professional Appraisal Practice. The opinion of value reported above is as of the stated effective date and is contingent upon the certification and limiting conditions attached. It has been a pleasure to assist you. Please do not hesitate to contact me if I can be of additional service to you. Sincerely, Geraldine A.Hanrahan License or Certification#:70288 State:MA Expires:04/28/2018 GAHAPP@verizon.net NOISIAI , hQ -.6 Wb h- a.'31S 8101 318v i gtVa 30 NMI C� AC�® DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 08/16/2018 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 Lori McLoughlin ATLANTIC INSURANCE GROUP AGENCY INC PHONE617)698-220o FAX No: ADDRESS: lori@abanticquotes.com 530 ADAMS ST INSURERS AFFORDING COVERAGE NAIC fl MILTON MA 02186 INSURER A; ACADIA INS CO 31325 INSURED INSURER B DANIEL JOYCE INSURERC: DBA DANIEL JOYCE CONSTRUCTION INSURERD: PO BOX 117 INSURERE: WEST HYANNISPORT MA 02672 INSURERF: COVERAGES CERTIFICATE NUMBER: 304350 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. ILTR TYPE OF INSURANCE ADDL SUBR imm Ira POLICY NUMBER MM/DDY EFF POLICY MM/DD EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _ CLAIMS-MADE OCCUR A O NT D PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PET LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COEa acciMBINEDdentS INGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRE]AUTOS AUTOS NON-OWNED PRO accidentOPERTY DAMAGE $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBEREXCLUDED? NIA NIA N/A MAARP300574 12/01/2017 12/01/2018 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govAwd/workers-compensabonfinvestigations/. Sole proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN OF BARNSTABLE ACCORDANCE W)TH THE POLICY PROVISIONS. 200 MAIN STREET AUTHORIZED REPRESENTATIVE HYANNIS MA 02601 `�—,�C Daniel M.Crc6�ky,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD ,; 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): �/� i Q 1 �1 YC Address: 19 OX / 1 7 City/State/Zip:U- U + M 47 Phone#: - Are you an employer?Check the appropriate box: Type of project(required): OR 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 partner- listed on the attached sheet. 7. 1,Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.: required.] S. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *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 submit a new affidavit indicating such. lContractors 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 thepolicy and job site information.Insurance Company Name: berbe_7" Policy#or Self-ins.Lie.#: /I' A k p 60 Expiration Date: Job Site Address: J 5-3 f Liz- City/State/Zip: i1.� MA d J- 6 0 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 ce under p ' and penalties of perjury that the information provided above is true and correct. Simafore: Date: / s / u Phone#• / � -7 — ��g — 0�� o� Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL.chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877 MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia JAU Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-102512 a Construction Supervisor ` 1 s �; DANIEL J JOYCE,JR ^ PO BOX 117 WEST HYANNISPORT MA 02672 ' •.•" Expiration: Commissioner 12/13/2018 . G:��c�L"i,ireiirci�cntvll�n�r?.11car:;rrr�uJe//3 office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 158158 12/16/2019 10 Park Plaza-Suite 5170 DANIELJOYCE _ Boston,MA 02116 i DANIELJOYCE �--- 14 DOLPHIN LN. No Vall• W j O signatu`r Undersecretary HYANNIS,MA 02601 ry A 1 Application Number.................................. Section 9—.Construction Supervisor �I Name A )e C e Telephone Number Address PO o I City . v r State License Number QL ` P f 4, License Type 7�� iration Date k` Contractors Email O`�l �'CO' �. Cell# ? 7�- I understand my responsibilities under the rues and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State BuildinLy Code. I understand the construction inspection insp procedures,specific inspections and documentation r by 780 t4d the Town of Barnstable.Attach a copy of your license. Signature Date S ction-10—Home Improvement Contractor Name_ D-,AV-2-6,(c, Telephone Number • �S ®�� Address to 50� ��7 City �-H <' ��State Registration Numbe�U Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts S uil ' Code. I understand the construction inspection procedures,specific inspections and documentation d by 7 CMR the Town of Barnstable.Attach a copy of your H.LC... Signature Date —/ / D k Se lion 11—Home Owners License Exemption Home Owners Name: Telephone Number. Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and.the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date f G Print Name �� 6 C Telephone Number 77 5S_ CV), E-mail permit to: f v (_ fit' comce��, !j T-..r,....i M mne i o Section 12—Department Sign-Offs ' i Health Department Zoning Board Cif required) ❑ Historic District ❑ Site Plan Review(if required) ❑ �I Fire Deparinent ❑ 1 Conservation For commercial work,please take your plans directly to the fire deparbnmt for approval Section 13—Owner's Authorization as Owner of the-subject property hereby authorize RW _10 to act on my behalf; in all matters relative tllvvork au o ' d by this building permit application for: (Address of j ob) kvc Signature of er date Print Name Lastwd�:�Rois TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 4 0, Map a Parcel Application # �b j USG V,3 Health Division Date Issued Conservation Division Gt fP v,� Application Fee Planning Dept. Permit Fee 1 /n 00 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address S �7 y C Village A 0 Y A I/k" _ Owner 4 S Address Y �' Telephone 1 c Permit equest -� �� << /I 51q,/m e do !JA A) (a) Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new .Zoning District Flood Plain Groundwater Overlay Project Valuation C/"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 ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full Xcrawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ 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 e APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �GI/� y Telephone Number 3 Address V- 07 License # LO°� 5 0-1— Q` 44 el 1� Sfor Home Improvement Contractor# Sb /�_00 Email �/1 y C� CO11�'ti 1 �! V' S �1 Workers Compensation # T ALL&ONSTRqCTION DEBR�RESULTING FROM THIS PROJECT WILL BE TAKEN TO 01 v SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE:ISSUED MAP_"/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL a GAS: ROUGH FINAL FINAL BUILDING DATE..CLOSED OUT AS:-$OCIATION PLAN NO. ine c.ommonweaan gmassacnuseus Deparbnent of Industrial Accidents Office of Imesfigations • F 600 WashhTton Street d Boston,HA 02.111 www.murs gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Businesslorgmization&dMaal): Address: City/State/Zip: 0 Phone#: 7 7 cf 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 employees(fall and(or part-fine). * have hired the sob-contractors 6 ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. �K Remodeling ship and have no employees' These sub-conhactois have 8. ❑Demolition working for me in any capacity, employees and have workers' 9, El Building addition [No workers'comp.insurance comp.m�rnan� required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work of have exercised their' 11.❑Plumbing repairs or additions myself- [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.)t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp,hisurancie 1equII-ed-] *Any.applicant that checks box#1 must also fill out the section below showing their workers'compensation policy iafDrmation. t 13omeowners who submit this affidavit indicating they are doing all work and then him 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. lam an employer that isprovLEng workers'compensation insurance for my employees Below is thepolicy andjob site information. (r Insurance Company Name: �\ ` Policy.#or Self-ins.Lic.#0 'a ®� V Expiration Date: /d ' �� C ' t _ r- Job Site Address: /t� S t/ City/State/Zip:. A,ff O� 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 a 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 DU for misuimce coverage verification. I do hereby c iundar • and penalties of perjury that the information provided above/is true and correct Sip-nature: Date: > Phone#: 7-7 cl Official use only. Do not write in this area,to be completed by city or town official City or Town: PermitlLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, L 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 jomt enterprise,and including the legal representatives of.a.deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter-152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced.acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contact for the performance of public work until acceptable evidence of compliance with the in sLwance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone.number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-ins i,an ce license number on the appropriate line.' City or Town Officials t. Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le.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 bane 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 AoUdmts office of Mvestigationa 600 washiugtan greet. ' Boston=MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MA8AFB Revised 424-07. Fax#617-727-7749. v .mass.ga-ddia C DATE(MM/DD/YYY )AC CERTIFICATE OF LIABILITY INSURANCE 12/12/2013 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 endorsements . PRODUCER CONA Atlantic Insurance Group Agency I NAME: Berkley Assigned Risk Services - 530 Adams St n/c.No.Exl: (800)634-4589 FAX No.): 866 215-8118 Milton, MA 02186 ADDRESS: PolicyServices@berkleyrisk.com INSURERS AFFORDING COVERAGE NAIC# INSURER A: Acadia Insurance Co. 31325 INSURED Daniel Joyce INSURER B: - INSURER C: dba: Daniel Joyce Construction INSURER D: PO Box 117 INSURER E: West H annis ort, MA`02672 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 TYPE OF INSURANCE A DL U POLICY NUMBER POLICY FF POLICYLIMITS LTR INSR •WVD MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS-MADE1:1 OCCUR _ - PREMISES y occurrence MED EXP(Anyperson) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS—COMP/OP AGG $ PRO- POLICY- _1:1 JECT LOC $ AUTOMOBILE LIABILITY - COMBINED SINGLE IMI Ea accident $ ANY AUTO $ BODILY INJURY Per person) ALL OWNED AUTOS SCHEDULED AUTOS $ BODILY INJURY Per accident HIRED AUTOS NON-OWNED - PROPERTY DAMAGE AUTOS Per accident $ $ UMBRELLA LIAB OCCUR - - _- —� ' EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE , AGGREGATE $ DIED RETENTION$ - $ WORKERS COMPENSATION - WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N _ TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT - $ 1 OO,000 , A -OFFICE/MEMBER EXCLUDED? - N/A WC-20-20-002552-04' 12/01�/2013 12/01/2014 _ (Mandatory in NH) 100,000 If yes,describe under - E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) - Election Category Election Status Name All Entities/Insureds: Sole Proprietor Exclude Daniel Joyce Joyce t - CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 367 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE j . Signature: �_. -•� ACORD 25(2010/05) BRAC 3139 C � � � � \ r � � � � � l r 9 Massachusetts -Department of Public.Safety Board of Building Regulations and Standards Construction Supen isor License: CS402512 DANIEL J JOYCI JR PO BOX 117 r "y WEST HYANNIS'PORT,MA,0267L r Expiration Commissioner 12/13/2014 �l,e G�anL��ervrccuea��o��lao:tac�u�e� _Office of Consumer Affairs&Business Regulation License or registration valid for individul use only -- - ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration 158158 Type: Office of Consumer Affairs and Business Regulation •Expiration 12/1=7/2015 DBA 10 Park Plaza-Suite 5170 - Boston,MA 02116 DANIEL JOYCE CONSTRUCTION �i' r DANIEL JOYCE . 14 DOLPHIN LN. HYANNIS,MA 02601 Undersecretary Not valid wit t signature i • : ►�,o„y� i v rr U'ul Regulafor_p-S-er-vices -- ------ -.. Thomas F.Geiler,Director r� Blulding Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 • www.town.barnstable.ma.us Office: 508-862-403 8 Fax: .508-790-6230 Property Owner Must _ Complete and Sign This Section. f Using A Builder 4e�56)A as Owner of the subject property • f - ter - hereby authorize to act on my be1 in o matters relative to work authorized by this building permit '14 C/ (Addre s of Job) Pool fences:a'hd alarms are the responsibility of the applicant. -Pools are not to be filled or utilized before fence is installed and all final inspections are performed and.accepted. Sig afrTre of Ownex " Signature ofApp ant" . Print Name Print Name Date QTORMS:0VINERPERIYOSIONPOOLS 62012 . .` i v rr u UX ""X JLca LCLAJA , Regulatory Services E RiRNCPARrR- F lilom`dS F.Ge1er,Director t- . Building Division Tom Perry,Building Commissioner, 200 Mafia Street, Hyannis,MA 02601 www.town barnstable.ma.us Dff6e: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMF.OwNER": . name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellinzs 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 OR 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 faun 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 nerfor ed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official o Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION -The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner..engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. . To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may caret amend and adopt such a forn-Vicertificationfw use in your community. Q:forms:bomeexempt 21 v zoa t4a - NOTES: 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD ATLANTIS OR EOUN.MFR. GlA66 RAILING SYSTEM " 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, - - - - - - -- - - DETAILS,&FINISHES IN THE FIELD WITH OVVNER 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT FIRST FLOOR TO BE 6'-8"ABOVE SUBFLOOR RE-BUILT 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS ¢ DECK 4 STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 N (AZEK 514.6 DECKING) a 5.) ALL WINDOWS&DOORS TO HAVE SILL PANS&ICEIWATER SHIELD FLASHING 6.) 110 MPH EXPOSURE C WIND ZONE, e-0 10� toa fia 7.) SEE CERTIFIED PLOT PLAN DEVELOPED BY SULLIVAN ENGINEERING FOR ALL - PROPOSED&EXISTING DETAILS 8.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL SIMPSON COMPONENTS 9.) VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE ANDERSEN DURING FRAMING CONSTRUCTION FWa3soe6sR 10.) THIS SITE IS IN THE 110 MPH WIND BORNE DEBRIS AREA,EXPOSURE"C" &WITHIN ONE MILE OF NANTUCKET SOUND PER STATE OF I re I 6'p :s I i u � I �� I e-o• y 2� ' MASSACHUSETTS WIND SPEED MAPS ANDERSEN I II ANDERSEN ACM45WAPVr6DStV P---mod-+ IId- gCWt<SOIAFN605N 11.)GLAZING PROTECTION PER 780 CMR 5301.2.1.2 TO BE IMPACT GLAZING ACW3460 ( AC-0 ALL WIND BORNE DEBRIS PROTECTION REMOD. REQUIREMENTS W/OWNERS PRIOR TO START OF CONSTRUCTION a FAMILY c 12.)ALL EXPOSED SIMPSON PRODUCTS R FASTENERS TO BE MADE OF STAINLESS STEEL - ROOM 13.)ALL AZEK TRIM TO BE PAINTED WHITE&ALL JOINTS/NAIL HOLES SEALED. ' 1 . 6meve.h II H H V J FIRST FLOOR PLAN NEW MATCH HINGLEEXISTING SIDING TO MATCH EXISTING \\\ NEW AZEK TRIM TO MATCH EXISTING SIZES Ea NEW G1466 Li RAILING SYSTEM IECC2009 RESIDENTIAL ENERGY EFFICIENCY DETAILS CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION TABLE 402.1.1(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) AZEK DECKING AZEK FASCIA - FENESTRATION SKYLIGHT I CEILING W4100FRAMEOWALLFLOOR SAS EMENT.I. 13A6EMENTSLA6CRAWLSPACE WALL - V-FACTOR U-FACTOR R-VALUE R-VALUE R-VALVE R-VALVE R-VAWE R-VALUE O56 0.60 36 1 30 30 1.11 10(3 FT.DEEP) 10113 ro NOTES: 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. 2.10/13 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR OF THE HOME OR R=13 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL 3.REFER TO IECC 2009 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS REAR ELEVATION 8Q® COTUIT BAY DESIGN, LLC RE-BUILT DECKMALL FOR. SCALE: DRAWING NO.: 43 BREWSTER ROAD IN,La EA� 1;V°'=p�noN T° 1/4"=1'-0" MASHPEE MA. 02649 ANDERSEN RESIDENCE ESE-N—REIND,°,'°,RTH U PH.(508)274-1166 DATE FAX(508)539-9402 158 ESTEY AVENUE HYANNIS, MA DTa °°�.1—IF°TE-1 5/zz/zola Al TURNING MILL _ ualwA ua .T.aronxmJ CLA . /�{ _ R rr.InaM ( wY..' ( aVY„' fvvrff111111��LiL . tea+.°a.Fmw ® MMFL_�J P.a,XD, R �.a.mat.lm«r Mrma,xMmR ,,.a lB,�a°gL wo=m`xI m—:",.m a„m.Ura . AIRwO.LDm.L. tmBTxlMaMwTwRrtS OR. ,,,Nxlwro ..a >~ D AN"M�° wRXNa^ I� ,oum rxnu°m wDlxuayrnMR p«riw rim,r,nMuq rR rx,u°m 1m, b10mwxwu FIRST STORY WALL FRAMING PLAN `DM' FUtE.x<�I< FIRST FLOOR DECK FRAMING PLAN FOUNDATIONPLAN GENERAL NOTES SD, wDRR—,RSEroORaru GD—.—I--RECERUMENTs,INEGIRING THE FOLL MmvERwNc wlRGmxwAwxcAxoaTxw,mu�mx°mvR acM°m.misr,vm°noulm w.aum,�v. SfAMMOR. IF. IN BUDnw°wDE,er«rompxlwxpxE.wp rwpfaMnr owEwxGSI AxDAu mHER ACErxIE3 HAwxc •®mmxx.rmw ow.ummw _.!......._... ,�� . _.: .x,,,,°w.•,... 3 �RwrnDl a®u ONaMx,.aY. ow.G.xm, i B.TXF«AnDNMDEmGI SPEC NunON wR wODDGDNsmucr Dl lNDs,urenFD wN - — m.—POmBmCIm vROPERrvuPROIECT mND noxs REDU R¢ sX0.9 NGAND wsxGAxD MARESAFEAucWOR;RooFs,WMLt AND AmA[FM (J x wnassrmfwaur w,ml w.w.w..,+n •1°•`161 y ! , b v wM �.. =rATpMff%E. � :E EfRDMrHO THE EORAw�n� xo�°Ew°° "m� �w°�"�faDMr E w m m;W ,H� art+x°M wx aHxxa°rxm•MnN, ? µ IDRODR MEN SGf �PrFDE GxEERxGPaA I EA D EDrTI xEMA FRl .LGRET-G. �NGmDE Dwmw mf M rt x BORMATERA�T=� AP.— oxY1 „GLYm. B nREPRDGEDNGwTHANYWORR IGI� ADWMNEWDDNDmDNGGHALLBEREPORTEDIAITOTIEEIGNEER,Nw HDHIM ®_ roDM+rGxaGNB,a,rortNrM.,mM.mrtx f fi '` SHAUCET I.._ m m I FIR ALL OPENINGSINIORGB m .CAMER—W., 0 N THE STRUCURAL DRAWIGMSHALL BE BROUGHT TOTHE ENGINEERIMMEo TEENIN r PENINGS ZY WNO }__ I ATTENrIGI fnR REVIEW. 1°"a ,rm.,Gmm,aar a a.,w..wNL,mAGMa.mxMaTxawmwlxu.rtaL' «' - p-.. ADRU SYSTEMXASBEENDERGNFOFDRTHEFDUaW�IGUNEWADs. ,. _. = _._.t xaw t.l ExrERIOR pECR uvELao. an[ImAmLOLsI • A eroeiscencRIK B.WNDLDAINDONio£m ss.E UPI mL mDEANDAUE-n: U °MPK PORTAL FRAME ELEVATION SECTION 8 DETAILS .BUIwING urFcoar n.>IMPORrANCE PAcroR.La .v.bo \ o z ¢ B.WTIITHEEIMIRROFA OCHITMTVMIMOWFiWIIORDIIE OICHM15THAT111MFE TIEM=UAMD CONCRETE NOTES WOOD FRAMING NOTES TYP,DECK TG. \ O 4 0 FOUNDATION NOTES .mucICETEMI uREMN-wDAR.DEuvER1 AND PLACEMENT-00xwRMTOALLRECIII—ENTSOFAO 3Ds 3 ES EDITION OF TlEAFRIOD -IMIRIAL xssEurvwrro lurEST EDmox),uNuss OTHER—E NOTEG. FOR RiMUM WFILEMENT .LATEST EDrtION.N v Z HUI. cA wNINROA.AUAuowAe�BURmG OLrD�OF IOTONPER muAM MT ACCERTAAeufrvrE—RwsIRLS.COMAM `IN EFw IN REDM%MEN REGSR x�°wp°D MEMBERS LASED FOR PLACEMENT AGAINST CONCRM DR 1MGNAI ISILLS,11- � ¢ S ACE roxETDERED TO BE PIDOI ROWD VOTIM GRANu :-ET DINMIINCEWITHACI3LBUTFn eomOµ—IEASTGlIMun�IIIIIT RR N, 3EttpSeuu BE VRFssu0.ErauTERpvwlTxAm vREsmvATM,oR AvvRavEO EpuAt.T°NvxIMUM RETFNTpNof ABivEGAAnoI WAMAxI ORGANIC ARATEAAL ALL LLi FIL�Lq IMILIANO Iu�S�PIERS�R.�%BBE HO THIS IMUM D.6 c ACma [EvnTHA IA CB. su NCRA EWW*Ns.sPEGFIEDM=RALCOF�n,°LnrIIFIulvuDL`ei°SuesIITSUiEI O:xve"ro TANS. WMRM uurnv wP SLARSSHALLPBCE).MEIT FFOR WN-MISO roR s NG DE AID �TDmEDGU'MOVA,WIimENOTVl xs,f�A MRs,UC.USEnro YcVUE ?RE ETR 7CDWMBERsxutBE Rxr xE, an. E wG sonMTRE uLsas�HAue DECxsnzs.AumNCMESHAUBENRE NWTUMlN IIR, ° AIH L. y I IF OEM ALSICXEETHAN THOSE DE-RED M—)WIN A WwER ALLOWABLE 0-1I0 CAPACM THAI 3n TON PER IGANDCIRIWOFWICR ESNNaeED°NEWMMADANCEWT E BERFxONFvps[IA,iI�PEFTHEw-111MIUIMUM CRADEAINSSEc�¢foa mE + —NED AxD APrxpvED Br THEsmunuRMElGwunE"IauvuueERExwvmAxD RFnAa°wmlwrtABLE MALFRIALAs RECOMMENDATIONS11THECURRENT AMERICAN MNAETE INSTIME SPECIFICATIONS GWDEUNES"TH ®L. E IOrAR GxIrEpGRADixG AGEucADH a jjIIOIIII�µl AI .eonDllof raonuGs sHML BE xO Tesz TxAxem BEmw Nxlsx GRADE ITSADE m.nUnED BARSwIu STups. R35vau�EPIxE FIR. ;1 11 P5, E•S.aEOPA JBeGD BERiMMEDIAiFLY Ru[CEDN,DREpuBREIIBF cI—DATHNOADDm1-11.G L. � iFD iv.i,I WMBEA SHAUBE wlM4ru I. Ma.O1-NAT.P. rxu DIFI�DMOCII DENS- P00.TI0 amiXEOUIInIxG95% B.oETAIIINGOPID CCR`AflNFORCEWWMDACCESWRIEswALLBEIIMMRDIWIWITIMIPUIIu 13z5 IX 1 BBEAMS. NUE IP.T.I urAµ m. p_g s.THE STRucruRU COMPACTED [EnvnztuMEsxO REVD vOwtt Rox�XEfvumm pF mewasu0.fAcecoxpinoxz Ax AR A roN;urEn FDmeus. NosTs R3murNExx nxE lv.r.l F=s F•L.3aEsrsl a1. ue¢IMMEDIAtELY RUFCEp CU AND I.D aEDUMEom aE fuuY REPuceD Ai NO AODInouucon oR mxrRAC nME uusS OTXERvnsEs«OWN oxrxe DRAwIIGs,Rpufo0.GNG STEuwILUBE ruiEDro r0.on0erXE MBER IL�vyorO ruvEAMIxIMUMALLDwAOW BENwxesiREss lFa)oF;BmvsT. IFG PERPENDImuR TO THE GRAIN SHALL BE ISO PSI.THE AS HOitD c u rvlE)SHALL BE 19p0.000 vH.INSTMLLNt'sw Sralti 4GOPDAIKE EttExirox. wRMEovDEZ DF FOC'As NGS r Gzl To EU IvOOMDE xOr Dlv wtvANI3ED wrtX rxe M.wuFACTURmsINSTRUCON, g Y 05/30/14 ST Wiuc FRo3ENX RmXER DEu1ENousg TFRMLAND mtrzuYovurewASHEASFOR AumLTS lx mxTACwrtx vaEssuRETREAE THE EOITwuof ME NATIONAL VFGNc«n FIRESTovvwe,Cc.sxAucouFpR TO rH R«r U ° —1.). ONIA.FPN,TTHE TIMBER CONSTRUCIOI MANUAL INTCI. EXIMIG11 EA Rau BETHICK FOR BE BwrtHO-EFVIRAAT UAwo GGXAND tN%FOR Rs�VE COM=. �Rs lum Mvsoµ OR G3uA4.roIST,ORBUM xaNGERs wxwrolslsDR SIEVE SIu STRUCURALFIu ER, PA SNLlY—EA w ues STEWRFINFGRGxRPROOBEmNrIRD'°Ml AND SHAUNIMTO EGREEBE«IMN E=FAAZ11 CHEA roISTs°R BUFrs Y—I1}'p�ITpW7� tµ me-S 14.05 DVBRA rvvIULBARPUGIGDETa1N0LBIxruurno«soR PxonDE xvRx'vmRNER BARssI3FTO M.Tcx,Assxowxpx e D ° Dc IJ I I.11P n NVB ImESMARI IIGCDIWE DUMFU IWLUMBERsMu RENLLYSPIRED 5 B. MOTECT COLDCU ER wlEnxsnow5 of 3m A=RR RINGNAILB FACHSIDEAT'DiioR ASOTxERWSE Noreoal TXE 1/4' CURREUTAG cpDET OF STAxOARD PRAtncE svE[IFIuilous AND GUIOEUNEz IN ARES Ix A¢ORDAnCEvnrx Au RIWwNN�oRURFmMMENDED BriHE MAIUFACURER.uuts usOOFOR aWLiuv PI=1HALLBEANuuuA Frw°m5a rt,mMm,u.aa4nv.. a Am, �o xDAxDCIRIN ACurmANCE ULHurBEAvuEDtpiHE ES1,1TBTNNBNx"� °u EDBrT G. C. °I DTHFW o" ow'v x m[x3OPRRov°o;RFRnN��FE EMpx°TMED, 9 I.INOTE THREE III P-TARM PARr�O�E Rae NRTHIN E3I—ESIF SLAB GRADE MALL0wm. LBEA -MII°DATIw CIIPLI,Gw ASTMCBAANDA Cit3,UTEMIRwG6 EanED ON THE I—I T P THE Ru �I " TYP.MULTI PLY CONNECTIONS Fxue.ixa A 1 I — oFj1KE r� Town.of Barnstable *Permit# T* Expires 6 months from issue date %' Regulatory Services Fee BARNSrABM 1 `� � + Richard V.Scali,Director ATED MA'�A J� ., 9\ b,N ,� 1 � 6 � Bryuilding Division . �p ��T,ombPer ,CBO,Building Commissioner t6N 200 Main Street,Hyannis,MA 02601 �O�`"V www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY e _ + Not Valid without Red X-Press Imprint Map/parcel Number U `� q Property Addresss � V [StResidential Value of Work$ �j 5 0 V Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address u P VW-5-0- ti 174 e •,� Contractor's Name J ed C C Tel one Number L l d-39~,cV?d, Home Improvement Contractor License#(if applicable) Email: A O YQP @6 Cy"LCG�4 �\ • e Construction Supervisor's License#(if applicable) [Work-nan's Compensation Insurance Check one: ❑ I am the Homeowner I I have Worker's Com ensatiofn Insurance Insurance Company Name P Y Worlmlan's Comp.Policy# - t 0 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side S Replacement Windows/doors/sliders.U-Value (maximum.35)#of windo s #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owne must sign Property Owner Letter of Permission. A copy f the ome Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: '0 ITY A�_O Q:\WPFILES\FORMS\building permit formsTYP SSAO Revised 061313 f ��d C o�rur�aa�rcuea�l�0'(P JJ�cc�ic eGys Office of Consumer Affairs&Business"Regulation f4�iOME IMPROVEMENT CONTRACTOR Registration 158158 b Expiration:, 12-MW20.17 DBA Type: DANIEL JOYCE CONSTRUCTION" -" DANIEL JOYCE 14 DOLPHIN LN. HYANNIS,MA 02601 Undersecretary Massachusetts -Department of Public Safety Boa-,W of Building Regulations and Standard's Vp t) 113 UCH011.3U.I)t.1 tllUl License: CS 102512 ,." „ o Daniel J Joyce,Jr PO Bog 117 West,HyannisporFMA�b2672 �1i11 Expiration 12/1312016 Commissioner He Comwoymwaltlt o Massac-buseffs Deparftnent of fidustrial Accidents -- - E11Tce of rnves6gafions 600 Washington Street Boston,MA 02111 wiviv.rxassmgovldia Workers' Compensation Insurance Affidavit:$uilders/ContractorsMectricianslPlvmbers Applkant Information. Please Print Legibly Name(Rusi rs Orpnion&dividnal): YC p � a City/State/Zip: MA 4- Phone 7 _ KI oyer?Check the appropriate box;4. I atn a . cflnfractar and ❑am a employer tivith�_ ❑ � ti_ New�s�tsctiorz 1 employees{full a4dtorpart ime}* have hired the sub-contmciors. 2_El I am a sole proprietor orpartner- listed on the attached sheet` 7_ ❑Remodeling ship and haze no employees Thesesnf�-coutractols have and have workers' g- ❑]�oIitiau worng for me many capacitT 9- ❑Building ad dition [Nfl,workris,comp-.insurance comp insnran¢$ requice-d] 5..❑ We are a corporation and its 10_[]Electrical repairs or additions officers halm exercid thei r 1I Plumlrin airs or additions 3_❑ I am a hameou�ner doing all wot� -❑ g� , y7� right of e�ptioa per MGL pelf. L"fl WdrICEfB�Comp- 12-❑h d 4 1 152 Roof repairs. c_ ,§ ( } an we nm no insurance required-]l 1�_.[�Otller�ur� employees_[No workers' / f comp-insurance requued,J; "hny amglirBnt that cbed-.s bo%-#1 taact also fill out the section below shooing their woikee compensatioa pkiirY infmrma[ion_ Sumeownets who submit this affidsvit indicatrxg they 8i£rioiag aII wodc and theahire nmside contrsctnrs nmst submit anew affidavit md-ghnc such lCoatractors that check this box must sturbed an additional sheet shots mg the name of the sub-ems and state whether ornat those Mfilies have izcv]vyees- irthe s-uh-contmaDs hale employs,the}must pwvide thdr wori ers'comp.policy number Inm atn efllplayer tha#isgtrnri�Ir rlrorke_rs'calargerrsrrhon irtsrcrrutcts for rlt*e.IrtPi�yeeu Belot`is thepa&y anal job site irifotmalian � � l Insurance Company Name: Polu7 Self-ins-Ur-4-- JobExpiration I ate Sites Address: 7a �` C, City/Statelzip: Attach a copy of the workers'comp ens tun policy declaration page(sh�nwing the policy number a expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can Lead to the imposition of ctitntnal penalties of a fine up to$1,50Q0D andlor one-yearimprisonment,as well as civil penalties in the four of a STOP WORK ORDER and a fine ofup to$250.00 a.day against the violator_ Be advised that a copy ofthis statement maybe forwarded to the Office of Im es(sgations of the DIA for inshore coverage Verification_ I do hereby c . ' It tkepruns IdPena ss ofpei�wy thatthe information prataci d abin "Ib an c/arse Sttmattzre: Date- Phone 9: O3 ,al rue onty. Da not tQrite in thie area,to be completed by did or town off`iciaL City or Town: PerndtUcense# hmning Authority{circle one}: 1.Board of Health. 2.Building Departrnent I Cityll own Clerk 4_Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"_._every person in the service of another under any contract of hire, express or implied, oral or written_" An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local Licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority_" Applicants — Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es):,and phone number(s)along with their certlficatc-(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 i su-a„ce coverage. Also be sure to sign arrd date the affidavit 11re 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 obtau-r a workers' compensation policy,please call the Department at the number listed below. Self-insured.companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant_ Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an.applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations In. (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the ffi applicant as proof that a valid affidavit is on file for future permits or licenses. A new adavit must be Elled 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 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 CoDmllonw--an of Massachiisetts . Degartmc�nt Qf Indnstdal Acc%de,� office of kvestigatiaxls 600 Wasbingtan Street Boston,IAA 02111 TeI.4 617 727-4900 W 406 or 1-977 MASS.AFE Revised 4-24 07 Fax # 617-727-�49 www.massgav/dia CERTIFICATE OF LIABILITY INSURANCE oATE`MM,DD,YYYY, . �- 3/2/2016 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 endorsement(s). PRODUCER CONTACT Atlantic Insurance Group Agency Inc NAME: Berkley Assigned Risk Services 530 Adams St A/o.No.Ext:(800)634-4589 jA�c.No,): (866)215 8118 ADDRESS: PolicyServices@berkleyhsk.com Milton MA 02186 INSURERS AFFORDING COVERAGE NAIC k INSURER A: Acadia Insurance 31325 INSURED Daniel Joyce INSURER B: DANIEL JOYCE CONSTRUCTION INSURER C: PO BOX 117 INSURER D: INSURER E: West Hyannisport MA 02672 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 LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY AUTOMOBILE LIABILITY $ WORKERS COMPENSATION WC STATU- OTH- _ AND EMPLOYERS'LIABILITY Y/N X TORY LIMITS ❑ER ANY PROPRIETOR/PARTNER/EXECUTIVE a E.L EACH ACCIDENT Is - 100000.00 A OFFICE/MEMBER EXCLUDED? N/A Ej MAARP300574 12/1/2015 12/1/2016 (Mandatory in NH) It yes,describe under E.L.DISEASE-EA EMPLOYEE $ 100000.00 E.L. - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000.00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Ahach ACORD 101,Additional Remarks Schedule,it more space is required) -Election Category Election Status Name Issue State: All Entities/Insureds: Sole Proprietor Exclude Daniel Joyce MA Daniel Joyce CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis MA 02601 AUTHORIZED REPRESENTATIVE ACORD 25(2010/05) BRAC3139 �TME T Town of Barnstable Regulatory Services MA-Q& $ Richard V.Scali,Interim Director 163p.iOrED Mai� 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 Aas Owner of the subject property hereby authorize o L to act on ray behalf, in all matters relative to work authorized by this building permit. ' A J t I r I (Addy ss of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled,or utilized before fence is installed and all final inspections are performed and accepted. < Signatur f Owner Signature of Ap can _� 0� �' A- '--'Print Name, Pant Name Date Q:FORMS:oWNERPERMISSIONPooLS 10/13 Town of Barnstable w f' Regulatory-Services oFt To�� Richard V. Scali,Interim Director * * Building Division * snxrrsr�siE Tom Perry,Building Commissioner Htnss. 163. �� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us. Office: 508-862-4038 Fax: 508-790-6250 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. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner: Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. • r ' The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s) for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities-of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,.particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. f 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:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 i PROJECT 3_,Le_NAME: _ ADDRESS: GLt�k%s PERMIT# PERMIT DATE: M/P: LARGE ROLLED PLANS ARE INe BOX SLOT ��-- Data entered in MAPS program on: BY: q/wpfiles/forms/archive tic s Town of Barnstabl e *Permit� 1 �1 �� . Expires 6 months from issue date + + Regulatory Services Fee e + NEAM _' Thomas F.Geiler,Director 16gq. �0 Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma us Office: 508-862-4038 Fax:.508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number } < AProperty Address / J Residential Value of Work jc3 OD / um fee of$35.00 for work under$6000.00 :1 ' Owner's Name&Address UA Jer AA Contractor's Name i Telephone Number l o09—y3 Home Improvement Contractor License#(if applicable) 8 Construction Supervisor's License#(if applicable) 0-� S � ❑Workman's Compensation Insurance DEC 2013 Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensationins ce 'TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# W e� �� -d�� C�0 0/ Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side Q #of doors Replacement Windows/doors/sliders.U-Value (maximum.35)#of windowsS_ ❑ Smeke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. . Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not ex-.mpt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& struction Supervisors.License is SIGNATURE: The Common,weakh of assachuseft � Deparhnentof1ndusftizdAcddenft j Offrr.-e afii vestigations 600 Washington Street Boston,MA #211.1 rvs cnv ma s gv v/dia Workers' Compensation Insurance Affidavit:B ers/ComtractorslElectricians/Phunbers Applicant Information /^ p Please Print Legiffily Name(Bum' i): �(/1 c� . • � Cityk�ta�te(Z p: J � Ph�ue# �Cf -3 03 Are you an employer? eck the appropriate~box: Type of eet r 4_ I am a contractor and I 3'Fe pmj (required): 1_ I ate a employer with 1 ❑ 6- ❑New construction siruction employees(fall andlorpart-bme)-* havebired the sub-c�ms I F.t71 8 sole chat or partner-paw- listed on the attached sheet. I. ❑Remodeling ❑ strip and have no employees These mb-c-ontractots have $_ ❑Demolition w Q for me in a employees and have wraps' � any f3`- � }. ❑Building addition worlmrs,comp.insurance comp_InSVranOe, required] 5. ❑ We area corpomfionaad its 10.❑Electrical repairs or additions 3 .❑ I am a homeowner doing all work offican have exercised fair 11_❑Plumbing repairs or additions myself o workers' right o€exempiiau per IYIGL 2 � �- and have no i=.❑Rflo€repairs in��,ce required]T c_ 152, y1(4}, 13.0 Other eMP -[No' =' cramp.insurance required.] 'Any applicant that checis box Al nmst also fill out tine section below shmmg then wouters'campens=xm porky isfnrmstiora 1 Homwwaers trho sabMd this of dsvd 1U&CAmg they aM&Mg aawu&and then hue outside contmc+rs ems#submit anew afdawd mdicatmg such #Conacinrs that chkk this box mast attached au additional sheet showing the 3sme of the sab-conn-Acton aid state uhe&er or noMose entities base empkrAn. If the sob-a atraaars have employees,hey mua provide their w orkeW comp.policy number. I am an employer that isproviding workers'conga advar in=rance for azy amplay+=a& Bel©w is thepoUcy and jab site information. 1 Insarsnce Compamy Name: ef ` Policy*Cr.Self-ins-Lic. C�� o�U—G vl 5- o7 �J Expuaticn,Bate: — — Job Site tl.ddress: / D ` S CJ� CityfstatM74: 111f a Attach a copy of the woz kern'compensation policy declaration page(showing the policy memo and expiration date). Failure fro secure coverage as required under Section 25A of MGL c_ M can brad to the imposition of criminal penalties of a fine up to$1,500-00 and/or one-year imprisonmeut,as well as civil pekes in the€orm of a STOP WORK ORDER and a fine of up to$250-DO a day against the violator. Be advised that a mpy of this stuemmt may be forwarded to the Office of immstigaticus of the DIA a coverage vent vatic i- . I do hereby vet fi.fy th and pe ofpet�tury brat the irifarmatiaa prrttpi&d abvvva is inrI correct �1 Date: l 3 Phi; �� a3 5 _ y33 offWaI me only. Der not write in this area,to be coMpis ffd by city or totM orfeig& . astr ar Town• Perwit.Ucense# Issuing Authority(circ a one): _ I..Board.of Hearth 2.Building Department 3.CRyfrawn Clerk" d.Electrical Inspector S.Pea mbtng,Inspector ..6.Other.. :... ;.. phone tF- w 1 1 i �... ' _, � � . . DATE "RjP CERTIFICATE OF LIABILITY INSURANCE 2/1?J20DD 13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY'AND CONFERS.NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DO ES N OT AF FIRMATIVELY 6 R N EGATIVELY.AM END, E XTEND(O R ALTER T HE C OVERAGE AFFORDED B Y T HE OLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES.NOT CONSTITUTE A CONTRACT B`ETWEEN`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 t0 the certificate holder in lieu of such endorsement(s). PRODUCER- CONTACT Atlantic Insurance Group Agency Inc' NAME: Berkle 'Assigned Risk>Services 536 Adams.St Atc No.Eut: 800 634-4589I (a.No.):. 866 215=8118 ADDRESS: Poll Services berkie risk':com. Milton,MA 02186 INSURERS'AFFORDING COVERAGE NAIL .. . . :INSURER.A:. ..,-...:;. - 11325 :INSURED _. . .. Daniel JOYce INSURER B: dba:Daniel Jovice.Construction INSURERC PO BOX 11:7 INSURER'D;.. INSURERE:- West Hyannisport MA 02672 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: INSP, ADDL S BR .POLICY EFF. POLICY EXP. 'LIMITS TYPE.OF INSURANCE POCIOY NUMBER' -LTRF. INSR WVDi � _ :: 'MMfDDIYYYI(.� MMlDDlYYYY -, GENERAL.'LIABILITY - EACH OCCURRENCE: $ -$: COMMERCIAL GENERAL LIABILITY DAMAGETO'RENTEDPREMISES Ea-occurrence . . ❑.CLAIMS-MADE Q.OCCUR ❑ ❑ MED EXP An-.one- erson $' PERSON AL-&ADV INJURY GENERALAGG REGATE $- `GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS:7 COMPIOP AGG $ .. ___ POLICY [IERT' ❑LOC AUTOMOBILE LIABILITY El ❑ B _ Ea accident " ANY AUTO `BODILY INJURY(Per person ALL OWNED SCHEDULED AUTOS $'. AUTOS BODILY INJURY Peramident HIRED AUTOS ❑NON-OWNED PROPERTYaccide DAMAGE' $: AUTOS -2eracciAenl . . _ :UMBRELLA LIAB ❑OCCUR ❑ ❑ - - -- - -$, EACH OCCURRENCE _ EXCESS LIAB ❑-,CLAIMS.MADE AGGREGATE' -� DED ❑ RETENTION:$ -$ WORKERS COMPENSATION, - - - WC STATU- OTH=- AND EMPLOYERS'LIABILITY. YIN :xi WC LIMITS �:-ER A..+IY PROPR(ETORIPARTNERIEXECUTIVE❑ E:LEACH ACCIDENT $, 100000,06: A OFFICE/MEMBER EXCLUDED7 NIA. ❑ WC-20-20-002552-04 1i2/112013' 12/172014 (Mandatory in NH) -- - E:L.OISEAS&-EA EMPLOYEE '$- 100000.00- If yes;'describe:under DESCRIPTION OF OPERATIONS below- E.L.DISEASE'-POLICY LIMIT $�.....500000.00. DESCRIPTION OF OPERATIONS I LOCATIONS fVEHICLES'.(Attach ACORD 101,Additional Remarks Schedule,if more space.is required) Election Category Election status'Name; All Entities/insureds: Sole Proprietor Exclude Daniel Joyce Daniel.Joyce CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town Of Barnstable EXPIRATION DATE-THEREOE,NOTICE`WILL BE DELIVERED IN 367 Main Street ACCORDANCE WITH THE POLICY PROVISIONS: ..... AUTHORIZED REPRESENTATIVE Hyannis MA 02601 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-102512 DANIEL J JOYCE 3R PO BOX117 . WEST HYANNISPORT,IVIA 0267f Expiration . Commissioner 12/13/2014 ��e t�a»vrreartcuetr,�C�o�C�/l/lns�ac�ccle� Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: registration 156158 Type: Office of Consumer Affairs and Business Regulation xpiration 12/17/2015 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116. DANIEL JOYCE CONSTRUCTION `- DANIEL JOYCE 14 DOLPHIN LN. HYANNIS,MA 02601 Undersecretary Not valid wit t o t signature III , .:� H.t • .'�Iftl`.. / ��S f Y.�R Vx ;aJ�.�tt�.M�Ld��::,.. �. s RtU�► ez'VCeS, . Z. Tam:Perry,$agog Comm3sseo�ei 200 - Off pe $08-862-403$ pax 50&794i623© property. Owner Must: replete and S?g This Sectax. If U9, Builder as Owner of the mbjee pxoP Y hereby authorize' /1 —=- - to-act on my b.chal i4 alLmath=relative:to work=liarzed by tbs buU'.g pjtt a Caddy s'of Job) Pool fences avid datums are the_responsibility of the appl carat..Pools are not to be filled or u-Ehized.before fence is installed amd an ixt al tlspe �p ons;axe pezffota ed and.accepted, .+ • . . - : _ . . . - A. . S of awnet Sign afinte of l4pp - Town of Barnstable Permit# a06 c, o t 7 Expires 6 months from issue date ]regulatory Services Fee - CO Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner DED ,,S.`pfD�200 Main Street,Hyannis,MA 02601 N www.town.bamstable.ma.us Office: 5918 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY (('�� Not Valid without Red X-Press Imprint [ap/parcel Number ��.(/ roperty Address /7 t ]Residential Value of Work Minimunf fee of$25.00 for work under$6000.00 )wner's Name&Address L Shot ad v a� 'ontractor's Name Q/7 J 6(C J rel iI� Telephone Number tome Improvement Contractor License#(if applicable) j 5�6 lVAQ 's-I✓icse ( appiieatriej n C r� LLCi G` i __..__. ]Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ Ijarn the Homeowner have Worker's Compensation Insurance asurance Company Name Vorkman's Comp.Policy# U �7X&.2 - :opy of Insurance Compliance ertificate must be on file. emit R;:�R ut check box) 'p e-roof(stripping old shingles) All construction debris will be taken to P/�; L,��✓G%'� C / ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner ust sign Property Ow etter of Per ission, A copy of me Improvement C tra o nse is required. ;IGNATURE:-'1(r-- I:Forms:expmtrg .evise061306 v R The Commonwealth of Massachusetts - Department of Industrial Accidents Office of Investigations a 600 Washington Street �t Boston,MA 02111 ' M www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information - Please Print Legibly. Name(Business/Organization/ludividual): i'.�Ch ('TILL f�� i S Address:/b � .� City/State/Zip:, e'e, Phone.#: /&7__0?/,9 -do� Are you an employer? Checkthe appropriate b .Type of project(required):. I.❑ I am a employer with 4. Vam a general contractor and I * . have hired the sub contractors 6. ❑New construction . employees(full and/or part-time). 7, Remodeling 2.❑ I am a'sole proprietor or partner- listed on the attached sheet ❑ g ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp.insurance comp.insurance.$ 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] - ' 3.❑ I am a homeowner doing all work . officers have exercised their l 1.❑Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12. oof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other 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. tCortractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self--ins.Lic.#: U18-A167Y(_ 4),5 Expiration Date: / Job Site Address`5 A U SA?t e ' City/State/Zip: ' MT O0-260 / 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 inwance cove;Age verification. I do hereby certify and the p ins-an altie ormation provided above is true and correct, Si afore: _ ._.....__._ _ . Date: i Phone#: Off cial use only. Do not write in this area, to be completed by.city or town officiat City or Town: Permit/License# Issuing Authority(circle one): A.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. as"...eve person in the service of another under an Pursuant to this statute,an employee is defined "...every p Y 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 g g receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced:acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter..152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance withthe 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-contiactor(s)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members'or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:_ The Commonwealth of Massachusetts Department of Industrial A.coidents Office of Investigations 600 Washingtori Steeet Boston,MA 02111 Tel. ##617-727-400 ext 406 or 1-877-MASSAFE Fax##617-727-7749 Revised 11-22-06 wwv.mass.gov/dia j 41C i � f-; ,. / � A ,� ], (�� CGS L�,� � l � W� , 5 � � � (C� � � , �� r, �p _ �� % � y�.� �� . �► �,r�1 S � r� % C. �� %a �� i BV671.1 Itid lititS3i 1 License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: \ Registration: 125460 Board of Building Regulations and Standards Expi�Ati:on 12/22/2007 One Ashburton Place Rm 1301 / ! ��BA Boston, Ma.02108 i STEP EHN J. GIATREL€StLDE pI ! JTEPHEN GIATRELt.'--I-€ 106 CAPE DR ''1 p MASHPEE, MA 02649w' _..<---- -Administrator out signature F�� ✓fze �o�n�nc��crea�a�..��z�uxG�iu6ek6 BOARD OF BUILDING REGULATIONS k' License: CONSTRUCTION SUPERVISOR Numher�`GS O4991.5 SAMate-d-W-0/1962 �� ExQ3re O'-Wj(k 008 Tr.no: 982.0 : Re�stc1c=dG ST.EPHEN J GIAgREtIS f 1 68A NICOLETTA S'WAY'' MASHPEE, MA 02649 Commissloner ,. o 'o �H�E, Town*.of Barnstable Regulatory Services esi e • sn�x Thomas F. Geiler,Director Ec►9, Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-79076230 Property Owner Must Complete and Sign This Section If Using..A.Builder i d0 re 0 s I ,as Owner of the subject property hereby authorize � I to act on my behalf, in all matters relative to work authorized by this building permit application for: - Is. D 01(X Address of job) 106 Signature of Owner Date Print Nance Q:FORMS:0WNMRPERMIIS SION 12/20l2066 14: i7 15665397932 SGIATRELIS PAGE 62 TOgW,12=ZD08 12:48 PM Senders Fax ID:Northwood Inaurartce Page 2 of 2 OP ID DATE(MNUDD�YYYYI ACORD_ CERTIFICATE OF LIABILITY INSURANCE MZIw 121201D5 PRDwGER — THIS CERTIFICATE IS 6SSU£D AS A MATTER OF NFORMAT10H ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Lsort1lt01Dod 23asurariCe Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 90S 9 WZ0o XlUzain Street ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW. myannis Mh 02601 NAIC# phobte:509-771-1632 laaX:508-778-1789 INSURERS AFFORDING _ _ INSUf IURERA: A.�EEI.1K. MiYETJAI, %>RS I;O INSURER e. IN&RCR C. Erik XambLit INs�RE¢o: 120 SogCtadi Mkrrg Tons Kills ILL 02640 I." COVERAGES THE FauOES 0^INSURANCE LI6TBb BELOW HAVE'66EN IS3UFU TO THE IITrl,URF.D NNAED MOVE FOR TNe POLICY PERIOD II.EIICA'FD.NOTWITHS-.4 NIG ANY RE]UIREMQJT.'TERM OR CONDITION W ANY tCN!RAr OR OTHER D0Ci VENT W TH RESPECT TO WHICH TAM CERTIFICATE MAY Fix ISSUED OR MAY FF, PJN.T•E!N'FLaA1ICE A°FORi0E0 OY THE FOL�CIE&DESCRIBE I CREIN IB St'BJErT TO ALL.TIC-TERW.GVrLUSIONF AND Cr•�ITIONS Or 9JC� POLIVES.AC-GF190AM OWTS:WOWN M AY HAVE 6EEN REDVCEO a'PAID CLAWS. L� MSR TYPE OF INaUitAtiCE POUCYNUM66R D4 (MAS'DDM! DATE WMTTS �NERAL UABILRY EACu OCCUARFNCE A _ COMNERVAL GENERAL UAHU," I PRETAISES(En ou _ CLAIMSm-m oC_UR I MEDEY.P;Ary"Bonv11 i I PKRSONAL a AOV N lRy E �^---'" I � 'GENERAL AGGRiiGATE B OVK ASCStEC.ATE LIMIT APPL Es FER i i I PRODUCTS-OOMPJOP AGG 3 POLITY O. JECT LCC FA MI.B LORL.IRY co WED^SINGLE LIAdIT 6 (Ee ecdderdl Y AUTO i L OWNED AUTOS BODILY INJURY g HEDU.F'b ALTOS (P3f p �ni REDAJTOA BODILY NJURY CN-OVIiNW AUTOS 1Per eer,Idw) PROPERTY DAMAX —� $ — (�nr nceldMdl G.ARAOE LIABR.,TY AUTO ONLY•F,A ACCIDENT 6 ANY AUTO �R THAN EA ACC s ADS S E%GESSAAABRBLLA uAaILM EACH OCCLRRENCE _ OCCUR CLAW.MADE i AG6REWTE 8 DEDUCTIKE { s RETENTION wowcEh8 COW124 OR AND TORY�IMNTS ;A EMPLOYER.-LI4ftrTY A ANY PROPRIETCRIPARTNERWI:CUTIVE VIg66008998012006 06/02/015 06/02/07 E,LEAG9PrCID=NT €100000 OFFI0FERMEM6ERiXCLUDED7 E.I•,OISEASC•CAIEW'LOY 6100000 Ifyee dew1bo wdw MMAAGE•POLICYLIMIT ¢900000 Valk'PROVISIONS"a" _. OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHB3.R:•S I EXCLUSIONS ADDED BY F,NDORBEM 4t I SPisC1AL OVI3ION CERTIFICATE HOLDER CANCELLATION _ 3ZAEA1&� SHOULD ANY OF THE ABOVE DESCIRS90 POLICIES BE CANCELLED AMOr&TW fft MATMN CATS TNER:=OF,THE ISSUING INSURER WILL ENDEAVOR TO MAL _DAYS WRITTEN NOTICE TO THIE CWMGAYE HOLDER NANED TO THE WT,SUC FALURE TO DO 80 SHALL Giatrelis Construction M PLOOE NO OBLIGATION OR MAMnY Of ANY HIND UPON TH6INSUREiR,ITS A(Mn OR 68A Nicoiettas way Mashpae MA 02699 {iTHDR EN ROFIB. AUTHORIZED REf'RESEM'ATTVE ACORD 25(2001108) 9 ACORD CORPORATION 1988 SMOKE DETECTOR REVIEWED -- r BARNSTABLE BUILDING DEPT. DATE FIRE DEPARTMENT DATE SOT"SIGNATURES ARE REQUIRED FOR PERMITTING,, a EXIST. I DECK I A A4 j I A - ON. I . . A4 I ROOF aeLow A EXIST. FAMILY (NEW SHED UORMER) D ROOM I T-1"_ ANDERSEN-0 6 1' -S TM x q5' ''� i 1'-Oy T.ERSENA SERIES ANCERSEN A-SERIES ANDERSEN A-SERIES ANDERSEYA-SERIESPICTUREH26443 ACYJ2�4 AC1,264I, ADH26gi3 WINDOW EW211 A 718'LVI BEANI ABODE ZI COR CLOS i I CLOS - --' - - -- - - --- w --- - �- REMOD. UP i -- -- -- -- ---- --- --- r a'6' §I BEDROOM#1 CLOS.I I I A4 NE I -XIS- O I _ 6'6 a - ' O § BAH SE HALL ' RANGE. SINK I: 1{ -I I� T-4- L ASER`IES� A4 I. 0 I r 6•.1., EXPA AAN403o T DW�I ANDERSEN P ID EDR_ M#4 CUSTOM f - —- - 3"-6 ➢' \ ASERIES r ATF 5014 Y 3 x5 ) 1 ANDERSEN TRAN$041 - tWli. ` TRIANGLE -2.6PKT D -➢I ' iWNOW WINDOW© VEP4RE— N$IQN S i ALLDOOR RELOCATE ow DI KITCHEN 1NTHEFIELU_ I (VERIFY KITCHEN n F+ - �J(�1� � I � T LAYOUT Wl:OWNER) b '\U' RENIQD. \ /_I E� __ - --- F7! i ��-` S6"DOOR �,lA�. - rSTAi.D^— � BATH - J,' ^"- NEWP .CCOR 2-2x8NEW r1DR. 'L 32w8NDk. mI �ilihll�T77r•"''hS11V \ STAIR I nc�� OFFICE n gH \ -,�'.: HEADE NABC9Et,d LVl � I ATFERIE r Y I ,� �, 1 - _l BQa�-t ANDER4EV ! R OM 3 6' ANDERSEN H)AL L___J A-S �r , TRANSOMS 1 O IIS Wi. f ` IES i III €mom © � ----- 2.8WALL 1 17°6"OCO NEW �S.=.elI - I EXPAND. ► L L------------- UNDER - - - MUD BEDROOM#5 CLOS. EXIST. INS HALL -- -. -, -- - ----- LIVING B ROOM EXIST / BEDR S' Ccw - 11 LDS. 2b DOOR - ``A - -L� - ------ -- — A] <'S m C VE. Cao�. HVAC�H�- n , u PT 4xq POSI Wi TJQ:.ASING 64. A4 A4 FIRST FLOOR PLAN IECC2015 RESIDENTIAL ENERGY_.EFFI__CIENCY DETAILS LEGEND. CLIMATE ZONE S(USE EITHER PRESCFRITIVE VALUES OR RESL'HECK CALCULATION SECOND FLOOR PLAN n !/� TABLE 402 1 2(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) O O EXISTING WALLS E t =3 CONSTRUCTION TO BE REMOVED Mores001111 1/0 NEW CONSTRUCTION RVALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS /'J� 2.15/19 MEANS R=I S CONTINUOUS INSULATED SHEATHING ON-E 1NTF..RIOR OR EXTERIOR J� OF THE HOME OR R=1u INSULATION CAVITY ATTH=INTERIOR OF THE BASEMENT WALL ( f Oble Bldg..De�� O SMOKE DETECTOR 3.REFER TO IECC 2015-CHAPTER q FOR ALL INSULATION&ENERGY REQUIREMENTS a sl0 4.13•5 MEANS R5 CONTINUOUS INSULATED SHEATHING ON THE WALL EXTERIOR ( ^ w &R13 CAVITY INSULADCN K V © CARBON MONOXIDE DETECTOR - Approved by: - - TI NE DESIGNER SHALL OE NOTIFIED IF ANY ERORSRA OMISSIONS AREFOUND ON SCALE : .DRAWING NO.: COTUITTHESE DRAWINGS PRIOR TO START TR 43BREW BAY DESIGN, LLC NEW ADDITION/REMODELING ODELING FOR, it CONSTRUCTION 43 BREWSTER ROAD P` PALL BE RESPONSIBLE FOR THE CONTENT 1/4" 1`-01,:N THESE DRAWINGS IF CONSTRUCTION MASHPEE ,MA. 02649 COMMENCES WITHOUT NOTIFYING HE PH.(508)274-1166 AND RS®I� RESIDENCETHESEDESIGNER 6F ANY DRAWIN S ARE SOLELYFFORTHE NSE THESE DRAWOF THE INGS REQUIRES THE WRITTNY OTHER USE EN FAX(508)539-9402 Ai RR per j/��// \X� )p� RUN }DATE : i 5V ESTEY -/AVENUE ENU'E H. Y ANNIS, MA + � ARC DER HE CONStTET'1URAL CCPYR CE iPROTECTION 8/7/2018 Y �J RI ACT OF 1990 EE - I FRI IZ IS ' . TOP OF PLATE TOP OF PLATE MATCH 1 — EXIST. ..I SEC NDFL�P UBFOLOOR II L _ - J TOP Oc'PLATE kT 00 FIRST FLOOR .. FIRST FLOOR SUBflOOR SUBFLOOR FRONT ELEVATION RIGHT ELEVATION NEW CUPOLA.VERFY.ALL DETAILS W/OWNERS NEW ASPHALT ROOF SHINGLES W:HIGk VH NA!LIN(i \ NEW PVC'!x B FASCIA&SOFFI'T Wl 1 x B FRIEZE BOARD NEW PVC-S RAKE BOARD W/1,3 DRIP BOARD TOPCF PI.P:TE TOP OF PLATE NENl W.C.SHINGLE SID!NG TO MATCH EXISTING / a - NEW PVC zb CORNERBOAROS I - �� I' ❑❑❑ SECONO FLOO SECOND FLGO: SUBFLOOR - SUBFI: T OF PLATE _— —— TO-OF PLAi OP � : - FIRST FLOOR ' FIRS'FLOOR I: SUBFIOCR I SUB=i00R -- LEFT ELEVATION -- ---- ----- REAR ELEVATION THE DESIGNER SHALL BE NOTIFIED IF ANY DRAWING n�� ® / � �® � FOR ERRORS CONSTRUCTION.THE.BUIL IL FOUND CONTRACTOR SCALE : 1 E VRAvVI1YG NO.: I 1 (V� !'� THOSE ORAW:NGS PRIOR TO STARE OF SCAL COTUIT BAY DESIGN, LLC [S THEORAWS PRIOILO STAR r ORAC OR L_ V�;y W-I.BE RESPONSDIE FOR THE CUN ENI' 43 BREWSTER ROAD _._-__. __.....__.__..__._ urHESE DRANANGS IF CONSTRUCTION i MASHPEE,MA. 02649 COMMENCESWRHOUTNOTIFYINGTHE PH.{508)274-1166: AN DERSON RESIDENCE . r DES ROFANY ERRORS SOLELY OMISSIONS. THE 8 jTHESEOR44MNG5 ARE SO ELY OR THE USE DATE : CONSENT OF THE DESIGNER UNDER THE Eh /7/201 FAX 50 539-9402 p/qy L REQUIRES 158 ESTEY AVENUE HYANNIS, + ` ACT OF1 FIRA COPYRIGHT PROTECTION ACT II ECr I I I I I ! i ! I I . I I - i EXIST. Q PATIO —---- 36`0" '.A _ .. AQ II: III ! UPAQ SMARTVENi SMARTVENT IS. MARTVEAT —— —————__ _—__—— — - ..————— - EXIST. MU rVAtL W p0 VERTICAL - 0 CRAWLSPACE BARS AT IW Pc,FILI.,ORES _ i ROOF BELOW AT EACH BAR ON A 24-WIDE 00 B-DEEP CONCRETE FTG. I N O b NEW 2'CONCRETE SLAB - a w W,6 MIL POLY UNDER ®x (NEW S HED DORMER) I 1-2 Ns. T-23.8' T-23'B' 1238' LT2y' SOLID 2x8BLOCKINGtNTHEOUTSI0E TWO RAFTER&CEILING nIST SAYS FLOW ON THE UNDERS GF AIR - ----.-- ——————— -------.— __—_--_ —___—_ SHEATHING NEWS-P.i 2x12GIRT 2K,2J 2-2.8HOR. 2K.2J 2 2x 8 HDR. 2-2,8 HOR, 2K,2.i 2.2 x BHOR. 2K.2J ! _— —_— ... - - - - rN II� I `CMU WALL Wli19VERTICAL - SAftS AT FILL CORES AT=PGH BAR ON A24'WIDE - B _ - 1_ B x 8-DEEP CONCRETE FTC.' AQ f' _ AQ `? SISTER FRAME NEW 21 1D, EXIST. LL, L ..I TO EXIST 2 x 6,� CRAWLSPACE NEWT•CONCRETE SLAB. I ( 2.2 x b FiOR. Wl B MIL POLY UNDER: 8-� 2K T_1tl ]'<` T 2• ]'_T T-0" E4V}P,T 2 12 GI l I .N W3-P.T:2x.2GIR - _L"}-� L'}"—J - L"�-J OUTLINE OF NEW' EXIST.2x 8 RIDGE BOARD I ! CUPOLA ABOVE L J P ST DOWN TO E`W}PT2 12_GIf II�If ! NEW 2x tORIDGE 6'-tl' 6.10 1:1 C• E CEILING I i J_ S FTERS � L rvl P.T.2x — o L _ L T TL_ J L' �o r NEW 3tl'x 30"x 12° m _ CONCRETE FOOTINGS y I i I I NEW 31t2'DIA.STE'cL ASTMA S O COLUMNS EACH E SUN LCC CAP EACH END ................. EXIST,GAU FOUNDATION : NEW IO"OIA CONCRETE SONOTUBe I 'WALLS TO REMAIN _A: ON 24"D'A SIGFOOT FOOTING TO 4'0'BELOW GRADE.USE SIMPSON A4 B ZMAX ABU88 POST BASE'N' S. AQ B AQ DIA JSTYLE BOLT I A4 3V 0" 5 8" FOUNDATION PLAN ---- ROOF FRAMING PLAN NOTES: ' - 1.) ALL ROOF RAFTERS TO BE 2 x 10's UNLESS OTHERWISE NOTED 2.) USE SIMPSON H2.5A HURRICANE CLIPS ` AT ALL RAFTERS ENDS 3.)VERIFY GUTTER TYPE/LAYOUT W/OWNERS _ - THE DESIGNER SHALL BE NOTIFIED IF ANY COTUIT BAY DESIGN. LLC �� ADDITION/REMODELING° , �p�' ERRORSO40MISSIUNSAREFOUNUON SCALE : DRAWING NO.CO ST ORAWwGTHEBUI DI STAR'OF- �/�11 _ 11-OH CONSTRUCTION.THE BUILDING COhTRArTOR 43 BREWSTER:ROAD _ WILL BE RESPONSIBLE FOR THE'ONTEN7 rt C IN THESE DRAWINGS IF CONSTRUCTION MASHPEEE,MAI L02649 p /\ RESIDENCE }'�� --' COMME NOES W.I'HOUT NO IIFYING'I'HE PH,(508 274-1166 A N D E R S� ¢N 9 \E S I'D E N C E DESIGNER OF ANY ERRORS L OMISSIONS. TH NS. d1) n \rj THESE DRAWINGS ARE SOLELY FOR THE USE FAX(508)539-9402 \Y) 1{J �w\� f F `�(, \I �j}y� OF THE OWNER NOTED ANY OTHER USE OF DATE A6 158 E S T E ! A X E f 9:U ice. H 0 A I T�N I S n y yA THESE DRAWINGS REQUIRES THE WRITTEN Q Q ARCHIETOFT ROES INERUNrO T.THE �+/�/�O�U 9 - ACT OF 1990. I NAILING SCHEDULE 110 MPH EXPOSURE B WIND ZONE s- J JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING - --- / �CL'POLA BEYOND --d I TYP.ROOF CONST. BLOCKING TO RAFTER(TOE NAILED) 2-8d 2-tOd EACH END -z x,o ROOF RAFTERS 1E as RIM BOARD TO RAFTER(END NAILED) 2-16 d 3-16d EACH END CDX PLYWOOD ROOF SHEATHING EXIST.2xBRIDGE ASPHALT ROOF SHINGLES TYP.WALL CONST. .........-a............ POST Dowr+ro 2xa.9�tB.�c _1sL¢.FELT PAPER - TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-16tl -5-16d AT JOINTS ABLE ceawG JOISTS ..BATT INSULATION - .2•a sl uLs({y 16 0.0. STUD TO STUD(FACE NAILED) 2-16 d 2.16d 24"o.c. R RAFTERS j"'" Q PLAT CEILINGS(R=49)' 3.R20 v2"PLYWOOC 1,1S 6NG HEADER TO HEADER(FACE NAILED) 16d 16d .16"O.C.ALONG EDGES 12 I 12 SIMPSON HI:SA HURRICANE CLIPS A.R GYPSUM BOARD ULATION EXIST. `,ti�� d ; AT ALL RAFTER ENDS - FLOOR FRAMING _-_ __ ICE/WATER'SHIELO AT BOTTOM 5.W.C.SHINGLE SIDING -.._-__ .-.--...___. __... .___._ , \` 3ro•cF ROOF s.TYPAR VAPOR BARRIER JOIST TO SILL TOP PLATE OR GIRDER(TOE NAILED) 4-8d 4-1 Od PER JOIST PaoP W VENT BARRIERS RAFTERS BLOCKING TO JOISTS(TOE NAILED) 2-8d 2.1 Od EACH END --WINO WASHBARRIERS' BLOCKING TO SILL OR TOP PLATE(TOE NAILED) 3-16tl _ 4-16d EACH BLOCK z OCRs ts'o.c. .roa of PLATER LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) 3-16d 4-16d EACH JOIST JOIST ON LEDGER TO BEAM(TOE NAILED) 3-8d 3-1 Od - PER JOIST CONT.SOFFIT VENTS yP. AR BAND JOIST TO JOIST(END NAILED) 3.16d - 4-16d PER JOIST \ pN t K 3 RAP G VERIFY ROOF TO WALL HEIGHT \\ 1 Ac BAND JOIST TO SILL OR TOP PLATE(TOE NAlLEDO 2-16 d 3-16tl PER FOOT \ - TO FIT WINDOWS �- ' EW z x.LETDOER W/TIMBERLOEACHx J WOOD STRUCTURAL PANELS(PLYWOOD) CLOS. HALL BEDROOM#4 `�\ FA�TENEO W HHANGER5RJD8 RAF ERS Q I RAFTERS OR TRUSSES SPACED UP TO 16"o.c 8d 10d 6"EDGE/6"FIELD 3 RAFTERS OR TRUSSES SPACED OVER 16"c.c. 8d 10d 4"EDGE/4"FIELD j EXIST. SECOND FLOOR GABLE END WALL RAKE OR RAKE TRUSS W/0 OVERHANG 8d 10d 6"EDGE16"FIELD ` suBFLppa II GABLE END WALL RAKE OR RAKE TRUSS - 8d 10d 5"EDGE/6"FIELD EXIST.2 x BJOISTS t6•o.c - EXIST 2 A S JOISTS a IT1:c. TOP OF PLATE W/STRUCTURAL OUTLOOKERS - NEWa-1 1!4`x n t:4 LVL BEae GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS 8d 10d 4"EDGE/4"FIELD CEILING SHEATHING: - GYPSUM WALLBOARD 5d COOLERS - --- - 7"EDGE/10"FIELD WALL SHEATHING: LIVING i KITCHEN SUNROON wooD sTRucruRn�PANELS rPLYvuooD> i -- ADD MIO-SPAN BLOCKING STUDS SPACED UP TO 24"D.c. 8d I.Od 6"EDGE112"FIELD TO ALL P�ooR Jasrs 1!2"&25/32"FIBERBOARD PANELS 8d 3"EDGE/6"FIELD FIRsrFwOR It2"GYPSUM WALLBOARD 5d COOLERS -- 7"EDGE/10"FIELD 6UBFLOOR ` EXIST.2x8'JOISTS 16'Pc. EXIST.2x6 JOISTSQ16•o.c EXIST.ZX 8 JOISTS v@ I6'oc FLOOR SHEATHING: ^-NEW 3-P.T.2 x 12 GIRT II =NEW 3-P.T.2i 12 GIRT : :-KNEW 4-P.T.2 x.12 GI ---_- - -EL (PLYWOOD) - WOOD STRUCTURAL PANELS LSPRAY FOAM msu ION(R=3(Q•CONC..SLAB WI6MIL� r2"CONC.SLAB Wl 6 MIL CRAWLSPA E ! 1"OR LESS THICKNESS 8d 10d 6"EDGE/12"FIELD EXIST CMU WALL I If / Pol.v utioERNEAnp. GREATER THAN 1"THICKNESS 10d 16d 6"EDGE/6"FIELD TO REMAIN TALL INS NEW36"x36•x12 / CLOY UND RNEAI MIL AT SLAB SFVE TVFN'T9 - CONCRETE FOOTINGS _ NEW 3 12"DiA.STEEL - ASTMA5BICOLUMNS Wi SIMPSON.LCC CAP EACH END SECTION @ L_IVING/SUNROOM NOTES: A4 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS - - &DIMENSIONS IN THE FIELD - _ 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, DETAILS,&FINISHES IN THE FIELD WITH OWNER 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT - - - FIRST FLOOR TO BE 6'-11"ABOVE SUBFLOOR NEwzx 1owDGE - 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS STATE BUILDING CODE,9TH EDITION AMENDEMENT&IRC2015 t 5.) 110 MPH EXPOSURE C WIND ZONE xe: 1s-a.c.- Tov of PLATE - - 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD MATC1��2 \ �I' 8.) SEE CERTIFIED PLOT PLAN DEVELOPED BY J.E.LANDERS-CAULEY,P.E. EXIST✓ � FOR ALL PROPOSED&EXISTING DETAILS OFFICE\� ' ' 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL II INSTALL FLASHING UNDER SIMPSON COMPONENTS HOUSE' P R DECKING10.)ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS SECOND FLOOR OECKING TO BE 3000 PSI SUBFLOOR 1I6`o.c. TOP OF PLATE 1 t.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE 3.2x 1.a - - FLOOR JOISTS _ DURING FRAMING CONSTRUCTION L 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE -- P r.2 xo'8 13.)PROVIDE UTILITY INSTALLATIONS FROM STREET TO NEW HOUSE INSTALL PEEL RSTICK VIA UNDERGROUND CONNECTIONS TO COMPLY W/ALL LOCAL CODES M V DROOM RUBBER UEMBRANE -" FOLLOW ALL BETWEENLEDGEaR 14.)FO REQUIREMENTS 0F THE IECC2015 RESIDENTIAL fNERGY SHEATHING EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION P T 2 x e LCOGER BOARD SCREWED To INSTALLER/CONTRACTOR FOR THE STRETCH ENERGY CODE P.T.zxs':Q16•ac._ FIRSTFLOOR SOLID BLOCKING W;2ILEOGER(OKSCR=WS 15.)ALL EXPOSED SIMPSON PRODUCTS TOBEEITHER STAINLESS STEELOR SUBFLOOR 'S_o.c.W/.'.MAX LU2io JOTS TS HANGERS EXIST,21 5JOISTS 16` c INSTALL SIMPSON DIT IZ TENSION TIES ZMAX GALVANIZED DUE TO THE HIGH SLAT EXPOSURE.ANY DEVIATION AT(3)LOCATIONS FROM HaISE TO DECK. WILL BE THE RESPONSIBILTY OF THE BUILDER AND OWNER- JOIST 2,es JDIsrlu EACH END _ 16.)ALL WINDOW AND DOOR HEADERS 4'0"OR LESS TO BE 3-2 x 6 W/2K,2J 2'CONO.SIARW!6M:L �+ /� POLYUNDERNEATH _ DECK DETAIL 17.)THIS PROPERTY IS IN FLOOD ZONE VE ELEV.18.0 FEET L -EXIST.CMU WALL -- 18.)ALL WINDOWS&DOORS TO HAVE SILL PANS&ICE/WATER SHIELD FLASHING TO REMAIN ' - 19.)CONTRACTOR TO PROVIDE A HEATED WATERLINE SHAFT FROM THE GRADE f B ,YIa INTO A FIRST FLOOR LOCATION.VERIFY ALL DETAILS IN THE FIELD NEW 10.OIA.CONCRS�E SECTION @ MUDROOM _ 20.)CONSULT WITH THE PROJECT STRUCTURAL ENGINEER PRIOR TO START OF SONOTUBES W!24'OIA.BIGFOOT I'OOTINUS TO 40•BELOYl GRADE B : - - I J� y�� CONSTRUCTION TO COORDINATE ALL PILING/BEAM WORK ALONG WITH THE USF.S MPSON ZMPX ABUSE A4 - SURVEYOR FOR HEIGHT VERIFICATION&ELEVATION CERTIFICATE POST BASE- , u S � THE DESIGNER SHALL BE NOTIFIED IF ANY �{ �{///'''''�� ^ MODE p/'� LING FOR. TERRORSHESE AWIOMISSIONS ATO FOUND ON S(+A�C .DL-1/L`,T'ING NO.: I ` NEW ADDITION/RE DE IN - FO a THESE DRAWINGS PRIOR TO START OF J11.�� CC ..DRAWING L� COTUIT BAY DESIGN. LLC ` �OV/�OVp B®.e ■`r�/7 CONSTRUCTION.THE BUILDING CONTRACTOR __- WILL BE RESPONSIBLE FOR THE CONTENT �,A 11 _ 'I I-(1 43 BREWSTER ROAD {� j�[ A INTHESE DRAWINGS IF CONSTRUCTION Y V MASHPEE-,MA. CO2649 N'\9DERS®� RESIDE�CE DESIGNER WITHOUT ANY ERRORS PH.(508)274-1 166 • DESIGNER OF ANY ERRORS OR OMISSIONS, FAX(50 )539-9402 oFi aW OWNER NOTED ANYEOT'n�RU6eOFF DATE 158 ESTEY AVENUE H`�'ANNIS MA THESENTOF THE REQUIRES N.ER TEEN -ILVl_ CONSENT OF THE DESIGNER UNDER THE - 817/2O 1 ARCIIITECTUR.AL COPYRIGHT PROTECTION 9 ACT OF 1998, .Ii /off ,r I 1 0 1 f� �o TBM EI=13.06'NGVD '29 !af l top of MagNail - • . y s° " �r LOCUS a 16 XYANNIS A1d'BOR R Location Map 1"=2,000t' pOL °o Legend: Sewer ASSESSORS REF.: o CB/DHManhole A \\\ Mop 306, Parcel 194 4 Guy 1 ! e ref \ OR=13.7' Utility Pole OVERLAY DISTRICT. O Water to((round) Gas Gate(round) 1 J� AP — Aquifer Protection District —OHW— overhead Wires - -—25—— Elevation Contour ..........5.......... Underground Utility Line ZONE: RB Area (min.) 43,560 SF Fronts a (min) 20' Width (min) 100' Setbacks: e eo Front 20' e'O° °e Side 10' Lown Rear 10' � ` ( Lot 59 I tioti�9 5,274±SF 'V} FLOOD ZONE: y��° ,,ti 4t� Zone B & V15 `y`'e • i 1 Community Panel No. #250001 0006 D A e July 2, 1992 i ar` `� 15_ ., NOTE: 4r o° I Q e� \\\\ j Q + Q 1.) The property line information shown was compiled from available record information. 2.) The topographic information was obtained C� from an on the ground survey performed on o \ \_ #158 or between 18/DEC/13 and 30/DEC/13. 1?z Sty WIF 3.) The datum used is NGVD '29, a fixed mean 1 y5 10 Qt Dwelling sea level datum. \ ry \ o\ i \ \ \ \ \9"10 \ \ \ `r Sandy\ `26\ \ \\ \ 7 In Area 11.7' \ \ \ \\\ ' \ Wood \ Landing Wo i CoOsroi 9 Stairs 9 SH OF �jASs9 FEMA Zone Line = \\ �+ As Per FIRM JOHN C. ti� 11250001 0006 D o rev July 2, 1992 U V .4810"8 �c O. �ZIA r ` /STE�`�� rS/ANAL EN 1�rA Top Df Concrete � �!�5T..,�lv � Wall EI=8.0' Titfe: PREPARED FOR: PREPARED BY.- Existing Conditions Plan David& Clair Anderson CapeSu ry At 158 Este Avenue In Y 15 Truman Drive 7 Parker Road Bamstable,(HyonniS, Mass. N. Easton MA 02356 Osterville MA 02655 (508) 420-3994 / 420-3995fox www.copesurv.com 10 0 5 10 20 30 Dole: January 20, 2013 s`°'e Review: RRL 11=00' Field:WHK/MJD Comp/Draft:RRL/WHK Drawing # C82091 exl