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0262 GREENWOOD AVENUE
a c�a �- Y�.�w o o� �,,� Town of Barnstable g _" ,Atz u^ a�t r::. » � . ,re3`" r�A $ "3; 3 „ .x ,.y. 2 aa+.ur 5. Post This Card So That it is"UlsibleaFrom the Street Approved Plans Ntust bLb;Retained on Job and this Card Must be Kept M" Posted UntIlFinal Inspection Has Been,IVlade' Permit 163 : Where a Certificate of Occupancy'is RegreduchBld ng shall Not be Occupied unWlnalans Q A",Qdeb 3 Permit No. B-18-1679 . Applicant Name: CAPE COD HOME IMPROVEMENT, INC. Approvals Date Issued: 05/24/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/24/2018 Foundation: Location: 262 GREENWOOD AVENUE, HYANNIS Map/Lot 288-179 Zoning District: RB Sheathing: Owner on Record: BURGESS,JOHNSContractor Name: CAPE COD HOME Framing: 1 Address: 55 S WYNSTONE DR IMPROVEMENT, INC. 2 •� --• • -Contractor License 168043 BARRINGTON,IL 60010 _ Chimney: Description: reroof(stripping old shingles) Est Profect Cost: $ 10,000.00 Insulation: Permrt"Fee: - $51.00 Project Review Req: _Fee Paid: $51.00 Final: a Date` 5/24/2018 Plumbing/Gas o Sao , Rough Plumbing:E 'is .. y I"Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authdnzed by this permit is commenced within six'onths.after issuance. All work authorized by this permit shall conform to the approved application and the,,approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shallfbe in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road�a'hd shall b% airltained open for public inspection for the entire duration of the Electrical work until the completion of the same. ` .. h Service: The Certificate of Occupancy will not be issued until all applicable si n tures b"'the�Bu�Itlm and Fire Officials are rovidedton this permit. P Y PP g �. y ,., B P .. ., P Rough: Minimum of Five Call Inspections Required for All Construction Work:::.,.._ 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final:, 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: - Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ,Q Town of Barnstable Building., Post:This Card So That,rt is 1/isible From,th'e:Street-A" ;roved.Plans Must be,Retamedon.Job andthsCard`Must begKe t a� wc Posted,Un il;Final Ins ecton Has"B„eePermit �Made; PPS .�, P� Wheiea1639. �Cert�ficate'ofOccu anc.'"is-Re ured such Bualdm -shall:Not`be Occu red until�a,Ftnal InsAect�on has been made Permit No. B-18-1679 Applicant Name: CAPE COD HOME IMPROVEMENT, INC. Approvals, Date Issued: 05/24/2018 Current Use: _ F' Structure _ � _ � - _ Foundation: 2018 Date:Expiration 11 24 Permit Type: ,Building-Siding/Windows/Roof/Doors Ex p _ / / , - ,._ _ _ Location: 262 GREENWOOD AVENUE, HYANNIS Map/Lot 288-179 Zoning District: RB Sheathing: k Owner on Record: BURGESS,JOHNS ContractorName CAPE COD HOME Framing: 1 IMPROVEMENT,INC. 2 Address: 55 S WYNSTONE DR 41 .� Contractor License. 168043 Chimney: BARRINGTON, IL .60010 Description: reroof(stripping old shingles) x <Est Project Cost: $ 10,000.00 "'Permit Fee: $51.00 Insulation: Project Review Req: Fee Paid: $51.00 Final: It '11 Dale ti 21 5/24/2018 Plumbing/Gas Rough Plumbing: z Final Plumbing: Building Official Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Final Gas: ' All work authorized by this permit shall conform to the approved appl catio,"n and the approved construction documents forwhich this permit has been granted. a: All construction,alterations and changes.of use of any building and structures shall be in compliance with the local zoning by laws,and codes. This permit shall be displayed in a location clearly visible from access street of road and shall be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatu es by the Build ng and Fire Officials are providedon this permit. Minimum of Five Call Inspections Required for All Construction Work:. � s Rough: 1.Foundation or Footing .Final: a 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage;Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department , "P.grsons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site 3.: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT -- C. Town of Barnstable *Permit# Regulatory Services 4V fee 6 months from issue date aaxxsras mP ma Richard V.Scali,Director �AY ss. "I . O 059. A� Building Division .rQ / 2 4 2018 Paul Roma,Building Commissioned �'y � 200 Main Street,Hyannis,MA 02601rn 4 4�� www.town.bastable.ma.us Office: 508-862-4038 Fax: 508-790=6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �O) Not Valid without Red X-Press Imprint Map/parcel Number 1 . Property Address 262 Greenwood ave Hyannis, MA 02601 R Residential Value of Work$ 10,000 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 55 S WYNSTONE DR BARRINGTON, IL. 60010 Contractor's Name Anatoli Sivitski Telephone Number 617-710-1001 Home Improvement Contractor License#(if applicable) 168043 Email: capecodinc@gmail.com Construction Supervisor's License#(if applicable) CSSL-06040 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner y ; ® I have Worker's Compensation Insurance Insurance Company Name—AmGuard Workman's Comp.Policy# R2WC835340 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 S&J Exco Dennis ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. `A copy of the Home Improvement Contractors License&Construction Supervisors License is required. ll / SIGNATURE: .cY L'G c�GGhGC Ql�G C:\Users\decolU\AppData\Local\Microsoft\Windows\INetCache\Content.OutlookU.N69LF2\EXPRESS(2).doc 01/25/17 Town of Barnstable Regulatory Services it AM Richard V.Scali,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I. John Burgess as Owner of the subject property hereby authorize natoii 8ivitski A to act on my behalf, } in all matters relative to work authorized by this building permit application for: 262 GREENWOOD AVENUE HYANNIS MA 02601 (Address 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. SignaKre of Owner Signature of Applicant Print Name Print Name Date r ATE(MMIOD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 06,07,2017 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 CONT NAMEACT Linda Sullivan DOWLING &O'NEIL INSURANCE AGENCY PHONE 508 775-1620 FX N ADDR�: lsuilivan@doins.com 973 IYANNOUGH RD INSURERS AFFORDING COVERAGE NAICs HYANNIS MA 02601 INSURER A: AMGUARD INSURANCE CO 42390 INSURED INSURER B: CAPE COD HOME IMPROVEMENT INC INSURERC: INSURER D: 27 MILL POND ROAD INSURER E: WEST YARMOUTH MA 02673 INSURER F: COVERAGES CERTIFICATE NUMBER: 162263 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS MADE OCCUR DAMAGE PREMISES Ea occurrence) $ MED EXP Anyone on $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY❑JE PRCT O- ❑ LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per aaident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE• $ EXCESS LIAR CLAIMS-MADE NIA AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION XIP ST ER —ATUTE —TOERTH- AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? WA WA WA R2WC835340 06/03/2017 06/03/2018 (Mandatory in NH) E.L.DISEASE-EAEMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A ` DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached it 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.gov/twd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Anat011 SIVItSkI ACCORDANCE WITH THE POLICY PROVISIONS. f 222 Buck Island Road 6-8 AUTHORIZED REPRESENTATIVE West Yarmouth MA 026.73 Daniel M.Cr y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD y ' 4 a. •, : � 4 lift. M s . CSSL 106040 .� } A►1�A' "OLI SI'V ' ' 222 W-C�C ISLA. ?:°:Rb West Yarmouth', ✓. EX Lion c 0 er 05/14/201% �Z Office of Consumer Affairs and Business Regulation' j` One Ashburton Place"= Suite 1301 Boston; Mas pusetts 02108 , Ho mo Improvemen., , r tractor Registration TYPe. . Corporation . Registration:,. 468043 GAPE COD HOME IMPROVEMENT,INC, EzpiraUon: 12/0672018 27 MILL POND RD VILEST YARMOt1TH,MA 02673 ' -„Update Address and Return Card " $CA 1 6 2eM-e$117 r ( fie��szmza�litxxr�o��/�a�tac/zu�elta Office of Consumer Affairs&Business Regulation HOME IMPROVEMENTCONTRACTOR Registration valid for individual use only TYPE..p rporation before the expiration dater if found return to. ' Registratlon E�cniraton Office"of Consumer Affairs and Business Regulation 16 0�33-12/06/2018 10 Park Plaza 'S " CAPE GOD HOME MO�E/1E. ',INC. . i3oston,MA ANATOLI SIVITSKI t '27 MILL POND:RD C WEST YARMOUTH,MA 26 3 . 'Not'vaiid`wif out signature Undersecretary . , .r I i "r w ` 7 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): Anatoli Sivitski x Address: 27 Mill pond rd 7. City/State/Zip: West Yarmouth, MA 02601 Phone#: 617-710-1001 Are you an employer?Check the appropriate box: Type of project(required): 1. ✓ I am a employer with 4 4. I am a general contractor and I * have hired the sub-contractors 6. New construction employees(full and/or part-time). 2' I am a sole proprietor or partner listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity., employees and have workers' 9. Building addition - [No workers' comp.insurance comp.insurance.:,- required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.✓ Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13. Other comp.insurance required.] - *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees;they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: AmGuard , Policy#or Self-ins.Lic.#: R2WC835340 Expiration Date: 06.03.2018 Job Site Address: 262 GREENWOOD AVENUE City/State/Zip: HYANNIS MA 02601 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 iri the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct 4 Signature: .A �Sam Date: 5/23/2018 Phone#: 617-710-1001 Official use only. Do not write'in this area,to be completed by city or town orkiaL City or Town: Permit/Lkense# Issuing Authority(circle one):, 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Details Page 1 of 1 Licensee Details T Demographic Information Full Name: ANATOLI SIVITSKI Owner Name: License Address Information Etayt West Yarmouth MA 02673 United States License Information License No: CSSL-106040 License Type: CSSL-RF-Roofing Profession: Building Licenses Date of Last Renewal: 5/7/2018 Issue Date: Expiration Date: 5/14/2020 License Status: Active Today's Date: 5/24/2018 Secondary License Type: Doinq Business As: [Status Change Reason: License Issuance Prere uisite Information Licensee: SIVITSKI,ANATOLI Relationship: Attribute Of License No: CSSL-106040 htt ://elicense.chs.stat — _e.ma.us/Verificati n/D 'p o etalls.aspx.agency_id-1&license_id 800356& 5/24/2018 Town of Barnstable *Permit ) �� � ;06 , C , Expires 6 mnntl u at r . Regulatory Services Fee s i = snxr�srns�. 16 Richard V.Scali,Director Building Division y Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 -- — -- ww_.town barnstable_r=us _ Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PEWMT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address N1 -ew . Yk A d,•�it YY1'�tl Residential Value of Work$ 1/00o Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address acbaz U eCS �'�' y L.'ey i✓-C- W, e DrL- Contractor's Name � � i�8 h Telephone Number Home Improvement Contractor License#(if applicable) ,Email: i.G pV�•-� Construction Supervisor's License#(if applicable)��'T 3 I kr � � ","Dworkman's Compensation Insurance n Check one: J1 proprietor T� U�1 I am a sole ❑ I am the Homeowner ❑ I have Worker's Compensation InsuranceRIVS Insurance Company Name � F , Workman's Comp.Policy# 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 f ,'-Replacement Windows/doors/sliders.U-Value . (maximum.32)#of windows #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 Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. t , SIGNATURE: V __ ' Q:\WPFILES\FORMS\building permit forms\EXPRESS.doC f Revised 040215 _ . rY , 17le ComraromveaIth u, lifassachusetfs. 1 Deparaffent of1ndkstrid AccideY,& Oiue 41MV169ations 600 Was bigton Street Bastval CIA 021-1 ar = rs ampensationInsdrince Affidavit Zuilde i C li racftii- I cEriccanstP"umhers _ Applicant Infarmaiag — Nan7B�SncinPgmi�natigDfVY�03j yt�r !�I' Addjress Are you an etnployvr?Check the appro ' to box: Type of project(rmlai ed): L Elm I a a employ with .4 ❑I am a general contractor and I 6. ❑New construction employees(full amVor part-time)-*' have hired fife sub-coatractozs 2.K I am a sale prgpaietar orpartner- listed onthe attached sheet 7. ®Remodeling slip and have no employees these mb-contradors have 8 ❑Demalifiozz, woi3dag for me in any capacity. employeesandhavewodars. 9. Buildtng addition [NO wod:ers'Comp.insurance • tonsil-iasuranrt+1 ❑ required] 5. ❑ We are a-corporation and its 10-❑Electrical repairs,or addstions 3.❑ I arm a homeowner doing all work officers have exEmised their 1 L❑Plumbing repairs or additions ri workers' rim of es eaiptlon per F4'GL myself c.152,§1(4).andwe have no a 12❑Roafrepairs insurance retp�Ed.]i - employees_[Nowodx& 13_❑Other cosap.insurance required-] - AzLyWBcantdiarcbedsboxRmast also fillontthesectioabelawsrmdagt mkwood'cec ca=peasatinnpaEUiafvcmauoa Homeowners who submit this af5dm ii m&rxtmg they axe drain;aIE vat aid.then}ffM oUtsdde coat mctorsmast mItmit a new afadaest mdicat3ng such'_ LCaauactots lbst check t1ds boa mast attarhed sa additional sheet 9mcmg theamne of the sob-camrzctm3 sad state whethet or=those eaddes hxm employees. workers'romp.policy ratmbeL I artl an ellipIvyer fltcrtis prEn-�duy�t�nrkers'ccru perlsr�irrll i�Iszirarlce,�or mJ*enrpi��ees �BeIoav is t7��r policy ar�rI jab site , , informal on. Insurance CompaayName: Policy;44,or ins.Iic_ iga4ionDafe: Job Site Address_ City/State/Zip: Attach a copy of the workers'compensationpolicy declaration page(showing the policy number and e3piration date). Fair to secure coverage as requiredunder Sez&n 25A.of MGL C 57 can lead to the imposition of criminal penalties of a fine up to$15-OD:00 andror one-year imprisonrnent,as well as civR penalties in the fomt of a STOP WORK ORDEKand a fine ' of up to$250-00 a clap against the violator.`Be adsised that a raP'y of this statement soap be forwarded to the Office of Investigation of the DIA for insurance-coverage verifrcatiam I tfa fierRby cEeeflj} atdRr t}fR p((lfIIIIS dlldpSrid £S Lt, 7rerjmy filatthe infanta Ws prmi&d abates is bw acid carrect Side_ y Date: Phone r OXsial use aptly. Do not avrke in thb area,to be cazu p&ted by cry artatt n officiat City or Town: 'PermhUeen'se if Issuing Autl ority(code oael: 1.Board of$with 2.Buff Xing Department 3.City1rown.aerk 4.Electrical Inspector S.Plumbing Fnspectora 6.Other C©n#aet Person Phone 9: IP ti . . laformation and lastruCtions r hfassachasetts Geb=.Bl Laws chapim 152 reggaes an employers to provide wo ens'compensation fetcher employees. p to this statafe,an.empIayee is defined as.'_.every personin to service of another under any comhnr ofhire, express or implied,oral or written.". An g=pkyer is defined as'an individaal,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged is a joint emhMT dse,and inch ding the legal representatives of a deceased employer,or the receiver or trustee of an individual,Partnership,association or other Iegal entity,employing employees. However the r owner of a dwelling house having not more than three apartments and who resides therein,or the o=apant of the - dwmlfi g house of mcd er who employs persons to do mahftmznce,constrortion or repair work on such dwelling house or on the grounds or bu[Dding appurttlhemto shallnotbwause of sash employmentbe d=M.edt o be an employer." M(sI.chapter 152,§25C(6)also states that"everysfate or local licensing agency shall withhDId the issuance or renewal of a license or permit to operate a bT�Mmiess or to contract buildings in the commonwealth for any applicantw•ho has notprodnced acceptable•evidence of c6mp£tance with the incnrance coverage regnirec3" Additionally,MC=L chapter.152,§25C(7)states-Neither the commaawmn nor ray of-its political subdivisions shall enter into any contract for the performance ofpoblio Work Until acceptable evidence of compliance with the ins rra„ce.. req�enie�of ihds chapter have been presented fo the co�racting atnhozLty_ Appiicarrts Please�otrt the workers'compensation affidavit completely,by cherlong i`he boxes mat apply to your sitaaiion and,if necessary,sopply snb-cont zctor(s)naa�e(s), a&hess'(es)andphonr—Ta— er(s)alougwiththeircertificate(s) of incrrrance. Limited Liabdrty Companies(LLC)or Limited Liabr7ityPartaersbips(LLP)withno employees other ffim the members or partners,are not reqaired to carry woricers' campensation ms[n-mce. If an LLC or LLP does have employees, a policy is required. Be advised that this alfida:vk may be mbmitfDd to the Department of Industrial Accidents for confirmation of insraance coverage. Also be sure to sign and date-the affidavit The affidavit should be retrnned to-Le city or town that the application for the pem2it or license is being requester not the Department of hyin.strial A ccid= Shouldyou have any questions regac mg the Law or ifyou are regahed to obtam a workers' corn.pensatioapolicy,please call the Departmeufat the nrmzberlistedbedow. Self-msnredcompanies should eatert3ieir self-mince license number on the appropriate at. City or Town Officials . t _ Please be srn a that the affidavit is complete and pried.legibly. 'Ihe Department has provided a space at the bottom of the affidavit for you tr►hIl out in the event the Office of Investigations has to coldact you regarding the apphcant Please be sure tD fill in the pennitClicemse number which will be used as a reference number. In addition,an applicant that most submit multiple,peunllicense applitatians in any given year,need only submit one affidavh indicating cuseat policy in��rmation Cif necessary)and under"Job Site Address"tie applic�+._.01 write�aII locatives in. (C'or town)-"A copy of the affidavit that has becaa officiaIly sipped or maticed by the city or town maybe provided fiche - applicant as proof that a valid affidavit is on file for fbfm permits or licenses Anew affidavit must be fMed oirt each year.Where a home owner or citizen.is obt i amg a license or permit not related to any business or commercial venture (Le;. a dog license orpermit to bum leaves etc.)said person is NOT required to complete this affidavit The Of of Investigations would at to thank you in advance for your cooperation and should you have any gaestions, please do not hesitate to give us a call The DepFbn ems address,telephone and fax mmmber_ Thy CG=joaWujft of Massa chest s , - ' �D�e�lm�cif lud�ria�A�cid�n� i ��tre fl��flFP��h�ZO-A� 6QG, hie tan Bostop,IA 02111 Tf,-L 4 617 727 49QO cxt 4-06 ar 1-9 M&S9AFr4 Fax 9 617`27-7749 Keviscxi4-24-07 m2s gig�[a it « ti r fARNSUI. , uACc B r 'Town of Barnstable 0 9. ��$ ;,. Regulatory Services Richard V.Scali,Director -- -- Building Division-- —_-.-- ---- Thomas.Petry,CBO.,.— — Building Commissioner 200 Main Street, Hyannis,MA 02601 " www.town.barnstable.ma.us. Office: 508-862-4038` " • . Fax: 508-790-6230 • Pro a Owner Must Complete and Sign This'Section ; ' If Using A Builder a I, 6Id K/ 5; �..� �� ,as Owner of the subject property hereby authorize to act on my,behalf, in all matters relative to work authorized by this building permit application for: �. r Z �o�*ems,✓tiya� /d Y eA, (Address of Job) S' tureof i 7 e _ Date /4 Print Name r If Property Owner is applying;for permit,please complete the Homeowners License Exemption Form on the reverse side. , QAWPFMtS\FORMS\building permit foams\=RESS.doc r Revised 040215 Town of Barnstable Regulatory Services - t� g rY �oFj TOiy,Y Richard V.Scab,Director Building Division Tom Perry;Building Commissioner MASS. �t����� 200 Main Street, Hyannis,MA 02601 www.towiLbarnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# , CURRENT MAILING ADDRESS: - city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINTPION 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 buildine 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 ofBuilding 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. . 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:\WPF1IMTORMS\bui1dmg permit fomvs\EXPRESS.doe Revised 040215 f ` Massachusetts-Department of Public Safety + Board of Building Regulations and Standards 411111t111 l'i1111I au C1 Ynor 1 �.G ('il1)IIIV License: CSFA-057394 ROBERT G WA14•$ 735 Old Barnstable R a East Fahnouth MA 0 Ana Expiration Commissioner 06/02/2017 0-\—Office of Consumer Affairs&Business Regulation License or registration valid for individul use only 17 -,HOME IMPROVEMENT CONTRACTOR before the expiration date. If found Registration 141991 return to: Type: Office of Consumer Affairs and Business Regulation r, � Ezpirahow= 3/3/20.18_ DBA 'NW, ' 10 Park Plaza-Suite 5170 HARBGRSIDE REMODELING Boston,MA 02116 ROBERT WALSH - 250 CAPTAIN CROSBY;ROAD CENTERVILLE,MA 02632 ~ y — �•, , , Undersecretary Not valid without signature ` _ G TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # & ® 791 Health Division Date Issued -y Conservation Division Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address ot Q,,,.e@rJ (SA- A V e Village `7,� Owner Address (��( �,Q$,� Telephoner �a Permit Request _ I'3�.i ;>wew IDect4 4. Sk� n- c, aa� �_6 o114V/S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay l Project Valuation ."' Construction Type ►►—o Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: -� Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION rn - - (BUILDER OR HOMEOWNER) Name PLO Iopa- —by%,1A Telephone Number Address 7 3.5- 010 Ap awS k b lk. _fZS- License # C S PW - 05739Y /-"-,-41kkWUA, llib , e-s.a.23A Home Improvement Contractor#11 i�199 I Email )pi a C, 90 Q ce_TymC A g" - o tVV(?f' Worker's Compensation # Wo �P(60(&t' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO "Tozw- SIGNATURE DATE `3h7//4, FOR OFFICIAL USE ONLY APPLICATION # 'DATE ISSUED MAP/ PARCEL NO. !j ADDRESS VILLAGE ti OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 1 `. 'lie Commompeakh of Massadiusetft Deparbwaut afrudrkstria1AccideTrts, r afj4rce off w algadons 600 Was;TiitaxtStreet -- Boston,M4 02111 - wim,masmg=orldia Workers' Carnpensation Insurance Affic x%v B.tUder-JCuntractursMectricians(Fhunbers Apphca nt Inform afzoII Please print f eguy .rya Address z ,� ��� ��+�ws�•v.�i� Q t� CityfSt a& 0'1''?bPhr3ne-tV1-_ 079 8;V Are you an employer?Check the appropriate box; Type of project(required): • I.❑ I azg a emplcsyer with. 4. ❑ I am a geceral confractor and I 6. ❑New oonsttucfsrnx employees(fall andforpart-ime)-* have hired the sub-contactors 2.10 I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling , ship and have no emplayees These sub-camtractors.have 8. []Demolition - woding far=is anycapacity- employees and hae wodr ' 9. ❑Building addition ' [No fig' camp-insurance comp-insurance required.] 5. ❑ We are a corporation and its 1 ❑Eleclical repairs or a dioms 3.❑ I am a homeov veer doing all work officers have exorcised their 1 L❑Flumbing repairs ar additiams myseLf[No workers',gip_ right of exemption per MGL 17❑Ito afrepairs. insurance required-]i c.M §1(4�andwe have no, employees.[No workers' 13-❑ E?tfier camp-insurance inquired-] . ;Amy ap fimtHsat cbedsboxR—st alsoin-D.00tthe sectionbel6wshosaiag&ekvmicere campaL-4lonpeHcyinfmnsrdmL: . Hanma ram who sub=fft dos af#idaviE iarFrM they mm dGu6-sll wo*sad then hire ortdde contm_==ast mbnit anew affidz&mdiemlieg=eli fCaa>za 1arsfast,becktb3sboxmastattached=additiaaslsheetshoringthenameofthesob-egg sad stte whether or mat fhnse entities ln-a empimjees.Ifthe mb-cam,,.- � hxva mngToyses,theymnurpmsade Yheir z mdmcs'•rnmp.parug 1—ber_ I am an erriplar fliatis prauidirtg xrkers'sarrrpertsrtfirrrt iasrirattce for mg entpia} e� Seltiev is tlrePaY andjalx rife irr,fat�+tation Insurance Company i�ame: �' � "Tiel4 rf� r Q vt.S Wit✓CI'E'6v9 N�•�'�/ C� B� �bhPrt i C A . _ Policy 44,or Self-i &UP-ikk. &WQ a Le I Expiration Date: Job SifieA&ress: Q&a & s.t:vJ WZd YP c• lStzf& V p hh'i aalpq, Attach a copy of the workers'compensationpolicy declaration page-(showing the policy number and expiration date). Failme to secs coverage as required.under Section 25A of MM-c. 1572 can lead to the imposition of rximmal penalties of a fine up to$1,54U OG and.For one-year impriso as w 11 as ciO penalties.m the form of a STOP WORK ORDER and a Ere of up to$250-00 a day against the violator. Be adhdsed&at a copy of this statement maybe forwarded t o the Office of istvestigadow ofthe DJA fokr imsurInce coverage verffiration Ida hereby c wder i#e priors andpaiabies o. 'perjury thatAAr info rwatiatr pem kW al'imw is true and correct sizaal -_ 'Date: a Phone g. ® e 0,0kird use Q7gy. ,Do not write in thb area,trr be completed by city or tmw ofq`iciair City or Town.• PermiULicense ff hsaing Authority(ca rile one): L.Board of Healith 12.Building Department 3.CRyfrowa Clerk 4.Electrical Inspector S.Phmbing Inspector 6.Other Contact Person: Phone#: laformation and lnstrnc loans -i MassacbRsefts Ge]�eraiLaws I52 req�es all eemployers to grrrvide Workeas'compensation far'fheir ertipIoyees. • this st at t ,an errplvyee is deEned as.- Mmy person in iho smvim of anofher under any contract ofhiie, express or implied,oral or writ" .An errplayer is defined as"an.inciiYidnal,partneffi ,association)corporation or other legal entry,or any two or mare of the foregoing engaged is a Joint eirtmprisp,and inclndmg the legal represe%atafIves of a deceased employer,or the receiver or tustee of an individaaI,partamsbip,association or otherIegal entity,employing employees. However fhe owner of a.dwelling house having not more than three aparfineits and who resides therein,or the ocaapant of the- dwmDing house of snof3ier who employs persons to do maintPnan c,conk"'on or repair work on such dwelling house or on file group ffs or building appu�thereto shall not because of such employment be deemed to be an employer:" MCrL c�spter ISZ,§25C(v7 also sfatrs chat¢every sf nr kcal J 11-e agency shall wiihhoId ffie jsctian ce or renewal of a Hr-en a or permit to operate a business or to construct buildiags za the commonwealth for any applicanf Who has not produced acceptable evidence of cdmpTi=m with the hm-aran re coverage rwlaired." Additionally,MCZ chapter 152, §25co stairs'Ne:iffim fhe roman wean nor auy ofits political snbdiivisions shall enter into any coatrarx for the performance ofpnblic workunff acceptable evidence of compliancewith the insurance, rcq emus of this chapter have'Sem preseni�d to the mntm;ting acdhozity_" : Applicants Please fill out the w0330-ss'compensation affidavit completely,by chtckiag the boxes That apply to your situation and,if necessary,supply sub-contactor(s)name(s), addresses)and phone numbers) along with their certfficate(s) of i asia'anca. L-l rl r Liability Companies(LLC)or Limited Liability-Parbimmbips(I.LP)wAhno employees other than the members or pmtam-s,are not regrmed to carry workers'compensation insunn,ce. If an LLC or LLP does have employees,a policy is rmpired. B e advised that this affidavit maybe sabm-ittr-d to the Depa-Ltment of Industrial Accidents for confnmafi-on of mmz-m a covPr� Also be Bare to sigh and date the affidavit The affidavit should be retn ned to-ELe city or town that the application fur the permit or license is being mgaesbA not the Departmeat of T-ndri striaT A ocide -ts- Tmnldyou have aay que3'd s=gardmg tTie Iaw or ifyon are req it d to obtain a workers' compensationpolicy,plmse call tImDepartmeartatthennmberlistedbelow. Self-k ured=npaniesshOuIdentertheir s elf-;,,sara,m license number on the appropiiab�line. City or Town Officials f - Please be sore that the affidavit is complebnr and prhted legibly. The Department has provided a..space at$ie bottom of the affidavit for you to fill ourt in.the event the Office oMvesf3ga8ons has to coact you rcgarm g the applicant_ Please be sure to fill in the pemziOicense number which will.be used as a mfr=Ce,nnmbe;r. In.addition,an applicant fhat must submit multiple perinitllicense applications in any given.year,need only submit one affidavit indicating c meat policy in�zination of necessary)and under`Job Site Ad—dress"the applicant sho*Ild write"all lacaations in (cny or- town)"A copy of the-affidavit that has beta officially sued or marked by the city or town may b e provided to the applicant as proof that a valid affidavit is on fle for fctz permits or licenses. A new affidavit must be filled out each year.'Where a homeowner or radzen is obtaining a license or pe=nh not related to any buses=or commercial vcnt= (ie. a dog license or peonk to bum leaves eta.)said pmasm is NOT repaired to complete this affidavit The Office of Invesligaiinas would hie to themkk you.in advance for your cooperation and should you have any quj=ftons, please do not hesitate to give us a call. The Department's address,telephone and tux=her 'F11-1 COMMOnWMItIE of Ma s nsatts- Departnmt cif Isdutdai Aocid enta �t�e of�tve�g�fdo� - Basbm.,MA 02111 I`ef.4 617-' -4 axt 4-06 car I-M h&AS D Fax 9 617 727 7M 1Zevise d4-24-07 x -gQgfdia. AWC Gidde to Woad Corn orr bz,Higfi ridArear:IZa r gfr rrd�ar�e Massachusetts Checklist f6r Compliance ggo aiRs3oi-7 l.l)I 1.1 SCOPE- Wind spaEd{3-sam gust)- _ '- _ __ -_ _._.110 mph Wind aura Cafagay _.—. __ -B Wind Expo=mCategory__.........._F gineeringRequirr For Erdh-aProjact-----------------------------....0 1.2 APPUCABILtTY . -NMn5E!r of Mies(a roof Which exes B in 12 slapa shall be mnsidered a story) slories c 2 sbries Roof Fitch - --- _ _(Hg 2) Mean RWHeight _ -- (Fg 2} Sur7ding..Wid V�f (Fig 3) __ ft s go, Bing L-eng$i,L _ ----Y (Fig 3) ---=- _ft s B0' Building Aspect Rafio PW) (Fig 4) 5 3-1 hlonunal Height of TaDest Dpenmgz _ —_-(Fig 4) 1-3 FRAMING cONNEcMNS / Gener mmpl""ranca with framing mrinacbDrns,.___�—(TAI le,2)a! - •----. / 2.1 FOUNDAT1DhI 1 . Founda5an WaILs meeting reguimmeriis of 7B0 MR 54D4.1 6 r , • _ Canes_------------------------- ---•---- •----:...---•-•- ------ ---------- ' _ Conte Masonry__ - 22 AIdCHOR14GE TD FDUKDATIDW3. --_ S18"AnchorBoh4mbedded or 5/8'Proprietary Mec mnira!Anchors as an alteznafive in conch only Bclt Spacing-general----_----_----- ---------- r::(TabIa4) in. Solt Spa=g from andrlDht of pb±5— -(Fig 5) — - in.5 54:712". Solt Ernbedmant-wncn -_ —(Fig 5)..__ ---- in:y T` Solt Embedment-masonry- _-- —(Flg 5) _-- 4L>_15" Pht-_Washer (Fig 5) _ >_•3'x 3 x tl� 3.1 FLOORS ►` C INC_ Fioorfaming member spans aheci d BO CMR Chapfar 55) Maximum Floor opening Dimension- —(Fig 6) Full Height Wall Sleds at Floor Oper�gs less fhan 2`from Exh!gior Wall(Fig 6)-------------------- -_---- M&*nr:un Fl❑or JoistSeffrack� Suppo�g Lcedlie�t-¢�g Walrs Dr She vraTf_— g 7) -- -- ft s d Maximum Cantilevered Floor JarsL . Supporting Ibadbearing WanS or shear wall--(Fig 8) _ft s d -F1oor.Bmcing at Fs ..dwals -- - —(Fg 9)- — -- Floor Sheathing Type Floor Sheathing Thldmess —(per790 CUR Chapter S5) in_ Floor SheatHrig Faste:ring__.__-_-.__ '_(Table 2)_ d nails at in edge! in field Q 1 WALLS ' Wan Height Laadbeanng wEffs .— (Fig 10 and Table 5)-- ft S10' Nan-Loadbearing walls_ (Fig 10 and Table 5) Wal Stud Spacing —-- _ (Fig 10 and Table 5) _in__<24 aM Wall story Offsets — _— ' _—'(FFgs 7�F 8) � _ft s d 42 DCTE J O MJJS5 . Wood Studs - - LrradbeariagvtaIls (l'a> le 51—_ -----_.2x Non-�adbeating malls. — . --- {Table 5) fE itl - Gable End Wall Bracing' — - - Full Heig.ht Endwall Suds_._ _ — (Fig 10), WSP Atfc Floor Length (Fig 11} Gypsum Caring Length(rf,WSP rot used) --(Fig 11) --�__ _ It z 0_RW - and 2 z4 Cnnfrnuorts Laf:,3 I Brace @ 5 ft.o-r;_(Fig 11}--- .__._....�.._ — or 1 x 3 ceffling furring strips @ I T spacing-min.taM 2 x 4 blacIdng @ 4 ft s .acin in end a pr irrtss b p g ) ay� Doable Tap Phif-a - SpFice Length: (Fig 13.and Table 6)_ tt Splice C;omecnon n❑.of 15d common rauba)--- able 6 . _ k AWC Urzide to hKood Caastrucdaa III l�Fgfl WtTad reefs- HO arph FFTf1 d ZO'TX ' Massachusetts Checklist for COmphAnce MO cF1R5301 z.11)j Loadbearing Wall GangeCSons " - Lateral (no_of 16d Common nails) —(Tables 7) --- l`ian-Ltsadbearing Wall Corinex33ons Leal(no_of 16d common nails) (Table S) ---- Load Beating Waff Openings(retard largest opening but cheer k all openings for cDnVranCe to Table 9) Header Spans _ ,_(Table 9) _ft—in-511' SA Plate Spans —_(Table 9) _. —ft Fall Height Studs (no.of-studs) (fable Non4_oad Bearing Wall Openings(rerard largest opening but Check all openings for campllance to Table 9) (Table 9) _ft_in.512` sin Plate Spans__. (Table 9) Full Height Studs(no.of studs) (Table 9) . E)drior Wall Sheathing to Resist Uplift and Shea[Sirnultaneausly _ - Wmimu ri Bulking Umanslori,W Nominal Height of Tallest DpeningZ ................. --=`E Br Sheathing Type— (note 4) -- Edge Karl Sparing (fable 10 or note.4 if less)____...._---.-_ m- Field Nall Spacing.—. -- (Table 10) in. Shear Connection(no_of 16d common nails)(Table 10)_ - ----- Percent FuMeight Sheathing. .(Table 10)___ % S%Add-br orial Sheathing for Wall with Opening>•B'S'(Design Concepts)— —. Maximum BoUng Dimension,L - hlomirtal Height of Tallest Dpe fing�-__._---------------------___-------- —__..---._,.�_.__<6'6' Sheathing Type_ (note 4)-- Edge Nail Spacing (Table 11 or note 4 if less)_ in. Feld Nall Spacing (fable 11) -- m- Shear Connection(no.of 16d Common nails)(fable 11) _ Per»it Full-Height Sheathing— (Table 11)_ —% 5Y.Addi6onai Sheadhing for Wall with-Opening>6'8'(Design Concepts)__—_ - VVaff Cladding - Rafed for Wend Speed7— -- ' 5-1 ftOOFS ' Roof framing member-spans chedced7_ (For Fadf ters use AWC Span Tpol,sae BBRS Website) kDDf Ova_rhang (Figure 19)_— fts smaller of Z_or L/3 Truss or Rafter Connections at Loadbearing Walls : Proprietary Connectors _ - Upkfr u PIf (Table [atem_ _—(Table 12)_ P� _ Shear.— __ —(Table 12) - Ridge Strap Connections,if collar ties not ftsed Per page 21__ (fable 13)____w.—__ T plf • Gable Rake Ottffooker__.__—_ _ _ (Figure 2D).-- .--_ft c smaller of 2`or IJ ' Truss or Raffar Connec8ons at Non-Laadbearing Walls - Propdetaiy Connecnrs Upli3tt____.__ (Table 14) Lateral(no_of i 6d common nails)—(Table 14)---------—----------------------J-_ . lb. - Roof 5heafhhg Type _._ (per 7$D CMR Chapters 5B and 59)____------- Rnof`Shma-thing Thicmess--_-- - _at.?T/I v WSP Roof 5h�g Fastening--- (fable 2) _ •1. - This checkLt shall be met in ft entirety,mtluding the speri c extept5on noted in 2,to comply wffh the mquinenerts of TM CMR53D1.21-1 Item 1. ff fhe checi3tst is met in rt eitirely then the Mriwing metal straps and hold downs am not required per tha WFCM 110 mph Guide: - a_ Sted Straps per Figure 5 b. 2n Gage Straps per Figure 11 - - Uplift Straps per Figure 14 All Straps per Fgt m 1T e• comer Stud Hold Downs Per Figure 1Ba and Figure Iab _ 2 Ex=ept2ori:Dpening heights ofup m a ft,shall be permr'tfed when 5%is added to the percent f j height shuttling requx-erfferft shrium in Tables I and 11. 3` The baffom s-1I plat$in ext6ior walls shall be a mir u 2 in.nominal thickness press=try#2-grade- ATVC Guide for Broad Carrrk-ucharr zrr I r�atr f fzd�4r e¢s_ ZZD rrzplr f rxd a,sxe Massachusetts CheckiistL for Compliauce4- a. From Tables 113 and 11 and locafion of wall shisf g and Building Aspect Rafio,determine Perot Full-Height Sheathing and flail Spacing requirements I b. Wood Structural Panels shall be minimum thidmess of 7116`and be installed as follows: L Panels shall be installeed'yrM strength axis parafiel to sfvds• FL M horizontal joints shall occr over and be paled to framing Fn Dn single story consdnrCfion,panels shall be attarihed to bottom plates and fnp member of the double tap per• - iv. Dn iwo story c=hucfion,upper panels shall be dttached to fha top member of ffie upper double top plate and to band joist at botinm of panel.Upper affachment of lower panel shall be made to band joist and lower atfachment made to lowest plate.at firstfloorframing. v. Horimntal nail sparing at double top plates,band joists,and girders shall-be a double row of 6d staggered k 3 inches on center per figures below:Verfical and HarmnW' Nailing for Panel Afiiachment 5_ Glazing protection:a)-new house or horizontal addition—required ifprojad*is i mite or doserin shore(generally,south of Rte.2B or norms of Ria.6) b)verfical addff!on—not required unless there is extensive ra'nDv4on to the first floor c)replacementivi6dows—needs energy conservation mrnpUanc:�only(chap 93) 6.Wood Fram e Consfrudion Manual(WFCM)for 11D MPH,Exposure B maybe obtained from the Arnwim n Wood Council ". (AWC)vtrehsife. ' Y�ii�rTi�ta�ussrsox - _ ' rusted uA-42F, ATE ; - - tt rl . - - t. y • i[r [1 tl r i• ,Yr - • t 1 t i tt It, - ... I- it it, Cz L L It o `t ii EDGE li LrJ A pp,{{ . tY ii 11 ! ! � • 1 E ' it LA •1L U rz:LC tr _ - Vat L f ,t _ - � LY rr , rt IL it S' 3*r aft L�wF�Ack t tUL4PRIIH?[J Peua `- rt raour �aa rsP�aysZEIAL - Ses Dalai oii Naxf Page - Vertical and Horhnonial NarTrng for Patgi Attachment 1 v=riiFai, }ioliz>xnlsl Nailing . faE,Pane Af aahmenf - III _ _ -., • '.J _ _ - . T �3y CF THE Tp�� w J • =ARNSTABM • 9� MASS. Town of Barnstable prED MA'S� Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO 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 I D r1 n o`r e-SS , as Owner of the subjectproperty l l hereby authorize d� > u����'1 to act on my,behalf, in all matters relative to work authorized by this building permit application for: e (Address of Job) s ature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners'License Exemption Form on the reverse side. ` .Q:\WP=S\FORMS\building permit fonnsEXPRESS.doc A Revised 040215 Town of Barnstable Regulatory Services ; ��rs to�yti Richard V.Scali,Director Building Division s�xsraBr.E. Tom Perry,Building Commissioner v 039. 200 Main Street, Hyannis,MA 02601 QED MAt F www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# . CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. 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. 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. . 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\IIPRESS.doe Revised 040215 I I � w F S 60 >------------- 1l) A � u t "J r a Xig gy k �: ti _ f i N f - LJ r� !fi ,.5c ! ! i �"'_ "' �„� - i t ?:� � , , o 1 '' I . i f - i ,�' - � � � ` ��; l`1 '� � `t '� _ n � .� a � � � � ' � '" ,� f!i r. �.��, b `. _ ! �.� � � � � � - � �� ,. •_ � � � �. " fl)Nl Rl rr t DCIN�-- ---• 50' BUFFER TO PHRAGMITES E - EDGE OF LA 4� - 4g ' w Z PAVED DRIVE W t U IN x 0 i N Plant List CONCHI-IE EDGING _ - Quantity Common Name Scientific Name Planting Size 5 - cinnamon fern Osmunda cinnamomea 1-Gal wALK / Esc I 4 Inkberry holly Ilex glabra 5-Gal FIELDSTONE ! PATIO i LAWN AREA - 3 Arrowwood viburnum Viburnum dentatum 3-Gal " 22 Pennsylvania sedge Carex.pensylvanica 1-Gal '! 19 switch gross Panicum virgatum 1-Gal , � _• 4. Common winterberr:y `Ilex verticillafo 3-Gal /. �... •48" TREE - _ ._..—..__/. O OPEN STEP - - TO BASEMENT - - ,NO;teS - * All work to comply with an order of conditions from Barnstable o Conservation Comm. " u f SHWF2 �` * Plant one male winterberry and three female winterberry * This plan shows plant locations, types and spacing; for all else see site plan by Baxter and Nye or deck construction pion EXISTING DWELLING '/ �• *Install heavy duty weed fabric in the section of planting area next to #262 phrogmites to prevent phrogmites intrusion into planting. 7 switch grass h work pion for new planting area: install siltation contoi along work limt, . eP t remove turf, install planting, mulch with bark mulch, water during growing New seasons as needed. ` deck / stairs landtn 4 winterberr 12 REE y Scale 1" = 10' on an 11" x 17" sheet /r EXISTING 2 Inkberry holly 4 .DECK - - / 5 cinnamon fern Mitigation. Planting Plan revised E 2 rrowwoo 2/1/2016 262 Greenwood Ave LAWN AREA - 7RE •3 Ad viburnum IAwN AREA Hyannis Ma o " E Great Hill Horticultural Services 824 sq. ft. new planting area Bob Hoxie, MA Certified Horticulturist Nn`u,2Al,l.r / 508 317 0405 y1;0t IAfED AREA Install straw wattle tubing 8"-10" staked in place along length of new planting area 12 switch grass All 2 Inkberry holly 22 pennsylvanio sedge GENERAL NOTES j'� ay BAXTER NYE ttl i 1 M MILM a dus R.AV 8 W pOR EnEIWx RR CWMIWO Ar}W a¢MDA AKIN¢xWHR • r. h x PW6 xM¢R:$Alen EaAA[MIG AS aR AVI 14 All UaPY px¢wAAa sxdAl x[rtw. - • M•�' h RuuEmuwEd a: Mn000 eaww¢wn Wn muu na/mA Ax mr Ac ta.lq 5qp ENGINEERING Br x. Aa CMMa1 A545SOrs ML S A Oxe.(eAOWI d' S,Mi[I Ira w um+N Viu�ics u IGCATTR,gI�RS RM1a a iNGi[iro'WRVNaeO m LWrc ) 1 'i+• �� MmxMsaena rAxsnwwravWaxlAawMnMMnxNu91¢¢minusAx7uesA¢a5u, 'SURVEYING MAn®IRR MI 9x. 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MMN Sax¢AMx1 He MRS aG'SERSV RE fMS,nN).MRR.wR 810W Ms RS .. MM Ax0 RxPtm W OMRR nxi I. URURU W:SdI WiINAtte - (xulllSEaM A He w _ A - 6 M RHM tN MO➢NW 5Nx16 6AIID a gR¢IR AIxxA9[ P—RYa» ra AA.M'_ axar ,.il Hda9ed M EaEIN WE ucwuRd f sMssYs a auMml Is,Aa I - I N/C CATIIEPINE Jr GULLIVER - CON8ULIANT `O OLEO so.15e79 PACE 252 / ,/ / 0.E.PA Flle MSE 9•__ 'PARCEL TBB-1>0 F /�� -- „ /I/'' _ ///SE NISI EYR9[5 • I BErvCHMARN / ( // / I LMKCRVA1d1N AM10S \ ' 114 SURVEY NMl �4 / •- w eaM 6 MI H DOVE IRRI raTYs A f 8 NdxG MIX RC¢ARLO OX01S,O9NV0 MM C O N e V l T A N i ELEV.t].00 NANORE + �• �.•, ��`� „% / MINxdtRO ro M COESERY¢AV t0AA6XM. AmhMRm M min MHMi wR mAHm a rIWxM. `- 4 ��� 1 U- - W-/''El/• 2•RLro PRfiPAPEO xOR; William Tuttle I 1 i-i.ls aNM1 i xA,Rx a1K P? I•,7LA... P.O.Box.388 q.{(ppI Hyannis Port,MA. 02647 /x�1. `.- �,yV-`• - ; ; : .. . 8 EP. .lxy_1 _) PARCEL'T0B 179 b 8 f .y IT 8��+ I BIII�I y�. � xrx)lll^"��°�E� /' ��. ,/ ax'.v .• F a � V E%ISrINO OOELLINC E^���������������```!(��I1 • 5�( m IS ,•1'. C/r :b d::"lo' -a.e R •' I �k /i � - �� I � SE N � Ht PuxmloAxi.W / - a I IIS.C. lM I II f N 1 f7IS a / o uc N Ja u w ` it I \\\ ,I:. `•'I A l� �/ i' ///r•AQ' I T' ..EST TITLE Wetlands Permit Plan > l \ �r I ' I for fleck Construction -\``nl I i / N/I'NARMOR VRLAGE CONp0Y1wUM OATS,:O2 2018 LAND COURT DOCLIMENI 2e03B2 PARCEL 288-18IBO \ 10 0 10 !0 a� a +.t4 1 . \ 6CALC: -'SCALE IN FEET _ r -.,/ ,ors- ''� t ro's 1�' •3 - ; h t; i id Massachusetts-Department of Public Safety , Board of BuildingRe gulations and Standards.-',1.1/lull lj l'tlon. Junlei iso 1 l9 2 rv1'11i1V F ' License: CSFA-057394 'r IN 1 ROBERT G WAL0$ 735 Old Barnstab*R EastFal mouth MA - Expiration Commissioner 06/02/2017 : fOffice of Consumer Affairs&Busies Regulation License or registration valid for individul use onl Y PHOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: E3 Registration 141991 `Type: - Office of Consumer Affairs and Business Regulation Expiration: 3/3/2618 DBA 10 Park Plaza-Suite 5170 HARBORSIDE REMODELING,= Boston,MA 02116 ROBERT WALSH 250 CAPTAIN CROSBY•ROAD = i4 CENTERVILLE,MA 02632 -�dVr Undersecretary * Not valid without signature r,