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Home My WebLink About0051 HYANNIS AVENUE S% .�.� Q-�<.� J \ - _� Pie- 4 ES PER ITrown of Barnstable *Permit#_�JUJZg0 Fapires 6 months fr�issue date �T Regulatory. Services Fee BMW9rABM V 12 2013 A 0 y. Thomas F.Geiler,Director s63 �� TOWN OF BARNSTABLE Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.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 1,;;?B? / //�? Property Address [Residential Value of Work$tz 2,? © Minimum,fee of$35.00 for work under$6000.00 Owner's Name&Address !� /E?O/2E2rCY Contractor's Name 7Li- Telephone/Number Home Improvement Contractor License#(if applicable) 17, 709 Email: !�/�(C'/�✓—� G? G�/�!7 Construction Supervisor's License#(if applicable) DZWorkman's Compensation.Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name o_/1 i/y ,7yiS. Workman's Comp.Policy# /f— 0/073 4?B 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 �easovt W0vC( ?i?V1 00 Replacement Windows/doors/sliders.U-Value a 30 (maximum.35)#of windows c;F— NO ilk OeP C�-IA X�G< #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: 40wner sign Property Owner Letter of Permission. Improvement Contractors License&Construction Supervisors License is SIGNATURE: C:\Users\decollik\AppData ocal icros ft\ indows\Temporary lntemet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 of * sntuvsrnsIX • A ' ,� Town of Barnstable rED MA'l A - Regulatory Services Thomas F.Geiler,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 as Owner of the subject property hereby authorize/ f,6i"7, AQ-Zl.-A�4- &"-/t� o act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature �yOwner 'ba te Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Locdl\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 The Coainionivealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 rvnm%niass gov/dia ; Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(BusinessiOrganizatiowbdividaal): /ter/e;� /ram%di:- L[Z,> ; Address_ City/State/Zip: 1,40 E2%one#: 15-96-- ` you an employer?Checjk the appropriate box: Type of project(requited): I I am a employer with 4. I am a general contractor and I employees(full and/or part-time.)-* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees Thesee 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 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions self o workers' right of exemption per MGL my � gyp- 12TJ Roof repairs insurance required.]'s c_ 152,§1(4),and we have no employees.[No workers' 13,�]Other ' W 1 � comp.insurance required.] // *Any applicant that checks box#1 am st also 8ll out the section below showing theti workers'compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contrKmrs tnnst submit a new affidavit indicating such_ Contractors that check this baa must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors have employees,they tttnst pmide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my enployees. Below is the policy and job site informatiol6 _ Insurance Company Name: �/ Policy#or Self-ins.Lic.it: M/,X:3 Expiration Date: 46746'/ Job Site Address: // !�. City/State/Zip: Attach a copy of thee wor rs'compensation policy declaration page(showing the policy nu ber 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 maybe forwarded to the Office of Investigations of the DIA f e coverage verification_ I do hereby certify n►td. sand penalties of perjrery that the information pranced a �e is Mre and correct Signature: Date: Phone#: 6 '� J O,fjicial 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.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: II ' � CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDIYYYV F,0/10/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TI CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICI BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZ REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the poiicy(les) must be endorsed. If SUBROGATION IS WANED, subject the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to I certificate holder In lieu of such endorsemerlt(s). PRODUCER JAMS R $INDMAN Schlegel aL Schlegel Insurance Brokers Inc PHONE 508-771-8381 508-T71-0663 fAC,No.Ext): fAtC,No). 34 MAIN STREET ADDRESS: SCHLEGELINSURANCE@VERIZON.NET PRODUCER CUSTOMER to M. West Yarmouth, MA 02673 INSURERS)AFFORDING COVERAGE NAICI 114SURED INSURERANGM INSURANCE 14788 Viktar Tuleika Dba Tuleika Building Company,LLC INSURERBAIM IN3. 125 Berkshire Trail INSURERC: INSURER D West Barnstable, MA 02668 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: t i THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERT INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TI CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERI EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . LTR TYPE OF INSURANCE um WVD POLICY NUMBER (MMKIDNYYY) (MMJ ONM) LIMITS A GENERA.LIABILITY MPI6593Q 09/30/203.3 09/30/2014 EACH OCCURRENCE $1,000,000 $ .COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $500,00D CLAiMSMADE a OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,600 GENERAL AGGREGATE $2,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PRO- JECT LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Ea accident) ANY AUTO BODILY INJURY(Per person) 5 ALL OWNED AUTOS BODILY INJURY(Per accident) S SCHEDULED AUTOS PROPERTY DAMAGE S HIRED AUTOS (Per accident) - NON-OWNED AUTOS S . S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAR HCLAIMS-MADE AGGREGATE S DEDUCTIBLE - S E RETENTION WORKERS COMPENSATION WC ST i AND EMPLOYERS'LIABILITY X TORY LIMITS ER B ANY PRoPRIETOR/PARTNER/EXECUTIVE YIN WC-5012398 08/26/201 08/26/2014 EL EACH ACCIDENT S 100,000 OFFICERWEMBER EXCLUDED? ❑ NIA r (Mandatory in NH) E.L DISEASE-EA EMPLOYEE S 100,000 It yes.describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS 1..LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space Is required) VICTAR TULEIRA HAS ELECTED COVERAGE ON HIS WORKERS COMPENSATION POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES"SE CANCELLED BEFO THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESIOT41VE In n ©1988-2009 ACID ORPORATION. All rights re: ACORD 25(2009109) The ACORD name and logo are registered marks of CORD - Massachusetts-Department i+f Public Safeto Board i)f Buildint., Rel'Fulation%and Standard• . Construction Supervisor License License: CS 9MA VIKTAR V TULEIKA 125 BERKSHIRE TRL. W BARNSTABLE,MA 02668 Expiration: 2/2Q/2013 E'<aeinii�iKrorr Trw: 13464 http://elicense.chs.state.mA.us/Verification/Details.aspx?agency_id=1&iicense_id=280929& Page 1 10/13M Details The Official Website of the Executive Office of Public Safety and Security(EOPSS) MassGov Home State Agencies U,QDemoa`Ira hic Information g p . Full Name: VIKTAR V TULEIKA Gender: V\Aver Name: icense ress n orma ion Address: Address 2: City: West Barnstable State: MA pcode: 02668 o nt : Un• ed ates icense inTormation License No: CS-091854 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: 3/18/2013 Issue Date: Expiration Date: 2/20/2015 License Status: Active Today's Date: 10/13/2013 Secondary License: Doing Business As: tus Change: 18 Prerequisite n orma ion No Prerequisite Information iscip ine No Discipline Information ocumen um Close Window ©2011 Commonwealth of Massachusetts Site Policies Contact Us dicerse.chs.state.ma.usNerificafiotVDetails.asp�?agency_id=1&license_id=280929& 1/1 Office of Consumer Affairs & Business Regulation License or registration valid for individul use only t�OME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: a egistration• 173709 Type: Office of Consumer Affairs and Business Regulation xpiration: . 11M/2014 LLC 10 Park Plaza - Suite 5170 �. Boston, MA 0211E TULEIKA BUILDING COMPANY LLC. VIKTAR TULEIKA �125 BERKSHIRE TRAIL r ,` W. BARNSTABLE, MA 02668 Undersecretary Not valid thout signature r INE TOWN OF BARNSTABLE Building201205980 BARNSTABLE, Issue Date: 08/21/13 Permit y MASS. �ArFG 39. A�� Applicant: LEONARD,VIRGINIA R TRS Permit Number: B 20131979 Proposed Use: SINGLE FAMILY HOME Expiration Date: 02/18/14 Location 51 HYANNIS AVENUE" Zoning District RF-1 Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 287119 Permit Fee$ 35.00 Contractor PROPERTY OWNER Village HYANNIS App Fee$ 50.00 License Num Est Construction Cost$ 4,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REPAIRS TO EXISTING REAR PORCH THIS CARD MUST BE KEPT POSTED UNTIL FINAL 2ND EXTENSION TO EXPIRE 2/15/2015 INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: LEONARD,VIRGINIA R TRS BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: P O BOX 214 INSPECTION HAS N MADE. DOVER,MA 02030 Application Entered by: PF Building Permit Issued By: � / ZG THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET;ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY ORTERMANENTLY. ENCROACHMENTS ON PUBLI OPERTY,'NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED;BY THE JURISDICTION."STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLICS RS`MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS:THE ISSUANCE OF THIS:PER MIT.DOES NOT'RELEASE THE APPLICANT FROM THE CONDITIONS OFANY APPLICABLE SUBDIVISION:.. RESTRICTIONS. MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. ' PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). g BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 " 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health � `\me j1-&f417 N o J ZL"� '14 �� 77 lip TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map A7-9-7 Parcel 'f / Application#C9 L� Health Division Date Issued Conservation Division '�''1� 'Application Fee Planning Dept. Perm• e Date Definitive Plan Approved by Planning Board �� Historic - OKH _ Preservation/Hyannis Project Street Address .51 11MA11 IS or— Village 141Yglit, 5 Owner i2� 1$� /i't1 Address .&War 2/Z1 . I) eK , mao Telephone �J Permit Request e . olg A iP ." P92A P X . ebal 6 SJ1,11 �!P 'f. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new e' Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type ® Lot Size Grandfathered: ❑Yes YNo If yes, attach supporting documentation. Dwelling Type: Single FamilA Two Family ❑ Multi-Family (# units) Aged E; `•ding Structure � Historic House: Yes ❑ No On Old K jig's Highway: ❑Yes to BasE ape: *Full ❑ Crawl °❑ Walkout ❑ Ot er Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 2- new AW 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 stover L1 Yes ❑ No Detached garage: ❑existing ❑ new size Pool: ❑ existing ❑ new size _ Barn-❑existing"0 rie�W size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other �- J Z Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ zz- Commercial ❑Yes ❑ No If yes, site plan review# " .-A Current Use Proposed Use CP APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 1 !Z 1 (�/- Telephone Number / g Address 425- Kee,%Z h I R.4e 9' ' License # 7186_7 Wts4 Home Improvement Contractor# D2 6 6 9 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 07 0 Z9`2. or FOR OFFICIAL USE ONLY z APPLICATION# - ► DATE ISSUED MAP/PARCEL NO. 4 ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE M ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT! ' ASSOCIATION PLAN NO. „> The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 1" W" www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plumbers Applicant Information Please Print LepiblY `—N3IIle(Business/Oro mill onfindividual): . j pl e i y /I .. .Address:..:,7s l�She Jf l City/State/Zip:—�it,; s' �(' Phone.#: Are you an employer? Check the appropriate box: Type of project(required):, 1.W am a employer with 3 4. .❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6: ❑New constmction . listed on the-attached sheet- 7. Remodelin 2.❑ I am a sole proprietor or partner- ❑ g ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' ' [No workers' comp.insurance comp.insurance. �� 9. ❑Building addition -: required,] 5. ❑ We area corporation-and its 10.❑ Electrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing all-work 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. 'R..OntaetOrS 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 isproviding workers'compensation insurance for my employees. Below is the policy andjob site information Insurance Company Name: Policy#or Self-ins.Lic.#: 62;02J_ W1,? �j 'f/ Expiration Date: Job Site Address: /2 Gj �� City/State/Zip: T a4Z,/Z.-/ ' 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/ r one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.OV day gainst the violator. Be advised that a copy-of this statement may be forwarded to the Office of. Investigations IA for insurance covera e verification_ I'do hereby er the pains-and penalties of perjury that the information provided above is true and correct Si Date: 07 lld-eo �tR�aonn Off ial 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): .L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Pelson: - Phone#: . } Officew%od's`B?ilf'Altgff4l3Q" HOME IMPROVEMENT CONTRACTOR Registration: Type: Expirati 10/27/2012 DBA e= B. . �NSTRUC N,� tit, ±1 VIKTAR TULEIKA, _ I 125 BERKSHIREi s " ljo W.BARSTABLE MA902668 <</ Undersecretary d - y ff ®'7 '04/ Nlassachusctts- Department of Public Safe[, ' Board of Building-Regulations and Standards . Construction Supervisor License License:CS 91854. VIKTAR V TLILEIKA Ord 125 BERKSHIRE TRL W BARNSTABLE,-MA 02668 Expiration: 2/20/2013 V C'unnnissivaec Tr#: 13464 s i r �7HE r Town of Barnstable Regulatory Services 9 hL ..ASS Thomas F.Geiler,Director 0.19. �0 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize ✓0 / d�� /J( L=x to act on my behalf, in all matters relative to work authorized by this building permit. (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. r Signa e of Owner Si f plicant k��-On /iLJ/-P�/7 /c� �. )"d A141ell6w, �`� Print e Print Name l' I Date Q10PM&OWNERPERMISSIONPOOLS 6/2012 I� THETOwti Town of Barnstable P Regulatory Services seatvsTAsLE, + Thomas F.Geiler,Director y Mass. g `bpr 1639. A.0 Building Division ED MA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. 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:fonns:homeexempt i I NOTICE N � TICE A r TO TO .4 Q a a . EMPLOYEES . EMPLOYEES V .The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS' 600 Washington Street, Boston, Massachusetts 02111 617-7274900 http-://www.mass.gov/dia' As r uired by Massachusetts General Law,Chapter 152,Sections 21,22&30,this will give you notice that Ieq(we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: AC€ 'GROUP NAME OF INSURANCE COMPANY P.O. BOX 1450 MIDDLEBORO MA 02344-1450 ADDRESS OF INSURANCE COMPANY i (6S62UB-4512P03-1-12) . 03-19-12 O 03-19- POLICY NUMBER EFFE S s SCHLEGEL & SCHLEGEL INS 34 MAIN,STREET m o YARMOUTH- MA 02673 NAME OF INSURANCE AGENT ADDRESS PHONE# TULEIKA, VIKTAR DBA TULEIKA 125 BERKSHIRE TRAIL BUILDING CO . W BARNSTABLE MA 02668 EMPLOYER ADDRESS s EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE s MEDICAL TREATMENT C The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and.reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treatmi physician will be aid b the.insurer,insurer, if the treatment is necessary and reasonably 3 g P Ys P Y az3' Y connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel rt AFlicaOnSX5930— Health Division Date Issued Conservation Division ` Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board -, POP- Historic -.OK �Y _ Preservation / Hyannis Project Street Address 6f 1 /7 y .�_ n n i s fia e nye_ Village� �v fir_► )n ^/ M � Owner ff1-4P Z Z2/ �Z /n. I.C'_on i 'Address 5/ ��-nn i 5 Ale- Va_)1AJ5 Pr� 6 Telephone C. 7��- "' �,-_%5� cyr .5�$ �� 19_2 7� Permit Request 9C, p' &i 1^S tj2 CCU l'5 Ln q l-E2_ 00 i" c h Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay CProject Valuation . u d Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) 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 ❑ c� c� Commercial ❑Yes ❑ No If yes, site plan review# — `^ Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) f p <,NameJEOt- %=�RTeleph one N�r u'mber S 1ZAddress__,S"% qif n Y) L$ License # r t V a r1 i S �d 1- 17 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 012d DATE *7 L-- FOR OFFICIAL USE ONLY APPLICATION# GATE ISSUED NRAP/PARCEL NO. ADDRESS VILLAGE — OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION s FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH _"` FINAL FINAL.BUILDING 4 DATE CLOSED OUT � ASSOCIATION PLAN NO. _ I ujiviassacituseirs Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant haformation Please Print Le 'bl Name(Business/Or, n zadon/Individual):. �, Address: / v �. `City/State/Zip: In n IS Po r�/ ► )/7 Phone.#: e0 8" Are you an employer? Check the appropriate box: T e of ro ect re wired "J4.. a P J ( q ) '1.❑ I am a employer with ��I am a general contractor-and I employees (full and/or part-time).* `{have hired the stab-contractors 6 El New constriction.. 2.❑ I am a•sole proprietor or partner- listed on the'attached sheet 7. gRemodeling ship and have no employees These sub-contractors have 'g• Demolition working for me in"any capacity. employees and have workers' [No workers' comp.insurance comp. insurance.$ 9. ❑Building addition _,required.] 5. ❑ We are a corporation.and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all officers have exercised their 11. Plumbing re g ❑ g Pairs or additions , myself. [No workers' comp. right of exemption per MGL . 12.0Roof 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 infon:nation. t Homeowners'who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xConthactors 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 contactors have employees,they must provide their workers'camp.policy number. Tam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: Policy#or Self-ins,Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure•to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify under the pains-and penalties of perjury that the information provided above is true and correct Dad tee' O// ,Ll Z ' Phone#: [9 8' 7 7 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing A uthority(circle one): .•1�.Board of Health 2.Building Department 3."City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact PeFson: phone#: . oFViE law. Town of Baknstable " Regulatory Services snartsTABLE, Thomas F.Geiler,Director v Mnse. 1639• FD a`�� Building Division l MA'l Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable".ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ` Please Print. GDAT 3 , ioB-Loc`�"ATIO T/y n (1 nurnbgr street Afllage�. «110�1 OWNER;,.--,V 1 1"g 1 t'l c�� R° LC�o_n,a_r8: y '" 1 name l �D ✓ home phone#. work phone# w (L '�DR :CURRENT MAILINGA � � 7 f city/town ' state zip code R 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�Q'f Homeownei 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 acC as supervisor." X 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:forms:homeexempt - o-THE,,,� Town of Barnstable Regulatory Services saxxsrnsIX, y Mass. Thomas F.Geiler,Director n 199" � Building Division Tom Perry,Building.Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.u.s Office: 508-862-4038 Fax: 508-790-6230 Property Own Must Complete and Sig This Section If Usin Builder - as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work a orized by this building rmit (Address of Job) **Pool fences a/dalarms 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. Signature of Owner Signature of Applicant Print Name Print Name Date QTORMSDWNERPERMISSIONPOOLS 6/2012 TOWN-OF BARNSTABLE BUILDING PERMIT APPLICATION f. f Map,-AFq Parcel jI�l``i Permit# - �7as� ,laltb-8+ isiola Date Issued one .rvatin❑ nivicinn ; < r Fee 7`y Tax Colle Treasurer Planning Dept: Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis f ' Project Street Address F a Village V&t'A i"-'s PffRr Owner sD i'h E M 66 Alai Address P.,Q-BOX Q1��. � ' ��/� 0�6 30 Telephones SJ Permit Request Al akA" 1Yi i0 S J D V"L Apt. Vi n N L AkOi e-s'a i/ 4)L 3o lkya 4ce Square feet: 1 st floor: existing proposed 2nd floor:,existing proposed Total new Estimated Project Cost,0-M Zoning District Flood Plain Groundwater Overlay .Construction Type 1)642b • Lot Size Grandfathered: ❑Yes -,,&Vo If yes, attach supporting documentation: Dwelling Type: Single Family Two Family C3. Multi-Family(#units) Age of Existing Structure Historic House:. O Yes AkNo On Old King's Highway: ❑Yes @kNo 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: O Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:0 existing+ O new size Pool:O existing ❑new size Barn:0 existing ❑new size Attached garage:O existing, q new;' size Shed:0 existing`O new size Other: Zoning Board of Appeals Authorization .❑ Appeal# Recorded❑ Commercial ❑Yes KNO if yes,"site plan review# r , Current Use _ Proposed Use BUILDER INFORMATION Name 01-VPl uzl Hjn1r, zQde Telephone Number 41dg- 9,51 00 Address l 4 ti(ew 76aAi License'# (25 al!'?`f q C6 +zc/4' 11h;ff dd.lo& S Home Improvement Contractor# '1007qO ` Worker's Compensation# C 5fa 66Y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO \%F 'Z tnd zt i�.l GIJSi , -• Di SOU S SIGNATURE S =� y� 2 ` DATE _ o�- FOR OFFICIAL USE ONLY PERMIT NO. ' ; tL DATE ISSUED - ,r!. T r• _ 'F r F MAP/PARCEL NO _ .- ° " ? � r i ,.ti,� .b .� '' tin''-^ ��'�' - ,.,,a, - _ a µ- .°1;• `.�"', i i 4 p . ' 4,01 � is _++ r = 4•p. � .,T'♦•,4 • � k., Y"�. a +•e ^' �:..• . • `•r} • < . i rp* . f ADDRESS.. VILLAGE ; +' OWNER" ;ems _ P - _ • 1. DATE OF INSPECTION FOUNDATION - r FRAME' ` INSULATION FIREPLACE f M t ELECTRICAL: ROUGH FINAL ;All. PLUMBING: ROUGH FINAL Y.. GAS: ROUGH FINAL '' c + FINAL BUILDING M r •} + -, ' . r • ,. f { DATE CLOSED OUT t _ ASSOCIATION PLAN NO: f -_ - - The Commonwealth of Massachusetts Department of Industrial Accidents Office of/nyesligatians =� 600 Washington Street Boston,Mass. 02111 Workers' Com,pensation Insurance Affidavit name: / r1 location: city r�N i t 115 phone# ❑ I am a h meowner performing all work myself. ❑ I am a sole ro rietor and have no one working in anv ca acity I am an emplover providing workers compensation for my employees working on this job. com anv name: � address: / city (� �(�L-U nhone#• 5 /Ot�� insurance co. oiicv# � vZ r.. ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have + the folloiiing workers' compensation polices: companv name address city phone#• insurance ca. .. olicv#.. company name. . ....:.:::.:::...::._.. address: - ... city- phone#' insurance co. ....:: olicv# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. I do hereby certify under the pains anppd penalties o perjury that the injorntation provided above is true and correct Signature XL. L"Z t:% Date1 [7 f _ Print name Phone# onlcial use only do not write in this area to be completed by city or town ofUcial city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if Launediate response is required ❑Selectmen's Otflce ❑Health Department contact person: phone#; ❑Other (cevaea 9195 PJAI Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for then employees. As quoted from the "law",an employee is defined as every person in the service of another under any corer- 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 receive. 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewL 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,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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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. The affidavits may be rettrrned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 InesugauOns 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 : . The Town of Barnstable .. 6 �►sHer�ra. • 99, MAM �0 Department of Health Safety and Environmental Services Ea►ua' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: &if M w�'m 1 WL S j- )W - L. OIA-0dwEstimated Cost 0 W IF I Address of Work: Jul &,1,4 Aew� Al�.C. , Zb4 itnyf/3 ,Q� U v Owner's Name: �IFii?6 /-,,E ,�. �&,6 nand Date of Application: 102 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR Date Owner's Name q:fomu:Affidav ✓lie '�orrvmancuealClz o GIaJJae�ccJeCld iEPARTMEHT ?r ?U3_., I Number; r,S 107.454 02 •'_4120IH ) `: °T�16', anrue �✓ /ter 4estrl�rad:To; ;? HOME IMPROVEMENT CONTRACTOR ; ' ° Registration '100740 .545 NEWTOWN RD Type = PRIVATE CORPORATION COT11IT, MA 326iS Expiration .06%23/00 CAPIZZI'HOME'lIMPROVEMENT; INC as-Capizzi, Sr 1645 Newt ADMINISTRATOR - i Cotuit MA 02 on Rd'. ' -- T------ �Lce �arcz»zo�rzrueaCCt. ol�..Glcr:;:�acLrueCld DEPARTMENT Of PUBLIC SAFETY - CONSTRUCT-ION SUPERVISOR LICENSE Number Expires: Restricted To 00 THONAS 1--CAPIZZI JR 280 PERCIVAL OR W BARNSTABLE, MA 02668 ✓xe �a�rz�na�zcueal o`� -`lrcJJCLC{LUJP� DEPARTMENT OF PUBLIC SAFETY Y•., t CONSTRUCTION SUPERVISOR LICENSE x: c, Number. Expires: Rest-itted-Toz_ 00 FREOERICK V RASC4 III BOURNE RO PLYNOUTH, MA 02360 t CAPIZZI HOME IMPROVEMENT INC . SPECIFICATIONS AND ESTIMATES PAGE 1 OF 2 9aLp�9 CAPIZZI HOME IMPROVEMENT PROPOSAL Established 1976 . Serving the Cave for 22 Years 1645 Newtown Road J Cotuit . MA 02635 5OS-428-9518 1-8 0 0-2 6 2-5 0 08-4 8-157 / Date : Name : ■ Job Address : n Address : ��nHi 5 � V ■ Town : /`' Ci tv : ■ Home Phone : /DGVe ■ Other Phone : ■ ■ Estimator : ■ Job No . . ■ We hereby submit specifications and estimates to furnish and install aluminum trim coverage on the following trim : fascia'. vented vinyl soffit . frieze . rake boards . rake tips . window sills ( full ) , window casings . door casings . z and ear boards . All trim will be bent in a manner to cover all wood trim and edges with aluminum trim nails 1 1/4" hidden as allowed without scratches or buckles on entire house . Not ncludine base ent windows . Q.7c 7— �ror,.T� {1�9��v ihAIL�c s �� /dos 7-s USING SINGLE-CO)T , BAKED-ON EAME ALL!fINL"f TRIM lee LABOR & MATERIALS S !f.T OPTION : Fabricate a built-in channel into all trim to eliminate the use of vinyl J channel . 1 J^rvvC;) S-C'r-ee_A 5 `;7 LABOR & MATERIALS 8 l hC`�vdeO 77-& b Job is estimated to commence' 5 weeks after deposit received unless otherwise noted here : Anv work above and beyond the specifications outlined in this proposal will be performed at S44 . 00 Der man hour plus materials or priced on request . A11 additional work . including travel time and lumbervard runs . will be subiect to extra charge . In the event of rot repairs . roof repairs or anv related work reauirino immediate attention we will proceed without customer approval . We look forward to w•orkinR with vou -. please call if You have anv questions . Sincere /^ Thomas Capi zi Jr . CAPIZZI HOME IMPROVEMENT r ACCEPTED BT DATE THIS PAGE IS P&TrOF AND IN CONFORMANCE WITH PROPOSAL �I I ' Town of Barnstable % BAE. Regulatory Services Y NASS. i639• �0 M Building Division plEO A'S a. 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location SE! 11 � +llfl S Permit Number Owner Builder One notice to remain on job site,.one notice on file in Building Department. The following items need correcting: l A 6 L c.-f- r—L c nvttftr Tyk i c.-_. H-o LcS=S 6 A A 1'4 E t- C- 6/ M Ec P oy-- Y In /",-tr) '— IJAP f u-( S ( 6 L i. i. Please call: 508-862-4038 for re-inspection. Inspected by P—fA..Zj Date �' - otTHE r Town of Barnstable dS 3 Expires 6 mon rs from issue Regulatory Services r Fee t6yg. �� Thomas F. Geiler,Director l AP Building Division IIT Tom Perry, CBO, Building Commissioner 5 F , 200 Main Street,Hyannis,MA 02601 1 www.town.barnstable.ma.us 7 Ovv OF BAR�5�7-A .G Tq Office: 508-862-4038 Fax: EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number I 1 V /ResrtyAddress y � NAB op �1idential Value of Work Minimum fee f$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name ` �"CSSd-,1/ f•tL°S Telephone Number Home Improvement Contractor License#(if applicable) � f� 6 q Y3 . Co iruction Supervisor's License#(if applicable) Workman's Compensation Insurance Chec one: ❑ am a sole proprietor I am the Homeowner I have Worker's Cc pensation Ins rance Insurance Company Name W Workman's Comp. Policy# n r Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to . /e- not stripping. Going over existing layers of roof) #of doors ment Windows/doors/sliders. U-Value a, (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of a Home Improvement Contractors License& Construction Supervisors License is requ• SIGNATURE: w Q:\WPFILES\FORMS\building permit forms EXPRESSAoC Revised 070110 d y 1 The Commonwealth of Massachusetts -E Department of Industrial Accidents �� ;l—,'j Office oflnvestigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): G- P-T Address: petAct-e-_,5 ray G�► City/State/Zip: (ato . i. 3�3 y Phone#: �� 'b 6-7 Are you an employer? Check the appropriate rIL Type of project(required): p y to er with 1 ' I am a employer 4• a general contractor and I �- have hired the sub-contractors 6 EZodeling onstruction employees(full and/or part-time). 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ship and have no employees These sub-contractors have g, Demolition _ working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp. insurance comp.insurance.$ 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 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.❑ Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners 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 the policy and job site information. P..-r Insurance Company Name: Co ` Policy#or Self-ins.Lic. it: 4 / 3 �T_ate- Expiration Date: Job Site Address: /VN, Vim. City/State/Zip: dk CJ '� Attach a copy of the workers compensation policy declaration page(showing the policy nu er and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify er a pains and It' f perjury that the information provided above is true and correct Simature: d� Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: - Permit/License# Issuing Authority(circle one): N 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: . f 0 ff--e of Consumer Affairs& Lsiness Regulation p HOME IMPROVEMENT CONTRACTOR S =_ Registration: 126893 Type: r Expi_ration:.:8/3/2012 Supplement C The Home Depot.<At.Ho.me.Services DARREN 2690 CUMBERLAND PARKWAY S � — AL�N�`A, GA 30339 Undersecretary License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 ;ard Boston,MA 02116 Not valid without signature r , �- The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Aj Boston, NIA 02111 �: www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizatiomgndividual): Eue & o'/1j o rre S A00 v Address: V f_ City/State/Zip:IN ffmo f/ '1 31 Phone #: ,.!�oIg Are you an employer. heck the apff opriate box: Type of project(required): 1.Viammpl a employer with 4. ❑ I am a general contractor and I6. onstruction oyees (full and/or part-time).* have hired the sub-contractors ❑ Ne c2. a sole proprietor or partner- listed on the.attached sheet. 7. emodeling ship and have no employees These sub-contractors have g, ❑ Demolition workingfor me in an capacity. employees and have workers' y p ty 9. ❑ Building addition [No workers' comp. insurance comp. insurance. quired.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions re 3.❑ I qu 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 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #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 insuran for my employees. Below is the policy and job site information. y Insurance Company Name: [)1eS erN alor Policy #or Self-ins. Lic. #: V PP / 3 w Expiration Date: "a V - /" - P Job Site Address: (' Ac__ City/State/Zip: v� !P�'7 /191, G�f�G� d Attach a copy of the workers' com ensation policy declaration page(showing the policy num er and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains an enalties ofperjury that the information provided ove is true and corrr t. Si nature: Date: Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: I f is r t i x f : . Rai �� •.;=^� � � RI Ssom ERICSSON WEST Y'ARR OUT t - r f O 72fice o onsumer A ans anc us mess e u as ion 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 163528 : Type: DBA Expiration: 7/7i2011 Tr# 2e5903 ERICSSON HOME IMPROVEMENT ERICSSON TORRES - 16 HOOVER RD WEST YARMOUTH, MA 02673 Update Address and return card.Mark reason for change, Addross Renewal C].lrtnployment � Trost card iP5-CAt 0 a° -°glOB•OB6UFORMCgt082t2008 License or rogistratlon valid for individul use only H E IMPROVEMEN ONTRACTOR before the expiration date. If found return to: E Regis FI'on: 1 28 Office of Consumer Affairs and Business Regulation Expirati .717/ 11 Tr# 285903 10?ark PIA2a-Sulto 5170 Type: ' •l) Boston,MA 02116 ERICSSON HOME:IM 0 MENT —'-- ERICSSON fORR 16 HOOVER R WESTYAR U7H;.MA•02673 Undcr9ccietary _ Not valid withoutsignature . Jul. 23, 2009 9: 20AM Charles C Case Jr.' No. '11 P. 6 Aestricted'to:;v. :1°I:.xa�hu.ctts- 1)cp:,rhncnt of('uhliC .aflt� � .9 Bo:ir pl' Building Rhrul:ttipiis,tad :in(lards 1A— M8son4'onl Constr ti.on Supervisor Specialty icense R1!' Roof.Cove'no, S•Windo►4 arch Siding License: C SL .100546 S - Solid el Burning, Restricted to;. WS D De Iltloh only •ERMSON; TORRE Failur possess n current edition of the 16 HOOVEiQ ROAQ Mas chu t(s State Building Code -W.,ESTYARMOUTH, MA 73 is use for vocation of this license. fer to: W.Maas.tyov/DPS iration: Wia/2012 li till is fix ,I)er I rx: 100546 ROME EwplzoVEMEnPr CptTgACT PLEASE READ THIS _ �� Sold,Furnished and Installed by: '�— Branch Name: Boston Date: THD At-Home Services,Inc. d/b/a The Home Depot At-Home Services 345A Greenwood Street,Unit 2,Worcester,MA 01607 Toll Free(800)657-5182-Fax('508)756-8823 Branch Number:31 Federal ID#75-2698460;ME Lac#C 02439;RI Cont-Lic#16427 CT Lie#HIC.0565522,MA Home vcmcat Contractor Reg.#126843 Installation Address: City P State ... Purchaser(* Work Pbov e: Home Phone: Cell Phone:_ G cs I 1I Home Address: fivc (If different from Installation Address) City State Lip SSC ytf E-mail Address(to receive project communications and Home Dcput updates). ❑1 DO NOT wish to receive any marketing emails from The Home Depot Protect Information: Undersigned("Customeel),the owners of the property located at the above installation address,agrees lo.buy, and THD At-Home Services,Inc.("The home Depot")agrees to furnish,deliver and arrangd for the installation("Installation")of all materials described on the below and on the referenced Spec Sheet(s),all of which are incorporated into this Contract by this reference,along with any applicable State Supplement and Payment Summary attached hereto and any Change Ordets(collectively, "Contrast-): Job#: ant—d a.r—: duct%: S Sheets #: Project Amount []Roofing ❑Situ Windows El Insulation ❑Gutters/Covers ❑FSnt[y Doom ❑ Roofing Siding ❑windows []insulation $ ❑Gutters/Covers ❑Entry Doors ❑ _.. Roofing ClSiding ❑Windows ❑Insulation S ❑cutters/Covers []Entry Doors l'I ❑Roofing ❑Siding ❑Windows ❑limulation $ ❑Gutters/Covers []Entry Doors ❑ Minimum 21%Deposit of Contract Amount due upon a fxwtion of this iwnkrmA Total Contract Amotmt Main Purdu users cooly not deposit more than one-third of the Contract Amount Customer agrees that, i.nwiediately upon completion of the work for each Product,Customer will execute a Completion Curlirwitte (one for each Product as dclined by an individual Spec Sheet)and pay any balance due. AS applicable,each Customer under this Contract agrees to be jointly and severally obligated and liable hereunder. The Home Depot reserves the right to issue a Change Order or terminate this Contract or any individual Product(s)included herein,at its discretion,if The Home Depot or its authorized service provider determines that it cannot perform its obligations due to a Structural problenh with the hone,environmental hazards such as mold,asbestos or lead paint,other safety concerns,pricing errors.or because work required to complete the job was not included in the Contract. Payment Summary: The Payment Summary #Ssa.,7-6 included as part of this Contract, sets forth the total Contract amount and payment%required for the deposits and final payments by Product(as applicable).. NOTICF TO CUSTOMFR You are entitled to a completely filled-in copy of the Contract.at the time you sign Do not sign a Completion Certificate.(note.: there is one Completion Certificate for each listed Product as defined by individual Spec Sheets)before work on that Product is complete. In the event of termination of this Contract,Customer aprecs to pay The Home Depot the costs of materials,labor,expenses and Services provided by The home Depot or Authorized Service Provider through the date of termination,plus any other amounts set forth in this Agreement or allowed under applicable law. THE HOME DEPOT MAY WITHHOLD AMOUNTS OWED TO THE HOME. DEPOT FROM THE DEPOSIT PAYMENT OR OTHER PAYMENTS MADF, WITHOUT LIMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. Acceptance and Authorization: Customer agrees and understands chat this Agreement is the entire agreement between Customer and The Home T7epot with regard to the Products and installation services and supersedes all prior discussions and agreements,either oral or written,relating to said Products and Installation.This Agreement cannot be assigned or amended except by a writing signed by Customer and The Horne Depot Customer acknowledges and agrees that Customer has read,understands,voluntarily accepts the terms of and has received a copy of this Agreement / qted by So X p f/12./El/ X by Customer's Si turc ate Sales C nsultant's si a urc Date X Telephone No. � �� H Customer's Signature Date SSG;Consultant License No, CANCELLATION: CUSTOMER MAY CANCEL THIS (as�pplia,mle) AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING.WRITTEN NOTICE TO THE HOME DEPOT BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING THIS AGREEMENT. THE STATE SUPPLEMENT ATTACHED HERETO CONTAINS A FORM TO.. USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN CUSTOMER'S STATE. NOTICF,:ADDITIONAL TERMS AND CONDMONS ARE STATED ON 7W REWRSE SIDE AN AP PART OF THIS CONTRACT 12-27.10 GSC White-BranchFle Yellow-Customer Td WHZb:8 800E LT 'apW TLEZE92BOS: "ON Xtid pe6wef: Wan Engineerinii (3rd floor) Map aCC- Parcel ( ( � �' Permit# House# 15-/ J� Date Issued Board of Health(3rd floor)(8:15 -.9:3011:00-4:30) Fee Conservation Office(4th floor)(8:30- 9:30/1:00-2:00). Planning Dept. (1st floor/School Admin. Bldg.) �1HE I lan Approved by Planning Board 19 p RNSTABLE;` TOWN OF BARNSTABLE Building Permit Application re Address `S� / i9�yG1/�5 �� (�v Lo i` �( Village n Owner ✓�!`1 S �Q�e4't Address Telephone .Permit Request First Floor square feet Second Floor square feet Construction Type 'Estimated Project Cost $ �� ZoningDistrict Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. 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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name F(?67s /q Telephone Number Address -7 / /yg-a mo--A C td'z License# 7�cc 7f- /nl . Home Improvement Contractor# Worker's Compensation#4Z4/312 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY s PERMIT NO. DATE ISSUED _ MAP/PARCEL NO. ADDRESS VILLAGE OWNER _ t DATE OF INSPECTION: FOUNDATION .t FRAME _ P INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL _ r GAS: ROUGH FINAL FILIAL BUILDING - DATE CLOSED OUT ASSOCIATION PLAN NO. ' The Town of Barnstable - a Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Building Commissioner Fax: 508-790-6230 For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing t more than four owner occupied building adjacent o, i dwelling o r to structures which area � such residence or building be done by registered contractors,are with certain exceptions,along with other requirements. Type of Work: Est.Cost Address of Work: Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED VE CONTRACTORS FOR S 'B GRAM OR LE HOME GUR ACCESS TO THE ARBITRATIONARAN'I'Y VEMENFUND UNDER MGLO 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. F � D e Contractor Name Registration No. OR w - '° �• The Commonwealth of Massachusetts ( `` i A.i _ • __._...�;_ Department ojlndustrialAccidutts 1� �; Olficeol/nvesUgaUons 600 l •ashinglon Street \n= Boston,111ass. 02111 Workers' Compensation Insurance Affidavit gip nLcant Information• Please PRINT lee►ib v. ._ _.._.... ... _. _. b.__! name: r location: " _1 76 A7(a O�'� LZ < cit)' lC(`� 1( )I /),/)/4 . nhonc# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity _..158.-..�lg... - ""4'--�SE7^�T;�.�.gYx.,�IG)'LF.,w+-,.7.sy. ",�.�-T _ :'^'+ITr?�r.--N'"�-T-»�..�a-�•- `vc� I am an employer providing workers' compensation for my employees working on this job. cnmpam•name• address 17 / l fitzt2:5G-�'1 aX . city: Co nhonc#• . insurance co. il�, /�(/�'(J�C policy# �.cJC•/-1 ' �o� I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: i company name: address: city: phone#: insurance co P1olicy# � -s_ ... _ ... „rsz« .71�eo .---�-s-.. �..rx��•�c^*9F-.�-r'.;arr�!�w�,?.�;3�-7;tr.►�r. �c/'� SS....q,; z.:r'�:^-�:w..tn34%'S"e;••r.._.._.xx- compam•name:- -address: city: phone#• incuranCp rn- 1 0licy# :Attaih ationalddi shiet ifnecessaf _ '4=t;�i;" Jr ti*�7!Y :•=• �•_;.� Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereh►•cc .1 the aims d enalties of perjuty that the information provided above is true and correct. Si-nature Date Print name --b2otj 0 f[f ylG�a.� Phone# official use only do not write in this area to be completed by city or town official + city or town: permitniccnse# nQuilding Department Licensing Buard check if immediate response is required C3Selectmen's Office [3Nealth Department contact person: phone#; rnOther 4 Irensed V95 PJAI Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an e►»pinree is defined as every person in the service of another un r any contract of hire, express or implied, oral or written. An empl►►i,er 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 dwcllin;� 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 emplover. MGL chapter 152 section 25 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 %-.,Iio has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, 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. . ,.^.. -�..... . ...-.--. ••...777 •;;. 4 s 1!= c � .,:wa7 l" a.t# .w- �Yi.4 7�f;�`,"'ic'°y +-•.�-.....-..��..-. Applicants - Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits 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. Cite or To-,N•ns 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. . r•=va...i7 7 ++7 ,,..7..7— ..a..v..•,_..-...,.(4..,-...f�vtl...•.�,.,....-r t'...,...-,., .I.TN-t..oNL.Aca- v 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 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 _ \ y� FL4; r.Y .r •. k cf( t- ,d fra.. .7 _ Project notes regarding rear porch replacement at 51 Hyannis AN Ave ` • -'Existing porch is-a very narrow: a 5'x14' open porch with shed?roof Structure S1. ove'r'75 years old and'falling apart d'-to we rot�,Posts+and roof are`riot at all ` ns ZVI AV s a `stable Fo'rch is'-longer' safe'to use even as,entrance/exit fr, 'i,back door°:Porch was originally intended:to be.(used as a space to'hang laundry from,:clothes'lines ,x ` • -To meet minimal safety,standards'this porch iiiust�be tom down and`replaced with Y new structure built to standards of current bulding'code:If only to allow safe ` entrance/exit =Replacement porch as;proposed would:allow safe access to back and and.outdoor'shower'wlnle-addin a screen orch modestl sized at ' .. r Y g p Y •fi y f Opp f .# L r! f 5 h i 3t {�� 1 1 ry' �+x r t e r vi A. 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Y � i 287134 .,},,, Y . t' s l r c ° 7 f $11 1 a4 f .r L. :� - i ..x r t . o- 28T118 r ; r 0` 30 Feet as, sti fJ r 9 ' ,DISCLAIMERS Tfde map Is for ptarvdnS purpoaea.or Only.A Is not.edequets fot legal Map:Q87 `l Panel 119• ^�' ' r: i r 7 , +.t. } ° Selected Paroel'.a bo4rrdaiy deffirmNmtbn or regulatory trderpretatbn-'En4argemerns beyond a scale of :, Owrt&LEONARD,,VIRGINIA R TRS,- Total At.sez3sed Value:$112i l!60 1'm100 may not meet es�W Ished rnap attwacy etargar The parcel does on tA�map' - rr , - areDory graphk represerrmtlone oPAsseasora tarn parceb.They are r true plopmty f Co-0wrler:HYANNIS'AVENUE REALTY Acireage:0-51 acres\ Abu1t_grs tioundarles and do not represent accurate relationships to'physical batiires on the map Location:51 HYANNIS AVENUE ' s f r ., , . _ ` such as tiulldirg bcetlaro. - '' _ _ T .€," 'a.` `'- �ffef `1 ,!� .r' :,i. r _ I r -r.. r - a - , - kr 4 s,. } •4:,` _ . I 1 tr ;. " : .< J '0"#j l € lf:P 2 l f[i 5 P CP Q V � G=16� So!sT • �M�rz.�tt-- -�o �� Ftxclr- s wAY pie A G.1461 ' r)F PROPOSED REPAIRS to MICHELE CUDILO, P.E. ConsultingStructural Engineer RESIDENCE SUNROOM 123 Cottonwoodwood L Lone, Centerville, Massachusetts 02632 Drawn By: MC Date: 6/7/12 Drawing e51 HYANNIS AVE Scale: AS NOTED Rev. 0 Tr HYANNISPORT, MA---? n File Nome:LEONARD Project No.:2012-92 Parcel Detail Page 1 of 2 u . a htA55, Lo99ed In As: Parcel Detail Monday,September 24 2012 Parcel Lookup Parcel Info Parcel ID 287-119 DevelopeeLot r LOT Y Location 151 HYANNIS AVENUE I Pri Frontage 1154 Sec Sec Road� I Frontage Village HYANNIS _ I Fire DistrictFHYANNIS Town sewer exists at this address!NO Road Index 10751 Asbullt Septic Scan: Interactive 287119 1 Map - Owner Info Owner ILEONARD,VIRGINIA R TRS I Co-Owner(HYANNIS AVENUE REALTY TRUST streets jP O BOX 214 I Street2 City IDOVER _I State MA j zip j02030 Country l_J - Land Info Acres io 51 Use iSi gIe Fam MDL-01 I zoning RF-1 Nghbd 10117 � Topography Level I Road Paved Utilities Septic,Gas,Public Water Location Construction Info Building 1 of 1 BUat 1920 I Roof Gable/Hip ! Wood Shingle I - Struct Wallall Living 2590 I Roof Wood Shingle I qc None k- Area Cover Type Style Conventional I Int Plastered Bed 4 Bedrooms I p r Wall� Rooms ' Model I Residential I Floor Int Rooms 3 Pine/Soft Wood Bath 2 Full a + .� Heat Total Grade Average Plus I Type Hot Water I Rooms F8 Rooms Heat Found- Stories 12 Stories Fuel oil Iation Typical Gross14555 I Area Permit History ` _ http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21713 9/24/2012 Parcel Detail Page 2 of 2 Issue Date Purpose Permit# Amount Insp Date Comments 03/23/1999 SidingnVindows 37258 $24,000 06/07/2000 00:00:00 10/03/1996 Remodel 18337 $4,500 08/06/1997 00:00:00 Reroof Visit History Date Who Purpose 01/14/2009 00:00:00 Denise Radley In Office Review 12/02/2003 00:00:00 Gary Brennan Meas/Est 11/16/200000:00:00 Martin Flynn Meas/Listed-Interior Access 08/06/1997 00:00:00 Lloyd Kurtz i Me'as/Est Sales History _ Line Sale Date Owner Book/Page Sale Price 1 12/12/2008 LEONARD,VIRGINIA R TRS 23308/304 $0 2 09/15/1993 LEONARD,JEROME M&VIRGINIA R TRS 8800/117 $1 3 01/14/1977 LEONARD,JEROME M&VIRGINIA R 2455/229 $15,500 Assessment History _ Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2012 .$184,100 $48,500 $1,500 $887,000 $1,121,100 2 2011 $251,900 $15,100 $0 $887,000 $1,154,000 3 2010 $251,900 $15,100 $0 $887,000 $1,154,000 4 2009 $348,500 $17,100 $0 $776,200 $1,141,800 5 2008 $313,100 $17,100 $0 $793,400 $1,123,600 7 2007 $311,800 $17,100 $0 $793,400 $1,122,300 8 2006 $284,500 $17,100 $0 $781,200 $1,082,800 9 2005 $243,300 $16,000 $0 $708,200 $967,500 10 2004 $188,200 $16,000 $0 $708,200 $912,400 11 2003 $204,400 $16,000 $0 $226,500 $446,900 12 2002 $204,400 $16,000 $0 $226,500 $446,900 13 2001 $204,400 '$16,500 _ $0 $226,500 $447,400 14 2000 $152,600 $2,500 $0 $151,000 $306,100 15 1999 ( $152,600 $2,500 $0 $151,000 $306,100 16 1998 $152,600 $2,500 $0 $151,000 $306,100 17 1997 $158,000 $0 $0 $151,000 $309,000 18 1996 $158,000 $0 $0 $151,000 $309,000 19 1995 $158,000 $0 $0 $151,000 $309,000 20 1994 $154,100 $0 $0 $135,900 $290,000 21 1993 $154,100 $0 $0 $135,900 $290,000 22 1992 $175,600 $0 $0 $151,000 $326,600 23 1991 $176,800 $0 $0 $181,200 $358,000 24 1990 $176,800 $0 $0 $181,200 $358,000 25 1989 $176,800 $0 $0 $181,200 $358,000 26 1988 $138,800 $0 $0 $85,100 $223,900 27 1987 $138,800 $0 $0 $85,100 $223,900 28 1986 $138,800 $0 $0 $65,100 $223,900 � Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21713 9/24/2012 Parcel Detail Page 1 of 2 66 J x i NARNS[:LSLE_ - II MASS, � a t. Logged In As: Parcel Detail Monday,September 24 2012 Parcel Lookup Parcel Info Parcel ID 287-119 Developer Lot L IOT 1 Location I51 H�AVENUE Pri Frontage 154 � Sec Sec Road E Frontage! Village ANNIS Fire District�HYANNIS iLY Town sewer exists at this address No ( Road Index'0751 Asbuilt Septic Scan,* Interactive 287119 1 Map Owner Info Owner LEONARD,VIRGINIA R TRS ' �� Co-Owner MYANNIS AVENUE REALTY TRUST ) Streets P O BOX 214 ) Street2 CityDOVER State�MA zip 02030 Country Land Info r: Acres II0 51 � J Use iSingle Fam MDL-01 zoning IRF-1 ;._ mm 4W Nghbd�i6 1 a �. _ 7 -gym _ •:. Topography}Level 1 Road IP aved__ Utilities _Sep Public Water ( Location Construction Info Building 1 of 1 YearExt Built 1 1920 Ga Struct p (Roof ble/Hi -Wall od Wo Shingle � ` Living 2590 J' Roof i o d Shingle AC one Area Coven Type l Int Bed Style I Conv�� Wall Plastered, �`Rooms 14 Bedrooms I • Bath Model Residential1 Floor Pme/Soft Wood Rooms 12 Full Grade,Average Plus Total Type;Hof Water Rooms 18 Rooms Heat Found stories' 2 Stories Fuel i011 ation ITypical - Gross Area 14555 ' h, Permit History http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21713 9/24/2012 Parcel Detail Page 2 of 2 Issue Date Purpose Permit# Amount Insp Date Comments 03/23/1999 SidingNVindows 37258 $24,000 06/07/2000 00:00:00 10/03/1996 Remodel 18337 $4,500 08/06/1997 00:00:00 Reroof Visit History Date Who Purpose 01/14/2009 00:00:00 Denise Radley In Office Review 12/02/2003 00:00:00 Gary Brennan Meas/Est 11/16/2000 00:00:00 Martin Flynn Meas/Listed-InteriorAccess 08/06/1997 00:00:00 Lloyd Kurti Meas/Est e Sales History Line Sale Date Owner Book/Page Saie Price 1 12/12/2008 LEONARD,VIRGINIA R TRS 23308/304 $0 2 09/15/1993 LEONARD,JEROME M&VIRGINIA R TRS 8800/117 $1 3 01/14/1977 LEONARD,JEROME M&VIRGINIA R 2455/229 $15,500 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2012 $184,100 $48,500 $1,500 . $887,000 $1,121,100 2 2011 $251,900 $15,100 $0 $887,000 $1,154,000 3 2010 $251,900 $15,100 $0 $887,000 $1,154,000 4 2009 $348,500 $17,100 $0 $776,200 $1,141,800 5 2008 $313,100 $17,100 $0 $793,400 $1,123,600 7 2007 $311,800 $17,100 $0 $793,400 $1,122,300 8 2006 $284,500 $17,100 $0 $781,200 $1,082,800 9 2005 $243,300 $16,000 $0 $708,200 $967,500 10 2004 $188,200 $16,000 $0 $708,200 $912,400 11 2003 $204,400 $16,000 $0 $226,500 ' $446,900 12 2002 $204,400 $16,000 $0 $226,500 $446,900 13 2001 $204,400 $16,500 $0 $226,500 $447,400 14 2000. $152,600 $2,500 $0 $151,000 $306,100 15 1999 $152,600 $2,500 $0 $151,000 $306,100 16 1998 $152,600 $2,500 $0 $151,000 $306,100 17 1997 $158,000 $0 $0 $151,000 $309,000 18 1996 $158,000 $0 $0 $151,000 $309,000 19 1995 $158,000 $0 $0 $151,000 $309,000 20 1994 $154,100 $0 $0 $135,900 $290,000 21 1993 $154,100 $0 $0 $135,900 $290,000 22 1992 $175,600 $0 $0 $151,000 $326,600 23 1991 $176,800 $0 $0 $181,200 $358,000 24 1990 $176,800 $0 $0 $181,200 $358,000 25' 1989 $176,800 $0 $0 $181,200 $358'000 26 1988 $138,800 $0 $0 $85,100 $223,900 27 1987 $138,800 $0 $0 $85,100 $223,900 28 1986 1 $138,800 $0 $0 $85,1001 $223,90011 • Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21713 9/24/2012 . r c .RgP r•� � A ^cat�or4.?: t�b4.TSp��lr �' ��i'S7LS £ E i•' rD tFf o£�t,r��f�.1�'tc��r,y s�.......... � t i � r" rP zF srk £ r c t> rr wY it lop, i i •,�� a � t bZ.:,a�.�Rt�' ry.. � < £ axt''�iSyA��r�S Pll yl St c i •N'c^.Qy'�q', Ak tx ; tr A '� .b t-.�� it °e rt. ► 6 8a�'�.arty'E(t:t�� F�`£ .��"0d�• . 4 P ¢ �a�•. i » Los .is e E• t `'. .r ! !/..I �t�G,c Sb.; .Intl y 3,�{� tH 1}R r' s p i•�t e r F `t t l y Y f' �a A` 7 � �� /i 11 k 7 fi•ff ra i�'A i+, r ra i�ict t TI.p�. z�k i a€ J �r�lb - � 4 '. Jft{s�2' •o,''c!'FC dS p7' kl,• 9� w. Al.10 IVA is ra v 1 • e r i • , • ® Ll ATVC Guide to Wood Consti-uctcoir In High Wind Areas:110 fnph {fVirrd Zone Massachusetts Checklist for Compliance (780 CNIIR5301.2.1.1)� Check Compliance 1.1 SCOPE WindSpeed(3-sec. gust).................................................................. ................................................ 110 mph 17— WindExposure Category............................................................................................................................. B Wind Exposure Category................Engineering Required For Entire Project ..........................:............C 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) 11 stories :9-2 stories Roof Pitch...........................................................................(Fig 2 <-12:12 ( 9 ) ............. _lam Mean Roof Height ........................................................ ...... 2).................................................2oft <-33' t/ BuildingWidth,W ...................................:...........................(Fig 3)......................................---.......iJ ft <80' 11.11 . Building Length, L ..............................................................(Fig 3)................................................eft s 80' FIT Building Aspect Ratio(UW) ..............................................(Fig 4).............-................................... 5 3:1 Nominal Height of Tallest Opening ..................................:(Fig 4)................ .............................. Lyg 56'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)............................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete............ .T-• .......... ConcreteMasonry.................................................................... .........................................�.................... 2.2 ANCHORAGE TO FOUNDATION1'' _ 5/8"Anchor Bolts4mbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general ........................................:.(Table 4)......................................._....... in. Bolt Spacing from endrjoint of.plate................:............(Fig 5)..................................... '`in.<_6"-12". Bolt Embedment-concrete.........................................(Fig 5).....................................:..........._in.>-7" Bolt Embedment-masonry.........................................(Fig 5)............:.............................. in.>_15" Plate Washer..:.............................................................(Fig 5)..............................................>3"x Qy 3'x Y: 3.1 FLOORS . �Floor-framing member spans checked ..:.........................:..(per 780 CMR Chapter 55)............................<.... � (✓/- Maximum Floor Opening Dimension................................ ..(Fig 6).................................................. (O ft:5 12 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6):......................... ......... Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)................................ Maximum Cantilevered Floor Joists Supporting Loadbearing Walls•or Shearwall................(Fig 8)..............................................:....._ft -<d . Floor Bracing at Endwalls....................................................(Fig 9).............----............... Floor Sheathing Type ......................... (per 780 CMR Chapter 55 .:��N�... :....��!?..��.�4 144 Floor She Thickness .................................................(per 780 CMR Chapter 55)...4��. ............ in. Floor Sheathing Faster in _SK .'..�t415............. Table 2).. d nails at in edge/-in field 4.1 WALLS Wall Height - Loadbearing walls........................................................(Fig 10 and Table 5)........................... ft <_10' Non-Loadbearing walls............:...................................(Fig 10 and Table 5)..........................:=ft's 20' Wall Stud Spacing. ........................................................(Fig 10 and Table 5)...................16 in.<24"o.c. 7&8 ................. <d • Wall Story Offsets ...................:............................:......(Figs )........................... � - . 4.2 EXTERIOR WALLS' Wood Studs Loadbearing walls........................................................(Table 5)............... _-_ �' Non-Loadbearing walls ...(Table 5) ..........2x_-_ft_in. ............................................. .................... Gable End Wall Bracing Full•Hel go ' t Endwall Studs_........................................:..(Fig 10)......................;.......................................... ._ WSP Attic Floor Length......:........... .:(Fi 11 ...................: ft zW/3 g 9 ) ....................... 'Gypsum Ceiling Length(if WSP not used)....:............:.(Fig 11)............................................=ft>_0.9W - and 2 x 4 Continuous Lateral Brace 6 ft.o.c. .. Fi 11 or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays Double Top Plate O Splice Length �?..............................(Fig 13 and Table 6).................................... 1�- ft �._�.-- ^----- t-- -L 40-1 AIVC Cuide to Wood Construction in- High IlKind Areas: 110 niph I-Vind Zone Massachusetts Checklist for Compliance (7s0 Ci11R5301.2.1.1)I Loadbearing Wall Connections Lateral (no.of 16d common nails)................................(Tables 7).................................................. L/ Non-Loadbearing Wall Connections Lateral (no.of 16d common nails)................................(Table 8)....................................................... .— Load Bearing Wall Openings (record largest opening but check all openings for compliance)o Table 9) Header Spans ........................................................(Table 9).............---................... ft in.5 11' L,/ Sill Plate Spans ........................................................(Table 9)..................................t ft d in.5 11' �. Full Height Studs (no. of studs)....................................(Table 9)............................................... .... Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.............................................................(Table 9).................................. ft_in.5 12' Sill Plate Spans...........................................................(Table 9).................................. ft in.5 12" _ Full Height Studs (no.of studs)....................................(Table 9)...................................................:... Z Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest Opening2 ............................................................................... 5 6`8' SheathingType..............................................(note 4)........ ...........................................�Y'. lJ Edge Nail Spacing.........................................(Table 10 or note 4 if less).........................-in. V Field Nail Spacing...........................:..............(Table 10).................................................�in. A/' Shear Connection(no.of 16d common nails)(Table 10)....................................................... Percent Full-Height Sheathing...................:...(Table 10)................................................. 5%Additional Sheathing for Will with Opening>6'8'(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest Opening2.......................................................................... 6'8 V SheathingType..............................................(note 4)..................................................... I&Wy Y Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................-3 I in. I/ Field Nail Spacing.......................................: (Table 11) .....,.......�in. Shear Connection (no.of 16d common nails)(Table 11).......................................................................... Percent Full-Height Sheathing.......................(Table 11)..................................................... % V, 5%Additional Sheathing for Wall with'Opening> 6'8'(Design Concepts)..................... Wall Cladding /, r Rated for Wind Speed?.....W.t?..!.: :...........0 a GL........... .........................................................._.... ✓ ' 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19) ...6........ ft 5 smaller of 2'or L13 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................ able 12 .............. = plf Lateral.............................................(Table 12).............................................L= plf Shear................................................(Table 12)............................................S= plf , c Ridge Strap Connections, if collar ties not used per page 21... (Table 13)...............................T= plf Gable Rake Outlooker...........................................(Figure 20 ft:5 smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift..........................................*.....(Table 14)............................................U= lb. Lateral(no.of 16d common nails)...(Table 14)...................... = . Roof Sheathing Type................:..................................(per 780 CMR Chapters 58 and 59) ..Y2_qP??C 1/ Roof Sheathing Thickness.....................................:.....'..................... K .. ............�&_in._>7/16"WSP l� Roof Sheathing Fastening............................................(Table 2).....5.......Q........................................ 9� Notes: 1. . This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR.5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are-not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. ' Exception:Opening heights of up to 8 ft.shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. fl -,,.�..,,..,.,,.,.... .::�,r,:,-,:,.,: ,. '. -+"�:i"` �d si-`•=ate" ,'Ki€,�--"'�".�`�`"' .rY:>... c �. •�_ -c�"-. S Y+ .y � 3 'W �' '.+.: '��"' }'e iJ45��,.-.�*YJ s4`ghy'.e"�-ek_>•'�# - - .F �,��. r ,x'•,, e�" ��`�f s �s. �a� .ax�ram.. "�' '` { 4 ,�,'�.' '.rs� �� ..- a ,k d"� � s 3� - -� P- � _ �- -r a �.,,;x .�a a•.:. ��.x x 'y- y�J°�+'c� g z ,�,.zr- ffl _.• 3"7q.er a . , r ,�•"� ,. "� �' :.�� tip. 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'47. to 7% Bockslope required by manufacturer..-- I . i i I i I i I v _ � 1 ►1 RE x,y r L� > f \' '��°. xca anti,m•��i� �'' Oz; "AM KENWI •fg �m a • I F • 'b®rl", 4 ,Z; 'Ilk TV -1 4L� .............. y d` m o a COMMON F O C C 2 9(p. �9F a FFq S111�S� I N X . I'v0 ? h i — — — 71 t, t M14o y� fin_ s - ioi r su'�° vVt r Au- - ° NS �I evNv s c.t ApD12 v- t, 2 - x TO 4LDD� Chi f S 5 �. k O Qtl�c.J I - ----� t � r I IP/c d q qmm j �L f�)Nt>xn 000 F24 ' ol/ 106 it) PDA9 D � I -5iHf:50r4A t t 7r - VA tc. � - -. ' Sid ' . 1 �� -'`�1� s ,4 , o ' �`V OF 4tq MICHELE �c ' I 1 CUDILO Y�11�t 2X[- STRUCTURAL tiN No 34774 1.G FT 5 00E . /STEAD��'Q - ( i " `�X :Jt(J u ss/ONAL ENG ZIA PROPOSED MODIFICATIONS MICHELE CUDILO P:E. Consulting Structural Engineer 3 � �'1 �� _ 123 Cottonwood Lone, Centerville, Massachusetts 02632 LEONARD RESIDENCE Drawn a /y: Mc Date: 10 04 10 • 51 HYANNIS AVE. Drawin HYANN 71e As NOTED Rev. 0 1 Z ISPORT, MA SK=1 -- r r- ' , e, file Name: LEONAR0 Project No.:2010-13 �r t/f, �;it (,'��, Dart, r 14 RL�(— LAI :4V Vt Fs� {fix ` T t 'Ext stPolo 1 of MAS 3►� HELE o CUDtuRpL � Q 5TO34774 Q 0 u 9FGIS��P�p�� SSIONP�� Po 1A ) ; VAl4s%LATE; PROPOSED REPAIRS to MICHELE CUDILO, P.E. Consulting Structural Engineer RESIDENCE SUNROOM 123 Cottonwood Lone, Centerville, Massachusetts 02632 Drawn By: MC Date: 6/7/12 Drawing 51 HYANNIS AVE scale: t 'q� NOTED Rev. 0 HYANNIS P ORT, MA SK- 4 File Name: LEONARD Proj ect No.:2012-92 i 4.: Mal-- Li I i u r --- '� 0 1N OF Mq MICHELEG� CUDILO SLTR 347R4 L N O A'>� FFSSIONA��G PROPOSED REPAIRS to MICHELE CUDILfl P .E. Consulting Structural. Engineer RESIDENCE S U N R O O M 123 Cottonwood Lane, Centerville, Massachusetts 02632 Drawn By: MC Date: 6/7/12 D r awl n �51 HYANNIS AVE.. g HYAN N I S P O RT, MA scale: As NOTED Rev. o K File Nam e. EONARD t_ _ K . 5 Project No.:2012 92