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0043 IYANOUGH ROAD
r i ' Town of Barnstable Building PostT �rx hrs Card So;That tt,is Ursible From he Street;-TA roved,Plans Mustbe Reta,�ned on Job andH;this Gard Must.betaKept:,. attewrii;�;. ,':% • WAS& Poste�,d Until Final Inspection Has.Been Made . , uµ r + R ,Where;a Certificate of Occu`ark rs Red erred,such Burldm shall No ,be Occu red.un#d aFinal Ins ectro.n has b'eenmade Permit , , Permit No. B-19-1994 Applicant Name: WHITNEY P WRIGHT Approvals Date Issued: 06/20/2019 Current Use: - Structure Permit Type: Building-Deck Expiration Date: 12/20/2019 Foundation: Location: 43 IYANOUGH AVENUE,HYANNIS Map/Lot 287-074 Zoning District: RF-1 Sheathing: z f. Owner on Record: HP ASSOCIATES tLC Contractor<Name ,WHITNEY P WRIGHT Framing: 1 a .x Address: PO BOX 535 ContractorLicense CS-010366 2 HYANNIS PORT, MA 02647 ° Est ProiectCost: $3,000.00 Chimney: Description: Remove Old Deck Surface Wood Repair Framing and Rail Install Permrt Fee: $110.00 New Foundation Piers Install New Pressure Treated Deck,Protect Insulation: i x Fee Paid: $110.00 Existing Foam Insulation, Under Building,Install+new=Lattice, Final: Distance From Deck to Lot Line to be Increased!,Foot.+ Date 6/20/2019 4, b'n G Project Review Req: '� — - Plumbing/Gas um r ,,��,�i�.�� PI Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work a6th6riied,by this permit is commenced within sa months after issuance. All work authorized by this permit shall conform to the approved application aend the'approved construction documentsfor whic this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall'be in compliance with the local zoning by taws and codes. • Final Gas: This permit shall be displayed in a location clearly visible from access sti;666 t road and shall be maintained open for public mspection for the entire duration of the work until the completion of the same. xr ` Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the tulding and Fire Off,.icials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: .° - Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy -Low Voltage final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department �I Building plans are to be available on site g! Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �. 7a ... .. .... ....Applic� �.. . on Number. : ..... .............. j..... qq BUILD' e .......................................other Fee:.. ............... 1, ,►` h� G (� �. JUNK .. . :. v Fee Paid......... . ..... TOWN OF 8q, � - TOWN OF BARNSTABLE BUILDING PERMIT , ' '? Mv.... P ei APPLICATION Section 1 —Owner's Information and Project Location Project Address 3 ��� _ ( ��'� Village l-�`�' \ i'��;,� Owners Name lkP LW l L T GS LLC- Owners Legal Address__ g city, 14YAOaS?OR7F zip ) 6 owners Cell# Section Z —Use of Structure Use Group_L�J fj ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet —Single/Two Family Dwelling Section 3--1':�6 e of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment Sprinkler System ❑ Addition ❑ Retaining wall (] Solar Renovation ❑ Pool ❑ Insulation Other-Specify a(,Q-Ulf r. -t r-- LAC.� � IV C- Section 4 - Work Description R r-t? QFLK 512E r-UL LJ DQ L P ASP HUMU)& ONT.�._ LU r-OWO&T 1W Cyr-_2S - \)4- - T Sv AT 0k) D : :.. ...... . . ... . T sat,,.,.iowd• t t n cant a ApplicationNumber.................................................... Section 5—Detail Cost of Proposed Construction 0 0 000SQuare Footage of Project Age of Structure t � S Dig Safe Number #Of Bedrooms Existing Total#Of Bedrooms(proposed) G 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specificsww � L ❑F— Wiring ❑ OR Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: �%MT(M -fi I am using a crane ❑ Yes 19 No Section 7—Flood.Zone Flood Zone Designation J N OE tiTumu (,-'L00 O 147AR1) �?SO O N Within or adjacent to a wetland,coastal bank? Yes ❑ No ❑ UWtSOWV Section 8—Zoning Information i .. qq ZoningDistrict 1 Pro osed Use.- Lot Area Sq.Ft. r P Total Frontage Percentage of Lot Coverage # of Dwelling Units(on site) 0 Setbacks Front Yard Required _Proposed (v0 C t�(WG'ry Rear Yard �� Required_ Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes No Last updated:11/152019 f (2 3 Application Number........................................... j Section 9- Construction Supervisor I 3 Name ,i TM-1 1,.)'(� U'l RX TelephoneNumber Address s� V�IU R Q, City t+A(�,T C P State_ Zip 0 License Number 010366 License Type� RE$� T,CCflxpiration Date �6 Contractors Email L)PTTQEyj WR t4nootlC&S T Cell # 'J Y 36 D y e I understand my responsibilities the es an ations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts S the construction inspection procedures,specific inspe 'ons and documentation require y 7 f Barnstable.Attach a copy of your license. Signature Date 3 I V S 'on 10—Houle Improvement Contractor Name ���� ��."S � G� ���_ Telephone Number ""77V Address 51 t�kOJA 1hy UR-U104 tate H A Zip 0: 6 Registration Number Expiration Date ` 6 I understand my responsib' ' ' es and regulations for Home Improvement Contractors in accor ce with 780 CMR the Massachusetts de. I understand the construction inspection procedures,spe ific ins ections and documentation req ' d the Town of Barnstable.Attach a copy of your H.I.C... Signature Date G Section 11—Home Owners License Exemption i � Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date SRGN Signature Date l? Print Name Telephone Number 71�V 9 0 Y7 / E-mail permit to: (0 m(,A S r r. VJ LI Section 12—Department Sign-Offs { 1 Health Department ❑ Zoning Board(if required) ❑ Historic District Q Site Plan Review(if required) 0 Fire Department ❑ Conservation ❑ For commercial work please take your plans directly to the fire depart rent for approval Section 13— Owner's Authorization I ��e•� t. t3 � , as Owner of thee subject property hereby authorize QJAD3f.'? U RY f FE TIUL to act on my behalf, in all matters relative to work authorized by this building permit application for: Fill (Address of job) Signature of Owner date Print Nime I Lag updata: i i1isn018 r Tke Commonweah*of Massachusem Department of Industrial Accidents Office of Investigations 600 Waskington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit:Baulders/Contractors/Fkctricians/pimubers Ap Information Please Print Lb Name(Business/Orgenrraiimbdividual): LA.�-�j v►N�� 1 (?JGI- l ,y,N� Addms: 5-� QUE-W M O rL RP. , C Phone#: `7 Y ?3 G O� & 1 Are you an employer?Check the appropriate box: Type of project(required): 1.[1i am a employer with- 4. ❑ I am a general contactor and I employees(full and/or part-time).* bave hired the sub-contactors 6• ❑New construction 2. I am a sole proprietor or partner- listed on.the attached sheet. 7. Pff Remodeling These sub-caatactiom have ship and have no employees '� S. ElIkmolition worlang for me emin any capacity. P1o3'ees and have warkers 9. ❑Building addition [No workers'comp.insutsnce comp'insurance.: 10. Electrical airs or additions �] 5. We are a corporation and its ❑ rep 3.❑ I am a homeowner doing all work officers have exercised their 11-El Plumbing repairs or additions myself[No workers'comp. right of exemption per MOL 12.[]Roof repairs msurnm requhrA]t c.152,§I(41 and we have no employees.[No workers' 13.❑Other comp.insurance required.] ¢Any appllcent that checks box#1 most also f ll out the section below showing their workena'coapen�an Pere►i�� cy i t Homeowners who submit this aff davit indicating they are doing A work sad then hiss outside contractors must submit a new affidavit indicating such, t-=ftactns that check this box must attached an additional sheet showing the narrar of the sub contsBcrors and state wbesha or not those entw=have employees. If the sub-contractors have anproyees,they mast provide them warkens'comp.policy number. f am-an employer that is providing workers'compensation insurance for my employees. Below is tke policy and job sde informadem I mmince Company Name: Policy#or Self-ins.Lia#: Expiration Date: Job site Address: Lt 3 `I &P—W l)G 1-4 L14 city/St aajp: .l(UU 70AT-_ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Falgure to secure coverage as required.under Section 25A of MOL c. 152 can lead to the imposition of crimirri raI penalties of a fine up to$1,500.00 and/or one-year imprisonm well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day 'o ed that a copy of this statement may be forwarded to the Office of Investigations of file D —a— I do hereby ccgYy p of perjury that the information provided SkAw is and correct S' Dates- Phone owl use on#R Do not write In this area,to be completed by city or town o,Q°Wd City or Town- Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City1rown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M Town of Barnstable Building Department Services BARNSTABLE. Brian Florence,CBO MAM 1639. Building Commissioner i a 200 Main Street,Hyannis,Mk02601 www.town.barnstable.ma.us II H K � s. Office: 508-862-4038 Fax: 508-790-6230 4 Property Owner Must Complete and Sign This Section If Usi= A Builder I, 1 ,as Owner of the subject property hereby authorize �.0 � � �•� �� �---to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) a ' * Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is ins d a1 inspections are performed and accepted. t� SLLC� Signatuit of Owner Sign e of Ap scant Print N Print Name G Date Q:FORM&OWNERPERMISSIONPOOLS Rev:08/16/17 i Town of Barnstable Regulatory Services ►.: x Richard V.5cali Director MMSTABLM 9 165� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 i www.townofbarnstable.us ` a � ! f j Office: 508-862-4038 Fax: 508-790-6230 k 1 Owner's Liability Insurance Waiver Owner Name: Owner Address: r. Telephone: 33 2 ! E-Mail: ST evf Property Location: 3 �/��U �)�-� �u� l�y�y� S W, Permit#: I hereby certify that I am the owner of the property. k t I am aware that the licensee does not have the liability insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. ^ — lo �yi� __ Signatle of Owner Date 4 .. .orr°m no uiassacnuse•.s Construction Supervisor w IF Division of Professional L censure v w. ' Unrestricted-Buildings of any use group which contain . Board o;B�;ildirg Regulations and Standards less than.35;000 cubic feet(999 cubic meters)of enclosed ?nor space. F i . CS u9�3Ef t ' Expires 08/26/20 9 jr j WHITNEY P WRIGHT, 67 QUEEN ANNE RD , ). f HARWICH MA 02646 i t Failure to possess a current edition of the Massachusetts "State Building Code is cause for revocation of this icense. t , . For informatiori about this license ' ommissione.r ✓ 1 Call(617)727-3200 or visit www-mass-gov/dpl rj Office of Consumer Affairs&a3usiness Regulation HOME IMPROVEMENT.CONTRACTOR r~ TYPEs Corporation :Bern---stration 184494 ,.,w,wrw v,. a uawa „w,..-'.Ms.,s ,.i -:,a .,�-�.av.g,•.r ..w.w,.rT' rnnae...r,s. d..w`ff'°"c.,,'.0 J1.;r i f . ru: n O /06/2020 WHTNEY WRIGHT fNC P ; .w t R istretion vaM.for individual use only WHITNEY WRIGHT p k 57 QUEEN AN before the expiration date:.ff found retum;fo., HARWIC H MA (72645 Office of.Consumer Affairs a Business Regulation Undersecri One Astiburt ce u 1, �� i Boston,. a i - Not d Without,signat�re r 1 i i i i I i, t t j, .._. � ... ,: gym_._ - �._ ------ - - -- -- ---- - - --- - ---- ----- ---- -- - — - - -- ---- -- A%ENE 1 0 N fee m a vj Bit.805 5 83• 83 Ob I80' co �f e,yonla Coo ao. ogles ar+ °� W N • Cher Ste w 'P t d•o Qp W ;N oo. m /r 8 9�0074 0 Z N Ws 0 0t 22•10•5 $ 13. w .Op W fp3'19 0 e+lvnde/tA o ` $. 1 s. p� 8•FI�� oberl�URF'ffpOt. P o R ye L o� ek6,e Wl ti\ p 16.800 a #4 i .. 4 01 I�l I x j. Q�I.•�� 6ARNSTARLE ; �--- C i REGISTRY OF UGEDS JUL.241954 RECOR _'.?I:]A���__ —Ps.-AN Or L"ANoltw---'^ iii u 14YANN13 PORTB BLEfVIgSS aa NSTA 104 q d n�l�G r As GuAvavao FOR NYANNIS pORTvzIV upwtS,INm his Plan does not require SCALO IN-3OFT} JUNr IQ 1959. �ytx the appr val of th a d OP Survey NELSON BcAR86`Rtcu nu LAw. S�taveYORs. CENTCFYI II.E!., MASS. � NEl80N �. BfMSE BOCff ODF BA TABL _ ssoa ' JUL6- 1959 � 149 i05" 6/12120'19 Town of Barn a Sketches y 1 ! S d Nx { C i 1 II t , t h 3 As Built Cards :Clickcard # to view:Card #1 B2N Barn-any 2nd story area FPC Open Porch Conc ;k e BAS First Floor, Living Area. FTS Third Story Living EST Basement ,area (unfinished) FUS Second Story Livir i t' (Finished) BRN Barn GAR Garage CAN Canopy GAZ Gazebo LP Loading Platform GRN Greenhouse FAT Attic Area (Finished) GXT Garage Extension F'CP Carport KEN Kennel IMP PnHntori Pnri-h Iltl 74 ��#�-�►-,.��.:�.,� s t�.�:�,:, WRIG H-T P.0 Box 1,045 9-", T(NWOO&W /'W�l ble �1 ? / 13Z026' J.y 11- 77q V�G 040t 1 �100 fj G I-T, T9 PT 5 TS 10 LL LL I F-L- fk-'- CA Lf-- lc 7:� p v CAPE COD INSULATION IISIA SS SPRAY 10AN SU7YSNOSC " ,SATTS TT! OUTTI OUI/IY! IN UIITION ClIlINOl ... . 1-800-696-6611 r Town ofBarn"stable Regulatory.Services Building Division 200 Main St ; Hyannis, MA 02601 Date: 71Q1I •" s' Dear Building Inspector Please accept this Affidavit-as documentation that Cape Cod Insulation, Inc. performed & coinpleted the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance"to the specifications listed on the building permit application:All-work has been inspected by-a' certified Building Performance .Institute (BPI) inspector, All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village fro I bias °.Ve tl�AlSQ.uEw /lD pia J s y °Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) (X ) Slopes Floors 10U(A (.}�) Walls �,,e►^�y Gvor l� /perFlor, '�Cl • _q,� ,(-�` Sincerely H ry E ssi r, President pe C Ins ation, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �� Parcel Application #a o( �U7 Health Division a Date Issued Conservation Division Application Fee 2 IPlanning Dept. rs -Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 41•1 yA Io ?A Village Owner elz ,& eea/-O U/Z Address 4/e Telephone rd R 9i� e if- Permit Request /��,t�,�i�f; fed L'�U 72 ���'�s, /�/� ��% /31��✓ 10 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation J?Ot�: v Construction 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 j(No On Old King's Highway: ❑Yes WNo 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___ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ��'� Telephone Number5�-- Address License# 44 -04) Home.Improvement Contractor# /,..s � Email Worker's Compensation # !!�9eo ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCELNO. S ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. OWNER AUTHORIZATION FORM (Owner's Name) Towner of the property located at (Props A ress) ` roperty Address) hereby authorize!' (Subcon ctor). an authodied subcontractor for RISE Engineering,,to act on my behalf to obtain a building -permit,and to perform work on my property. A AA- 0 errs Signature Date 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 A licant Information Please Print Ise ibly j 1 Name (Business/Organizadon/Individual): 1 Address: �� V 61�� �b(✓l% City/State/Zi : r�v V kba (��� Phone #: 1; 6 j Are you an employer?Ch a he appropriate box: 1. I am a employer with �_ 4. ❑ I am a general contractor and I Type of project(required): employees * have 6. New construction (full and/or part-time). hued the sub-contractors . ❑ 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' [No workers' comp. insurance comp. insurance.t 9• ❑ Building addition 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 1 l.❑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 P 3a.❑ I am a homeowner acting as a employees. [No workers' 13. Other general contractor(refer to#4) �----�---- comp. insurance required] i y applicant that checks box#1 must also&ll out the section below showing their workers'compcnsatioti poiic},information. —^ t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box"must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees, If the sub-contractors have employees,they must provide their workerre comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job,site information. Ie) 'Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: �1C� 1 k Job Site Address: ,%SOU 9 T y �1 City/State/Zip: &4 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 file of up to$250:00 a day against the viplator. 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 Gerd pun the pains and penalties of perjury that the information provided above is true and correct. Si a Date: Phon #: Official use only. Do not write in this area, to be completed by city or tower officiaL City.or Town: Permit/Liceuse # Issuing Authority(circle one): L Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other ' f Contact Person: Phone#• From:Rogers&Gray InsuraE�].X: `` y To:+1 5087 7 85735 Fax: +15087785735 Page 2.of 2 0,,./3012015 10:04 AM CAPECOD-27 BDELAWRENCE '4�CO�RL7, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYYI 3130/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ), CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Rogers&Gray Insurance Agency,Inc, HONE Exc: IFAX Ac No: 877 816-21 S 6 434 Rte 134 ( ) South Dennis,MA 02660 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC u _ F INSURER A:Peerless Insurance Company-see LIBERTY MUTUAL INSURED INSURER B:SAFETY INSURANCE COMPANY 39454 Cape Cod Insulation, Inc. INSURER C:Endurance American Specialty Ins.Co. 18 Reardon Circle INSURERD:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth, MA 02664 INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD'— INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR —- LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000, CLAIMS-MADE a OCCUR CBP8263063 04/01/2015 04/01l2016 PREMISES Eaoccunence $ 100,000{ - MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000I GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,0001,000I X POLICY jECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,00 B ANY AUTO TBD 04/01/2015 04/01/2016 BODILY INJURY(Per peison) $ 1 ALL OWNED X SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,0() C EXCESS LIAB CLAIMS-MADE EXC10006635000 04/0112015 04/01/2016 AGGREGATE $ DED I X I RETENTION$ 10,000 Aggregate $ 2,000,00 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER D ANY PROPRIETOR/PARTNER/EXECUTIVE WCE00431900 06/30/2014 06/30/2015 E.L.EACH ACCIDENT $ 1,000,000, OFF]CERIMEMBER EXCLUDE D9 N❑ N/A _f (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ - 1,000,00 If yes,describe Under I DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 1,000,00 i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space Is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under thh General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 18 Reardon Circle ACCORDANCE WTH THE POLICY PROVISIONS. South Yarmouth, MA 02664 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD ' = Office of Consumer Affairs and Business,Regulation 10 Park Plaza - Suite 5170 -Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration; 153567_ Type: Private Corporation Expiration: 12/15/2016 Trg 259188 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE `-----—- —==,-- SO. YARMOUTH, MA 02664 ==— i Update,Addi ess and return ca rd, Nim-k reason for ch;ui Address Renewal Eniployinent F. I,os( C:rirrl SCA 1 �:i. 20M-05/11 - � LJ/ze (Coo7[4,ra7z[ucn.�rf�n�C����C[dJa C�l�de�l•J � , .. - rrr Office of Consumer Affairs& Business Regulation License or registration valid for ii,dividul use only a before the expiration—date. Cf.,found return to: F),,)OME IMPROVEMENT CONTRACTOR ` 3567 Type; egistration: 15 Office of Consumer Affa u s aiid Business Regulation �� 10 Pari<PIgza -Suite 51,70 C� r� ;expiration; .12/15/201.6 Private Corporation. Boston,NTA 021 16 CAPE COD INSULATION, INC HENRY CASSIDY, 18 REARDON CIRCLE ���=—yam _ —• SO.YARMOUTH, MA 02664 Undersecretary „ . N valid wi ul sign -e • Mass tc;husell, - Department.ot 0ublic Sa(oly Board of Bulldtil Re ulatlo y g ns and Sf�ndard 'co list Snp.01-visor , License; cS•10098.8 ' - `HENRY,E CASSII� v q.8 SI-MD ROW WEST YARM0Tj- �t 0 70 � s /' Comn,issloner 1.1/11/20.15 � ' a . .� //�- F t.. / ��yA * � _ r V �j� �D�� y ,a ` + .. + 1 t` ..� P. � Federal ID#05.0405629 RI Contractor Registration No 8186 ` MA Contractor Registration No 120979 CT Contractor Registration No 620120. �' CONTRACT Page 1 i'ILC)GR�AM THIS CONTRACT IS ENTERED INTO BETWEEN RISE C LC-RCS ENGINEERING AND THE CUSTOMER FOR WORK AS DESCRIBED BELOW NE - DATE CLIENT a WORK ORDER 27)641-1255 0310312015 188921 00002 INC;STREET - Old Kings Road ING CITY•STATE,TIP flail. MA 02635 RIPTION fetal,rxccs.rur Icakaec. This work will be }our hnmc%%ill be left with a healthful level of We caulks.hams.weatherstripping and other d tiara-us and other unheated area(windows are tmner.a final bitmer door andror combustion door air qualit%. S 1.232.00 lulose added io(700)square feet ofopen attic i NOTE: SETBACKS MEASURED TO RIM J0I5T OF DECK w NO UGH n cn /"� N OAD m J I 95.38, Lo R=20.00' ° N A=34.08' T=22.8G' (yj I C) N I I 1 . I I O n/ uj O � > o 6 EXISTING EXIST, o u� DWELLING PORCH O U -----25-I' 6.5---- ) W ' --� LOT I G G 8137.4 S.F. - - -,- - - - -�__�6•_4, 4.5'1 - 109.68' DECK UNDER ., CONSTRUCTION BUILDING LOCATION PLAN FOR 43 IYANOUGH RD., HYANNI5, MA PREPARED FOR "°F"�'` HELEN VENTOURI5 02 tiG SCALE: DATE: DRAWN BY: 20' 04-0 I -20 15 TMW Nu 3 79 JOB NUMBER: REV1510N: 5hEEf NUMBER: CPP-2 RF�isT�¢� WELLER A550CIATE-5 P.O. BOX 417 CENTERVILLE, MA 02632 TELEPHONE: (508) 328-4692 EMAIL: trl5wellcr@gmad.com REGISTERED LAND SURVEYORS � ENVIRONMENTAL CONSULTANTS— 13 Traverse PC 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 46 Map Parcel Application 0 0 Health Division Date Issued/f> —� Conservation Division Application Fee Planning Dept. Permit Fee ? Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Turdhn u.c I Village 1S Owner Me!q Address q3 17vaing' "jAW/ � Telephone 17ft-57939.. �p Permit Request 9w�V�Y0 411 C/1, ha why AU IC I&J41 o+�rMem Inc Denibr a rchk " �vr-w - Ne rpown c if N4 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 70,`'` b 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 7? Historic House: ❑Yes ❑ No On Old King�'s Highway❑Yesi ❑ No Basement Type: IQ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sgft) Number of Baths: Full: existing new Half: existing new r Number of Bedrooms: existing _new =� e- Total Room Count (not including baths): existing new First Floor Room Count M a� Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 5►►� wr�s �l�.> &Aaw.&t ,Telephone Number SO Address License# 7�g83 Ce-+e'"U, Le Qum— Home Improvement Contractor# 44 Email e6(, (&ea L S, cc iy Worker's Compensation # I B V 7.1 GI/y3_A1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ,4)hrd Oc ie_ C� SIGNATURE A DATE e FOR OFFICIAL USE ONLY w *APPLICATION# DATE ISSUED - MAP/PARCEL NO. r '" ADDRESS VILLAGE n OWNER d.. DATE OF INSPECTION: FOUNDATION �7odT0� o��8�d'�l�!'Y►�k. W#ro-# f FRAME ERl6xIyl INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL-6 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING { DATE3CLOS'ED OUT AS$0GIATION PLAN NO. r e ae c,urnmunweaun of inassacausea s Department oflndustzalAcciden& Office of InvaWgations kvi 600 Washington Street r Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/.Clectriciam/Plumbers _Applicant Information Please Print Legibly Name(Business 0rganiration/IndMduaI): K A. " earsness+&, �►4 Gf Address: _il 44 fA C, IdaAl p 163� City/State/Zip: fl Phone Are you an employer?Check the appropriate box: Type of project(required): 1.,KI am a employes with ol— 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 partaer- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors bave 8. ❑Demolition working for me in any capacity, employees'and have workers' [No workers'comp.insurance camp,insurance.1 9. ❑Building addition• refined-] 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.applicautthat cbecks box#1 mast also M out the section below showing theirworkers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contactors must submit a new affidavit indicating such. �Contractms that check this box must attached an additional sheet showing the name of the sub-contractors andstz whether or not those entities have employees If the sub contractors have employees,they must provide their workers'core,policy number. I can an employer that is providing workers'compensaizon insurance for my employees. Below is the policy and job site informafiotL Insurance Company Name: ' M e r,G u I 2 U ► ,?.,R K S 6, . Policy.#or Self-ins.Lic.#: �y�2 / �--� Expiration Date: Job Site Address: N City/State/Zip: Attach a copy of the workers'compensa don policy declaration page(show-bag the policy n tuber and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can Iead to the imposition of criminal penalties of a tine 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 tine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DU for fimnaace coverage verification. I do hereby cerd u the paws andP anahles ofPejwY that the info n provided abo is true and correct - ate:ate: Phone#: Official use only. Do not write in this area to be completed by city or town official City or Town: s PermitlI.icense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Mmsaclmsetts General Laws chapter 152 requires all employers to provide workers'compensation for their.employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract:of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or mott. of the foregoing engaged in'a joint enterprise,and including the legal representatives of.a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance-or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced.acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurrance requirements of this chapter have been presented to the contracting authority." Applicants PIease fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partriersbips(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confizmation of ins,rra.,ce coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested-,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line.' City or Town Officials .Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant_ Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple peffiit/license applications in any given year,need only submit one affidavit indicating current policy information(if nevessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or Gommercial venture (Le. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a caL The Department's address,talephone and fax number. The Gommouwealth of Massachusetts Department of Industrial AcUdmts Office,of kVC&t tions (500 Wasbbgtou Sttreet. , Boston,MA 02111 Tel.#f 17-727-4900 ext 406 or 1-07-MAS9 Revised 424-07 Fax 9 617-727-7749. Rightfax C1-1 9/24/2014 5:46: 26 AM PAGE 2/002 Fax Server DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE T. -tlFICATE 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 PRODUCER.OR D THE CERTIFICATE IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the arms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: EASTERN INS GROUP LLC PHONE FAX 233 W CENTRAL STREET (A/C,No,Ext): (A/C,No): E-MAIL NATICK,MA 01760 ADDRESS: 22MLW INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: AMERICAN ZURICH INSURANCE COMPANY EA BARSNESS&CO INC INSURER B: I INSURER C: INSURER D: 54 ANGUS WAY INSURER E: CENTERVILLE,MA 02632 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MM\DD\YYYY) (MNADD\YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIALGENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR. PREMISES(Ea occurrence) ED EXP(Any one person) $ ` PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ r_1 POLICY a PROJECT[:]LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINEDSINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY t $ (Per accident). NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) rl UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ LH WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY Y/N UB-9972L443-14 09/21/2014 09/21/2W5 I LIMITS ANY PROPERITORMARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 500,000 (Mandatory in NH) It yes,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. ------------------ CERTIFICATE HOLDER CANCELLATION STEVE AND DEB REUMAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED 185 STONEY POINT RD. IN ACCORDANCE WITH THE POLICY PROVISIONS. - AUTHORIZED REPR A VE 1: BARNSTABLE,MA 02630 ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. oFt"e ram, + BAMSPABM ' ,m� Town of Barnstable A�FD MA'S� Regulatory Services Richard V.Scali,Interim 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 ttyt 5 ,as Owner of the subject property hereby authorize Cfi &rs,YleSS ! N ess to act on my behalf, in all matters relative to work authorized by this building permit application for: n 0 C(1�N1S (Addr ss of Job) '7)71)Y Signature of Owner at 1% yPK7 9tAY•-is - Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. TAKEVRV MBuilding Changes\EXPRESS PERMIT\EXPRESS.doc Revised 061313 1 'PAassachusett, Departrr3extt of Putilac Safety $oard„crfBurldIm R ulataons:and„Standards: 9 Unrestricted.-Buildiogs-of any use,group which Gittlrtrurfatt Snptirta�ir z 3 x contain less than 35,000:cubic feet(9:9'1-m )of LFcerrss>ES o79883 enclosed space. ERIC A Bus, R 11NCSUS WASt:r GENTLRYII:LE 1VIA��' - �-� ... €xpiratiop Failure to.possess a current edition of"the:'Massachusetts ✓-. . D8/27f2015 :, State>B;ullding Code is cause for:revocatioa of this.liaense. Camriiissroner DPSlicensinginforination.visit: www,Mass.Gov/[)RS Office of Consumer Affairs and Business Regulation 10 Park Plaza -Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 14.1078 Type: Private Corporation ` Expiration: 1/6/2016 Tr# 247365 E.A. BARSNESS & CO., INC. ERIC BARSNESS 54 ANGUS WAY r: CENTERVILLE, MA 02632 Update Address and return card.Mark reason for change. Address Renewal ❑ Employment U Lost Card SCA 1 es 20M-05/11 • lJ/'l,B- (�Y'"I72ff1'talbr[�8C6���0�����,C�J6[LCiLccJ6�`1 ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: registration 14,1078 Type: Office of Consumer Affairs and Business Regulation • xpiration 1/6/2016 - Private Corporation 10 Park Plaza-Suite 5170 y� F Boston,MA 02116 E.A. BARSNESS&CO INC. f - ERIC BARSNESS 54 ANGUS WAY CENTERVILLE,MA 02632 Undersecretary . ersecretary Not valid without signature - N � 11'A ko o- N w NOV GH ROAD J Q 1 1 � 1 95 3,5, F o R=20.00' A=.34.08' Z. a T=22.86' m 1 Q NI 1 Q 1 1 1 O I. / °o EXISTING EXIST, o DWELLING PORCt1 m O 0) � u U ----�5. 1'---- W EXIST. -� LOT I G G 5, DECK 155" o 81 S 37.4 .F. _ LL 109.68' PROPOSED DECK EXPANSION ICI BUILDING LOCATION PLAN FOR 43 IYANOUGH RD., HYANN15, MA PREPARED FOR HELEN VENTOUR15 '► SCALE: DATE: DRAWN BY: I If = 20' 09-22-2014 TMW �Q�g� JOB NUMBER: PEV15ION: 511EET NUMBER: CPIp- WELLER * ASSOCIATES - P.O. BOX 417 CENTERVILLE, MA 02632 TELEPHONE: (505) 328-4692 EMAIL: trl5weller@gmall.com REGISTERED LAND SURVEYORS * ENVIRONMENTAL CONSULTANTS Traverse PC r - _ stt t7 t f _. , , F ..:_.. .. 1 S .......... �p ; t t s nR ny f W �. ....... � F .. ,. ., i , % R d e a f f f 3 i , s1 �. r y.Xly F , � l`�,Graf u-►� �, i I V� .. .. 1 r s + 4 t i 2 .,y , u 3 # - : "�r r < + 0 , i i za Y f ...,f „.,... ,, _ ... .f. ... 3 .. a -t z = t � Il,w f .. F f F 1 �r „•ri. t , f xv, i .......... i 3 ............. ............ .......... ........... A .:+ > a i ., 3 ................. ......... i } > R ® MEMBER REPORT Level,Floor.Flush Beam PASSED �,� 2 piece(s) 1 3/4,r x 14, 1.9E Microllam® LVL i Overall Length:15'11" f 0 -- --- - 0 15'4' All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal.;Drawing is Conceptual Design Results.. Actual i'Location"„ '.::Allowed,;, Result LDF, ,Load:Combination{Pattern).. ;._ System:Floor Member Reaction(Ibs) 4883 @ 2" 8881(3.50") Passed(55%) 1.0 D+1.0 L(All Spans) Member Type:Flush Beam Shear(Ibs) 3988 @ 1'5 1/2" 9310 Passed(43%) 1.00 1.0 D+1.0 L(All Spans) Building Use:Residential Moment(Ft-Ibs) 18624 @ 7'11 1/2" 24258 Passed(77%) 1.00 1.0 D+1.0 L(All Spans) Building Code:IBC Live Load Defl.(in) 0.426 @ 7'11 1/2" 0.519 Passed(L/438) -- 1.0 D+1.0 L(All Spans) Design Methodology:ASO Total Load Defl.(in) 0.581 @ 7'11 1/2" 0.779 Passed(L/322) 1.0 D+1.0 L(All Spans) Deflection criteria:LL(L/360)and TL(L/240). Bracing(Lu):All compression edges(top and bottom)must be braced at 7'11 1/2"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. Bearing. 3 Loads to Supports(Ibs)`.. SU OI tS Floor,: l. PP Total Available Required . Dead Total Accessones r Lrve; 1-Column-SPF 3.50" 3.50" 1.92" 1301 3581 4882 None 2-Column-SPF 3.50" 3.50" 1.92" 1301 3581 4882 None Tributary "Dead."::- Floor Live LOadS, , %Location, ;Width, (0.90)�,; w, (1.00),-_ Comments 1-Uniform(PLF) 0 to 15'11', N/A 150.0 450.0 Attic Loads 30/10 15' Weyerhaeuser Notea a xz ', (Z�SUSTAINABLE FORESTRY INmATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. 1 Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details. (www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards. The product application,input design loads,dimensions and support information have been provided by Forte Software Operator Forte Software Operator Job Notes 9/29/2014 3:38:00 PM J Andrew Shakliks 43 lyanough Rd Forte v4.6,Design Engine:V6.1.1.5 Mid-Cape Home Center Hyannis MA 43 lyanough.4fe (508)398-6071 ashakliks@midcape.net Page 2 Of 3 r•�F*D"R TE @ MEMBER REPORT Level,Floor:Flush Beam PA55EU h*ti IG 2 piece(s) 1 3/4" x 6" 1.9E Microllam® LVL Overall Length:6'8" t, 0 0 6.11. 0 All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal.;Drawing is Conceptual Design:Results ncivai@:Location , ;Allowed' `Result LDF Load:Combination(Pattern) System:Floor Member Reaction(Ibs) 2961 @ 2" 8881(3.50") Passed(33%) 1.0 D+0.75 L+0.75 Lr(All Spans) Member Type Flush Beam Shear(Ibs) 2258 @ 9 1/2 4988 Passed(45%) 1.25 1.0 D+0.75 L+0.75 Lr(All Spans) Building Use:Residential Moment(Ft-Ibs) 4454 @ 3'4" 6250 Passed(71%). 1.25 1.0 D+0.75 L+0.75 Lr(All Spans) Building Code:IBC Live Load Defl.(in) 0.157 @ 3'4" 0.211 Passed(L/485) 1.0 D+0.75 L+0.75 Lr(All Spans) Design Methodology:ASD Total Load Defl.(in) 0.294 @ 3'4" 0.317 Passed(L/258) 1.0 D+0.75 L+0.75 Lr(All Spans) Deflection criteria:LL(1-/360)and TL(L/240). Bracing(Lu):All compression edges(top and bottom)must be braced at 6'8"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. Resawn products must maintain manufacturing stamps. _. 6eanng:< Loads to supports(Ibs), SU OI tS Floor- ``Roof:' PP.. Total Available 4Required Dead Total Accessones _- Y � Live Live.... 1-Column-SPF 3.50" 3.50" 1.50" 1386 700 1400 3486 None 2-Column-SPF 3.50" 3.50" 1.50" 1386 700 1400 3486 None •Tributary. .':"Dead Floor Live `'Roof,Live toads Location.''. Widtfi x (0.90) =A;: (1.00) (non=snow:1.25) Comments 1-Uniform(PLF) 0 to 6'8" N/A 60.0 Bearing Wall Load M 60#PLF 2-Uniform(PLF) 0 to 6'B" N/A 70.0 210.0 Attic Load 30/10 7' 3-Uniform(PLF) 0 to 6'8" N/A 280.0 - 420.0 Roof Load 30/20 14 Weyerhaeuser Note' s (2�SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. l Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details. (www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards. The product application,input design loads,dimensions and support information have been provided by Forte Software Operator Forte Software Operator Job Notes 9/29/2014 3:38:00 PM J Andrew Shakliks 43 lyanough Rd Forte v4.6,Design Engine:V6.1.1.5 Mid-Cape Home Center Hyannis MA 43 lyanough.4te (508)398-6071 ashakliks@midcape.net Page 3 Of 3 q-z -/c oFtrq,,, Town of Barnstable *Permit# O © q 'a Expires Months fr�i issue date 3� ti �a e; E IT Regulatory Services Fe • snaxsTnare. �cb �2 t Richard V.Scali,Interim Director �EDMA� Building Division ®�N® BARIVSTABLB 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 Q��Il Not Valid without Red X-Press Intprint � Map/parcel Number l / L1 Property Address / 3 L yoyi oi_h , _ Py Ah n Ls Residential Value of Work$ �06 10 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address (� 3 �� �' � ewlnt D�`a► Contractor's Name 151. A &rSn Mi c, Telephone Number 5y _�,����g 8� . Home Improvement Contractor License#(if applicable)_ Email: elt i G D&L bars h e SS, COM Construction Supervisor's License#(if applicable) D(Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance )- Insurance Company Name Am-eirscAm ZrT& Workman's Comp.Policy#_ 6 ZZ Lk 9 7141113 Copy of Insurance Compliance.Certificate must accompany each permit. Permit Request(check box) // - p "i�ier Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken toAl'(Ce) U(s� ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side Replacement Windows/doors/sliders.U-Value j 30 (maximum.35)#of windows 33 #of doors:-3-_ ❑ 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,ctc. ***Note: Property Owner,must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction_ Supervisors License is requir SIGNATURE: T:\KEVIN D\Building Changes\EXPRESS PERM IT\EXPRESS.doc, Revised 061313 � e • BARNSTABIZ + "'A. Town of Barnstable pjED Mph A Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 �vww.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 Hejeh VeVX40UVIi5 -, as Owncr of,the subject property hereby authorize C/'i rsr Cgs to act on my behalf, in all matters relative to work authorized by this building permit application for: 3 n ® j/Y'an14 s (Addr- ss of Job) Signature of Owner 6ad Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. • r T.:\KEVIN D\ i Bu Idin Chan es\EXP RESS PERMf'IlE� � XPRESS.doc Revised 061313 the C.ommorrivealth of Massaddrse is _.......... I)eparbrient of Industrial Acciderns Office of Investigi7fions 600 Washington Street , Boston,MA 02111 tt IPM rriasxgovlrlari Workers' Compensation Insurance davit: Builder s/ContractorslPlectricians/Pluin6ers Applicant Information / Please Print Lelibl Name(Busineseorgau zatior�7udi idua1) �a('s-nem Zrie, Address: �( ,tea Us VJ60 .� Phone 9- SOS-" c��yrsc�t�z�p. � Are you an employer'Check the appropriate boa:, of project(rewired): YPe LK I am a employer with 4_ '❑ I asu a general contractor and I employees(full.audlor part-time)..* have hired the sub-contractors b• ❑Neuu con tnxctian 2.❑ I am a sole proprietor or partner- listed on.the attached sheet., 7. Remodeling ship and have no employees „ These sub-conoractors hazre ' 8. ❑I7feemohtion working for me in t employees and have workers'a°Y caPac t3' 9. ❑Budding addition, [No workers'comp•insure comp.insuraiiee i ` 5_ ❑ We are a corporation arid.its 14:❑Electrical repairs or additians required-] 3•❑ I am a homeowner doing all work., officers have:exercised their 11.0 Plumbing:repairs or additions y right.of exeWtion per MGL myself o workeers'imp 12_❑Rocsfrepan insurance required.]1 c. 152,§l(4),and we have no employees-(No workers' 13.❑Other comp.insurance required.] •Any applicant that checks box#1 mast also fill out the section below showing their workers'compensation policy information- Homeowners wlm submit dais'af5dmit indicating dwy are doing all work.and then hire outside commctors mustsubmit a new affidn it indicating such Contractors that check this bore mast attached an additional sheet showing the name of the sub-contractors and:state whether or not those entities haveemployee'. If the subwcontractors.have'ei idey'ees,they i nsstp.mvid a their workers'comp.,policy number. I am an employer that is prm ding"Wkets compensridon insurance for my e..!nptnyees. Below is diepoliey and jab site nformatian Ame661.4tv Insurance Cain an Name: Z r'r- a f, G 6P yLC i �L $ Cf� � l.0. Policy#or Self-ins.Lic- :1p7.Z u B l/7,A 4 41y3 Expiration Bate: Job Site.address: Vfl K a ��• City/state zip: Attach a copy of the wor rs'compensation policy declaration page(shoving the policy nu her and eapitation date). Failure to secure.coverage as required under Sec tibn 25A of MGL c. 152 can lead to the imgasition stf criminal penalties of a' fine up to$1,500.00 an&or one-year imprisonment,as well as ci4^il penalties in the form of'a STOP WORK ORDER and a fine . of up to$250,00.a day against the joWoj. Be advised that a cagy'of this statesneut may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. do herel y eernfy render the pains andPell aldes cif perJeaty drat tit info rnzadora provided a bow,is ime acid correct sizo.ature. �, k Dat'' cl�� Official rese:only.'.M not writer in this:a area,to be completed by ciw or Mimi afe'pL City or 'own: _ 'Permit/License# Issuing Authority(circle one): L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6Othher . Contact Person: ' Phone#. I - . _.. _._ n, — 1 ^Massachusetts i3epartment of Publae Safely ;80ard of Busitii'ng R�guiattarFsarrclrSt"c}ards; Unrestricted-Buildings,of`any use'group which Gott�truetrun ;gpehiit)r 3 Licer�s CSDT9w883': contain less than.35,000.cubic feet(9;9`l-m )of enclosed space. - 5'l E EKTERYII,LE 1GrA J Expiration Failure::to possess a current edition of the:Massachusetts Ganviiisssoei 08/27/20;15 State:B;uilding Code is,causefor:revocatwn of this license. For.DPS'�cen3ing mforma6on.visit: wwwaMass.Gov[DP3 S�\ a Office-of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration yam- Registration: 141078 Type: Private Corporation w Expiration: 1/6/2016 Trlk 247365 > � E.A. BARSNESS & CO., INC. ERIC BARSNESS 54 ANGUS WAY - CENTERVILLE, MA 02632 fi - Update Address and return card.Mark reason for change. 'Address D Renewal ❑ Employment Lost Card SCA 1 C: 20M-05/11 ViLG' (fC-7IzTlzfi/ftleClLLt�G`���CI::JCGCi"LltrG'L7J .- �. License or registration valid for individul use only ftice of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: { Registration 1g107g Type: Office of Consumer Affairs and Business Regulation Expiration 1/6/201(i Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 E.A.BARSNESS&CO INC,. ERIC BARSNESS 54 ANGUS WAY CENTERVILLE,MA 02632 Undersecretary Not valid without signature Rightfax N2-2 10/14/2013 9:24 :02 AM PAGE 3/004 Fax Server L AC& CERTIFICATE OF LIABILITY INSURANCE 10T14-2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: EASTERN INS GROUP LLC - PHONE FAX 233 WEST CENTRAL ST AIC No Ext: A/c No): E-MAIL NATICK.MA 01760 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:AMERICAN ZURICH INSURANCE COMPANY INSURED INSURER B: EA BARSNESS+GO INC INSURER C: 54 ANGUS WAY CENTERVILLE,MA 02632 INSURER O: INSURERE: INSURER F! - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD SUB44rVO POLICY NUMBER MMM1DDPOLICfYV EFF MO LTR INSRMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED g PREMISES Ea occurrence CLAIMS-MADE OCCUR MED EXP(Any one person) S PERSONAL&ADV INJURY S GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP;OP AGG S RO- POLICY jECT LOC S AUTOMOBILE LIABILITY go denIt aMB NEED SINGLE LIMIT g ANY AUTO - BODILY INJURY(Per person) S ALL OWNED SCHEDULED S AUTOS AUTOS BODILY INJURY(Per accident) HIRED AUTOS NON-OWNED �20,"! d%Yt AMAGE S AUTOS acri en _ S UMBRELLA LUIB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED I RETENTIONS S WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS LIABILITY YIN TORY LIMITS I ER ANY PROPRIETORIPARTNEIZEXECUTN� E.L.EACH AccIOENT $500,000 OFFICER!MEMBER EXCLUDED? I N I N/A 6ZZUB 09-21-2013 09-21-2014 (Mandatory in NH) _. 9972L443 EJ—DISEASE-EA EMPLOYEE $500,000 If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $500,000 . DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Addhlonal Remarks Schedule,If more apace Is required) CERTIFICATER CANCELLATION TOWN OF DENNIS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE 685 ROUTE 134 CANCELLED BEFORE THE EXPIRATION .DATE THEREOF, SOUTH DENNIS,MA02660 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR12EDD REPRESENTATIVE f ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD . ............. Assessor's map and lot number ..... . ..............Sewage Permit number ...................... - TOWN OF BARNSTABLE I AMIT" L N"I 1639. am BUILDING INSPECTOR W/ APPLICATION FOR PERMIT TO .......0--l-l-�*,O#le***"""""""*******"*"",****"**,*""*................................................ TYPE OF CONSTRUCTION ...&049.13e........................................................................................................... ......... 4.Lfl..(xo�q...I 9M. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: .Location ........... .......jel-111 itz............................................................... ProposedUse ............................................................................................................................................................................. ZoningDistrict ..... ..........................................................Fire District .............................................................................. L j ,-- Name of Owner .................Address ................................................ Name of Builder .W.ATA ............. Z--4—....Address7A ..T/ .........)Yve..) ... . O Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................. ............... Exlerior ....................................................................................Roofing .................................................................................... Floors ......................... ............................................................Interior .................................................................................... Heating ..................................................................................Plumbing ....................................... Fireplace ..................................................................................Approximate. Cost cvoo ............ . ............................. .......... Definitive Plan Approved by Planning Board ---------------------------------19--------- Area ........... ........................ Diagram of Lot and Building with Dimensions Fee ... .................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH IN I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Na;me .. I... .. V...144..... . ......... � . ~ ' ` ` ' ' ' ^ � r Lafferty, G. F. 17711 deck May 2V 75 Date Completed ...i�A/`/. � PERMIT REFUSED ' ---------------------. lP � . ' � --.'..-----------`----------.. ' . . � " '------------------`------- , ' � ` .-------------.----------'—. � � - ............... ^ ' Approved ---------------- lg ^ ^ � . . , ^ � ---------------.----------- . � -----------.---------.---.~. . . ` . ` \ ` ' ^ - � Assessors map and lot number . ....� ..�.� .� /-P✓ � Sewage Permit number ..................... =..'?I e �<i rt. c • �,�.,,.' ,� ,� . ..................... M , , l,• ti *THE Toy° TOWN ®F B A R l�S'I`1-�A L E i i 11ASH9TODLE, i mum p MAY�, BUILDING INSPECTOR �F APPLICATION FOR PERMIT TO ......:...:� '. :. '`- / ,� TYPEOF CONSTRUCTION ....:......�.......�.�:............................................................................................................. ! ........... ................i i.....'... r...19r.. ..t TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...........� .... f���yi......f;t l.... ...R !.•,........................��.... ............ ......................... ................................... ProposedUse ............................................................................................................................................................................. ZoningDistrict ........ .............................................................Fire District .............................................................................. {{ ...... �Name of Owner i. P'.- , '� • .............Address ............................................ .......... ...]............................:............................/........................ Name of Builder ........... . .. ..I.......!...!......P�..:...........Address .d.........�...?..+........... ....... 7,L✓.. .././....!.. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ...................:.......................................................... Exierior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing ................................... . ..: ...................................... Fireplace ..................................................................................Approximate Cost Y A • ....................................................... I Definitive Plan Approved by Planning Board -----------_-------------------19________. f Area ....,." ..:.................. v'? � . Diagram of Lot and Building with Dimensions Fee `-� "'� SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 s v J 4 \` ( f , I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .......... - I i/ Lafferty, G. F. A=325-116 No .....17711. Permit for ....deck....................... ............................................................................... Location ....f&Ivanou h Road ....................1....................................... .........................klyann i ........................................ Owner G. F Lafferty ..................... Type of Construction ......frame Plot ............................ Lot ................................ Permit Granted ay 28 ....19 75 - ......... ......................... Date of Inspection ...................................19 Date Complete ......................................19 �P-ERMIIT REFUSED ............................... .................... 19 .................................... . .................................... ........................ ................. ............................... Approved ................................................. 19 l ; i I ; `60:;1 } I • ' I + ! I I I 1 � 1 ; i ! � t:. I. :.! '. }. .' ':1 I ' _,I. I , { I 1 ;. i ! I , , -I n�-!pt._ 1,5. _ r � � 1 �tS,.__I5._._� Kl�4t3__ <I Cr , lu , _ - I I I t I �,. [. •. , is I I 5,2� G le Ilp i 1 , 1 i i I _ _ p I . I I I _f4 : i : I I I ! �ni � I ; 1 , ! � I I I � I � ! I � - � } 1 1 ( �I 1 I C I _�.• ) ,I. -I ! �� -�� ( I , I � • : _ I I a I i I- ! i 1 � I I,I I I i I � � • � I I i � A� i I + I l �l � �� I ryi i , : — — ! 1 I . I ( I l I _L ---—_ — is I 1 I , ,� y � I i � � •; I _ l _d I 1 -_ _ 'X ,sr n �{!- I i i ex;�•��h I � I � ' I � j ; � —!V /) -- i �I , I l I lost Ate., - FTi �� . i�i•v� .{T�J T"j a1 e n �I'•C. �.��ir a�C 'e�-� ., "-�� I� _l--� —�--•�—..'-- - -- --!--- - --- -- --- --,-±_� e� -- --,�I I --Tyl -- - ---I -- --I _ -- -- ---�---I- - ---I- -- --- - — -- - - - - I � I a h d ��rGt r�&1 i •