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0064 KINGS WAY
WRY IRE Application number....:........................................... e Date Issued.............. :A�rl. ...... MMSTAsis. .................. MAR 2 6 2019 �83a e� Building Inspectors Initials..... TOWN 0� BARNS IABL 3�� 6.................. Map/Parcel............................o.o...2......................... TOWN OF BARNSTABLE J25-06 EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY FORMATION Address of Project: K,, 3 lea Z �11(-5 NUMBER T STREET VILLAGE Owner's Name: S 41a I n P- Phone Number Email Address:JP{,ayz ��� Gr�a�I•C0/n Cell Phone Number Project cost$ 7 3 q — Check one Residential Commercial OWNER'S AUTHORIZATION IO As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Sep A-&J-,a Oc,� - Date: TYPE 011:WORK ❑ Siding Windows(no header change)# Z ❑ Insulation/Weatherization ❑ Doors (no header change)# Commercial Doors require an Inspector's review Roof(not applying more than 1 layer of shingles) / Construction Debris will be going to GI She-/�')�iJa P�/�/r -Si 14)-O x'71el I_? r CONTRACTOR'S INFORMATION Contractor's name I�t Gn`��n��so r� - Sov 2« We.J �r�(rrn�l ull•n JOW S Home Improvement Contractors Registration(if applicable)# 17 3 Z q 5 (attach copy) Construction Supervisor's License# 01 5-7 07 (attach copy) r ` Email of Contractor SLJee- q @ ' • C ro M Phone number 110ll z 2 R -Cl900 ALL PROPERTIES THAT HAVE STRUCTURES VER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS I[V A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. f APPLICATION NUMBER *For. Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No - (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one:this event is a:for profit non-profit event Check one:Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval beteveen the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval *WOOD/COA.JPELLET STOVES * . Manufacturer# Model/I.D. Fuel Type Testing Lab. Offsets from combustibles:front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's 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 wilding Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 Cla/l[R and the Town of Barnstable. Signature Date PLYCAN A 9 S SIGNA 1t M Signature Date 3 -L0 All permit applications are subject to a building official's approval prior to issuance. Renewal Agreement Document and Payment Terms byAndersen. dba:Renewal B An. of Southern New England� Y >� Douglas Haines ���� Legal Name:Southern New England Windows,LLC 64 Kings Way ���i RI#36079, MA#173245,CT#0634555, Lead Firm#1237 'Hyannis,MA 02601 w�xoow pE ►ncEdtExT 10 Reservoir Rd I Smithfield RI 02917 : - '- H:(508)778-6189 Phone:866-563-2235 1 Fax:401-633-6602 1 sales®renewalsne.com Buyer(s) Name: Douglas Haines Contract Date: 03/08/19 Buyer(s)Street Address: 64 Kings Way, Hyannis, MA 026.01 Primary Telephone.Number: (508)778-6189. Secondary Telephone Number. Primary Email: dehayz448@gmail.com Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with.the terms and coriditions:described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other.document attached to this Agreement Document, the terms of which are all agreed to'b the parties and incorporated herein by reference:(collectively,this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contracror has completed all work under.this Agreement. Total Job Amount. $4,739' By signing this Agreement,you acknowledge that the Balance Due;and the Amount Financed must he made by personal:check,bank check,credit card,or'cash. Deposit Receive d:P $1,579 . Balance Due: $3,160 Estimated Start: Estimated Completion: 6-8 weeks 6=8 weeks Amount Financed: $0 Method of Payment: Cash/Check We schedule installations based on.the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that: we are providing at this time is only an estimate.We will communicate an official date and time at a later date.Rain and eztreme.weatherare the most common causes for 'delay ; .: Notes: 1/3 deposit.1/3 at start,1/3 at completion Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written-consent of both,the Buyer(s) and Contractor.Buyer(s)'hereby acknowledges that Buyer(s) 1).has:read this Agreement, understands the terms of this Agreement,and has .received a completed,signed,and dated copy of this Agreement,including- the two attached Notices of Cancellation,:on the date first written above and2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank..You are entitled to a copy of the.contract at the time you sign. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT: OF 03/12/2019 OR THE THIRD BUSINESS.DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER:SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN. EXPLANATION OF THIS RIGHT. Legal Name:Southem New England Windows,LLC. dba:Rene I B A ersen oESouthern New.England :. Buyer(s) Signature of Sales Person Signature " Signature Paul Sandrey Douglas Haines Print Name of Sales Person Print Name Print Name UPDATED: 03/08/19 Page 2 / 10 f f Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card Registration: 173245 SOUTHERN NEW ENGLAND WINDOWS. LLC Expiration: 09/18/2020 10 RESERVOIR ROAD SMITHFIELD,RI 02917 Update Address and Return Card. 2-xa-05:�- Office of Consumer Affairs&Business Regulation HOME IMPROV_EMENT CONTRACTOR Registration valid for individual use only TYPE:Swolement Card before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Reo_uiation 173245 09/18/2020 1000'Washington Street-Suite 710 SOUTHERN NEW ENGLAND WINDOWS.LLC Boston,MA 02118 �e II, BRIAN DENNISON 10 RESERVOIR ROAD ," \ SIvIITHFIELD.RI 02917 Undersecretary "at "a" without signature Division, of Professional LJCanSUT� Board o¢ Bu. 1 :i a T= s ! �� z s t So - 9 9 EXp i res : 09/ 8/2020 RIAN D DENNISON - 8 BLACKELL=®RIVE . CHARLTON MA.._01507 _ - :. �, The Conunonwealdt of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 A Boston,MA 02114--2017 ..•' www massgov/dia ti1--orkers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERINIITTLNG AUTHORITY. Applicant Information tie Please Print Legibly Naive(Business/OrQartiiation/Indivtdual): �Ljt�`t h e N r t1. Q o eno lrj nd j Address: /U _SPA UOt �cl City/State/Zip:Sm 1-t�-4 e-IJ.R( DZtj !7 Phone#: 7amYJan employer?Check the appropriate bossType of project(required): a employer with ?Ktemployees(full and/or part-time).' 7. ❑ New construction 2.❑(am a sole proprietor or partnership and have no employees working for me in ca act 8: Remodeling any p ry.[No workers'comp.insurance required.] 3.[][am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4. 1 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.[]Electrical repairs or additions proprietors with no employees. i.a(am a general contractor and I have hired the subcontractors listed an the attached sheet 12.[]Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.' 13.[]Rpaf repairs / 6.a We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other t. ii e&_ 152,§1(4),and we have no employees.(No workers'comp.insurance required.] r-e p ta Lei p�—f"S 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 am doing all work and then hire outside contractors must submit a new affidavit indicating such. 2Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information Insurance Company Name:--Fi rmeri3ac5(,ryeAM— Qp . OF Policy#or Self-ins.Lic.#:CA 3 1 : g 7 Z,Gj Z, Expiration Date: I" /—2.0 Z.O Job Site Address: �o L�.a�(%t S Way City/State/Zip: nr' Attach a copy of the workers' compensation policy declaration page(showing the policy num er and ea iration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A.copy of this statement may be forwarded to the Office of Investigations of the D1A for insurance coverage verification. I do hereby certi under the pai d penalties of perjury that the information provided above-is true and correct Slanature: Date: 3—.20—/ Phone#: 4a 79U T Official use only. Do not write in this area,to be completed by city or town official City or Town: PermiAicense# 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 / l DATE(MMIOD/YYYY) ACCORL7 CERTIFICATE OF LIABILITY INSURANCE `� 1 12/28/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER O ACT Co Biz Insurance, Inc.-CO NAME: 1401 Lawrence St., Ste, 1200 ONE Exit: 303-988-0446 ac No:303-988-0804 MAIL Denver CO 80202 A DRESS.. COMail@cobizinsurance.com INSURE S AFFORDING COVERAGE I NAIC# INSURER A:Acadia Insurance Company 31325 INSURED ESLERCO-01 INSURER8: Firemens Insurance Company of WA,D.C. 21784 Southem New England Windows, LLC. dba Renewal by Andersen of Southern New England INSURER C: Homeland Insurance Company of New York 34452 10 Reservior Rd INSURERD: Smithfield RI 02917 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:787175890 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. I TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DDY LTR. /YYYY MMIOD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CPA3158728 1012019 1/1/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE a OCCUR A R PREMISES Ea occurrence $300,000 MED EXP(Any one person) $10,000 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE X E O- I $2,000,000 POLICY LOC PRODUCTS•COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY CPA3158728 1/1/2019 1/1/2020 COMBINED SINGLE LIMIT $ Ea accident � 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE X HIRED ALTOS Ix AUTOS Per acc dem $ $ A X UMBRELLA LIAB X OCCUR CPA3158728 1/1/2019 1/1/2020 EACH OCCURRENCE $15,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $15,000,000 DED I X I RETENTIONS $ B WORKERS COMPENSATION INCA315872924 1/1/2019 1/1/2020 X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE- E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N❑ N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If ns,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Pollution Liability 7930073340000 1/1/2019 1/1/2020 Each Occurrence $2,000,0D0 Claims-Made Policy Aggregate $2,000,0D0 Retroactive Date 06/20/2013 Deductible $25,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FOR INFORMATIONAL PURPOSES ONLY AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 4 t ^ / Map Parcel Application # Health Division Date Issued Z l q b4 Conservation Division Application Fe Planning Dept�-T- T41 UC C<,yOio /Ak�, — Permit Fee Date Definitive Plan Approved by Planning Board V Historic - OKH Preservation/,Hyannis Project Street Address Village T Owner OLD L)-L 'u L� Address �1� Telephone Permit D es LIU 0,41 AdA4Q4,19"(, 1 J Square feet: 1 st floor: existing �roposed U� 2nd floor: existing _proposed _Total riew Zoning District Flood Plain Groundwater Overlay iAT Project Valuati Construction Type Lot Size �rT�' Grandfathered: ❑Yes If yes, attach supporting_docu-me"entation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes �No On Old King's ighway: ❑Yes �No Basement Type: ❑ Full Kcrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) �� Basement Unfinished Area (sq.ft)— Number of Baths: Full: existing l new Half: existing e�9 new cO _ Number of Bedrooms: existing I new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes k No Fireplaces: Existing-IV,'New Existing wood/coal stove: ❑Yes XNo 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 Telephone Number) rsl- 0� � � �G�Address License#T S Home Improvement Contractor# /6 2 ? ?-J Worker's Compensation # t ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE G FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS i VILLAGE OWNER i DATE OF INSPECTION`. j FOUNDATION I'll _ C } FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH 'FINAL a , PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT. 3 ASSOCIATION PLAN NO. r ' z f ofTMf r Town of Barnstable - e�gu-IWry Services � 1AA1i3TABLE, � - M1� Thomas F.Geiler,Director 3 � .e TES 1 -5'. i,,,,,,, Bualuing Division - •l .� Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fes: 508-790-6230 PLAN REVIEW Owner:- 4 Map/Parcel: � d a Project Address The following iternsvere noted on reviewing: Reviered byi ` Date: Q:Forms:Plnrvw „ _L)67p arrmErfT 0) .LrIuw-s'I-II-r J r Office of 's 600 Wasking'Yon Street Fosf071, :lYL� 02.111 ozkers Cornpeusation -ance .r- davit: BuUdcrs/Contractozs/11ec!Ticiaxis/1'.Iu ers A-pplic2mt InformationCow Im 'lease print�e ibf )`7c1L71e (T3crsincss/Qrg��izsil�on/Lnd vidua[): Address: �Fhoac. 5 l�City/State/Zip: � 4: -- Are you axi employer? CLieck the appropriate box: Type of project (rerluircd): 1.❑ I a oo a czr�loyer rrilh `l• an a general contractor and 1 6 Ncvr ouslxvctzon rmployccs (full and/or part-t mr).* have hired the st.Lb contractors 7. lZc t�odcluig 2. 1 ara a” ol.c proprietor or parILLrr.- listed OR{'rac at:tached.sb�ct, �� Thcsc sub-coutnactors have g. Dcmoliizon ship and 1lave xLo cmployccs cmaployccs and have work(,][ working for. all in auy capacity. $ 9. L-lirilding aAAilaon comp_ insurance. cc additions o- C �1.IZ,SlIra7] Ct •Ca1rC airs DT [No sv rk,L� crJ�l? 10_[� J✓lo 1� p Tbcfizircd-] 5. �] _4�c;Ire a corpozatson and its ofiacers have cxcrciscd their 11.❑ Plmnbing repairs or adrlilions 3.❑ I am a.homcov(.ors doing all-work; ,ig>,t of exer�.ption p er MGL myscL [No lvorkers comp. 12.[]Roo frcpairs 1(4), and we hay.r,no iusail�ncc rrcju>zcrJ_] i 13.❑ thcx employees. [No workers' O corup. msurancc rcgltircd.] "AQY atTplimnt that cbmka box ttl 3Ynirt also fiA out lfic geckos below showing Lhc.'r�vor)ccza' eoropczt nr ou Po}icy irLCOT ratirnl_ 1 TomeowneR vino eubmit this 2fFcL,.vit intiiatinp they arr,doinl P3 work and then Uirc outridr-eontruelnt3 mug[subrmt anew xti�davi[indieatin g Fueh. Gmtnclars IUxY cUeckthis box nbcLust attcehcd cm rtiltfiiimia]�Ucct t6o-V alg Lhc r,arnc of die sulreunLracl�rs and ttAlr rfictl�er crt of flios�mti.tirs}lave cmployccs. 7f the sub conlnclnrc have crnployccs,Cl r_y n urL pru, d6 13 cr worrcrs'comp.policy number. _ X ant rut ernjiloyer that is/�rovidirrg woikers' contpen.smi-on.�nsrcrrurce:for my errt,plrlyees. HeZors Is'the.poli_cy andjob site • infnrrrcati-nrt. • Ins-oxaucc Company Namc:__ Policy It or SOlf ins. ) ic. if: � -- I xpuatio:a:Datc:__ Job Sitc Address: City/State%Lip: At-Lach a copy of the workers' coinpeusaizon policy decla_rabon page (showing llte policy number and expiration flake)• Failure to sr1CiT C eovcngc as rcquirrd under Scctiort 25A of MGI,C. 15? can 1cad t�the imposition of erimia al penalties of a Em trl' to $1,500,00 and/or one-year imprisonment:, a-s well as civil pen<tlti>s LU.the form of a STOP WORK ORDER and a fine of.txp to $250.00 a day a_gai7rst the)6DliLtnr. Dc advised that a copy of this stm.t=ciit may be fo.veaxdcd to the Office Of Inyestiga>zcrns of the bIA for instuancc covert — I do fxerehy certi under the pa' LY-and cnaL iea' of rju tlL,rrl the r-lforrn-adnri.provided mbove i:s tr>ce and correct. Da.tc: Sit�natuzc: - 2 — Phone# S 7 J Of ficial rue oriiy. Dp not Write 1n Uri_r area, to be eornxo�eCed by city or town 007claL City or Towa: Permit/Liceas(c# Dmiiug Authority (chide one); 1. Board of Health 7.BLdldiag Department 3, City-/Towxt Clerk 4, ElectTiczl.Inspector 5. Plumbing Lnspccfor 6, Other - Contact Person: __ Phone Massachusctls GcLzral L.ativs cbaptcr I)/rcduares a_u crnpiUycrs LUJJIUYJ i - 1'ursuant to this statltfc, au erriptoyee is dc6ned as "...cvciy person in hire scrYicc of auotbcr order.uay contract of hire cxpress or impbcd, Ora-[or writtr_a." 4n empCoyer is defined as "an'di parincrship, association, corporation or otbcr Ic9a1 entity, or any two or mare of the foregoing cagaged in a joint cntcrposc, and including the Iegal represcntativcs of a de ceased cLaploycr or the rCCC1YGr or tzustre of auindiVidual.,partacrship, association or other Icgal entity, employing employees, However th' . cupant of the oy,mcr of a dwelling Louse baying not more than three apartments and who resides there n, or the oc awc1li ag house of.anothcr who employs persons to domaintciLincc construction or repair Work on such dwelling bou,sc )r on thL grounds or building appurtenant tbcrcto shall not bccaLtst of such cmp)oymcat be d.ccmcd to be m crnrploycr." vSGL chapter 152; §25C(6) also slates that "every sLnte or loc d ltccasLa agcocy shall r4rtLibold the issu,nnce or enewal of a License or pernit to operate a business or to construct bu.itdiugs in the coramOn.vealt(x for any ippllcantwho has noLproduced acceptable evidence of compliance )!Lh Liae iusuraucc coverage `required." additionally, MqL obapter 152, §25C(7) slates 'Neither the cO=Onwcalth nor any of its political svbcltvisions sb-,dl ;rater into any eontrack for.the perzorznancc ofpubEc work until acceptable c,ridcnec of conzpliznce nth the m-surancc cgwxcurnts of this cbaptcr have bccn presented to Uac contracting authority." ,pplicants lease lilt OV.t Lhc workers' compensation a_ffidavit cor_aplcLcly, by checlaug the boxes that apply to.your siltation zu:A i# cClcssary, suppl3`b�ub-contractors)namc(s), address(cs) and pbonc aurobcr(s) along wzth their ccrtificatc(s)of lsuz<tnrrc: Limitr-d Liability Compmics(LLC) or Li_adtcd Liability Putocrships (LLP)with.uo cruployr other than the tcmbcrs or parinc*M, arc not required to carry workers' COrupcnsation.b3s�.cc. 1 f an LLC or 7 T1' does have nployccs, a policy is r('quircd, flc advised that ttiir ax7idavit may be submitted to the Dcpartrncnt of Induslnal rci&.at� for conL�rmakion of�nsurancc covcrcgc. Also be sure to siLra and date the,4davit Thee BELY1t should rzctiuncd to the city or town fiat the application for the pc;E t or license is being regucslcd not the Dcpartm.ent of ulustriat Accidcn.ts. Should you bavc any eprcstions rcgardiag the 1,Lw or if you arc required to obt da a workers' ,rupcnsation policy, plcuse call the Department a.1:the number listed Mow, ScJS insuzrd corupauics should rutcz Lbcir If-insurasico liceusc nuiaber on the appropriate line. -- -- ---- -- ity or Tow-P.Ociuls case be sure that tbo af5davit is cornp).ctc iuid printed Jcgibly, The Dcparinzcnt has provided a.space at the bottom 'tlac affidavit for Srov to filI out in the went tb.c Ofi.cc of lnvcsti.gations hats to coatirct you rcgardiug the applicant UU0 bC mrC to �i tlrc perrmt/hGensc nLu abcr which wJll be LLSeCI as a rcferencc uiuuber, )n adtli.tion, an applicant it znixsk subnvt raultiplc peraut/license appJicalu�ns iu any given}'c I: nccd. only submit Onp aFFdnvit indicating current liey infoxnoatiou(if noccss axy) and under`Job SiLc Addzcss" Lh ,applicant should write "a_U IDCadDW.iu (city or A copy of the a id'vit tbat bus bccn.of_Ecially starupcd or marked by the city or town may be provided to tho pliea as proof that a valid al3idavit is on G1c for fuhuc permits or licenses. A n fft ew adavil.must be fillccl out each nJ ir.Whcro a home owncz or citixcn is obim-ining a J_iccwc or.pezmif not related fo any business or commercial vcnturr_ a dog Liccnsc orpc>tnit to bviu IGaYCs ctc..) said person -is NOT rc-, cd to coroplclz this a fJ dnvrt c Ofrcc of Em,cst.gations would 11L to tlu�.nk you Liu BAYjLo.cc for your cooperatim and should you have imy qucsdoas, asc do not hnitatc to b'1YC us a call. DcppaAmcnt's adrlress, telephone-and fax Aumbcc Tho C6raMonwealth of Massarhuzals DgNjlment of Eudusttxal Ac Ccld(�,}1ts OfDt 4f lxtestz� tZans 6.0 WaS)71ugtaa Stcr' t BostQn,.MA. 02111 Tel. # 617-721-490.0 cxt' 406 or 1-M-MA-SSAFE Fax # 617-727-7749 tl-22-06 zvww.mass.govk/ a ENERGY CONSERVATION APPLICATION FORIVI I,'OR ENERGY EFFICICTENCY FOR ON',- AND TWO-FAMILY DETACHED R-ESIDENTIAL CONSTRUCTION (780 C1Y[R 61.00) Applicant Narne: __ Site Address: m �„r Town: Applicant Phone; '���� S� Applicant Signature; Date of Application: Q NEW CONSTRUCTION: (choose ONE of the followin two options) 780 C1V1R TABLE 6107,1 PRE,SCRIPTIVE ENVELOPE C0MP0NENT CRITERIA F0 R NEW ONE- AND TWO-FAMILY BUILDINGS MAXIMUM -- M.1T1.IiVIUM Ceiling or -- — -- Slab — --- ���� 0 tion 1: Basement 1_t -�. Fenestration exposed Wall Floor Periniefer. U-factor floors R-Valile R-Value Wall R-Value ArUh IISPr SI I R P�-Value R-Value and Depth , -- -- — — --- Nntional,Applinnce> ncrgy . 35 R-38 R-19 R-1.9 IZ 10 IZ-10) ConservalioriAc.t(NAGCA)of j't 1987 as amended,minimums or ;renter ns npplicnble Note: This form is not required if you choose either of the two versions of R-EScl7ec%.as.listed below. 0 Delon : RI Schecic Version 4,1'.2 or later variant softwarc analys,is must be completed i 7 8 0 CMR 610 7.33,2_^_ _- - �l R_1 Schec/c-Web which coil be accessed at 11ttD;//r-wriv.enclgygocleo cylrescll.rr,1J DDITIONS:Ol�:i-LTERAT.IONS:To.rX187'ZNG 13U:[LDII: iD C,S:O:VL,1�. S IYLI ARS OLD* Buildings under 5 years old must use option #1 or 1/2-in New Construction section above. ;omplete tlae following formula to deterinine the % of glazing: (a) Gross lull & Ceiling Area equals Forinula: (100 x b _ a) ST �� ���o 100 x /17 --_(�o,o� /o of glazing (b) Glazing area equals. SF - h —a— glazing is <40%o use.th.c chart below, Ifglazi>igis> 40.% proceed to "SUNIZOOM" section 780 CMR TABLE 610Z,3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS rMAXIMUM — MINIMUM Ceiling and Slab Perimeter ation Wall Floor Basement Wall R.-Value. tor Exposed Cloors R Value R-value R-ValueR-Value and De tli- R-37 a K-13 R-19 R-10 R-10, 4 feet i -30 ceiling insulation may be used in place of R-37 ifthe insulation achieves the full R-value over`the entire ceiling area (i•e• not compressed over exterior walls, and including any access openings). SUNROOM—An addition or alteration to an existing building/dwelling unit where.the total glazing_area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition, Note: . 0miner to fill out Consulnerrig orn-LadonT`orm (found in Appendix 120•P) f - assPrcjlilsetts c1lecidis� for c'oZl�l .i,ance (780 Cl;(R5301:2,1.1) r� Ly 1 Check Compti ancc 1.1 SCOPE A / Wind S eed.(3-sec. gusO ............................ 110 mph V WindExposure Category..................................—......r:..................... .............................................................. Wind Exposure Category.................Engineering Required For Entire Project ..........................•......•. _ 1.2 APPLICABILITY Number of Stories (a roof which exceeds 8 in 12 slope shall be considered a story) �_slorie�r 2 sfories RoofPitch .....................................-........................I...........(Fig 2 5 12:12 Mean Roof Height .......I..........r�................................ ........(Fig 2)........................................ ... ...; fl 5 33' fl 5 8 0' _ Building Widtii, W ..................-........................................,..(Fig 3)...........1 44 - 1 f i. 3 Ft <_ 80' BuildingLength, L ......................:.......................................( g. )..................... ........................... Building Aspecl Ratio (LAW) .......•... ....................................(Fig 4)...........:....................................r ,� 5 3:1 Nominal Height of Tallest Opening ......................:............(Fig 4)............. .....:........................fn (v < 6'8° 1.3 FRAMING CONNECTIONS '/ General compliance with framing connections.:..................(Table 2)...............:................... ............................ -ice 2.1 FOUNDATION / Foundation Walls meeting requirements of 780 CMR 5404.1 v/ Concrete................................................................................ ......•............,....;...• -- - Concrete Masonry :.....•...................:: ....... ...2 ANCHORAGE TO FOUNDATION'''. 5/8'Anchor Bolts imbedded or 5/8' Proprielary Mechanical Anchors as an alternative in concrete only Boll Spgcing—general ..._. ..........................•.:.(Table 4).........:.:.........•......:..............:.:. _2L_in. Bolt Spacing from end/joint,of plate .............................(Fig 5).................................... _in. <_ 6'= '12': Bolt Embedment_. concrete..........................:..............(Fig 5)...... ............................................ in, >_ 7" Bolt Embedment— masonr . .....................(Fig s ............?......:.............:........:. in. 2_ 15' r > " Plate Washer.:................... ..............................•.............(I-ig � .................. 3' x3 xI/," .1 FLOORS ` Floor framing member spans checked .........:.................:....(per 7Ci0 CMR Chapters5).:......:......,................... Maximum Floor Opening Dimension ..................................(Fig 6) ft:_ 12' Full Height Wall Studs at Floor Openings less than 2' from ExterioFWall (Fig 6)..... ..:...............:...:....:: Maximum Floor Joist Setbacks Supporting Loadbearing Wails or SheanNall ................(Fig 7)...................... ................. Maximum Cantilevered Floor Joists Su ortin' LoadbearingWalls or Sheanvall ...:.. ...... ..(Fig8 . . ft ._ d _ Floor Bracing at Endwalls.................. (Fig 9 .................... ................. Floor Sheathing Type ....... ..(per 780 CMR Chapter 55)..... Floor Sheathing Thickness ....... ....... .. .... .(per 780 CMR Chapter 55)....................... VC(in. c/ Floor Sheathing Fastening .:.........:............:........ ...:.. ..(Table 2)..Dd nails at _in edge/ '1 WALLS Wall Height r Loadbearing walls..........:..........................:.........:........(Fig 10 and Table 5)..... 1S_ft _< 10, Non-Loadbearingwalls •..............................•................(Fig 10 and Table 5 f ft _<.20 Wall Stud Spacing . ........................................................(Fig 10 and Table 5)................... v in. <_24"D.C. Wall Story Offsets' ......................................... ....:... (Figs 7 & 8)............................,............... ft _< d EXTERIOR WALLS' Wood Studs F Loadbearing walls..... ..... :. .. .... .... ...... . .... ..'.. ...(Table 5)...... ..... 2x ft in. Non-Loadbearing walls .................................................(Table 5)...............................2x - f1 in. Gable End Wall Bracing ' Full Height Endwall Studs ....... :. ............ ....... .•...(Fig 10)...... . .: .......:.. .:......... ... ....:....... . ..:..,...: WSP Atlic Floor Length.................: ....,..... .... .: :(Fig 11)... ...... ft_>W/3 Gypsum Ceiling Length if WSP hot used . .. ............ fl.>_ 0.9W 9 (� )...... .:.........:(Fig 1 1)..... ............. . . and 2,x 4 Continuous Laleral'Brace @ 6.ft. o:c. .. (Fig 1 l).........:..:..............::..:...............I............. 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 PlaIe ' (Fig 13 and Table 6 ... ... ft Splice Length ....................... ..... (-'g )..:... Splice Connection (no. of 16d common nails)..............(Table 6)........:.................:...:...:......... ............ _j,� (fC ll/ I VVlt V_Uy'.>'l A/12ss2ChIISetts Che.cldist for C0n1pJz.-,111CC (780 CN1R5301.2.I:l)' , Loadbearing Wall Connections Lateral (no. of 16d common nails)................................(Tables 7)..................................................... Non-Loadbearing Wall Connections / Lateral (no, of 16d common nails)................................(Table 8)............................................. .......... Load Bearing Wall Openings (record.largest opening but check all openings for corriplianc,e 10 fable 9) HeaderSpans ........................................................(Table 9).................................. 5 1 11' , SillPlate Spans ........................................................(Table 9)............................. __4L in. Full Height Studs (no, of studs)....................................(Table 9).............................,...........I............... —V Non-Load Bearing Wall Openings (record.largcst opening but check all openings for compliancejo Table 9) , _ Header Spam,..... .......................................................(l able 9)...................................f ft 0 in.s 12' 1� Sill Plate Spans.... ......`y........ .....................................(Table 9).............................. ft in.5 12' Full Height Studs no. of studs ........ Table 9 • -........ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously' Minimum Building Dimension, W /�A Nominal Height of Tallest Opening. .................................................... . ....... ..... < 6,8„ plL- Sheathing Type...............................................(note 4)....:........... ,...........• .Cj.�'.:.:.. Edge Nail Spacing.........................................(Table 10 or note 4 if less).,......................in. -- Field Nail Spacing .. ................. Table 10 ...............................................�m. Shear Connection (no. of 16d cornmon nails)(Table 10)..... ............ 0 .. Percent Full-Heigh( Sheathing Table 10 .... .. . . ................................... 5%Additional Sheathing for Wall with Opening > 6'8"(Design Concepts).................... �- Maximum Building Dimension, L j N Nominal Height of Tallest Openingz....................................................................�p.,�° s 6 8 SheathingType..............................................(note 4)................................................... . Edge Nail Spacing.........................................(Table 'I 1 or note 4 if less)........................ in. Fable 11 ..................................:.:. in. Field Nail Spacing.......................................:..( )........... -� Shear Connection (no. of 16d common nails)(Table 11)................................................... ... Percernl Full-Height Sheathing Table 11 5% Additional Sheathing for Wall with Opening > 6'e" (Design Concepts).................... Wall Cladding Ratedfor Wind Speed?.............................................................. ............................................................... 1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span TDOI, see BBRS Website) Roof Overhang ...................................................(Figure 19) .............. _ft s smaller of 2' or U3 -- Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors '� '� Uplift................................................(Table '12).................................... :.......U=_ t_ If Lateral ..........:...................................(Table 12).............................................L= ?(pelf Shear.....:.........................................(Table '12).......:.....................I...I.........IS= plf Ridge Strap Connections, if collar ties not used per page 21 (Table 13)............................_T=�P1f ...........(Figure 20 �ft s smaller of 2' or U2 �� Gable Rake Uutlooker.................::.......... . (-g � ) .......,..... Truss or Rafter Connections at Non-Load bcaring Walls Proprietary Connectors } , / Uplift................................................(Table 14)............................................U=�t I —✓- Lateral (no. of 16d common nails)...(Table '14).......................................L = 'Ib. . Roof Sheathing Type..................................................(per 780 CMR Chapters 58 and 59) ...,........ eathin Thickness .......................... > Roof Sh ........................................��2in. _7/16" WSP Roof Sheathing fastening ..:............(Table 2 ..............................,.....,. .., s: This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR•530'1.2.1.1 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 G. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b Exception: Opening heights of up to 8 ft. shall be permitted when 5% is added to the percent full-height sheathing equirerrents shown in Tables 10 and 11. 'he bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. 4° a. From Tables 10 and 11 and location of-wall sheatf-Iing and nuilding Aspect Ratio, determine Percent I=ull-Height 5.he3thing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16" and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and'top member of the double top plate. iv. On two story construction, upper panels shall be attached to the lop member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. Y. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d staggered It 3 inches on center per figures below : Vertical and 1-lorizontal Nailing for Panel Attachment 5. Glazing protection: a) new house or horizontal addition—required if project is 1 mile or closer to shore (generally, south of Rte. 28 or north of Rte. 6) b) vertical addition— not required unless there is extensive renovation,to the first floor c) replacement 1-vindows— needs energy conservation compliance only (chap 93) 6. Wood Frame Construction Manual (WFCM) for 110 MPH, Exposure B may be obtained from the American Wood Council . (AWC)website. -WHaj rnis EDG[RESTS ON i-RkI,IING USE8d fJASCS • � A7r G`ol: 11" 11 II I x} I I a ly 11 o i I 1 1_7.c( I Ii t it �i 17 Z C Z o n r � L i t Q KI ii g?- I i I f�RAhUNr vIP1,AMRS o 1 .i i i l LDGC lNn PhiEDIA'rE C<1 , 1 u I I �.1Jl II I I I t I yA, 1 !_ IJ IJL __ _ 1 I I. 1. I I (j STAGC, RE L D 1 DOUHIrLf�GE I t % II H1tilL S(AGkr� I 1 ` ?VJL PA-n—mN PAPEL PANEL_ PANLL EDGC— C DOUDLE"L EDG.r SPAC4'10 DCTgL See De(ail on Next Page Detall Vertical and HDJZOnlal Nailing V e d i c a I and Horizontal Nailing for Panel Attachment for Panel Attachment �OFVEtp Town of Barnstable O Regulatory Service II" m—nuu Thomas F. Geiler, Director �ArEOMn�° B ilding Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 wwv.to)Yn.barnsfable.ma.us Office: S08-862-d038 Fax: 508-790-6230 Property. Owner must Clalplete and Sign This Section If Using A B uildct 7 P S wfac of the subject property here-by au.dzorize. I) G — Cto act on my behalf" in all.mattets telatiVe l-o work author zed.by this building permit application for: (Adclacss of job) Sign a-tu.-e of Own z Date Pant Name If Property Owner is applying for pezrnit please complete the homeowners License Exemption Srorta on tb'e reverse sine. Town of Barnstable Of YHE r Regulatory Services « Fsnsursrnar�, Thomas F. Ceiler, Director hMAS& Building Division sb�q• b AT�0 M a Tom Perry,Building Commissioner .. 200 Mann Street, Hyannis, MA-02601 )j7nv,to"'n,b2rnst2b1e.ma.us Office: 508-862--4038 �iax: 508-790-6230 >-zonfEo-yvl\,En z,zCEnSE EXEMPTION Please Print DATE: — J013'LOCATION: — --_ ------ — number street village name home phone 11 work phone# CU U?,E,NT MAILING ADDRESS: _ — ------- city/tovm --- --- slate aip code The current exemption for"hoMcdw_1CrS" was extcndcd to include ocuiicr=occupied clwellin s of s.ix zu>its or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts ors supervisor. DEFINITION OF IIOK OwNDR Persons) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-farnily dwelling, attached or detached slructures accessory to such use and/or farzxa struciazces. A person who constructs more than one home irz a two-year period shall not be considered a homeowner. Such "hozaaeowner shall submit to the Building Official on a form acceptable to the Building Official, that lie/slie shall be responsible for all such work performed under the huildinp uermit. (Section 109.1.1) Tlae undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other ' applicable codes, bylaws, rules and regulations, " that he/she undcrst<ands the Town o.f Barnstablc Building Department cc tifies a eowz uer z ,he umdersi ned hop ,'� g minirnum inspection procedures and rcquirements and that he/she refill comply wzt11 said procedures and requirements. Signaturc of 1-lomcowncr Approval of Building Official Note: Threc-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOME OYM R'SEXEMPTION The Code states that: "Any homeowner performing work for which a building permit is requir'eci shall be exci-npt from the provisions of this section(Section to9.1..I -Licensing of cons truction`Superosors);provided that if the homeowner engages a person(s)for hire to do such work, that such Homeowner shall act as supervisor." Many homeowna-s who use this exemption aic unaware that they arc assuming the responsibi]iU'cs of a supery sor(sec 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. Tn this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting m Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities, many communi[cs require,as part of the permit application, bi litics of a Supervisor. On the last page of this issue is a fo m cur cntly used by that the homeowner certify that hrlshe understands the responst several towns. You may care t amend and adopt such 1 fonn/ccrtifrcation for use in your community. Board of Building Regulations and Standards , License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. jf found return to: Registration: 107723 Board of Building Regulations and'Standards Ex iration One Ashburton Place Rm 1301 ,i p 8/5/2010 Trrk 272828 Boston Ma.62108 TYpe DBA i MCCARTHY BUILDERS" Brian-McCarthy YA jltlY 32 Carver Road. W.Yarmouth,MA 02673 Administrator E. Not valid without.signatu i i Board ofBu d�g Re obs and Stzc��civ n (i { Co lards • ,ttStru - I � � ction Supervisor License License: CS 41505 �� �: Birthdate. 9/11/1957 i; `i tl Expinji g r1 2009 Tr# 4405 g� rtestric��1G �I f, j BRIAN'G MCCAR 4 !' a 32 CARVER RD- z aJ— d �y E W YARMOUTH`MA 026Z3 5,g'�yfL 1 Comimsgioner ,,. F 1 k6 R� Y t3k, } � ���' �h .� '��I � »j111•� ems, L6 t' • ;,4..-;-,... «^:.s_-:n'��•+ �:._._ •<- f fr�-7�'�.�Y,L�t;t� ��'s- >_+ � _ �`� =1�7... A�y ®Y; �i� k=a`�'p��'.E i'ak'nr '�.a•,jp�•''�,t`��3 r Ri No 22723 Q AQ0 AdA L447 A 4— Y& NEW �j Q to MON.. f �3 Z�e O _._ ._--- � .._...a.�....•..,.,_....f.._,_, —..v..-,�,e- .�aw....,... .�_._s- 'x.' s �''�•.t��a�s� '�' � 1'#r.�� w gF f4,�,���,rys 14 an :r: wr .:`t" :-. F-� ,R .r. k? �•Y��"t, ''f{i`a. `-� 'ttfy� +£»F{�,� a'Tfr`.# r � i /� ba �* , VS_,Jir y F49 { .. A -., C..�I"1./..:..-..__l..�G /G✓..��. .���`.e,rr t ,�_'- .^^ {�,,. � ova. . _ C -V W - r� CeP, / ! ! z' o ROOF/CEILING HEADER by Weyerhaeuser 2 Pcs of 1 3/4" x_ 9 1/2" 1.9E Microllam® LVL - - - TJ-Beam®6.30 Serial Number:7005111359 User:1 11/20/2008 2:45:50 PM THIS PRODUCT MEETS'OR"EXCEEDS THE.SET-DESIGN Page 1 Engine Version:6.30.14 CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope:OM2 Roof Slope4M2 a 0 b 12' ' All dimensions are horizontal. Product Diagram is Conceptual LOADS: Analysis is for a Header(Flush Beam)Member. Tributary Load Width:6' Primary Load Group-Snow(pso:35.0 Live at 115%duration,20.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Uniform(plf) Snow(1.15) 330.0 120.0 0 To 12' Replaces SUPPORTS: Input Bearing Vertical Reactions{Ibs) Detail Other Width Length Live/Dead/UpliftlTotal 1 Wood column 3.50" 1.50" 1980/775/0/2755 L1:Blocking 1 Ply 1 3/4"x 9 1/2"1.9E Microllam@ LVL 2 Wood column 3.50" 1.50" 1980/775/0/2755 L1:.Blocking 1 Ply 1 3/4"x 9 1/2"1.9E Microllam®LVL -See iLevel@ Specifier's/Builder's Guide for detail(s):L1:Blocking DESIGN CONTROLS: Maximum Design Control Result Location Shear(Ibs) 2679 -2258 7265 Passed(31%) Rt.end Span 1 under Snow loading Moment(Ft-Lbs) 7812 7812 13541 Passed(58%) MID Span 1 under Snow loading Live Load Defl(in) 0.310 0.389 Passed(U452) MID Span 1 under Snow loading Total Load Defy(in) 0.431 0.583 Passed(U325) MID Span 1 under Snow loading -Deflection Criteria:STANDARD(LL:U360,TL:U240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 12'o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -Design assumes adequate continuous lateral support of the compression edge. ADDITIONAL'NOTES: -IMPORTANT! The analysis presented is output from software developed by iLevel@. iLevel@)warrants the sizing of its products by this software will be accomplished in accordance with iLevel@ product design criteria and code accepted design values. The specific product application,input design loads,and stated dimensions have been provided by the software user. This output has not been reviewed,by an iLevel@ Associate. -Not all products are readily available. Check with your supplier or iLevel@ technical representative for product availability. -THIS ANALYSIS FOR iLevel@ PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the iLevel@ Distribution product listed_ above. -Note:See iLevel@ Specifier's/Builder's Guide for multiple ply connection. PROJECT INFORMATION: OPERATOR INFORMATION: HAINES JOB Bill Rubel 64 KINGS WAY Mid-Cape Home Centers HYANNIS MA PO Box 1418 465 RTE 134 South Dennis,MA 02660 Phone:508-398-6071 Fax :508-398-4559 brubel@midcope.net Copyright ® 2007 by iLevel@, Federal Way, WA. - Microllam® is a registered trademark of iLevel@. - e ® ROOF/CE.ILING HEADER by Weyerhaeuser2 Pcs of 1 3/4" x 9 1/2" 1.9E Microllam® LVL TJ-Beam®6.30 Serial Number:7005111359 user:1 11120/20082:45:51 PM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Paget Engine Version:6.30.14 CONTROLS FOR THE APPLICATION AND LOADS.LISTED Load Group: Primary LoadGroup a' 11 8:00' Max. Vertical Reaction Total (lbs) 2755 2755 Max. Vertical Reaction Live (lbs) 1980 1980 Required Bearing Length in. - 1.50(S) 1.50(S) Max'. Unbraced Length (in) 144 Loading on all spans, LDF = 0.90 1:0 Dead Shear at Support (lbs) 635 -635 Max.Shear at Support (lbs) 754 -754 Member Reaction (lbs) 754 754 Support Reaction (lbs) 775 775 Moment (Ft-Lbs) 2198. Loading on all spans, LDF = 1.15 1.0 Dead + 1.0 Floor + 1.0 Snow Shear at Support (lbs).. 2258 2258 Max Shear at Support ('lbs) 2679 '-2679 Member Reaction (lbs) 2679 2679 Support Reaction (lbs) 2755 - 2755 Moment (Ft-Lbs) 7812 Live Deflection (in) 0.310 Total Deflection (in), 0.431 s PROJECT`INFORMATION: OPERATOR INFORMATION: HAINES JOB Bill Rubel 64 KINGS WAY Mid-Cape Home Centers. HYANNIS MA PO Box 1418 465 RTE 134 South Dennis,MA 02660 Phone 508-398-6071 Fax :508-398-4559 brubel@midcape.net Copyright ® 2007 by iLevel®, Federal Way, WA. - Microllam® is a.registered trademark of iLevel®. - v SMOKE DETECTORS REVIEWED BARNSTABLE BUILDING DEPT. DATE FIRE DEPARTMENT DATE u BOTH SIGNATURES ARE REQUIRED FOR PERMITTING' 299, ro IMPORTANT-UPGRADE.5d REQUIRED STATE BUILDING CODE REQUIRES THE UPGRADING OF SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. �b�lZ NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE II`iSTALLATION OF SMOKE DETECTORS_THE ELECTRICAL . PERMIT DOES NOT SATISFY THIS REQUIREMENT. iM>J f Qt� ae ��,`' CARBON MONOXIMUSTBEDEALARMS I MASSACHUSEINS ALLEDPER P 1. • 3� � {l�l II II �. � .�(J �. o- S - NL 11 VIO ,�� I I I I ,Nn clv. �:'�.i.. w ( T m J J S. iL 99 _. x ! v s _ ' r I' i pCIC7 i 3 1 � kPI Zr 4 �- . .. V5 i lip u � a N \ h � 222 f ` Towu Of Barns' a, le TpN �; �1 Regulatory.S.e>rVie es. Q� Thomas F.Geiler,Director Z { F, . r lA STABLE. ' `:# MASS. g BllildlIIg D1V1S10II r J. �0t� ►�� Tom Perry,Building Commissioner,% 200 Main Street,,,Hyannis,MA M60 www.town.barnstable.ma.LIDI _ ., , Office: 508-862-403 8 :x Fax: 508-790-6230. PERMIT# FEE: $ -SHED REGISTRATION 200 square feet or less Location of shed(address) Village Property owner's name ,: - Telephone number Size of Shed Map/Parcel# Y Signa a Date - Hyannis Main Street Waterfront Historic District? - Old King's Highway Historic District Commission jurisdiction? If.over 120 square feet,:you must file with Old Kings Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30 &3:30-4:30 PLEASE NOTE.aIF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMSSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. I' TIHS FORM MUST BE:ACCOMP.,zA IED BY A PLOT PLANT Worms-shedreg REV:05201 .. y m s J S 7g '49 a 1 4.6' 00 00 _ st - 20. 7 _ ,t ' . ockade ce._ 5 r Cp Lot 32 1 64 __ 7,005f S.F. hed O �r' 20 25 r Existing 34.2 O) ' ca Foundation.00 Outbuilding 11 9' 4j c/) `st 12.4 I _ ............. 79 046 , ence 100. 00 TOWN OF BARNSTABLE ZONING STREET ADDRESS.• #64 KINGS WAY, HYANNIS BY—LAW ASSESSORS' MAP 328 PARCEL 2 OWNER: DOUGLAS HAINES ZONE SF PLAN REF.: L.C.C. 16441-8 (2) LOT 32 SETBACKS FRgNT = 20' SIDE = 10' l CERRFY.THAT TO THE BEST OF MY PROFESSIONAL REAR = 10' KNOWLEDGE, INFORMATION AND BELIEF THE FOUNDATION SHOWN HEREON CONFORMS TO.THE HORIZONTAL SETBACKS PROPERTY LINES SHOWN HEREON OF THE ZONING BY—LAW FOR 'THE TOWN OF BARNSTABLE WERE COMPILED FROM AVAILABLE PLANS OF RECORD VERIFIED ON THE GROUND. " 4�rtN OF MASS QT „AS BUILT'NN THE FOUNDATION DEPICTED ON THIS WEAR E PLOT PLAN PLAN WAS LOCATED ON THE GROUND A9 No,38721 c IN BY TAPE SURVEY ON JAN. 26, 2009 AND EXISTS AS SHOWN AS OF THE DA7E1N ��' ��tiARNSTA6LE, MASS. OF LOCATION. SCALE: 1.=20' � JAN.�26, 2009 THIS PLAN IS FOR PLOT PLAN lZ7 TERRY A. WARNER, P.L.S. I _ N R=2094.85' A=1.97' a _ m �J S 79 70�14.6' 6- �O ' . 20. 7 if - ac-, f Sto�kode F V l C��%�;it ence 50.3' CD Lot 32 i 7,005f #64 S.F. i O hed 20.25 Existing 34.2 c� Fou00 ndation 20, cb O 28 00' J Outbuilding 10. 0' 119' _ _ t t a' - -- 12.4' 00 1 - I0. 0' Stock - N a , e Fence-~_` 7g 4� 44 „ '0O 0O TOWN OF BARNSTABLE ZONING STREET ADDRESS.• #64 KINGS WAY, HYANNIS BY—LAW ASSESSORS' MAP 328 PARCEL 2 OWNER: DOUGLAS HAINES. ZONE ; SF PLAN REF.: L.C.C. 16441—B (2) LOT 32 SETBACKS FRON T = 20' SIDE = 10' 1 CERTIFY THAT TO THE BEST OF MY PROFESSIONAL REAR = 10 KNOWLEDGE, INFORMA 77ON AND BELIEF THE FOUNDA 77ON SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS PROPERTY LINES SHOWN HEREON OF THE ZONING BY—LAW FOR THE TOWN OF BARNSTABLE. WERE COMPILED FROM AVAILABLE PLANS OF RECORD VERIFIED ON THE GROUND. ASH of MASS ��TERRY 9cy°s�, »AS .BUIL T» ANN THE FOUNDATION DEPICTED ON THIS WARNER PLOT PLAN PLAN WAS LOCATED ON THE GROUND 09 No.38721 � IN BY TAPE SURVEY ON JAN. 26, 2009 AND 5h�� EXISTS AS SHOWN AS OF THE DATE ss ► BARNSTABLE, MASS. OF LOCATION.` SCALE.--1"-20' - _ - --- - _ — JAN. 26, 2009 _ THIS PLAN IS FOR PLOT PLAN q 710 l TERRY A. WARNER P.L.S PURPOSES ONLY. 22 LONG ROAD HARWICH, MA. 02645 (508) 432-8309 0' 20' 40' 60' THIS PLAN IS VOID IF NOT STAMPED AND SIGNED IN RED. PROJECT NO. 09-105AS , Robin Giangregorio 64 Kings Way i Zoning and Site Plan Review Coordinator Hyannis, MA 02601 / 200 Main Street 508-778-6189 Hyannis, MA 02601 j2143@gis.net Dear Robin: I live in an owner occupied home on Kings Way, a cul-de-sac which abuts the J. and P. Trust property housing k, T. J. Max, Brooks Staples, s Pharmac etc. :Until last Spring, p �( there was a fence separating the cul-de-sac end of my street (where I live) and the plaza property. It fell into disrepair overmany years and not much of it was left by then. At about this time last year,I went to 200 Main St. to inquire about the company's responsibility to maintain the fence. I was told that they are required to have a fence,but there was nothing that regulated their maintenance of it. I then spoke with a J.P. Trust representative by phone,who told me that the company was talking with surveyors and fence people about replacing the fence. ; The fence was taken down, and the area was cleaned up; however, the fence has not been replaced. I called the site manager to inquire about this over this Memorial Day weekend as cars are now driving from the Kings Way through to the plaza,virtually eliminating the function of the cul-de-sac. Additionally, trash papers from the plaza blow through, littering the street's residences. The site manager told me that the company had decided to put the fence replacement on hold. During our conversation I politely stated that the T fence was required legally. He told me he did not think this was the case; that if a fence was erected, it would be done as a courtesy, not for legal reasons. I did not pursue that with him. What I am attempting to do is find out in fact what the town requires in this regard. I thought I knew,but now learn I need clarification. .Thank you for your attention. Yours truly, Douglas R. Hines v` x Giangregorio, Robin r From: Giangregorio, Robin Sent: Thursday, June 05, 2003 10:31 AM To: Schlegel, Frank Cc: Broadrick, Tom Subject: Info inquiry ,• Copy01.gif Hi Frank, I am sending you a copy of a letter I received complaining about a contractor's refusal to restore a fence in between Kings Way and the Airport Plaza. I can not find any decision on file that would require this and in fact the plaza was constructed before the zoning change to HB. Originally, this was a B district and 'pre-dates our more ,formal SPR process. Art indicated that if this is a town road, Engineering may offer some assistance in this matter. It did appear to me that this is a town road. Before I respond to the complainant, I would like to know for sure what our obligation is, if any. You always seem to be aware of the property history and are so helpful. Can you help me with this? Your anticipated cooperation is always appreciated. Thank-you, Robin I Giangregorio, Robin From: Giangregorio, Robin Sent: Tuesday, June 10, 2003 4:33 PM To: 'j2143@gis.net' Subject: Fence Dear Mr. Haines, Our Engineering Dept. informs me that Mr. Jack Ellis, Property Manager was consulted on your behalf. I am told that he promised to resolve this issue. Please let me know if this languishes and I will advise our Engineering Dept. accordingly as they have concerns also. I'm sorry but a timeframe was not identified. I would guess that this is the busy season for landscaping and fencing and there may be a delay. Thank-you for your patience. Please keep me posted. 0�96ta si—ste�acio Zoning &SPR Coordinator 508-862-4027 1 Doc:8471572 10-19-2e01 2:48 CtfM:163158 BARNSTABLE LAND COURT REGISTRY QUITCLAIM DEED DONNA M.MAURICE of 70 Kings Way,Hyannis,MA 02601. for consideration paid in the amount of ONE HUNDRED AND FIFTY FIVE THOUSAND AND NO/100($155,000.00)DOLLARS, grant to GEORGE R.PUCKHAFER,JR.and SHEILA PUCKHAFER,Husband and Wife as tenants by the entirety of 42 Barker Avenue,White Plains,N.Y. 10601 r with QUITCLIAM COVENANTS the land with the buildings thereon situated in ' Barostable.(Hyannis),Barnstable County,Massachusetts,bounded and described as follows: LOT 49 - Y PLAN 16441-D � i`. All of the said boundaries are determined by the Court to be located as shown on subdivision plan 16441-D dated April 17, 1959,drawn by Nelson Bearse and 41 Richard Law, Surveyors,and filed in the Land Registration Office in Boston a copy , of which is filed in Barnstable County Registry of Deeds in Land Registration Book 177 Page 39 with Certificate of Title No.23339 and said land is shown thereon ast Lot 49. So much of said lot is included within the limits of the way shown on said plan is subject to the easements in common with other entitled thereto as set forth in --� Document Nos. 17,505,17,786, 17,789 and 17,825. V1\ The within premises is granted subject to easements and takings of record. Z For my title see Certificate of title No. 114611. NNA M.MAUR CE COMMONWEALTH OF MASSACHUSETTS Barnstable,ss October 19,2001 Then personally appeared the above-nam NA AU RICE and acknowledged the foregoing to be her fr —act ash ore me, My commission expires:9/30/05 i I ix � C> C, I EL A T.MEADE,Notary Public i zw � i uLnL-1V)io � a S: W � a A xo W1.1 z m >• ci� t r r- >- CD- i i A f— a Vim : 01 �,�/ - .� s� .� .r....,�.•r.f+1 C n-nlf!Trnr IBC Yn� i;n� C� ' 20 16441 "Ilk • n �. S 4i t� 2'a' re�a S� % h i ti tiJ � W IA s S�Iq.'p�•.E O - 11; pBR.9S :N �i U L O tiO M ry F �� 1 y 0 vV) \. ; Al � -4 S � ; W Sass d W CO h i d QI 4 t , SO I V"" q � Z to # Pea 1 qa _ 0 'T y S. U (D 0(0 0 oa A� z � 4 3 � � .6 to c$ L m ,.o 7V [4 0 � S ez a sue- � P �Q N K 4 Z oil o - 3 4` N 9 s8Q�o o :ems i0 I11 . B 4 � Io m u a ,�h 69,E V Iy ' dl p h Q, m U t . f * a I Subdivision of Lots 17 thru 23 do 26 thru 31 Shown on Plan 16441E Sheet 2 Filed with Cert. of Title No. 7?78 Registry District of Barnstable County f ' Separate certific tes of title mey be issued for land By the Court. C91Wai� p/m LAND Bf IMAUM Of.-W, —•--MAY If Is ►Y.tgr1�69 Cw+•_ - corore � '� p►enl q�sAlrl�toaa!Nladl Awe Wvm,&#bwArOwt 4 R Go�G • - D o NO co ' ►�� mil/' o. i .fig . a} i .L .f 90° PARKING . STALLS 9 FT WIDE THRpUGHOU � I�� Ehgineering Dept. (3rd floor) Map 3 0-9- Parcel a' Permit# House# (o I( PJ S° Date Issued j Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) B''q—370 Fee o704—, � Conservation' ce(4th floor)(8:30- 9:30/1:00-2:00)� Planning s floor/School Admin. Bldg.) O�THE Defi 'live Plan p roved by Planning Board 19 -- - BARNSTABLE. MAIIW �°�En►3A9a+'�� TOWN OF BARNSTABLE Building Permit Application Project Street A ress j[t Cl e1 'T Village Owner . - I�/� Address Telephone Permit Request First Floor fio�— square feet Second Floor square feet Construction Type Estimated Project Cost $ . 0 , Zoning District 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) i ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ .1. Cgmmercial ❑Yes -❑No If yes, site plan review# - Current Use Proposed Use Builder Information �j C Name G Telephone Number 2 f ��J f � Address / License# 1' Home Improvement Contractor# 16 2 'e3 Worker's Compensation NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CO STRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO (/ SIGNATURE " (ld DATE �,�/,� BUILDING PERMIT DENIED F R'�HE FO LOYIING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. F i DATE ISSUED MAP/PARCEL NO. ' ADDRESS J VILLAGE- OWNER ;:- ' DATE OF INSPECTION: FOUNDATION FRAME - INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH ,. FINAL - r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT _ ASSOCIATION PLAN NO. ' TFIE _�,.� The Town of Barnstable $ Department of Health Safety and Environmental Services rfn� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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 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: L� �/7 Est.Cost Address of Work:(O � Owner's Name /44�e 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 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: 4el ✓ Date Contractor Name 'Registration No. OR Date Owner's Name Thc• Conrmonl+�ealth of Afassachuscttt Department of Industrial.4ccitlents _ : y fix oficeollnyestigations 600 !i ushhtgton Street Buslon. MaNX 02111 Workers' Compensation Insurance Affidavit ~' li :in itif•rtn ion'• - ._... r�- —p 1 -�. •......�..,..-..........s.�..•...-. .....r-. ----•- --- - no m C I am a homeowner performinc, all work mvself. m,a sole proprietor and have no one working in anv capacity �/�-- �.s^ --•...�.�:�.r rr... +�s�r•wM+l7►!.'i:.it•n�^w.,.+.w..�.�r.rw�.�.��.w�• .�..�'�.....�.w...•.w..� �.w....._....-_...... ( L. [� 1 am an emplover providing workers' compensation for my employees working on this job. cnntnany name: address: citw nhnnc#- insurance co. nolicv is [I 1 am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who ha%•e the following workers' compensation polices: comnani• n•ttne• address: cin•: nhnne#• insurance rn nnlir•tt cnmpmnc, nnmc• addresc•` ritwr phone#• incur•tnce co policy# Attach additional sheet ifneceSsarV:`--,t r...._..; -1;• .;.<... _ ...._� ..,�. •.....•::_.:.....'"' ..;'^�.:�::r...-. __...,__.... Failure to secure coverace as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a line up to S1.500.00 andior one wears' imprisonment as swell 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 cop} of this statement may be forwarded to the office of Investigations of the DIA for coverage verification. I do Hereby certify rrnd• rite pains and tal '•s ajper'un•that rite 't rmation provided above is true at d correct. Sicnature Datc Print name Phone# r..crr Infficiai use unl% do not swrite in this area to be completed by city or town official city or town: permit/license# riBuilding Department E3Liccnsing Board I]check if immediate response is required OSeleetmen's office f.. `. E311calth Department contact person: phone#: r(Other s: r• Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' c0illpensation for th, employees. As quoted from the -jaw". an cmpinree is dcfincd as every person in the service of another under aft\• contract of hire, express or implied. oral or written. An emplorer is defined as an individual, partnership, association, corporation or other legal entity. or any two or mo 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 tl 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 he or on the `_rounds or building appurtenant thereto shall not because of such employment be deemed to be an employ( MGL chapter 152 section 25 also states that every state or local licensing agency sl►all withhold the issuance o►- renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant m.-ho 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 been presented to the contracting authority. %'.�i.. •.ill�. �'• 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 cite 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 require to obtain a workers' cotnpell sail on police. 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 the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. PIL be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned 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 questic please do not hesitate to _give us a cz-ll. Tile 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 ti .:�`�-,._' �� i� yny"ai x�P�� g' �,TN�r,.>� .-� 7"�n'cFfa�lm"'A#sg;i. • 6L9Z0 * � �FYs'. 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K c,� �So^ F E m A =n Vr o „ g� �18 ��•8 ynm m ^ a> A g4IUMHP m$A nn e �0,Rzo�kpA :'z 5^c E £z > ^8' 6,2 a = ^ n 31 sx - 5 xa„ DyBx a ?��p�zcg' �£ zma� G^ o 22z on ym� r�1zFta>iEc'nA$ a^= an £ r = ^gF"=„s R " A o X F m � -^ .. �C �.- z C I I' o n GC•^ a.5� 80: ?cw 8 II, N ig ':I 1 N " N £ o 0 0 p a is gAKt#o8A8 $ xc~ s o ^aaa Vy S12 $cc >" o 03 i u;i 7Y-0 0/0 STEEL I•2�4�2'(�Y 2{t}"t E><Itif.! 12•f 255026-0 I ,9 �I - -- — „—L L_ `------ — 2. j - - FACE,CF . L NATION © LINE."A'__ - —_ FRONT D$ I ALL - - 0 e II A i I - yrp r cvPACER bPAcsu(yb - (1TP.) ROOF FRAMING PLAN 1 a of f.:c.E CF ELEVATION (9 LINE - -BACK SIDE WALL - Fw P nK + 1n�iilo �ny e,'y l o ra'i al Cc Tom. es yl N CUTS MU�T Br -- I Rd.nP _:L:::iHL'ti!L_l vLL3_idnJI LGLTd+i_ �e•,t�, A DELIVERY DALE . - •'»;x; WLL BE ESTABLISHED asw fats aox a ssc c{ (oe.1.,rcc uc..w�c voor �'c asoao w vas sc.Aw. sw,� na w w4 {. ab (•).•wa m 1•)+hs.lss - - oan tar hNRs1 I� mil' A ,.,,. Eryx.?PROM!a metallic builJigg company inl ren¢.•Inrsloa oa.rn ew asa' uu - ♦ss(a.o+,srsl B nH FOR PERMIT III•[ 10110_ _ �a ERECTION PLAN •K U52 55-0 X 27'-0 X 14'-0 112 �aX® h+Bc O •horrXvs C� { PRIGCEN STEEL BUILDINC CO INC ABCO uiffiao Ks anv u asa.nwI HaANN15,MA P.CEMER Yn Oca SaIR:IIU WUr4 b I am ro {u7`7Mau G SEAyKYtE-8 45-96455 �.pf 47 { I I ' I a.Af.l QAf.COWV.(-rrP.) PAF. tnryhf�r. �. C4)�I'x114An�wr7 (tnf.Capri.('frP) �oa.CaL.I(LAf, B ('T,P) Colz.COL.IIGAf:CoWN.(hp,) (Opt-p) (OGE nr0 s0T unn Ew Be C. ELEVATION ® LINE "I- - F ELEVATION ® LINE "4" J I LEFT ENDWALL - RIGHT ENDWALU- A64l kf FKoM Pip.FL.. z NOTE!FIELD CUT PANELS NOR.! AS R RF CUT PANELS I ' .�F.-�r- I � � A$PEEO _ _ - I � AS _ WIR _ I _ . - ti �Zf.GJIREYIENfo J - 'TOeeeC �N 0..- .. O C s 15'-0•0/0 STEEL . • `U0 A F C }n 0 h c:: aln of . SHEETINLINE ..1., - SHEETING 2LINE_"4"__ LEFT ENDWALL RIGHT ENDWALL 'awl. HwY4.5 �+ h metallic building company A 4I11 'OR APPROvµ + . 6 5.119 FOR PERMIT a1m TM+[�•MArsgl WS•n.0 YS+011e >o,ro., m.fl.eE-me a TnaO s W ERECTION PLAN N57 55'-O x ])'-0 % 15-0 Mma+ PRIOGEN STEEL BUILDING CO INC AOCO HYANNIs 4A P,(,(� gOgE_B a5-96a55 E 2 0( B a-o E. . K c ;Y'o R'PWL(76GA) . l � 1 NVO E N � 1 _ � 1 1 n T7 I 6 GLEAK - G, (n 1 1 _ r �1 � f z o Wi12a�b Z � 2"-IN- GLtP a N � I 2aatec,A. 'al T 1 c l R PMCI Q.6 ) xis 6'-6} r W-o EH I 1 1'•5'2 te'.fyx_ v� 14:0 --•� 3 'oA11El(MG,:, _ w I Owm 61he1� An j IK 1 V 1 ub� I. 1\ Cn m 12Y� Z 44'•61Ie I � . tM 0-0 C I'o� m . R PARR(76GA) - 3 r-s5 6•_ey vg 4-0 sgLo c r= s� — Y 0 �0 �s a e H� F55'-0 0)0 STEEL I= O J y 17'-6 20'-0 17'-6. p LT _ -V EXISTING BUI DING _ K:p1ioM OF e:—,1C.' r6 m � Fm o - 20'-0 16-6; O /f _ z o � D v •. 0 :5 o S I c t_ S ( >A- A F • F 1 O S e 17'-6 20'-0 17'-6 1 1-Z A n i l r _ FAGS OF EAIHr FAGFi rh `l��-O NArr;NlzY WAw ��i> �F (� E.<IOT.r91(try • —47 BASE PUTE TYPC•A' BASC PUlE TYPC'B' BASC PUTE AttPC"C - BASE PUTE TYPE•D' BASC PUiE TYPC'E' - �/;[j PLAIC TYPC'f BASE PUTS TYPE•C. q"p ANCHOR a.T j'O ANCHOR BOLT 3�0 ANCHOR BOLL i"P AHwp+a0.13 34-0 ANCHOR BOLTS 3�R ANCHOR 80L1 34-0 ANCHOR BOLT ' rfOM JF PJAh l p?TTOM GF-;we.F l - s':a J's is Clnl-'EO JF.Ix:cr Kxfrcn Of\) "m PAINT All Qf4'0 �A>E Pl,wtt.<YFE 3J'_ .. ° >--o >on (REO'D) REID LOCATE (SIZE) BASE PLATE TYPE'H' F'-'rTDM rr' 'E�' 1 r ' - TYP.ANCHOR BOLT DETAIL FOR WALK DOOR 34'p ANCHOR BOLTS CFiL.• I"� J _ 20 ANCHOR BOLTS 6 OF l -T FA✓ .. F�.,..-/ 13j1 e [Y.c A•5ECb0A"A" M'SECTION•B' SECTION•C -SECTION"D' r 4'MIIi • metallic builJin company p 41 FM APPft0Vk m xols n>ws.r.a w•aue . B Fo N PC'Nli[, n Nou n3 wrr o[s[xrnpv ANCHOR BOLT SETTING PLAN .. 9A IIS2 55'-0 K 77'-0 IT 14-0 3:12 asmn PR:GGEN STEEL BUILDING CO IN ABCO LouNN HYANNIS.MA P.(MR NONE SE 96455A9LORE- ♦5- - - J �t� I.W t I FFFr l b� F o� m e ' a � � - r IT 7 3Qf�No o T e ;k I - - -�---�-� I o F y yr. P I a tI � C • � �1�'A_r� !D.-, � F �.,.{,It _ .--t' <*.` E#, i 'tt� r. �4 .., �y� .w`•J i -rr� i 1 ��. � '1:�, O �( ,r i r � M1�.�•7' ('A t -(•4•�-{ Sv yI' t�'-}}yy4'. �1t�� -.���R•� ��'•• ,°. �� r;. •"!e ''hit. � e...#_ w ` �` • . The Conlnu nivealilt of Afassacllusetts Dcpartil:est ojludustrial Accidents ' 011lceoJlm�estlgallods C. 6110 Multington Street -.. Boston.Afusx OZlll Workers' Compensation Insurance.Amdavit tARNica—ntZnformation� Please 6{► '• M � i2!l�wl.1'L• T9 !9!!�!!w9 �S'� acme: Mark W Wisentaner d/b/a SPa shnra T2ni i rli ng� =n location-P•O. Box 428 city Sandwich, MA 02563 nhnnc# (508) RRR 27nl ❑ 1 am a homeowner performing all work myself. 1 1 am a sole proprietor and have no one working in any capacity Q lam an employer providing workers' compensation foamy employees working on this job. romnnny name! Sea Shore Building Company addles• P.O. Box 428 cih•! Sandwich, MA 02563 nhene th (508)'888 2701 • insnrtnr �.+ Legion Insurance Company nniirr# WC2-0119218 1 am a l , general contractor, m etrde one)and have hived the contractors listed below who 1 the following workers' compensation polices: tmmaam•name! Priggen Steel Building Company. Inc. " atfdresL- 133 Franklin Street ).! Wrentham, MA 02093 nhene+t` lnsurnncr re- noiirr# ' 1 �•�..a. .N. �7.� — utJf!O]'. :..•.it�RS:�'!IRS—!?n�,.fLY'a etimnanV name• Sandwich Concrete Foundations address• P.O. Box 744 city! Sandwich, MA 02563 phone#, (508) 833-0007 insurance rn tneiier ! . Atiachadd(�iana!"sbeettfaecessa � ••••.�:-••i�•�•-�-;�•�-�+��+.��:—�•�•,=•-�• »�� ----- Failure to secure coverage as required under Section SA of D1CL I52 can and to the imposition of eriatiaal peoa des of a tine up to 61.SOo.Oo and/ one rears'imprisonment as well as ch•ii penalties in the form of a STOP R•ORK ORDER gad a tine of S1t1 =a day!pint me. 1 understand that copy of this statement mad•be forwarded to the OMee of Investigations of the DU for eoraa{te verification. - I do here . ' •under the pains and,penalties of perjure that the information ptarided above is vuc and sect Siang ure am Co /2 9 Print name /4 t1''� v'� ' tme# �G. Omcial use only do not write in this area to be completed by city or town otQdal div or town: permitAfeease# rtlluiidinn Depsrim`eat �Llcensing Board'- check if immediate response is required (3Seleetmea's Wee t3liesilcontact person: phone ll; ri d Department U her '.t';_r' iiasa,iir✓ro s.anr:.ri .:...ea • o.a. Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for V emplo.•ces. As quoted from the"law", an cmplmvee is defined as every person in the service of another under an), contract of hire, express or implied, oral or written. An emple)ver is defined as an individual, partnership.association, corporation or other :-.-gal entity,or any two or m the fore:oin, 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 i Owner of a dweiling 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 wort: on such dwelling 11 or:on the`rounds or building appurtenant thereto shall not because of such employment be deemed to bean emplo} MGL chapter 1*52 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 commonivcatth 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 been presented to the contracting authority. .�.�.•.rw�..•�.�. � y.ra. 1 i•� ''1••. .... t .� •: fir'•^��,.;.wl'A•:gn!t�T.. +�...'t �.:. s' �• :i•. .•�.' - p•a'7:•iv� " -?., :•T'q:.'.1:�'•�.,.. �.•. ;ems'•=._ 1:• r� t .r.R;:-•�•. ,i• ..l. 1 - .. •'e .... ••..: ;/i'i• ":µw.fT:92:.W u+:A 1. 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 covers=e. Also be sure to sign and date the affida�•it. 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 require to obuiin a workers' compensation policy, please call the Department at the number listed below. Citv or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pl be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returnee 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 quesd( please do not hesitate to give us a call. The Department's address. telephone and fax number. M The Commonwealth Of Massachusetts Department of Industrial Accidents Office of investlgations 600 Washington Street _ -- Boston,Ma. 02111 fax#: (617)727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 ,1 •� �'/ze �o�vrr�o�ut�eall�.o�.�aaaac�u�ael� K DRARTNENT OF PUBLIC UETY r, COHSTRUTIOR SUPERVISOR IdICBN$E r 1g r Bxpiresc Birthdau, CS ,} 40 q 58 01/15/1998 01/15/1956 Restricted x is r. �P'O BOX 42.1:w, SANDWICH;' NA ,02563 • . w ,F. 1Y { Restricted To: 00 44 U G i r 00 - None 1A - ldasonry only I & 2 Family Hemel � Failure to possess,a current edition of"the • Na chusetts State Hui' ing Code cau or revo tin a is icen ' ✓ Engineering Dept. (3rd floor) Map 'ar' Parcel 00 . Permit#— L 39 3 / House# eal 1411, Date Issued g o2b �9 to Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) <Q 11— 1',^ti Fee Conservation Office (4th floor)(8:30- 9:30/1:00-2:00) Jq P 1NE 19 ' BARNSTABLE. (;R TOWN OF BARNSTABLE / Buildin Permit Application Project Stree Address (O17-1 Village Owner Address Telephone / Permit Request Vic. First Floor square feet Second Floor square feet Construction Type f Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure -5 U Historic House ❑Yes &1<0 On Old King's Highway ❑Yes IWWo Basement Type: ❑Full @16rawl ❑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 X New Total Room Count(not inc ding baths): Existing S New First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes Q N/o Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None 9-Shed(size) fS�x 8 ❑Other(size) Zoning Board of Appealizo horization ❑ Appeal# Recorded❑ Commercial ❑Yes If yes, site plan review# Current Use Proposed Use Builder Information ZName o ( elephone Number Address -- icense# /Home Improvement Contractor# .�orker's Compensation# 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 DENIA FOR THE FOLLOWING REASON(S) • � . . _ . �_ .-fi�"m ry_�•.i--. '�?FSMYTt:N..xm.iT.'�..i':r:%y�C.aiflot*!]WAkf.'Sa�:WLtlM'sN:asNsrsi'n-6!M ^lf''..".:1':""K'" _ _ _ — •�M"t6C NNYc.K:..'iat^-t,+1�a"-v+*`uw�tM�.A�i%ix}� • � � �. 1 '� � t^ n ' i . . °: The Town of Barnstable NAM• e�8n,srnsr,E, • .� ���' Department of Health Safety and Environmental Services 1"9. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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 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: Est.Cost Address of Work: Owner's Name / Date of Permit Application: — /�/ — 96 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. 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 E%IPROVEMENT 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 age t of the owner. .I'/- Registration No. Date Contractor Name OR Date Owners ame TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. • DATE JOB. LOCATION_L4 "Number. Streo addrese Section of town "HOMEOWNER" --- Nam Home phone Work phone PRESENT MAILING ADDRESS City town State Zip c: The current exemption for "homeowners" was extended to include owner-occi dwellings of six units or less and to allow such homeowners to engage an dividual for hire who does not possess a_ license, provided that the owne: acts as supervisor. DEFINITION OF HOMEOWNER: Person(sl who owns a parcel of land on which he/she resides or intends tc side, on which there is, or is intended to be, a one to six family dwell-4 attached or detached structures accessory to such use and/or farm structt A person who constructs more than one home in a two-year period shall not considered a homeowner. Such "homeowner"- shall submit to the Building Of on a form acceptable to the Building Official, that he/she shall be respc for all such work performed under the building permit. . (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with th. Building Code -aad other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and'requiremE: and that he/she will comp l 'th s id proc dares and requirements. HOMEOWNER'S SIGNATIIRE APPROVAL OF BU=ING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be require to comply with State Building. Code Section 127.0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for w� ch...a. bu: permit is required shall be exempt from the provisions of this sectic ' (Section 109.1.1 - Licensing of Construction Supervisors) ; provided t Home Owner engages a persons) for hire to do such work, that such 8c shall act as supervisor. " Many Some Owners who use this exemption are unaware that they are as: the responsibilities of a supervisor (see Appendix go Mules and Regul for .licensing Construction Supervisors, Section 2.15) . This lack of often results in serious problems, particularly when the Home Owner k unlicensed persons. In this case our Board cannot proceed against # inlicensed person as it would with licensed Supervisor. The Home Owr as. supervisor is ultimately responsible. •La. To ensure that the Home Owner is fully aware of his/her responsibilit communities require, 'as part of the permit application, that the Home certify that he/she understands the responsibilities of a supervisor. last page of this issue is a form currently used by several towns. Yc care to amend and adopt such a form/certification for use in your com • I 7- T 24 T'`3z 414 T'r33 i J• .o o� OF GEORGE G`�+ cp LAMIDE3 PNo.22223`O WTS 24.? .. i d N Fni \ xg -T.P. 4-1 I CeI'�;-'v -�i)Qf �)C bU/l�f/�•? �1,oK�i r jf::e+er-erzc ef W/VFD B y `F>nrnsfo�le ,�ar� L.ourt ,DDUc'LDS � l�i�/!�.�5 � C e r s40/l 7)oc. _' 74 714 SC A 4 4F /"- 2 6' �'r� 1644/ B S�' °eft Goa. J: Z fAlID-S-S R F67 F�cc'e f'.5�¢vCYbQ a8 ,T���SM�4 LN, WY�t�Ma�7tf M.4- r IME The, Town of Barnstable MAS& 14 Department of Health Safety and Environmental Services ArEo Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner August 19, 1996 Douglas Haines 64 Kings Way Hyannis MA 02601 Dear Mr.Haines, We are sorry,but if a permit is not acted on within 6 months,it lapses;and the fee can not be returned. Please let us know if you change your mind in the future. Sincerely Ralph M.Crossen Building Commissioner RMC:ks t4 � Irk r4. °s.,'� y;r,:. �� J Al t:\j Tl�e i-t j 4- id r n,� 74rd �5'C AA, t"Y 4144P-C 4 41 :7PrVSHA Z.14 V/, "y�+4zAVVTH f NLOW /000ya� W/a�5�ee✓e {.eati r "17 w r 120. w 'Back A. of �. KY+ House �,y K►ngst. aY } ." R � 4 a1 3 Yet P.y - - 4 t � 4 , ¢ .4+ LOCATION SEWAGE PERMIT NO. 64 King's Way 84-&7-0 VILLAGE ` Hyannis, MA 02601 A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA , 02601 a BUILDER OR OWNER Douglas Haines 6� Kings Way, Hyannis , MA • 02601 DATE PERMIT ISSUED 5Z09184 DATE COMPLIANCE ISSUED .. .. e `XS � -ft` ,. 1 •,fir 5 Y. i 4.- if +f 44 fi Y—Ain, erti 4 ° p t. f _ Y TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. I DATE JOB LOCATION �i S Number Street Address .� Section 'Of Town "HOMEOWNER" b v L -77 8 61 99- Name Home Phone Work Phone PRESENT MAILING ADDRESS 2_6 s avbvl 1 � • Z� 0 Cit /Town State Zip Code The current exemption for "homeowners" was extended to include..owner- occupied dwellings of six units or less and to allow such 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 to six 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 codas, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements HOMEOWNER'S SIGNATURE APPROVAL, OF BUILDING OFFICIAL, Note: Three .family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. KISC5 HOME 01-7NER'S EXEMPTION The code states that: Permit is required shall beHomenY Owner performing work for which (Section 109. 1.1 provisions is a building . Home - Licensing of Construction Supervisorsf this Owner engages a person s section Owner shall act as Supervisor. - hire to do such work � ' Provided that if that such Home Many Home Owners who use this exemption are unaware that the responsibilities use a suphis exisor . (see A for Licensing Construction Supervisors, Section 2•15 they are assuming Appendix Q, Rules and Regulations awareness ;Often results in serious -Owner hires unlicensed ersoer Problems � • This lack of this particularly when the Home against the unlicensed person as it wouldcase witholiceoard cannot Home Owner acting as supervisor is ultimately res licensed su ervi.soor. T P ible.P The To ensure that the Home Owner is full many communities require the perare of his/her responsibilities, Owner certify that he/she undsrstandstthepreons On the last a responsibilities that the Home You may page of this issue is a form currentlybusedlbs se a supervisor. y care to amend and adopt such a form/certificationyforVeral towns. community. use in your I CMI0 � TH OF MASS ETTS DErAi%AMN'T OF INDUSTRLA-LACCIDENTTS M (,(1n �? SuING7-O'� STIR fames C BOS i ON, 02111 c^�ss Vnn WOIU�E-I:S' CO)\0LNSATION INSUR NCE AFFIDAVIT I, tJ cr �^�O II (licensee/permincc) with a principal place of business/residence at: (City/Statac/Zip) . do hereby certify, under the pains and penalties of perjury, that: j J I am an employer providing the following workcrs' compensation coverage for my employees working on this job. Insurance Company Policy Number j ) I am 2 sole proprietor and have no one working for me. w'12m 2 sole proprietor, gencr-,i contractor or homeowner (circle onc) and have hired the contractors listed bclo��, who h2vc the following workers' eompcnsarion insurance politics: G—V t 2 �•� s vc_f Name of Contractor insu.,ancc Company/P lice Number Ctrs>ra c�p✓ Name of Contractor lns=ncc Company/Policy Number Name of Contractor Insurance Company/Policy Number Q 1 Zm 2 homeowner performing all the work myself. NOTE: Please be zw:re th:t while bomcowners w•bo easploy persons to do raaintenaMce,construction or repair work on; dwelling of not rnoie than Lbree uniu in whieb the bomcowner also resides or on the rounds appurtcoant thereto arc not Fener:.►J1- eonsidercd to be ernployers under the Workers' Cornpens:tion Act (GL C. 152,seet. IN). application by a bomcowner for: license or permit may evidence the lcg:1 states of an ernploycr under the Workcrs'Compcnsatic, f.et_ I understand that a copy of this statement will be forwarded to the Department of Industrial Accidents'Ofiiee of Insurance for eoveraTC Vcrifie:tion:nd that fa.iJurc to secure cover-mac Z5 rcQuircd under Sccdon 25h of MGL 152 e:n Iead to the imposition of.uim' J pcnJtics eonsis :^o of;:fine of. to S)500.00 and/or i ;pre onmcnt of up to one),c.:and c,: penJzjes il. the form of: Stop Work Order and fine of 5)00.00 a day against mc. Signed this S day of4__,n,() , )9 q __ 44 Licensee/ rmittee cc sor/Pcrmirtor -� The 'Town of Barnstable MPNWAMLF� 16 9. � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner 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 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. ff Type of Work: Est. Cost L U(). Cs el Address of Work: n Owner Name: Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excludes 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 0Owner's e THE CLASSIC POST &' BEAM GARDEN SHED EVELAND CONSTRUCTION 209 Iyanough Road Hyannis, MA 02601 (508) 778-5667 FRAME - ALL LUMBER TO BE FULL DIMENSIONAL PINE 2 X 6 FLOOR JOISTS, RAFTERS, COLLAR TIES. @ 24" O.C. 4 X 4 CORNER POSTS 2 X 4 STUDS AND PURLINS 1X VARIOUS WIDTH DECK, ROOF BOARDS & SIDING ALL VERTICAL SIDING TO HAVE 112" X 2" BATTONS .@ SEAMS OTHER SPECS SOLID CONCRETE BLOCK FOOTINGS (POURED WHERE REQUIRED) ALUMINUM GABLE .VENTS ALUMINUM PLINTH POST FEET ASPHALT ROOF SHINGLES, UNLESS OTHERWISE SPECIFIED 1 X 8 RAKE BOARDS; 1 X 6 FACIA; 6" TEE HINGES; LOCKING HASP ALL HEIGHT DIMENSIONS APPROXIMATE _ e f��� 6a — Yi Assessor's office(1st Floor): !{� `� a`Z 0► �'G iTMt Assessor's map and lot nurpber ]I x Conservation(4th Floor): •L�1�—� a5�"S�L� XBoard of Health(3rd floor): .T T • Sewage Permit number e ;Dewy ant c Engineering Department(3rd floor): �o''�ieyo• House number o NO Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:36A.M.and 1:00-2:00 P.M.only TOWN , OF BARNSTABLE BUILDING ' INSPECTOR APPLICATION FOR PERMIT TO r✓�,(t ' TYPE OF CONSTRUCTION Q a,yt 19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location L4 K Proposed Use r W�d�WO+� kip Zoning District h `z F District 15 /V Name of Owner pfo�L �a)pq—S ,.1,46dress +464 &11 ' (__-Name of Builder 2c, Vt- a h u t-a^S v j�ddress CLh 0 06�N � 140,P14,15 Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost `��. 0 X Area 2' X t Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name �i1L�V1Yd _ Construction Supervisor's License 0 ,33 lv HAINES, DOUGLAS No �`�2- Permit For Build Shed Accessory to Dwelling Location •64 Kings Way Hyannis, Mass. Owner_ Douglas Haines Type of Construction Frame a Plot Lot , Permit Granted August 2 5 , 19 94 Date of Inspection: Frame 19 Insulation 19 Fireplace 19 - Date Completed 19 t f Assessors map and lot number .......... :. ...... ........ Sewq a Permit number ;..,............... • BARNSTABLE, i House number . 1 :..: ' + Naas 9 Gp 1639• �BMOX I TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO '..: .{. Ill` �. ...r T :►. .. - - -, -.A1,J.... ........... TYPE OF CONSTRUCTION �. + � #� ..... ��!..��............ .......19 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: C - 0 1 7 Location .... '. .. ... ��.}.L ��+ ...................... ..........................:............................................................................................................................... ProposedUse Ca •J?,(.................................................I .................................................................................................. Zoning District ....? ........................ Fire District ............................................ ...... ..... . Name of Owner r- ���#� :.Address �f !"'y!.- =... -� 1 w �I .:.............. .......... .... Name of Builder" . .....:... .....:................ ............Address ....:_........................... Name of Architect .... ......................................Address .............T' ---•................................................. Numberof Rooms ...................................................................Foundation ...................................:.. .- tr � '"? ••1.. .5......� ...Roofing ...!...J� l-�..I Exterior ........... ....I.......—........,. ............;................................... Floors ��—"f� "'� (_4-It ...Interior ..!r -`-1V. ,:. :................................................. .,......................................... _.. Heating ..�..., ...............................Plumbing ....... .. -..........,.............................................. Fireplace ..................................................................................Approximate Cost .. ........... ... .................................................. Definitive Plan Approved by Planning Board ________________________________19________ . Area "........... : :......-J...... • ...... f� a0 Diagram of Lot and Building with Dimensions Fee ... ........................ s SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 f t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............................ . 4f7 'i ..�rp s ' '......... JSPADAFORA, DONNA A=328-2 3�8 --C� : 2'4265 Build 12 Story No .....'�.......... Permit for .................................... Garage / Studio ............................................................................... Location 64 Kings Way ................................................................ Hyannis ................................................................................ Owner Donna Spadafora .................................................................. Frame Type of Construction .......................................... ................................................................................ , Plot ............................ Lot ................................ t Permit Granted ......August 4,..........19 82 Date of Inspection 19 Date Completed 19 cs I h 1 { 1 r° Ra ? • � �`� 6 �-- Assessor's map and.lot `number .41..a4p: .•.....••• �. THE T Sewage Permit number , S,EP MUS �a�Py ^ I 'STALLED IN COMPLI STA13LE, House number :. .............•••..V..... ................., e IL TITLE 5 °°''��o yar `. iCNVIRONM ITT` pM)��}}isoso Aa TOWN OF BARNSTA� ZYT LATIONS BUILDING INSPECTOR S ACTOR APPLICATION FOR 'PERMIT TO .•: 1X.D.. .M...5T.••••. .. ................1.' 0........... . .. TYPE OF CONSTRUCTION '..... 4.;..e....:.....:....................................................................... 15�,�... .............>I TO THE INSPECTOR OF_BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. .. '!('F47S....b-:P... ...... ................ ........................................ ProposedUse .... 4 - 1..... U...................................... .............. ...................................... Zoning District ....frn.E:;.)....................• Fire District. . ...... ................ � 4 Name of. Owner .���H�/ ....]. i C4� ..................Address ... .f. G ........ .. .......`` .. .+ Name of Builder- . Name of Architect ....... -. .......................................Address ............ /./.! ................................................... Number of Rooms* ....................... .Foundation ���"��� Exterior .. r••i„2� .... , r.. ......:..........Roofing ...( . ..........................................................Floors ` �y s �..:. ll.....t.....?.�•• .4J................ 0j. Heating ......Plumbing ... .....:.. ... ...: „..: . . ................... Fireplace .......... ................Approximate Cost .............................................. Definitive Plan Approved by Planning Board ________________________________19 Area 1 ......................... O a Diagram of Lot and Building with Dimensions `-� Fee ......... ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH -7b 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .. .. :............ rSPADAFORA, DONNA 4 s Build 12 Stork' 24265 Permit for �` M Garage / Studio #• ..... .........6.4 Kings Way... .. .............................. Location ............................ ............... .Hyannis........................................ Owner .....Donna Spadafora. Type of Construction .....Frame — . ..................................... -- Plot ................. Lot ............................... Permit Granted .......Aucjlx5t:...4..............19 82 � J -Date of Inspection .1931�; .- Date Completed .............19JY ^-- ` _ '4. - • < pr - 1 i �OD j r , 1 1 N i 1 Q Q Al c o'7- 4 ! oo ! F'ivp, Yf � La #64 TO �\ aWooD Go-T 3z -7 o 1 3 ± � . 0 0 / i G o y 3 3 s //44/<5' .SflEBT e- P, U Ns r.{t�- SAYSIDE SURVEY CORP Assessor's offioe .(1st floor): THE T Assessor's maQ and,,lot number ..- .r.:. .....,,.. .. ,U °� Q.,�f 'Board of Health (3rd floor): (7 Sewage,.,.P,p4m t fiumber fir.. - J, ............................ Z 9ASI5TODLE. Engineehn. :�a'tm�nt (3rd floor): 000�"6 9 HousMA e nUn r ��.���..............!�.Lr.�-............ a�0 APPLICATION8'4�&ESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE V BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... `�.`.!.. w` TYPE OF CONSTRUCTION A ' �.......... ..... 19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location `. K 1p, G F' E� 1......... ...-�4,4( ` ........................�. .......... , .......................................................................................................... ,4 Proposed Use .......... ` Zoning District ( �?.. h1 ................... .................... ......`.. ...................,.. " ,�......... .. � .......Fire District �V � S L ( , Name of Owner ............... .................� '�a�i✓1 .............Address loq -11'\Irl(L...U.J � .2r,elI S r.. ................. 'U.J. E 1 Nameof Builder/A!^ .r.�,Y .................................................Address .................................................................................... Name of Architect ..................................................................Address Number of Rooms ............................................................'......Foundation Exterior .... �a � ...................................................Roofng ....�..�...�.p�. . ..1.�............S.....N ....�.�.✓..l..n... ....................... ...................... Floorsvv�.r.9 QOA................................................................Interior ...... . ......... ............ .. . ..... .......... ...... Heating """ Plumbing -.Irv.°`�' ........ t r . Fireplace .............tlN....n . .........................!................Approximate Cost � F �............. Definitive Plan Approved by Planning Board _____ ________ r• l ------------ 19 Area Diagram of Lot and Building with Dimensions Fee ......v............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH _._. ...� ._..... ...�. _,..,. h --•-ter ---� —«,�„ ......,.a, ..,^: �.-..., .� ..�,�. -_-.� ....�_ ..W.., t� n� id i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above 1 ' construction. �44 Name ... "'"' 1 :.....W, ..................... Construction Supervisor's License .................................... hAINES, DOUPLAS.,R. A=328- 002 No ...31157 Permit for ...P:4.i.l.d...A.d d.i.t i.o n .. .... .. .... . ,Single..Fqmi1y..PKqjj.ing....... ....... ............................ ..... Location ........ P...W4Y......................... H V-4xl�.-I.,q...................................... Owner R....Haines .................... Type of`"Con"-duction ....YMAe............................. ........................J ................................................... Plot ......... .-' ............. Lot .................... Permit Granted ....S!ep:�!�mber...,3.........19 87 . .......... .. Date of Inspection ....................................19 Date 'Completed ......................................19 A/S 09� 15 //fv - _ y -� *So.r's offioe .0st floor): Assessor's map and, lot number J � °Z oFYNETo SEPTA TEM MUST BE "Board of Health (3rct floor): 6eG P�� � �` 6 ?a L�;STALLED Its CO6�PLIA\T, Sewage Permit pumber ..... '.. ......................'.......... L 33AHII9TSDLE. . Engineering .: artm.nt (3rd floor): W1 H TITLE 5 9a NAM House n'Urn}er Lt................... .1.............. y a. 0 YP APPLICATIONS WtESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only ` TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......................................................................../... ............... h / TYPEOF CONSTRUCTION ...... .........:...................................................................................! ......................... I 9.F �f TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......6-4-kl '. a...W ... .,..... .. .. 7� kln1. ........................................................................................................... A'Pr-oposed Use ......................................................................................................................................................:......:............... Zoning District .......... ............................Fire District ........ .-............................................................ wt4 Name of Owner . !- .4.11... a.S.... AalO�.............Address .40A.. 1...... . ,... ........ ...�... �"1...5.......... o it Nameof Builder/ w.in P, ............ '..................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ............ ......................................................Foundation ............. Exterior ....L-x. f-)pqar.k........................ ..Roofing. ........s. ...................... 1 FIoors� 5 e-C--A N U c-� ... . JR�?....................................................................Interior ...... ................................................................... Heating ..../ "."- ..................................................................Plumbing �- � .......... .................. .................................................... Fireplace .............�Al.!1A—.SAD.V-.q......................................Approximate Cost ............ :...�.��..�......... _..... ...................... Definitive Plan Approved by Planning Board ________________________________19________ , Area ... ... . ....:............._. Diagram of Lot and Building with Dimensions Fee ............D............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH ill ���4 i6v►S A ' �rc�loSac� 1 � 4zill F_ pis 9 I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS i I hereby agree to conform to all, the Rules and Regulations of the Town of Barnstable regarding the above 1 construction. Name .... ........ + :.... ....................... �' Construction Supervisor's License .................................... HAINES, DOUGLAS R. 31157 Build Addition ................. Permit for..................................... aY Sinqle Family Dwelling ........................................................................ Location, 64. ..... . ............................. Hyannis .................................................................... ......... Owner R. Haines ............................. Type of'Construction ..Frame ........................................ ......................................................................... Plot ............................ Lot ................................ Permit�Granl6a .....��e.p.te.... ..m..b...e.r,,,3.......19— 87 .. Date,of t*nspec ion ......................... .........19 Date Cbmpleted ......................................19 • /11j, I� -- -- ��� 4 All, WAS 14 F- w SN6 1p � o o_ r 'i I �� ��PyoF7NET,�°� TOW14 OF BARNSTABLE S BABBSTABLL 9 BUILDING INSPECTOR O•F�MFY{4 APPLICATION FOR PERMIT TO ... oNs ,?roc ..... 9Pv17Rr,✓....................................................:.............. TYPE OF CONSTRUCTION .....«/�WP......¢!P 1tF........................................................................................... . .......................19A!�. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location4..y.....lC111A)5......!�?'!pJ ....... 1¢ ....................................................................................................... ProposedUse ............ ............................................................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner/v,;. ..11lflt',,rella ....... ........................Address NYl.v Name of Builder .. R•s!�4,�.. :...1 .....r T,Y Address .. 0Nt'SR /�!y/1 �r/iS .............. ).............. . ............ ......... Nameof Architect ✓� C............................................Address...................... .................................................................................... Number of Rooms ...........D.0 ...........................................Foundation .... .....f'>. `'..5....................................... Exterior ..Q.ICY! >L ......CZ!3 ..89.C4R.To1............................Roofing ..... ......!�0..4.F' ........................................... Floors ,l ... 1Y.....Y �" .dy......�`..T/L� ... .Interior ...r!Z�tvotiR,....... ................................ ............................... Heating ....!Y..®.t!/e..............................................................Plumbing .................................................... Fireplace ....✓!PW.l................................................................Approximate Cost .... . ................................................. Difinitive Plan Approved by Planning Board _________________________ e,00 rG z(" Diagram of Lot and Building with Dimensions C S-a a 7© r-- 5 e0 An 3v' i y hereby agree tq conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .As ."•:'••..... ......... .. ................................. Fox, Mrs. Harriet - �< ~ r ` No . - Permit for ...add..t� -». - � ' A ' fami ___..������.�.�������____. ______.. '' 64.. V�O�. ' j ` Location ---. �����-..,.-^--------. Hyannis -------.---.------.--------- . ' | Owner ........Drs.�.� .Fcoc______,.. ' ' \ Type ofConstruction -----'�����---- ~ ----- -----. ---------....--....-.. ' � . . Plot ............................. Lot ----------.. ~ � , ^ JuIY 5 ' 66 Permit Granted ^ lg ^ --- ---------.. _ Dote of Inspection ..... lq -Date Completed --.----------lV � ' PERMIT REFUSED ' °~ .......................................................... l '-'-------^'-----��--'-----r-' - ~~ ` _..~-----.-.....~--,~--~.-'....��-.. ........................................................................ .-. .--------..------:.-.---.---.~.- � lA - - -... 'v'r'~'~- .........................................'' � ' - � -------.-----------.---~.-.-. . f / �� ^ 1 ^ � -------' ' -----------''--^ ^- } � /