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HomeMy WebLinkAbout0550 LINCOLN ROAD EXTENSION (6) urn .C�'ncvL,t/ �a�, ��CT. r �- - �` 1 } LE I�` JJ� ty- 790- �Ga� t ! ' !I t a X- Jov V3 t�I/� . Vy ` DATE 6 l TIME_A M I � j PHONE0 I PHONE ETURNEO AREA CODE NUMBER `YOUR CALL EXTENSION s MESSAGE PLEASE CALL! j� �t UL� WILL CALL AGAtN i 5. Itit k!is�1 SEE YOU WANTS TO IGNED SEE.YOU _` �niversal aaooa To Date / Time�� VNH E YOU WERE OUT M of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Messsge r N Operator �1 AMPAD 23-021 -200 SETS �jL] EFFICIENCY® 23-421 -400 SETS CA ONLESS Town of Barnstable �oF�HE rti Regulatory Services Thomas F. Geiler,Director BARNSTABLE. `MAsa. Building Division .9 . �` - �ATEp MI Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable•ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT#adl() D 4� FEE: SHED REGISTRATION 120 square feet or less Location of shed(address) Village Liufhr e a��-P�w�7cvt1/ Co,u 13 mF-ji✓44 .49-51 De-I iD-0 56C- TiO 'Moab Property owner's name Telephone number Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic'District Commission jurisdiction?` Conservation Commission(signature is required) Sign off hours.for Conservation 8:00-9:30&3:30-4:30 9 $ PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. TT ''ppgg--��� ��''������//��{{.t.MUST `(may �@ry{j9�� (`� 'Ip�'(T j' K r ..' 'T1�,"1' �itl�8: iJ/J� .Al+a'� 11��:®M��1 \1�D �•1v a ti t ..x PLOT PLAIN T .. �4 Ri ,k � • S F E Q-forms-shedreg REV:042S06 NDENTL LNG.IND]�PE X FOREVER INC. ;• , r SCf'U1�E g Adults with Learning Disabilities July 12,2010 Town of Barnstable Torn Pen-y Building Division ;Mt- Perry, i am writing this•letter to confirm that the Living Independently Forever Condominium Association authorizes.Edward Whelan maintenance coordinator of Living Independtl Forever In.c to act on our behalf on:obtaining building and other necessary order to construct a 8x.12 foot recycling shed .located on but campus at 550 Li�nco.IntRd Ext in F.-iyannis.Ma. Centerville Construction has been contracted to do such work. Sincerely. ; Ron Sturz President Living Independently Forever Condominium Associatiol Cc: Raymond Tallia,Condo Trustee Art.Bellos,Condo Trustee James Godsiil, Interim Executive Director: Life LIFE at Hyannis,550 Lincoln Road Ext.,Flyannis,MA 02601 -(508) 790-3600•Fax(508)778-4919 LIFE at Mashpee, 175 Great Ncck Road South,Mashpcc,MA 02649- (508)477-6670•Fax(508)539-8614 Group.Liviiij-at LIFE,175 Great Neck Road South,Madipee;.MA 02649-(508) 539-6979•Fax(508)539-8025 Hf'N db ti -l U1 WYLityLIf''1'IH1NiFWLT1HI`I J + SERVICE: bEPARTHENT OF THE TREASaURY ANTERNAL REVENUE ISTRICT DIRECTOR G.iP.t7. "BOX ,. 80 13k0IKltiYN� my 11202 EmKi Icyer Talent if i Cat!con NurAbgr: tea to . 2 2—;315'04 52 12 1993 Contort Person;i Rb' 13LPH JOi ES 1` 1"JEF'ENl#Et�7L Y 1'OREVER INC CoTIta:ct LIVItIG Te;tephc�na �lumt�er: JS1 F70U3E 60; t;71i3) 488•-i?23' EAST SANDMICH9 l4R 0207 AC1:Gtincl Period Ending: u;n Jun_ S 0 k111,71datltir, Status Classsificatiran: 49.(a) (1) Advance Rulinq Period Begins: Adk46ce. f(ulivia Peri►ad Ends;; Junt_ *TOY. 1996 Adde'ndu,n Tipp i ices: No _. tear APAi icE,nt: Based ,rn ini'orma'tiem you suplyiied� ;and aysuming your 5perati0ns �tiii be as Stated In yc>ur al;p l is atl on fnr rerocjai tie)ii. of e)rempt ion, see have tfeternti ned ;ion are exempt f'rnai t'ede�•al incdrne tax Etnder sectidr, 501 (�) pf the Iiit+rrnaf Revailue Cade ds, ar c►rgan izati►in desci-ibed it,_s;eci;io. n 150Mc) (3 ESecaas,:: you are •a newly creal;eciV c�rgtana�atic►ny vie: are neat 1104 mak inQ a final det►-ratinat ion a1 your foun(lati on s•1:at(is under sec 509W) of the Co(Ic &)gekier, me have `determi ned that yOLL Can reas„nF,b I y expect t:c, be aPublicly6 Supported ar•gani aticea clescribed in s+rctions 1505'(a} (:l} amd 1.7() (b7 (1) G�) t;vi ). Acc.),rdinrgly•, durinry an advant_e eu'llvig p'eriftd yot, sail l be treated as'. a publ icly 7upportr:d orgar,izationv -ancl not as a pr ivatc: fou nd�,ti �an.. This advanc¢ ru l ling pericid begins ,and endis on Atha: dates sh►�tar, ab(iti�e. Ylitivin 90 days aftE:r the. end of yelus- 'advance ruling i�er•iodv you t»us;t send us the informati,Dn needed to do: ine aahet:her Uou have: met the reClui re-- ment�� o{ the app I icah le suppryrt test: dur 1ng the advaticE rut 1 ng pe:riad . If You meat a{i sh that ycsu have been a pal31 1 c i y s;gporte:d organ 'izati con , lie m1 ! I c I a$isi es abII S a seCtiun 8've h n ar Z,05'(a) (�?l organizatitin aS iong as you c:antiviue to meet the r+=qu ireme'Ats; of the appl icab I sulaprlrt test. If you do n►A meet the pub i ir_ auppc.rt; r6quireme:rits duri n0 the: advance ruI i ng per ad-i see !•ai I I . las!s•ify yc►u as a privat;e fa;cvidaticJn for future periods. Also, if we Classify c you as a Private foundation, Ne will treat you E,s a private iaun+idtic►n from Your' b±rgi•nning date fr,r 0UrP(:osE5 "If section 51)7(d) avid 49.40. Grantors ! contributors Jay r'el y cA our cleterrainat iOn that; you are not anc cr�n tri b((t a ays after the ent3 of your advance ruling pe,riod., private foundation unto ! 90 r If you.se-nd us the retqui red infewtuat.iOn !-!lthi^n t;he 90 days+ grantnr5 and Gont!�!but>>rs; may cantinue to rely or, the advance: determination utiti I N make +e a f i via l d►at ,rm i nat i on of your• f ou•ndat i ►�n status. Letter 1Q4r)(D 0/CG) OFFICE OF TOWN ATTORNEY TOWN OF BARNSTABLE INTER-OFFICE MEMO Dated: January 27, 1993 TO: JOSEPH D. DALUZ, Building Commissioner FROM: RUTH J. WEIL, Assistant Town Attorney [ ] RE: Execution of EOCD Regulatory Agreement and Approval by EOCD of Development as a "LIP" project as condition precedent to validity of Comprehensive Permit to LIFE, INC. FILE REF. NO. : ------------------------------------------------------------ As per our discussion of today regarding the comprehensive permit granted to LIFE, INC. (copy attached) paragraph 1 of page 10 of said decision correctly conditions the comprehensive permit " . . .upon approval by EOCD of the project as a LIP project and upon the execution of a regulatory agreement under the LIP program. " Accordingly, LIFE, INC. is not entitled to a building permit until it meets the above condition precedent to the grant of the comprehensive permit. Please feel free to contact me with any questions regarding the above. RJW:cg cc: Keith Hamre �f TM[)C .TOWN OF BARNSTABLE Permit No....3.5827 .: � BUILDING DEPARTMENT I ,.JUn ................ . I TOWN OFFICE BUILDING Cash '639. N/A e4T� HYANNIS,MASS.02601 Bond ................ d CERTIFICATE OF USE AND OCCUPANCY Issued to LIFE, INC. Address Unit A, 1-4, 550 Lincoln Road Extension i t. 5 ► " , Hyannis, Mass.. 02601 USE GROUP FIRE GRADING. OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL-NOT-.BE OCCUPIED UNTIL SIGNED BY THE, BUILDING,-INSPECTOR. UPON SATISFACTORY COMPLIANCE WITH, TOWN' REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0,OF THE MASSACHUSETTS STATE r BUILDING CODE.; ar 2 94 Jan 0 v Building.Inspector TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION MaV- Parcel 14, Permit# 3 Health Divison � e� ® �� Date Issued Conservation Division / ' °�4�/ '7 Ca J Application Fee3�- �o Tax Collector _ P rmit Fee rMt i Treasurer I'�� o� 02. 0� �l ��r� ft1 fkvh, n Planning Dept. .3`/3/G 3 Date Definitive Plan Approved by Planning Board �— • �!►''� !fPPD ANT MUST OBTAIN ASE� R CONNECTION PERMIT FRO THE ` e�l Historic-OKH Preservation/Hyannis ENGINEERING DIVISION OR TOCONSTRUCTION, < l ` Project Street Address J1►/)CD 0'C Village - Owner )S -ea/Address �st� nG��� - _4" ' fol Telephone SO S " 7,jo M 3(:�,00 Permit Request r7 r a dot Square feet: 1 st floor: existing 12 -3 Q proposed 2nd floor: existing i23 D proposed 4 Total new e Zoning District �—� Flood Plain 6 - # 4Q800 Groundwater Overlay 9 1!, MO-5-- 14 Project Valuation ,5, n �)0 Construction Type Lot Size Grandfathered: 0 Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes No On Old King's Highway: Cl Yes $No Basement Type: �Full ❑Crawl 4J Walkout ❑Other Basement Finished Area(sq.ft.) 9X• ���� Basement Unfinished Area(sq.ft) �m3a t Number of Baths: ?, Full: existing new Half: existing ✓ new k--,- Number of Bedrooms: existing Ala-- new d✓ot - Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: Qp Gas ❑Oil ❑ Electric ❑Other Central Air: Q Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:0 existing ❑new size Pool:0 existing ❑new size Barn:0 existing ❑new size Attached garage:0 existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0 Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name �1 i1C bLA C5KST JAL Telephone Number ��� ��'�$`�� ��- P Address I9 PtAyi,k Huro- Pt License# 0 4 U L O V " G S�na�e Home Improvement Contractor# J j 3 Worker's Compensation# C 13 I_w a2 0 S1? 8IF ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO M a CGrl16fv5 SIGNATURE DATE _��51 D3 _ t FOR OFFICIAL USE ONLY rr, �ERMIT NO. _ DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: / ` FOUNDATION Ali)49 a/ 3 �� �L _ �� 6Ac 4 FRAME A FRS'! INSULATION /�✓S U � o!&�a p/�? ��', ,0� ��+s. / FIREPLACE ELECTRICAL: ROUGH FINAL _ PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING f3 fi/V o/E ® a S Z, DATE CLOSED OUT ASSOCIATION PLAN NO. ', RESCOM ARCHITECTS CONSTRUCTION Architectural, Inc. CONTROL AFFIDAVIT Residential &Commercial Architecture P.O. Box 157, 118F Waterhouse Road Project: : Life Building Addition Monument Beach, MA 02553 550 Lincoln Road Extension (508) 759-9828 Hyannis, MA In accordance with paragraph 116.0 780 CMR, the Massachusetts State Building Code, I, Gregory B. Siroonian, a representative of RESCOM Architectural, Inc, Massachusetts Registration Number 9748 being a registered professional Architect hereby certify that I prepared the plans and will be present on the construction site at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. I will submit, periodically, a progress report with all pertinent comments of the site visits and compliance of all pertinent items to the building official. I will submit a re rt as to the atisfactory completion and readiness of the project for occupancy. Arch' ect Date: SEAL ,aVED ANo.9740 Rc z ` souwm, I MA hty OF RESCOM Architectural, Inc. APR-03-2003 THU 10:15 AM OLDS-CAPE-COD 50877 53821 P, 01/01 X 04/03/03 ".""11 -4,2711 M7. Y MOM. : PRODUCER THI& CERTIFICATE IS ISSUED A$ A mirmn or INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE OLDS CAPE COD INS AGENCY, INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 435 MAIN STREET COMPANIES AFFORDING COVERAGE HYANNIS MA 02601 COMPANY A .­.. ONE BEACON INSURANCE GROUP COMPANY AGRICOLA CONSTRUCTION 0 WORCESTER INSURANCE CO COMPANY, INC. COMPANY P 0 BOX 765 MASHPEE MA 02649 COMPANY I 0 - Mw THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED MOW 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 POLIC4ES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY 9"11101 VE POUCY EXPIRATION Lyn DATE(MMIDCIYV) DATE(MMIDD/YY), "mire GINKRAL,LIABILITY CBLW285989 -_1/01/0 3 T 7/705 74 GENERAL AGGREGATE X COMMERCIAL GENERAL LIABILITY PRODUCTS-0OMPJOP AGG a 2 0 0 0 CLAIMS MADE C.l 00CUR PERSONAL&AVJ INJURY 4 1 0 0 0 0 0 0 OWNERS&CONTRACTOR'S PROT . ........... _FIRE DAMAGE(Any one Ilre) 000 MID EXP(Any one person) 4 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ............. ALL OWNED AUTOS -BODILY INJURY SCHEDULED AUTOS (per W60m) HIRED AUTOS ROPILY INJURY NON-OWNEO AUTOS (Par m1dem) PROPERTY DAMAGE 9 GARAQE LIABILITY AVTC ONLY-FA ACAPENT.. I ANY AUTO ACCIDENT­_77777777�: OTHER THAN AUTO ONLY: EACH ACCIDENT 6 AGGREGATE 8 EXCF$$LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM $ B WORKERS COMPENSATION AND WCSIOB18 EMPLOYM'LIABWV �_ hV F THE PROPRIETORI L EACH ACCIDENT 100, 000 PARTNEASIEXEOUTIVE INOL EL 500.,.000 ._qISEA$E-POLICY LIMIT _I OFFICERS ARE: EXCL EL PISEaSE-JA UMPLOYEE 1$ 100, 000 OTNEA DESCRIPTION OF OPERAMON&LOCATIONSNEMME.WSPECIAL ITEMS .51, MOULD ANY OF THE ANOVE DESCRIBED POI1JCM3 BE CANCELLED BEFORE THE TOWN OF WLRNSTABLE :XPIRATION DATE THEREOF, THE ISSUMG COMPANY WILL ENDEAVOR TO MAIL BUILDING DEPARTMENT la-uAys wRirrF*NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MAIN STREET OUT FAZZ17111 SUCH NOTICE SMALL IMPOSE OUIOATION OR LIABILITY U m HYANNIS MA 02601 OF KIM U ON THE COMPANY. ORF sowAtpvg*, AUTHORMD uw A Judi vK Iv An JS A E1.1 it N _ The Commonwealth of Massachusetts - Department of Industrial Accidents Office 8110nesti9atiolls 600 Washington Street Boston,Mass. 02111 Workers' Compensation.Insurance Affidavit 511, — name t h C- location: �- citV phone# 1 4 OU I am a hom weer performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. u✓S- :F Vic,v� x sK,r„"e �} e Y t ,€.. fit * � r� s.,.t,s z.� `S x, i #ak.:-s ^.�rxn r: ( 'a+sfii a4 ,i"'«S $>.sx'} r.�a FS:sefl C °r`'a i xK -xi > r !. tk xx '"+= a.„7 .F€ . s L n { s -' x6mbawy,mane a'�y ,,# (,,. arsfii fir% l�t'+ty 'r-�J-"+xY raj, err`` " ,..�5``"r Y aY >w�� .r + -u mr �s $�3 i�.t{a r ``w �"$ �N,ys: : ra�dLBss p.1. ,�:'.,�'Y �n• ;rs ``" u z rt� ` s �' t r t R f py f .� .mow r { r �, --.P-c _ -.�i\Y "CI q.Y t^.r°X x} -•' k �+,t.r s..» } Y x hone irs c�'3:T•1�"�? �.� :....� "�.-:. .a h�"' 'F' - ..� s, o,llc,':#::1., .. �..> ..'.�.YR < a I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices y L zr i'•ri"-s.:x ..ya^�y[ .'-T.� ,ah�r t� TM.,t:. r ,R i_ Y:Wx'YsS'+}.,�'k'.... 4 .r a ' r.s::>1� c�,yr'.y bPS c T" an name 7 .� sr Y 4 s^sr '[ " 3,o. y ,,, " - :�" r r rt a. 3.-�tiF 1dU�IC-eSS `L.,-+'irk .rirti ,,a �3Yx� pij' s 13�k c `" mil, t . M "�. x ,. JNaC S. ,'`z1n.X' C 3 a x i '` a '� } 47YxrFr fy f Y .C. a '3 i y � sy.,a 'r n a S r �b r�i�s t,sti: ,:7' , ass r-.a ��f .} �'��3i t 5 �ri'rfF�,a z �sr•�.5.v rrr���,t 7-r,� a fi 5 ��.7f } 'z k r Y L='�" . t'� sY "� �'t w r'a '�-.�`rt �aU.dl'ess ^S,�T�a ',� d ..� x x.5 � u s s -rn 2` ✓ Paz 'z.rs �� c'. f :'�'".' .w r L z w4 astr, r aarti; .-w` 3�ft n 3c+ z ^ro i?"` -,srsa}!i<•'.{3" Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify nder the ains and penalties of per'u the information provided above is true and correct. Signature Date _L/- 1 Print name /7� ✓ ®� Phone# � / ® 8-4, tj official use only do not write in this area to be completed by city or town official city or town: permitflicense# DBuilding Department []Licensing Board []check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; I—(Other (revised 9195 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two of more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased'employer, of the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out.in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406 h§ y LIVING INDEPENDENTLY:FOREVER, INC.- 'Serving Adults,with Learning Disabilities Accredited by National Commission for;Accrediici i n'of Special Educataan Services ft •' - / - .J - April 3, 2003 To;Whom It May;Concern As President of Living Independently,Forever, Inc:; f iraiii perniission on behalf of , Living Independently Forever, Inc. to proceed:with recording,the minor.modification to the Comprehensive:Permit- 1,995=20 granted by the'Zoning Board of Appeals of the Town of Barnstable,'1Vlassachuse' on"January 10 ,2003,: Sincerely your , . M Mathews -Pre ide On behalf of:Livug Independently Forever, Inc 'f t - 1 _ LIFE at Hyannis; 550.Liricoln Roa25 d Ext.;Hyannis;;MA 02601 (508);7.90 3600 • Fax (508) 778 4919 .LIFE at Mashpee, 175 Great-Neck,Road South, Mashpee-,MA 02649 • (.508),477-6670 •'Fax(508)-539-8614 ko-up'Living at LIFE, 175'GreatNeck Road:South, Mashpee, MA.02649 •,(508) 539-6979 Fax•(5'08) 539-8025 11YANNIS FIRE DEPARTMENT ova'► os 95 HIGH.SCHOOL RD EXT. HYANNIS,MA.02601 Ht�a�Mi.i I HAROLD S. BRUNELLE, CHIEF Nf4FPkNITE� STUDENT AWARENESS OF iIRE E,YCATIOM PREVENTION BUREAU BUSINESS PHONE (50$)775-1900. FACSIMILE PHONE:(508)778-6448 I TT :DON-AWI CHA!gE,_JR.,CFI_ LT. ERIC F.HUBLER,CFI .I•IPIE PREVENTION'OFFICER FME PREVENTION OFFICER BUILDING'. COPE. COMPLIANCE FORM THIS FIRE REVENTION fUREAU HAS REVIEWED THE PL ATED FOR THE PROPERTY LOCATES AT. .: ALSO KNOWN AS L(`1 G THE CHART 'BELOW `INDICATES' THE STATUS OF OUR REVIEW: r.TYPE CIF CONSTRUCTIOtJs bOCUtj1=NT „1WA.: RECEIVED REVIEWED COMPLIES NARRATIFE RtrIORT 4 2=FIRE EIGN�l1t1 mcu..A,cc S ' 34XpRA4T ER �� 4 SF�'RtNKLER S1lSTE�S: S SP. iiNKLER CQNTRO,L EQUtRMENT.. 6 STANDPI:RE SYSTE�115. L r 7 S`fA,NDPIt�E VALVE�.bCATtIONS `- 8 FIRE DEI?ART{yfENT CONNEeTtON,, ``; 9 FINE PfiOTECTIME SItaNALING SYST i2 : .� 10-FP S S. &ANNUNCIATOR LOCATION I 1.1,SMOKE`CONTROL[.EXHAUST 1 SMOKE.CONTROL EQUIP LOCATION 13 LIFE SAFETY SYSTEM FEAT URES FiWE ETINGUISNING:SYSTEMS At--Kit S CON ON x 16 F1f�E PROTEG71ON ROOMS.•` 1-7 P1FEE AF.OTCTION 1NQlJIP1GNACE ___.._. ALARM.TRANMtSSlON METHOO`: AAR 19 SEQUENCE OF OPEC ATlO_N �'EP RT 2�ACC EPTANCE'TESTING CRi ERiA i W.11 BELIEVE T E DOCUMENTS T B PLET A D.COMPLIANT FOR THE ISSUANCE OF A BUILDING PERMIT WE HAVE COMPLETED THE;ACCEPTANCE TESTING.FOR THE OCCUPANCY PERMIT AND BELIEVE THAT WITHIN THE SCOPE'OF THE BUILDING PERMIT,THE ABOVE:ISSUES'ARE IN COMPLIANCE. MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I I i I Checked by/Date I I I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 2-26-2003 DATE OF PLANS: 01-31-03 TITLE: Living Independently Forever COMPLIANCE: PASSES Required UA = 407 Your Home = 351 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 487 30.0 0.0 17 WALLS: Wood Frame, 16" O.C. 916 19.0 0.0 55 WALLS: Wood Frame, 16" O.C. 693 19.0 0.0 42 GLAZING: Windows or Doors 410 0.350 144 GLAZING: Skylights 11 0.450 5 SLAB FLOORS: Unheated, 2.0" insul. 87 28.0 88 HVAC EQUIPMENT: Furnace, 95.0 AFUE HVAC EQUIPMENT: Air Conditioner, 10.0 SEER ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable 14andard Design Conditions found in the Code. The HVAC equipment select to heat or cool the building shall be no greater an 125� of the d ign load as specified in Sections 780CMR 1310 �n J4.4. Builder/Designer Date 2 RESCOM Architectural, Inc. P.O. BOX 157 Monument Beech,MA 0?.863 . '' -MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Living Independently Forever DATE: 2-26-2003 Bldg. l Dept. 1 Use I I I CEILINGS: ( ] I 1. R-30 I Comments/Location I I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-19 I Comments/Location [ ] I 2. Wood Frame, 16" O.C., R-19 I Comments/Location I WINDOWS AND GLASS DOORS: [ l I 1. U-value: 0.35 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I i ( 'SKYLIGHTS: [ ] I 1. U-value: 0.45 I For skylights without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I SLAB-ON-GRADE FLOORS: [ l I 1. Unheated, 2.0" insul., R-28 I Comments/Location I Slab insulation to extend down from the top of the slab to at I least 2" OR down to at least the bottom of the slab then I horizontally for a total distance of 2". I I HVAC EQUIPMENT: [ l I 1. Furnace, 95.0 AFUE or higher I Make and Model Number [ ] I 2. Air Conditioner, 10.0 SEER i I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no L more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I I difference and shall be labeled. - I I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ ] I Materials and equipment' must be identified so that compliance can i be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I � I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air,. shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not ( permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CNR 1310 and J4.4. I ( ] I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I [ ] I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : i PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I I CIRCULATING HOT 'WATER SYSTEMS: i Insulate circulating hot water pipes to the following levels (in.) : I PIPE SIZES (in.) NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" ( 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 i 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 ( 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- 0 Y CONSENT Re: Living Independently Forever Condominium 550 Lincoln Road Extension, Hyannis, MA The undersigned officers of Living Independently Forever, Inc. and the undersigned Trustees of Living Independently Forever Condominium Trust hereby give our consent to the construction of an addition to the common areas and facilities of the Living Independently Forever Condominium, established dated February 14, 1994 recorded in Book 9275, Page 252, to be constructed in accordance with plans presented to the Town of Barnstable Zoning Board of Appeals as part of the Modification of Comprehensive Permit 1995-20 and initialed by the Chairman of the Board of Appeals on December 11, 2002. Witness our hands and seals this day of March, 2003. Living Independently Forever, Inc. i By: Mar Ann Mathews, President By: Heather Ma oney, Tr asurer Living Independently Forever Condominium Trust Gretchen Reilly, Trustee Heather Mahon y, Trustee vhn J. 1use, Trustee 7 dASL thv. Town of Barnstable "' a a > Zoning Board of Appeals —t Decision and Notice Cn �? Comprehensive Permit No. 1995-20 rr, Minor Modification—December 11,2002 = Summary. Granted C, Go Applicant: Living Independently Forever,Inc.,(L.I.F.E.) O Address: 550 Lincoln Road Extension.H. yannis,MA 02601 Assessor's Map Parcel: 275/25-1 through.25-8 Request: Modification of the plan and decision to allow for an addition to the Recreation/Office building. t Applicants Request: The applicant requested a minor modification of Comprehensive Permit 1995-20 to allow for an addition to the recreation and office structure. According to materials submitted, the addition is to include a basement area to be used as a fitness room,a first floor area to be used as an all purpose gathering/recreation room and a 3/4. second story level to be used for expanded offices and a conference room. On November 18,2002,a letter was presented at the office of the Zoning Board of Appeal requesting the Board consider the change as a minor modification of the Comprehensive Permit Ile,request was processed in accordance with 760CMR 31.03(3). The Board heard the request at its public hearing of December 11,2002. Mr.Dennis I.Mahoney,Project Development Agent represented the request before the Board. He explained the project was to expand the building by adding an addition to the basement and then insetting the first and second floors approximately 12 feet in from the basement leveL The basement addition was shown as measuring 30-feet by.26-feet,7-inches. The second and third floor was shown as an 18- foot by 26-feet,7-inche addition to the existing building. The Board and Mr.Mahoney discussed the uses to occur in the building and it was noted that the space would be for the residence and their guests as well as employees of LIFE. The office 'would not be-expanded in terms of the number of people. It would only increase.in size. Findings and Decision: The Board unanimously found that the request to modify'Comprehensive Permit Number 1995-20,to.permit an addition to the recreation/office building as shown on the plans presented was a minor modification under MGL Chapter 40B and could therefore be granted without a public hearing. The Board then voted to grant the minor modification with the following conditions: 1. The addition*shall be developed as shown on plans presented to the Board and initialed by the Chairman and dated 12-11-02.- 2. The location of the addition shall be as shown on the engineered layout plan presented,and also initialed by the Chairman and dated 12-11-02. 3. Use of the area shall be as cited in the November 18,2002 letter and shall not constitute an-expansion in the number of people now being served or employed at the development. 4. The premises are restricted to LIFE incorporated and no part shall be permitted to be sub-leased or used by any other organization. 1 . The vote was as follows: AYE: Gail Nightingale,Richard L.Boy,Ron S.Jansson,Thomas A. DeRiemer,Daniel TvL Creedon NAY:None Order: The request for a minor modification to Comprehensive Permit No. 1995-20 has been granted. This decision.must be recorded at the Registry of Deeds for it to be in effect Any person aggrieved by this Decision may appeal to the Barnstable Superior Court as provided in Section 17 of Chapter 40A of the Massachusetts General Laws,by filing a Complaint in said Court as well as filing a Notice of such action with the Barnstable Town Clerk within twenty(20) days of the filing of this Decision with the Barnstable Town Clerk's office. 7_ Dann Creedon,Chairmaa Dated Certification: - I,Linda Hutchenrider,Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed is the o ce of the Town Clerk . Signed and sealed thus %' ign � day o nder s and p ties of perjury. A Linda Hutchenrider,Town Clerk 2 Ne o14 C�(174JCI,Cl2CCJP,aQ .IIF_=J Via• ;_�� Board of Building Regulations and Standards �y�. -4\ R HOME IMPROVEMENT CONTRACTOR :'- Registration: 110033 Expiration: 10/2/2004 Type: Private Corporation AGRICOLA CONSTRUCTION CO. INC. JOHN AGRICOLA P.O-BOX 765/19 PUNKHORN POI KgH�IEE, MA 02649 -� i f BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR I Number: CS O40642 Birthdate: 03/21/1960 Expires: 03/21/2005 Tr. no: 9649 Restricted: 00 JOHN P AGRICOLA PO BOX 765 � --c MASHPEE, MA 02649 Administrator f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r' Do?d $� Map Parcel �,� 5 Application # Health Division Date Issued Conservation Division�9/t/ Applicati Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic OKH Preservation/Hyannis Project Street Address Village Owner s Address 70 e- & �LjA -3 TelephoneK Permit Request u F44K c 00 i Square feet: 1 st floor: existing ro 19 proposed 310 2nd floor: existing proposed Total new Zoning District sI Flood Plain Groundwater Overlay Project Valuation b°0 Construction Type 00 4 t?-A-kl'�- Lot Size ly?. 9713 Grandfathered: ❑Yes ❑ No If yes, attach s ' porting documentation. Dwelling Type: Single Family W. Two Family ❑ Multi-Family(# units) 'r c's Age of Existing Structure /°- Y15 Historic House: ❑Yes 4 No On Old King2i.Highw4� ❑Yes U(No Basement Type: W Full ❑ Crawl ❑Walkout ❑Other qX( 101 _ C C` NP) Ooo X� - Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft -� - c� Number of Baths: Full: existing new Half: existing rtewC— Number of Bedrooms: existing _new Total Room Count (not including baths): existing y new First Floor Room Count Heat Type and Fuel: It Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes 4 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 4 No Detached garage: ❑existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No , If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ii Telephone Number Name �i�b1,4/Z� ��W 0.5� Address 1/17� kk*/lu 5% License# 763 ... 9co-n,9-ak(4 kd- Oa,6.3 0 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJ CT WILL BE TAKEN TO w� ill v SIGNATURE DATE `� �� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. i ADDRESS VILLAGE OWNER o , DATE OF INSPECTION: FOUNDATION FRAMEliy . INSULATION e.7 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Roma, P&uI From: Shea, Sally Sent: Wednesday, October 22, 2008 10:40 AM To: Roma, Paul Subject: FW: 550 Lincoln Road Ext. Unit D4 -----Original Message----- From: Dean Melanson [mailto:dmelanson@hyannisfire.org] Sent: Wednesday, October 22, 2008 9:43 AM To: Shea, Sally Cc: Don Chase Subject: 550 Lincoln Road Ext. Unit D4 We have approved the addition of a family room to this residential unit. he has stamped plans, no additional fire alarm equipment needed based on plans submitted. Deputy Chief Dean L. Melanson Office 508-775-1300 Fax 508-778-6448 dmelanson@hyannisfire.org i 1 i APIT Guide to Wood Construction in Fhbh Hlind Areas: 110 iuph b ind Zoize Massachusetts Checklist for Compliance (780 CN1R 530t:2.1.1)' Check Compliance 1.1 SCOPE WindSpeed (3-sec. gust).................................................................. .........•....................................... 110 mph ✓ WindExposure Category.................................................................. ....................:........................................B Wind Exposure Category................Engineering Required For Entire Project .......................................0 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories 5 2 stories RoofPitch ....................:.........:....................................:.......(Fig 2) ........................................... tI 5 12:12 MeanRoof Height ..............................................................(Fig 2).................................................. (,ft.5 33' �- BuildingWidth,W ...............................................................(Fig 3)............................................... --eft 5 80' BuildingLength, L ..............................................................(Fig 3)..............................................423,8 ft 5 80, ✓ Building Aspect Ratio(L/W) ...............................................(Fig 4).................................................0 0 5 3:1 v Nominal Height of Tallest Opening2 ...................................(Fig 4)................................................ la. 5 68" 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)...............:............................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. r� ConcreteMasonry .................................................................... ........... 2.2 ANCHORAGE TO FOUNDATION''' 5/8"Anchor Bolts imbedded or 5/8" Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general ..........................................(Table 4)....................................... - P 9 1 P ( 9 ) in.5 6"—112" n. Bolt S acin from endpoint of late .............................(Fig 5 ..................:................. /� Bolt Embedment—concrete.........................................(Fig 5)...... ...........................................7 in. >7" y.... Bolt Embedment—masonry.........................................(Fig 5)............:............................... in.>_ 15" PlateWasher................................................................(Fig 5)..............................................>_3"x 3"x,/.„ ✓ 3.1 FLOORS Floor framing member spans checked ..........:....................(per 780 CMR Chapter 55)...........I....................... Maximum Floor Opening Dimension...................................(Fig 6).................................................. 0 ft:5 12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........................................ rUjb Maximum Floor Joist Setbacks Supporting Loadbearing Wails or Shearwall................(Fig 7)...................................................._ft 5.d eV9`9' Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8).................................................... ft :5 d A FloorBracing at Endwalls.....................................................(Fig 9)...................................................... ......... y Floor Sheathing Type. ........................................................(per 780 CMR Chapter 55)..........................,... ....... ,r Floor Sheathing Thickness .................................................(per 780 CMR Chapter 551...... .............: � in. Floor Sheathing Fastening..................................................(Table 2)..8_ d nails at in edge/ ice° in field 4.1 WALLS Wall Height Loadbearing walls..........................................................(Fig 10 and Table 5)........................... ft _< 10' Non-Loadbearing walls.............:......:'...........................(Fig 10 and Table 5)........................... 0 ft 5 20' �- Wall Stud Spacing ........................................................(Fig 10 and Table 5)............ ....../(o in. 5 24"o.c. 'Wall Story Offsets ........................................................(Figs 7&8)............................................_:ft 5 d A,114 4.2 EXTERIOR WALLS' Wood Studs Loadbearing Walls........................................................(Table 5)...............................2x�- ft_in. V Non-Loadbearing walls................................................(.Table 5)..............................2x 1� - 0 ft_in. 4.. Gable End Wall Bracing' Full Height Endwall Studs............................................(Fig 10).........................................................:....... WSPAttic Floor Length..........:......:..............................(Fig 11)............................................. ft>W/3 Gypsum Ceiling Length(if WSP not used)...................(Fig 11)............................................ ft>_0.9W and 2.x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11)........................................... or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays Double Top Plate •, Splice Length ........................................................(Fig 13 and Table 6)...................................._ft Splice Connection (no.of 16d common nails)...........:...(Table 6).............................................. AWC Gidde to Wood Constt•ttetiott iir. Hirsh IVhid Arens: 110 tttph tl inet Zone � Massachusetts Cheddist for Coi7t pliance (780 C.-.1'IR 5301.2.1.1)' 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 compliance to Table 9) Header Spans (Table 9).................................. ft 0 in. <_ 11' Sill Plate Spans ........................................................(Table 9)..................................-5-ft ® in. 5 11' Full Height Studs (no.of studs)....................................(Table 9)............................,.......................... ss Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) 640, Header Spans.............................................................(Table 9).................................. 6 ft 0 in._< 12, Sill Plate Spans.... .......................................................(Table 9).................................. b ft_in. s 12" 60-" Full Height Studs(no.of studs)....................................(Table 9).................................... ............... °" Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension, W Nominal Height of Tallest OpeningZ .:.............................................................................rpZ!5 6,8" t.® SheathingType..............................................(note 4)...................................................... Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................ to in. t— Field Nail Spacing..........................................(Table 10)................................................._L2-..in. Shear Connection(no. of 16d common nails)(Table 10)....................................................... �. Percent Full-Height Sheathing.......................(Table 10)...... ............................................ % 5%Additional Sheathing for Wall with Opening> 6'8"(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest Opening?........................................................................�, <6'8" Sheathing Type..............................................(note 4)..................................................... /a,. t.r Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................in. is Field Nail Spacing Table 11 ........................................ ..... .. in. ° Shear Connection(no.of 16d common nails)(Table 11)....................................................... Percent Full-Height Sheathing.......................(Table 11)...................................................... % 5%Additional Sheathing for Wall with Opening> 6'8"(Design Concepts).................... Wall Cladding Ratedfor Wind Speed?.............................................................. ............................................................... 5.1 ROOFS. Roof framing member spans checked?........................(For Rafters use AWC Sppan Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19) ............. -(ft s smaller of 2' or L/3 i® Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)......:.....................................U= �o 3 plf Lateral .............................................(Table 12).............................................L=-t)A plf 600, Shear...............................................(Table 12)............................................S= plf . Ridge Strap Connections, if collar ties not used per page 21... (Table 13)...............................T=M 0 plf &.0 Gable Rake Outlooker...........................................(Figure 20) ............._ft s smaller of 2'or L/2 V 4 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U= lb. Lateral(no.of 16d common nails)...(Table 14).......................................L= Ib. Roof Sheathing Type.... ..:...........................................(per 780 CMR Chapters 58 and 59) ...,........ it Roof Sheathing Thickness........................................... ............................................. in. >_7/16"WSP e-d Roof Sheathing Fastening............................................(Table 2)......................................................... '� v Notes: 1. This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. i P F A►VC Guide to lVood Co»strrrctio�r in IIigH 61'inrf Aieati: 110 »ipJr 6VicrdLv»e Massachusetts Checklist for Compliance (780 Cii llt 5301.2.1A)' 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio, determine Percent Full-Height Sheathing 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 top 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. v. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d staggered at 3 inches on center per figures below: Vertical and Horizontal 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 windows—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. .-MEN THIS EDGE RESTS ON FRAM ING USE Ed NAILS ATB•oji ------------ 11 11 , 71 11 11 1 - 11 11 11 1 it 11 11 1 g �� 71 11 11 I 11 I r I W q l 11 II 1� � ; 1 � _]•- 1 O r'1 I-I 1 1 f l I Ir ►�- li 11 m 1 i i ci f r a f 1 fD h 11 � 1 1 Z {II 11 I i ii ii i i i a Cp94 j i 1 I t0 _II �I I r Q i i i i 1 / 1 FRAMING MEMBER$ I 1 f EDGERJTEFtMEDIAT£ I �� I I W i i 1 11 d IJ 1 1 7 27 1 1 3/8• 1 LerE p u f l F• I � I 1 is iii i N �{{__3 ._JJJ i 4 r- {' '� 1 - ---- -11r-• -----3- �1�-- 11 p+JUbLE tAIL$PACM 1,WL PATTERN PAWL PAN_Et_ PAWL EWE DOUBLE NAIL EDGE SPACING DETAI. See Detail on Next Page Vertical and Horizontal Nailing Detail for Panel Attachment Vertical and Horizontal Nailing for Panel Attachment - 1 1 C r.ew - J ti 4 LOCUS WP ! ar - GROUe.J ee ICB PROIFCrIOx OYERL.Y DfsiR,Ct:GR 1 OD Z0x3[.YaR i5404.0005<.DaiEe a/ei/89 -�-__�_ Orn£e r YD rryDERE:ylCxltr iORCYER. :xY. r� SSolt rxrotx RoaD E/i. r_� — _ ' oR, F P40 0 SD. 1' TV, - _._I; g Sewed �EaScru N7� J_ WFOf OPq�4GE j Il is t!t{ S/ TE PL AN OF L A.VO'' ,1 IN I BARNS rABL E. /H AWN/s, MA . ' PREPARED FOR: ' L'%FE. l A/C. Sc•ac L: - so' AUGU9r B. 2001 EAGLE SURVEY I NG I NC ALL -'V �cCeos)Mas2-8,�2 • s � 9?I El /O8 G tl1Y/Lx O/CCR:SI MM:lxwiCFR / • . Parcel Detail o- Page 1 of 3 (1 Jni ' . 9 t �` d Logged In As: Parcel rcel Detail Wedn October 2 Parcel Lookup Parcellnfo .... Parcel272-025-OOP_ . _. _ _.. _.. ... Condo UNIT 16 ID Unit Condo ;_. �____.._�_��_."_.___..__.__ _..__,�__"._. ..__.�_�.___ 4- Complex LIVING INDEPEND FOR EVER Building BLD 4 Prl Location jF550 LINCOLN ROAD EXTENSION ? Frontage Sec I___._ Road Frontage Fire,___ Village HYANNIS IHYANNIS District Sewer_ ____. _. . __.._ .___. _ ..._., __.___.___._._w_______". Road 22ss Acct' Index Interactiveh` Map 5 Owner Info ....... _ Owner JONES, MAXINE Owner' Streetl 1870 LAKE SHORE DR#3X Street2 iDORVAL, QUEBEC City ICANADA__"__...._________ ,___,_. .__ �__ State _ Zip ;H9S._5X7 Country C) Land Info Acres USe+,Condominiu MDL-05 Zoning Rc-1 Nghbd i000l Topographyi Road Utilities ' Location http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=100053 10/22/2008 Parcel Detail Page 2 of 3 Construction Info Bu' l of Ye r� Roof ..-._ .. Ext __� � I�sas,io�gl Bui 1996 Struct Wall ## E Effect ��__.._.- _.___.. Roof _m _. .�. AC 11133 jNone $Mr iyazl Area Cover` Type .._..� Int; -- ___ _-,-_ Bed _� ..��. .�_...w Style :Condominium Vywall 2 6Bedrooms Wall _.._ - Rooms Int;__r_._ .�- Bath ;-----�__.�_m___ Model Res Condo _I F100r Carpet I Rooms E2 Full Heat _ _._. __w., .-_- ._- Total .__._ ____._ _ Grade ,Hot Air I 15 Rooms Type Rooms Heat .�- _ Found Stories 1 story I Fuel Gas ati d- Permit History Issue Purpose Permit punt lnsp Comments ®ate Date Visit History Sales History Line ale OwnerBook/Page Ss DatePr 1 07/21/1997 JONES, MAXINE 10860/231 $16le 2 06/21/1996 EDWARDS, ELIZABETH 10266/110 $16( TR 3 LIVING INDEPENDENTLY FOREVER INC 1w Assessment History Save Year BuildinXF g Value OB Value Land Tot Value Value Para http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=100053 10/22/2008 Parcel Detail Page 3 of 3 if 1 2008 $2247 500 $0 $0 $0 $22z 3 2007 $2247 500 $0 $0 $0 $22z 4 2006 $2177200 $0 $0 $0 $21i 5 2005 $2041100 $0 $0 $0 $20z 6 2004 $153, 100 $0 $0 $0 $15%� 7 2003 $1287 300 $0 $0 $0 $112E 8 2002 $1287 300 $0 $0 $0 $12E 9 2001 $1641200 $0 $0 $0 $16z 10 2000 $741100 $0 $0 $0 $7z 11 1999 $727700 $0 $0 $0 $72' 12 1998 $72,700 $0 $0 $0 $7� � Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=100053 10/22/2008 P.1 I.IVING INI�E1�E1®TDN 'IJY FORE VER INC. Serving Adults with Learning Disabilities July 7,2008 Mr. and Mrs.$. Earl Jones 870 Lakeshore Drive, Suite X-3 D017 Quebec Canada H9S 5X7 Dear Earl and Maxine, I am writing this letter to co nfirm that the Living Independently Forever Condom Association authorizes you.to move fonvard with yo e addition SSO Lincoln Road.Extension,H ur to the rear of Unit D4, comfortable with your ex Yanrus, vtA 02601. The Condominium Centerville Construction.pion plans,as reflected in the Jan Association is nary 12, 2008 fax from Please keep us apprised of the progress o chan f the j ob and co ge o the plans, as noted above. mmunicate any proposed _ Si cer Y t Ron Sturz President ` Living Independently Forever"Condo �mimiu m Ao tion cc: Gretchen Reilly, Ganda Trustee Art Bellows, Condo Trustee Barry Schwartz,Executive Director,LIFE Matt Cronin,Assistant Executive Director,LIFE Ed Whelan, Maintenance Coordinator, LIFE r LIFE _ E at y Hyannis, 550 Lincoln Road E LIFE at xt, Hyannis,Y ,MA Mash Ol6 ee O 1 1 > 7 508 P 5 Great Neck Road South ( ) 790-3600 Fax 508 _ Group ,Mas ( ) 778 4 Living Mash pee, gig 9 p n at >MA 02 g LIFE, 175 Great Neck Road South s 649 (- — --6670 Fax (50$ - MashnPP fan n��in _ ,�,..,, ___ - ) 539 8614 MIN" mil'- wili ISSUE DATE 0110412008 'RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Jnited Insurance Agency Inc CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE 30 Box 1013 DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 3uzzards Bay,MA 02532- CONTANIES AFFORDING COVERAGE NSURED tichard T Senoski 14i3 Main Street COMPANY A A.I.M.Mutual.Insurance Co 3amstable,MA 02630-1234 LETTER ` . . yI. 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 MAYBE ISSUED OR-MAY-PERTAIN,HE-INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS-SUBJECP TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY MECnvZ POLICY EXPIRATION LIMITS LTR DATE(MMIDDN-Y) DATE(MMIDDfM GENERAL LIABILITY GENERAL AGGREGATE . =COMMERCLU.GENERAL LUIBB-RY PRODUCTS-COMPIOP AGG. PERSONAL R ADV.DUURY ==CLAIMS MADE=OCCUR EACH OCCURRENCE =OW*NERS$CONTRALTOR'S PROT. FIRE DAMAGE(AMVDC tire) MED.EXPENSE(Anyone paaao) AUTOMOBILE LWBILrrV - COMBINED SINGLE LIMIT - ANY AUTO BODILY WIURY ALL OWNED AUTOS (P-P,) SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS BODILY INJURY GARAGE LIABILITY - - (Pauddcut) . - . PROPERTY DAMAGE EXCESS LIABILITY - EACH OCCURRENCE UMBRELLAFORM AGGREGATE OTHERTHAN UMBRELLA FORM WORKERS COMPENSATION AND STATUTORY LIMITS THER EMPLOYERS LIABILITY X niE PROPRIETOR/ - EL EACH ACCIDENT S 100,000 A ARNERMEXECUTIVE)FF - ICIERs ARE. 7005575012007 11/17/2007 11/17/2008 EL DISEASE-POLICY LIMIT S 500,000 EL DISEASE-EACH 100,000 EMPLOYEE COMMENTS/DESCRIPTION OF OPERATIONS OR LOCATIONS: NO PARTNERS ARE COVERED BY THE WORKERS'COMPENSATION POLICY. WOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE TOWN OF YARMOUTH F,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL&S WRITTEN NOTICE TO THE CERTIFICATE M OLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION ' R LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATNES. 1146 RTE 28 1 SOUTH YARMOUTH,MA 02664 UTHORIZED REPRESENTATIVE - Deparfinertt ofIndustria ,Accidents 0 cc of Investigations 600 Washington Street ROSt07f, 2tIA 02111 www.mass.gov/dia workers' CompextsatiouTxzsurance Affidavit: Builders/Contractors/EIectT1da>ls/P.lumbexs A licant L form:atioxt Please PrzntLe 'bI Name (Busincss/Or�1iT�ou/Individua[): l(i �� Address: City/State/Zip: lwyldb4p, Phone.#: Are you an.employer? Check the appropriate box: 'Type of project(required): 1� 4. I am a generontractor and I l 7� I am a employer with al c 6. ❑Ncw conshasetion employees (full and/or part-time).* havo lured the s'tilrcontractors listed on the attached shcct 7. ❑Remodeling Z❑ I am a sole proprietor or partner- Thcse sub-contractors havo ship and have no cmployccs 8. Demolition _ employ ees and have workers' working for me in any capa-Uity.rs 9. NBuilding addition urance.t [No workers' comp. msuran.cc comp-ins 5. � We arc a corporation and its 10-[�Electrical repairs or additions rued ] officers have exercised their 11.[]Plrmabing repairs or additdons 3.❑ I am a homcowncs doing all work mysclL [No workers' comp. right of exemption per MGL 12.❑Roof repairs LinrnranCG required_] t c. 152, §1(`l), and we hay.0 no _ employees. [No workers 13.❑ Other comp.insurancc rcquirDd,] *Any applicant that ebccla box#1 must also fM out the section below showing thou worka-c' coropczuahon Pobcy iIdUrE ti - t jIomcovmax who subrmt thin af5davit mdieahng they aTr doing 0 work and then h rL outs de cantraciDrs must eubrmt sera affi[iaVit uidi�S such. TCrnntractnrs that cbeckthis box mLLst atfachcd an additional sbcct thowing the name of the sub contracims and stale whetl�a or not thosd entitits have employees. If the sub eontraetDra have crnploy,=,they must Pravi dtr t3icir workcrr'comp-potiey ntunba. (am aw employer that is providing workers' compensation Insurance for my employees. .8elaw is the policy and jab rile • inforrrcalinn. Q II •�— junmzncc Company Nam '/ b��V I 1� C0 Policy#or Self-ins. Lic. #: 70 t Ua Expiration Date: X/IA /Sta-ozi �12�S V�4 Job Sitc Address: 11dJC6l/� A Z C xl Ci t7` P� Attach a copy of the workers' compensation policy declarat5ou page (showing the policy number and exptratton date). Failure to scan e coverage as zcrn�Tm�l under Section 25A of MGL c. 152 can lead bo the imposition of criminal penalties of a Eac tip to $1,500.00 and/or one-yeax imprisonment, as well as civil penalties m the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Bc advised that a copyof this statcmc it may be forwaxdcd to,the Office of Invcsti ations of the DIA for insttrancc coves c verification, Ida hereby cc nder pains and penult Pc of perjury th•af the information provided ah Ne%s ue anal correct. f0��� Date: — Si attire: G Phone Offzcinl use only. Do not write in this area, tb be con vpWe-d by city or loan offulaL City or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2.Building Department 3. City/Towu Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone #: Massachusetts General Laws chapter 15Z requires all employers to provide workers' compensation for their employees: Pursuant to this statute an empCoy ee.i.s dc5ncd as "...every person in the service of another under any coniract of hire, . express or implied, oral or written" An emploYar is defined as .,an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise and including the legal representatives of a deceased employer, or the receiver or trustrc of airindividual,partnership, association or other legal entity, employing employees. HOWCYCT flit owner of a dwelling house having not paore than three apartments and who resides therein, or the occupant of the 1we11ing house of another who employs persons to do maintenance, construction or repair work an such dwelling house or on the grounds or building appurtenant thereto shall not becaus'c,of such employment be deemed to be an cmploycr. v1GL chapter 152, §25C(6) also States that"every state or IDe31 Licensing agency shall withhold the issuance or -enewal of a license or permit to operate a business or to construct buildings in the cor=Olawealtlr for any Lppucant w.ho has not pro dueed-acceptableevidence of compliance with the insurance coverage required," VdditionaIly,MGL ohapter 152, §25C(7) states `Neither the commonwealth nor any of its poli;,tzcal subdivisions shall ;nter into any contract for the performance of public work until acceptable cvidcace of compliance with the in--a a-'c cquircmcats of this chapter have been prescntcd to the contracting authority." ,pplicants leaso fill out the workers' compensation affidavit completely, by chcclang the boxes that apply to.your situation and, it rcessary,supply vtib-eoatraetor(s)name(s); address(cs) and phone numbers) along with their cer6_ficata(s)of isurancc. L mitnd Liability Companies(LLC) or Limited Liability Partnerships (LLP)with no employees other than the Lr,mbcrs or partacrs, arc not rcquircd to carry workers' compensation insurance. If an LLC or LIT dots bavc uployccs, a policy is required. Dc advised that this affidavit may be submitted to the Department of Industrial ccidcnts for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should returned to the City or town that the application for thr,permit or license is being requested, not the Department of idustrial Accidents. Should you have any questions regarding the law or if you arc regrtized to obtain a workers' »pensation policy,please call the Dcpartrncnt at the nuzgber listed below. Sclf-insured companies should cntcr their :lf iumranGo liccnsc number on the appropriate line. ity or Tow- Officials. case be sort that tho affidavit is complctc and printed legibly, The Department has provided a space at the bottom flat affidavit for you to fill out in the event the Office of Investigations has to contact you rcgarding.t r-applicant case be sure to f i in the permit/licensc number which will be used as a reference number. 111 addition, an applicant rt must submit nzultiplc perunt/liccnse applications in any given year, nccd only submit onP affidavit indicating current. 4cy infoxina-6ou(if nc-=zjy) and under"Job Site Address" Cho applicant should write "all locations in (city or pm)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the plicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit,must be filled out each rr.Where a hatnc owner or citizen is obtaining a license or.permit not related fo any business or councrcial vcnturc :. s.dog license or permit to brim leaves ctc.) said person is NOT rcguisrd to complctr this a-ffikyit c Office of Investigations would like to thank you in advance for your cooperation and should•you lravc any questions, aso do not hesitate tc give us a call. Department's address, telcphoac'and fax uumbcr. { Tha Coutmonwt-, th of Ma$saGhusetts , ; Dg)at`ment of lnctustcial A.Gcidc�nts w. ` Office 4f Invesi gatines 600 washin&tan See# Boston, MA 02111 Tel. # 617-727-49-0.0 ext 4.06 4r 1-V7-MAS-SAFB Fax # (517-727--7743 11-22-06 v .mass.goY(dia oFYHEr Town of Barnstable Regulatory Services "gam Thomas F. Geiler, Director �4'ATE a Building Division Tom perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta ble.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A: Builder as Owner of the subject property hereby authorize to act on my behalf, in all.matters relative to work authorized by this budding permit application for: (Address of job) Signa f Owner Date Print Name If Property owner is applying for permit please complete the Homeowners License Exemption Form on tb:e reverse side. Town of Barnstable of 1HE tq � y�, o Regulatory Services Thomas F. Geiler,Director sARNSr'ABLB, v MASS, $ i639, Building Division pTF10) Tom Terry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 www.town.b arnstabl e.ma.us Office: 508-862-4038 Fax: 5.08-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The.current exemption for"homeowners"was extended to include owner-occupied dwellinjs of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on"which he/she resides or intends to reside; on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall subunit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) " The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner perfomring work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1,1 -Licensing of construction Supervisors);provided that if the homeowner engages a parson(s)for hire.to do such work,that such Homeowner shall act as sups visor. Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(sec Appendix Q, Rules&Regulations for Licensing Construction Supm-Asors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a liccnscd Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowncx is fully aware ofhis/hcr responsibilities,many communities require,as pan of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form certification for use in your community. REScheck Software Version 4.2.0 Compliance Certificate Project Title: New Family room Energy Code: 20061ECC Location: Hyannis,Massachusetts Construction Type: Single Family Building Orientation: Bldg.faces 180 deg.from North Conditioned Floor Area: 312 ft2 Glazing Area Percentage: 24% Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: Lincoln Road Extenion David Linnell Hyannis,MA 02601 Linnell Enterprises 59 Freeboard Lane Yarmouthport,MA 02675 MEMIMIM .- Compliance:2.6%Better Than Code 11 vow Ceiling 1:Flat Ceiling or Scissor Truss 312 30.0 0.0 11 Floor 1:All-Wood JoistlTruss:Over Unconditioned Space 312 19.0 0.0 15 Wall 1:Wood Frame,16"o.c. 96 13.0 0.0 4 Orientation:Left Side Door 1:Glass 42 0.320 13 SHGC:0.30 Orientation:Left Side Wall 2:Wood Frame,16"o.c. 177 13.0 0.0 13 Orientation:Back Window 1:Wood Frame:Double Pane with Low-E 24 0.340 .8 SHGC:0.33 Orientation:Back Boiler 1:Other(Except Gas-Fired Steam)90.2 AFUE Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2006 IECC requirements in REScheck Version 4.2.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Notes: - Rescheck by Cape Cod Insulation,Inc. 455 Yarmouth Road Hyannis,Ma. 02601 Project Title: New Family room Report date: 10/22/08 Data filename:Untitled.rck Page 1 of 3 a. REScheck Software Version 4.2.0 Inspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-13.0 cavity insulation Comments: ❑ Wall 2:Wood Frame,16"o.c.,R-13.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Note:Up to 15 sq.ft.of glazed fenestration per dwelling is exempt from U-factor and SHGC requirements. Doors: ❑ Door 1:Glass,U-factor:0.320 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Heating and Cooling Equipment: ❑ Boiler 1:Other(Except Gas-Fired Steam):90.2 AFUE or higher Make and Model Number. Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ Recessed lights are either 1)Type IC rated with enclosures sealedlgasketed against leaks to the ceiling,or 2)Type IC rated and ASTM E283 labeled,or 3)installed inside an air-tight assembly with a 0.5"clearance from combustible materials and a 3"clearance from insulation. Sunrooms: ❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Vapor Retarder: ❑ Vapor retarder is installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors;or it has been determined that moisture or its freezing will not damage the materials;or other approved means to avoid condensation are provided. Comments: Materials Identification: ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Project Title: New Family room Report date: 10/22/08 Data filename: Untitled.rck Page 2 of 3 Insulation R-values,glazing U-factors,and heating equipment efficiency are dearly marked on the building plans or specifications. Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: Ducts in unconditioned spaces or outside the building are insulated to at least R-8. Ducts in floor trusses above unconditioned spaces or above the outdoors are insulated to at least R-6. Duct Construction: Air handlers,filter boxes,and duct connections to flanges of air distribution system equipment or sheet metal fittings are sealed and mechanically fastened. All joints,seams,and connections are made substantially airtight with tapes,gasketing,mastics(adhesives)or other approved closure systems.Tapes and mastics are rated UL 181A or UL 181B. Building framing cavities are not used as supply ducts. Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Additional requirements for tape sealing and metal duct crimping are included by an inspection for compliance with the International Mechanical Code. Temperature Controls: Thermostats exist for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided. Heating and Cooling Equipment Sizing: 0 Additional requirements for equipment sizing are included by an inspection for compliance with the Intemational Mechanical Code. Circulating Hot Water Systems: Circulating hot water pipes are insulated to R-2. Circulating hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-2. Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment. NOTES TO FIELD:(Building Department Use Only) Project Title: New Family room Report date: 10/22/08 Data filename: Untitled.rck Page 3 of 3 2006 IECC Energy [Efficiency Certificate Ceiling/Roof 30.00 Wall 13.00 Floor/Foundation 19.00 Ductwork(unconditioned spaces): R�-ftwwft Window 0.34 0.33 Door 0.32 0.30 �8 .. - MOM Other Non-Gas-Fired Boiler 90.2 AFUE Water Heater. Name: Date: Comments: I ✓Z, I - Board of Boil din aoo�nd Sta "OME IMPROVE MENT CONTRACTOR Registrat of ns1 106009 E' #On -_7I21/2010 jrYpe T IntliY dual r# 271776 RICHARp T. SENOSKI Richard Senoski 3413 MAIN ST. f, BARNSTABLE, ! 02630 .. -- _ Administrator r �.� Board of Bn diealCY,,� Const►gctionSURegnlation and St - p L►c ervisor Lns ice andards ense e I s Blat'i ate \ CS 9635 Z126/19 f r,, Explrat►o` 53: Res =�� 7/26120 1f trt►Yn �t)t t 09f Tr# 17471 .rl RICHARp E - '� •3413 T S MAIN ST Z� ��x r `•?_` BARNSTABLE MA --=-�--_:.: ►hissin.c:,_ is Y E _ Skee rot wis CPc. e �a,r_-5 - ice. des __ , l V _ ec- --- � - -- /� /"our W�� o e ` _ 1 1 1 , ` 1 i 171 UE' f� :err � (1 kemoo inel b i eW4} " 1 __._..._..__... i K 4 i f i e ¢, l i t 6 6' 7 7 G oft ous 4. ca-0 i � ► yr, 1 ✓ram,.f r ~�-�....``"^*M. �"�.,� , i a f ^� i f ` I i i a � E 1 f F ' g TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION et- Parcel pp Map- l IiIc atior) # 905 Health Division Date Issued Conservation Divisio" n Applicati on n Planning:Dept. Permit Fee: Date Definitive Plan Approved by Planning Board Historic - OKH Preservation Hyannis �i Project Street Address &QxT Village UqjWwl Owner lowepewde-A foedat rdah Address 6-50 41 k/ Telephone 50r - 3 T Permit Request &o 6� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed ---_Total new Zoning Districtt— ----Flood Plain Groundwater Overlay Project ValuatiO4 b0D' Construction Type Lot Size Grandfathere:d: Q Yes' Ll No If yes, attach supporting documentation. Dwelling Type: Single Family Ll Two Family Ll Multi-Family (# units) Age of Existing Structure Historic House: Ll Yes Ll No On Old King's Highway: LJ Yes Ll No Basement Type: L] Full Ll Crawl L3 Walkout LJ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing' new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: LJ Gas LJ Oil Ll Electric LJ Other Central Air: LJ Yes LJ No Fireplaces: Existing New Existing wood/coal stove: Ll Yes Ll No Detached garage: LJ existing Unew size—Pool: Ll existing Unew size Barn: Llexisting Unew size Attached garage: L3 existing LJ new size —Shed: L] existing U new size Other: Zoning Board of Appeals Authorization LJ Appeal # Recorded L] Commercial L3 Yes LJ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Names Ui� sadd Telephone Number Address f i4t,6-;,d 51 License # Home Improvement Contractor# Worker's Compensation # 7 d o 5-0 tOO ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE i z FOR OFFICIAL USE ONLY e APPLICATION# J� DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME s INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL t i FINAL BUILDING DATE CLOSED.OUT k ASSOCIATION PLAN NO. 1 The Commonwealth of Massachusetts Department of Industrial Accidents' Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A Heant Information Please Print Le 'bl Name (Business/Organization/Individual): t � Address: City/State/Zip: 73&W,4 1, A4-- a' Phone.#: J J" A-te you an employer? Check the appropriate box.: Type of project(required): Iam a employer with 4. 0 I am a general contractor and I * have hired the sub-contractors 6. ❑New construction employees(full and/or p -time). 2.El I am a sole proprietor or partner- listed an the attached sheet. 7. ❑Remodeling . ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp.-msurance comp.insurance.$ required.] S. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions right exemption per myself [No workers iht of e MGL comp. 12.[�Roofrepairs insurance required.]t c. 152, §1(4),and we have no , employees. [No workers'. 13.❑ Other comp.insurance required.] *Any applicant that cheeks box#1 must also fin out the section below showing their workers'corr9aisation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and state wbctbcr or not those cntNrs have employees. if the subcontractors have taxployees,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: U,!✓ �j > co Policy#or Self-ins.Lic.#: 70a 55771 1-o©7 Expiration Date: �o �l.✓U!l� �D rt x I city/state/zip: Job Site Address: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to scare coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investi ations of the DIA for'�R=cr coverage verification. I do hereby cerli nder pair7s•and penalties of perjury that the information provided abo a is uuee and correct Si afore: Date: t "D Phone# �� Official use only. Do not write in this area, tb be completed by city or town offcciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: IIlf®JCIl1a.t1QIl and 1i13t]C u.ctions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: d as "...every person in the service of another under any contract of hire, Pursuant to this statute,an employee is define express or implied, oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance v7th the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone numbers) along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LIP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for.you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit'license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit,must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (ie. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone-and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 T0. # 617-727-4940 ext 40,6 or 1-977-MASSAFF Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia oFYKEr Town of Barnstable Regulatory Services ELAY ssELF, Thomas F. Geiler,Director rFnMtta Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, re,1 POA , as Owner of the subject property . � t hereby authorize �l C/L S e/'1D S t to act on my behalf, in all.matters relative to work authorized by this building permit application for: (Address of Job) G� / 9 0 � Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on th:e reverse side. Town of Barnstable 0f1Hti rp�� �w o Regulatory Services t swaxsrwaLE, " Thomas F.Geiler, Director Q MASS. g Building Division PJfO M��a Tom Perry,Building Commissioner . 200 Main Street, Hyannis,MA 02601 wyny.town.barnstable.ma.us Office: S08-862-4038 Fax: 508-790-6230 _____-------- HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home:phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to . be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A' two-year period shall not be considered a homeowner: Such person who constructs more than one home in a "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building?permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations: The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be.required to comply with the State Building Code Section 127.0 Constriction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section I o9.1..1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q. Rules&Regulations for Licensing Construction Supervisors;Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would Hrith a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that hdshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fomAertification for use in your community. . ISSUE DATE 0110412008 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Jnited Insurance Agency Inc CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE 'O Box 1013 DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 3uzzards Bay,MA 02532- COMPANIES AFFORDING COVERAGE NSURED 2ichard T Senoski W13 Main Street COMPANY A A.I.M.Mutual Insurance Co 3arnstable,MA 02630-1234 LETTER 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 REQUIItEMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT -TON THIS CERTIFICATE.MAY..BE ISSUED OR MAY-PER FAIN,-THI;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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/D(UYY) DATE(MMmD/YY) GENERAL LIABILITY GENERAL AGGREGATE PRODUCTS-COMP/OP AGG. - =COMMERCW.GENERALLIABILITY Q CLAIMS MADE=OCCUR PERSONAL k ADV.INJURY DOWNERS EACH OCCURRENCE&CONTRACTORS PROT. I FIRE DAMAGE(Anyame tire) MED.EXPENSE(Anyone Person) -AUTOMOBILE LIABILITY - COMBINED SINGLE .. LIMIT ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Pam) HIRED AUtOS NON-OWNED AUTOS BODILY INJURY GARAGE LIABILITY - (Per accident) PROPERTY DAMAGE EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTHERTHAN UMBRELLA FORM WNW COMPENSATION AND STATUTORY LIMITS )THER EMPLOYERS LIABILITY X THiARNBRS�OCtnrvE EL EACH ACCIDENT 100,000 A FFICIERSARE- 700557502007 .11/17/2007 11/17/2008 EL DISEASE-POLICY LIMIT 500,00� INCL ®EXCL EL DISEASE-EACH 100�000 EMPLOYEE COMMENTS!DESCRIPTION OF OPERATIONS OR LOCATIONS: v0 PARTNERS ARE COVERED BY THE WORKERS'COMPENSATION POLICY. CEIi;'rlItl,,, ` HOED a _ - HOULD ANY OF THE-ABOVE DESCRIB POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE TOWN OF YARMOUTH F.THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 15 WRITTEN NOTICE TO THE CERTIFICATE OLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION R LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. 1146 RTE 28 )/) C—�— k 50UTH YARMOUTH,MA 02664 UTHORizED REPRESENTATIVE OCT-24-2008 07:48A FROM: 4805959235 TO:15087784919 P.1 , LIVING INDEPENDENTLY FOREVER, INC. r� Serving Adults with Learning Disabilities October 22,2008 NZZ `r _ Gn Town of Barnstable Tom Perry Cnn Building Division Mr Perry, I am wilting this letter to confirm that the Living Independently Forever Condominium Association authorizes Edward Whelan maintenance coordinator of Living Independently Forever Inc to act on our behalf on obtaining building and other necessary permits in order to re-roof condominium units located on our campus at 55Lincoln Rd XtE in Hyannis Ma.Centerville Construction has been contracted to do such work. Sincerely, Ron Sturz President Living Independently Forever Condominium Association Cc: Gretchen Reilly,Condo Trustee Art Bellos,Condo Trustee Matt Cronin,Executive Director,Life LIFE at Hyannis,550 Uncoln Road Ent.,Hyannis,MA 02601-(508)790-3600•Fax(508)778-4919 LIFE at Mashpee, 175 Great Meek Road South,Mashpee,MA 02649•(508)477-6670•Fax(508)539-8614 Group Living at LIFE, 175 Great Neck Road South,Mashpee,MA 02649•(508)539-6979-Fax(508)539-8025 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �� " 'L- Application# Healthealth D iivi ns oiivi ns o �nl 3 "' 91: 5 Conservation Division'-' ' L � Permit# Tax Collector r 1,.?� ', 11 --"`Date Issued Treasurer 0 Application Fee 00 Planning Dept. Permit Fee r �a Date Definitive Plan Approved by Planning Board NECTED SEIVER ACCOUNT Historic-OKH Preservation/Hyannis °� A Amd-##am- Sh e I Project Street Address L4 0 cv u i C Village q At-rtv's Owner �W Address 5�S`� 1-1 A"&0 t W /d 4 0 �- Telephone Permit Request S Y_l c,' S h P� ( �✓Z �4 Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new j' Zoning District Flood Plain Groundwater Overlay `-- Project Valuation��-�-O (�_ Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil Cl Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing new size T x i I I. Other: ��.'sSQF-T Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ "—Commercial--❑-Yes-_ ❑-No -- If yes, site plan review# -- -- - Current Use Proposed Use BUILDER INFORMATION Name`6Q f'L L01-.'a (c,A — -X-n c P Telephone Number S_u7 Address �> Q(2X 7 License# 0 s a 3 D ?e 41 Home Improvement Contractor# �1 DOS Worker's Compensation# CONSTRUCTION B IS TING FROM THIS PROJECT WILL BE TAKEN TO /� ft ,ALL TURE7/7DATE ���/ • FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO: kw c- ADDRESS VILLAGE OWNER DATE OF•INSPECTION: FOUNDATION FRAME } INSULATION ; FIREPLACE ELECTRICAL: ROUGH 0 , FINAL _ PLUMBING: ROUGH n FINAL i m GAS: ROUGH FINAL FINAL BUILDING ►Fii 1 DATE CLOSED OUT r I ASSOCIATION PLAN NO- Ei� •/_ , f The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Coinpensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/IndividuQ: ct R,S 4 1 c)y, T✓1 c Address: C2 X City/State/Zip: Y' ® Phone#: Via&- q-) Are you an employer? Check the-appropriate box: Type of project(required): 1.❑ a employer with 4. ❑ I am a general contractor and I 6 El New construction employees(fall and/or part-time).* have hired.the sub-contractors 2. I am a sole proprietor or partrier- listed on the attached sheet t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8: ❑ Demolition worlang for me in any capacity. workers' comp.insurance. g, ❑ Building addition (No workers' pomp.insurance 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions required,] officers have exercised their 3.❑ I am a'homeovrner doing all work right of exemption per MGL I LEI Plumbing repairs or additions myself:[No workers' comp, e. 152, §1(4),and we have no 12.❑ Roof r airs insurance required.]t . employees.[No workers' 13, Cther �`f b comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policyinformation: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside wutmctars must submit a new affidavit indicating such tContractvrs ibat check this box must attached as additional sheet showing the name ofthe sub-contractors and their workers'comp,policy information. ram an employer that is providing workers'compensation Insurance for my employees. Below is thepolicy andjob site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,,.00 and/or one-year imprisonment; as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insuranroverage verification. I do hereby certi u de h at and penalties of perjury that the information provided above is true and correct Sign afore: Date: Phone#: S c- </7 � -G /� Ofjici use only. Igo not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Flea!th 3.Building Department 3.City/—1 own Cleric 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: xni®rrnanon anct instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,.6i-A or written." An employer is defined as-"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the . receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, COtstruetion or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the Issuance or renewal of a license or permit to operate it business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure.to sign and date the affidavit. The-affidavit should be returned to the city or town that the application for the permit ar license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should der#heir self-insurance license number on-the appmpriate lime. City or Town Officials . Please be sure that the affidavit is complete and printed legibly: The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant = Please be sure to fill in the permit/license number which will be used as a reference ramber. In addition,an applicant that must submit multiple permit4icens a applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job.Site Address"the applicant should write"all locations in - ; (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that•a valid affidavit is on file for fature permits or licenses. Anew affidavit must be filled out each ' year.Where a homeowner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance fox your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Deparment of Industrial Accidents. Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-1077-MASSAFE Revised 5-26-05 Fax# 617-727-7749 w-,&w.m.ass.go v/cia Town of Barnstable Regulatory Services BAMST'`BM Thomas F.Geiler,Director Kass. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 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: Pi'^C FG -,57lu d Estimated Cost Y_2 07-f Address of Work: `)'S�0 L i V✓ cc)l v, i;yo eXt t 14A nJv Is Wl,9 SS Owner's Name �- Date of Application: I hereby certify that: Registration is not required for the following reason(s): MWork excluded by law ❑Job Under$1,000 ElBuilding 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. gIGNED UNDER PENALTIES OF PEMJRY I hereby apply for a permit as the agent of the owner: c ,U . 1 g �i L� a Cv�^s T�'v►. e l DateGdntractor Name Registration No. OR Date Owner's Name Q;f=.homeaffidav voFtH�, Town of Barnstable Reg oatory Services V�SS. Thomas F.Geiler,Director AlED►ter a,�39. Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I, 1 7 ,as Owner of the subject property hereby authorize to act on my behalf, in an matters relative to work authorized by this building pemnit application for: C.v I - 4 (Address of Job) 5 -7 � 9b Signature of er Date Print Name ` Q:FoxMs:owxExPEMVMsrox I, sod(, 10 G - 1 4 c= 0 1 1 30 i z� Jjc a. �a GP \ i 3 i Ol Aa- rJ�)- ti � z 1 / r\ m ;. r 711e �omv�naiuueall� o�✓�aoaacLivaella BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Nurnbeh,U O40642 0 I — E pl�e p 721/2007 r. o: 9523.0 JOH AGRICOLA PO BO 5 " G" W -PEE, Commissioner 6T1e Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 110033 Expiration: 10/2/2006 Type: Private Corporation AGRICOLA CONSTRUCTION CO. XHN AGRICOLA 19 PUNKHORN POINT RD MASHPEE, MA 02649 Administrator g 1 m k i a - j CARRIAGE ROOF T *` LINE e w e VY C�. cCARRIAGE #SCE'DAR f l kit, • i e.,%Cot unrtr l Carriage ShO;4 FROM THE CHARMING SLOPE AND PROTECTIVE OVERHANG OF THE CARRIAGE ROOF, TO THE QUIET, I ' TRADITIONAL STYLING, YOU'LL LOVE YOUR REEDS FERRY COUNTRY CARRIAGE SHED. IN ADDITION TO�ITS OBVIOUS EYE-APPEAL, THIS STYLE FEATURES A FULL 7 FOOT FRONT WALL AND IS AVAIL=1-' ABLE IN ALL SIZES RANGING FROM 6" X 8" TO 10" X 20 a r , } 1 . ,2 X 6 PRESSURE -£TREATEDs FLOOR JOISTS, 1611ON CENTER' ` ° I STANDARD FEATURES AVAILABLE WITH 2. 5/8" TOP-QUALITY PLYWOOD ALL REEDS FERRY SMALL BUILDINGS:, 3. 2 x 4, 16" ON CENTER FRAMING . � , • �� i IL 4."°PINE, VINYL OR CEDAR SIDING 5. HEAVY-DUTY ROOF TRUSSES, 03 16" ON CENTER 9 6-- ROOF SHEATHED WITH 1/2" N, j a _ n 11 " ,w f EXTERIOR,GRADE" PLYWOOD ; 7. ALUMINUM DRIP EDGE 8. ASPHALTJROOF SHINGLES WITH AA 25 YEARLIMITED WARRANTY" yv µ. , 3 Eli 9. ALUMINUM LOUVERS WITH SCREENS 110 1111"" m WON 10. ,ALUMINUM FRAMED WINDOW(S) iiig IFTH SCREENSVINYL SHUTTERS - 9 COLORS ^ 112. MAINTENANCE FREE SYNTHETIC DOOR SEE PAGES 5 & 6 FOR AVAILABLE OPTIONS, CUSTOM DESIGN, AND MODEL FLOOR .N -, , �. .. PLANS. .. ,z m II I I 1 0' X 1 2 GAMBREL #4 PINE C',? 3 y I A Oil WIl ...,. , r I I I I: I � I I i i I = 1 GAMBREL ■ 91I ROOF LINE j NEED MORE HEAD ROOM OR STORAGE SPACE? u THE TRADITIONAL GAMBREL I OFFERS ALL THE FINE FEATURES THAT YOU'VE COME TO EXPECT — I FROM A REEDS FERRY SMALL I BUILDING. BUT, HERE WE'VEY ° ZZ, ADDED THE BONUS OF EXTRA * r HEIGHT AND MORE USABLE UPPER AREA. EASILY ACCOMMODATESoftt • • • OUR OPTIONAL LOFT . . . ADD ONE ON! THIS STYLE AVAILABLE INd ALL SIZES RANGING FROM 8' X 8' ; TO 1 2" X 20 4 TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY r` PARCEL ID 272 025 004 GEOBASE ID 37545 ADDRESS 550 LINCOLN ROAD EXT PHONE Hyannis ZIP LOT 4 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 20404 DESCRIPTION BUILDING D (WORD UNDER BLD PMT 037810/4488) PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services BOND TOTAL FEES: $ 00 OxTHE ( CONSTRUCTION COSTS $_00 753 MISC. NOT CODED ELSEWHERE * iARN3TABLE, MA98. OWNER ." .. LIVING, INDEPEN ,FOREVER 039. ADDRESS 551 RT BA ED Mlr►� SANDWICH MA BUILDIN D V SON BY � DATE ISSUED 01/08/1997 EXPIRATION DATE TOWN OF BARNSTABLE a Q�TMF>0 Permit No. ..��'._.4R8.. BUILDING DEPARTMENT t ""w. TOWN OFFICE BUILDING Cash � ................ h. i FUTk HYANNIS.MASS.02601 Bond y T E M P O R A R Y CERTIFICATE OF USE AND OCCUPANCY Issued to LIVING INDEPENDENTLY FOREVER, INC. Address 550 Lincoln Road Extension. Hvannis. MA 02601 for 'Units D-•1, D-3, D-4 USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF-THE MASSACHUSETTS STATE BUILDING CODE. December 4 95 �) .� 19. ..... f.. ___ Building Inspector ; TWE TOWN OF BARNSTABLE permit No. .. 14 $....... • BUILDING DEPARTMENT I """ I TOWN OFFICE BUILDING Cash ::::::::: :::: .ML HYANNIS.MASS.02601 'N Bond T E M P O R A R Y . CERTIFICATE OF USE AND OCCUPANCY Issued to LIVING INDEPENDENTLY FOREVER, INC. Address 550 Lincoln Road Extension. Rvannis. MA 02601 ' for units D-1, D-3, D-4 USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .. .. .. .December..4. . .. .. 19.9 .. Building Inspector Assessor's Office 1st � � � Y Kt j/�.( floor) Map LOP P6 # :=�T6` Conservation Office(4th floor) Date Issued Vim— .�~ Board of Health(3rd floor)(8:30-9:30/1:00-2:00) C^r Y`;Mee P ( ) CON ,ER G S d P o$T t� �n �6 +�0 C7 EngineeringDe t. 3rd floor House 55U lC'JS STRUCK �SIO NE �r Planning Dept.(1st floor/School Admin. Bldg.) Z$. - Ig95 2.h C44�3, 0 . BARNS,PAAK9tL►E�. ian M9.Definit ed b PlanningBoard NA- Eo F i4 4L,S t TOWN OF BARNSTABLE �' � ��7 -Y Building PermitApplication Project d ss ��"� I,�i.�rn 1 1J )< !)S Village via_U Owner I-o o i a4 ��flear��d erg -11r o�eJ�✓`S�c, Adddress 6S0 1..o p cok�4 CSAg) 740-- 3!u 0Q Telephone r Permit Request Lo . \ d,�.) ((z jt) 13 r"V sr Total 1 Story Area(include 1 story garages&decks) 02 `i' . ' square feet tU n4 i��I+�t Total 2 Storytotal of 1st&2nd stories <r Area( ) �,7�'C� "°,, square feet ltN Estimated Project Cost $ Tn�off' Zoning District C- C- Flood Plain N, Water Protection <�t'P Lot Size I O`7,�k Grandfathered Zoning Board of Appeals Authorization �I~5 Recorded S Current Use Proposed Use Le)L)A o Construction Type lQ 7 F'vn-w,-e Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure I y e -r Basement Type: Finished Historic House ►J Unfinished Old King's Highway (7 i Number of Baths g No. of Bedrooms Total Room Count(not including baths) First Floor 14, - Heat Type and Fuel (j7 -S Central Air Fireplaces Rp(,I(_ Garage: Detached. 011 f-7 Other Detached Structures: Pool ALo& Attached Barn N n 9 t None Sheds_ Jq 6 A(- Other ho ti)9 Builder Information Name14Telephone Number (,O$� �D `�c� QfJ Address ,D .� nk ��Go License# O-c�, Q35�� I 4-e.4 &-M 0,;L(� S l' Home Improvement Contractor# `C> Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 0 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) _ FOR OFFICIAL USE ONLY , PERMIT NO. �F � ��... _ A. DATE ISSUED 5/31/95 MAP PARCEL NO. 272.025.001-008 ADDRESS . 550 Lincoln Rd. , Extension, VILLAGE Hyannis. 02601 ; OWNER Living Independently Forever`, Inc. y, s DATE OF INSPECTION: FOUNDATION FRAME ID �✓r- L�7G, tom. / �' Qw we t ac INSULATIONS ld'�d�7-(A ! +D 1 !4 • 1}�� RZ♦ 1>3 FIREPLACE . . - ELECTRICAL:: ROUGH ti FINAL PLUMBING: '^� ROUGH FINAL GAS: sa ROUGH FINAL r , c - FINAL BUILDING J DATE CLOSED OUT ASSOCIATION PLAN NO. Y r.