Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0093 OAKVIEW TERRACE
I ,. �;t , t ;� �: �t, Town of Barnstable rn the Street-A` roved Plans Must be w ding z .AirrssrwstM ; Post9This,Card So That it is Visible,Fro pp Retained on Job and,this Card Must be Kept MAss. �$ Posted Until Final Inspection Has Been Made. Where a Certificate of Occupancy is Required,such Building shall Not"be Occupied until aK.�Final Inspection has been m it ade:s �� Permit No. B-19-3281 Applicant Name: Steve J Spengler Approvals Date Issued: 11/01/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 05/01/2020 Foundation: Location: 93 OAKVIEW TERRACE, HYANNIS Map/Lot: 268-291 Zoning District: RB Sheathing: ,...<, p# Owner on Record: GALLANT, PHILLIP J&CATHERINE Contractor Name: STEPHEN J SPENGLER Framing: 1 Address: 93 OAKVIEW TERR . Contractor License: CS7071546 2 "' Est, Cost: $ 1830400, . Chimney: HYANNIS, MA 02601 � �' t ' �.. � � � `� t P� 1 •r� Y: Description: nstallation of roof mounted photovoltaic solar systems,26`panels t Permit Fee: $143.35 8.32kW Insulation: Fee Paid:, $ 143.35, Project Review Req: g Date. (� 11/1/2019 Final Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authonied by this permit is commenced within six monthsafter issuan&.OfficialFinal Plumbing: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which tFiis permit has been granted. All construction,alterations and changes of use of any building and structures>shall:bet in compliance with the local zoning by-laws and codes. Rough Gas:, This permit shall be displayed in a location clearly visible from access street or-road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and_Fire Officials.are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing p Service: 2.Sheathing Inspection '" °• 3.All Fireplaces must be inspected at the throat level before firest flue lining isy instal led x Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: �J ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 1. • 1 i M-a ( P r I. ` n p -CJ ace atiJ # Health Division Date Issued '?: "{ POP Conservation Division . Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address ©U /D-& ZEZ_ Village //I/, WY 5 Owner � �✓ � ��f/ G Address .Telephone 5-06 5- 050 "Permit Request Square feet: 1 st floor: existing io proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio -!� Construction Type Dw t o Lot Size zD I�,ZG/�r�c�,) Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family. 0� Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes [3 No On Old King's Highway: ❑Yes &'N* o Basement Type: &(Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) /056 Rz- Number of Baths: Full: existing new Half: existing J new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ®Gas ❑ Oil ❑ Electric ❑ Other Central Air: leYes ❑ No ° Fireplaces: Existing New Existing wool floal stove:; ❑1^ C�'I�lo iv..m.q wi';7 C) Detached garage: ❑ existing �ew size , Pool: ❑existing ❑ new size — Barn: L3 isting anew, size_ � r�L :0 Attached garage: ❑ existing ❑ new size Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ , Go Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address �0 ��Nf� License# A�Fx_- � .ZM&Qz� INS' ou g/ Home Improvement Contractor# Worker's Compensation # MZ�-340A '06 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE h FOR OFFICIAL USE ONLY L : F APPLICATION# ~ __DATE ISSUED MAP/PARCEL NO. p 1 ADDRESS - VILLAGE OWNER DATE OF INSPECTION: t upF.OUNDATIONf °r�'U;�s.41) FRAME _ :INSULATION,�.N. FIREPLACE r ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL } GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. , r The Cone mamsEaM of Massach=ef,Lr Depwtuent of Indasbgai Accidents Q&e of`investigate-ans ' 600 Wmkingtm Street Bostort,Mi 02111 wnw nas&ga,Idia Workers' Compensation Insurance affidavit:BuildersfContractorsMec•Eric ans/Plambers AP—Ifranf Information Please Print l.&6bT- I1T3In (Bosme /Organiiaiianllndivit�at�: �s/� '�/tAnnl S.st�l E /'�e/ 0 �`°�0 Address: "Sa �Zar� CityrSi at,-Mp: �/�(.Z.�y 0 ~ ,VeS j Php= 7 t7 to�� 1Are;you an employer?Check,tim apprapri:it�e box;-- Type of project(required}: 1.❑ I am a employer with 4. am a goal contractor and I G. [+]'Mew employees(fullanVorpat-time).* have �ontcacozs hkedtbesubt 2. am a sole proprietor orpartaer- listed on the attached sbftt y ❑Remodeling strip and hatre no employees These sob-roatractars.bave 8- []Demolifiou to and have workers' working for me in any capacity. employees 9. ❑Building addition [ To workers' camp,,T70 „�t cutup.Insurance:$ required] 5. [] We area corporation and its. I0.0 filectr cal repairs or additions 3.❑ I am a homeowner doing all wont officers hn-e emercised their 11-0 Plambiag repairs or additions. myself[No work m gip- right of exemption per MM 12_❑RDaf repairs insurance -]F ;c.152,§I(4 andweha-m nD employees.[No wod=s' 131�odwr comp.insmrance required.j ;Aay aflpt,�at that c5ecksboa.€l mast also 511ovt tthe sgctioa beTon*slwceing Bieuwadsets'compensstioapoIFes'aaf�rm�c[� Samevoiners vrho.submit this affidavit m&,cxtbzg they are damp eIIwc*sand fa m hue outside coattacmrs must submit a new afdarit:mdtcating saris_ �tcacmrs that check this box�adt attached aII additional sheet slratcia„tLe ulnae of ff1E su4s-ca�sc.�s and ststE uhe{lxer ornuttIsnst+unities bade employees. If the subtadtaactats bane employees,dLey nmst p gvide&Ar workers'comp.policy atmmber.: lam an Rmpli7jw#hat isprm&�mg ti orkem'con ponsation irirurrucce for my employc�m Belau is MepaHc}and job sits informa6gn. It3sumpe Company Name: Pblicy#or Self-ins.Lic. FxpgintionDate' Job Site e Address: Cityl5tatd2.p: Attach a campy of tha workers'campensati on policy declaratiou page(showing the policy iaIImber and expiration date}. Failure to secure—cm—en as requireduuder Section 25A o€IVt[GL c 152 can lean to the irupasitiaa ofcliminal 1? s of a fine up to$1,500.06 andlor one year mprisonmeat,as well as cisil peuahies m 9se fbna of a STOP WORK ORDIIt and a fine,. of up to$250-00 a day against the violator. Be advised that a copy of this statement maybe Em warded to the Office of Im,estigations of the DIA for insurance coverage vecrffic adon- .I do.harely cerh;fy under the. an panaNes afpeduty that Ate infornzation prof dad abm�e is true and correct Sismatvre: Date: /lib°? phone#: '77ZI 3;� Of wiuI use allIy. Da irotwrite in flits area,tabs cmpleW by c4 or town offidaL C)ty or Town: PermitUcense# h Issmmg Authority{circle ont5j:: 1.Board of Health 2.Buil&hg Dep"a lment I,Cit Town Clerk .4.Electrical b3spector 5.Phumbmg Inspector 6.Other Contact Persan: Phone#c 6 I Ac o� DaTEIMIwDDtYY►Y) CERTIFICATE OF LIABILITY INSURANCE r 02128/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON,THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND,OR ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSLIRER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder Is an ADDITIONAL INURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and condltions of the pot icy,certain policies may require an endorsement. A statement on this.certificate does not confer rights to the Certificate holder In lieu of such and or Omeltt($). PRODUCER 04821-001 ��!'� Thomas Hunt a.1%.Exq: (508)780 775 Route 28 - - -- - Wast Dennis,MA 02670 �6'Igs: _ -INSURERS)AFEEOBD)NO.C9YE8EC+E_ T��d a. --- INsuRSR eMutual Insurance Company - ff 3375$ INSURED - Nick Mitchell Nick Mitchell Ldnd9Capnrg usURER c ^� 14 Searsvft Road ` -- '8outti Dennis,MA 42660 _ _ �__ •, -_ _ - —�--- I COVERAGES 'CERTIFICATE NUMBER: REVISION NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AWVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY.REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER QQCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �gp TYPE� OP INSURANCE A - UMJ - LTR �It�• POLICY TS ��I� (�� ,L - OENERAL uABuTY v EACH OCCURRENCE �3 COMMERCIAL GENERAL LIA61LnY - DAMAGE TO RENTED g •• PRE&USE,SADLo=rrapce) . CLAIMS-MADED OCCUR - - MED EXP(Any on*porson) I S -••- — ._ -. _ PER€ONAI,!Z ADV INJURY 15 - GENERAI,AGGREGATE IE ENI,AGGREG AT E LIMIT AP�PLIES�PER, - M PRODUCTS-COPlOP AGG �6 - -• OUCY• i —iI RECT I �OC --, ---.. AUTOMOBILE LIABILITY -_ _ - ---- COMBINED SINGLE L7dTT S - ANYAUTO (EgaC�tdeDO._ .:: ......._._,--.. BODILY INJURY(Per Wicn) $ ALL OWNED SCHEDULED - --- - AUTOS AUTOS BODILY INJURY(Per ecpdani) S HIRED AUTOS NON-OINKED Auros PROPI_RYYoAntaOF— S S umeRELLAI" •• OCCUR l �. — EACH.OgCURRENCE S -_ EXCESS LIAR CLWMS L9AOE I AGGREGATE 5--- OED I RETENTION 3 I gyp�pF��p�q� 7pg� q�� x ECUTNE � TI x I��D RY/y A- rAWG0 792013A 6/25/2013 6/25/2014(gBGty In NH) E LEACH ACCIDENT S S—OO _ . E L DISEASE•EA EMPLOYEE 5 _ 600,000.00 DES 1��1 �PERAT7QNg baipw ._ 61,DDISEASE:POLICY LIMB $ :SOQ,OOO,04 DESCRIPTION OF OPERATIONS! '- (' - ` -•--_---..LOCA710N5!VEMICLES(Altus ACORO 101,Addillonal Remarks.Sohadcle,if more goats Is reg�ired) . CERTIFICATE HOLDER CANCELLATtt)N . Bill Swanson BD Camelot Road SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Brewster,MA 02631 THE EXPIRATION,::DATE THEREOF NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE ACORD 25 2010145 1988.2010 ACORD CORPORATION.Ail,rights reserved, The ACORD name and logo are.reglstared marks of ACORD 'ON • 'DNV NSN1 031'g13OSSH 1N K l l tI0 1Z '833 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YY" F01/14/2014 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Blackstone Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. BOX 3144 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Worcester, MA 01613 INSURERS AFFORDING COVERAGE NAIC INSURED INSURER A. Travers Irsurance Willliam A. Swanson INSURER B; 50 Camelot Road INSURER C: Brewster, MA 02631 INSURER D: INSURER E; COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE;MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR HIeRO TYPE OF INSURANCE POLICY NUMBER TE(MM ATE / LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DaM ES ERENTED $ CLAIMS MADE OCCUR MED EXP(Any one person) 8 PER80NAL 8 ADV INJURY S GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S POLICY n PROJECT LOC AIJYOMOUILE LIABILITY COMBINED SINGLE LIMB ANY AUTO (Ea' d-Ab ALL OWNED AUTOS BODILY INJURY' SCHEDULED AUTOS (Par parson) HIRED AUTOS - BODILY INJURY NON-OWNED AUTOS (Per accidenl),,L1 PROPERTY DAMA GE g (Per acddenI) Ln GARAGE LIAaiLFTY AUTO ONLY-EA,ACCIDENT $`O ANY AUTO .a� OTHER THAN EA ACC $ r1 r- AUTOONLY AGG $1 BXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION S $ YYORKERS OOMPE11BA710N AND El @MPL Y R$LIABILITY ✓ TORY LIMITS PR A ANY PROPRIETOWPARTNERIEXECUTIVE IEUB-1A25360-A-13 05/16/2013 05/16/2014 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMSER EXCLUDED? Yee,dezcr ho under EL DISEASE.FA WLOYEF $ 100.000 SPECIAL PROVISIONS Wow E.L.DISEASE-POLICY LIMB S S00,000 0OTHER 1vift KIRTION OF OPLIK AIIORSI LBMIVNU I VFHIdLE.5 I 4AVLVVIQN5 ADD WENT I SPKAAL FK43VIBIUNS William Swanson is covered by the workers compensation policy. \ CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEi i Fn BEFORE THE EXPIRATION 200 Main Street DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 15 DAYS WRITTEN Hyannis, MA 02601 NOTICE TO THE CERTIFICAM HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURM,MS AGENTS OR REPRESENTATIVE& AUTHORIZED REPRESEMTATWE ACORD 25(2001/08) ®ACORD CORPORATION 1988 Massachusetts - Department of Public Safety Board of!Building Regulations and Standards Construction Supervisor 1 & 2 Family - License: CSFA-046164 ti WILLIAM A SWA14SO O 50 CAMELT RIB N % BREWSTER,MA70263 I ; Expiration . Commissiioonneer. 04/25/2015 ✓�ie C000runzoo Pal oy /lGdeecr. eeae6' �--- �OfSce of Consumer Aff "B smess Regulation . License or reg�sxr ton valid for indmdul use only = HOME IMPROVEMENT CONTRACTOR (efore the expirWon date. If found r tu`rn to Registration: 95091 T e Office:of.9 yp Consurricr Affairs and Busin ess t ss Re ula t� P Expiration: 5/8/2014 DBA 0 Parh?Plaza Siu�te 5170 on -'. 1 Boston,MA 02116 BIL SWANSON I'�BUILDI i 8�REMdiELING WILLIAM SWANSON jf. _ 50 CAMELOT RD �. t7 �� I.. BREWSTER, MA 02fi31\ 71 Undersecretary }, of valid' it out signature .,_. . Town of Barnstable Regulatory Services * s�aivsrMASS.� Richard V.Scali,Interim Director ► " Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder "f1/ ,as Owner of the subject property hereby authorize i' � to act on ay behalf, in all matters relative to work authorized by this building permit. (Address of job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. 4---- Signature O er *uteof App 'cant Print Name 4n=ntame Date QYORMS:OWNERPEWSSIONPOOLS 10/13 . Regulatory Services Richard V.Scali,Interim Director Building Division Tom Perry,Building Commissioner &U MSTeBr B. * MA 02601 200 Main Street, Hyannis, www.town.barnstable.ma.us Fax: 508-790-6230 Office: 508-862-4038 HOMEOWNER LICENSE EXEMPTION - Please Print DATE: JOB LOC�;TION.. village street number MEOWNER": work phone# "HO home phone# name CURRENT MAILING ADDRESS: city/town state zip code possess a license, rovided that the owner acts as supervisor. The current exemption for"home�ers was extended t o include owner occupied dwellings of six units or less an to allow homeowners to engage an individual for hue who does DEFINITION OF HOMEOWNER or two- and/or farm structures. A person who constructs more than one n s who owns a parcel of land on which he/she resides or inteunsd s to reside,on which there is,or is intended to be,a one on a form family () family dwelling, attached or detached structures accessory to suchmit to in a two-year period shall not be considered a homeowner•le for "homeo h work' erformed under the buildin Oermitl (Section hose acceptable to the Building Official,that he/she shall be re s onsi ' 109.1.1) si ed"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, The under gn bylaws,rules and regulations. I Department minimum inspection The undersigned"homeowner"certifies that he/she d �with dep o eC dureBa d requirements emen Building procedures and requirements and that he/she comply Signature of Homeowner Appioval of Building Off cial Code No te: Three-family dwellings containing 35,000 cubic feet or larger will be required to complywith the State Building Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION shall be exempt The Code states that: "Any homeowner performing work for which a building permit is that if the homeowner from the provisions of this sectiono such work,that such Hom owner shall act as supervisor.." . engages a person(s)for hire t Su ervisors,Section 2.15) This lack of awareness often Many homeowners who,use this exemption are unawareonhat they are assuming the responsibilities of a supervisor M y. (see Appendix Q,Rules&Regulations for Licensing Constructs p Supervisor. The homeowner acting as Supervisor is result s in serious problems,.particularly when the homeowner licensed unlicensed persons. In this case,our Board cannot proceed.against the.unlicensed person as it would with a bce P ultimately responsible. i. -ma To en sure that the homeowner is fully aware of his/her respndsithes responsibilities ties of communities Supery sor. On the 1 s the permit application,that the homeowner certify that he/she maynde c a . . . ' sue is a form currently used by several towns. You:may care t amend and adopt such a form/certification for use in.. of this is your comrmunity.. Q;\wpFILES\FORMS\building permit forms\EXPRESS.doc Y Revised 061313. ::+A �u•�T �,�, G ,� (�j3q,K�-vlt�' -7�+-car -d�#NN�r D�IA .a H/C Guide to Wood Construction in High Wind Areas: I ll/mph Wind Zone Massachusetts Checklist for Compliance(780CMR 5301.2.1.1)' 0 Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust).................................................................. .................................................110 mph WindExposure Category.................................................................. .............................................................B 1.2 APPLICABILITY Number of Stories ................:.............................................(Fig 2)............................—j—stories s 2 stories RoofPitch ..........................................................................(Fig 2) .......................................:..G 2,2-s 12:12 MeanRoof Height ..............................................................(Fig 2).....................................:.......z. z ft <_33' BuildingWidth,W ...............................................................(Fig 3).........................................:...... ft 5 80' Building Length, L ..............................................................(Fig 3)............................................... . ft 5 80' Building Aspect Ratio(L/W) ...............................................(Fig 4)................----.........................jr 5 3:1 Nominal Height of Tallest Opening2 ...................................(Fig 4)................................................ ;Qf 5 6'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................................................................ 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete...................•........................................................................................................... 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)............................................... in. Bolt Spacing from endrjoint of plate ............................(Fig 5)...................................."I in.s 6'—12' Bolt Embedment--concrete.........................................(Fig 5).................................................Z in.a 7" Bolt Embedment—masonry.........................................(Fig 5)............................................ — in. t 15 PlateWasher...............................................................(Fig 5)...............................................z 3"x 3"x'/." 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55).................................... Maximum Floor Opening Dimension...................................(Fig 6)............................ — ft 5 12'or L/2 or W/2 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........................................ Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7).................................................... —ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8).........................7.......................... ft 5 d FloorBracing at Endwalls...................................................(Fig 9).................................................................... Floor Sheathing Type ........................................................(per 780 CMR Chapter 55).................................... Floor Sheathing Thickness .....................I.....................:.....(per 780 CMR Chapter 55)....01 A............ — in. Floor Sheathing Fastening..................................................(Table 2)..=d nails at edge!—in field 4A WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)....:...................G ft 5 10, Non-Loadbearing walls................................................(Fig 10 and Table 5).......................G ft 5 20' Wall Stud Spacing ........................................................(Fig 10 and Table 5)................... in.s 24"o.c. Wall Story Offsets .....................................................'...(Figs 7&8)............................................—ft <_d 4.2 EXTERIOR WALLS3 Wood Studs J. Loadbearing walls........................................................(Table 5).....................:........2x -- ft — in. Non-Loadbearing walls................................................(Table 5)..............................2x in. Gable End Wall Bracing' Full Height Endwall Studs........................................:...(Fig 10).................................................................. WSP Attic Floor Length................................................(Fig 11)............................................. -- ft tW/3 Gypsum Ceiling Length,(if WSP not used)...................(Fig 11)............................................=ft t 0.9W �E MASSApy 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11).............................. .............................. ���� Top Plate C) lice Length ft (Fig 13 and Table 6)...C.d....•5►..�t. � o GV 6w\5 ice Connection(no. of 16d common nails)..............(Table 6)......................... .........., ................._ 1 moo, 5( / � /'A5 90 IONP f�� /1 � . Z .4 PR'Gttide to ♦food Construction in High Wind Areas: /10 mph Wind "Lone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)' Loadbearing Wall Connections Lateral(no. of endnailed 16d common nails)..............(Table 7)...........NIA... �f.-.5 ,�............ - Non-Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails)...............(Table 8)........................................................ - Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) able 9 G ft—in.s 11' Header Spans .......................................... (T )...................................3 Sill Plate Spans ........................................................(Table 9)................................A ft—in.5 11' Full Height Studs (no.of studs)...................................(Table 9)........................................................ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table ) Header Spans.............................................................(Table 9).................. =ft_in. 5 12' Sill Plate Spans...........................................................(Table 9)................. ................_ft_in.5 12" Full Height Studs(no.of studs)....................................(Table 9)............... ....................................... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously" Minimum Building Dimension,W Nominal Height of Tallest Opening2 ............................... 6'8" SheathingType..............................................(note 4)...................................................... V'Ls Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................_in. Field Nail Spacing..........................................(Table 10)................................................. in. Shear Connection(no.of 16d common nails)(Table 10)........................................................ Ff' Percent Full-Height Sheathing.......................(Table 10)...........................NB... W�N ..=/° 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Maximum Building Dimension, L t K Nominal Height of Tallest Opening2........................................................................ 5 6'8" SheathingType..............................................(note 4)...................................................... wsP Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ ? in. Field Nail Spacing..........................................(Table 11).................................................�in Shear Connection(no.of 16d common nails)(Table 11).......................... ............................. � I Percent Full-Height Sheathing.......................(Table 11)..................................................../2 - 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 Span Tool,see BBRS Website) Roof Overhang ................................................... (Figure 19).......... ?- ft s smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls SPA L I�t gtHPSo� Proprietary Connectors ` 1�Z sal Uplift................................................(Table 12)............................................U=ga ' Lateral.............................................(Table 12).............................................L=_�& Shear...............................................(Table 12)............................................S=Z Ridge Strap Connections, if collar ties nbt used per page 21..... (fable 13)..............................T= —Gable Rake Outlooker.......................................... (Figure 20)........... It s smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)...................... .....................U= .- lb. Lateral(no. of 16d common nails)...(fable 14).................. ....................L= lb. Roof Sheathing Type...................................................(per 780 CMR Chapters 58 a d 59).................. Roof Sheathing Thickness........................................... ....................... ..... ..K..... i -in.2 7/16"WSP Roof Sheathing Fastening...........................................(Table 2)... 0- Notes: 1. This checklist must 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 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. �0 ASsq ti bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness. pressure treated#2-grade. c MICHELE '61 ' � CUD ILO a RA TUL n $?RUC , No ;.A774 p�FSSQN14 G �d• NP�I�h I { �► W6? EDGE T �I - e ►�►r��rrt����'ti , IN'�.Rt�(t�:Dlk'CE EDGE { . I 1 ���tJtINC� �'-PAMtt3 G TYF f'f- TYP i I { • I 5uc-� I .i ..l R�iL P�f"CE4Lu 3/8 { I I `MIN, . V-/ YygP ATTACHMENT 4 0'f 7 0 5 GA L E fiOR VERZT• ik4b RIZ. �TTAGAMBMT NOTES: 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 memberpf the double top plate. iv. On two story construction,upper panels shall be attached to the top member of die 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 doubt¢ 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 Pastel Attachment of Ot4 KAmi G ESTs 0� TT 711 T 1 ' 7 1 � � tP N 1 d S s1 WOOD s'fRu To a,At. r�cm�,►. WSP ATTACHMENT 0 No? 'TO SGAt,� - to 9 \AK ic L NND # QRIZQWTAL A7TA C.,H M bNT GENERAL NOTES AND MATERIAL SPECIFICATti NS: (Residential IRC Construction) SK-1 FOUNDATIONS 1. All workmanship to conform to the requirements of the iMassachusetts State Building Code,latest edition. 2. For site location and grading information,see Site Plan by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf for a medium sand/gravel composition. Other soils encountered. contact the Engineer of Record. 4. Concrete: Minimum 28 day strength. fc=3000 psi,3/4"aggregate.designed per American Concrete Institute Code.latest issue, maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min.5/8"diam ter, 12" long,wi 2-1/2"hook spaced per Code Checklist,or in concrete piers w/Simpson ABU-series base: SPACED 2'p/c for slab-on-grade construction(i.e.Garage, Basement,etc.). b.) All walls to have min. 244 top horizontal,2"clear,to revent shrinkage c.) All walls longer than 25' shall have vertical control joint with waterstopping between wall joint. FRAMING 1. All workmanship to conform to the requirements of the Massachusetts State Building Code, latest edition. 2. Structural Design Loads: Dead Loads:Actual Weight of Building Component Live Loads:Snow Load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psi' Living Floor=40 psi* Sleeping Floor=30 psi' Decks and Balconies=40 psi' Wind Load: Criteria used for 1 l0 MPH Exposure B or C as noted per plans 3. Structural Steel: (as required) a. ASTM A572 Grade 50:shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter:punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns:shop weld bearing plates to beams;use E70xx electrodes. Alternatively, field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. 4.Timber Framing: a. All new timber framing: Spruce-Pine-Fir No.2 with Fb=1000psi. E=1,300,000 psi,or better. b. Pressure treated timber(P.T.): Southern Pine with F =1300 psi.E=1,600,000 psi,or better. c. Laminated Veneer Lumber:All L.V.L.shall be 1.9E V.L.L. with Fb=2925 psi,E=1.900 ksi,Fv=285 psi,Fc_per=750 psi, Fc_par=3035 psi. Parallam(PSL.): All PSL shall be min. .9E ES with Fb=2900 psi,E=1,900 ksi, Fv=285 psi,Fc_per-750 psi, Fc_par-2900 psi. Note that Microllam and Parallam may be used interchangeabl,,. 1. Deflection Criteria: L/480 Live Load, L/360 Tothl Load 2. Optional: Provide shop drawing submittal of en .ineered lumber systems for approval prior to materials purchasing. 5. Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes tilled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 16"o/c; Ratter to Ridge Plate: Collar ties min. I 0(i 16"8/c at top or Simpson Straps over top of plywood spaced 16"o/c b. Rafter ends to top plate: Simpson H2.5A I c. Band Joist: Simpson straps at 4'o/c: CS-14R-48"jcentered at band joist 6. Bolts: Bolts in wood framing shall be standard machine boltsunless noted otherwise. Bolt holes in wood shall be 1/32" larger than bolt diameter. Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts-shall be retightened at completion ofjob. 7. Blocking: 11 a. Blocking shall be solid blocking.2x minimum,anc full depth of member. b. Stud Walls:provide blocking at 8'-0"o/c.maximum height. Comers to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building corners. c.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 2-10d toenails c .end,or 2-I6d end-nails ea. End d. New Framing: Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and ratter plane at all edges;attach plywood edges to this blocking 8.Nailing Schedule: All nailing shall be in accordance with Appendix 120.Q,unless noted herein specifically. Multiple Studs I6d`f 12"staggered a.All nails shall be common wire nails. b. Sub-bore where;nails tend to split wood. 9. Pleaders less than 4'4",use 2-2x6;all others per MA St to Building Code. w - i y CONSTRICTION DETAILS FOR THE PAPA NARROW WALL BRACING METHOD r FIGURE 1 t NARROW WALL OVER CONCRETE OR MASONRY BLOCK FOUNDATION Outside Elevation Side Elevation �— ---- - Extent of header(two braced wall segments) I ---- Top plate continuity is I — Extent of header(one braced wall segment) ----- .� /required per R602.3.2 —. t: w a. SAV, Sheathing filler ; 1 ram, l if needed y --'- --2 to 18'(finished width) 16d sinker nails Fasten sheathing to header with Ed ca man ��' r '� » y' r a y.; 9 t, (0.148"x 3-1/4") y � • noils(0.131"x 2.1/2")in 3"grid patte n as shown it in 2 rows @ y'I and 3"o.c.in all framing studs and si Is 1,000 lb. header-to-jack-stud strop 1,000 lb.header- on both sides of opening 6r y , T .,. a + �• to-jack-stud strap (install on backside as shown on „ Max on both sides height "" Side Elevation,Ref.No. LSTA24) a a w e h of opening(Ref. 10 �'., Min.(2)2x4 typ. No. LSTA24) •; «• Braced wall "" "• z a� If panel splice is needed it shall , occur within 24"of mid-height. segment per M g R602.10 5 .3/8"min. Blocking is not required. l + thickness wood structural panel y' Min.width based on 6:1 No of qo sheathing height-to-width ratio: For jack studs 4.example:16"min.for 8'height, �er tablet?r"20"for 10'height,etc. R502.5(1&2)—Min. Tx2"x3/16"plate washer --— Anchor bolt per R403.1.6 Typ. —' Foundation per code — Not to scale 'Or other code-recognized fasteners providing lateral resistance equal to or better than the prescribed nails. Note This narrow wall oracin;;segment.meets fllr. mi;wnum re.a:nrrcmems for wall bracing FIGURE 2 atktng load: in the plane of file, %gall) The huldirg deagnet -should d tennme what spe- EXAMPLE OF REQUIRED OUTSIDE CORNER DETAIL(IRC R602.10.5) a6c d❑ails are necessary at pr tv ide a complete load path for using this bracing in the SIM,'fure I n At corners,connect the 7�.�two walls together — 1 bd nail at 12"o.c. as `' outlined in this detail to L e provide overturning I // i -- Orientation of stud may vary restraint. M Gypsum,when required, installed in accordance t with IRC Chapter 7 __11 Wood structural panel 1 . 6 .. a n1{1 iA e �Y ;. .. — r. �� :. r � I. t '. •.._ I '.. I ... _L..:_.I. I I 11 : I ..L. t • • I I I i � I � � i ! 1 I _ I I i � _ L I , • I i 1 �.I I 1 - ._' I IJI -17 T�""1 z�t;lT.. �4--k�.hy-lr,.ry3......._ . ���..�?F--��-•;:J ID.!�/•� 1 (��x �_ k �� �• _— __ .__ __ ,� �e �? —F � C ¢ 4 ,n.`ter. � 1��'~ TA,M5,,L'. A15 7 4si*—,',, 7'MM -VM tttAA7,+.IT IN:o I I t a __ —l._� KT o�o,dYVICY,a—rCr�Ftf 215 140 ¢ - i Zr3 py.wScaS ?P A`_. '' L Y I ,I . Zu �---0 LO k tr �.>.j MASSq o tU SIN „v..L-ri�iJ __ ,p-AEOISZ��a�' pr+l y.(¢YMf G7"14Kti1T _ �1'�FFSSIONP� I TOWN OF BARNSTABLE BUILDING,PERMIT APPLICATION Map v Parcel Application Health Division Date Issued '� Conservation Division Application Fee Planning,Dept. Permit Fee Date Mjt nitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Str eetAddress q A-kj(I U-) �V.illage=~ mtl t S :G)wnee-- - i 64[L4.4j T+ T � Address 93 15AkVIEa) `TE',ee,4CE T Tel-ephone` �1� tPerm7it=Request �0,e P- n/ �'D� �C>�T�NC� ee c' � wa ds Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District FI d Plain Groundwater Overlay —�-.4pp��,,��T-D,7c D D�.- �Constdr oouctio v Rroject`Va4Ui'� n 1 �' n 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 b� Total Room Count (not including baths): existing new First Floor°`P om COLM G�) Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal steve: 0 Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: 0 existing_�U n6h 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.�.._- ProposedUse_.__-. APPLICANT INFORMATION (BUILDER OR_.HOMEOWNE� R)� Telephohe Number 5-4 k '7 7 S OSo / Address, 93 (0A4�V/i=aj "T6e_kA 0_E License # JAJ r5 / D� D Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU E D TE ,_fr, / - } FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION l FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT a ASSOCIATION PLAN NO. t r f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name-(Business/Organization/Individual): .)D�` //tbJ 62ALLAAj7— CAd ,,.City/State/Zip; ` �i�/S /f'/A Oa p/, Phone#: ,S p Are you an employer. Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑"New construction 2.El am a sole proprietor or partner- -listed on the attached sheet. 7. ❑.Remodeling shipand have ho employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp..insurance. 9. ❑Building addition required.] 5. ❑ We are a corporation and its ME]Electrical repairs or additions V]I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12 ❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet.showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. _ Insurance Company Name: Policy#or Self-ins.Laic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification.. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Sign ture: Me Phone-#:—;.�5,d D t Official use only. Do not write in this area,to be completed by city or town official .City or Town: Permit/License Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector. 5.Plumbing Inspector 6.Other Contact Person: Phone# �. ---- - , w&-of Barnstable --- Regulatory Services MASS=". * Thomas F.Geller,Director h SuiIding Division Tom Perry,Bulding Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNM LICENSE ExneTION Please Print f & / JOB=LOCATI011'�` a o!? / l/ �n number street Yr' name home phone# work phone# ,ZCURRENTMAILWG_ADDRFSS;—..� e— Lj (?,E, , W Wri state zip code s The current exemption for"homeowners"was extended to include owner-occnn;P to allow homeowners to d dwe lin o�of six units or less and engage an individual for hizE.who does not possess a license,provided that the owner acts as supervisor. -.� - � DEFINMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she res be, a ides or intends to reside,on which there is, or is intended to 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-yea'period shall not be considered a homeowner. Such . "homeowner"shall submit to the Building dreg Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building oern,it (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 thathe/she understands'the.Town ofBarnstable Building Department minimum inspection procedures and requirements and that he/fie will comply�m said procedures and requirements. y5 griature of. wn r 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 homeownerpecfomungworkforwhich a.buildin' of this section(Section 1 o9.1.i -Licensing of construction i work fs; g pit,is required shall be exempt from the provisions work,that snob Homeowner shall act as supervisor. ) provided that if the homeowner engages a persons)for hire to do such Many homeowners who use this exemption art 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 serious it would with a licensed ~ Supervisor. The homeowner acting as Supervisor is ultimately responsible - To ensure that the homeowner is fully aware of his/her responsibilities,many communities require;as part of the permit application, that the homeowner certify that he/she underst�ds the nssponsbiIities of a supervisor. On the last several towns. You may'care t amend and adopt such a form/eertificafion for use in p�of this issue is a form currently used by - your community, Z'forms:hom=mcmpt . Town.of Barnstable Regulatory Semees Thomas F.Geiler,Director 079. Building Division . Tom Perry,Building Commissioner 200 Main Street Hyannis,MA 02601 www.town.bernstable.ma.us Office 508-862-4038 Fax 508-790-6230 Property Owner Must Complete and Sign This Section If Using A.B uilder . as.Ownet of the ct ptopetty hereby authorize to act on MY behalf; in all,matters tela.tive to work authoz7z y this building t (Address of Jo Pool fences and alarm s ar the re sponslbxhty o the applicant. .Pools. are not-to be filled before f ce is installed and.pools e'not to be utilized until all final ins coons are performed an* d acc ted. Signature of Owner Signature of Applicant Priat Name ' - Print Name - r Date Q:FOR v2:OWNERPERMISSIONPOOLS - Bill Inquiry- inis [TOWN OF My File Edd Tools Help I A ick M9 10 EL76 : 1i:r�E � a UZ I IN ,1 ( 1 99 � 9 a c Year/Type/Bill No, - Customer Account Information History 2012 RE-2 ? 10882 251153 l .L Detail Property Information GALLANT,PHILLIP 3&CATHERINE Parcel ID 268-291 W W 93 OAICdIEti�f TERR j - Orig Bill •� HYANNIS,PEA 02601 Alt Parc {Effective Date Prop Loc 93 OAK VIEW TERRACE Spedal Conditians/Nofes Lien/Sale i' Scan gill i Installment Information Int Dt Billed Abt/Adj Pmt/Crd Interest Unpaid bal Quick Entry 08/02/11w ' I __. 154.22 . 0o ._ 154. 2 00.. 104 11� 15 22 00 1 154 22 00 _ .00 Utility Acct f02/11 609.88 436 91 172.97 . ., 00"1 �.._w_....._. d4_ Customer # 05/42/12 w I 649 $' 1 1. .436.911 172,96 Q©` .00..`. Fees/Pen 00 _ OQ; 04 ' 00 04 Nome _.. v. _.. Totals 1,528.14_a .— __...873,82.E L.... ...6 54 37- , ... 00' .00 Parcel Prop Code .Notes/Alerts �,.._ Due 0010712312 00' ._..__.. Bill Dates 3AN l Owner: GALLANT,PHILLIP 3& Per Diem 00 Int Paid Bill Audits Total Paid 658.34 --- — ? f o anew error maid bid - Bill Events i Reprint 1 Preferences Diagnostics (® 1 2 of 0 ► ®I attachments ,'o) Display transaction history for the current bill, --- _ dbn ar pax /ax / a 14 U lo LA C S -, 7 Ca tror cAamazepiee EXi OEWIMSE capsules 100 mg • 200 mg • 300 mg ''`, r - 1 f� i .......... ...... Mr o .. . Y y ,I+ 'I �.c I y u ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ �.,;ice -40�,_ ' � •66 E ,,,,,, -+tee♦cos♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦ i; ♦�♦♦♦♦♦♦♦♦♦♦so♦oeoeo♦e♦♦♦♦♦♦♦eo♦:♦♦tee♦♦♦•♦♦♦ ♦ ♦ ♦ t r 1 I met tg s\ \ �\r aI®eo°°;♦0°0: ,/I AI�i°i°�j A d A �e\� is\� ��, •j 000,�°.°�eoe s O/I®Is.e� �a\ O ��`��:0\ os��/II♦1o°°0°�.•®'o1I,/e�Ie�Q®��C+ i NO;s...Ma IN _ • e�0���'�♦�i♦ �q���oe�� - '- _ )��e�e<<�e♦ ♦off! �o A�Gp®p0 a GA?r.�i �.O000� Owk �. s 1>♦e e OQoo♦♦9�J( b♦♦®e0�Q 9 Oe a pa '•O 0 A G�i OG�®�ioo♦°o��°�eeG O€: osee®moo , Deoe�ooepeoo♦.f� ^�ppp leejl♦oeo ♦0/0♦>�`�0 1 I� �rooeoo�oo�: oate ®ep 4�eot,,e oe� eoeaQ ®d: ♦o ggg ►♦0000000•® 000♦� ®o r aoo®oo®a 4 moo ♦o.. s0 ♦eeo� .e♦Q Leoi a �.oeoeeam�oe��►e �= aooeO®eoeee♦o�op<, f ♦♦p� 4®omos�p,+eoo®�®Qe�,®♦gyp Y ,. � ,o®® ®O®® :.p®v000.o Aso . o♦o♦ �►o �Q 4 j a ��OA�®��b���AeOA�,!e�•ei�•°•!�®o�►��x ;.f i ♦♦o o : ♦QO Q�° �'; a • �... �/' 1�.. r. �epO♦.e/ayoQ ®Q. '-,. s 11 rnr�.c_...�_:>,:-...;� .—'.�; p�'��e7►1• p.0eo��♦eyi Q QQ e.0 gym°•r�5' i` �. ♦ �� ��! .�Psi: a�►; y" a< �� 9 . ; - � � I � •?®oe�:�►°®e+°oep�,�A®��Oo♦eooe'�!'o♦i��i t ': .� :�6�� a '� •t: i� i � r� �`..#� �'s CiP°�I ' I � ,� p p + � �, I^��♦ ��0�♦ppO Q�.4�e�♦♦.f'}°A :: � .:ary � A'�� .$$� I , ! a at V�tY� �,�� f ' �{a+� ! ��rr °¢��$eI n!] �►'e�il;.�o O e�0 G,�®°♦A��p°♦i°•�����.VyJ .� �' �;� � -: 11]t9 � � f �� I Y � '" A N K'I °'I.o♦•,,,1. ♦ �♦B �I V:: ra • vi MOMdiLtOWE�►1����r�a������� \..:ate°�.d.���+'`w..i► a �.� TSz i6�vFCsxt.c9a ex'tK..W+G y W. 4M •� � Lt W.✓a..i dHJti Ls T, ../... rw.rvnni.wb.-.a �•:ro.a..u..iav_..� i 1 a �1 i r L' N ' I i l o vie --_2 3, ; � � d I t� R 6GF ;a � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel a Application # Health Division Date Issued Conservation Division Application Fee 3 Planning Dept. Permit Fee N6 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 3 0 A K yit- 1 !e V✓4 C4& Village t A NA'S f Owner PA;lh*p a hD C A7fleit/A0� �y����� Address gl,3 0%}l�U}' w 7enllce l`�y.�itli�eS; Telephone 501 77 S� 6 5d 0;?6 0/ Permit Request 14 All)M/g 141vp 114/1p1'64Q t/IA/r,P G/V X le �!/!�� C✓���{�r�2 kt m 0d-eL ani.-) �� f4t14JTP/? "_+Tlt/I401��9J�o�'� /��Q� iir�T'o ��y®��4P �cPs✓'id/� ( VA sA# A4 Square feet: 1 st floor: existing/OSiproposed 2nd floor: existing 4 <A proposed 4114 Total new Zoning District R Flood Plain Groundwater Overlay Project Valuatio f /0 � Construction Type 'WO crD 644177C Lot Size 0' y a c�� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family fy Two Family ❑ Multi-Family (# units) Age of Existing Structure i 9 Historic House: ❑Yes YNo On Old King's Highway: ❑Yes ❑ No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) S"!o 71 Number of Baths: Full: existing _'-� new Half: existing _ 1�-� new Number of Bedrooms: 3existing D new RATH) Total Room Count (not including baths): existing 5 new First Floor Room Count Heat Type and Fuel: 2(Gas ❑ Oil ❑ Electric ❑ Other Central Air: &(Yes ❑ No Fireplaces: Existing Q New O Existing wqo coal std : ❑ S &<O ZZ Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn::5 Listing 1 Q neg size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other; F r DPW Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ —+ Commercial ❑Yes ❑14o If yes, site plan review# Current Use SW 61,C f-4o7i 1 y x 6IIAf'rJT%4/ Proposed Use ShV 6 l-e APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �A2Z Telephone Number �� lyy� C?// Address License # Co�0t "A o 2(� 3S' r4/i'zzl* dawe / Home Improvement Contractor# Worker's Compensation # W C C Y0/4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0 SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED MAP/PARCEL NO. t ADDRESS VILLAGE ¢ OWNER DATE OF INSPECTION: CFO.UNDATI.OWui#=;q::rw1 Aff;;9JjN Q*i!,�., dNSULATION,uA,:, FIREPLACE ELECTRICAL: _ROUGH FINAL k PLUMBING: ROUGH FINAL GAS: ROUGH FINAL s 5 FINAL BUILDING, DATE CLOSED OUT 'S ASSOCIATION PLAN NO. P 1� Department ofIndustrialAccidents ` =: Office of Investigations 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information PIease Print Legibly Name(Business/Organization/Individual):Capizzi Home Improvement Address:1645 Newtown Road City/State/Zip:Cotuit, MA-02648 Phone #:508-428-9518, Are you an employer? Check the appropriate box: Typ6 of project(required): 1�.❑✓ I am a employer with 40+ 4: ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑De ition working for me in any capacity. employees and have workers' (No workers' comp.insurance comp:insurance.t. 9. wilding addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.[ I am a homeowner donlor officers have exercised their 11.El Plumbing repairs or additions myself. [No workers' comp right of exemption per MGL 0 c. I52 1 4 and we have no 12; Roof repau°s: - insurance required.]t § O _ ern"10 .ees. 13.[ ther p y [No workers' comp.insurance required.] *Anyapicant that checlts box#1 must also fill out the section below sliovring*heir.workers'compensation poly information's" t Homeowners who submit this affidavit indicating they are doing all work..=ff then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an addition4sheet showing6the name of the sub-contractors and date whether or dot those entities have employees. ff the sub-dontractors have employees,they must provide their workers'comp..polidy 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.Associated Employers Insurance Company Policy#or Self-ins.Lic:#:WCC5010 547012011 Expiration.Date: 12/25/201 g 3 /� � cu �l�P 014-cr Job Site Address: City/State/Zip: �eIL?lJ �j (yZ�C� 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 n fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that`a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby centfy unde e .ai d penalties of perjury that the information provided above is true and correct -Simafore: Date: Z 2-d Phone#: 508-428- 518 Official use only. Do not write in this area,to be completed by city or town official City or`Town: " Permit/License# Issuing Authority(circle one): .. L Board of Health 2.Building Department':3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: /pA CAPIHOM-01 CBENISCH DATE(MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 6/12/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Chris Benisch - NAME: Rogers&Gray Ins.-Dennis Branch PHONE FAx 43,[Me 134 No Ext:(508)398-7980 q�N,:(877)816-2156 South Dennis,MA 02660 ADD lR SS,cbenisch@rogersgray.com INSURERS)AFFORDING COVERAGE NAIC S INSURER A:Main Street America Assurance Co. INSURED ` INSURERB:Associated Employers Insurance Co. Capiai Home Improvement,Inc. INSURERC: Capizd Enterprises,Inc. INsu1tERD: 1645 Newtown Road Cotuit,MA 02635 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ER TYPE INSURANCE ADDL SUM POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER MMID MMIDD LIMITS GENERAL LIABILITY - EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY MPB1075H 6/8/2013 6/8/2014 DAMAGE T RENTED PREMISES Ea occurrence $ 500,000 CLAIMS-MADE [XI OCCUR MED FRCP(Any one person) $- 10,000 PERSONAL&ADV INJURY $ 1,000,0()0 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: . PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY IEQ LOC - $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ A ANY AUTO M1M280" 61812013 6/8/2014 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS X AUTOS BODILY INJURY(Per accident) $ 500,000 X HIRED AUTOS X 10N-0WNED PROPERTY DAMAGE - AUTOS PER ACCIDENT $ $ X UMBRELLA LIAB OCCUR CH OCCURRENCE $ 6,000,000 A EXCESSLIAB CLAIMS-MADE CUB1076H 6/8/2013 71-4—:AAGATE $ DED X RETENTION$ 10,000 WORKERS COMPENSATION STATU- OTH- AND EMPLOYERS'LIABILITY )ELISEASE Y LIMITS X ER B ANY PROPRIETORIPARTNERIEXECUTIVEYfN CCSO10647012012 12/25/ 12 �12125/2013 HACCIDENT� $ 1,000,000 OFFICERIMEMBER EXGLUDED7 ® N f A _- (Mandatory in NH) -EA EMPLOYE $ 1,000,000 If yes,describe underDESCRIPTION OF OPERATIONS belowASE-Poucy,uMIT $ - 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 701,Additional Remarks Schedule,if more space is required) 'CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601-0000 _ AUTHORRED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Unrestricted -Buildings of any use group which contain less than 35,000 cubic feet.(991m)of enclosed space. Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-074640 Failure to possess a current edition of the Massachusetts ti State Building Code is cause for revocation of this license. GARY GUSTAFSQN ,. For DPS Licensing information visit: www.Mass.Gov/DPS 8 SHORT WAY SANDWICH NM702563 E ration commissioner /29f2014 �'lze r�omirzoauuecilll o�..�acll uae�a Office of Consumer Affairs&Business Regulation i14cemsz or rq-,:stration vaNd for WtOdul me only before the e-t t'ztivn dete. 1f found rein to: OME IMPROVEM CTOR ;ClMee;of C€tlsstit emirs and Bwlaest Rep > Registratio ." 100740 Type;: �10 i!atkP322-2—suite 5176 _ :- _. vv Expir - ..1. �23/20 Supplement Su lement( ; a�`A,0`7116 r +}_:. r. CAPIZZIHOME `.PR :.;_INC. . GARY GUSTAFSO 1645 Newton Rd. g _ Cotuit,MA 02635 I T Undersecretary d ,.. A. 103.28 .� (� J VqqM• W PROP. DDITiON �c� PROP. H.C. RAMP EX. pc� DWELLING EX. MBLU 268-291 PORCH 93 OAKWEW TERRACE HYANNIS, MA QQ LP O EX. o H.C. RAMP TANK O Ilk- -A 110.56 �n LOT AREA 10,652 SF EX. DWELLING AREA— 1328 SF EX. LOT COVERAGE= 12.590 PROP. LOT COVERAGE=13.39 SEPTIC FROM ASBUILT ON FILE AT THE TOWN HEALTH DEPARTMENT CER TIFIED PL 0 T PLAN GALLANT RESIDENCE I CERTIFY THAT THE IMPROVEMENTS SHOWN OF 11ASs9� 93 OAKWEW TERRACE HAVE BEEN LOCATED BY A FIELD SURVEY. ��P� HYANNIS, MA y� DATE: 9-18-2013 DRAWN: RBS ROBB �, JOB Jf• SO48 SYKES SCALE.1"=20' DWG. CPP No. 35418 "' EASTBOUND LAND fl,1�f,4 'll9-�3 ��`��' P.O. BOXR442 ING ROBB SYKES, PIS. DATE FORESTDALE, MA 02644 508-477-4511 r Page 7 of 7 Capizzi Home Improvement Inc.. Specifications and Estimates y STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, AA, /li A!H°y C_' 1 /'j�eOWN THE PROPERTY LOCATED AT % 3 .OA k(Ji'e cd r—e V e c•e ee1/ ,�l lAW.�- IN sty u nll'J f &411&ff l l k ,MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: �i�% '�GG�'`��� OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LES SEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: . 1645 Newtown Rd., Cotuit,MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: ` ^ , /4IVC Guide to Hlond Coiistruction in Hi,,e8 WhidAruus: 110 ezph lfYxdZonu M flSsachu8wttm Checklist ��� p.lial0ce (7 ���D�O 5301.211)/ � Check ' Compliance � 11 SCOPE ' ' 11O mph Wind Speed (�oen dust).................................................................. _-______-____..__. B Wind Exposure .-----------_--___-__.-_ ___,._____-______-___. � VV�dExposure Category- -----. Requ�odFor En8r Project --'-'----.'----.c 1�2 APPLICABILITY Number of Stories(a roof whichexceeds 8in12 slope shall be considered a story) / stories g2stories � �~ Roof Pitch ^l Height -----------------'r-- -'----------��� m��/ �uu n=� ---- BuUd�gVV�8tVV -------------------'' 3) � Building Length, L --------------------' 3U---------------- '^ ~~` Building�npoo ----------.�-. 4)................................................. Nominal He�hto[TaUad -----------'(�g4)----------_----'`_ 68 ` 1.3 FRAMING CONNECTIONS ' General compliance with framing connections....................(Table 2)................................... ........................... 2'1 FOUNDATION Foundation Walls requirements -`_-. Concrete . `~~~ ---------_-_-__________-_______.___.� _______ ` Concrete Masonry................................... ................................ ............................................... 2.2 ANCHORAdETD FOUNDATION 1,3. . 5/8"Anchor Bolts-imbedded or 5/8'Proprietary Mechanical Anchors avuo alternative./.concrete only Boltow*co �-u�"�"'y -------------'^'a~'~ '/--------------... ---' Bo�Spao�gfrom undfjointcfplate -----^---- ------....-'.--, -- � �7^ Bo�Embedment-uonurab»---.--'-------''V'��V-------.'--------'� ' ' k�� 15^ - 8o�Embedment-maaon�'----.-,-------.(�Q5)'_--.�---------- Plate Naahoc-.--................................................:'(FiQ 5)................................................5.3^x3^x�� 3.1 FLOORS Floor-framing-ember ' no checked ...............................(per 78OCMR Chapter 55)-----------'.ZMaximum Floor 0hnons�n..................................... G) - ...... ��1 Full Height Wall Studs a,Floor Openings less than Zfrum Exterior Wall (Flg�6)-_._---_---.-^- M�xknumF�orJo�tSetbacks ' ` Supporting Loadbeohng Walls orShoanwoU................(Fig 7)....................................................__,ft -5d Maximum Cantilevered FloorJnis ts � � �d -''or�n~ LoadbearinEndwa� - ' �A ' ^~ F�uF �nUwa ---------------' -^--------._----------- ' Floor - Typo ------------------' 78OC�RChapb» 55)------_^----' ' C�R ....................... F�orShnoth�gTh�kneoo --_---------.---'(per /uu umpu* np F�nrSheathing Fa�eh�g---..----------.-�ab��A.. lx1dnaUocd ���edgo/_��nOold ' 4.1 WALLS Wall Height . �����i[/ walls... and Tab�5) - ���.................................................. ondTabke ----- � ��� ����~- � '°"-^~~~~~~^'� '-` and . ���24^��� VVaUStud S ....... --------------'y'� /u "/-----'�c��' � �d ' ���� Wall Story ��e� --__'-------------U�go 7�O)_------._----__� � . . . . ' 4.2 EXTERIOR WALLS Wood-Studs ^� - ' � �� ° �h� Loadboar�gv�d� � _.. ��__^_______ '_+� . ` -'_---------_ `�__- _-- ��� nmrLuu""ea . g " �.=--._.------------.`'-_- -'----------�_�_ _-- � Gable End Vy�UB�u�g � Height Endwall Studs 10) ` vvur / «~", '"^""""/------v a ' '/--------'-----'----- .�- Lob�ns ��8ft ' U�g 11).........................^------._-'�-- or . 3xoUinghurhngnbipu@1H^xpocingmin.with2u4blooNng@4fLupocinginendjoio or truss bay �_��� � ` Doo�eTopP1�e ~ Splice�Leng� ................................ --------(�Q 13 ondTaLdeG)------'�----.. � � � -- --: �-� - I. A0V Guide to Wood Constr•tictiou hi Hidh Yl,'itid Ai-eas: 110111ph Wirt lone Massachusetts Cheddist for Compiiance (7s0 CNIR 5301.2.1.1)' Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Tables 7)......................................:,............. 1. a/ Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Table 8)....................................................... 4<1 a� Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9)..................................:2 in. s 11' Sill Plate Spans ...........................................:............(Table 9)..................................!ft in. 5 11' Full Height Studs (no.of studs)....................................(Table 9)........................................................ a-- v- Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans...... ..........(Table 9).:................................eft in._< 12' �✓ ............................................. Sill Plate Spans.... .......................................................(Table 9)..................................eft C"in.5 12" Full Height Studs (no.of studs)....................................(Table 9)........................................................ v Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously, Minimum Building Dimension,W Nominal Height of Tallest Opening2 Sheathing Type..............................................(note 4)...................................................... / " cr Edge Nail Spacing.........................................(Table 10 or note 4 if less)................:....... �- in.. Field Nail Spacing..........................................(Table 10)................................................. 1: in. ✓Shear Connection(no.of 16d common nails)(Table 10)......................................................... '-es Percent Full-Height Sheathing...................:...(Table 10):..................................................53% 5%Additional Sheathing for Wall with Opening> 6'8"(Design Concepts).................... Maximum Building Dimension,L Nominal Height of Tallest Opening2........................................................................lts 6'8" SheathingType..............................................(note 4)..................................................... Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ in. Field Nail Spacing........:..............................::.(Table 11)................,........................,....:.. n. cs 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 Rated for Wind Speed? 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19) ............. ft 5 smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)......:......................................U= /X7131f r/ Lateral.............................................(Table 12).......................:...... .........:.....L= plf Shear............................:..................(Table 12)............................................S7 d . !/ Ridge Strap Connections, if collar ties not used per page 21... (Table 13)...............................T= y plf Gable Rake Outlooker........................................: (Figure 20) ...... ...... ft 5 smaller of 2'or U2 / 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).....6....... Roof Sheathing Thickness �in._>7/16"WSP ........................................... ............................................. Roof Sheathing Fastening............................................(Table 2)..................... ...........6....................... b _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 1.4 A. 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. f AIVC Guide to {Vood Coiistiwetioii all Hi. h l-Viizd f(i-eas: I10 mplr !!'iiid Lvize Massachusetts Checldist for Coinpliance (780 CN111 5301.2.1:1)' 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. -Wt 1EN THIS EDGE RESTS ON FRWING USE&I NAILS A 5'D.c. u 11 • u W 11 11 11 Q I I 11 1 1 •1 1 : .wTt _ l 11 11 11 r 1,. 1 6 2.^ 1 1111 110 i I 1 zQ 1 1 1 J l 11 o n i Fes- li ii o 1 1 1 6 t i e 'o is ii i Edi i � i1 �1 11 1 11 1 1 I a a d 1 . II W II 11 1 r 1 EL - r FRAMING MEMBERS 1 � W ii i'i 1 i 1 EDGE 6IfERMEDIATE I I !1 r le .T� Ir Ir Q r 1 I a u u 1 z 1 I I ..k it 1 1 1 1 I t.Z^• 1 II S ii m 1 1 1 1 1 U Y 1 1 1 1 r � li 1.1 to 1 1 t_� 1 1 - --- a 1 --�-- 1 1 ----J- _ - - ----- --_.-3_ -1�.- I fJt.�-.�- L - DC11181 STAGGERED NAILSPACRJG is MLPATTERN PANEL PAN.Et_' d ' Y` PAtNFL EDGE DOUBLE NAIL EDGE SPAC>TIG DETAIL See Detail on.Next Page Vertical and Horizontal Nailing Detail far Panel Attachment Vertical aril Notizontal Nailing. • for Panel.Attachment l REScheck Software Version 4.4.3 Compliance Certificate 7Z Energy Code: 20091ECC � Location: Hyannis,Massachusetts, Construction Type: Single Family Glazing Area Percentage: 19% Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: Compliance:6.7%Better Than Code Maximum UA:30 Your UA:26 The%Better or Worse Than Code Index reflects how dose to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum code home. ��•yy_•��-..�.. '����� llrYC�J+>,:13 IAP4�1AS13 •��••yam Ceiling 1:Flat Ceiling or Scissor Truss 88 38.0 0.0 3 Wall 1:Wood Frame,16"o.c. 216 19.0 0.0 11 Window 1:Vinyl Frame:Double Pane with Low-E 40 0.283 11 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 88 30.0 0.0 3 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 djesig,90d to meet the 2009 IECC requirements in REScheck Version 4.4.3 and to comply with the mandatory requirements.list t R check Inspection Checklist. Name-Tifle Signature Date _e q Project Title: Report date: 09/24/13 Data filename:C:\Users\Gary\Desktop\gallant.rck Page 1 of 4 a i REScheck Software Version 4.4.3 Inspection Checklist Energy Code: 20091ECC Location: Hyannis,Massachusetts Construction Type: Single Family Glazing Area Percentage: 19% Heating Degree Days: 6137 Climate Zone: 5 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Wails: ❑ Wall 1:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: Windows: ❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.283 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subtloor decking. Air Leakage: ` ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/doorjambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-buming fireplaces have gasketed doors and outdoor combustion air. Lj Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Air Sealing and Insulation: ❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 50 pascals OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. .(e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. f M Comers,headers,narrow framing cavities,and rim joists are insulated. Project Title: Report date: 09/24/13 Data filename: C:\Users\Gary\Desktop\gallant.rck' Page 2 of 4 (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U4actor 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. Materials Identification and Installation: 0 Materials and equipment are installed in accordance with the manufacturer's installation instructions. 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. Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: Building framing cavities are not used as supply ducts. All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 8 cfm per 100 ft2 of conditioned floor area. (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 12 drn per 100 ft2. (3)Rough-in total leakage test with air handler installed:Less than or equal to 6 cfm per 100 ft2 of conditioned floor area. (4)Rough-in total leakage test without air handler installed:Less than or equal to 4 cfm per 100 ft2 of conditioned floor area. . Temperature Controls: Where the primary heating system is a forced air-fumace,at least one programmable thermostat is installed to control the primary heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. Heat pumps having supplementary electric-resistance heat have controls that prevent supplemental heat operation when the compressor can meet the heating load. Heating and Cooling Equipment Sizing: Ej Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: 0 Circulating service hot water pipes are insulated to R-2. Circulating service 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: i] HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: ❑ Heated swimming pools have an on/off heater switch. i Pool heaters operating on natural gas or LPG have an electronic pilot light.' Timer switches on pool heaters and pumps are present. " Exceptions: Where public health standards require continuous pump operation. Project Title: Report date: 09/24/13^ Data filename: C:\Users\Gary\Desktop\gailant.rck Page 3 of 4 Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage-15 (d)50 lumens per watt for lamp wattage>15 and<=40 (a)60 lumens per watt for lamp wattage>40 Other Requirements: Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement'd). 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.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title: Report date: 0 24 p 9/ /13 Data filename: C:\Users\Gary\Desktop\gailant.rck Page 4 of 4 2009 IECC Energy Efficiency Certificate Ceiling/Roof 38.00 Wall 19.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): ---POW Window 0.28 Door Heating System: Cooling System: Water Heater: Name: Date: Comments: J • F 103.2� - PROP. DDI TION , �� 21 81 (b� PROP: 4 �. . H.C. RAMP EX. Ul pc� DWELLING EX: MBLU 268-291 PORCH 93 OAKWEW TERRACE HYANNIS, MA @t P EX. o H.C. RAMP .TANK �lz � 110.56' LOT AREA 10,652 SF EX. DWELLING AREA—.. 1328 SF EX. LOT COVERAGE= 12.5% PROP. LOT COVERAGE=13.39' SEPTIC FROM ASBUILT ON FILE AT THE TOWN HEALTH DEPARTMENT CERTIFIED .PLO T PLAN: GALLANT RESIDENCE I CERTIFY THAT THE IMPROVEMENTS SHOWN of 93 OAKVIEW TERRACE HAVE BEEN LOCATED BYE A FIELD SURVEY. �P�t� Ass90 HYANNIS, MA 2� tiG DRAWN: RBS o DATE: 9-18-20i3 ROBB R, JOB #: SO48 o SYKES ; SCALE:1"=20' DWG. CPP - No. 35418 EASTBOUND LAND SURVEYING P.0. BOX 442 ROBB SYKES, P.LS. DATE ` FORESTDALE, MA 02644 G �''� 508-477-4511 T04�:N1 .OF BARNSTABLE a 5 01g: t o I �EeE T777777777777 _ — v FRONT ELEVATION REAR ELEVATION o " zp �o 000 x n.oe+v v LEFT 51DE ELEVATION ' 4 Me CAPIZZI HOME IMPROVEMENT CERTIFIES , t.� THAT THE CONSTRUCTION EXHIBITS FOR THIS ® - DWELLING AT 9S OAK VIEW TERRACE IN HYANNI5 MASSACHUSETTS MEETS ALL LOCAL ae�: CODE REQUIREMENTS AND ARE IN SUBSTANTIAL B]a-13 CONFORMITY WITH BOTH SAH AND VA MINIMUM v.ta.t3 PROPERTY REQUIREMENTS,AND ALL BUILDING ;.. STANDARDS AS REQUIRED BY VA xwmv.: BUILDER TO CONFIRM ALL - RIGHT SIDE ELEVATION 'CONDITIONS AND DIMENSIONS , FNa1 P1e r ON 517E ' v*e2 50ALE: 3/16"=1.-0.. In case of a conflict regarding construction, �u �u cedence unless in direct cl conflict with th 5tate and rements will take LocalCodes. P-�peac. ( WALL-MOUNTED ' HP 51NK NOTE:WRAP ANY E E OSED PIPES - - _ - (SEE ELEV ORWG FOR 36'CLEARANCE UNDER) REMOVEANDRELOCATEEXSTING- ..I„-. :1•�b•L. ALLGRABBARS - us_E - ..-. ...___i` 1. ,b,—^F TOSUPPORT P W 3-0DOOR V i REMOVE LASING FOR FUTURE GLIDING _ eaw.« MIN.250 LB5. unn�.o. BARN DOOR --IF '^ E Z rl9 .�e^wattim saa w 2 NOTE. � � F J L` �i' urea Ge.xrm'cuW^u+wrom en -' �e6�0'ube - nn�' • SMOKE DETECTORS PER LOCAL -S L ^.ke�rne aWce No AND FEDERAL REGULATIONS 11 5'_s ' { aermn0e^^u:n.(wnsr bcli3) _ FJat. / le:w^m xe ueNa^�e e.e..(wxB i . I , EW9.IJ031f 4231 > V Z� .. � as •o ae:�x ' BE SLIpE-OVER DOOR „ nro � - 54Ia5-0 e..ua w m wve - .- ___.—.e.._. • .� LANDING t BEDROOM ..ow eou -`—* v " 5 ADD NF.w G05 I. EX , EXISTING y1 - .DINING < ' .. c �'F KITCHEN ADD(RELOCATED 3-0EXISTING CLOS _ 5 ._..._ � EGRESS( 3-0 4LIGHT I H i DOOR 7 .... .... THRESHOLD AT LANDING TO CL05 LLOS � I iI A - 6 Zm BE FLUSH(OR N OT GREATER sa. �- �`� /= _ THAN 112')WIT"E45TING ry FLRATHOUSE . RAMP 2TCN RAMP AND LANDING i mow- I+ p - SURFACE TO BE LMNGROOM NON-SLIP UNDER BOTH - y•„ uM.. '. WET AND ORYLONDITIONS $ g STAIR BR.2 11.4 IrX t L '36 RAILING HT 4 _BRY1 - a RAILING TO BE ADA COMPLIANT 15'? RAILING TO BE 1 Ir THICK - - - - TO BE INSTALLED ON BOTH SIDE V-T - 52, - t. U ..._._...GLO DOOR B , 5X5 BROOM FINISH LONL SURFACE @ .�....s...... .,..,,.va a4 n BASE OF RAMP FIRST FLOOR PLAN SCALE:1/4"=V-0 E6 s3„ CAPIZZI HOME IMPROVEMENT CERTIFIES a THAT THE CONSTRUCTION EXHIBITS FOR THIS DWELLING AT 13 OAK VIEW TERRACE IN S NYANNIS.MA55ACHUBMS MEETS ALL LOCAL CODE REQUIREMENTS AND ARE IN SUBSTANTIAL B N-13 . f CONFORMITY WITH BOTH SAH AND VA MINIMUM 5.13.13 .�i PROPERTY REQUIREMENTS.AND ALL BUILDING o STANDARDS AS REQUIRED BY VA rr<wlo^e: j - BUILDER TO CONFIRM ALL Finnl vleK. i CONDITIONS AND DIMENSIONS ' Y _ ON,51TE w In case of a conflict regarding construction, ^ VA SAH requirements will take precedence L unless!A direct conflict with State and Local Codes. RAMP AND LANDING + - 3 u O SURFACE TO BE NON-SLIPUNDER BOTH ec—E NET AND DRY CONDITIONS • W 2 T IB'-6' —•T<-5'—+E -J 2%2 BALUSTERS®5.DC, 4m POSTS s E RAMP D L u .. RA H ., - t Q 5-0X5-0BROOM FINISH (a3•HANDRN T EL TO HANDRAIL) x E L NC BASE Of FACE® -----., NAN. III TICK SIDES u E�_ BASE OF RAMP ----- t trl THICK • ' -• n E,o ` � 36'HEIGHT Of RAILING s `I-..LAND MG 'r GRAOETO LANDING _ TAND FIR LEVEL® _ a ��- • E%15TING HOUSE IMP@H V V m . ... . - e 4"PT P05T p 10-DIA SONOTUBES p . - @ aB'BELOW GRADE. - 3X12 YELLOW PINE STRINGERS RAMP DETAILS' scale:1/4"=V-0" 3%1 YELLOW PINE JOISTS®16 OC _ A5PHALT ROOF 5HINGLE50VER - :c + - i5R FELT. ._ Z m 0 YEAR ... - • R - ' MATCH EXISTING . 2X10 RAFTERS®16.OC R.35IN5. ".._....._— ......_-1/7'ZIP SYS SHTNG '.. . °1%6 COLLAR TIES ALL NEW TRIM,CA51NG5, - - - BASEBOARD TO HATCH EX. n - ..' .. 2X65TUD5 - • N - .. ._.__..._.1r"ZIP SYS SHTHG m R-201N5. 1 >_ t --WL SHINGLES OVER AMOWRAP _ 2%10 FIR JOISTS®16.OC - • .. BOX 5115 nn _ BRIDGING E14'T&G ADVANTELH SUBFLR I + IQ'PT PLY UNDER 4"1 POST 816FOOT j III`` 51MP5ON ABU 66 50NOTUBE5 ® . 5/B DIA ANCHOR BOLTS _ a-0BELOW GRADE ®17 DEEP. la'HOOK - I - - EXISTING—__.____._ .. .... ._.. PROPOSED .:2 - CAPIZZI HOME IMPROVEMENT CERTIFIES o THAT THE CONSTRUCTION EXHIBITS FOR THIS• r. SECTION Q PROPOSED ADDITION scale: 1/4r'=1 r-0" DWELLING AT 93 OAK VIEW TERRACE IN - HYANNI5 MA55ACHU5ETT5 MEETS ALL LOCAL a CODE REQUIREMENTS AND ARE IN SUBSTANTIAL DMs CONFORMITY WITH BOTH 5AH AND VA MINIMUM PROPERTY REQUIREMENTS,AND ALL BUILDING 5TANDARD5 AS REQUIRED.BY VA rs�riwn° r BUILDER TO CONFIRM ALL Hn.I Plartc CONDITIONS AND DIMENSIONS'r , • - ON 51TE In case of a conflict regarding construction, VA BAH requirements will take precedence ! 3 unles s in direct conflict with State and Local Codes. OF 55AR11 STABLE CAPE COD INSULATION 9p, 8. 1 , FIBER OLA55 SEAMLESS SVNAYEOAM SUS1111- SA1SS O011115 INS Ul AIION EEIEIN05 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village CA — �3 ®CAI-eUI eca7 Te;�,c, �y �i✓ Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings K) Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) ( ) ( ) ( ) ( ) AA- Sincerely AHe _ - ssiy Jr, resident Cape Cod Insulation, Inc. r CAPE COD INSULATION ® < TWA GLASS SSAMl155 SVSAT FOAM SUSVINDIO SATff OU ITIRS INSULATION (SIlINOI 1-800-696-6611 CD F Town of Barnstable i Regulatory Services Building Division {: 200 Main St Hyannis, MA 02601 Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Coci Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute '(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village C n1"M clt/4. d 93 0A14vieo %e44,, AlY41117is Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ( ) ( ) Floors Walls 64e, / GVO r r)CO r,01 to0' Sincerely 2Hr E ssration, sident Insc. .. .. t y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION a Map r Parcel C�?1/ ; , Application # ®/LJ Q` 3t y Health Division Date Issued Conservation Division Application Fee V .� pp I� Planning Dept. Permit Feed . Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address Village Ownerpi Address k,, Telephone � �S 0 1 Permit Request A -few Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ If-yes,No attach supporting documentation. Dwelling Type: Single Family a/ 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 Roo Count— Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other ? Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ xisting, MD news size_ rP a Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: rn Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑4 If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name (�/ d� Telephone Number P ,l Address License # �l1 1 �V"w' Home Improvement Contractor# Worker's Compensation # ��✓�� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �� t FOR OFFICIAL USE ONLY APPLICATION# ~ DATE ISSUED MAP/PARCEL NO. 6 l w I I.'Y • I ADDRESS VILLAGE II OWNER DATE OF INSPECTION: ' FRAME 'i .FIN.S_U_LATIQNr FIREPLACE ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT.- t !� ASSOCIATION'PLAN NO. w Massachusetts - Department.of public Safety :.Board of Building Regulations and Standards Construction Super)iscir License: CS-100988., HENRY E CASSII),V 8 SI ED ROW r WEST YARMOLPrH t3 Expiration Commissioner 11/11/2015 s Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Con,tra'ctor Registration t Registration: 153567 Type: Private Corporation Expiration: 1 211 5/2 01 6 Tr# 259188 CAPE COD INSULATION, INC HENRY CASSIDY --- 18 REARDON CIRCLE --- SO. YARMOUTH, MA 02664 Update Address and return card. Mark reason for change. :CA1 0 20M-05/11 Address Renewal E] Employment Ej Lost Card ..... _____..._._.---.-............. .. (91'ie n`'GA110cec/ueem C\ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only 90OME IMPROVEMENT CONTRACTOR before the expiration date, If found return to: 1egistratlon: '153567 Type: Office of Consumer Affairs and Business Regulation xplration; ;..;:1211,6/20:1:6 Private Corporation 10 Park Plaza-Suite 5170 t: =. ,, Bos'ton,MA 02116 CAPE COD INSUTATI; :N';;;INC'.:`';` iENRY CASSIDY 18 REARDON CIRCLE": 30,YARMOUTH, MA 02664 Undersecretary N valid wi ut sign e The Commonwealth of Massachusetts Department of IndustrialAccidents W Office of Investigations J a d 1 Congress Street, Suite 100 Boston, MA 02114-2017 " www,mass,gov/dia Workers' Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumbers Applicant Information ff / ( Please Print Le ibl Name (Business/Or 'zation/Individual); l;Z ((, �V� Address; 10 !ZV G' vV City/State/Zip; w�Ae �T�, Phone #; Are you an employer? Check khe appropriate box: "---I I.$ '1 am a employer with 'EG 4. ❑ I am a general contractor and I Type of project (required); New construction employees (full and/or part-time),* have hired the sub-contractors 6. � I 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity, employees and have workers' [No workers' comp, insurance comp, insurance.t 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10,❑ Electrical repab-s or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 I.❑ Plumbing repairs or additions myself, (No workers' comp, right of exemption per MGL insurance required,] t c. 152, §1(4), and we have no 12.❑ Roof repairs employees, [No workers' 13, Other V comp, insurance required,) f *Any applicant thai checks box#lmust also fill out the section below showing their workers' compensation policy in Form at ion. t Homeowners who submit thislfffidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1 $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number, I am an employer that Is providing workers' comensation Insur QP ancefor my employees, Below is the policy anrdjob site Information, [�Insurance Company Name; 1'j f Ci ��nn L Policy#or Self-ins, Lic. #' COO r-7 2, Expiration Date: Job Site Address, l.� ..V ,(�V City/State/Zip; Attach a copy of the workers' compensation policy declaration page (showing the policy nun `e 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 ul the form of a STOP WORK ORDER and a fine of up to$250:00 a day against the violator. Be advised that a,copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification, I do hereby certify n r pains and penaltles of perfury that the Informatlonprovidef above Is true and correct, Signature: Date: Phone#: Officlal use only, Do not write In this area, to be completed by city or town officlal, 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 4: r t CAPECOD-27 KLIGETT -�� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 6/13/2014 _ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONNAM TACT Rogers&Gray Insurance Agency, Inc. PHONE Barbara DeLawrence 434 Rte 134 FAX Nol: (877) 816_2156 _ South Dennis,MA 02660 n DRESS:bdelawrence�rogers ra .com INSURERS AFFORDING COVERAGE tJAIC d INSURER A:Peerless Insurance Company INSURED INSURERB:COMMERCE INSURANCE COMPANY j Cape Cod Insulation Inc INSURER C;Evanston Insurance Company 18 Reardon Circle INSURER D:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth, MA 02664 INSURER E INSURER F; CO ERAGES CERTIFICATE NUMBER: REVISION NUMBER: T IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IN ICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD C TUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCEINSD POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERALLIABILITY EACH OCCURRENCE $ 1,000,000 i ]CLAIMS-MADE 1-91 OCCUR CBP8263063 64/01/2014 04/01/2015 PREMISES(Ea occurrence) $ 100,000 ME EXP(Any one person) $ 5,000 GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ 1,000,000 X PRO- GENERAL AGGREGATE $ 2,000,000 POLICY a _ JECT F1 LOC OTHER: PRODUCTS-COMP/OP AGG $ 2,000,000 ------ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 B Ea accidan( ANY AUTO 14MMBCKVMK 04/0112014 04/01/2015 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED -_ AUTOS Pe�accide�)DAMAGE $ ——t X UMBRELLA LIAR X OCCUR C EXCESSLIAB CLAIMS-MADE XONJ453514 04101/2014 04l01/2045 EACH OCCURRENCE $ 1,000,000 -- AGGREGATE $ DED X RETENTION S 10,000 ORKERSCOMPENSATION __Aggregate $ 1,000,000PER OTH- ND EMPLOYERS'LIABILITY YIN STATUTE ER _ D FFICER/MEMBOERIEXCLUDED7 EXECUTIVE El WCA00525904 06/3012014 06/30/2015 E.L.EACH ACCIDENT $ 1,000,000 PARTNER/ Ir NY Mandatory In NH) -- f yyes,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000 ESCRIP710N OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 _I DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers Compensation Includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CER IFICATE HOLDER CANCELLATION �- f �ifufi rNv f,M�all% VWM mass save ; , R �v�tps wagt,aner�y ern�or�cy � PERMIT AUTHORIZATION FORM I, CATHERINE B GALLANT ,owner of the property located at: (Owner's Name,printed) 93 Oakview Ter HYANNIS (Property Street Address) (city) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. X Owner's Signatu e 3 - 1" _ Date FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: CAPE 3 s-16 - Participating Contractor Date affa . For Office Use Only Rev.12i32011 Town of Barnstable Permit 1 � Expires 6 months from issue date Regulatory Services Fee • anarv&rwaM MASS. $ Richard V.Scali,Interim Director 1639. QED A1A't A Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY p �, ( Not Valid without Red X-Press Imprint 1 Ma / a'�xcel`Nu nber _�/) pL� C P P Property Address `7J �!� l�l ��� ❑Residential tV-alue'ofWork`$ 540- zkc,0 Ayptz k Minimum fee of$35.00 for work under$6000.00 Owners Name,&•Address }��r/f, t/ `t 0-47j-EEpaAJt:7 9 C-- LCRA3 i Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance .JA N 2 7 Zo 14 Check one: ❑ I am a sole proprietor i. -Pam�the;Homeowner OWN®F8gRNS7'I have Worker's Compensation Insurance /gBLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to y' ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) -c eYs dej`- ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE:n. l /� Q:\WPFILES\FORMS\building permit AsARESS.doc Revised 061313 The Commonwealth ofMassackusetls Department of Indruft ial Acciderr& Office of lni estigations 600 Washington Street y Boston,MA 02111 r mv.mass:gov/dra Workers' Compensation Insurance Affidavit Builders/Cants-a rs/EE tricians fPhunbers Applicant Information Please Print Leiby Nim-(lluswes.Diganizatianindnidaal)= A, J I,� 1 -h�a-� ne d`sue 9-3 04 KVI EW TJEAMe-9 Cii37SEtrJZ 7- tJ I-S Mq !P 0 / Phone#_ -7 7.5- d S D / Are you an employe ' Check the appropi-late.b!x:4 Type of project(required): 1.❑ I am a employer with G4- am a general contractor and i employees(full.and/or park-zime). * have hired the sub-contractors 6. New construction Zv❑ I am a sole proprietor or partner- listed on the attached sheet. 7- ❑Remodeling ship and have no employees These sub-contractors have g- ❑ lition working for me in any capacity- employees and have workers' g. ❑Building addition. [No workers' comp-insurance comp.insurance t ed.] 5. ❑ We are a corporation and its ME]Electrical repairs or additions. am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself. [No workers'comp_ right of exemption per MGL 12.:0 Rnof repairs insurance required.]F c.152, §1(4X and we have no employees.[No workers' 13.0 Other comp.insurance required./: *Malt applicant that checks box#1 amst also fill out the section below showing their wu&era'compensation policy infatmaftL I Homeowners who submit this afIdn itt iadixatiag they sag doing sill waak and then hire outside caa=tors mast submit a new affidavit indicating such. tContractors that check this box must attached as additional sheet shouting the ame of the sub-cemtracton and state whether or not those entities have employees. If the sub•caau=ors have employees,they must provide their workers'comp.policy number. lam an employwrtliatisproi!dLViiwrkers'congmisationiiisuranceforirty employTes. Heiosp is the policy an d1ob site in fimmalion. Insurance Compare Name- Policy A or Self-ins-Lic.9: Expiration Date: Job Site Address. City/State/Zip: Attach a copy of the workers'compensation policy declaration page(shoring 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 andfar 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 Lwestigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties o perinn.that the inforn( te- prmi ded above is true and correct Si _ L�.9� / - a 7 Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: PermitffAcense i# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CMty1rovm Clerk d.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone th 6 ew Town of Barnstable Regulatory Services oFTHE Tok, Richard V.Scali,Interim Director ti Building Division '= snarrsTAEM ► Tom Perry,Building Commissioner MASS. 9� 1639, 200 Main Street, Hyannis,MA 02601 �fD MA't www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION - Please Print JOB-LOCATION 3 y 1 f6c) T CeL- A- A W 4 S C , number street � vill e WER/ e — Ye /hi kZA,& �\r_09 77S6y name home phone # work phone# 1CUMENT MAILING ADDRESS: t?,-� D41<✓1 ZJ 4ZUA-,L)A,)kS 444 /},;?lP 0 > city/town a zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements-and that he/she will comply with said procedures and quirements. A� Q `—SiPatirre-oegouffowaer Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s) for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,.particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 - Town of Barnstable Regulatory Services MA-Qg rY & Richard V.Scali,Interim Director 163g6 � 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 Prop Owner Mus Complete an Sign T ' Section If Usin B der I, , as er of the subject property ZZ hereby authorize to act on my behalf, in all matters relative to worLthotized by this building permit s of Job) "Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 10113 PrG x ppIKE, Town of Barnstable *Permit# p Expires 6 months from issue date Regulatory Services Fee Y Y r� b 9. ,0� Thomas F.Geiler,Director Building Division PERMIT �'P - Tom.Perry,CBO, Building Commissioner , 200 Main Street,Hyannis,MA 02601 r www.town.bamstable.ma.us DEC 0 4 2013 Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIMTIAL ONLY / Not Valid without Red X-Press imprint UVVIV Ul- BARNSTABLE Map/parcel Number (O Property Address0�1(1//��W �f [Residential Value of Work$ ill ��® '� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address_All11V 7- CAp4-Pv/Ne (�d11AA17- %3 D,q kl//"euf %kiwe AIV41VNiS . M¢. D Z/0 Contractor's Name mw��'a// 2i���'°� h Telephone Number 5�61V y?do- fele e-art - Home Improvement Contractor License#(if applicable) (j0-7 LEmail: e CVAtl� e, ('41,*;X2,41j*We, !'os* Cons ruction Supervisor's License#(if applicable) orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner 9/1 have Worker's Compensation Insuraance ` Insurance Company Name Ft sf�C t T'�K ���'of-e!/f :Z�A1.)Lf1f4 A1f_ laM?,9A.y/ Workman's Comp.Policy# W G G S-010 3�y7 0/0t Q/ Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to .V EUl 9k-0fi/0 Av'9d T Q ❑Re-roof(hurricanenailed)(not stripping. Going over existing layers of roof) ❑ Re-side' �] Replacement Windows/doors%sliders.U-Value i D41 so (maximum.35)#ofwindows of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required.r *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. ' A copy of the Home Improvement Contractors License&Construction Supervisors License is , required. SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Tern orary Internet Files\Content.0utlo6k\8R76BDVA\EXPRESS.doc Revised 061313 1 NlaSSachusa"tis - Departrnei t c Public �El et; a0ard of Building Regulatio.Is ind Sand_-, Construction Supervisor _ License: CS-08.068E .., THONIAS M TAYLOEl 69 MAYP'LOW/ER TERIR So YAF2M®I TffW A 02664 urrimi., is t`r 06/09/2015 JF p y r.. f ffice of Consumer Affairs B Business Regulation License or registration valid for individul use only L3 ? before the expiration date. If found return to: y bME IMPROVEMENT CONTRACTOR p J Office of Consumer-Affairs_and Business Regulation -�Registration: 1b6740 Type lO Park Plaza-Suite 5170 Expiration: 6/23/2014 Supplement'.ard- Roston,MA 02116 CAPIZZI HOME IMPROVEMENT;-INC. - - THOMAS TAYLOR' ,1645 Newton Rd. " aS� �"��� i � ' �✓�C"- r Cotuit,MA 02635 Undersecretary _. _ Not valid without sign ure Pa ge 7.of 7 Capizzi Home Improvement Inc: Specifications and Estimates. . . . STATE OF MASSACHUSETTS - LETTER OF AUTHORIZATION'TO APPLY FOR A BUILDING PERMIT 1, {J tit, l C a!f V I 0 ; OWN THE PROPERTY LOCATED AT : fJ L4 X f/ e ul e vil- �,�F /. ,MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE BUILDING CODE: - - _4-1 SIGNATURE OF OWNER. �. �l' tfi� �7 y�:f�a� e:�� .. . rX.✓4* OWNER'S ADDRESS: :' OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'.S ADDRESS: LESSEE'S TELEPHONE: .... APLLICANT'S SIGNATURE: APPLICANT'S,ADDRESS: ..1.645 Newtown Rd., CoWit;MA.02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: '' Office oflnvestigations I Congress Street,,Suite 100 - Boston,M4 02114--2017 f www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information PIease Print LegibIy Name(Business/Organization/Individual):Capizzi Home Improvement Address:1645 Newtown Road City/Staje/Zip:Cotuit, MA-02648 Phone#:508-428-9518 . Are you an employer?Check the appropriate box: a of project re aired L I am a employer with 40+ 4. ❑ I am a general contractor and l Type P J ( q ): employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2:❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling shipand have no employees' These sub-contractors have 8. ❑Demolition working for mein any capacity. employees and have workers' 9 Building addition [No workers' comp.insurance comp:insurance.* ❑ g required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additio ns ns 3.[( I an a homeowner do' all work officers have exercised their g 11.[]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12❑Roof r ePs. insurance required.]t c. 152, §1(4),and eve have no employees:[No workers' 13. Other � .�/ U�IJ comp.insurance required.] *Any aprAl cant that cheo�box#1 must also fill out the section below shavfiing their workers'compensation polx,,.y information.," f Homeowners who submit this affidavit indicating they are(Ming all work.ai then hire outside contractors must submit anew affidavit indicating such #Contragors that check this box must attached an.additiouel sheet showingtae name of the sub-contractors and_�ate whether or trot those entities have employ'ees. If the sub-rnntractors have employees,they must provide their workers'comp,polidy number. I:ain an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Associated Employers Insurance Company Policy.#or Self-ins.Lic.#:WCC5010 541012011 Expirati 12/25/201 on.Date: Job Site Address: '� 0 okl_ut'e w le 114[-e. � ,9dV®l/1d I�� 0 Z(� a/. City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties.of a fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify, dthepains and enates ofp at the information provided above.is true and correct Si ature: Date: - U: _ 12, Phone# 508-428-951$ Official use,only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Tssuing Authority(circle one): L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ./ CAPIHOM-01 CBENISCH 1 CERTIFICATE OF LIABILITY INSURANCE DAT> `M�D°"Y"" 6/12/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER NNAANMEACT Chris Benisch Rogers&Gray Ins.-Dennis Branch PHONE FAX 434 Rte 134 a.c N,E>R:(508)398-7980 (MC,No):(877)816-2156 South Dennis,MA 02660 E-MAIL cbenisch@rogersgray.com W SURER(S)AFFORDING COVERAGE NAIC tt INSURERA:Main Street America Assurance Co. INSURED IN Employers Insurance Co. Capiai Home Improvement;Inc. WsuRERc: Capri Enterprises,Inc. 1645 Newtown Road INSURER D: Cotuit,MA OM35 INSURER E: ' INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILNSR TYPE OF INSURANCEADDL SUBR POLICY EFF POLICY EXP INSR WVD POLICY NUMBER MMID MM/D UNITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY MPB1075H 6/8/2013 6/8/2014 Ea T PREMISESDAMAG EaRENTED occurrence $ 500,000 CLAIMS-MADE 11C OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY jE O- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ A ANY AUTO M1M28044 6/8/2013 6/8/2014 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS X AUTOS BODILY INJURY(Per accident) $ 500,000 X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS PER ACCIDENT $ - X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ S,000,OOO A EXCESS LIAB CLAIMS-MADE CUB1076H 602013 6/8/2014 AGGREGATE $ DED X RETENTION$ 10,000 $ 5,000,000 WORKERS COMPENSATION - WC STATLL OTH- AND EMPLOYERS'LIABILITY TORY LIMITS X ER B ANY PROPRIETOR/PARTNERIEXECUTIVE YIN CC5010547012012 12/25/2012 12/25/2013 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E-L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ' ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601-0000 AUTHORIZED REPRESENTATIVE " ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD - 11 a Town of B rn•°F1ME a stable *Permit# Regulatory Services Fpereesamont sfr miss IAMSTABM v rasa •� Thomas F.Geiler,Director 4''°jFv rya+" • • Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.uS Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL'ONLY - J�/� / Not Valid without Red X-Press Imprint Gl' Map/parcel Number (O Property Address 93 �l��J�.�u1 �Blf!/,gCe lT��l�✓/r//J E31/Residential Value of Work/$ f ,DO Minimum fee/of$35.00 for work under$6000.00 Owner's Name&Address a �� . d/ �y�euJ ��//�/�.ce y���<'� 1"Y,q 0 26al Contractor's Name ���� z26 Co2 �1/'/LUl/�iZ2�� �- Telephone Number � I?t 9 S"Ar Home Improvement Contr"actor License#(if applicable) I Lyo Email:�lyeepf/� e- rLlri• 7i• lii y�2e. !Q`/ Construction Supervisor's License#(if applicable) s. 0 0 �✓�0 ❑Workman's Compensation Insurance PERMIT. RM Check one: ❑ I am a sole proprietor ❑ am the Homeowner NOY ,13 2013 ' have Worker's Compensation Insurance Insurance Company Name Jf 0 cliff re Zy,/U/t',g All 1 _ MRN1, S, ACE Workman's Comp.Policy# c G� Copy of Insurance Compliance Certificate must accompany each permit." Permit Requ (check box) ` Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to tiPu/L3�JIi'�tip Lj/,q� VR e-roof(hurricane nailed)(not stripping. Going overexisting layers'bf roof)'e-side Ul'fzN/ J%!J!N ❑ Replacement mdows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor,plans marked with red S and inspections required. Separate Electrical&Fire Permits required. 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: ' Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is equired. , SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Tempora nternetFiles\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 _ 1 Congress Street,,Suite 100 -- Boston,MA 02114-2017 www.mass gov/dia Workers, Compensation Insurance Affidavit: Builders/Contractors/Elec Applicant�plicant Information Please Pratt Le 'biy Name(Business/organization/ludMqual):Capizzi Home Improvement Address:1645 Newtown Road — --------------------- City/State/Zip:Cofitit, MA,02648 Phone#:508-428-9518 Are you an employer?Check the appropriate box: 40+ 4 r F of project(required): 1�.�✓ .I am a employer with ❑ am a general contractor and T employees(full and/or part-time).* have hired the sub-contractorsNew construction 2.0 !am a sole proprietor or partner- listed on the attached sheet. Remodeling ship and have no employees These sub-contractors have .. Demolition working for zne in any capacity. . employees and have workers' [No workers' comp.insurance comp:insurance.$ Building addition required_] 5. ❑ We are a corporation and its Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.[]Plumbing repairs or additions y [No workers comp. right of exemption per MGL m self. ' insurance required]t c. 152;-.§.1(4);and eve have no 12. 0ofrepairs. _ employees. [No workers." -1111 )t/16- comp.insurance required. ] *Any appEicaut that cheep box#1 must also fill out the sectio4 below shov4ng their workers'compensation pol y information"f Homeowners who submit this affidavit indicating they are ding all work.aW then hire outside contractors must submit a new affidavit indicating such Gontragtors that check this box must attached au addition4.sh�et showing the name of the sub-contractors and_�tate whetTier or ziot those entities have employees. If the sub-contractors have employees,they mustsprovide their workers'comp,policy number; Iam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Associated Employers Insurance Company Policy.#orSelf--ins.Lie,#:WCC5010 541012011Exp u'ation Date: 12/251201; Job Site Address:- / 0,4le i'/ G4J fewl4 Ce -City/State/Zip:_ Attach a copy of theworke& compensation policy declaration page(showing the policy number and expiration date). Failuie.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crimuial penalties of a foie 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 Investigations of the DIA for insurance coverage verification. I do hereby certify der the pains a penalties ofperjury that the information provided above.is true and correct Sign _�=atuie: Date: Phone#..5 428-9518 " rofoc4use only.. Do not wilte in this area,to be completed by city or town official ty or Tow Permit/License# Issuing Authority.(circle one): Y Board of Health 2.Building Departrn.ent 3.Cityl-Town Clerk 4.ElectricaI Inspector 5.Plumbing Inspector` 6 Other Contact Person: Phone#: r n t CAPIHOM-01 CBENISCH ® CERTIFICATE OF LIABILITY INSURANCE UaT112J2DIY 61212013 3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Chris Benisch NAME: R ers 8 Gray Ins.-Dennis Branch PNONE Fax ,�° Rte 134 ,�No :(508)398-7980 a,c N,;(877)816-2156 South Dennis,MA 02660 E-MAIL ORFESS:cbenisch@rogemgray.com INSURERS)AFFORDING COVERAGE Na1C S INSURER A:Main Street America Assurance Co. INSURED INSURER B:Associated Employers Insurance Co. Capiai Home Improvement,Inc. INSURERC: Capisi Enterprises,Inc. 1645 Newtown Road INSURER D: Cotult,MA 02M INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSOR WVD POLICY NUMBER MM POLICY EFF POLICY EXP - UNITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY MPB1075H 6W2013 6/8/2014 D AMAG E TOR N ED PREMISES Ea occurrence) $ 500,000 CLAIMS-MADE �OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,006 POLICY JEC7 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acrid. $ A ANY AUTO M1M28044 6/8/2013 6/8/2014 BODILY INJURY(Per person) $ � OWNED X AUTOS ED BODILY INJURY(Per accident) $ 500,000 NON-OWNED PRO MGE X HIREDAUTOS �OS ACCIDE $ $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE CUB1076H 6IN2013 6/8/2014 AGGREGATE $ DED I X I RETENTION$ 10,000 $ 5,000,000 WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS LIABILITY TORY LIMITS X ER B ANY PROPRIETORIPARTNERIEXECU IVE r I N CC5010547012012 12/25/2012 12/25/2013 E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? a N/A (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE $- 1,000,000 If yes,descsibe und DESCRIPTION OF eOPERATIONS below EL.DISEASE.-POLICY LI IT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) - CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601-0000 1 AUTHORIZED R13PRESENThT1VE . ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD f }fit Massachusetts. Department of Public Safety 1 ' Board of Building Regulations and Standards CUnctrnCti4ln SuliirVisur. License: CS-080680 - • OR f" TIiOMAS M TAYt- R t 69 MAYFLOWER TERR�� E SO YARMOUTIMA"026164 Expiration - 06/09/2015 . ' ..' Commissioner t _� TNvT.� 'rr. .1.:qn+r• . �++mow%.+r +w, ` _. .h.w Y ...♦ �e wo-m uow"weall11 n,'6Ji(' .it« 1ccejeM(s' _. —= ffice of Consumer Affairs Business Regulation g License or registration valid for individul use only ' ME IMPROVEMENT CONTRACTOR ore the expiration date. If found return*t before o Office of Consumer Affairs.and Business Regulation 4 :Registration 100740„!- Type; 10 Park Plaza-Suite 5170` u--� Expirafion 6/23/2014.y" Supplement Card Boston,MA 02116 � , CAPIZZI HOME IMPROVEMENT�;NC �� t. THOMAS .T � a f 1645 Newfon Rd. ,r — . Cotuit,MA 02635 Undersecretary. 'Not valid without sign ure T. 13 Massachusetts:- Department of Public Safety 9 9 Board of Buildin Regulations and Standards _ .. . Construction SulicrVisOr License: CS-080680. OMAS M TAYL=OR 69 MAYFLOV6 ER TER PI: T SO YARMOUT1iZVIA 02664� ` Expiration Commissioner 06/09/2015 f .. rn ..-r+.�_•+. ...ten.... ,... .�.« ..... .. ' �e 7{caccrrna�rtrc<ill�n.�G�flllrJl<rC�cr.re//1 ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only l`. ME before the expiration date. If found return:to- Office of Consumer Affairs and Business Regulation Registration: 00740 Type: 10 Park Plaza-Suite 5170 Expiration %123/2014t' Supplertient Card Boston,MA 02.116 CAPIZZI HOME IMPROVEMENT+INC .. O 1. _ .. .. .. THOMAS TAYLOR 1645 Newton Rd. Cotuit, MA 02635 -- --- - --- Undersecretary: Not valid without sign ure p I _ f Page 7 of 7 Capizzi Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT . CCU T. P✓«� 3 , OWN THE PROPERTY LOCATED AT y e44 vi p ug i edfi tl��f 1��,i : MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. ; I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR;THE MASSACHUSETTS STATE BUILDING CODE.. SIGNATURE OF OWNER: OWNER'S ADDRESS: ; OWNER'S TELEPHONE LESSEE'S SIGNATURE: LESSEE'S ADDRESS: . LESSEE'S TELEPHONE APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 NewtownRd., Cotuit,'MA 02635 p. _. APPLICANT'S TELEPHONE: .. 5087428=9518 RESPONSIBLE OFFICER F RESPONSIBLE OFFICER-ADDRESS: RESPONSIBLE OFFICER TELEPHONE �T Town of Barnstable Regulatory ServicesBMNSTA . mus Thomas F.Geiler,Director — i639 Building Division Tom Perry,Building Commissioner: 200 Main Street,Hyannis,MA 02601 rt� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY �l CM4S: rAl y0A, Construction Supervisor License I, p # S G d�P® hereby certify that I�have assumed responsibility for the project under construction, as authorized by building permit# �/.3� z� , issued to V- . 04 Kili45u� 'fe P-ra ce y v����J o.604 (property address) The following documents.are attached: ' ' - copy of my Massachusetts State.Construction Supervisor's licensee or Homeowner's License Exemption form (if applicable) copy of my Home.Improvement Contractor registration(if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond:(if.applicable)' LICENSE-HOLD R y DAT.., q/forms/newcontrb rev:080102 i TOWS! OF AR -STAIB!E 2013 OCT - •2 O b , lassGchiisetis Departriien of ': hI C S_,,eiy Board�fi6uiErlinc ReOUlations ii.d Siarada ds DIVSO Cuurtructii;n S ip� 'r'isur 'Ulcers : CS-080680 ^ THOKAS M TAYLOR 69 MAY FL Y O > I2 TT Rlt a SO YAB1�1fOiJ TlF-il_A 0266 ,•,��II 'tiii.)A 06109/2015 �,� C'/�c�n�iiriro�rrocal(�i/G2/lr.;tc'ri•�aJc//r ^ ; - ; . r� ffice of Consumer Affairs&Business Regulation License o; rel'istration valid for individul use only yME IMPROVEMENT CONTRACTOR before the expiration date. )<f found return to: CFI A Office of Consumer Affairs and Business Regulation Registration: 100740, Type 10 Parlc Plaza-Suite 5170 Expiration: 6/23/2014 Supplement.::ard . Boston,MA 02116 CAPIZZI HOME IMPROVEMENT,-INC: THOMAS TAYLO R 1645 Newton Rd. rGr'/?` _ `Cotuit,MA 02635 r — ----— - Undersecretary- Not valid without sign. ure 71 � > Town of Barnstable os TOWN 0T GAR STABLE Regulatory Services BARNS ABLE, ` Thomas F.Geiler,Director f` ton GLT -4 RM 2: 06 i639 '�FnMa't Building.Division Tom'Perry,Building Commissioner 200 Main Street,Hyannis,.MA 02601 www.town.barnstable.ma.upivIlzz `z i Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT Construction Supervisor License # ,�(� (/0- , hereby certify that`I am no longer the Construction Supervisor listed' on the application for the project under'construction as authorized by building permit # 0 a 321, issued to (property address) 3. OAKakal,?ev iBc /T y AAill1 AIA of 03. r Oct' . I also certify that on ,.243 I notified the property owner, that the,, , project under construction must cease,until a successor licensed Construction Supervisor; is submitted on the records of the Building Division i x 6CEY 4S HOLDER ..DATE ,,.. q/forms/newcontr. reference R-5 780 CMR rev:080102 0F1 r Town of Barnstable *Permit O Ezpves 6 ma from issue date Regulatory Services Fee NAM Thomas F. Geiler,Director Pp l� Building nylon Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.b arnstab l e.m a.us' Office:-508-862-4038 Fax: 508-790-6230 E-XPRESS PERMIT APPLICATION -° RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number`s ZAddress / oig A1°UI/ f Il /11/uential Value of Work ),7 JM),nimnm fee of$35.00 for work under$6000.00 Owner's Name&Address �'l� I �J�}/1 S ' ✓1? e Contractor's Name � /Y1 Se 1 S O S. /I IJ Uf �I lephone Number .� Home Improvement Contractor License#(if.applicable) - t .7 C coon Supervisor's License#(if applicable) �o- Workman's Compensation Insurance t �� Check.one: ❑ I a sale proprietor � � ❑ am the Homeowner FEB 3 2U12 I have Worker's Compensation Insurance TOWS o�BARN � Insutarice Cgmpany.Name � W �;Pf�N C R Workman's Comp. Policy# F v � / C; . 3 ��r/4�L� -opy of Insurance Compliance Certificate must accompany each permit. °'ermit Request(check box) Re-roof(stripping.old shingles) All construction debris;will be taken to Re-roof(not stripping,. Going-over existing layers of roof) ❑ -side #of doors Replacement Windows/docrs/sliders, U-Value V (maximum •4-4)#of windows: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e,Historic,Conservation,etc. ***Note: Property Owner n k sign Property-Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supe requir rvisors License is GNATURE: g {{r�.#'3> $,��1s"��=d���•7�Z � is'�i}"S'�.:' ice of.1r."'estigations - � t --- : 600 WIbttltl St7't'ef Boston, AM 02111 r ctriciansi Workers' Compensation nstflrattce Affidavit: BuildersfCu11trasto����Please Print LeMyP � l�cattt InforratRation t-zatie�i ;ccv �ame 'Bus iness,,—,ga+ Address: ffi P -� ` �tJt�ir J?� I1Qtte Cttyr`StaterZi Type of project(required): ire you an employer' Chick the appropriate box, 4 [�' I ain a general contractor add i b. 22�mod uuction t i am a employer with ^ have hired the sofa-ccsriractors l� employees(full and/or part-time)- 7. eling - listed on the attached sheet. :. I am a sole proprietor or partner- These sub-contractors have 8. [ I3enolition 1 ship and have no employees employees and have workers' � 9, Building addition working for me in any capacity. comp insurance.* insurance .d its ld•(3 Electrical repairs or additions i do workers comp. r 5 ❑ We are a corporation and required.l t, t I.El.plumbing repairs or additions 11 cars have exercised their 3. I am a homeowner doing all work right of exemption per MGL I2,R Roof repairs myself. [\,To workers' comp- C. I52, §l(4),and we have no E a ❑ Other insurance required.) E employees.[No workers' comp. insurance regtured,) Any applicant that checks box 1 rlkust also fill out the section below'showing their workers'C'a Pensat on niupotst s bmit anew natiun. "n, PP t indicating they are doing all worst and then hire outside cam tors saai�a whether orn those emit es have Koineownets who subtrit this affidatit lic nunnber. :contractors that check this box must at ached an additional sheet show ng.the name©'the sub�oa ees. If the sub-contractors have employees,they must provide their workers M?inF Po y e^:P,oy ® ees. velow is the policy.and job site ,l aim an employer that is providing workers'contpensataors insurance y�SPI �' information. Inst :ante Cornpany�tame; - Expiratisrn ate: pesky#or Self--ins-Lit. : - L M�/�� ' "- " �L?U 3 1/ 1A G W ' '/' Citytater' ip: job Site Address: shorriag the policy number and exPirztion date). compensation policy declaration page 4 osit:on of crriinal penalties of:a :�ttach a copy of the anorite�s' comp 1 allure to secure coverage as..required tinder Section 25A of;vtGL c. l 52 can lead to the uxip im tisonment,as yell as civil penalties in the form of STOP WORK 0 �and a fine fine up to$1,500.00 and/or one-yeas P of this statement may be forwarded to the Officc of 4,p to$250.00 a day against the violator. Be advised that a copy Investigations of the DIA far insurance coverage verification, orrnatioa proms ve is trace and correct s and enaltres o ury that the info I do hereby certify under th p - Date: gt�riature: Phone#: t) _ � 6- Offbcial use only, DO toot wrote in this area, to be.cornp leted by city or town of�ragt i± permit/License it City or Town: ; (circle one};, 4. c,�c*i for S. plumbing Inspector Issuing Authority ( i rtl�eut =Cif, o Clerk , 1. Rnard of Health 1 Building,Depa 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 ky Applicant Information Please Print Legibly Name(Business/Organization/Individual): ,.J Pc✓'k!p 7 P_ 14/j Address: City/State/Zip: /J. y (� `/i 0)3 YL Phone #: '!lam AYlam employer?Check the propriiate box: TyZing ' t(required): 1. employer with 4. I am a general contractor and I PI (full and/or part-time). * have hired the sub-contractors 6. struction 2. sole proprietor or partner- listed on the attached sheet 7. l ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees andhave workers' 9 E]Building addition [No workers' comp.insurance comp. insurance. required.] 5. ❑ We are a corporation and its l0.❑ Electrical repairs or additions 3.❑ l am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. ' right of exemption per MGL Y �o workers comp. 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insur nce for my employees Below is the policy and Job site, information. 1 e, Insurance Company Name: e�'/Y1 Dii/I ✓ ' Policy#or Self-ins.Lic.#: `® r.� Expiration Date: Job Site Address:_ ,�3 c V� �f PA - ° City/State/Zip: ��� �s d ®/ Attach a copy of the workers'compensation policy,declaration page(showing the policy number.and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify or��^��' '�''' - _e in ormation provided above is true and correct Signature: I Date: _2 ~". Phone#: Official use only. Do not write in this area, to be completed by city or town official ,7 City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4. EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: a_ DATE(MM/DDIYYYY) ��®® CERTIFICATE OF LIABILITY INSURANCE 02/21/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1-404-995-3000 CONTACT NAME: Marsh USA, Inc. PHONE ------------ --- FAX _AI( C No,Ext)_____.-----------'-------- SA/C.NoJ--__..___------.__----._._._. homedepot.certrequest@mmarsh.com E-MAILDR Two Alliance Center, 3560 Lenox Road, Suite 2400 Atlanta, GA 30326 INSURE R(S)AFFORDING COVERAGE NAIC# Fax (212) 948-0902 INSURER A: Steadfast ins Cc 26387 INSURED INSURER B: Zurich American Ins Co 16535 The Home Depot, Inc. Home Depot U.S.A., Inc. INSURER C: New Hampshire Ins Cc 23841 2455 Paces Ferry Road NW INSURERD: Illinois Natl Ins Cc 23817 Building C-20 NATIONAL UNION FIRE INS CO OF PITTS 19445 Atlanta, GA 30339 INSURER E: - INSURERF: Illinois Union Ins Cc 27960 COVERAGES CERTIFICATE NUMBER: 19834682 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY LTR POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS A GENERAL LIABILITY GL04887714-01 03/01/1 03/01/12 EACH OCCURRENCE $ 9,000,000 X DAMAGE TO RENTED 1,000,000 COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence _$ CLAIMS-MADE I—XI OCCUR MED EXP(Any one person) $EXCLUDED _--_- X LIMITS OF POLICY XS 9,000,000� PERSONAL 8 ADV INJURY $ X OF SIR: $lM PER OCC GENERAL AGGREGATE $ 9,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $9,000,000 X POLICY PRO- LOC $ _-._. B AUTOMOBILE LIABILITY BAP 2938863-08 03 01 1 03/01/12 COMBINED SINGLE LIMIT 1,000,000 Ea accident ANY AUTO- - BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS _ Per accident X SIR AUTO P Y $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ - $ C WORKERS COMPENSATION WC061967352 (AOS) 03/01/1 03/01/12 X WCSTATU- OTH- AND EMPLOYERS'LIABILITY -------.---- D ANY PROPRIETOR/PARTNERIEXECUTIVE YIN NIA WC061967354 (FL) 03/01/1 03/01/12 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? — E (Mandatory in NH) WC0 619 6 7 3 53 (CA) 03/01/1 03/01/12 E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Workers Compensation WCO61967355(KY,MO,NY,WI, )03/01/1 03/01/12 F TX Employers XS Indemnity TNSC46244151 (TX) 03/01/1 03/01/12 Occurrence/SIR 30M/lM E Workers Compensation WC1192378 (QSI) 03/01/1 03/01/12 SIR 1M DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) RE: EVIDENCE OF COVERAGE CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE HOME DEPOT, INC. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN HOME DEPOT U.S.A., INC. ACCORDANCE WITH THE POLICY PROVISIONS. 2455 PACES FERRY ROAD NW AUTHORIZED REPRESENTATIVE , BUILDING C-20 ATLANTA, GA 30339 USA ` ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD jfiero_hd 19834682 �� nweald Office of Consumer Affairs& Business Regulation N'xOME IMPROVEMENT CONTRACTOR Registrations 126893 Type:. Expiratipn 813/20 t2.._ Supplement C The aHome Depot zA' Houle:Serutces d_ DARREN DEMERS 26.90 CUMBERLAND A� RK1NAY S l' -- A'1'��A'N` , GA 30339 a=' Undersecretary License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs-and Business Regulation 10 Park Plaza-Suite 5170 ;ard Boston,MA 02116 Not valid without signature I `ACORP, I M A E F L i AA I L ITY INSURANCE AGATE(MtJ,DDl YYI`I 03/23/2011. PRODUCER 508.295.44� FAX 508.295,5864 THIS CERTIFICATE IS ISSUED AS A MATTER.OF INFORMATION Paul B. Sullivan Insurance Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE R THIS CERTIFICATE DOES NOT AMEN D,EXTEND OR HOLDER. S , 2870 Cranberry Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 551 Cast Wareham, MA 02.538 INSI.IRERS AFFORDING COVERAGE NAIC# INSURED 7 & ) Remodeling INSURER A: Vermont Mutual Insurance Co. 26019 1.5 Wilson Way INSURERS: Middleborough, MA 02346 INSURERC: INSURER 0: INSURER E. COVERAGES 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH. POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MNVDDIYYYY DATE MM.IDD.'YYYY LIMITS GENERAL LIABILITY BP11020SZO 03/22/2011 03/22/2012 1 EACHOCCURRENCE $ 1,00,00 FD X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ S0,000 CLAIMS MADE OCCUR MED EXP(Anyone person) Is S.0001 A _ PERSONAL S ADV INJURY is 1,006.060 GENERAL AGGREGATE Is 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY JECPRO LOC T AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT AN"AUTO (Ea accident; $ ALL OWNED AUTOS BODILY INJURY SCHEDULEDAUTOS (Per pelsol) $ HIRED AUTOS BODILY INJURY $ NON•OWNED AUTOS (Per accdem) PROPERTY DAMAGE $ (Per acdden.) . GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ AN"AUTO OTHER THAN EAACC I$. AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE Is OCCUR CLAINS MADE - AGGREGATE $ Is DEDUCTIBLE Is RETENTION $ OTH- - $ WORKERS COMPENSATION TORY LIMITS ER AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE— E.L.EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED? U E.L-DISEASE-EA EMPLOYE $ (Mandatory in NMI If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 'S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS HD At Home Services, Inc and the Home Depot are included as additional insureds ith respects to general liability linsurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN THD At Home Services, Inc. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 3200 Cobb Gal l eri a Parkway - IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Suite 200 REPRESENTATIVES, Atlanta, GA 30339 AUTHORIZED REPRESENTATIVE Edward Sullivan/MARIE ACORD 25(2009101) FAX: 508.756.8823 ©1988.2009 ACORD CORPORATION. Ail rights reserved. The ACORD name and logo are registered marks of ACORD office of Consumer Affairs and XU'iness egulation t 0 Park Plaza- Spite 5170 Boston, Massachusetts 02116 dome improvement ra,ctor Registration lip Registration: 132349 Type: Partnership Expiration: 1/1112013 Tr# 207392 J &J Remodeling Joseph Duarte .4. .. ------- 15 Fall St. - Wareham, ma 02571 _ Update Address and return card.Mark reason for change. Address F1 Renewal ❑ Employment 0 host Card )PS-CAI 0 6oM-04(04.010i2K Office-Tft`Asum s rt s sines 3"lYegul"shon License or registration valid for individul use only before the expiration date, 1f found return to: kvHOME IMPROVEMENT COCONTRACTORTQR HOMEration: .,•932349 Type: Office of Consumer Affairs and lousiness Regulation RegistPartnership 10 Park Plaza-Suite 5170 ie M o d e I i n g Expiration- .�/1112013 p Boston,MA 02116 Joseph Duarte 15 Fall St. Wareham,ma 02571 Undersecretary of vard-�jthout signature �la:•achu.ett•- Deparun0nt of Public safm 1 Board of Buildi►t�ll Re!"1131iuns:tut' St"t'" :utt� Construction Supervisor License License: CS 70077 JOSEPH C DUARTE 15 FALL ST WAREHAM,MA 02571 Expiration: 12130/2012 -�' Tr#: 7048 (..nuf,j.eiut�cl' TO 39Gd Z9L656Z ES:TZ TTOZ/ZO/TO FROM :jams FAX NO. :5083622271 Aug. 26 2008 2:37PM P1 ,�"° '"� • ad HOME IMPROVFMMff CONTRACT P w•SE gF,AD 7Sb5 /- Sold Furnished and Installed by: Branch Name: Boston Deetct L--`+ THD Al-Rome Services,Inc- ' dPo/a The Dome Depot At-Home Services 345A Cmeen-OW Sweet,Unit 2,Worcester;MA.01607 Braneb Number:31 Toll Free(800)657-5182; Fax(508)756-8823 Federal ID#75-269SM&ME Lie#C 02434:R1 Cont.Lis#16427 G Cr tie#566522.MA How Improvement Qaniractor Reg.#126893 Iitstaliation Address 93r-�,jld e lf�//QcQu City State Zip parebaser(s): W4"* Hsme Phone: Ca Pboae: Home Address: state Zip C� (If different from Instaltadoo Address) City F Frain Address(to receive project communications and home Depot updates): Q I DO Norr wish to receive any moikcting cmails from The Horne Depot Pi meet mtaxmatiion: undersigned("Cubomet").the owners of the property located at the above installation address,agrees to buy, and THD At-Horne Services,Inc.(-The Home Depen agrees to futaish,deliver and arrange for the installation("IBb 811106)of all-materials described on.the below and on the refinenoed Spec Sheet(s),all of which are incorporated into this Contract by this reference,along with any applicable State Supplement and Payment Sutnraary attached hereto and any Change.Orders(collectively, Coritraa^)- Job#:,ri unw Reanwo s 8: Pro' Amount �A Roof-9 W1adeRB Q Sn�lffiton k7 7j. B 36 oc>utt«s i car« o m Doors 0 $� 'oZ- ORoa6ng QSidmg (]windows❑Insulation $ Cantu r carcn C Fnuy Doers n Olitoofwg QSiding❑vrindows C>lnar!$;ion - $ Mcuam i Cown []Entry Dom r l oofirrg Osiamg 0 Windows 0Trtsutadoa $ QGuam I Covers pENry Doors n "W"Wia25%DepedtdCoubudAmo®tdmupm.esemlimofddsaantract. Total Contract Anount $ � / Maine purchases uray not depmk more dkm*ne4 rd ortbe ConUadAnneat s' Customer agrees that,immediately upon completion of the work for each Product,Customer will execute a Completion Certificate (one for each Product as defined by an individual Spec Sheet)and pay any balance due.: As applicable,each Customer under this Contract agrees to be jointly and severally obligated and liable heteander. The Horne Depot reserves the right.to issue a Change Order or terminate this Contract or any individual Product(s)included herein;at its diserction,if The Home Depot or its authorized service provider determines that it cannot perform its-obligations due to a structural problem with the home,environmental haLmdti such as mold,asbestos or lead paint,other safety concerns,pricing errors or because work required to complete the job was not Included in the Contract. Payment Summary: The Payment Summary#6 a<� -included as part of this Contract, sets forth the total Contract amount and payments required for the deposit-.and final payments by Product(as applicable), NOTICF TO CUSTOMER You are entitled to a completely filled-in copy of the Contract at the rune you sign. Do not sign a Completion Certificate(note: there is one Completion Certificate for each listed Product as defined by individual Spee Sheets)before work on that Product is complete- , In the event of termination of this Contract,Cash mer agrees to pay TbE Home Depot the costs of materials,labor,expenses and services provided by The Home Depot or Aged Service Provider tbroki9b the date of termination,Plus any other amounts set forth in this Agreement or allowed under applicable Iaw. THE HOME DEPOT MAY WITHHOLD AMOUNTS s . OWED TO TFW HOME DEPOT FROM THE DFX`OS1T PAYMENT OR OTHER PAYMENTS MADE, WITHOUT LIMTI`ING THE.HOME DEPOTS OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. Acceatanee and Aufhodudon. Customer agrees and understands that this Agreement is the entire agreement between CAlstomer and The Home Depot with regard to the Products and installation services and supersedes all prior discussions and agreements,either oral or written,relating to said Products and Installation.This Agmeem at cannot be assigned or amended except by a writing signed by Customer and The Home Depot.Customer ackrrowiedges and agrees that Customer has read,understands,voluntarily accepts the tarns of and has received a copy of this Agreement .Agaepred by; Sub by: � x s s Sign Sal nsunanl's. ' atone / ate �r D Telephone No_ O c�?fd D Customer's Si Date Sales Consultant License No. CANCELLATION: CUSTOMER MAY CANCEL THIS (as applicable) AGREEMENT WITHOUT PENALTY OR OBLIGATION BY`DELIVERING'WRITTEN NOTICE TO THE HOME DEPOT BY MWNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING MRS AGREEMENT.. THE STATE SUPP).EMENT , ATTACHFt.D HERETO CONTAiNS1., A FORM TO USE IF ONF IS SPECIFICALT,Y ,PRESCRIBF0 BY LAW IN CUSTOMER'S STATE. NOTICIL ADDnIONAI,TEMMANDCY911INTIONS ARE SPATM ON T=R9VEM9MAND AU PART OF TM CONr1;A.Cr jfl Town of Barnstable *Permit Expires 6 months from issue date �T Regulatory Services Fee -� , sAMWA6LE, • Thomas F.Geiler,Director ,•��, Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office:,508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY GNot Valid without Red X-Press Imprint Map/parcel Number C:*� l Property Address�� P, —Tt 2 tZ (�R 010 yn✓1 t : Residential Value of Work soq ��C 1 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address I7 1�'S (21- /an Contractor's Name C t-3 Telephone Number /�'��' �`/Z Z 7- 0 r , Home Improvement. License# if applicable) l 7 6 � P ( PP ) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor X-PRESS PERMIT ❑ I am the Homeowner Ullhave Worker's Compensation Insurance APR e 8 2003 Insurance Company Named r `�- BLE Workman's Comp.Policy# � C� � U6J Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to` ❑Re-roof(not stripping. Going.over existing layers of roof) ❑ Re-side [Replacement Windows/doors/sliders.U-Value z ' (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property,Owner must sign Property Owner Letter of Permission. A copy of the II.*# 114 poiovement Contractors License is required. SIGNATURE: Q:Forms:buil dingpermits/express Revised 123107 I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 4 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information J Please Print Legibly Name (Business/Organization/Individual): �/ ��0 Address:AC11 C i!�Cl,,we SrT City/State/Zip: bX13UR H A SS Phone #: A!Zma employer?Check the appropriate box: Type of project(required): 1. employer with c-V 4. ❑ I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp.insurance.: ] 5. We are a corporation required.] co oration and its 10.❑Electrical repairs or additions ❑ q 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ! � % Policy#or Self-ins.Lic.#: -1 / G /G�J� Expiration Date: Job Site Address: / k�t t ��� City/State/Zip: 11 J1#&5 A# 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' ance cove rificati I do hereby certi nde e pains a en al ' s of p fury that the information provided above is true and correct. Si atur • Date: Phone#: / `3 y Z z -Z / Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 04-07-`08 06:43 FROM-Newpro-WheehngAve 1-781-932-0860 T-864 P002/002 F-241 w , AI Reg,#26483 J Federal 10#20.2625129 ' cocas uraearerteb£l Ceesr 8>,�Pp.Bm 4aBe waetrat Ina O10® Patinas+too ti001Ma@Stf •. - �t ' THIS CONTRACT MADE THE. . . . t��. : . : day of. /r . . . . 200 00,'. between. . •. . , , . . . . . . . . 5 . 8 ?7S q Ofgne taarrora) It1orn_a d) (euslCen Pnonel M�Iiwro.j ' of (Address) J (Stato) (Ap Code) the"Cviner and NEWPRO Operating,LLC,'NEWPRO'. ` NEWPRO hereby agrees that R will for the consideration hereinafter mentioned,furnish all labor and material necessary :.,..._.. to Install the following desertbea wont at the premises located at 6nk.. . . . . . , (Doti aaoio• . . . . . .. . . .. . . . . . . ..... . . . .IE-Litu1 AOdiebs) - TOTAL AdlifUdital TOTAL CASH WIa Purchased Wok NEWPRO style PRICE fit► I PA � 7 Window Color-spedity Slid Glass Door O I DEPOSIT . . Capping Color S Q Steel Secu" Poor WITH ORDER APO Double Hun Pitxtrre Window Obscure Glass TOP' 607TOM BALANCE gQ State Caaemenl eens HALF DUE AT Casement•Modol A INSTALLATION 2 life/3 L4e Slidar NEWPRO* do** not do any painting or Ba /Bow Frame oohing, S NEW PROS b net t0apenaibb for rondnlone Balance Paid to Garden Window - or Nfeumatancea beyond Ito control irsoluoing - Installer at Installation Awning Von "lion faulting from or due to pro. Other edating andlnone. FINANCE I Bank Completion GRIDS I Coton'lal I Diamond Form Stgr)ad at Installation D IBE WORK: I dor— af.0 o•r, 1 er'eN `o, loutk- •e n o wr r e-3 P/Y wtv w r 4d 4— 1.4, -t ��. _ 14 steal seounty doom wen nave a 3W 910minum throsbold in—fled over exdtlng tMe".0 Cuatamar Inimb j Est.Start Data: 'i dv el.Comp.OetB: L t10 j 11 shad to ate obligation of NEWPRO W&Wn any and an pears ne truary undo IhlB dbrBem6nL d8 and O~s Agomt•The Owners ono secure mefr own eonaoladarrfebtod pamro,a deal win unrggtstere0 Cmtnlacrs wtl be eirhdoa from bra Quar" funs onlria0M of MGLC,1a2A. An Home Im(gpveml6rtt raonneceora arc subcontracrorc cl+au m rogtyarem ay uIo(Nrecta and any InQuiriea mash a Contractor Or 8u000nuaaor relanrlg ro a /np atrodon atroutd m areetoo ro: DueCPM, Moore Improwm eM Ca+trnaor Registration,One Ashburton Place, Room 1301. edGtdn,MA tetoe,(at�1 irrasas. ; - n me Owner f8 oMefnlrlg l nano rig Dy way of a Raton IrKtanmemt Sa1Bs ppggl Wg�men1 such A�raart�m shah Inaluae a ti m uriedule of"ymana4 to be t metro wider�Id oomrpN ant tree amount o mach Payment staled in losers mGudu�g o1lhl+erlcd tytarpOS Tne Retail InaWtment Sales Agreement shall f)8 tnmpry0fated herdlh DY refwenoe.N tire Ownbr K ctuaMrlg a revohdnp Credit fins t0 pa1�,in while Or In pan,for die WnW01 amount h6ran, the IdrrtM of the rovoNfng Imo ot cyOdO Induct M%rest rate and pityment temp,yho11 m deatfy sort out on me p9di1 a0pl;owion.The portion of me i Mods tlppllCatbn relwendna a time adrodula o payment,b Oe mHde ufldef mIs oontrerx,rind m6 8n,dtrrll Of each payment slated m doMm,Intxu(NAD - - rltb rnanw charges,fioh m tfroo posted hereIn Dy r6berdrlod. NEWPAO ropnasenls go n CW61 WO6erroh'6 Compensatfon and PublC uabddy Insurance in the amount Of 5100,000430D,000. it me Otmw refused to permh NfWPRO(p proceed w1m the wodt h6nrin,or in did avant of arty broad+of me Ownar o1"1 agre6m6nt for any reason I ` witatsoevor shay cause me owner to old•NEWPRO*sum of money equal to rrnrry-Mice ano ona ija poc6nt of me plea agroed to m psc,as axed,- r ' ' Willated and esoertained damage;,and not az a penalty,wMoul fuMdf Proof of Iced or damage. i NEWPRO"!not tic hold noble In Aentage8 ter doWd In ale pedofmanw of orb donVW die to oau868 beyond a8 eea&onabte control. . Owner warrantfi foal tie is tom owner of tiro property on wtucn tiro won K to be WOmtad o mat n6 is othaneiae authorized on beinan of me ormers I. to enidr Into dtb agreemem. Thi Noontrw EWPRO.PfOwn%tnel engre agreslrlent batwi uA the Owner and NEWPAO arc cannot tie ChAAW except by a rdM rig Eigned by both the Owner i YOU are entitled to a copy of the Contract at the time you sign.Keep It to proW your bassi rights.We,the aforesaid owners,carlift that Immedletety aver the signing of the aforesaid agreement,a Copy was tumished to us.You may cancel this agreement N It has been signed by a party theretc,at a{►lace other than an address of the seller, which may be hie main office,or branch thereof provided you notify seller Pn writing el his main office or branch by orolnery mail posted,by telegram sent or by derlvery,not later than midnight of the third business day following the Signing of this agreement(Saturday Is a legal business day). . See the attached notice of cancellation form lot an explanation of thla right. 00 NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. . The Owner has seen*sample*warranties mat win be provided by NEWPRO upon Installation, ® Sample warranties provided to Owner. IN WITNESS WnEREOF,Me parbea have herounto signed their flames thls t�s! day at aro�. 200 f EINN Signed �+'•� �r_�2.4 Manceting Repres live Printed Name Owner Acoept E1 P Operating,LLC By Signed r �o; Ntanceting Represent nature Owner I Board of Building RqulationS and Standards �JOME liUT OVEME�IT CONTRA- C?fDR �— `'y Registration _1.46589 Expiratian 5/5/2009 TYP.e. Supplement Card NEWPRO OPERATING LLC TOM PEACOCK 26 CEDAR ST, WOBURN.MA 01801 �s : . Administrador ,. db�, ���z ✓lZA �J/C!'i^iY>2C�r,G,.fi�iN L�/(��trtt(t::37.✓..e�.y Board of Building Regulations and Standards x Construction Supervisor License License:.CS 96093 5 Blrthdate :4/8/1965 Expiration: -4/812010 Tr# 96093 Restriction :00 { THOMAS PEACOCKJR 38 OAKLAND AVENUE i SEEKONK, MA 02771 Commissioner 1A L.I. YAA 161777096a3 A$ :[CAl'd FIRST INSURANCE _ 001 Ar CERTIFICATE LIABILITY INSURANCE' ®PIC3 - DATE(MhUDO/ �• � 02 23108 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MArrE4 OP INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Azerican Virst Ina Agency Inc HOLDER.THIS CERTIFICATE DOES RIOT AIMEND,EXTEND OR 122 Quincy Shore Ilriv® � ALTER THE COVE3tAGE AFFORDED BY THE POLICIES BELOW. north Quincy Dm 02171 P33OT1®. 617-7 70-9'000 INSURERS AFFORDING COVERAGE NAfC 0 IN9VaED IN®URSRA: Arbal1s Protection Ina, Cc INSURER 0:_ d\TOv rO d na at ina LLC INSURfiR 0; PO 8�2f 86�6 ].INSURER 0;- Woburn XA 01801 INSURER @: COVERAGES THE POLICIES OF INSURANCC LISTED BELOW MAVC DERN 19&V€0 TO THE INSURED NAMED ABOVE rOA THIS POLICY PERIOD INDICATED.NOTW ITHSTANOING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT wITH RESPCCTTO WHICH'rHIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFPOROED SY THE POLICIES DESCRIBED HEREIN IS;iUBJECT 70 ALL THE TSRMS,EXCLUSIONS AND CONOITIONS OF SUCH POLICIES,AGGREGATC LIMITS SHOWN MAY HAVE BEEN REOUCEO BY PAID CLAIM$• LTA NSRC TYPE OF tN9URANCE POLICY NUMBER DATE IMNUD01M VAT® M/ LIMITS OENEAAL LIABILITY EACH OCCURRENCE 6 1,000,000 A X, COMMERCIAL GENERALLIADIUTY G50000010649 01/01/00 01/01/09 PREMISF3 Eaooaurenoa S 50,000 CLAIMS aAADE ®OCCUR M20 EXP(Any one potion) $ 5,00 0 PERSONAL&AOV INJURY $ 11000,000 3. GENERALAGGREOATE 32400,000 -� OEN'L AGGREGATE LIMIT APPLIES PER: PROOUCT9-COMP/OP AGC 9 2,000,000 POLICY jECT LOC AUTOMO®Ile LIA®IWTY OO+nO01NED$INOL13LIMIT $ 1 O00 OOO A.NYAUTO I, 61037400001 12/31/07 12/31/08 JSQecoldonl) ALL OW NED AUT09 , BODILY INJURY 9. X SCHEDULED AUTOS (Per parson) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS. (Par arcIdent) $ PROPERTY DAMAGE $ (Per a=Id6Mq t AUTO ONLY•EA AC IOENT S G ARAGE LIABILITY G ANY pVTO OTHER EA ACC S AUTO ONLY-- A©0 $ CXCE59/UM0R@1,LALIABILITY EACH OCCURRENCE S 6,000,000j_' A X OCCUR �CLAIMSMAot 4900010709 01/01/08 01/01/09 AGGREGATE s5,DOO,000, DEDUCTIBLE � _• § RETENTION B �{ $, YtOflKCRS CDMPEN9AY10N AND X T Rl LIMITO ER EmnoVERT LIABILITY ANY PROPRIETORRARTNER/EXECUTIVE 90967005 05/01 IO7 05/0)lI00 EA.EAOH ACCIDENT 9 50O,000 I OFFlCE"EMSER EXCLUDED?, E.L.019EASE•EA EMPLOYEE S 500,0100 Ity_ d�ecrlbqundo ,, E.L.O182A9E POLICY LIMIT S 500 000 SPEGIIAL PROVISIONS below .i OTHEii DE9CAIpYION OF OPERATIONS LOCATION$/VEH1062S/-EXCLUSIONS ADDEO BY I:NOQR9fiM2N71 SPeCIAL PROVOON$ OPORATIONS OF INSURED r I CERTIFICATE HOLOEFI CANCELLATION , SpE0001 SHOULD ANY OFTHQ AbOVIE ORPORIBSO POLICIES 09 CANOELLBO BEPORR'THB eXPIFI%T10 OAT@ THEREOF,THE 185VING INSUAPA WILL ENDEAVOR TO MAIL 10 DAYS WRrTTEN NOTIOE TO TH®OBATOPICATp HOLDER NAMPO TO THC LEFT,BUT FAILURE TO DO$0 SHALL SPEC=N 1MPOSP NO OBLIGATION BR LIABILITY OF KIND UPON THE INSURER,ITS AGENTS OR RIP"230NTATIVes, AUTHORIZED REPRESENTATIVE 1 Ja"m J. Fex7C�$ C Ct3 - -AGORD 25(2009/OB) ® O D OOP RATION119E ' I " a a • o ' - a a ® =.Qualitled In all zones NEWPRO MANUFACTURING NFRC 2000 DOUBLE HUNG Cellular'PVC frame, Triple glazed, National Fenestration Low E coating (e=0.034, S2&5), Rating Council®. Krypton/air filled s DEV-K•20.00001 ENERGY:PERFORMANCE RATINGS U-Factor(U.S./I-P) Solar Heat Gain Coefficient U'. . 010i.7 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Condensation Resistance Aft A U 0 70 Manufacturer stipulates that these ratings conform to applicable NFRC procedures fqr determining whole product performance.NfRC ratings are determined for a fixed set of emironmentai cohditlons and a specific product size.NFRC does not recommend any product and does not warrant the suitability of any product for any specific use.Consult manufacturer s Gteralura for other product performance Information. - Y"W nfrc.or. j t i CV oftai in, 112 L11 o THE REPLACEMENT iMllDDOVY PEOPLE m 26 Cedar Street,PO Box 2696.ftbum,hfA 01888•t296 o (617)933-4100 0 CHANGE ORDERl MD.UD - - - 00 E (/31 •Q mot-- r > a ^ LacAnoN - Joe"UMBER .. - DATE OF EXISTING CONTRACT m 00 - _ m N ndersigned hereby authorizes oranges in work to be done as follows,and agrees , ch its authorization shalt become part-of the original contract entered into between I trties hereto and shall be subject to all terms,provisions,conditions,restrictions � biigations of the original contract.And tufth er agrees th at al I mon ies paid shall be N Fplied to the aforemention additional work. d�•J f �.c—` (�-e.Grt1.�. N1 �Z.O o +. r-t ai (i o Note; This reviatan teeomes p ee art Of,and In conformence wHik U existing eontrad. 2 . CD X hereby to make changes as specified above,at this price S w PREVIOUS oDNTRACT $ Q cn REMEO CD CONTRACT pp ( arimd signature) TOTAL m -i :D: The a prices and specifications of this Change Order are satistactory and " m )y-accepted. All work to be performed under same terms and conditions•as specitie 4 al -con ct u less otherwise stipulate . m Signature ran return top two(2)eop'ees in endured envelope.Keep bottom ccpy foryour reccrds. Thank YOU 3J99 _ Assessor's' map and lot num 'er .......................................... THE SEPTIC SYSTEM MU Toy♦ Sewage Permit number .. ,.. �'�9• INSTALLED IN COMP WITH TITLE 5 = BAHBSTaDLE, House number ..... .............................:�................................ rasa ENVIRONMENTAL COD ° 0 . TOWN'R ULATION "ar TOWN OF BARNSTABL f BUILDING,- INSPECTOR ' ° APPLICATION FOR PERMIT TO ..... N....... .t'........�:... /L,Z� .....h .e�.l... .C?................:.. TYPE OF. CONSTRUCTION W.00D... 1jqc ......................................................................... ............. .............................19........ TO THE INSPECTOR OF BUILDINGS: r The undersigned hereby applies for a permit according to the following information: ....... fir Wit.. . ... rc -...... r�-,v �s�Location ....... ..... .................................... ProposedUse ..... s1.d...z ...��.. ...........................................................I..........:.............. Zoning District ................:..E .............................................Fire District ,` 1 1 rr Name of Owner ...............................� / � � � � Name of Builder ,(../rL i!�o... 1 (.:....60 .'�..Address ......:............................................. ............................... Nameof Architect ... ..............................................................Address .........................................:.......................................... Number of. Rooms .............. .....:..................................:.....Foundation ..�rC� d4�C� ` / r J Exterior ......t!�1.. C'p�.��. ..............................................Roofing ...... ......�........... ................................... Floors cmFff,.......�4����..���Jl��.....................'.Interior ..........?r"-�2%����.�.t........................... II6 Heating ................O.A. ..............................................Plumbing ..e"T 7` !�........... ......:.............. Fireplace .................. ...........,..................................Approximate Cost ....... ... ..U�r°.�.................................. Definitive Plan Approved by Planning Board ________�____ .....19�.___a. Areas7...L�....... ................. Diagram of Lot and Building with Dimensions Fee .......402� ...................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH )dAW" I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �J Name . ............... ... ` ............ ........ Capricorn Realty Trust ' No .......227.7OPermit for ....One Story,,,,,,•„•... ........5iKIZ .Q ....................... Location 93..Oakvi ew.Terrace.......... ................................Hyami.s..................:............. Owner .......... 'eapr.ico ia..R£:lty..Tr.1&......... Type of Construction ..........frame.................... - =- f � r i Plot ......................... Lot ...........#46.............. � J y Permit Granted December 16 q 80 Date of Inspection ... 1/....:... .. ......19 f r^ Date Comp.lgted -19 f. � x - -� AEZ PERMIT REFUSED w. r r ; ....�......................................... 19 .. ... t 1 ... N M ................................................. J" .'1 J 'i .. . ..''3. . ................................................. Cr Appro ed ...................................... 19 f ' r . gradr f y _ 4 �• � � k J4 ' is � �•� 5$ }� Y 4 � ♦ f��� •l,r • + � 1 , •1 . r a`,i t !�qY� ES��' '.°tE'ns;�F E�'s� '� i��'Y' .i• �(� Sy _ yam' } i'is S'z,�..�.lji�{�I fA y "K .%I It t', rt,: s� �y , �, •.3 L m {dr1..a'S ,- t., x'� ,ap twE{ s� -.� Sk• Nh�,,i�� } ! { Y' yYt ij��y "tit., - tM �. of. {? _ { ' t•.: ; � yl'ta .,j ser 'rsT��j�•t �`eY sf- d C7 t y au 2y K +Fe E y}'tt >� ��� a ur � r 1 � ..,r _� 3;, a ". ) 'Eha1 � xp�•) F �#t G �.. y��tr ��' t }��J N• ' i F� { F" m; s -•� ��;y .t�o �� 4 t � F's \V'•�� N {s .� �.z 3' ' ��.Ys,�'#�°..��� ��_ All 'S L rZy ,.t�,�..�4, may, ` r� -� • �� \ v _ `y\� y' � F;±n r Sy, �,� ��kK��,�,E -G -ms�r��,�,�. ' V y�c�' J ��` v� � '� � i /../'}-{. � { ss Y a .,£y� Y m` .3• Tyr �'r..�X --y„ �{��� H �• \\ to 3.Zod • i V"!A�' r,� q o a •y fi 3 r r':, F-_4 ,�, •y�'- /� sue/ ¢ .. fl - w�/,r.*p_,F r�j,3y s ,,, si•,7} 1 reK'< ! . ) � v: A.11, e• } uk � z {•,..3 �_,3 � }' :` •, .. E t r •,.� 'S'�,,,�.. � }xr..�•..,af.�,l 3�E{•+id'b�� h ✓�'S'f y�:'�'y6."r.�.} s,' ) '•.. x �.:�,v,t r 2�ys! �I ik� � �'_Y�`br � aa• rtui P 4'�uGi �, -.. � �-•^+� ��'�; ¢� r_ ,. -'? a it P.. 'Yi' �,,�,� i t �rfa`}.3" S4hw bttb'S��''�Jb'�2• 'i ai, �y y1T 'CERTIFIED Rau Y 4(� 'a Gam /'���� 11 a®M 03.® --?--FEET •4 O� '3 •�*: .4,Ti�"' •r .. F'�.y �ru INS' OF ADJACE14TSAN p.p� A,l`"� ti `�Y kw s ♦k ,,�iyz \., r 5�a: S C A L E a ! CERTIFY Ti, amHAT ' � p �/����®���e7 .®® �.,� ¢g�g��'/gam( , .� !T 4➢ 1 ` h off 3 `I ,�A�10®' JOB YV�rO �� �/ ;_F B•1.. •.. rTii fiiliDPE( A r gain GUMVEY DR COMFOR TO, Oo ptg'14 ST., CH.®fig. . . ss.e.. y'•.e A r �� ®�gy, {��j j� •+' y :' �{,,7! $ A. ? � .,. ! 4'i:i..: •N `4" ^-'rt' ,.1_�S,eruYo.e TFiid4..0 t` Y �"k.R"� a'^ftl r '.a* yn { NA fi n a. `HE o TOWN OF EARN-STABLE -Permit-No 7 7 � e awrr�a� Blllltllllg Inspector'.- '. Cash ix1�' OCCUPANCY PERMIT '.Bond '�l. . `. No 'building nor structure shall be erected,.and no land;building"or structure shall be used for a new,-different, changed; or enlarged: use without ,a Building Permit therefor first having been obtained from the Building:Inspector.-'No building shall be°occupied until a certificate of occupancy has been issued.-by the Building Inspector. Issued to Capricorn:Realty Trust Address ~- -' Hyannis Lot #46 93 Oakview Terrace Hyannis Wiring Inspector - Inspection date .: Plumbing InspectorI `�_ Inspection date Gas Inspector IIP4spectiGn date Engineering Department ? _ Inspection date THIS PERMIT WILL NOT •BE:VALID,WAND THE BUILDING SHALL NOT•BE OCCUPIED UNTIL SIGNED BY' 'THE BUILDING INSPECTOR UPON. SATISFACTORY COMPLIANCE _WITH -TOWN-- REQUIREMENTS. f .I / Building"Inspector' 57 Assessor's map and lot number .......... ..............................~L/_ THE to Sewage Permit number .(�,... ....................................... DARNSTAILE. House number .................... .......... VAS& .......................... 1639- Rif A? TOWN OYF ED' ARINSTAIDDLIED ROPE,RUMU APPLICATION FOR PERMIT TO .... .....tD..&V...e. ......... ......... TYPE OF CONSTRUCTION ..... Q D ahw.e............................................................................ . ........................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following in*forrhation: Location .... ................. 01------ Ak ProposedUse ......Sik.�J.f....... ................... ....................................... ................ .rf ............. !r' Dist'r*ict ,..,.. .. . . . . . .. ......................................... . . .....;F-e i .............. ............. ... /3 Zoning District ........ ...... .. .... ... AW 4..... . ................................ I W Name of Owner r ess.--. Address .... Name of Builcler �..P. ............................................................................... -Name of Architect ...... . .... ............Addre'ss. ........... .................. ............................................. ......... ................. ...................... ation,bun Number of RoomsC .. . ............... ................. ............. Exterior ...... Roofi ng ......ng. ............................................. FloorsC214 p -ey........ Z.;An.Ale Interior ...... ...... ........... Heating ....... ....... ...........................................Plumbing ....................... ....... ................ Approximate Cost ....... .... .......... .........;Approximate ... Fireplace .................. a ....................... I.. ..... . . Definitive Plan Approved by Planning r,:Bo d.'-,-- Area ........................ q Diagram. of Lot. and 'Building with Dimensions e................................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and 'Regulations of the Town of Barnstable regarding the above construction. 'Nam .... e ... ........ ............................................................... .......... Capricorn Realty Trust A=268-291 22770 Permit for ..,,one Stogy sin,ale family dwelling Location ............93 Oakview Terrace .................................................... ............................ .........................Hyannis..................................... Owner Caprico.m..Realty,Tr 5.V-.. ................ Type of Construction ..... .....frwe................... ..................................... :......................................... Plot .................... ... Lot ... .#/4h.............. Permit Granted Decem�er 16 1 q 80 Date of Inspection ............. ......................19 Date Completed .......... ...........................19 �4 i PERMIT REFUSED .... ...................................................... 19 .......... ..... ................................... .OAP....... .... OA ....... .!. ......................... Approved ................................................ 19 ..... ...... ................................................ .. 6-01 a HYANNIS � T LOT 44 / o LOCUS f �o N UPOLE a P M I1 k ,\ \ CRAIGVILLE UPOLE EACH ROAD 10.20 N-76°58 �0 / e.. ETw LOCUS MAP 0 6 9.6' ,� s �` N pRVo G LOCUS INFORMATION p ' /i W \\ PLAN REF: 340/92 iJ 30 C G i TITLE REF: 17898/198 P \ PARCEL ID: MAP 268 PAR. 291 OP OSEp o �� `L PR w sst I \ _ ETyy _ _ ZONING: "RB"/"WP" WIND EXPOSURE: "B" FLOOD ZONE: C 0') GARP`GE G A3 COMMUNITY PANEL: 250001-0008—D DATED:07/02/92 p UPOLE o' __- __ - ��� APPROX. i , CERTIFIED PLOT P LAN LOC.� (FOR PROPOSED GARAGE) `rrn - _ ^ / RGRoVN� LOCATED AT: o� #93 ����!�ES �� 93 OAKVIEW TERRACE �y EXIST. = i �� H YAN N I S, MA. = DWELLING = PREPARED FOR .o - P�Q LOT46 r^� PHILLIP & CATHERINE LOT 45 - cfl 0'A�, _ � AREA=10,652t S.F. � GALLANT, _ _ �� • LOT 48 JANUARY 23, 2014 J — ' of�ass9c� EDWARD �s �y o A. STONE N N,6o5a40„E } �o N . 289 -0 o AL A LOT 47 E. A.-S.- GRAPHIC SCALE SURVEY,- .IN-C. 141 ROUTE 6A so a 10 zo 40 80 SALT POND BUILDING « I P.O. BOX 1729 - ( !IN FEET ) SANDWICH, MA. 02563 `s 1 inc h = 20 ft. BUS:(508)888-3619 CELL:(508)527-3600 4 _ _ I SHEET 1 OF 1 J 1623A LU OF tit! f t f . • HYANNIS , S q/N M1` N LOT 44 / o� LOCUS N UPOLETO .\I�I N, Coo, r r 1 V V �� OFF` N 01 ri. UPOLE CRAIGVILLE 10.20 BEACH ROAD 14-76 1 69.6' — LOCUS MAP _ _�- . • ETW G �ac3` o N o LOCUS INFORMATION 3Q.0 G; �' W \, PLAN REF: 340 92 N TITLE REF: 178 8/198 OSES O i PARCEL ID: MAP 268 PAR. 291 �0.2 Opw B EQ E ; ZONING: "RB"/"WP"' WIND EXPOSURE: „. CPRNG G S7� " FLOOD ZONE: C" COMMUNITY PANEL: 250001-0008-D DATED:07/02/92 ^ UPOLE LOC: �� j CERTIFIED PLOT PLAN I ;� o (FOR PROPOSED GARAGE) co- LOCATED AT: #93 =_ n!ES 93. OAKVIEW TERRACE may, EXIST: / . DWELLING o� HYANNIS, MA.. PREPARED FOR'. Q; LOT 46 PHILLIP & . CATHERINE LOT 45 0 °��y AREA=10,652t S.F, GALLANT LOT -48 JANUARY 23, 2014 i OF higss a q EDWARD oyG� i. �+ A. �6;rJ$'40; E ( _ STONE. : N l: P N 289 l o i ,, A LOT 47 , f E. A. S GRAPHIC SCALE SURVEY, INC, 20 0; 10 20 1 40 141 ROUTE 6A ' SALT POND BUILDING P.O. BOX 1729 ( SIN FEET ) SANDWICH, MA. 02563 1 inch = 20 ft: ' BUS:(508)888-3619 CELL:(508)527-3600 SHEET 1 OF 1 J 1623A Lot 45 1V 12`58'54".W 90.57 a \� WOO Lot 47 � � o W Lot 45 ' o ' o a a o h O. Lot 46 Area 10,652 S.F. e b A3 , 0 5 z , VL OAKUEW TERRACE ZH OFSs��i g CHRISTOPHER S. KEILLEY N € Plan o Lacnd 'O 90 No.37050 , -BARNSTA LE MASS C. S. KELLEY P L S PEMBROKE MA. -Scale I" = 20' June 20,2005 93 Oakview Terrace