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0027 RUDDER ROAD
______r _ _ _ __ _ _ __ ___ Town of Barnstable Building 6A1t21S�TABLaB ' st Tdh 69 moisd Cte'a i�rrt-',Fd�f iScoal t TeIhoaft O.et�+c.-acsiu U'.p.s aH.anb.c lw.e'w'k:iF sr oRme�.q.",'t�u'�h°i.reSde Sd�t,rs.e�u.e.::ct h AB u p�layld ro�mn vge.1�zdsh Pallail.nNs.<o.Mt��;�:bu e�s tO'Iacec4;�uR�pe��tT�'ad.m u.ae.`.ntlet Eo�l na�J�Fo-�.nbaa a`lnI'n d�zs:`•,�p�.h'esc Cioeanr d h�aMsv u b teseate;:.b�ne mKea',dp�et" � i;_ Permit Po eChe aW Permit No. B-19-2330 Applicant Name: BRAD K SPRINKLE Approvals Date Issued: 07/30/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 01/30/2020 Foundation: Location: 27 RUDDER ROAD, HYANNIS Map/Lot 247 192 Zoning District: RB Sheathing: Owner on Record: MITCHELL,JAMES&DORI B Contractor Name fi BRAD K SPRINKLE Framing: 1 Address: 267 GENESIS DRIVE x , Contractor License CS 006643 2 ,lac, WESTFIELD,IN 46074 _ _ ` Est Project Cost: $30,000.00 Chimney: Description: CONSTRUCT"A" FRAME CARPORT,APPROXIMATELY 210 WIDE BY Permit Fee: $203.00 22'0" DEEP Insulation: Fee Paid $203.00 Project Review Req: Dates 7/30/2019 Final: pip r' /. Plumbing/Gas ��� Rough Plumbing: i ,, ... „ .,. ,. ui m icia This permit shall be deemed abandoned and invalid unless the work authorized by this permit iscommenced`wi hmisix months after ssuan Final Plumbing: All work authorized by this permit shall conform to the approved application and the`approved construction documents for whicWthFis permit has been granted. All construction,alterations and changes of use of any building and st rudures shall-be incompliance with the local zoning bylaws 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: 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 9g Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing Y, Service: 2.Sheathing Inspection ) 3.All Fireplaces must be inspected at the throat level before firest flue Immg,is tsn ailed - "" Roug h: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 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 co with unregistered contractors do not have access to the guaranty fund" (as setforth in MGL c.142A). Final: Building plans are to be available on site Fire Department wooe All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: J TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �"�1 Parcel Application # Health Division Date Issued 1 U Conservation Division Application Fee Planning Dept: Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation /Hyannis Project Street Address cA Q VillageV1C�1 S Owner 4 lrl % Address &&ne&.S la NK3 Telephone —03 - -LA,I I- l 11 Permit Request �s1 'i— Y' t 6%o%e_ d� 10Q wu s0 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation � Construction Type == ' ,Lot Size 0 AS Grandfathered: ❑Yes ❑ No If yes, atta6j supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) { _ { Age of Existing Structure Historic House: ❑Yes $No On Old King Highway: 4bs XNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: C ohas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes WNo Fireplaces: Existing I New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes YNo If yes, site plan review # Current Use IUe.L^A Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 3 In Telephone Number 's &i to Address 119 Ia (lntZ6k_ C�d License # eS' 00(4.lag3 G(Y)V� (JY�1pU� Home Improvement Contractor# Worker's Compensation # WCC-5o6S Ol(.'7 q-)e1CV1 A ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE f FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ® A ��•�- -• MAP/PARCEL NO. ADDRESS t VILLAGE— OWNER , DATE OF INSPECTION: FOUNDATION d p' k FRAME �� • �r s � r�, � '� � ' ., INSULATION ` FIREPLACE Pr p • 'r 7 ELECTRICAL: ROUGH '`��FINAL PLUMBING: ROUGH a FINALO ' ` GAS: ROUGH P FINAL i FINAL BUILDING DATE CLOSED OUT `' A f ASSOCIATION PLAN NO. ft: # TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION k� Map 0 1 Parcel" r'' Application #. - JV Health Division Date Issued Conservation Division . Application Fee 1 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-.OKH _Preservation/Hyannis Project Street Address �aer P-v-,tGt Village - Owner �i.1/11� S 4 ,J(��� �i�L.�� � Address r�[ls"� Ge✓)eS"_S D('. � �1�-�.��t� (Lj S1v Telephone a03 - 3 13- l 11 %7 146014 Permit Request (?&nSfnV_+- " A " �`�/�✓i`�. �Gr�Do � ��0 x lej9,,+flu Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 304 0�Construction Type Y_)(_)k_) Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ 'Multi-Family (# units) Age;of;Existing Structure V9 1A Historic House: ❑Yes C�No On Old King Highway: 0 Yj es XNo 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 i Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: C)Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes WNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 11�(No If yes, site plan review # Current Use Nf ice'- WAw Proposed Use Oct I(Do+ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) � Name �Qq J,prihoe , 1 m-c Aj' PCbktE✓Y?e 4- Telephone Number sL�� --7)S 1'» xl. Ib - {n 1= C tl Address I� q 'b7 60) �Z6�_ ' -,e,- d License # (?s J-' L,f1') ur IV' alobl Home Improvement Contractor# c -Worker's Compensation # WCL50hs ALL,CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO . e�rr,�L►� �nc(.�.•1 I SIGNATURE w DATE I I�u l ei FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCELNO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Office of Consumer Affairs and Business Regulation One Ashburton Place- Suite 1301 Boston, Massachusetts 02108 Home lmproveme�ntractor Registration � --- 1 Type: Corporation Registration: 103757 SPRINKLE HOME IMPROVEMENT,INC ar i 188 BARNSTABLE RD. r i• Expiration: 07/08/2020 ` g r HYANNIS,MA 02601r y Update Address and Retum Card. �e�arsvnaanu�ea�c�C»�a�uu�l/a - -� Office of Consumer Affairs&Business.Regulatlon HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:=Corporation before the expiration date. If found return to: RR2gistradon, Ex irraation Office of Consumer Affairs and Business Regulation 103757- ' 07/08/2020 One Ashburton Place-Suite E' SPRINKLE HOME IMPROVEMENT,INC. Boston,MA NO I '� �_ P ...,gip��,��, 'e BRAD K.SPRINKLE �f t 199 BARNSTABLE RD. c. �. I HYANNIS,MA 02601 r Not Valid v Si attire Undersecretary Constructbn Supervisor commonwealth Of Massachusetts Unrestricted 13uUdbigsof any Use group whichcontain ' DiVision of Professional Licensure INS RIMI 35,000 CU19C teet(091 cUtl)c meWS)of enclosed Board of Building Regulations and Standards spate. �t CS-006643 �F E6pi es: 1010812049 7. a . _ BRAD K SPRINKLE 199 BARNSTA13LE ROAD, ` HYANNIS MA 02601Faillure to r- I. of the Musach sens &taste OWN g Conde Is causes ar for reedidevvocadon of this lkense. , For inlfaere,etbn-about this license (',�_ f�++✓ Call(817)T2 41=or vIW www m ss gov/dpi Commissioner �/-" --- ---- ----- The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Le-ibly Name(Business/Organization/Individual): SPRINKLE HOME IMPROVEMENT, INC. Address: 199 Barnstable Rd. City/State/Zip: Hyannis, MA 02601 Phone#:508 775=1778 Are you an employer?Check the appropriate box: Type of project(required): 1.Q I am a employer with 10 employees(full and/or part-time).* 7. CK New construction 2,❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition IM I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 Building addition 4.0 i am a homeowner and wiii be hiring contractors to conduct ail work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I L❑Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. ROOF repairs These sub-contractors have employees and have workers'comp.insurance. 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4�and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. +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 thepolicy andjob site information. Insurance Company Name: A.I.M.Mutual } Policy#or Self-ins.Lic.#:WCC50050167472019A Expiration Date: 1/1/2020 Job Site Address: eZ-1 R LLGWl1 Rce,«4 City/State/Zip: WWon 1 S . FJ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of thisgaWfient may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. d do hereby cert., un ah%s of perjury that the information provided above is true and eorrQea Signature: Date: 1 1 g Phone#: 508 775-1778 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# I Issuing Authority(drele onc): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: SPRIN-1 O : DS ACOR,D® CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDD/YYYY) 07/03/2019 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. NPORTAN—T. If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 endorsements. PRODUCER 508-775-6060 CONTACT Kelley A.Sullivan Bryden&Sullivan Ins Agency PHONE 508-775-6060 FAX 508-790-1414 88 Falmouth Road (Afc,No,Ext): (wc,wo Hyannis,MA 02601 E-MAIL Kelley A.Sullivan ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:NGM Insurance Company 14788 wSUR INSURER BA Employers Insurance pn IFCPe N3osr�rallq IRLd-provement Inc. 195 Bikrn l2601 INSURER C: Hyannis,IVIA INSURER D: 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 DDL UBR POLICY EFF POLICY EXP DOE AP INtURANdt 06LidY NUMBER •UMIT9 A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,1000 DAMACLAIMS-MADE �OCCUR MPT2640X '07/0112019 07/01/2020 PREMISES ocr r 500,000 REMISS o rrence $ X Business Owners MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JECT F LOC PRODUCTS-COMP/OP AG $ 2,000,000 OTHER: s A AU78M8EILE UAEILRY COMBINEDSINGLE LIMIT $ 1,000,000 ANY AUTO M1T2640X 07/27/2019 07/27/2020 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY Ix AUTOS BODILY INJURY Per acciden $ EEN �/N PeOPE�Rd DAMAGE $XAUT030NLY AUOTOSONLDY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE CUT2640X 07/01/2019 07/01/2020 AGGREGATE $ 1,000,000 DED 1,X 1,RETENTION$ 10000 $ B WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY WCC50050167472019A 01/01/2019 01/01/2020 STATUTE R 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ ppFICER/MEMBER EXCLUDE[ ® NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached If more space Is required) Home Improvement Contractor CERTIFICATE HOLDER CANCELLATION SPRNKHO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sprinkle Home Improvement, Inc ACCORDANCE WITH THE POLICY PROVISIONS. 199 Barnstable Rd. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Kelley A.Sullivan ACORD 25(2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Painting or staining these areas aAd'ustments or Rea �ch_men c . Contractor will not assume responsibility for removal,reattachments;or re-positioning of drapery rods,window shades, blinds and/or mini blinds,and corresponding hardware. RI IHTC Tll r�a nrr�T The Owner may cancel this Agreement if it has been signed by the Owner at a place other than the address of the Contractor,which.may be his main office or branch thereof;provided that the Owner notifies the Contractor in writing at his main office,or branch by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this Agreement. DO NOT SIGN THIS CONTRACT IF 1'lEiElld)E ARE ANY 111:1LAlYi{SPACES I/we accept this contract in its entirety arid.I/we authorize Sprinkle I omd litiprovemem to act on my behalf in all matters relative to the work to be performed on this job(i.e. permits,applications etc.)if necessary. o wrier Signature Date Contractor Signataa Date Jim Mitchell Brad Sprinkle- Registration#103757 27 Rudder Road,Hyannis,MA 02601 We accept Visa/MC up to$2,500.00 per project. }_ V using your credit card, please see below: I authorize Sprinkle Home Improvement to charge my credit card ending in for the amount a$ (not to exceed$2,500.00). If I am unable to provide the card in'person,I will provide the complete number via telephone to.Sprinkle Home Improvement. } Signature Date PRINT NAME i } �� I I I I 11 . . I " , - . ., L, -�� ;�, ,,,, , ,-no,��,,,: �� `,;, I I I - - ., , I � ,,� a { "�t ,-...- .1 ,, I ,��,,,,,.��*�- � � ,*,,,,,� %��,�,.��'�'A V��;��,t �-, I " 11-�, I ,1— """;':�""��" " , ��`- . ,-�, p L a a s ' k w 0 R z a r,- ," _ �., /� �5 S ,...:. '7 a r ._, , - an s �( , ,3,. F ["j �.. _.�.v s.,' HIV` s`" �i�}�_Q" } -; G .f i b IV .e' ' fit..," m ,'' Q, . a >t ; ••3 q m ry £ �+-�{ (ram b r EX IST h�� n. AEQCE ,s � � ,, P': 3k ,,£,..� s ;* CO ��c# C E,EQ °w # PCt( h BLt3C#C ,.,, PATIO ,,, w L't37 . /�y w ♦� „_ ,� l / ,, a++� SA a. luu{^}}}ram�r A/�+ly, ro a�''"�--�.,,,,� ., AIL ij�r�J ' �Rp,A .-v43,r i�� , 23 AC4EO 4 I f b # fl '* } [ S 3 .R„?a,r Y L t,k k,. ., ,.: , >"", N Y - �N -�^ 3 R , , y X 3' ..i . JO 3g39 � �E§ a � .fh R '� Y3 E i 6 ,. -6 k 3 ,. z iM.n �. � '. � i i:. r i PRPARQ F3A UIM MTCNELL, L4CU 27 RUDQ R f E�AQ, !-i 'ANNIS, ' MA ,, QAT 8/ 7/18 kc , �� SCALE, A 2 } � � 5� #t `lA��:+ I NREBY CEFTIFY .THAW ;THE STRUCTURE"S SHOi�N k,MPICHAL zS LAOUE, P L vS• THIS PLAN EX;T'ST QN THE G€ Qll1JQ A5 SH }WN H RE€ t , . l. l. 51 CA,PTAI,NS UIC k.AE L ACE '.BFtE,,W ER,. MA: 0263.1 . . . . tl�$Yiday'rf63'E .a 4d' fW4$� r Boise Cascade Triple 1-3/4" x 18" VERSA-LAM® 2.0 3100 SP PASSED 1st Floor\Dropped BeamslDB1-3(i307) BC CALC®Member Report Dry 11 span I No cant. July 26,2019 10:08:25 Build 7118 Job name: Mitchell Car Port '�- r File name: Mithcell Carport.mmdl Address: Rudder Lane j Description: 1st Floor\Dropped Beams\DB1-3(i307) City, State,'Zip: Hyannis, Massa: setts, 02601 Specifier: Customer: Sprinkle Home Improvement Designer: Code reports: ESR-1040 Company: Mid-Cape Home Center 2 0 28-00-00 131 B2 Total Horizontal Product Length=28-00-00 Reaction Summary (Down / Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live B1, 29-1/2" 2,652/0 3,803/0 4,242/0 B2, 57" 3,220/0 4,529/0 4,998/0 Load Summary Live Dead Snow Wind Roof Tributary Live Tag Description Load Type Ref. Start End Loc. 100% 90% 115% 160% 125% 0 Self-Weight Unf. Lin. (lb/ft) L 00-00-00 28-00-00 Top 27 00-00-00 1 User Load Unf. Lin. (lb/ft) L 00-00-00 28-00-00 Top 165 330 n\a 2 Smoothed Load Unf. Lin. (lb/ft) L 00-08-00 27-04-00 Top 220 110 n\a Controls Summary value %Allowable Duration Case Location Pos. Moment 38,558 ft-Ibs 47.9% 115% 3 13-00-00 End Shear 6,492Ilbs 31.4% 115% _ f 3 03-11-08 Total Load Deflection L/423(0.594") 56.8% n\a 3 13-00-00 Live Load Deflection L/734(0.342") 49.1% n\a 6 13-00-00 Max Defl. 0.594" 95.0% n\a 3 13-00-00 Span/Depth 13.9 Dist. Load(131) 495.00 Ib/ft 1.0% 100% Dist. Load(62) 495.00 Ib/ft 1.0% 100%;, Conc. Load(131) -440lbs 3.2% 100% Conc. Load(132) 440 Ibis 3.2% 100% G %Allow %Allow �0, Bearing Supports Dim.(LxW) Value Support Member Material 131 Wall/Plate 29-1/2"x 5-1/4". 8,973 Ibs 8.0% 7.7% Unspecified 0 O B2 Wall/Plate 57"x 5-1/4" 10,692 Ibs 4.9% 4.8% Unspecified O Notes Design meets Code minimum(L/240)Total.load deflection criteria. Design meets Code minimum (L/360) Live load deflection criteria. Design meets arbitrary(0.625')Maximum Total load deflection criteria. Design meets arbitrary(0.75")Maximum live load deflection criteria. Calculations assume member is fully braced. BC CALC®analysis is'based on IBC 2012. Design based on Dry Service Condition. Connection design assumes point load is top-loaded. For connection design of side-loaded point loads, please consult a technical representative or professional of Record. Nailing schedule applies to both sides of the member. Member has no side loads. Page 1 of 4 ®Boise cascade Triple 1-3/4" x 18" VERSA-LAM® 2.0 3100 SP PASSED = 1st FloorlDropped Beams\DB1-3(i307) BC CALC®Member Report Dry I 1 span I No cant. July 26, 2019 10:08:25 Build 7118 Job name: Mitchell Car Port File name: Mithcell Carport.mmdl Address: Rudder Lane Description: 1st Floor\Dropped Beams\DB1-3(i307) City, State, Zip: Hyannis, Massa...setts, 02601 Specifier: Customer: Sprinkle Home Improvement Designer: Code reports: ESR-1040 Company: Mid-Cape Home Center Connection Diagram: Full Length of Member LIb d a ° c ° e ° a minimum =2" c=6-1/2" b minimum =3" d=24" e minimum =3" Connection design assumes point load is top-loaded. For connection design of side-loaded point loads, please consult a technical representative or professional of Record. Nailing schedule applies to both sides of the member. Member has no side loads. Connectors are: 16d Sinker Nails Disclosure Use of the Boise Cascade Software is subject to the terms of the End User License Agreement(EULA). Completeness and accuracy of input must be reviewed and verified by a qualified engineer or other appropriate expert to assure its adequacy,prior to anyone relying on such output as evidence of suitability for a particular application.The output here is based on building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call(800)232-0788 before installation. BC CALCO,BC FRAMER@,AJSTM, ALLJOIST®,BC RIM BOARDTM,BCI®, BOISE GLULAMTM,BC FloorValue®, VERSA-LAM®,VERSA-RIM PLUS®, Page 2 of 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map., y� Parcel i ` Application - Health Division Date Issued Conservation Division Application Fee It Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/ Hyannis Project Street Address Village W gCA/n(S Owner Address c2l )S C +6 . 1 Telephone (� 3 3 111 1D01�( Permit Request �1�1;5 l lz ( 4-�, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �'�� ^ Construction Type Lot Size a3 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. �0- Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure It Ili 4(e Historic House: ❑Yes ❑ No On Old KinlRormr ighway�Y '❑ No Basement Type: 10 Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area ( Number of Baths: Full: existing new Half: existing news ., Number of Bedrooms: 3 existing _new t4 4 � Total Room Count (not including baths): existing new First Floor Court+ Heat Type and Fuel: I Gas. ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes . )b No Fireplaces: Existing New Existing wood/coal stove: ❑Yes KNO Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name SC,,Q/L`T'r/-A-0_Telephone Number Address � �� � +LG{ . License# CS L L 69�i 3 Home Improvement Contractor# 1 D�7 S� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE z f . r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED F MAP/PARCEL NO. z ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING l DATE CLOSED OUT ASSOCIATION PLAN NO. y _. op, iteimS hanging on vralls until job com pletio0 .. NOT INCLUDED IN CONTRACT PRICE` o Painting or staining around window or door,openings Removal of existing doors and windows often reveals weathering, as well as areas that may or may not be previously stained or painted. As noted, Contractor will not be responsible for painting or staining these areas. o Adiustments or Reattachments Contractor will not assume responsibility for removal, re-attachments, or re-positioning of drapery rods, window shades,blinds and/or mini blinds, and corresponding hardware. -� RIGHTS TO CANCEL The Owner may cancel this Agreement if it has been signed by the Owner at a place other than the address of the Contractor, which may be his main office or branch thereof, provided that the Owner notifies the Contractor in writing at his main office, or branch by ordinary mail posted, by telegram sent or by delivery,not later than midnight of the third business day following the signing of this'Agreement. HOMEOWNER: • DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Uwe accept this contract in its entirety and Uwe authorize Sprinkle Home Improvement to act on my behalf in all matters relative to the work to be performed on this job (i.e. permits, applications etc.) if necessary. j rs Home r Signature. ate Contractor Signature ate Jim it ell Brad Sprinkle- Regiskration # 103757 27 der Road, Hyannis,MA 02601 f i; The Commonwealth of Massachusetts Department of Industrial Accidents d I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dta see «'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Auplicant Information Please Print Legibly Name (Business/Organization/Individual):SPRINKLE HOME IMPROVEMENT, INC. Address: 199 Barnstable Rd. City/State/Zip: Hyannis, MA 02601 Phone#: 508 775-1778 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 10 employees(full and/or part-time).* 7. ❑ New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition In I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑ Building addition 4.❑1 am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole l l.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 0.. gef re airs These sub-contractors have employees and have workers'comp.insurance.t p6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. r 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. toonactors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: A.I.M.Mutual Policy#or Self-ins.Lic.#:WCC50050167472018A Expiration Datje:� 1/1/2019 Job Site Address: x� Z&&Lz: �4 City/State/Zip: � •OT �+ Attach a copy of the workers'compensation policy declaration page(showing the policy nunWer and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I.do hereby certify r t p and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#: 508 775-1778 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 Inspector5.Plumbing Inspector 6.Other e Contact Person: Phone#: .. construction Supervisor Commonwealth of Massachusetts Unrestricted-�ifdkgs of any use group which coraain Division of pfofessional Licensure less than 35�000 COC toot(091 COIC niters)of encased Board of Building Regulations and Standards space. ConstrvdQ"-15 pervisor CS-006643 Uvires: 1010812019 BRAD K SPRI14KLE 199 BARNSTABLE ROAD,.,' HYANNiS MA 02601. Failure to possess a cunt edition of the Massachusetts r t State 6uildirrg Code Is cause for revocation of this license. For information about this license Cali'{t;1i►)I -M or visit WWWA SS.govidpi Commissioner �- ...r.<. Office of Consumer Affairs and Business Regulation One Ashburton Place- Suite.t301 Boston, Massachusetts 02108- Home Improvement-Contractor Registration -� Type: Corporation SPRINKLE HOME IMPROVEMENT,INC mot • raft Registration: 103757 199 BARNSTABLE RD. Expiration: 07/08/2020 HYANNIS,MA 02601 ^� Update Address and Return Card. SCA 1 0 20M-W17 vlze CDanirraarew o�C�'rGub�ac�eulel/d _ : . Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE`:-Corooration before the expiration date. If found return to, (Registration Expiration Office of Consumer Affairs and Business Regulation 70375Zr A07/08/2020 One Ashburton Place-Suite SPRINKLE HOME IMPROVEMENT,INC. Boston,MA H BRAD K.SPRINKLE ) " 199 BARNSTAB C LE RD`�.��n'�.t HYANNIS,MA 02601 Undersecretary Not valid WV010GI atur@ f ��: SPRIN-1 .ACIJRD Wn DATE(MMIDDN. u' CERTIFICATE OF LIABILITY INSURANCE 091191208 T�itS CERTIFICATE IS ISSUED AS. A MATTER OFiINFORMATION ONLY AND CONFERS NO RIGHTS UPON THE:CERTIFICATE.HOLDER.THIS CERTIFICATE;DOES NOT AFFIRMATIVELY OR,NEGATIVELY. AMEND, EXTEND :OR ALTER TME:COVERAGE.'AFFORDED BY;THE POLICIES BELOW: :'THIS CERTIFICATE. OF INSURANCE"ODES 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 pollcy(feS):must have ADDITIONAL INSURED pravislons or,be.endonsed. If SUBROGATION I WAIVED,subject to the terms and conditions of`the policy, certain policies may require an endorsement. Asstatement on this certificate does not confer rl fits to the certificate holder in lieu of.such;entlorsement s PRODUCER 508-775-6060,` cT Kelley ASullivan �Bryden&Sullivan Ins Agency PHONE 50$-775-6060 F 508;790-1414 88 FaimoutN Road A/C Na Ext: ac No (Hyannis,MA 02661 Al 'Kelley A.Su..11Wan INSUR S . FORDING cOV RA NGM Insurance Com an 14788 IN URERA: p y INSURED Sprinkle HOm@ Improvement lnc. rHsuRER B Associated Employers Insurance 199;Barnstable Rd ,. Hyannis;MA02601 : WsuRER C c INSURER D INSURER E: WSURER F c THIS I$TO.CERIIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE:BEEN ISSUED TO THE INSURED"NAMED ABOVE.FOR THE,POLICY,PERIOD. INDICATED. NOTWITHSTANDING ANY REQUIREMENT;TERM..:OR CONDITION OF ANY•CONTRACT OR OTHER DOCUMENT WITH:RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR:MAY PERTAIN, THE,INSURANCE AFFORDED`BY THE'.POLICIES DESCRIBED HEREIN'IS SUBJECT T0.ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS'SHOWN MAY HAVE BEEN RED.UCED�BY PAID CLAIMS INSR ADDL SUB - POLICY EFF POLICY.EXP TYPE OF INSURANCE POLICY NUMBER LMITS A COMMERCIAL'GENERALLUIBILITY 10001000 EACH OCCURRENCE CLAIMS-MADE �X OCCUR MPT2640X 07/01/2018: 07/01/2019 DAMAGE TO RENTED 500,000 X Business Owners ED EXP:(Any one arson 10,000 PERSONAL.&ADVINJ RY 15000,000 GEN'L AGGREGATE LIMIT APPLIES PER: pG NERAL AGGREGATE S 2,000,000 X POLICY❑j a LOC ' PRODUCTS-COMPiOP AGG 2,000,00Q A AUTOM081LE UABILnY COMBINED SINGLE LIMIT -1 000 000 ANYAuTo M1T2640X ., 07/27/2018. 01/27/2019 BODILYINJURY Per arson OWNED SCHEDULED- AUTOS ONLY X :AUUT�OSwNE❑ BODILY INJURY Per accide t X MIS ONLY X VOW P�2e0aE�Ry AMAGE A X" UMBRELLA LIAR LXj OCCUR EACH CCURRE CE 1,000,000 EXCE83IJAB CLAIMS MADE CUT2640X 07/01/2018 07/0172019 AGGREGATE 11000�0� DED I X 14TIENTION$' 10000 ' B NDEPLRNSATIOTM R PE OMOS IU ER ANY PROPRIETOR/PARTNER/EXEWTIVE TH- /N CC5O050167472018A 01101/20I 01/01/2019 500,000 MRC t7fiMg� EXCLUDED?:. �N N/A E.L.EACH ACCIDENT : andatory in NH� 5001000 H DIS MR desciibe under E.L. EASE-EA EMPLOYEE O E. <DISEASE'-POLICY LIMIT500,000 PROPERTY -50,000 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES;(ACORD 101,Addiflonet Remarks;SehedWe maybe attached H more space is regWred) Certificate_+.issued for insurance verification Home Improvement Spec)allst �. CAN C`E SPRNKHO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE .EXPIRATION DATE. THEREOF, NOTICE .WILL BE ;DELIVERED IN ACCORDANCE WITH THE:POLICY PROVISION ;Sprinkle Home improvement;Inc , /Oe 199 Barnstable Rd Hyannis,MA 02601 AU HORIZED REPRESENT "Kelley ASullivan BTY&l Suilivan Ins. Agoncy, Ins. ACORD 26�2016l03) ©1988-2015, rights reserved; The A ORD nanwand logo are registered marks°of ACORD ! TIA, 2our f 1K a£rE( citm'TILf.rt aln FR nr. F4va serl�t3 1j(fe P- f�,ars r G c Ml:L"> Js"J's�',, ll7"r r?rsMF.i� ia?f i2K0'Y.tt' •,�'1l. . 1 Jdja .t._.Z A�.� � �>:�`�4.��f11 a r t3 r Ir�wy:.•.1,Y.'�, i 1 , �., :,c5 a'+!,>�Ii S.'" � alb�lc. J,vrs�il._.4�''J. ..... � �fi}��t.-,»• aJ'�_ �____- —., --._.- } TN.S2a Slnly]„� � y " I I''L91' r J ill�n l:att� rry�pf at vl�rNk,.,. 4.....l ,".a`�'�. A—.fal�1 {C r EF,I Lahl G- 3a1.Tc A'XIh&In�Fx IrarV Sla�ivse�.1 aaltl' .O A� J(r l'! 1 Nei , y Rao( INGHOUSE,PC imhVV. P.O.Box 182 .t �ye Mashpee,MA 02649 y�0 aNrrn: 18 Steeple Street Alm Mashpee Commons t ARS JENSEN (:: �O J Mashpee,MA 02649 structural.design phwre 508-221-2980 0 STRUCTURAL 6 ingenuity eaud.- iera-en it houe.net Na 50602 y or b: wvm.inahOwe.net �k�FGIST Q ingl9W6 0 01? New Cantilevered Entry Roof Addition 1 2 "7 r� a } u: �l,` Barnstable Bldg. Dept. 11 S,IN I r {MJ: f Approved by: � Permit : Town of Barnstable , � Building Post;This,Card So That it is,;�/isibleFrom the„Street ,Approved Plans Must beRetamed on Job and this Card�Mustbe Kept 16 Posted Until Final Inspection Has Been Made 1 y „ Batuds . Whera"Certlficate„ofOccupaney�s Regwred;such„Bull,"dmgf'shall Nottbe Occupied until a Final Inspection has been made Permit Permit No. B-18-3869 Applicant Name: Brad K.Sprinkle Approvals Date Issued: 01/24/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 07/24/2019 Foundation: Location: 27 RUDDER ROAD, HYANNIS Map/Lot: 247 192 Zoning District: RB. Sheathing: Owner on Record: MITCHELL,JAMES& DORI B k Gontracto N m t Brad K. Sprinkle Framing: 1 Address: 267 GENESIS DRIVE GontractorLi�cen"se. 006643 2 �.�.. . . 1 ''!� WESTFIELD, IN 46074EstPro�ect Cost: ._ $ 12,225.00 Chimney: y A Description: Install Portico over front door and re-roof exists g�roof Permit Fee: $ 112.35 � k 15, Insulation: Fee Paid $ 112.35 Project Review Req: F , - Date 1/24/2019` Final: (° ` _-ot Plumbing/Gas Rough Plumbing: ... Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within six months after.issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents h th for whicis permit has been granted. Rough Gas: , All construction,alterations and changes of use of any building and structuresshall,ibe in compliance with the local zoning by Iaws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or`oad and shall be maintained open for public inspect on focthe entire duration of the work until the completion of the same. a y Electrical The Certificate of Occupancy will not be issued until all applicable signatures by tees Uildng afi&fire Officials are provided on this'permit. Service: Minimum of Five Call Inspections Required for All Construction Work x '1.Foundation or Footing Rough:�� �.. .. � ;moo.�� 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Pers cting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department c� Building plans are to be available on site Final: c� All Permit.Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION n© l# P �ppii � Ma Parce ' catio , Health Division Date Issued, Conservation Division 1� Application,Fee Planning Dept. _ Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address ' �c ici 1si lkocx . Village van A lap, CJXr- De— Owner ,)i M rn i 1 Address D(n.©31 " Telephone 03 313 .Permit Request Qem",e- e_)6s5 (n4 &cam 'n .a CQAS�-rKct •0 cod.*- 0 1(D o 0 X Z f D-I� SG.h rlx_m ✓Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 4 Construction Type --% Lot Size Grandfathered: ❑Yes 0 No If yes, at ch suppMing gxcumentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) i, n 6's Age of Existing Structurefil `79, Historic House: ❑Yes ❑ No On Old`K Hig way: Yes ❑ No Basement Type: XFull ❑ Crawl ❑Walkout ❑ Other R Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)�ci 6 v Number of Baths: Full: existing_ new _ Half: existing l new Number of Bedrooms: _ existing onew Total Room Count (not including baths): existing i5 new First Floor Room Count Heat Type and Fuel: ;V"Gas ❑ Oil ❑ Electric ❑ Other r Central Air: ❑Yes o Fireplaces: Existing_ New _ Existing wood/coal stove: ❑Yes VrMo ICl/D.Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Hit-Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes cklqo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - .(B_UILDER OR HOMEOWNER) Name _ r�&"e J Telephone Number Address ��� rr�Sh�,IDI� 1 License # CS-60&(P43 #CAV\AL'5 /'Yl A oareo Home Improvement Contractor# 103, 7_5 7 Worker's Compensation # 700 c"t ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ✓vv1 r SIGNATURE DATE I Y _ 4 j FOR OFFICIAL USE ONLY E APPLICATION# DATE ISSUED t � 4 f F MAP/PARCEL NO. ADDRESS VILLAGE 6 �. OWNER DATE OF INSPECTION: F FOUNDATION FRAME f INSULATION FIREPLACE P f ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL P t FINAL BUILDING r: F DATE CLOSED OUT ASSOCIATION PLAN NO. 4 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): Sprinkle Home Improvement Address: 199 Barnstable Road City/state/zip: Hyannis, MA 02601 Phone#: 508 775-1778 Ext.10 Are you an employer?Check the appropriate box: Type of project(required): 1.[XI am a employer with 10-12 4. Q I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ew construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. J'Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. ❑ Building addition [No workers' comp.insurance comp. insurance.? required.] 5. We are a corporation and its 10-F Electrical repairs or additions officers have exercised their 1 LEI Plumbing repairs or additions 3.� I am a homeowner doing all.work 0 g p • 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#I 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their 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: A.I.M Mutual Insurance Co. Policy#or Self ins.Lic.#: 7004943012013 Expiration bate- 1/01/2014 - Job Site Address:n97 Rt4La— 2 City/State/Zip: . MA- 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 in e coverage verification. I do hereby certi nder a enalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: 508 775-1778 Ext. 10 Official use only. Do not write.in this area,to be completed by city or town official • City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I 2/21 /2012 11 : 39 : 11 AM 3140 2 02/02 CERTIFICATE OF LIABILITY INSURANCE DATE iti21/20i2Y' THIS CERTI[ICATE IS ISSUED As A NIAlm Or IHrONH iox ONLY AND coircas NO RIGHTS UPON 78E. CERTI[ZCATE HOLDER. THIS ccRTIZICATE ! DOSS NOT ArrIRVATIVELY OR NEGATIVELY ANSED, EXTEND OR ALTER THE COVERAGE AIrORDED BY 78E POLICIES BELOW. THIS CERTI[ZCATe OF j INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INBURBR(S), AUTHORISED REPREBEHTATXVE OR PRODUCER, AND THE czRTIricATE HOLDER. IMPORTANT: IZ th0 certlf lCaie holdes Ys an ADDITIONAL INSURED, the policy(ies) must be endorsed_"'Zf BUNIRO0ATION IB WAIVED. su.^.;crt j to the terms and conditions of the policy, certain,polieies may require an endorsement. A statement on this certificate does not j confer right[ to the certificate holder in lieu of such endorsements).. .__._____,.__.__ DN6➢RIR[ - [DRYT Bryden & Sullivan IIIs Agency i Pc PAY ------•--_. .. i IIIC itii: f 88 Falmouth Road -- NSTRN¢D SDA. { Hyannis, HA 02601 — f xnvv DISI ArrOaDras CDV[AADC ;tlSUDEN A A.I.M. Mutual Insurance Co j Sprinkle Han Impr0VCment Inc 199 Barnstable Read r INSYNEA C: __�--•-----___.._ Hyannis, MA 02601 i INSURER D: --.--'----_ 1 INsyslm r: - - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: j THIS IS To CUTWY war SHE POLZCas or INNORANCE LZS4Ha acoe RAAVP BECK ssaom To THE Xvs=m am= ABOVE was THE ror.3=vzK=''ZKOXCATED,__._.__. EOTlI=STANDZEG ANY EEouxammT, T os coNDZTION or ANY COrw=OR:OTHER DOCUIEN P WITH RISPNCT To We= THIS CERSWICA'M why NL ISSUND OY MAY PERTAIN, TER INSURANCE ArTGRDm BY TEE rOLZLM Dr3CRMUM HEREIN IS SUBJEI;Tl To ALL THE.TERMS, EXCLUSIONS AND CONDITIONS Or SUCH POLICIES. "tim- SHOVE I9Y HAVE "= asoocm BY PAID CLAtlE_ POLICY NONRER POLICY srr POLICY ZZT LztQTs Ia. I TYPE Or INSURANCE GENERAL LX=XLTTY - i I.A[N ocCuaANee I s - I 71C(A9fLRCIAL GCNIPAL LIALIL iTY, I - ( DAMAQ TD NZXT[D — j , PDEIISLSI[..•cOuaONan) '�.F _______ __ Q❑Wile MAC[ Elo:caP PERSONAL A ADV IOUTY 1 Y ❑ - i --....... ` PERNAL AOaR[DATL :!0.'L ACA0.lGATI LIMIT ADPLIC3 tl0.� ❑FOCI CT ❑DPQTCCt ❑LOC ' ,� - DRODVRS= COurIOY ADD • AUTRSOBIIi LIABILITY ii cars nalD SlNpii LIMIT i I , r OAAY AUTO ,. BODILY rAT{IlT (pvr.gasml i 8 i I ❑A7.. UJYC4 AVTfA� I I , ' 1 AODILT IDIOtl/p.r Am"sall' 1 [ _ PNOPBTIDAIOiL , ❑tl20.LL AUTOS I 1. lver.aearmtl _ � [ ..___—__._.__, I T k 1 t j -'—T—D i Dxx OCCURRENCE i - , 5 ' UIBPCLLA GIAB OCCUR . •}!�_ _._..._�_�_ j []lICLS3 LIFE ❑ CLA INS XADC ' ADDNLOATL 1 _ I _ I F14CDUC�Z 1 1 11A.—IOY i ''--a-- AND MWIM= LIARII.ITY I THE PROPRIETOR/PARTNERS: L.L. CAM ACCID[R I SOC.UOG j EXECVCIVE OFFICERS ARE AI I ac ❑ exci 704943012013 0 i L.L. DISEASE -POLICY LIMIT 000 E l I 01/01/2013 01/01/2014 C.L. DIssAU - [A EMPLOYEE I c 500,OOC -.__------�—- -- - _... -`-- --------- -—�-- CSZ�ITI 2-DCIOI IPTIDN o< DPLNATIO[8 oN.LDCATIors: . i { F CERTIFICATE HOLDER CANCELLATION CERTAIHTEED 5 STAR CONTRACTOR sBovw ANY or Tex ABovE DEsCRINiB PoLDCIEs w r[YMjm BerORE THE - EXPIRATION DATE THEREOF, NOT=W= HE OII.IVEIND IN ACCORDAMCR WI7-b i P.0.8 O% 2012E POLICY PROVISIONS. - ' - �'1UTXORIZLD XLPAL SLNTFTIK�'-"'.� j BETHEHEM, PA 18002-0126 . n a 935i Unrestricted -BudduiBs of any use group which contain less than 35.000 cubic feet(991M,)of Massachusetts • Department Of P! o'-c Sare-•, enclosed space. Board or Budding-Regulations ana Stannares msr.r urm!n Super i%.'r CS-006643 BRAD K SPRINKLE l90 L 371MPS LANE .v Failure to Possess a current edition of the Massachusetts w BARNSTABLE MA State Building Code is cause for revocation of this license. Fix DPS Locensing information visit: wwM,.Mass.Gov/OPS '10/08/2013 Ofrice of Consumer Affairs&Busidem Regulation License or registration valid for individui use only ° 6ME IMPROVEMENT CONTRACTOR before the expiration date. If found return 9 on: 103757t°: b, Type: Office of Consumer Affairs and Business Regulation =;j7;Axpiration: 7/9/2014 Private CoMoratior• 10 Park Plaza-Suite 5170 MA 02116 SPRINKLE HOME IMPROVEMENT, INC. Boston, , Brad Sprinkle , 199 Barnstable Rd. Hyannis,MA 02601 Undersecretary Not valid witho signature S aen�rrGns � NAM Town of Barnstable Regulatory Services Thomas F.Geller,Director Building Division k Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us r Office: 508-862-4038 Fax: 508-790-6230 -Property Owner.Must Complete and Sign This Section If Using_A Builder I, \R m e S 1 b , 14 c_ka 2 ` I ,as Owner of the subject property hereby authorize 5 Sprinkle Home Improvement to act.on m�behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) y , Signa of er Date OL rrv�n � I���-c e � Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. CAUsers\dewilik\AppDataUACc l\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZTXPRESS.doc Revised 072110 A JUL �1. �111 yl, 1({ , �" acw. f4l,.,'R yA' .il�ta7! � TM, G{,yY �Q� � w Ira=- 61 'Y°S �'• �� :.t,H f 4'=: aNI�++%�.l. . dg A .y6 t y it 5 1n'ros . T1 fi SYr t,9f 1t��4 Y Ma. , ,farms 1n �. qkl kl , tix'1n .rt 7 ,�/ *4^-'C'1Tc,` �`t s� � t e f �"�„'• 'Al, ✓'/A. �•,.:.. yy. l7 a-` .** r ,�; - it � �t"I` tix��'��V•''`�f/ titln.�v � a��* ' ) . ���AAA� •;..�, � r- "t* -'�'TuaKr' y .x vt r -s y � �r v' � �`� �45. 41 - •2�� ,fib slr�,{pt i•r�� - "� ;" � " i. r �a .�, � `� ` +''r' �!` • � �.g=-4_,s r� � Q t 3� ' � rp,{�,�.�� � ��a�yt ,,,,..g��'9�P',;.s�J Jd / § G a +.�r t2 ► we e TT 'va a� '+w,dk•4 +.J` / i � T' � �a a s � f s�" ,`fin � VM.A-,�&R NO It— lyi es t d 4( Y H �. .M� ,t.. yr / ,�, C �i k y J L r a t • 'K, tyrs'I f:x" `I � i' Dvo� ��_`a:w �+' •v� '�@'b�.Q�,c'�3r�S 'Y +a 3. '�4 `�A► 4 a ��. 6-_c t 3a 0tai n v .t + sue' _ _ _ __ � - ----- - - _ � - - ---- - - ' _ __ _ _ - I - -- a 'ti Loop Up Print Page 2 of 3 • KILROY,B&BLEU,A&HOLBROOK,C TRS 4/26/2012 26280/103 $200000 . Sketches-Map/Block/Lot: 247 192/-Use Code: 1010 ZS As Built C�rdS:Click card#to view:Card#1 � . Constructions Details-Map/Block/Lot: 247%192/-Use Code: 1010 Building Details Land Building value $85,400 Bedrooms 3 Bedrooms USE CODE 101( Total Improvements Value $100,417 Bathrooms .1 Full+ lH Lot Size(Acres) 0.23 Model Residential Total Rooms 5 Rooms Appraised Value $ lOC Style Ranch Heat Fuel Gas Assessed Value $ 10 Grade Average Minus Heat Type Hot Water Year Built 1972 AC Type None Effective.depreciation 15 Interior Floors Hardwood Stories 1 Story Interior Walls Drywall Living Area sq/ft t,196 Exterior Walls Wood Shingle Gross Area sq/ft 2,584 Roof Structure Gable/Hip Roof Cover Asph/F Gls/Cmp . Outbuildings&Extra Features-Map/Block/Lot: 247/192/-'Use Code: 1010 Code Description Units/SQ ft Appraised Value Assessed Value FPL 1 Fireplace 1 story 1 $3,200 `$3,200. WOK Wood decking ' 192 $2,400. $2,400 w/railings BMT 1196 $22,400 $22,400 Basement- ltttn•Iltinan: 1n�irr+ }+orral o��u mn ■.o/A Town of Barnstable Geographic Information System April 16,2013 za7o /� 268208 n t268z67 247171 #41 #42 �,_.----�#131` #42 r n RUDDER RD 268186 #117 a . _ q ' ` ` ti m #17 #272 �247,191 #37 247190 947 0i I 247239 #0 268184 #107 i� 247237 TDBEY WAY #186 Q0,*�Vd q 0 16 Feet DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:247 Parcel:192 boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:MITCHELL,JAMES 8 DORI B Total Assessed Value:$226300 Selected Parcel 1-=100'may not meet established map accuracy standards. The parcel lines on this map + _ are only graphic representations of Assessor's tax parcels. They are not true property Co-owner: Acreage:0.23 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:27 RUDDER ROAD ff such as building locations. Buffer ,,IXx;/ li — �.:—�-- I —..-.—.--...-. �� - ;�.B y(-'�•y, � T�.Tr w._...Ti__S^. .U-- 1. 1___1, U.k...._�4:_.— __ , 11 E x 1ST" 1•tom\�" " I S T I N C. •� t 1 f .,8 1 ( .'.: {tip(,.. - � - — — _—_ .... ..y .,. ` ...� r' ' i � �t , . , � , ,:�a .4?:�•< w+m o- 4.._ —(.—f NI ,1�4_ .T — — — _ _ .. —_ — _ " as'�v-J •a„a„�� ,.::m-st .':.+�" - .. k M 1 F.`o T t—I, 1— — — - - - - - a � UP IMF �s r. Io e fir? K A. '' "q Cu F R R t7 G e V�as T l O Ge ST1 R QS SST/� l Q �t c NIZIE + 2x 10 SZt- 5,ffj - ,/ 2-x,4- t �e C_Ho (�" oC eaGe <G C-,t 11"I �i 11 (7 5� r � C h 00-S^ v,\h\ G�e- _ �'Te-v 13 6C1=ING. 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