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Home My WebLink About0340 SCUDDER AVENUE - 0 -- - - a �� .4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION'' -r "7,t, r . ' `r A lication #MapParcel pp q, Health Division I _, ii Date Issued Conservation.Division Application Fee ��n Y Planning Dept. , .,� Permit Fee Date Definitive Plan Approved by Planning Board ' Historic - OKH _ Preservation/Hyannis Project Street Address V-U Villages/ z/✓f Owners Ve9Y- r'�e/2.5 Address Telephone /// Permit Request 4 A t Z9i 2 e2 W ��3✓ /. �c�/�� 2,OZZ-�z Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Jul-®, Construction Type-z&,,,- 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 )d'No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - (BUILDER OR HOMEOWNER) Name eye C4, /fZSiJ,/� /�,i-� Telephone Number JZ et_Z2!_ Z/51-- Address */,7 License# 42 1_1� Home Improvement Contractor# Email/r1r" ell_� ol!w'1u./ , � Worker's Compensation # / � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 24 SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # ;w DATE ISSUED `r MAP/ PARCEL NO. Fz M ` eL ADDRESS VILLAGE OWNER DATE OF INSPECTION: } j FOUNDATION FRAME INSULATION ti 4 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. , f r Tom of Barnstable Regulatory Services �t•�HAW; cats :il ardV.Sculi,Dimler 1�tASL � Building Division 'ruin Perry,Building CoQuuissiouer I Um ww.town.barnstablf:.mms plic:a: 50�•S62�G^� Fax: ��i�-746-b2�� t' petty C)w ncr 411St _ C;ompl to and Sign'fbis Section f UJ ing A Biiilc.ler II , do Owner of ate s-a_j e., art,;^It:� lt�r��bc atrlmi7x S w net on r.�t- eitaif, &ngp- nk applcr.•_-' t t!c:tiCd I� h1� a r alrtic ^lariv:roxn:kas u?-b w (. dress of Job) \�J r pc' iRy f the app i-Cmi. Fboli= nc�s and aaz them are nor.to Ise l!(!d or p ed befOre fence is nSiZ d w.d.all�i�u.= ii;Spcctons arr. performtd and arct:pwd. St€�=a. of C?wnJ:r Sigmature.o f Apptcwlt. • 1 1 not Nam k'rint i�latr>; atue 1k Q:ErlR�1S aCl,�F.t:'r_�:11�SlihitACJi)1 S i t �w The Coninsomvealllt of Mr rssachusetts v Department of lnrlustrlral Accidents 1 Congress Street, Suite 100 Boston, MA 02114.2017 ivww,mass,gov/dire `1Yo►'kers' Compensation Insurance Affldavltt B�Ilders/Contractors/ElecfriciRns/Plumbers. ARpllcant Information TO BE FILED WITH THE PERMITTING AUTHORITY, ' Please Print Lc I Name(Businoss/Organizdtion/Individual): ee/. Ae? City/State/Zip: " Pi ,G • �, /� Phone Are you an employer? 06ck the appropriate boxi I.Z•1 am o amp►oysr with employees(Hill and/or part-time),r Type of project (required): 2.Q I am a$ofa proprietor or partnorship and hays no employees working for me in 7' ❑ New construction any capacity.(No workers'comp. Insurance required,) 8..[] Remodeling 3.(]l am a homeowner doing all work myself. (No workers'comp.insurance required.)r 9. ❑ Demolition 4.(]1 am a homeowner and will be hiring contractors to conduct all work on my property. 10 CI-]-t Building ad ensure that all convectors either have workers'com P rh' twill l..l g addition c nsatio n Insurance an P sr ce proprietors with no employees. or are sole 11.0 Electrical repairs or additions 1 am a Senor at contractor and I hays hired the sub-conlractors lislod on the anachod shoo!. 12,[]Plumbing repairs or additions These sub•contractors havo amployoas and have workers'comp, insurance,/ 13.C] 6.[3 We are a corportiilon and its ofTiovrs have exercised(heir right of oxemplion per MGf.o, 14'(rL9J Roof repairs 152,11(4),and we have no omployoss,(No workers'comp,insurance(equlrod.) ,Other �•�/. �j�� Any applicant(hat ohoc box H I must also fill out the sec11 tion below showing their workers'compensation policy information. Homeowners who subm164his aftidavil indicating they are doing all work and then hire outside contractors must-subm(l a now affidavit indicating such.�� (Contractors that check this box must attachod an additional shoot showing the name of lho sub-contractors and state whether or not(hose entities hayc employees. If the subcontractors have emAloyves,they must provide their workers'comp.policy number, 1 arrt an employer that Is provlrltrs9 workers' eompensRtton lrtsrrrance for my employees', Below!s rite ollc anti ab i information. p y J ,s ee Insurance Company Name. Policy#or Self-ins, Lie. #; "' Expiration Date: Job Site Address: S�v� 4L �� Attach a copy of the workers' cvt»pensatlon policy declaratlon page (showing�he ptol cl nun Failure to secure coverage as required under MOL e. 152, §25A is a criminal violation punishable b e a and expiration dfl(c), and/or one-year imprisorunent, as well as civil penalties in the form of a STOP WORK ORDE y fine up to o$250.00 day against the violator. A copy-of.this statement may be forwarded to the Office o R and a fine of up to$7.SO.O.O.:a coverage verification. f In of the DIA for insurance /rlo hereby certify under(Ire palms nrcrf penalties ofperlrtry : natu e; lhnl the IrF/ormrttlon ravlrle i' p rl above true and correct hon #: OfJtclal use only. Dorhor write In tlrls area, to be completer)by city or town of,/lcla4 Clty or Town1 Issuinh Authority Author/ (circle one), Permit/License # 1, Board of HeRith 2, Building Department 3, City/Town Clerk 4, Electrical Inspector S, Plumbing T 6, Other b ng Inspector Contact Person: Phone#1 _..... l lip Massachusetts Department of Pubilc Safety Board p( Building Regulatlons and Standards t.lcense: OB-100906 Conatructlon Supervlsor.. HENRY E OAS•SIDY��` 8 SHEO ROW WEST YARMCrVfH t 1 11'Itl t' , Expiration: Cofnmissloner 111111201T � b _ Office of Consumer Affairs and Business Regulation 10 Park Plaza = Suite 5170 Boston, Ma rrusetts 02116 Home Improvement"-C.eAlractor Registration Type: Corporation ` z ;;1• yr Registration: 153567 Cape Cod Insulation In u> p C r -�3 _ w Expiration: 12/14/2018 18 Reardon Circle _ So, Yarmouth, MA 02664 __ d Update Address and return card, Mark reason for change, Al 0 20M•05/11 ____..._..._-.--•_-•-- __.___..______._—__._._.._.___...-•----.__..[�_Adr�-ss—F�-ltrua.4:;�!•.� : la��xnert,._CIl,asf,Cry... `�5X'e(Foww wtwealX olb4addackmeo. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only T, e3 Corporation before the expiration date, if found return to: >'f'eglstratlon. Expiration Office of Consumer Affairs and Business Regulation S&M' 10 Park Plaza=Suite 5170 12/14/2018 Boston,MA 02116 Cape Cod Insu ` Henry Cassidy,, 18 Reardon Circ So.Yarmouth, - '� Undersecretary Not valid without signature I CAPECOD•27 DEATON ACIGOR LY CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) . 7/29/2016 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 endorsements. , PRODUCER CO TEAC Rogers&Gray Insurance Agency,Inc. PHO E 434 RIB 134 fX c No): 877 816.2166 South Dennis,MA 02660 oD E :mall@rogoregray.com INSURERS AFFORDING COVERAGE NAIC N INSURER A:Peerless Insurance Company INSURED INSURER B:Safety Insurance Company 39454 Cape Cod Insulation,Inc. jNSURERC:Endurance American Specialty Insurance Company 41718 18 Reardon Circle INSURER Di Atlantic Charter Insurance Company 44326 South Yarmouth,MA 02664 INSURER E: I� 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 POLICY NUMBER MMIDDIYYYY MWR P LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR CBP8263063 04/01/2016 0410112017 UAMAUF E a c r ce $ 100,000 MED EXP(Any oneperson) $ 51000 PERSONAL&AOV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY Q J RT ❑LOIr PRODUCTS•COMPIOPAGO $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGL LIMIT $ 11000,000 B ANY AUTO 6232707COM01 04/01/2016 04101/2017 BODILY INJURY(Par person) $ OWNE D A SULEDA UTO BODILY INJURY(Per accident) $ X HIREDAUTOS X AUTO$ PR PER AG OCCUR D $ er e t X UMBRELLA LIAR X $ EACH OCCURRENCE $ 2,000,000 C EXCESS CLAIMS•MADe EXC10006636001 04/01/2016 04101/2017 LAGGREGATE $ DED I X I RETENTION$ 10,000 JAggregate WORKERS COMPENSATION $ 2,000,000 AND EMPLOYERS'LIABILITY YIN PTA TE R D ANY OFFICER/MEMBER/EXCLUDED?ECUTIVE NIA WCE00431802 0813012018 08130/2017 E.L.EACH ACCIDENT $ 1,000,000 (Mandatory In NH)II E.L.DISEASE•EA EMPLOYEE $ 11000,000 yes describe under DES RIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more apace 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, CLEAResult,Eversource and National Grid are listed as Additional Insureds on this policy on a primary,non-contributory basis. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE 01988.2014 ACORD CORPORATION. All rinhta rpaarvari T 0 YZ61 Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services . Fee BwxxsraBM mass ' Richard V.Scali,Director Building Division DEC 2 2015 Tom Perry,CBO,Building Commissioner p L 200 Main Street,Hyannis,MA 02601 TD\0 OF w gARNS�A� ww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 4 Not Valid without Red X-Press Imprint Map/parcel Number T SO Property Address ` 0 �C J Ad Pr- V e Residential Value of Work$ / / Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ff—a n kill b e c 5 A ` U Fells Circle Wellr-slev 211a1 Contractor's Name 13an g1fl)( �(e►i 11 14U✓n C T;7iprd✓P� elephone Number ,p 8 M-3RIY Home Improvement Contractor License#(if applicable) 10 7 O 1� Email: 1.�0� Cr 1 e�n �p ye,he,) CdM Construction Supervisor's License#(if applicable) orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner TI—have Worker's Compensation Insurance 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 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ' Q (Replacement Windows/doors/sliders.U-Value 1 30 (maximum.32)#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. 1 ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: 44w",� QAWPFILESTORMS\building permit forms\EXPRESS.doc Revised 040215 x� ?Tie Commonwealth of-Wassachusetts Departrrreiit of Indusftial Accidents - - Office of Investigations 600 Washington Street , Boston,.CIA 02111 ' wvPiv mas&gov1dia Workers' Compensation Insurance Affidavit. Builders/Contracturs)EIecEricians/Plumbers Applicant Information Please Print 'bI Address: _�I L Ceo- Cityfstate(zip= 6 ry C Ktt M V14Gt. OCRO°2 Phone Are you an employer?Check the appropriate box Type of project{required}: I.U ,�, 1 am a employer Mith 4. El� I am a general contractor and I 6. ❑New eonsttuctiog employees(full andl`or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Rmodeling s and have noemployees. These sub-contractors have ship 8. ❑Demolition woAcing for me in any capacity. employees and have workers' [No Workers'camp.+ns�r�++ce comp.insurance. �. ❑Building addition. required] 5- ❑ We.are a corporation and its 1 D.❑Electrical repairs or additions 3.❑ I am.a Ihomeo-vcmer doing all work officers have•exercised their 1L❑Plumbing repairs or'additions ray self- workers' right of exemption per MGL �o - 12.❑Roof repairs insurance required.]i c.152,§1(4�and we have no 13.❑ Other employees.(No workers' comp-insurance required-1 •AnyWKcmtfmt checks box 91amst also fill c=the sectionbelow showing theirworkeie compensation policy irdbrnrsEio - liameoavners who submit this affidavit and=g they are doing all wal aid then}tire outside contractors mast submit anew affidavit indicating sa h_ , ZCautracturs that rhea this box must attache d an additional sheet� gthenaatof the sub-comirectars and state whether.or not those entities have empimes.Ifthesuh-contractors have employees,&eyrmrstpmuidetheir workers'comp.policy number. lam art empIojwr that is pren.�iding it�orkers'congwisadaii insurance for my enrpivj�ee-s Below is the policy and jab sate ittfotanalion. Insurance Company Name: feetLC66` &4V C_ I Policy#or Self--ins.Lic- �� ,6 Kj F-kpiration Date: Job Site Address: 3 / SG U dJ erP7 V� Ci }State} N Gt A tj tY � : 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 far one-Dear imprisonment,-as well as civil peualties.in the form of a STOP WORK ORDER and a fine of up to WO-00 a day against the-violator. Be adt9sed that a copy of this statement may be forwarded to the Office of lavestigations ofthe DIA for insurance-coverage verification. I do hereby cartzfi,tender thapauis and penalties afpeduty thatthe irt;formatian pm i&d above is tms and correct Signature: I)ate- Phone ik 5—�� Official use one. ,Do ttot awrite in this area,to be completed by city artown official City or Tomm: Permitffikense;g Issuing Anthority(circleone): 1.Board of Health 2.Building Department 3.CitplTown Clerk d.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone-#: Information and Instructions r Massachusetts Ge:.eral Laws chapter 152 requires all employers to provide waII-,eas'compensation for their employees. Pursuantto this stye,an.enpkyee is defined as.`°_.every Person m the service of another under any contr of hire, � express or implied,oral or written. iJ An eraplayer is defined as"an individual,pa fnmsbip,association,corporation or other legal entity,or any two or more of the foregoing engaged in a j oint eutaprise,and including the legal representatives of a deceased employer,or the receiver or trustee of m individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling horse having not more than three apartments and who resides therein,or the occupant of the - dwelIing house of another who employs persons to do maint eu ce,construction or repair work on such dwelling house or on the groumds or building appBxtenaat thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also sides that"every stag or local licensing agency shO withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonWealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required-" Additionally,MGL chapter 152, §25C(7)states"Neithez the corrtTn aawealth nor any of its political subdivisions shall enter mto any contract for the perfomiaacc,ofpublic wont until acceptable evidence of compliance with the inernanCB._ requa-f-m ents of this chapter have Been presented to the contacting aufholity." , Applicants , Please fill o-ct the workers'compensation affidavit completely,by cheeIoag the boxes that apply to your sifnation and,if necessary,supply sob-contractor(s)name(s), addresses)and phone numbers)along with their cerii acate(s) of incrrranc0. Limited Liability Companies(LLC)or Lfi ite .Liability-Partnerships(LLP)with no employees other than the members or partners,are not requmed to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. B e,advised that this affidavit may be submitfi--d to the Department of Industrial Accidents for confu'mation of in.Snran ce coverage. Also be sure to sign and date the affidavit The affidavit should be retvmed to the city or town that the application for the peunit or license is being mgnestu d,not the Department of TijdLt t ia1 A_ccidm s. Should you have any questions regarding the law or ifyon are required to obtain a workers' compensation policy,please call the Department at the number listed below Self-hmnrd companies should enter their self-insurance liDE se number an the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and pried legR)ly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sine to fill in the peunit/licrose mnnbea-which will be used as a reference number. In addition,an applicant that must submit multiple pennitilicense applications in any given year,need only submit one affidavit indicating cuirfant policy information Cif necessary)and under"Job Site Address"the applicant should-,rite"aH locations n (may or town)-"A copy of the-affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be,filled out each year.Where a home owner or citizen is obtaining EL license or permit not related to any'business or commercial ventcre (i.e_ a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you i a advance for your cooperation and should you have any questions, please do not hesitate to give us a caIL The Department's address,telephone and fax mnober: Thu CO.DaMmWed- c of Massachusar_-M Deparimmt off 11 dmtdal Aocidmts woe of kve&tigatioa,% 60G-washingtQn Size �osto-u�II�fA f1�111 Tf,-1.4 617-'27-4900�4€6 car 1-977=MAMAFF, Fax 9 617-727 7749 Revised 4-24-07 . .mass-govf din I t k®` to r.rtssd2l�ae� of dara,Ha.ix•IC tal a 'L r1l94 Py! car 0atatlFEE— IR z ' M �A:h4S RY° Y Marc®. .o �. s ��; a�� • s,��; r��_ �..�=�,r��'€r�� _ra.�� r �r,u valid m 1288-046 ro�su h i3dO SCUDOER AVENOE� Ri Ronbye 110 R S.fln 6 ..w,,... „_.......wf Sac Ronal , - vn ya FiYANNIS�� Fa.Di.,ici To,.n:rsca�5ivsaxilil�:,ddress No .., � Road Md.'14d0 Asbuilt Septic:Scani - 288046_1 2880462 own..DW.FRANCES:ESL o��%KULBERSN,BANETC� - A� sveesi�l6 FELLS CIRCLE �srenz'•`��""•� � " acr jdVELLESLEY � s�re,��•.��zip 02482' I Cowary.��.�..�. nrrei'f 0 23 'uaa:iTvro Family' '_zadny iR6 Now;0106 - T.M Phy Level RmdPaved irwm Public Water,Gse,Septic� ao�.a �µ � �� ' - � - arC3t'Iw'„s$'ticttbp lhio��,_; %a - a ,1820 s qG eab(Mrp •� W.K Wood Shingle 1329 c Asph1F G�fCmp Tra N no e } t i R y V #0�4 •a... :- -'z.....<. ,. <, a„W ��.IYiI �Ls:'�". .�at�u.a.. ..«•,.c.. ., °'Id,,,, yam. „s'k,......_,_._.,......�,,...t5 • r I ' Massatus, s D'epartment of Public Safety BoardBuildi�.•Regulattorasrtd Standards nitrurtion Sup err' or` .r�• ,.., .. `, 'License: CS-068968 _ART�IUR G�iVI�tJG �;. ��,. �` i,• 40"R01Y SETT RIMirp, a WARE A 02s , r •�.�.�.� ,,� i+�• :, �� ;r�,rExptratto3t�.'�'. Commissioner` ,rOZN9{�07 � . 92. F`011icc of Cr onsumer Atfad Bu§iness Regulation �4sME iROVEMENT 00-4YRACYOR .'a Registration 167865 Type' III , Supplement (E} OUEMENT SPECIAL ART MCLAU6t1'ihF �= .`• r- 616 C5NTRE BROQKTON MA Q2302i.. r.; r.. , Uedersecretary AEORbpCERTIFICATE OP LIABILITY INSURANCE DATE)MM/cunvYY ' 10/5/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF iNFORMATI'ON 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 T REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. HE ISSUING INSURER(S), AUTHORIZED I PORTANr If the oertiflcate holder Is an ADDITIONAL INSU'Rl:p,the pollo0551 must Do ondorsed, if SUBROGATION IS WAIVED, subjoct to the torms'and conditions oftha policy,certain policies may rajOre an endorsamant. A statement on this certificate Boas not contsr rights to the certlfloato holder In Ileu of such endorsement(s), PRODUCER John J. Clarke Insurance Ina N�GOUTACT PCeri Cordeiro a!C Ne EYt' (401)e2l-7330 FAX t4osyesi-799Z Citizens Bank Building rcNo; 1226 Main St, Ste 1 AD RCgq:AI5ri@jjcinsuranoe.00m West Warwick RI 02893 19 RER a AFFORDING COVERAGE NAIC/ r780 REO INSURER A MerohantS Insurance Company 23329 INSURER B 15ea90n bdUtual Insurance ny Glenn Home Improvement Specialists LLC INSURERC: Reservoir AvenueINSURti v 1 Cranston INSURER E RI 02910-4425 N uR RF: COVERAGES 11 CERTIFICATE NUMBER:CL1M10501502 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 CONTRACTOR 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE A99619WOR INGOPOLLC NU 0ER MUM X COMMIRCIAL GENERAL LIABILITY MO WRY,Y LIMITS EACH OCCURRENCE A CLAIMS-MADE a OCCUR PREMIB 3(Es occurrence) 6 B00,000 SOp909T476 8/24/2016 8/24/2016 MED EXP(My one Person) $ 18,0D0 PERSONAL&ACV INJURY $ MOTHER: NT AGGREGATELIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY DPRO• aJECT LOC ' -PRODUCTS-COMP/OP AGG S 2,0001000 AUTOMOBILE LIABILITY Propenydeme0e•elnOlellmlt $ nBODILY LIMIT $ ANY AUTO ALL OVvN80 sOH6oULED er person) $ AUTOS AUTOS er ecddent) $ HIRED AUTOS NON-OMEO AUTOS Ge 6 UMBRELLA LIARLjOCCUR $ fXCIGO LIAR CLAIMS-MADE EACH OCCURRENCE DED RETENTION AGGREGATE $ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY ANY PR0111,Q11ARTN-VEXECUTIVE Y/N B OFFI ER( h ER XCLUD D? NIA E.L.EACH ACCIDENT (Mandatory In NH) 64b66 I' Y00 000 If A/16 a,daacdbeun under 12013 9/1b/2016 E,L.DISEASE•EAEMPLOYE $ 100 `000 DESCRIPTIONOF OPERATIONS belov E.L.DISEASE-POLICY LIMIT $ 600,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORO 101,AddItlonal Relnat s Schedule,maybe Attached If mom apace in required) CERTIFICATE HOLDER CANCELLATION SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THCREOF, NOTICE WILL BE DELIVERED IN r ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE Keri Cordeiro/KAC S'+�r` +, •-easto,v., ,� e — ACORD 2Cr(2014I01 ®Ives-2014 ACORD CORPORATION', All rights reserved. ) The ACORD name and logo are regletered marke of ACORD IN$025 f2014OD r G sT'a�flfr "1� G6iCL° r °�'t%' Pasg�Plo. of Y f'a►pi�s 780 Rasergalr we 89t3 Centre Street; - �® Crsinaton,RI t72910 emckfd MussacPivaetts 6$3U2 AL Phone.,9.860,684-3883 All.horn@ITI cl go W imtsrovavvtent.e�nlr>oa40rs a a I r�g0aerat{on 1w 6rowAslonm of m � ij, ,� b r� sC� suti►,itt®a eh .cMit .ta t+fwu4d ! ttltede to I,c� �@orrra knpfov�tn�tt A®Ivbur 8t' ry Y To C. Pt ,Romero 30 r 16�,f27-iSg µ,. u OtNnsrs Who ;;curd their otan construction:related' permits or d®at-'with uerregiat®red t:ontraol tit ` t» exclu 9sd from the duaranty Fund provision of REGISTRATION;NO allot+e . DA RI REG #7930 HIC-#167865' p .� /�- 3 - JOB LOCATION. W®heroby sUbmR epac fioallona n eotlmeles or Work to b®portortned and meteHela to uoec! . . .1.�4! � �r r i r► pfG=:G� J'g. tq TG,� .S. Gri ,l':aC 7 fi .. f!Ic��Gi ic �kntk Y. 7:-%0- ' es t D t)�gersemattt wttesa apeatWd Mre,�ln :Contractor Will ttta work'on a WORK SCHEDULE; pin y n th;Welk of order isa rrFatoAata re tP►e ltttrd day the oo IbIK' wDdc Wffl be oorr�►�eed by .td�) Tia. hsr�bY: pstd asrees tPi a by'biratnnetaf4 R not date®ore a�roxirtlate rend jhat suoh delays"I aftaVoldsbte by the Gontrmotior®tt0 be conel�rod as vlo ft%e et We WARRANTY heniunrler shatl;t�Free iron eartots kt matartale and wortpfor a Pe01 —.--�� °' 0 warrants,that the Work tutrdshed a ms'tertals;'or tlamage .sod by auboontrltAta+ss 1w ply 7equlremsn�oLllde A9r6ent M tha event any doted!rt'v� r oorroat.reptaoer':or oeuee to be rpnledled; ditoovared wttMn orw.year pttttr n or any Ob trtotudfrtpal6athlp.tRs Coe,lrnptor,alfmtl,'al Ma own a ® �oHhyin ,►deny. . reaBlrod,a reao0d.svdt rmrwllBe orstgt defea in materials yr vrprkmarta9P• n9 Wa'rorulee sttelf WwSve any Insae+Abn P M o�xuteo0cn wqh tM�n!s4 ® Pro s'g�9 Hereby ieh ma4 to fumeetel and labor Complete In atscorclanee with above epedfiCa@tan®� ry �v is .,.. ' pvpment,ro ba made ea Id Baia ff'S LIBt+i HQNIIE i@IAfI'a30 i1t Pf7'StP{i't:lAt.YST,L.idt ($ ,upon aEgning Cantrsct; Nona a ror%oil amt . °!o upon ($ ) cimpletion of '� - ewe nadleaa -)'u n.compi®tton off ®� Z shall b 6 nwde fortmwi6i upan °i•l� i15� 3 8�3 ,1795 completion of 9+ioork uixler thlts contract: s�+roow F ;ID Ma Notkte No egrnent for horrid+`Improventesnt c>antraedrig work sftaW requlne® Name ar . sdawn psytr>ttent(sclvance d®posit)of more ttsan or`te=third of the total nUSj.doMntK.priae ttte total}�t»ourit of all depcffRs or p>ajrments:wttictt the,00rttractor n►ust mmke.InAm re as#y8noe,td order;an�or, rwlae obWrj otslively:of sp at ardsr,met®mats end . vrhi r-arrsount ie st ►. , N°/O' *fA*i ,r' f poael ISt>ty be by us N not soo�Pt+d wNhk+� .:Q�Y! p6lErlCtl;®! PI'O 90 i tieve_read both am"of flits as a prld'ati att:�l1®d dott►trtelit4 and;aoospt ihi;,ptioae apeo#iDettan ens oondltlons east l;undeisterid that upon si lnQ, Prof . ®s bkX,"00 You ere Izutp►orissd 4o do the work to"apedNmd Payenen4 wiq bs n+ede ea oualned rabare ®uy®r,rrt�y«ant thp> Itran��ctior+ at any tune prior to futielnlght o4 ti,LL®4i,ire9`busisia�� dey aft®r.t4�e t3ate t thi .tt�►nsa lion.C�rea�lltt�tl�n etieuat t>Ie�o its writing: , DA SOT�1, 9d.'rHtl COid "R�►t;f iF TH RS., alb AP1Y�i 1B�C SP Cg� Daa , . ... elpf�turo ia7. _ 11 tt ^ r�^+ Q'fa qy teu qy yn TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0 Application.# SDI S OS o�S Health Division tiN� ay I Date Issued pplication Fee � Conservation Division A � Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village r. ' �k Owner -�� ,�' a l �� h Address L to �-W S Gf�r� TAephoneL� � Permit Request L�uw,�AIA Y-Oom 19_.QM6VMi0AS Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay ,.P.irojectYaluation D U Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes 0 No Basement Type: ❑ Full 0 Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing—new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded 0 Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name — Telephone Number .L p Address License # A-v G h h Home Improvement Contractor# Email U,`Ir 213�1 _. Gl`YYt .��v�1/� Worker's Compensation # BALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �I ��SIGNATURE DATE to 's FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED a MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ` FRAME i INSULATION z FIREPLACE s ' ELECTRICAL: ROUGH FINAL• PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i - DATE CLOSED OUT ' S s ASSOCIATION PLAN NO: x . . T f f .t .. • r�i'1 a f 4. ?Tie Corlilrronivealtli of 1�lrassachusetts Department of 1'rtdustrial Accidents Office of1westigations 600 Washington.Street y Baston,JVA 02111 f nnv.rjmm90V/rein Workers' Compensation Insurance Affidavit:Bu lderslCnntradursiEIectricians!Plumbers Applicant Inf6rmation Please Print Legibly Name�Businessurgamzadonadhidml)- _1,�&Jnsa Ki&k L-2 -'5 Address: 6,i,h i 1. iCityl'Stat&Z?p•_. Phone Are you an employer?Checks the appropriate boz: Type of project(required): 1.❑ I am a employer Aith 4. ❑1 am a general contractor and I employees(felt andlorpnrt-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling she and have no employees These sub-contractors have P8. E]Demolition wo cing for me in any capacity_ employees and have workers' comp.,insurances.# 9: ❑building addition. jNo wot3oers' comp.insurance P, ' required] 5. ❑ Vie are a corporation and its 10-❑Electrical repairs or additions 3V I.am;a"homeoi&mer doing all work officers have-exercised their 11.❑Plumbing repairs or additions rnysel€[No workers'comp_ right of exemption per MGL ` 12.❑Roofrepairs insurance required.]1 C.152,§1{4X and we have no employees.[No workers' 13.❑Other 1 -comp.insurance required.]! •Any applicant that checks box 91 mast also fill out the section below showing then workers'compensation policy infotmation_ t homeowners who submit this.affid-A indicating they are doing all wed and then hire outside u mtractors mist submit a new affidavit indicating such. -Co1Ltcactorslha2 ehect this bore must attached as additions!sheet shovrmg the name of the sub-contractors and state whether or not those entities have employees. If the sub contractors have employees,they must prmride thair workers'comp.policy number. I arrr air eatpinyer tltat is pros-ding it,orkers'conipearsatiori insurance for eery enrptgy-ees BeIory is the policy and job site fnfor matron Insurance Company Name: , Policy l4 or Self-ins.Lie:9: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensationpolicy 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 S1,500:00 antlror one-yearimprisortment,as well as civil penalties.in the form of a STOP WORK ORDER and a fwe of up to$250-00 a day against the violator. Be adtrised that a copy of this statement may be forwarded to the Office of Investigations of-the DIA for insurance coverage verification. I do Jiert*by certify ii, d ttiR pirirrs nerd pertahFies of prrjirry tlratflre irrforrrrafioii pm id ed abm'e.is true nerd correct Simature: // Date: Phone .f�17 3 35 -3 c ' Offlciai use only. Do not write in this area,to be campieted by city or-town ofciat City or Total: PermitUcense if Issuir tg.Authority(circle one): 1.Board of Health 2.Building Department 3.CtylTown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone 9: r. '-1iformation and Tnstrueflaas Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. prr-s�to{jam statute,an nvpIoyee is defined as.--every person in the service of another under any contract of hire, express or implied,oral or writes " An e7nplvyer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,oz the receiver or trust=of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the - ho employs persons to do maintenance,construction or repair work on such dwelling house mother w dwelling house of �P Y P " IImg - be deemed to be an employer." or on the grounds or building appurtenant hereto shall not because of such employmentP MGL chapter 152,§25C(6)also sues that"every state or Iocal licensing agency shaII withhold the issuance or renewal of a license or permit to operate a business or to construct burZdings in the commonwealth for any applicant Who has not produced accepta-bletevidence of compliance with the inm ance,coverage,required." Additionally.MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the ffism n ce. requirements of this cbapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checldng the boxes mat apply to your situation and,if necessary,supply sub-contractors)name(s), address(es),and phone number(s) along with their certificates)of n�urance. Limited Liab>lity Companies(I.LC)or Limited Liability-Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have empIoyees,apoicy is rcquir I Be advisedthatthis affdavitmaybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. :Also be sure to sign and date fare affidavit The affidavit should be retained to the city or town that the application fur the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials t • Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office ofInvestigations has to contact you regarding the applicant Please be sure to fill i a the pemdncrose number which will be used as a reference number. In addition,an applicant that must submit multiple permWHcrose applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and colder"Job Site Address"the applicant should write"all locations (city Or town)_"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that:a valid affidavit is on file for furore permits or licenses. A new affidavitmust be filled out each year.Where a home owner or citizen is obtaining a license or permitnot related to any business or commercial venture (i-e. a dog license or permit to bum leaves etc)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you is advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Departments address,telephone and fax number: Tht CGu MMWeali&of Massachusetts Ilepartnent Gf lidustdal Accidents _ a Office of f gvestiotio= ��4�asbin�tGn Stz�t ' $ustonz MA Elul 11 Tel.4 617 727-44Q0=t 4.06 or 1-M-MASSAFE Fax#617-727-774 Revised 4-24-07 mass-gavldia Ax-YC Grride fo �TToad Canstr-r�ctiorr in Higlr F�irzd�r•eas:IXQ triply 6YtrrdZorie' Massachusetts CheckdO f6r Com')Ounce (78D cn�rzz 3or-?.r.lyt 0 Ch=k - 1.i .SCOPE Compliance Wind Speed(3-sec. gust).................:........._..............:.....................__....... ....----•------•.......110 mph Wind.Exposure Category....-..................... . -.......................................................... ..... ................B Wind Exposure Category.. ineenn R uired For Eritire Project C 9 g. I. 1 ......................... • - 1.2 APPLICABI[11Y - • Number of Stories(a roof which exceeds 8 in 12 slope shall be!considered a story) stories _<2 stories RoofPitch__._...__ :_._......: - ------•.................. .-(Fig 2) ------------:•.---•• 1212 ' Mean Roof Height'.............__.-....-•----........--•---...........----=-(Fig 2)......_.........- - :.; •ft s•33'. Building Width,W.........................................:..- -- - (Fig 3)- - = -• i1 s Bfl' Building Length,L -••----•---�...._.._ Building Aspect Ratio(Ln'►') ...._........................................(Fig 4).--------------------- . Nominal Height of Tallest Dpening2 .................. ..............._. <_3:1..... ...............(Fig 4)......................... --•-•-------....---•---• 12 FRAMtNG'CONNECTIDNS, ' General compliance with framing oannections._..:.:_........_.(Table 2) = 2.1 FOUNDATION Foundation Walls meeting requirements of 78D CMR 5404.1 Concrete.........................:.:...............:.......:........................:... ................................................ Concrete Masonry.............................. .........----------------------------------------------- 22 ANCHORAGE TD FOUNDAT1DNt'' _ 5/8'Anchor Bolts4mbedded or 5/8'Propneta Mechanical Anchors as a -alte rY n mafive in concrete n Crete only Bolt Spacing-general •(Table 4)......................:.......... " _._.. in. Bolt Spacing from end(olnt of plate............,_-:........_...(Fig 5)...::_...._::............ --•--.--- Bolt Embedment-concrete....._.._._..__....._..•-_--•--.---•• (Fig 5)...•-•--••--.----- s ' •---------- _ m._T Bolt Embedment-masonry..................:.....................(Fig 5)---------__-_...--•-= - in._>15" ..._•----.--... Plate Washer..:.._.................•-•-----:..•----:_........._...._....(Fig 5).......--•------_---------- '3'x 3`-x%' 3.1 FLOORS Floor•framing member-spans checked ........................_...(per 7BD CMR Chapter 55)--------------------------- Maximum F1oor Opening* imensiori.................. 12' -- (Fig 6)......_-•---:--•--.--...._.................._.. Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)_;:.:..:..: Mmmum.Floor Joist Setbacks Supporting Loadbearing Waifs or Shearwall...._..........(Fig 7).............�...__-- I........................... < Maximum Cantilevered Floor Joists Supporting Loadbearing Walls'or Shearwall................(Fig a).........................._ ft c d .................:._._ FloorBracing at Endwalts------------------------------------------------_-(Fig 9)...._........................... Floor Sheathing Type (per 7BD CMR.Chapter 55 ` .-----.----•---_--------•--------•-•--•------• p. }..................-....... Floor Sheathing Thickness.'................•...._.._......_...._:-----(per7B0 CMR-Chapter 55)................._... in_ Floor Sheathing Fastening-............................................._.(Table 2).._d nails at in edge h in field 4.1 WALLS Wall Height Loadbearing walls......................................... ---- (Fig 10 and Table 5 . Non-Loadbearing walls......:....................... ---_.. (Fig 10 and Table 5)........................... ft's 20' Wail Stud Spacing ......:...................... .............(Fig'1 D and Table 5)........ Wall Story Offsets- ...................... _+....................._..(Figs 7 8)�.- -..._....,..._.._ < ----•----•--- ft _d 42 EXTERIOR-WALLS3 Wood Studs Loadbearing walls:. ....(Tal?le 5�....................:..:._.�. ft in. Non-LoadbeMng•walls ......._. able 5 ............................... _ ' Gable Find Wall Bracing' — — it in. Full Height Endwall Studs_ tuds_. ----- :............. :...............(Fig 10)...................... - .. .:....._.:.._..._..._�.-_. . WSP-AtiicFloor Length._....--------:-----.-----_-_----_..:(Fig11)... -.-.---------•-••--•---•........:..... ft�W/3. Gypsum Ceiling Length(if WSP not used)....:............:.(Fig i1)...__..___......•..____...._..--- —ft>_0_9w and 2 x4 Continuous Lateral Brace @ 6 fL o.c.. (Fig 11)........... ' - or 1 x 3 calling furring strips @ 16'spacing min.with 2 x 4 blocking @ 4 f L spacing in end joist or truss bays Double Top Plat Sprite Length -.-._-_-.------:-----------------------------------(Fig 13 and Table 6).-..._-.-..:........................ it Splice Connection(no.of 16d common nails)_._..........(Table 6)......:............. ATYC Guide to FYood Construction ire High Find Areas: 110 nipk hV[nd Zofie fassAchusett Checklist for Conn jianCe (790 CA41Z-5301.7 1.1), �' P Loadbearing Wall Connections - - Lateral(no-of 16d common nails)_._............................(Tables T)............................... _.._.. . Non-Loadbearing Wall Connections Lateral(no_of 16d common nails)......_............._....___(table B).._....-•--•--........I............................ co Load Bearing Wail-Openings(rerd largest opening but check all openings fur compliance to Table 9) Header Spans - ________________. ._.(fable 9)............................. .. ft_in.S lit Sig Plate Spans' ..........(Table 9).........:<.: ...... ft_in. Full Height Studs (no-of studs)...................._........,.....(Table 9).................................-_ __-_. _._- Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) HeaderSpans.................................................._..........(Table 9)............................_._. - ft_in.S 12' . Sill Plate Spans.......................................•_--__._.._._..____•(Table 9)--------------_____-----:----__- -ft_in_512' Full Height Studs(no.of studs)...................__.___.:._....(Table 9)............______..._..._.._______ -____ ._.. Exterior Wall Sheathing to Resist Uplift and Shear Simultaneausly4 minimum Building Dimension, W Nominal Height of Tallest Opening? ..............t.__-_.-__.__..____:_.__...._...__.___........____._:_..._...._5 6`B` Sheathing Type:.. --- Edge Nail Spacing •----...._•-•-•-_._.(note 4)..---..._..............•-•-••---...-•---•---_....- g_.................._._.__....____(Table 10 or note 4 if Jess)._._........_._---_- Field Nail Spacing........................._:•.............(Table 10)............._...._.....___................... in. Shear COnnedon(no. of 16d common nails)(fable 10):................................................... _ Percent Full-Height Sheathin .. able 1 D - ° 5%Additional Sheathing for Wall with Opening>6'Y(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest Opening?..:.................. _...- s SIB` SheathingType.....-------•-----_--_---••________------(note•4)..................................................• Edge Nail Spacing able 11 or note 4 if less)__................. in. Feld Nail Spacing-__........._....._...._...............(fable'1 i}:__...--_-_---;..............._......._......... in. Shear Connection(no. of 16d common nails)(fable 11.)......................... ..............._ Percent Full-Height Sheathing able 11 ° 5%Additional Sheathing for Wall with•Opening>SS'(Design Concepts)________________L. ' Wall Cladding Ratedfor Wind Speed?-_......................................................... .....-----•---._._._......_....---....--..--•-•.._..__ 5.1 ROOFS Roof framing member spans checked?...__..................(For Rafters use AWC Span Toot,see B.BRS Website) Roof Overhang ...................................................(Figure 19)......_____._ ft s smaller of 2'or t13 Truss or Ratter Connections at Loadbearing Walls Proprietary Connectors Uplft...........:....................._-----------(Table 12)........-...-....._...__.........----U- plf Lateral.......................... (Table 12)-------------------•-- ---- - - L p ff 5hear_-__--_-_____-_____._ ,_---(Table 12)............._................... ___ Ridge Strap Connections,if collar ties not used per page 21... (Table 13)..............................T= P if Gable Rake Ouflooker...................: .-. .... - .-_-_________(Figure 2D) ............. ft<smaller of 2`or U2 Truss or Rafter Connections at Non-Laadbearing Walls Proprietary Connectors Uplift__...................::.............•--.......(Table 14)----------------------------------_---U= lb. Lateral(no.of 16d common nails)._-(Table 14) = Roof Sheathing Type----------------------------------------.......(per 78D.CMR Chapters 5B and 59)............ Roof Sheathing Thickness..............._________.__.___:__.-----------: ------------- ........._.......... in. 7/16'!�►5P Roof Sheathing Fastening........................................._.(fable 2)_.......,_.....___..._.._.._..... ._................ Notes: 1. 'This checklist shall be met in iib entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR.53011.2.1.1 item 1. tf the checklist is met in its entirely then the fallowing metal straps and hold downs ara 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. Comer Stud Hold Downs per Figure 1 Sa and Figure lab Exception:Opening heights of up to 8 ft shall be permitted when 5% is added to the percent full-height sheathing requirements sh6wn in Tables 10 and 11. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated i#2-gr6de- - AiYC Gi de to fKoad CoI1Sfr11ctfori ltl Hifl Hind Areas_ 110 Mph Iixld Zone Massachusetts Ch-eeldisf for Compdance (780 ClARs3nt 2.1:1)' 4. a. From Tables-10 and 11 and location of wall sheathing and Bulging J4spectRabo,determine Percent Full-Height Sheathing and Bail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7116*and be installed as follows: 1. Panels shall be installed with strength axis parallel to studs. fl. All horizontal joints shall occur over and be nailed to framing. if 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 thd top member of the upper double fop ` 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)()west plate at first floor framing. v. Horizontal nail spacing at*double top plates, band joists,and girders shall be a double row of Bd staggered;lt 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.extens'ive renovation to the first floor c)replacement windows-needs energy conservation compliance only(chap 93) S.Wood Frame Construction Manual(WFCM)for 1 ID MPH,Exposure B.may be obtained from the American Wood Council (AWC)website. WiLs tl II I - t •. tl t It ll l is If onto J1 it EDGE�i �TE al Lf it Is 11 Au Ii1 i t� ter i 1t- It it L [ [ • II rll j -�.t- . STAGED f sPAckJG j t w.2�ATreaN PANEL MAf-tEIDLE QQUI NAtLF�GESYAG�Y�DETAL See Detail on Next page . Vertical and Horizontal Nailing Detail . for Panel Attachment Vertical and}-folizontal Nailing for Panel Attachment . Town of Barnstable Regulatory Services . sVAcM Richard V.Sc4 Director 16596 16 Building Division TomPerrp,BuzZdmg Commissioner 200 Mum Street,Hyannis,MA 02601 www.townl arnstable_nmus Office: 508-862-4038 k • �'ax: 508-790-6230 Propeify Owner 1Vlust d r(Complete and Sign This Section- ' 4 If Us ing A Builder ; as Owner of the subject property' hereby-authorize , to act on my behalf, in all matters relative to work authorized bytbis building permit application for ; (.Address of Job) "'`Pool fences and alarms are the responsib&tyof the applimat Pools` are not to be filled or 4 d before fence is installed and all final inspections.are peiformed and accepted- S4aature of Owner Signature of Applicant Print Name Print Name Dare i QFORMS:O WNMERIMSIOIeOOI S Town of Barnstable Regulatory Services rojy� Richard V.Scali Director �Y °� _ Bl�Tding Division - . t t Tom Ferry-,Building Coramissioner ,K.SF- F zs3g. tia� 200 Mom Street Hyannis,MA 02601 www.town-barnstable.ma_us Office: 508-862-4038 Fag: 508-790-6230 HOMMOWNM racmaysz EXEIV=ON JOB LOCATIOK- -IT_S(/�� $z 'FfOIvtEO/JlJ GII�^U� �i1J�1� �/ LJ I16^ �S -7 r / mama bomcphonc# woACphonc#r C[7RRENrMAILINGADDRESs: � � � � � �n-��`^'" "�► , ' " � - l � [_— citylbwn slain up cods The current exemption for"homeowners'was extended to include owner-o ccr ied dweliinZs of six units or less and fo allo- homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor_ D:EFRgj7 L0N OF HOM WNM Petson(s)who oYrns 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- famay dwelling affached or detached structares accessory to such use and/or farm structures. A person who contracts more than one home in a two-year period shall not be comidered,a.homeowner. Such'homeownet"shall snbmitto the Budldin9 Official on a form acceptable to the Bmldiag Official,thathels shall be responsible for all mbIL workperfoffied underthe bnlldina pennit (Section 109.1.1) The aadersigned"homeowner"asses responsibility for compliance withthe Stabs Building Code and other applicable codes, bylaws,l andregalafions_ The undersigned`homeownez'certifies thathelshe ua&=t mds the Town ofBamsfable Bindding Deparfmmt mirdm=inspection proce s andregnirements andthathdsh.e will comply with said procedures and regair=ezds. Sign= o wncr Approval ofBading Official Note: Three tamfly dwellings coniairii 35,000 cubic feet or larger willbe requiredto comply with the State BmUd g Code Section 127.0 Consfraction Control HOnrOwNMIS EXF'&ZIION The Code states that: adsry homeowner performing work for which a building permit is required shah be exempt from the provisions of this section(Section 10911-Licensing of construction Supervisors);provided that if the homeowner engages a person:(s)for hire to do such Mork,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that trey are asst:mmg the responsibilities of a supervisor (see Appendix Q,Rules Bc 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 ac#mg as Supervisor is IIliimately responsible. To ensure that the homeowner is My aware of his/her responsiblli'•tz'es,many communities regnae,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the Iast:page of this issue is a form.currently used by.several towns. You may rare t amend and adopt such a formicertification for use in your community. - Qi��Ox��a�r�cfo��ss.do� • Revised 061313 rig INSULATION' ��l �7] FIBER GLASS - t suMu SS SAFOAPASUSPIN ➢1 ! OUTTI INULTiON CEILINGS - 1-800-696-6611 ' Town of Barnstable Regulatory-Services Building Division 200 Main St - . Hyannis, MA 0260.1 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 fisted,below."Cape Cod Insulation did this in accordance to the specifications listed on4he Building permit ' application. All work has been ins ected b a certified Buildiri P r p e forman Y g, ce..instrtute '(BPI)inspector. All'work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village r. Insulation'lnstalled: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) (DC ) ( ✓�) ( ) ,(�* ) Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls (Vor. 11 FW K.rO r,41 Sincerely H ry E ssration, sident pe C Insc, CAPE COD INSULATION .. 113I1EOl ASS OUTTEAM IISS' I$PRAYN S ULATI N 3USPINU30 SATs} OUTTIYS INSULATION CIIlIN05 - 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St. Hyannis, MA 02601 "4 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 Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes , Floors ` Walls Aw4v- �N�r GlJO r k )7 Sincerely , 1 2Hry E ssration, sident Insc, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � Map Parcel V 7 ,�RNSTAStE Application ir33 Health Division 4 Date Issued Conservation Division Application Fe PlanningDept. 3J�p Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Stre t Address Village ��' Owner J �C/� ��V `Jw Address Telephone Permit Request 11L V V ,(1 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 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family E� Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeal70t orization ❑ Appeal # Recorded ❑ Commercial ❑Yes If �es site plan review # Y Current Use Proposed Use APPLICANT INFORMATION (4WLDER OR HOMEOWNER) Name `� Telephone Number �" U� 77S '1 Z Address I� License # Home Improvement Contractor# Email Worker's Compensation # Q)y Q '/f b ALL CONSTRUCTION DEBRIS RESULTING FROM THIS Prn ROJa WIl_�.BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: i FOUNDATION y FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL a PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. �TKF 'fowm of Barnstable . Regulatory Services """ & Richard V.Scali,Director tea, Building Division Tom Perry,Building Commissioner 200 Maui SUcet,lIyannis,.M k 02601 . w-wtiv.town.bu rnrlable.ina.us Office: 508-862-4033 Fax: 508-790-6230 PrOwner Must U ert _ P Y a n i . e C,on plctc and Sion This s Section c n a ' If Usi.n�ABu�dcr IJ Janet Kulbersh �- ,a5 0wricr of*lie subject pr'ovnit:} }tcncby auliozivx G i 1 S to act.on my,chaff, in all matters mla6yc to_work authoiized by this holding pernut application for: 340 Scudder Avenue#1 Hyannis, MA 02601 (Addres's of job) "'Pool fences and alarms are the responsibility of the applicant. Poole are not to be filled orutilited before fence is installed and all iit inspections are performed and accepted_ Signature of Oumer- ~- Signature of Appl.icar,t Print Name Print 14arnc: Date I Q:FORMS 0VjI8*FRFFR1.SiSS]ONF00IS f T: e I � R ;4 Massachusetts Department of Public Safety n7 f Board of Building Regulations a,nd Standards License: CS-100988 5 l Construction Sup fervisor. - f HENRY E CASSIDY, / 8 SHED ROW 2 ,, ; WEST YARMOUTH MAC 2 r _ ^^'� vim-- Expiration: missioner. 11/11/2017 Office of Consumer Affairs and Business Regulation - 10 Park-Plaza.-,Suite 5170 Boston, Massachusetts 02116 Home Improvement CO.Thtr` for Registration 5 { Registration:. 153567 Type Private Corporation i ' -Expiration: 12/15/2016 Tra 259186 CAPE COD INSUCAT:ION; INC - HENRY CASSIDY 18 REARDON CIRCLE — SO, YARMOUTH, MA 02664 r Update Address and return card; Mark reason for change, SCA I ,; zoM•osnr Address 0 Renewal �,Employment �� Lost Care ........... r vice ,poo�r�raovuue�r•�C�i o�C%vGwJ4«o�ccJaCGJ 5 � . Office of Consumer AfrRlrs.& Business Regulntlon.+ License or registration valid for IndIvIdul use only OME IMPROVEMENT CONTRACTOR before the expiration date, If found return to, egistration: 133567 'Type:. Office of Consumer Affairs and Business Regulation j xplration: Private Corporatlon 10 Park Plaza Suite 5170 Boston,MA 02116 - CAPE COD INSULATIQ;N, HENRY CASSIDY 18 REARDON CIRCLE',' �Q S0, YARMOUTH,MA 02664 ' ' Underseerchry y N niid wi ut sign e f The Commonwealth of Massachusetts .Department oflndustrial Accidents j Office of Investigations 600 Washington Street Boston, MA 02111 A.. c www.mass.gov/dia . Workers' Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumbers Applicant Information // Please Print Legibly Name (Bus iness/Organization/Indiv!dual); ( rl ��t &_1 Address; _I) -i\/a 0 iA City/State%Zip; �. ' a 1L�b . Phone #: � � Are you an employer? Check th appropriate box: Type of project (required): , l, ,I am a employer with 15 4, ❑ team a general contractor and I - have hired the sub-contractors 6. ❑.New construction' employees(full and/or part-time),* - - 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 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 10,❑ Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised.their� I I.❑ Plumbing repairs or additions myself, [No workers' comp. right of exemption per MGL , c, 152, 1(4), an 2,❑ Roof repairs - insurance insurance required.] § d we have no • �f employees.`[No workers' 13.5 Other ' comp, insurance required.] *Any applicant that checks box 91 must also fiI out the section below showing their workers'compensation policy information. t Homeowners who submit this aMdavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. +Contractors that check this box must attaghed an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees, If the subcontractors have empioyees,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; \ ' �kyb �� i Policy # or Self-ins;.Lic.#; �i�l�� . � Expiration,Date- :' � • 4 JbJob Site Address.2 � ✓J(V _ City/State/Zip:_ V , �— Attach a copy of the workers'`compensation policy declaration page (showing the policy n.timb r 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 i',m isonment 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 insurar4 coveraize verification," I do hereby certify d the pal an penalties of perjury that the information provided ove is true and correct, nat Si ure. Date; Phone#: 77, 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: Minna �. CAPECOD•27 BDELAWRENCE ACRLO' CERTIFICATE OF LIABILITY INSURANCE ll .DATE(MMIDDIYYYY) 6/30/2016 _ THIS CERTIFICATE I ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTSS 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 pollcy(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 Ileu of such endorsement(s), PRODUCER , CONTACT NAME; Rogers&Gray Insurance Agency,Inc, PHONE 434 Rte 134 Ajc No, (877) 816.2156 South Dennis,MA 02660 EMAIL — l. ADDRESS; -INSVRER S AFFORDING COVERAGE NAIL n INSURER A;Peerless Insurance Company•see LIBERTY MUTUAL INSURED t INSURER B;ATLANTIC CHARTER INSURANCE GROUP , Cape Cod Insulation,Inc, INSURER c 18 Reardon Circle INSURER o r T South Yarmouth,MA 02664 --- 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 THI8 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 - LTR TYPE OF INSURANCE PO POLICY NUMBER MMIOD MMIDO/YY P LIMITS _ A X COMMERCIAL GENERAL LIABILITY ti EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE .a"OCCUR CBP8263063 - - ,04101/2016 04101/2016 PREMISE, Ee occurrence $ 100,00 MED EXP(Any oneperson) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APn LOC PER: GENERAL AGGREGATE $ 2,000,00 X POLICY❑JEOT _ PRODUCTS•COMP/OP AGO $ 2,000,60 OTHER: $ AUTOMOBILE LIABILITY " ao I eOl I GL LIMIT ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accldenq $ NON-OWNED HIRED AUTOS ; PROPERTY DAMAGE $ Per ec Idenl _ UMBRELLA LIAR a $ o OCCUR e EACH OCCURRENCE $ _ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEC) I RETENTION$ WORKERS COMPENSATION $ AND EMPLOYER$'LIABILITY YIN STATUTE �R ^ H. B ANY PROPRIETOR/PARTNER/EXECUTIVE a WCE00431901 06/30/2015 06/30/2016 OFFICERIMEMBER EXCLUDED?. NIA E.L.EACH ACCIDENT $ 1,000,OO (Mandatory In NH) II yes,describe under E.C.DISEASE•EA EMPLOYEE $ 1,000,00 DESCRIPTION OF OPE RATIONS,below DISEASE•POLICY LIMIT $ 11000,00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES'] CORD,101,Addlllonal Remarks Schedule,may be attached It more space Is required) Workers Compensation Includes Officers or Proprietors, Additional Insured status is provided under the General Liability and Auto Liability wher;required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,[no THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 18 Reardon Circle ACCORDANCE WITH THE POLICY PROVISIONS, South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ©1988.2014 ACORD CORPORATION, All rights reserved, ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD 13 7 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma J Parcel � b a r ARNSTABL S` -7 p . E Application # Health Division r ' ' + 7�d o� Date Issued Conservation Division Application F 5 • ee�5 6 Planning Dept. a ?O�, f� =��,,�, Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project St Lh,, ddress 3�� U. AzV 2 Village Owner (� � Address Telephone Permit Request �a, w t'ZGt, ��' V w�� Aw Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2�✓D a 01 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes P1<o If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 6 Telephone r6 --775"on 12 Number Address 1 U vd License #15b ��1 Avwolti . 'r'`� Home Improvement Contractor# Email Worker's Compensation # V►'� ��' D ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT T VI,WILL BEN TO AUD SIGNATURE DATE 1111b 1 a FOR OFFICIAL USE ONLY 1 APPLICATION# r DATE ISSUED s MAP/PARCEL N0. .c� ADDRESS VILLAGE c OWNER , p DATE OF INSPECTION: k� FOUNDATION FRAME INSULATION t FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f r Massachusetts Department of Public Safety - t Board cf Building Regulations and Standards' . License: CS-100988 Construction Supervisor. HENRY E CASSIDY.' ) SHED ROW T... WEST_ YARMOUTH MA 2 ��1 Expiration: Cornmissioner 11111/2017 Office of Consumer Affairs and Business Regulation l0 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Cd.�,tractor Registration Registration; -153567 Type; Private Corporation' Expiration; 12/16/2016 Tra 259188 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE -- " SO,YARMOUTH, MA 02664 Update Address and return card, Mark reason for change, $CA i {', 2OM•05n1 0 Address Renewal •E Employment ❑ Lost Cart V/ce �paa�r�raa�uvea•�t/o�C/l/l�wd�ro%ccdetGi 0 I'll ce of Consumer Affairs& Business Regulation License or registration valid for Individul use only t�OME IMPROVEMENT CONTRACTOR before the expiration date, If found return to; egistratlon; "153567 Type: Office of Consumer Affairs and Business Regulation j xplratlon; .1Z195{20:16 Private Corporation 10 Park Plaza -Suite 5170 Boston,;MA 02116 CAPE COD INSUlA1Ib,N, INC HENRY CASSIDY 18 REARDON CIRCLE-'. �Q i $0,YARMOUTH,MA 02664 Undersecretary N valid wl ut sign e The Commonwealth of Massachusetts. Department of Industrial Accidents 'j 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 Le ibl Name (Business/Organizationflndividual); 1 Erl t /. Address; 1) lP1a�� LA � .. . , J City/State/Zip: � 4 ' : 1� l L' ,b , ' Phone Are you an employer? Check th appropriate box; ,.Type of project (required); 11-employees l am a employer with �� - 4, ❑' I am a,general contractor and I 'have hired the sub-contractors 6. EJ New construction (full and/or part-time).* - 2.❑ I am a sole proprietor, or partner- listed on the attached sheet. ; 7. ❑ Remodeling . ship and have no employees These sub-contractors have g, Demolition working for.me in any capacity, employees and have workers' !! [No workers'comp, insurance comp, insurance.# 9.- ❑ Building addition required,] 5. ❑ We are a corporation and its 10,0 Electrical repairs or additions' 3.❑ I am a homeowner doing all work officers have exercised their l I [].Plumbing repairs or additions myself. [No workers' comp right of exemption per MGL t c. 152, l 4 ,,and we�have no 12,0 Roof repairs - insurance required.] _ § O employees, [No workers' 13.g Other ' comp, insurance required,] *Any applicant that checks box 91 must also fill out the section below showing their workers'compensation policy information. .r Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. ` Contractors that check this box must attaghed an`additiorial sheet showing the name of the sub-cont•actors and state whether or not those entiiies 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 lnsurance for my employees, Below Is the policy and job site ,. nformation, - Insurance Company Name; li /' �' Policy # or Self-ins, Lic. #; Expiration Date; Job Site Address: 'y��'C/I�lZ ^City/State/zip: C (l�G�j /V`'� Attach a copy of the workers' compensation policy-declaration page (showing the policy nun er and expiration date), Failure to secure coverage as required under Section25A ofMGL 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 insura . coverage verification. I do hereby certify d the pal an penalties of perjury that the Information provided a ove is true and correct, S'i nature: ` Date: 1 l6 0 t'1 Phone#; 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: Ahnno ti, I CAPECOO.27 BOELAWRENCE ACC)R& 0 FDATE(MMIDOrYYYY) CERTIFICATE OF LIABILITY_•INSURANCE 6I3012015 _ ) THIS CERTIFICATE IY 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 pollcy(les)must be endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policles 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 - Rogers&Gray Insurance Agency,Inc. NAME: 434 Rte 134 Al No): (877) 816.2156 South Dennis,MA 02660 EMAIL — ADDRESS; INSURERS AFFORDING COVERAGE NAIC n INSURER A,Peerless Insurance Company•see LIBERTY MUTUAL INSURED INSURER B;ATLANTIC CHARTER INSURANCE GROUP Cape Cod Insulation,Inc, INSURER C; 18 Reardon Circle INSURER D South Yarmouth, MA 02664 - 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 LTR TYPE OF INSURANCE POLICY NUMBER MMIOD E -OUC YY P LIMITS A X COMMERCIAL 0 ENE RAL LIABILITY CLAIMS-MADE EACH OCCURRENCE $ 1,000,00 OCCUR CBP8263063 04/0112016 04/01/2016 PREMISEoccurrence $ 100,00 MED EXP(Any oneperson) $ 5,00 PERSONAL&ADVINJURY _ $- 11000,00 M'OTHER: PRODUCTS•COMP/OP AGO $ 2,000,00L AGGREGATE LIMIT APPLIES PER: 'POLICY ajECT LOC GENERAL AGGREGATE g 2,000,00 '.. AUTOMOBILE LIABILITY $ BI EO I GLE LIMIT $ Ee ANY AUTO ac 1 ant $er BODILY INJURY(Per person)ALL OWNED SCHEDULED ` � .. AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON•OWNEO AUTOS PROPERTY DA AGE $ Per accident UMBRELLA UAB HICLAIMS-MADE OCCUR EACH OCCURRENCE $ EXCESS UAB < $ DEO RETENTION$ AGGREGATE' WORKERS COMPENSATION $ - AND EMPLOYERS'LIABILITY YIN STATUTE �RH ` B ANY PROPRIETOR/PARTNER/EXECUTIVE WCEOO431901 O6I3OIZQ15 0613012016 OFFICERIMEMBEREXCLUDED? NIA - E,L.EACH ACCIDENT $ 1,000,00 (Mandatory In NH) I(yyes,describe under E,L.DISEASE•EAEMPLOYEE $ 1,000,00 DESCRIPTIONOF OPERATIONS.below . E.L.DISEASE•POUCYLIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ( CORD 101,Additional Remarks Schedule,may be attached It more apace Is required) . Workers Compensation Includes Officers or Proprietors, Additional Insured status Is provided under the General Llablllty•and Auto Liability when required by written contract or agreement with the Certificate Holder, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN 18 Reardon Circle ACCORDANCE WITH THE POLICY PROVISIONS, South Yarmouth,MA 02664 M AUTHORIZED REPRESENTATIVE ©1988.2 114 ACORD CORPORATION, All rights reserved, ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD l f �TME Tp�yo4 Town of Barnstable Regulatory Services aexvsrearE Richard V.Scali;Director Building Division Tom Perry,Building Commissioner 200 Main Strut,Hyannis,INIA 02601 www.town.barnstable.rna.us Office: 508-862-4038 Fax: 508-790=6230 Property Owner Must t;ompletc and Sign This Section If Using A Builder I; Janet Kulbersh — ,as Owner of the subject pr•Op,ny hereby authoriziGf _! Y1 w IGt' to act on my behalf, in all matters rclat c to mrk authorized by this building permit application-for 340 Scudder Avenue Hyannis, MA 02601 (Address of job):' Pool fences and alarms are the'responsibilityof' the applicant. Pools are not to be filled car utili ed 64ore fend:is installed a>sd'all final inspections are performed and accepted Janet kt'e h(Oc1.231 20151' - .. Signature of Owner Signature of Applicant Print.Name Print Name Date: h ' Q:FORMS;OYvN F.RPF._RAAISSI,ONPOOLS • TOWN.4fBARNS)TABLE FRIEDLINE&CARTER ADJUSTMENT, INC. 436 Main Street, P. O. Box 3387-12 AUro —8 ANA 100: 2 Hyannis, Massachusetts 02601 Tel. (508) 771-3232 zuilding (508) 790-2344 - �—--� II ° ` TO: ( Commissioner or Inspector of Buildings ( ) Board of Health or Board of Selectmen ( ) Fire Department TOWN OF Barnstable TOWN HALL MA RE: Insured: DUVAL, Frances M. Property Address:�340.Seudder Ave. Hyannis Mk 2601 Policy Number: HOM00330236 Type of Loss: Electrical Date of Loss: 7/31/2012 File#: 115495 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. General Laws,. Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail N. LAGUE Adjuster . 8/6/2012 1 Detail Page 1 of 2 4pR 4N) V _ _ Logged In As: Parcel Detail Tuesday,October 1 2013 Parcel Lookup Parcel Info Parcel ID 288-046_ Developeer(i OT 1 Location I340 SCUDDER AVENUE _i Pri Frontage 1 110 Sec Road Sec Frontage Village HYANNIS � I Fire DistrictiHYANNIS Town sewer exists at this address INo ( Road Index[1440 Asbuilt Septic Scan: { 288046_1 Interactive Map }I s g 2880462 Owner Info Owner IDUVAL, FRANCES I Co-Owner F — Streetl 340 SCUDDER AVENUE — I Street2 _ City 1HYANNIS I State MA zip F02601 I Country Land Info Acres 10.23 v Use FTW Family � � zoning RB rugnbd`0106 Topography Level Road I Paved Utilities Public Water,Gas,Septic I Location F-- W C ion Info Building 1 0 1 Year do Roof Ext '� 9 Built 11820 aGab� Struct e/Hlp wall Wood Shin le Living Roof AC �' Area 11625 cover Asph/F GIs/Cmp I Type None �— Style Conventional Int(Plastered Bed 4 Bedrooms Wall! Rooms 1 Model Residential I Int Carpet Bath i3 Full Floor Rooms 1 x A Heat Total Grade Average i Type Hot Wafer I Rooms 8 Rooms Heat Found-` Stories f1 1/�2 Stories �I Fuel0i1 ation jMixed Gross Area 13036 Permit History http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21794 10/1/2013 mr,el Detail Page 2 of 2 IIIssue Date I Purpose I Permit# I Amount I Insp Date I Comments Visit History . Sales History Line Sale Date Owner Book/Page Sale Price 1 6/8/2006 DUVAL, FRANCES 21076/158 $0 2 3/30/1998 DUVAL, ROBERT E&FRANCES M 11318/332 $1 3 10/15/1979 DUVAL, ROBERT E&FRANCES 2999/28 $0 - Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2013 $122,900 $35,800 $4,700 $131,200 $294,600 2 2012 $128,900 $27,000 $3,700 $126,100 $285,700 3 2011 $150,500 $4,700 $800 $126,100 $282,100 4. 2010 $149,900 $4,700 $800 $128,100 $283,500 5 2009 $191,700 $4,200 $400 $137,400 $333,700 6 2008 $172,200 $4,200 $400 $143,200 $320,000 8 2007 $171,900 . $4,200 $400 $143,200 $319,700 9 2006 $170,300 $4,200 $400 $142,600 $317,500 10 2005 $150,100 $3,900 $400 $128,100 $282,500 11 2004 $136,200 $3,900 $400 $128,100 $268,600 12 2003 $76,200 $3,900 $400 $41,900 $122,400 13 2002 $76,200 $3,900 $400 $41,900 $122,400 14 2001 $76,200 $3,900 $400 $41,900 $122,400 15 2000 $69,800 $3,000 $200 $31,100 $104,100 16 1999 $69,800 $3,000 $200 $31,100 $104,100 17 1998 $69,800 $3,000 $200 $31,100 $104,100 18 1997 $86,100 $0 $0 $31,100 $117,800 19 1996 $86,100 $0 $0 $31,100 $117,800 20 1995 $86,100 $0 $0 $31,100 $117,800 21 1994 $82,300 $0 $0 $27,900 $110,800 22 1993 $82,300 $0 $0 $27,900 $1.10,800 23 1992 $93,500 $0 $0 $31,100 $125,300 24 1991 $109,600 $0 $0 $43,500 $153,800 25 1990 $109,600 $0 $0 $43,500 $153,800 26 1989 $109,600 $0 $0 $43,500 $153,800 27 1988 $62,600 $0 $0 $20,000 $83,100 28 1987 $62,600 $0 $0 $20,000 $83,100 29 1 1986 1 $62,600 $0 $0 $20,0001 $83,100 / Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21794 10/1/2013 Official Website of The Town of Barnstable - Property Lookup Page 1 of 3 Assessing Division Property Lookup Results - 2013 367 Main Street,Hyannis,MA.02601 <<BACK TO SEARCH<< E Print Friendly i Owner Information-Map/Block/Lot:288/046/-Use Code:1040 ----. - - -- ......_ ........ ......... - .. . --._.......... Owner Owner Name as of 1/1/12 DUVAL,FRANCES Map/Block/Lot GIS MAPS 340 SCUDDER AVENUE 288/046/ HYANNIS,MA.02601 Property Address Co-Owner Name 340 SCUDDER AVENUE Village:Hyannis Town Sewer At Address:No GIS Zoning Value:RB --- ----.----------- Assessed Values 2013-Map/Block/Lot:288 1 0461-Use Code:1040 --... —. ..... -.._..-. ..... _........ .-. .................. .............. ....---- -- - - 2013 Appraised Value 2013 Assessed Value Past Comparisons Building Value: $122,900 $122,900 Year Total Assessed Value I Extra Features: $35,800 $35,800 2012-$285,700 Outbuildings: $4,700 $4,700 2011-$282,100 I 2010-$283,500 Land Value: $131,200 $131,200 2009-$333,700 2008-$320,000 2013 Totals $294,600 $294,600 2007-$319,700 Residential Exemption Received=$87,244 ...... ..... ... ... ............. Tax Information 2013 Map/Block/Lot:288/046/ Use Code:1040 ....-...... .. ....... — ................... Taxes Hyannis FD Tax(Residential) $589.20 Community Preservation Act Tax $54,49 Fiscal Year 2013 TAX RATES HERE Town Tax(Residential) $1,81.6.44 $2,460.13 I 1 Sales History-Map/Block/Lot 288/046/-Use Code:1040 History: Owner: Sale Date Book/Page: Sale Price: DUVAL,FRANCES 6/8/2006 21076/158 $0 DUVAL,ROBERT E&FRANCIS M 3/30/1998 11318/332 $1 DUVAL,ROBERT E&FRANCES 10/15/1979 2999/28 $0 ............ ........ -._._.._ - - ..._........ Photos 288/046/-Use Code:1040 ........ .. There are not any photos for this parcel 1. --- - -- - ..... _ .............. ---- - ........_.......... Sketches-Map/Block/Lot.288/046/-Use Code:1040 taT,ta22� — -- ... _._._........ .......... i r e t8_ q a I I AS Built CardS:Cfick card#toview:Card#1 1Card#21 j Constructions Details-Map/Block/Lot:288/046/-Use Code:1040 — Building Details Land i Building value $122,900 Bedrooms 4 Bedrooms USE CODE 1040 http://www.town.bamstable.ma.us/Assessing/propertydisplayscreen l 3.asp?ap=0&searchpa... 10/1/2013 i Official Website of The Town of Barnstable - Property Lookup Page 2 of 3 Replacement Cost 163,865 Bathrooms 3 Full Lot$ize(Acres) 0.23 Model Residential Total Rooms 8 Rooms Appraised Value $131.200 Style Conventional Heat Fuel Oil Assessed Value $131,200 i 1 Grade Average Heat Type Hot Water Year Built 1820 AC Type None Effective depreciation 25 Interior Floors Carpet Stories Interior Walls Plastered Living Area sqlft 1,625 Exterior Walls Wood Shingle Gross Area sglft 3,036 Roof Structure Gable/Hi p Roof Cover Asph/F Gis/Cmp f-.— ---- ----------------- Outbuildings&Extra Features-Map/Block/Lot:288/046/ Use Code:1040 - —.._..._....-- --- ------- .....___ ......: .......— .......-- j Code Description Units1SQft Appraised Value Assessed Value BMT Basement-Unfinished 422 $9,800 $9,800 WDCK Wood Decking 312 $4.700 $4,700 w/railings FPL1 Fireplace 1 story 1 $3,100 $3,100 FEP Enclosed porch- 256 $10,800 $10,800 roof,ceiling APTX Extra Apartmt 1 $12,100 $12 100 Sketch Legend j Property Sketch Legend 1B2N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area TQS Three Quarters Story(Finished) (Finished) BRN Barn GAR .Garage UAT Attic Area(Unfinished) _ CAN Canopy GAZ Gazebo UHS Half Story(Unfinished) j CLIP Loading Platform GRN Greenhouse UST Utility Area(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UTQ Three Quarters Story (Unfinished) FCP Carport KEN Kennel UUA Unfinished Utility Attic FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUS Full Upper 2nd Story (Unfinished) r FHS Half Story(Finished) PRG Pergola WDK Wood Deck FOP Open or Screened in Porch PTO Patio ........ . .. .......... ........................... .......... __ ......... _- --...._ �.-.......... Print Friendly Contact Director of Assessing Jeffrey Rudziak P 508-862-4022 s F 508-862-4722 8:30a.m.to 4:30p.m. Helpful Links to Downloads Abatements FY 2013 SALES LISTINGS Barnstable FD Residential C.O.M.M FD Residential Commercial-I ndustrial-Mixed Use Cotuit FD Residential i Hyannis FD Residential Townwide Condominium W.Barnstable FD 1 Residential Department of Revenue Exemptions Parcel Consolidation http://www.town.bamstable.ma.us/Assessing/propertydisplayscreen 13.asp?ap=0&searchpa... 10/1/2013 [ ] [R288; 046 . ] ,. LOC] 0340 SCUDDER AVE* CTY] 07 TDS] 400 HY ,. KEY] 191447 ----MAILING ADDRESS------- PCA11041 PCS100 YR100 PARENT] 0 DUVAL, ROBERT E & FRANCES MAP] AREA] 55CC JV] MTG] 9210 340 SCUDDER AVE SP1] SP21 SP31 UT11 UT21 . 23 SQ FT] 2046 HYANNIS MA 02601 AYB] 1820 EYB] 1975 OBS] CONST] 0000 LAND 31100 IMP 86100 OTHER 600 ----LEGAL DESCRIPTION---- TRUE MKT 117800 REA CLASSIFIED #LAND 1 31, 100 ASD LND 31100 ASD IMP 86100 ASD OTH 600 #BLDG (S) -CARD-1 1 86, 100 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 600 TAX EXEMPT #PL 340 SCUDDER AVE HYANNIS RESIDENT'L 117800 117800 117800 #DL LOT 1 OPEN SPACE #RR 1440 0110 COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 00/00 PRICE] ORB] 2999/28 AFD] LAST ACTIVITY] 05/24/91 PCR] Y FSri ~ R288 046 . P R A I S A L D A T A KEY 191447 DUVAL, ROBERT E & FRANCES LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 31, 100 600 86, 100 1 A-COST 117, 800 B-MKT 83 , 100 BY 00/ BY ML 12/88 C-INCOME PCA=1041 PCS=00 SIZE= 2046 JUST-VAL 117, 800 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 55CC ----------------------------- NEIGHBORHOOD 55CC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 311001 LAND-MEAN +0% 1178001 78256 IMPROVED-MEAN +1006 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 100061 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] R288 046 . �P E R M I T [PMT] ACTIC'01 CARD [000] KEY 191447 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR .CMP NEW/DEMO COMMENT s • �N a M a_F �Z z �t t { I -: � Id6 x r RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET 3y0 Scudder Ave. Hyannis _ ?$ LAND J P 288 46 H BLDGS. 2 Z 3s OWNER' TOTAL ZS/ d*cn� RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: r� LAND S 7�p /" BLDGS: a.;? as t:5/19/55a. ,9W -25"' B TOTAL d t LAND BLDGS. n..... ... rreet & TOTAL .� O YIII LAND Rog 0I BLDGS. TOTAL ---- LAND oh BLDGS. I. TOTAL - -'Duval. -Rob.ert.E. ,& .Frances Duval - '10A5/79 2999 028 Wo o LAND l6 BLDGS. TOTAL LAND BLDGS. 0) - TOTAL LAND INTERIOR INSPECTED: \ /VCO/ele,c r �` sF i2/?��I 7a BLDGS. 6'1�' �� TOTAL DATE: _ `+' JfrF_ 05Sa F 7-tGX /N_ �. T ti: / �' LAND ACREAGE 'COMPUTATIONS 01 BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE_ / 2j U LAND CLEAREBWONT BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND o BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL _ FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER L.LAND HIGH GRAVEL RD. LOW DIRT RD. LAND COST ' Walls Fin.Bsmt.Area Bath Room Base p.f.j 15730 �. BLDG.COST 1 . Blk.Walls Bsmt. Roe.Roam St.Shower Batly/!j Bsmt.a•j8 -- //.J 0 pURCH. DATE • � � � • Slab Bsmt.Garage St.Shower Ext. Wallsaa . PURCH. PRICE. : - . . ��/ .� •'�t. Walls _ Attic FI.&Stairs 44 Toilet Room Roof RENT Walls Fin.Attic Two Fist. Bath 5!N INTERIOR FINISH Lavatory Extra Floors.4�a — SDs Fec 1' 2 3 Sink 1i 'h 'A Plaster � Water Clo. Extra Attic 3 � $�� 8 � TERIOR WALLS Knotty Pine Water Only Is Siding Plywood No Plumbing Bsmt. Fin. �9 7' / e Siding Plasterboard Int.Fin. Shingles TILING OY�, �O L Blk. G F P Bath FI. Heat 2 3 //y� ?.l L Z� Y y iBrk.On Int.Layout Bath FI.&Wains.. Auto Ht.Unit Y Veneer Int.Cond. Bath FI.&Walls r43 2Fireplace Ek.On HEATING Toilet Rm.FI. Plumbing .3 m.Brk. Hot Air Toilet Rm.FI.&Wains. ' Tiling Steam Toilet Rm.Fl.&Walls at Ins. Hot Wate St.Shower �� - L •`� Ins. j;!- Air Cond. Tub Area Total �_/.; •A�` ZJ N. Floor Furn. /-'- ROOFING AA COMPUTATIONS '/ Shingle Pipeless Furn. S.F. Shingle No Heat S.F. .6 d , Shingle Oil Burner S.F. R; y Coal Stoker S.F. Gas S.F. OUTBUILDINGS ROOF TYPE Electric Flat S.F. 7-SD 330 1 2 3 4 5 6 '7 8 9 10 112131415 6 7 8 9110 MEASURED Mansard FIREPLACES vh a F. 3 V /S Pier Found. Floor w 1?1, brat Fireplace Stack I Wall Found. 0. H. Door LISTED FLOORS Fireplace A00 Sgle.Sdg. Roll Roofing LIGHTING Dble.$dg. Shingle Roof No Elect. DATE Shingle Walls Plumbing wood ROOMS ' Cement Blk. Electric Tile Bsmt. 1st TOTAL - 3 O 1 Brick Int.Finish PRI le 2nd / 3rd FACTOR - c2t� L REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. L G.,/ /L '-' /` -Q ZO- V 7011 O oZ vR V .1/0 /Se /SO 7 TOTAL 'ROPE RTV ADDRESS - I I ZONING I DISTRICT CODE SP.-DISTS. DATE PRINTED I STATE I CLASS PCs I NBHDPARCLL I KEY NO. 0340 SCUDDER AVENUE 07 Ra 40C 07MY _: 07/09/95 1041A0 55CC R288 046. 191447 LAND/OTHER FEATURES DESCRIPTION - ADJUSTMENT FACTORS TV - - UNIT ADJ'D.UNIT Land By/Dale Sze Dime o��on - ACRES/UNITS VALUE Desp.�w�pn DU VAL.- R08c'.RT E 8 FRANCES MAP- LOC./VR.SPEC.CLASS ADJ. COND. P PRICE PRICE #LAND 1 31100 cD. FF De m/Ap.es E - rD N ACCOUNT - L 10 18LDG.SIT 1 X .23 =10 276 499.99_9 134999.9 .23, - 31100, #BLOG(S)-CARD-1}1 86,0100of 01 A - #OTHER FEATURE 1 . 600 - - V B.,AT.H,:2 3.0 U X C 100 10560.0 10500.0 1.0.0. 10SOfl r3 #PL 340 SCUDDER'AVE HYANNIS " 83100 2 BSMT S x C= 100 3..6 3.60 843 3000-3 #DL LOT 1 ' PLACE U X C= 100 3100.G 3100.0 1-00 3100 a #RR 1440 0110 A DOR DORMER L X C 100 126.3 126.3 12.00 150U .3 D VALUE 0 SHEv S 6 X 10 197 C 84 11.7 9.82 60 600 F 1170800 J 4 UMMARY U T 31100 S 86100 4 T 60G M 117800 E N - DEED REFERENCEJ Type DATE Recorded R I 0 R YEAR VALUE T Bock Page Inst. MO. Yr,D Sales Price - AND 31100 T S 2999/28 0/OD 3LDGS 86700 OTAL 117800 ' BUILDING PERMIT . Amounl r LAND LAND-ADJ INC0��1E SE SP-BEDS FEAiURESI 8LD-ADDS UNITS N.- Dale Type 31100 I 6001 12100 Class Consl. Tolal Base Rate Ar)I.Rate r B II Age Norm. Obsv. CND Loc 4q R.G Bepl Cosl New Ad Repl Value Stories Heignl Rooms Rms Balh9 •Fia. P-ywail Foc. Unils l,'nils A 1 Depr. Cona. I 0 000 110 110 62.75 b9.03 20 75 19 80 90 70 122962 86i00 1.4 8 4 3.0 10.0 .criplion Rale Square Feet Repl.Coal MKT.INDEX' 1 00 IMP.BY/DATE: ML 1 2/88 SCALE'. 1/00.61 ELEMENTS CODE CONSTRUCTION DETAIL %t3AS-100 69.03 843 58192 I FEP 65 44.87 216. 9692 *------22-----*5-* "STYLE 10 LD "STYLE 0.0 ? FSF, 90 62.13 360 22367 9 FWD BEW8 ESTGN-AUJMT 02 FEIGN- ADJUST 1�=0 BEW 125 12.50 40 500 ! *-----19-*5-* X7cR._WA1LS- tt D66-S7fINGLF� --�:0 FWD 85 8.50 184 1564 *-8--* , 8 EAT/AC-TYPE- -09 Z1=HOT`WATFit---IY=O FWD. 85 8.50 128 1088 !FEP I NTtR:FZ -NI3H- -05 L-KSTF -------.---U=O 814 30 20.71 843 17459 ! 15 *-7-* *---16---* INTtR:LAYOUT- -12 YER:7NQRMAl----U.O ! 8 8 FWD I NTFR:DU-ACTY- -02 AlrfE AS-:ERTYK U.O FSF ! ! LDUR ST_WUCT- -02 �--JOIST/8E-AN---U=O p W 27 *-------26-----51---------16---* E CDTJR CDVER-- 04 ATiPET--- ---------U:0 E ToialAl- Ao 568 B._ 120.3 ! ! 814 ! ODF-TYPF---- -01 ASLE=A-SPH-Ft1---U.-O BUILDING DIMENSIONS ! 13 ! C ErT R I-CWL 01 VFR A GF -ff.0 T BAS W U N' W N FEP N W 8 BASE F 0i1W01ATIUN--- 175 1`O-NE-1fACt5-----9fi.-9 A S27 E08 N12 .. FSF E26 N08 W07 ! ! 22 -------------- - ---------------------- NOS BEW N08 W05 S08 E05 .. FSF *-8--*-------- 31`--------III, ! -----!dEIGltt30RH D 3-SCC-RYA NNTS------- L W19 FWD S01 W08 N09 E22 SOS W14 9 ! LAND TOTAL MARKET FSF S16 .. BAS E51 FWD N08 ! ! PARCEL 31100 117800 W16 S08 E16 .. SAS S22 .. 814 *-----20----X AREA 4027 • N22 W51IS13 E31 S09 E20 .. VARIANCE +0 +2825 STANDARD 25 f^ �. •'�" • r.0 s N = � e . � � �� a �� m TOWN OF 3A888?88?.z ' g�P08T A - 8�3POST.9V � 88Y/Q08'1'INQB 3 ' P NAME (LAST, rXRST, lI m=l DZpisiOx R� 1 NOTE MMILS i OSSE M=DNS-ITExIZE EVIDENCE. SERIAL IS ETC* 6�' � � ------------ _ - `off wag-� �� 9 i I f 27 UPC 68021 � No. SA �. HASTINGS. UN