The URL can be used to link to this page

Home My WebLink About0658 SCUDDER AVENUE it1t li' 1 �j•" �I� �.� z G� O�� IKE I ; OLDING DEPT, Application Number.......... HARNSTABLL % MAY 2 9 2020 MASS. Pen-nit Fee...............Z5. .......Zoning District........................ 039. th TOWN OF BARNSTABLE Total Fee Paid ..................-1.,'... ................................ TOWN OF BARNSTABLE ' Permit Approval by............. ....................On.. ov BUILDING PERMITq Map..............ap.e.61... .... Parcel....... ....................... APPLICATION SC kNNED Section 1 — Owner's Information and.Project Location z Village �(VC,6A �'qot Project Address 0 Owners Name Owners Legal Address City Ycl,6,44,� a&4- State G,S Zip oDd Owners Cell # E-mail Section 2 — Use of Structure ' Use Group. ❑ Coniffiercial Structure over 35,000 cubic feet Comi*rclal,Structure under 35,000 cubic feet Single/Two.Family.Dwelling Section 3 — Type of Permit F-1 New Construction El Move/Relocate [:] Accessory'S`�tiruciure ❑ Change of use 0 Demo/(entire structure), El Finish Basement 0 Family/Amnesty E] Fire Alarm Rebuild ❑ Peck Apartment . 'Sprinkler System ❑ Addition ❑ Retaining wall E] Solar El Renovation F, Pool F] Foundation.Only Other—,Specify4ckA A a Section 4 - Work Description —[)to 00 I aolf_ we,I A010 rox, its! L4._C AdY 4-e A—A" I Aol 1/yAhAt qz-F- &aim L3WC_0 Last updated: 1/31/2020 Application Number.................................................... Section 5 —Detail Cost of Proposed Constructio W D _Square Footage of Project :30 Age of Structure ,SO ? Dig Safe NumberaG2q a,) U # Of Bedrooms Existing Total# Of Bedrooms (proposed) Scyru- 110 MPH Wind Zone Compliance Method .❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6— Project Specifics ❑ Wiring Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: YOMaili&A�1' sger- I am using a crane ❑ Yes No Section 7—Flood Zone y Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8— Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. - F G Total Frontage Percentage of Lot'Coverage k,, Y1#of Dwelling Units (on site) Setbacks Front Yard Required Proposed }Rear Yard . ~ . Required= Proposed Side'Yard Required Proposed 7 Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 1/31/2020 6 Application Number........................................... Section 9— Construction Supervisor Name I&L2j�,e 411JUIr Telephone Number Address I b Croj kRJ City State-/;/6 Zip 6,;�6 a License Number License Type UN Expiration Date Contractors Email b(`y Ce ��, ��4A'�v(.C4I Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by,780 CMR and the Town of B rnstable.Attach a copy of your license. - Signature Section 10 .,Home'Improvement'Contractor.; Name Telephone Number 4 t Address Id C&OC) odor ,,D� y ( U W 6 ¢- �GCit � a _ State�,�`Zip C�, � Registration Number G OZ Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Tow of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Dated,,1-7',R:) Print Name C yG2 '`/!. Telephone Number-TOO 0A E-mail permit to: CUC:g;'M111S 6? gA,�'1a�� Co/11 Last updated: 1/31/2020 Section 12 — Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department " 0 Conservation • ❑ For commercial wdrk;'please take your plans directly to the fire department for approvak Section 13 — Owner's Authorization 1 I, U-eo -e carev as Owner of the subject property hereby authorize Qru_c "Willh to act on my behalf, in all matters relative to work authorized by this building permit application for: 45, F Scod cp-r_,J, 4,#n/I r c (Address of job) ature of Owner .. date Print Name 1• , 1 Last updated: 1/31/2020 � r Town of BarnstableBuilding Permit Post"ThlS Card So That,�t;�s Visible;From the Street�App,roved Plans Mustbe Retained on lob andthis Card Must°be Kept anirnsrAesrs V sy M' Posted Until F�nal�lnspection Has Been M�ade ¢, x ° Wh1639. ere a Certificate,.<of Occu ancs Required,such Buildmgshall Not�beOccupiedsuntil,a Final Inspection.has been made . Permit No. B-20-1356 Applicant Name: BRUCE P MILLS Approvals Date Issued: 06/26/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 12/26/2020 Foundation: Location: 658 SCUDDER AVENUE,HYANNIS Map/Lot: 287-009 Zoning District: RF-1 Sheathing: Owner on Record: CAREY,iEANNE S TR Contractor!Name Bruce Mills' framing: 1 Address: PO BOX 1 Contractor License: 136003 2 HYANNIS PORT, MA 02647 .. Est Project Cost: $4,000.00 Chimney' E Description: add a bulkhead to basement. Dig out, pour footing and assemble a Pe,rnn,tFee: $85.00 block wall approx 5'wide by V out to accom'date a clam shell type Insulation: Fee Paid- $85.00 bulkhead and install setps Access to basement�now h ited 'Y Final: Date x 6/26/2020 Project Review Req: Waiting on Health to issue , s s Plumbing/Gas 101 � Rough Plumbing: z, Building Official Final Plumbing: n and invalid unless the work authonzed:b .th is permit is commenced within sixErnonths aft er issuance. This permit shall be deemed abandoned e a y All work authorized by this permit shall conform to the approved applcat�onand the approved construction documents for whichJthis permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structure s'ha11 be in compliance with the local zoning;by and codes. This permit shall be displayed in a location clearly visible from access street or road a d shall be maintained open for publ spection for the entire duration of the Final Gas: work until the completion of the same. y Electrical The Certificate of Occupancy will not be issued until all applicable signatures by'the Buildmgand fire Officials areprovided onthis permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing i 2.SheathingInspection � Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Office of Consumer Affairs & Business Regulation - Mass.Gov Page 1 of 2 Mass.gov U Ict; uf u0nz'jumjr Affa i rb'0% a n d Business Regulauon OCABR t ) HIC Registration Complaints a Registration # 136003 Registrant Bruce Mills Name BRUCE MILLS Address 16 Crooked Pond Rd City, State Zip Hyannis, MA 02601 Expiration Date 09/24/2020 Complaints Details . . _ ....... ..__ . .... No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search Site Policies Contact Us . https:Hservices.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=136003 6/1/2020 Details Page 1 of 1 Licensee Details Demographic Information, Full Name: BRUCE P MILLS Owner Name: License Address Information City: Hyannis State: MA ipcode: 02601 Country: United States License Information License No: CS-078687 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: 7/20/2018 Issue Date: 5/29/2010 Expiration Date: 5/29/2020 License Status: Active Today's Date: 6/1/2020 Secondary License Type: Doing Business As: tatus Change Reason: License Renewal Prerequisite Information F No Prere uisite Information No Available Documents 1 I https:Hmadpl.mylicense.com/Nferification/Details.aspx?result=89015010-d9Oc-4477-a86c-e... 6/1/2020 rr - f Til For more than 10 years, the ClamDoor has The result is an elegant, lightweight and weather- offered homeowners a superior alternative to tight product, constructed of 100%fiberglass that _ + traditional wooden or steel bulkhead doors that can is extremely durable and maintenance-free. need replacing every several years. The ClamDoor retains its sleek,upscale Inspired by watertight elements in nature and appearance throughout the life of the product. % - i ® • •designed &developed with sailing technology, the The fiberglass will never rust, and the neutral ClamDoor is handcrafted in Rhode Island,USAwith grey, smooth gel coat finish never needs painting.the care and expertise of master boat builders and in The ClamDoor is a single,fully assembled unit accordance with the tight specifications of high- that fits all standard openings,making it quick and performance racing boats and ocean cruisers. ' - easy to install. Its single, smooth-action door is r quiet,safe,and secure,and feather-light to open " and close. The ClamDoor is energy-efficient and especially ,�,� well-suited for coastal homes with weather ` .. concerns, as well as discerning homeowners anywhere who seek best-in-class materials and '=.. -- - craftsmanship TheClamDoor isTHEsingle bulkhead solutionfor the life of any home and comes with a 10-year 1 - warranty and our guarantee of satisfaction. _ (344-2526) x,. !- o•- • For More info: 1-888-digclam ` - . • - o- - or visit: WWW.clamdoor.com o•Z • •- - � ® ClamDoor lam ®oor --_= [how Aftma =---==--' The ClamDoor comes in 2 sizes a`tea s o 0 that fit all standard openings. 3 !7J Small ClamDoor 6 �� _ - Length 64 inches ,mod - (House to front of door) Width 51 inches 2. b (Base width) - ..,�. • Height 31 inches _ ._ — AM • e e • (Rear against house) + ; . c • D e Weight 70Ibs o ►�A��111 LI�J:d'l L,t�l:!.15 GJ.Al'J `�, __ ¢ 9 , Large CI mD or. ., { -' Lengt 72 inches • - • gfftlmy u i (House to front of door)-, • Smooth-Action Door: Width 5 ._incPies (Base width)— Quick .. • EasyltoInstall31 inches Height - g . (Rear against house) — 1 0-Year Warranty Weight 80 Ibs Handcrafted • • - Island, USA (JI'OCIucIS „ u¢ O O O © O O O O O O r (344-2526) (344-2526) For More info: 1 -888-digclam • For • • 888-digclam Or visit: www.clamdoor.com Or • • • • ©WinsorRiver +t7 O ® a p Legend n :Parcels 417 "Town Boundary 2.3 r 15 0t ° #635+ k' 4 2 ,01 287055 LJ; Railroad Tracks g' a . .af #55 Buildings '2u7050 y ,. Painted Lines ~✓ ''S #649 _ t k Parking Lots Paved - . Unpaved Driveways / 1 \y; Paved Unpaved t #632 Roads 29� 3 t 7133 237054 ®Bridges , #�:5'f Paved Roads 23 052 t Unpaved Roads "f 2.8,�.05f � A. t (' {: �„:.� �#1�11�_ "'r t� �k� tt Streams '287G009 ' :`; #.4 4 +�#3"- t Marsh- Water Bodies 4,16 4 . , 287057 vwT 23rd58 I+ 4 , #5'6 � 2870t}ir* +y 4. i ,,,23,13r� `)Q 28701C 287003, _�� 76 i#�ii #1'7 a °'-- l , 25713 23 064 i20 r. < fa88y y' y 04 237062 �287138 28ll 7001002 ti, 7 006 #6 9, - 28 . 1 � ;� #1:1.0 #36 y — 287005 G..— ' .,y a 1. #70 , #8 0 Map printed 7 This map is for illustration purposes only.It is not parcel lines shown on this map are only graphic Town Of Barnstable GIS Unit ' 3/ on: 21�201 Th adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026oi 0 83 167 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 508-862_4624 Approx.Scale: 1inch reflect current conditions,and may contain such as building locations. = 83 feel cartographic errors or omissions. gis@town.barnstable.ma.us The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Invadgations 600 Washington Street Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plnmbers Applicant Information l Please Print Legibly Name(Business/Organization/Individual): CcJG2 Address: 16 Croc-ked e,,cg 'K City/State/Zip: u Qa 601 Phone#: Are you an employer?4theck the appropriate box: Type of project(required): 1.❑ I am a employer with- 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2J11 am a sole proprietor or partner- listed on the attached sheet. - 1. Remodeling ship and have no employees These sub-contractors have g• 0 Demolition for me in ancapacity. employees and have workers' working y t 9. ❑Building addition [No workers'comp.insurance comp.insurance. 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their ME]Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance reared]t c. 152,§1(4),and we have no ` employees.[No workers' 13.❑Other/1 t k comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy+information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must atffiched an additional sheet showing the name of the sub-contractors and stale whether or not those entities have employees. If the sub-contractors have employees,they must provide their worker;'_comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby canift under the pains and penalties of erjury that the information provided above is true and correct: Signature: Date: c G 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): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person id the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Dgwrtment of Industrial Accidents (?liiice of Investagaidons 600 Washington Street Barton,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877-MA.SSAFE Revised 4-24-07 Fax#617-727-7749 www.maw.gov/dia Application numb ........ er'Y.9-47..............1-3F k";, Fee .................. ................. ..... .......... Ai Building Inspectors Initials............. e.......... 163 Date Issued...............1,011.1te........................... Map/Parcel....aar...2..::..,:Id-.�................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: JdCA ) - NUMBER STREET ViLAGE Owner's Name: a nCcu-e-sx Phone Number Email Address: Cell Phone Number 2 Project cost$ Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize r QC� l�` 1�� to make application for a building permit in accordance with 780 CMR Owner Signature: 'A tv ILA g2t.. Date: 0�9/l�� TYPE OF WORK E-1 Siding E-1-Windows'(no header change)# F-1 Insulation/Weatherization El Doors (no header change)# Commercial Doors require an inspector's review $4.Roof(not applying more than 1 layer of shingles) Construction Debris will be going to f M 7y-1\ CONTRACTOR'S INFORMATION Contractor's name �C13C)e `� a - n Home Improvement Contractors Registration(if applicable) # 6 (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor%ps, C--sqjo i//,s mc,"I'k"nViiumber -5 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. einjouffis;nogpm pijeA ION tie;ajoesiapun -1--,1-409Z0 t>W`SINNVkH aNOd(13)100HO 9l• ¢SIIIW'd 3omi8 8LLZ0 VW'uo;so anaa 06L 93 1nS-;aaj;S uo;6uNseM 0006 :- uol;eln6ab ssaulsng Pue sne"v jawnsuoD 10 a91 OZOZ/bZ/60 E009€t o0 uol;eel x3 uoi;e��sl ab ;ujn;aj puno;11 •a;ep uol;excixo ay;ajo;aq lenpinlpul:d.11 Aluo asn lenPlAlpul Jo;p11eA u01;ej;sl6aa HO1DVNINOD 1N3W3A0HdW1 3W0H uopeln6aa ssaulsne g sale.4V jawnsuoo;o aoWo Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constryc*y.V§iSpg rvisor CS-078687 -:5 ¢ ��ires: 05/29/2020 BRUCE P MILES 16 CROOKEDrjOND'ROAD HYANNIS MA 021, Commissioner The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,•MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): rc;e Q Address: Cj-no G✓l�%C City/State/Zip: 6G Phone#: y� _�� 6 Are you an employer?Ch k the appropriate box: Type of project(required): L❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.KI am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P �'• $ 9. ❑Building addition [No workers' comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other d6f,4D comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerd&under the pain�an�d enalties of perjury that the information providedd above/is true and correct. Si mature: Date: 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): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: l Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because`of such-employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth not any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax##617-727-7749 Revised 4-24-07 www,mass.gov/dia I TOWN.OF BARNSTABLE BUILDING PERMIT APPLICATION Map a Y:2 —Parcel O d 9 �. Permit# - Health Division } Date Issued Conservation Division = r = Fee �. t Tax Collector Treasurer - K Planning Dept. Date Definitive Plan Approved by Planning Board „ Historic-OKH Preservation/Hyannis .Project Street Address S—k Zc Lt village T— Owner C441e-&� ` Address - Telephone —2 l _2 Permit Request 5,%,4 1I Square feet: 1st floor:e i tin proposed 2nd floor:existing proposed Total new Estimated Project Cos _ Zoning District Flood Plain Groundwater Overlay Construction Type 1-0 0 d ' Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family -Two Family ❑. Multi-Family(#units) Age of Existing Structure l� Historic House: A 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 v new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Feat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other ' Ce ral-A+r„ Yes 1 No Fireplaces: Existing _ New — Existing wood/coal stove ZJ Yes No C:;�,o�( Detached garage.)q-existing ❑new size Ile) ❑existing -❑new size Barn:❑existing; ❑new size Attached garage:❑existing O 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 &?J/Z,) zf BUILDER INFORMATION e Names 3 Telephone Number Address Cam/ License# 7N�UI2 D c� / d�0?'q— Home Improvement Contractor.# A! Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO =' CL V,aE ►�J++��sJ� SIGNATURE DATE— FOR OFFICIAL USE ONLY FERMIT NO. ' DATE ISSUED 4 MAP/PARCEL NO. f r ilk } ADDRESS_ f t f VILLAGE , OWNER th DATE OF INSPECTION: FOUNDATION , FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL' + �3 w PLUMBING: ROUGH~ 'FINAL' GAS: ROUGH FINAL FINAL BUILDING , DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonweallh ofMassacnuserrs Department of Industrial Accidents - Office oflmrestfoatlt Hs —_ 600 Washington Street �- Boston,Mass. 02111 Workers' Com ensation Insurance Afridavit i r location v � ---- - ^ hone# ^ city I am a homeow=pedormineall work myself ❑ I am a sole p etor and have no one working in anv acity // //O----////�10aM/%/%/%//%"111 /%/.O////�///////O�l%G��%l0%//%/%% workers' compensation ......... Iam an employer Providing ,.::::::.: ::::::::::.:.....::...:::::..::::::,:::.:::::::......:;::::::::.:::,.::::::::::.:::.:::::.:::.:::::::::::::::::. ..P. ::::::::.:.......:..:: . ... ..:::.::::.:.. ..:::.:. ::. ::.:::...,. .:::.:::::::::::..::::...........:,.:::::::. ::. ::, .. .:....... ..,.::::::..........:::::::::::::::::::::::::::.:::::::,.:: e. v n a m . ............... ... .. tom d ad t:1tV' insurance co. � //%/ ❑ I am a sole proprietor,general contractor, homeowner ' cle on and have hired the contractors listed below who have the following wokersmpinsation o.li.:.c..:.:e.:.:s.::.:.: ....: ......, ..:. : .�..:�..::.;:;:;:;.>;.>;::..;;:::<,:.::;:::�:>:;:::.;.;.::.;...;:::;:,�: . m anvna d..:...........::...........:.:.......... hone.# .. ci ................., .................................................:.....:...............::•::.v.v:.::'::.............................. ...................:...............v�v::.}:•:::::::vnv:•::,•x:..:.....:r' v.;v::::::::.rv:......................................................................................:........................... ..................................................... .......... :........................................... . .;.:.:'n:':<�::.....::::•.....i:::rn!j.>:;•i::�::::��:::i��:':):::::�:<S:i:i::bii:�hi?i?:•:�Y:{ii:::::v:.;15•::::-::....:: ..:.:ir:::..•:.:-:.:h...":!fii::•:v:. �urance•co:��' ...::.;::........:...:....... a d ess: >:'e :: ........ >::: a coverage as aired ender Seetion 25A of MGL 152 can lead to the impositlon of crlmioai penaitiea of a 8ne up to SI,500.00 and/or Failure to secure 1e4 ry as well as dvfi penalties is the form o[a STOP WORK ORDER and a 8ne of$100.00 a day sgailut me. I understsnd a one yeasa'impsomnent p ns of the DIA for covera;e verification copy of this statement may be forwarded to the Office of Investigatto 1 do her y c under the p ' and penalties of PV!urY that the information provided above is truce and coned Signature — Phone# Print name official use only do not write in this area to be completed by city or town official perm"Cense# ❑Bading Department city or town: QLicensmg Board ❑Selectmen's Once ❑check if immediate response is required ❑Health Department phone#0 contact person: ❑Other��. (lerucd 9/95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law",an employee is defined as every person in the service of another under any cons--- of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more ci the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receive: trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds c building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renef of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who h: not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any camract for the performance of public work until acceptable evidence of compliance with the insu:ta ce requirements of this chapter have been presented to the coatrasr;,,o authority. j /r Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be e. Also be sure to sign and 'on of insurance � submitted to the Department of Industrial Accidents for comfirmatu coverag date the affidavit. The affidavit should be redirned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if Yc are required to obtain a woti=2 compensation policy, please call the Departm=at the munber listed below. MIN 111 F City or Towns Please be sure that the affidavit is complete and printed legibly. The Departm=has provided a space at the bottom of t! affidavit for you to fill out in the event the Office of Investigations has to coWact you regarding the applic auL Please be sure to fill in the permit iceose member which will be used as a reference number. The affidavits may be retur�id io the Department by mail or FAX unless other arrangements have bees made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions• please do not hesitate to give us a call. 117 The Departmeat's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Me of invesdVadons 600 Washington Street • Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat 406, 409 or 375 OF ' The Town of Barnstable �►" Department of Health Safety and Environmental Services 5 Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work. 1� a d°tL C Estimated Co, a — Address of Work: X r A/F Owner's Name: Date of Application:_ 9� I hereby certify that: Registration is not required for the following reason(s): Work excluded by law oJob Under$1,000 [3Building not owner-occupied )fbwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY �r= the agent of the owner. 6 r G Contractor a Registration No. Date OR 2) S 6--), D Owner's Name q:forms:Affidav Department of Health Safet3 an B nl ftg Division 367 Main 3tce94 Hyaoais MA Mot aa� s� Raiph Cmssca OM= 5034162 4Q39 Alluding Commis: Farr 303-790-?30 5011�OwNEBI Jim roe t o T=- vium �— C.�P �� l ,®, ZIPCON was exomdedtoied dweWmvq,afsk=its or iess wdto allo�r how cmzmt e�tWon�o snia�vidnalforbhowho doesnatpome�s a Luasa,�1 al � am fly M Ior tamteadstoreside,onwhiehthm is,Cris to paaa(s)who ovnaap�ofIndanwhichhdshemides tosmdtuseamdlarfarmstracoaes. A be,aawar beddesedahao MMM Such P=Wwho ao� ooehM=inztWO-ymr1� tsmtot6e Offa�i,s�c��l 11 be . ..�_ e to the i3tn'Id'mgOfficialoaafoaoas 109� . •�*_�_n.....i.dwdr taf '>�e "'hOmeowae�'aa®es�spoasj's�►fiQ " &tlna State Bm7d'tag Code and other sppiica�e coded byia�s'rdes aodzegaiaeoas. "�oomeoavae�'mdfm d=WAD mdusOmb tha Tawn ofBamstabk i3w7diag Dqwa=m minim Pt°cc:dmms and andttmthdsbgwacompiyw&said iaocedsra and k Nate •�.�y dwdtmga c�ng3S M��gerwdtye�gniredto�iY wig� son Builft Cobseaaoa W-0 C=M=damC 0MIL s�°wras� 'i�ecodsa�sth>e 't0�9.11 Lio®S� �'°'iaedmscffl>se6ommiwaae�sP��for ptoroiamsoit>>isssetioa<$� �iaetassopenaae" dhasodovdams idds gmmu�w ttbafa�s�6� o�aaDpa*+�<sxAOPC � geeian Lin 'Ddsitdcaiawamesa0m�oitsiass d � VMM caaoaptoomda�mat5atidiaP� wbeatbs .1>tie �6mSnQeet�t m widtslioeasedS� mmf► � p�tofffie� tbC=M mt t6ebxMOMWisA*WMofld ft Oataaimp ooftbhismsissfa=CMCOWUSO �� ofaSupenmG � . y . Yoam ycmtoameodmdadoptsaebaA YM THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA t"a RESIDENTIAL PROPERTY AP RO. LOT NO. FIRE DISTRICT SUMMARY STREET Scudder Ave. Hyannsiport H LAND 287 9 3 OWNER �,. " je4 ....• � BLDGS. 6 2 roraL 9,2 G RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS:Keg. unreg. LAND b Ol BLDGS. }O TOTAL 529— 2959 PBLDGS. re Dennis M. & Jeanne S. 7-30-7978971 ,000. �,C - / G . N O Z!. 1 GT = 67 — TOTAL LAND BLDGS. TOTAL LAND q � BLDGS. TOTAL LAND BLDGS. TOTAL LAND ERIOR INSPECTED: BLDGS. _�v / / TOTAL TE: LAND ACREAGE COMPU TIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. Vy UE TOTAL E LOT O 00 0 o p ? LAND RED FRONT 01 BLDGS. REAR ��,p cJ TOTAL DS&SPROUT FRONT LAND REAR Dr BLDGS. E FRONT _ TOTAL REAR LAND O) BLDGS: TOTAL LAND / BLDGS. Ol LOT COMPUTATIONS LAND FACTORS TOTAL ONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND c TOWN WATER L J ROUGH 0) BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. LAND COST �... ter'i_.�• Walls -Fin.Bsmt.Area Bath Room 7" Base �`/ ,'), 0 SLOG. COST Blk.Walls Bsmt.Rec. Room St. Shower Bat L, / Bsmt. °` U B J r PURCH. DATE (a SIaD Bsmt.Garage St. Shower Ext. Walls PURCH. PRICE Walls Attic Ff. &Stairs Toilet Room - Roof y �/:i RENT JE _/` • .I__/(_z_� L,. Wells Fin.Attic Two Fixt. Bath d-J, FloorsINTERIOR FINISH Lavatory Extra _.._.....__ _F 1• 2 3 Sink3 5'AttiePlaster Water Clo. EtraERIOR WALLS Knotty Pine Water Only •� S �y_ , Siding Plywood No Plumbing Bsmt. Fin. f Siding Plasterboard Int.Fin. r 4 Shingles N TILIN Ik. G F P Bath Ff. Neat � rk.On Int. Layout Bath .&Wains. Auto Nt.•Unit (, CJ r�`;, /,V Veneer Int.Cond. / Bath Ff.&Wells Fireplace �— rk.On HEATING Toilet Rm.Ff. Plumbing ;t,� p Z, /8 9, 0..0 /c3 om.Brk. Hot Air Toilet Rm.Fl.&Wains. ' Tiling Steam •Toilet Rm.Ff.&Walls Z 'N „r-,� • t Ins. 41 Hot Water St. Shower 9 /C,pf i/• I I'31 s. p Air Cond. Tub Area Total •/Z - /Z' dZ Floor Furn. ROOFING COMPUTATIONS rz y ' Shingle Pipeless Furn. a 0 S� S.F. s6 G� J� ��.!J hingle No Heat Z N /f 8 S.F. �! J 0 a I O 3 � C'/• hingle Oil Burner W lJ /O S.F. o�/• 0 Z _ Coal Stoker /3;�— y8 Gas S.F. L,30 ,Z a" OUTBUILDINGS ROOF TYPE Electric Flat '36 S.F. SU G 6 6 1 2 3 4 5 6 7 8 9 10 1 21314 516 7 8 9110 MEASURED Mansard FIREPLACES G 3 S F 7,30 ��(�0' Pier Found. Floor el IFireplace Stack z `-3 /y 5/Q / :� Wall Found. 0.H.Door C LISTED FLO RS Fireplace �? .S c 930 L J Sills.Sdg. Roll Roofing / LIGHTING _ Dble.Sdg. Shingle Roof No Elect. DATE Shingle Walls Plumbing,','• od ROOMS Cement Blk. Electric j �" '- 71 Tile Bsmt. 1st 4, TOTAL 9 y 9 7 Brick Int. Finish PRICED ., / 9 2nd 7 3rd FACTOR �• (,� J` c REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE 1146nct.Dep. ACTUAL VAL. .s/., ✓ N / S J f�G j C Sz 7 �2 0 / -Ile 15--6 7S/ 3 TOTAL T Town of Barnstable ®Building .� Post This Card So'That rt is 1/is�ble From the Street.-Approved Plans Must be Retained on Job and this Card Must`be Kept srAu�e M jL O v annss. Posted UntII Final'Inspection Has Been Made gat °' Where a Certificateof Occupancy is Requ� ed,such Building shall Not be Occupied until a Final Inspec�t�onhas�been made 77, Permit No. B-17-779 Applicant Name: BRUCE P. MILLS Approvals Date Issued: 05/09/2017 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 11/09/2017 Foundation: Location: 658 SCUDDER AVENUE, HYANNIS Map/Lot: 287-009 Zoning District: RF-1 Sheathing: Owner on Record: CAREY,JEANNE S TR Contractor Name .,BRUCE P MILLS Framing: 1 Address: PO BOX 1 Contractor L%icense CS 078687 2 HYANNIS PORT, MA 02647 Est:'ProJect Cost: $200,000.00 Chimne p y: Description: House was gutted, Remodel inside, redesign kitehen,µdin\ing and Permit Fee: $ 1,140.00 bedroom and . Insulate and reboard and plaster walls; retreim Fee Paid ` Insulation: $ 1,140.00 effected areas,tile more finish ext floors-6/22/17 changeof contractor to Alexander Ranney Date 5/9/2017 Final: a: s 2/5/18 change of contract to Bruce Mills Plumbing/Gas Rough Plumbing: Project Review Req: .° _ .. <.Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work auEhonzed`'by ths,permit is commenced within siz months afferissuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for whichth'is permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zon'ingby laws,and codes. Final Gas:_ This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspect ''n for the entire duration of the work until the completion of the same. Electrical P The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work Rough: 1.Foundation or Footing o 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected atthe throat level before firestflue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION M 6 1 n . Map- Parcel 6 Application # pp Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee ` f Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address � Village Owner Address opP Telephone FEB Permit Request C►�d TOw�.p , __Ak�e" (AACK 12cmV\1�0 OU 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 ❑ 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 ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name__ ro co I V LS- Tele,p-ho � e J^ �e y� Nmb gAddress-_�,/U Cpod(� V��` Licenses#;., ` S` 0 �7 Y-I _apt 60 Home Improvement,Contractor# Email- tWorker'§'Compensation,#,. . , ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r SIGNATURE.,. �L�� /� a DATES :*l� �'�C� �� /r II w FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED i Y MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME 1 INSULATION_ L/ FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. J i Town of Barnstable opt Building,Department Services FEB 451010 T ` Brian Florence,tBO OVVN "� Building Commissioner 0��A�N�T,�E3L 200 Main Street,.1•iymiN,MA 02601 www.town.barnstable.ma.us Office: 509-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I S ✓, ,as Owner of the subject property An hereby authorize Y2 V C Q 1" `t IA'S to act on my behalf in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the'applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. PAD S tune of Owner Signature of Applicanf r aaul / Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS Ree 09/16117 Town of Barnstable Building Department Services Brian Florence,CBO Building Commissioner 200 Main Street,.Hyannis,MA 02601 >A www.town.barnstable.ma.us 1639. Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAMING ADDRESS: cityhown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one, home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Dote: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFHM\FORMS\building permit forms\EVRESS.doc 08/16/17 oFIME rq� Town of Barnstable Building Department Services HAMSTABLE, Brian Florence,CBO 9� 6 9 Building Commissioner ArfD �A 200 Main Street,Hyannis,MA 02601 e J14"IN www.town.barnstable.ma.us G(apt` re Office: 508-862-4038 TOw op e0s?ft.Fax: 508-790-6230 s ,qat/ NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY F Construction Supervisor License # �'---->-G 7 F6�7ereby certify that I have assumed responsibility for the project under construction, as authorized by building permit# �j'�� , issued to (property address) �� J��P2 } �`� Cam" v) v-i S on 1 , 201tJ. The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form(if applicable) copy of my Home Improvement Contractor registration(if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond(if applicable) LICENSE HOLDER DATE gffonns/newcontrb rev:08/23/17 ��pZME rti °Town of Barnstable , Building Department Services lARNSTABLE, r Brian Florence,CBO 9 MASS. g // 1639. A� Building Commissioner. eo �, 200 Main Street Hyannis,MA 02601 (3 www.barnstable.ma.us Office: 508-862-4038 ey �c: 508-790-6230 S NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR" I, , owner of property located at c J C.� �-2 v,%Y t S hereby certify that is no longer Construction t , Supervisor listed on the application for the project under construction as authorized by building permit.— `-1 -1 , issued on 201a. { - y I understand that theJ ro'ect under construction must cease until a successor licensed P _ Construction Supervisor, is submitted on the records of the Building Division. ;2 ads 7 ROPERTY OWNER ATE e)D q/forms/newcontr reference R-5 780 CMR rev:08/23/17 ent of Public Safety Massachusetts Depa�m Standards Board of Building Regulations and License: CS-078687 Construction Supervisor BRUCE P MILLS pADv 16 CROOKED POND,RF HYANNIS MA 02601;.• "" " n , Expiration: lJV 0512912018 Cornrnissioner Su ervisor Which contain Construction P s of any use grouPeters)of Restricted to 991 cubic rrm Unrestncted- )()cubic feet less than 35 00 enclosed space.' of the Massachusetts a current edition of this license. possess - cause for revocation GOVIDPS Failure to P Code visit WWW' State Building '"form Dps Licensing �- �e Tponiirnaouoec��C`c a C%vu>�actieutett �. O;iice or"Consumer Affairs&Buiness Regulatiou i;OME IMPROVEMENT CONTRACT Pe: Registration`-`1,36003 Individual �/30F:2(1 S. Expiratiors;-- -=-_----� BRUCE P IILLS y, `, -i" ^S• = BRUCE MILLS V', z 16 CROOKED POND`f2 HY°,NNIS,MA 0�3^1 Undersecretary i r 1 \ Sri 5xi �iv ' I ti.t_i Y n '� 1t 'Zir 4 w ryt•�:_ rl_ '' �5'F M. 3 FMt rr -�{ J 1 'y. 3 rr 4�-.. {-+: yas,' � �° 6.,ri '[ '� •y' � q .. S r?r;� k ..�\�• � it {{t m' F�'� ��'-� I� _�'-rres r- e° -Il,s -,d.rr,-; r }' C': SaF�Ji`�� ` .,•.�,'.. a[-..•.�'�p�k��6` r'fiti"ir'.y"�li [. 1 b�U� � F:A.' rA• it�'ifiFFe.' x .rh ..s...,:.-»....s .., 9.�r-'1 s! nr. s. 7; yriFr1 3w � p. m s.5 "-r{t`•i;.`k� � '��`��7a•l� .� . n.'"•�`'�'-9•� r'"�= �` � � •�' x't' 'r+ _ d yk � :� � r �.,rz.L e i �t.� I r I 1 4 � °•��, tL x'�•' � x a; at. c ,� a- ^-qy,z I k� w _ h a,�-�i �'�, sy :�'''�.. � .� 3 fD-�PRl��ILL�E � i � ,�G' sl.�..� �'•C;.+tt r- + �r x}+- .:e r `rF -} _.!4 ? •-`� f/'!Q 571T lrr 1I�PTCfF 7FyiTJri'TE•rsfn.ir� f .�f F777�e1 I t 1.. t _ Are yatimm cm�l r'2 ecktbmapgrapaafeba= Type of ect L Nmi m>?sira it emprayEe i(full a=foe fssn��* Txa�e lraed fire sufr�o�E� �/[ Z.El am a sole ar fisted aaftse aftaclted sb € �L g . �xese'sofr-r(mcaains ham slip anri��a-emPl�-e�•s. .. El Dem,}I�ozE - A °Y apace xr�o�is'na fofsiisiaa>�yc'I� $ 9. QR.nr�add>fFcya ' • [No�, 'Wig.rnsRrarL� camg_�[,�[��,- �-� ❑ eareairosparaficmas its • 16-E]'ElecEralrepai%,cradd?ians 3.❑I am.a hamwmmr doiug an wad€ 1Zed fi�%r "LEI Eb=bmg=Pai=ar adrai=% ` MYME LNO uollm'comp- I( w h L[]Rocffmgais no - ra aElo . ��•r�p�rant ffiat r3edsbnr�mcst rlsa fiIlac�tfie se�on.tcIax�y�,P;�e>�''[�a�nap�rr;r;,.fi�,=[r,r, , r,-.,,,,;"�,,,=wstdjEr3cd�as b¢s Est�d�ffia��r,.,,l��s5m�gtha,,:,.�oElhe sir-�n+*r*=�+-�=gel st�evhdi�ors�atthase�shs� ' �lvper�7ff{Vs mTi rm.fiArh,rc ,ffuU-ftP=-L_&eff svrbme .TIMELY mmb0- I artr'rnt eii�� sr Hurt is pr4urdir irvrkels'carrgxeris�iart gfsnraffca for s eucgIoJ m ffeTrn1�is if�sPa9.�1� �- � ficy or self-Eym Iil. n F3gim st r� Job rfa Addz� k-TSC iJ C�CQ.SZ 1` 11 P CiEyM fe>+zi�': ,� it. (�d 60 l t4 f£xcT�a Py affl*,m=l:frs'co=pmsz16c'agaIfcy declara5 mi pagc(sJiawing fhe poUcy er and.�aation dafr:�. Faslme fa se=r ==msT as raquireduu Bed 7 5 A of MC$ of a free vg to$L5OD CO andfar Wu as d-O pen sl6e SntbE�fb=of a SIM Wl7R € EmEncd a ffna. €ug s$250-M a&y agEi>1 tfha v olahs Se advised a C°P5'offhis�sxt�„P saaybe arde�fat fSe Office of laver o€$3e DIA far asu==covemp vcri5m� J,&hm6y - =c?ir fps L y fhatthe infarmm'zrnprar&W abam A Ezra and carrect ' (}Maid mt mrt[a in ffa s rt 14;2'be-•arttr&a bg F arfa)su 4 £ Cify or Taww Pm� y cci=`oae]: L 3 4;ard o£Irea1ff y IluTfmg I3 � 3.Mylrawa O=k 4-nedr=l Fuzpzctnr 5.1'hmih�mg Tmpecfar 5.Qflzer - Coaf�ctl�ersarn so • t„ 1 �.v ems. '+,-1s`ATM_:'L�rE^.�i�q`^htre�-,'_'"_^�•"'w!Pe'c..4?r?4'�F�,�.a+_l"'� �� R'" �-l--— rrlw- RTIFICATE 15 ISSUED�AS'A IIEATTER`OF�R&CmMAT1did-to LY3AMD GONFE1beo��i0'Rmum-TuPON�T_M CIERTRICAIM NOt1Dte1� Yfx t pa y R CERTIRCATE DOES NOT AFFIRMATIVELY OR NEGATIVELY pti910-tEXIF�tD OR ALTER TRHrCOVFJiAGP_tAFFORD1eJs BY.T" RE s- 1Cm BELOW. THIS,CF-R71FICA'TE'OF ItLSIIRANCE`DOES NOT COI4STriUTE"A'CONTRACTIBE_IWEEN.TKE�15SURNG RfLRrU $J,!AT MM.'*,, REPRESENTATIVE;OR PRODUCER AND THE CERTIFICATE HOLDER_ - y +R IMPORTANT: M the certificate holder is-an ADDITIONAL INSURED;therpoliLy(lee)must have ADDITIONAL'IINSUREDIprov=lons or 6a eerdorgad 47 If SUBROGATION 13 WANED,subject to the terns and.conditions of the policy oertaln:poticlaerrtley,'re,qune.qn Lildo�emertt fA stamanie ion nA.. MOW;, s , this certificate does not confer ri hts to the certificate,holder In lieu of suah'endoreamen s _ _ u ,fl,•,�.?_ „� PRODUCER KERRY INSURANCE AGENCY INC c ONFACT EASTHAM COMMON RTE 6 PO BOX 1945 E NORTH EASTHAM, MA 02651 NSUR 9 AFFORDING COVERAGE PIBUIMRA: LMlnsurancaC ration INSURED WSIRiER e: - BRUCE P MILLS INSURER I.. 16 CROOKED POND RD HYANNIS MA 02601 INSURER0: SORER E: NI B F: COVERAGES CERTIFICATE NUMBER:34869187 REVISION NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO 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, ExCL.USIONS AND CONDITIONS OF SUCH POLICIES.LIMlTs SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. FAGGRrGATE POLICY P POLICYEX LgpTE PEOFINBURANCE WVD POLICYNUMEER MMID T MMIDD NYryl ALGEIIERALLIAAnJry EACHOCCURRENCE $ dS MADE OCCUR PREMISES E t o 3 MEO EXP(An ona%)smon) I PERSONAL 6 ADV INJURY S GENERAL AGGREGATE 5 ATE LIMIT APPLIES PER:2)F� ❑LOC PROOUGTB•COMPIOP AGG I El I LE LIMITIAB., BODILY INJURY(Pet P910A) OWNED SCHEDULED BODILY INJURY(Psi ecctlerll S AUTOS ONLY AaUUTOS ROoE AMAOE . g HIRED NON•OwNEO P r AUTOG ONLY AUTOS ONLY I UMMELLAR OCCUR EACH OCCURRENCE CLAMS-MADE AGRGAE SS exCES LIA SS Dr-D RETENTI N ✓ S A OTH• A WORI�RB CpptpENSATIDN VJCK31 S-600159.037 3124/2017 3f241201 BER AND EINLOYERVUAnaIrY YIN EL.EACH ACCIDENT S 100000 ANYPROPRIETOIZPARTNERfFXECUnvE (IIIV yylaamaf mty bW NNI o �YNIA MOYE S - 100000 OFFICERMEMBERtXCLUDED7 E.L•OISEASE-EAE E.L.DISEASE•POLICY L UAI7 S 500000 DE .RtlPecTeONeuOnFdeOPERATIONSbbw •-fa !� _ DES CWTION OF OPMAMNa I WCATIONs I VEHICLES(ACOW 101,Addlllenel Remarkm SehadUle,maybe anachod If ruvn Waco Ia required) WORKERS COMPENSATION INSURANCE.COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA, This certmCata cancels and supersedes all previously issued certlfiCetes,and as they relate to workers Compansation coveragO. THE WORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR 6RUCE P MILLS. .. t� CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE TI4E EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 MAIN ST. ACCORDANCE WITNT►1E POLICY PROVISIONS. HYANNIS MA 02601 F gUTH0RILCD REPRE8E7rrATNE LM Insurance Corporation ®1986-2015 ACORD CORPORATION. All rights resented. ACORD 25(2016103) The ACORD name and logo are reglstared marks of ACORD 9G a6t187 1-500159 0-10 a; no270258 9/2a/2017 L0:2L:55 PN MOT) rage I I II — H E AT LO K Company Name Cape Cod Insulation Phone Number 508-775-1214 Applicator Name ,Z4 Installation Date 5-14-2018 Jobsite Address 658 Scudder Ave. Hyannis Port MA. A-Side Lot #'s PA8600117 Permit Number B-Side Lot #'s P3397605718 00 o Walls 311 R-20 1830 Attic 6" R-38 2000 Rim Joist 3" R-20 150 Sloped Ceiling 6" R-38 400 o. a� oif �® Blaze Lok Thermal Barrier Attic 17 Mils Wet www.Demilec.comc8DE=,,mi1ff AGRQBALANCE010"C> R49090 O VO Company Name Cape Cod Insulation Phone Number 508-775-1214 Applicator Name 14 Installation Date 5-18-2018 61 Jobsite Address 658 Scudder Ave. A-Side Lot #'s PA86001777 Permit Number B-Side Lot #'s P3403106718 Walls Attic 8.511 R-38 400 o. 0 1 - o o oc3- // camw Blaze Lok Thermal Barrier Attic 23 Mils Wet www.Demllec.com cS MICHELE-CUDILO, P.E. Con+sulting . Structural Engineer Centerville,•Massachusetts 02632-1979+ (508)737,-8521 9 mcudilo@comcast.net - January 11,2018. Jeanne Carey POB 1 a HYANNISPORT, MA 02647 M ' RE: STRUCTURAL REPORT , 658 Scudder Ave.,.Hyannisport;MA '_Dear Ms.Carey, At your prior request,I went to the above captioned projectsite on January 2,,2018 for the purpose of addressing the structural integrity of the residential structure,in particular as related to.the.obser've d second floor framing level bearing wall framing and upper story bearing wall conditions. The town building department then clarified that they wish a full structural analysis and framing review of all conditions. Additional site reviews.on January.9, 2018 were performed: The purpose of this report is to list the.structural issues of:concern with regard to the observed conditions. 'Other issues are not covered herein. 1.0 Background The site is located on a sloped lot on the inland property in.Hyannisport,MA. The building area is approximately;, 4400-square feet living area and1600 gross square feet per Assessors database background. Plans were not initially available at the time of our meeting,however the assessor's database was'available. Further,contact with Patrick Rimington and Alex Ranney,.Partners of Cape CAD Design, Marston s Mills,MA,provided some architectural " layout drawings,and a supplemental calculation from Shepley Wood Products dated July 18,2017. During the later site visit,additional'calculations dated April 10,2017,°were obtained. The 1872 building is to be reviewed for'the framing conditions: The basement of the building is unfinished crawlspace,and was previously approved by the town,,Building'Department. You informed me that the existing structure is under review for the purpose of evaluating and implementing + y required repairs prior to completing framing construction. We observed the exterior and interior wall and framing , support,exposed above the first floor. The building was observed above,a three-story residential,wood framed building with center widows walk deck accessible from'inside the third floor. 2.0 Framing ,` 4 At the time of observation,the structure was gutted in part,with only.the first floor FOYER and SUNROOM,and upper level KITCHEN and(2)BEDROOMS in tact;.Attached are markups of plans by Patrick Rimington,dated October 12,2017,for referencing structural:items. x The following is a list ofitems that were-confirm-1 d with structural an and 1calculations,and are either of ' satisfactory construction.or require;modifications as listed...t } Continued;': >20 i 8-ob z �; ' r ' 9►` r STRUCTURALREPORT 658 Scudder Ave.,Hyannisport,MA Page 2 . 1. RM.S. BR bearing wall: notched 2x10 ganged 2"d floor joists to exist.2x8 @ 20"o/c construction i/ s adequate w/studs below fir top plate for bearing wall(verify all foundation conditions) "` C// Y x'J 2. ' R.H.S.walk-in closet:add SIMPSON H4 OR LSU28 to 2x10 shed rafters at the-face of ea.Wall - V ,3,' 2"d floor bearing wall w/LVL at center right stair: ganged 3`d floor framing 2x10 to exist.2x8 fir joists for 12 o/c construction is adequate,with studs below beam to bearing wall below(verify bearing..walls,align ; V ° w ons below) 4. Drive front a Waterfront roof beams: 2-11.875 LVL are adequate(verify, 4018-06 " _.w q ( fy:posts'align below to .� r oun anon f;/ ; �5. Roof framingand lank sheathing: O f p g: pre-existin non-conforming - .' �: : �. ,, 1✓ 6. Widows walk framing support:pre:existing/non conforming;replaced joists with 2x8 PT @ 16"o/c and stair rails to hatch access,1'-10"clear =, v V.� 7. Double joist or block below all partition wails Block below walls above living room.in 2 floorframing level ' �9. LR ceiling beam: 2-9.25"LVL w/eff.6-2x10 x 17.5',long is adequate;add solid studs ea.end for'full bearing 16: LR ceiling headers: 3-and 2-14"LVL are adequate for the spans(verify foundations below ea.end) V 11. Waterfront 8'and 7.S'headers:2-2x12 and 2-2x10 w/'/:"plywood are adequate headers;add'for 3 king. studs as necessary;min. 1 jack stu/d�is`adequate 4.0 Conclusions and Recommendations ;' The framing conditions above the first floor appear sound however minor corrections listed above are required. The above information-provides you with the minimum requirements for maintenance of the structural integrity of the above captioned structure. Typically,provide site grading.for posith pitch all around the foundation,toward well-pitched portions of the.site;as required,channel runoff rainwater via downspouts against the foundation toward well-pitched portions of the site: w ' ` I trust the contents of this report-meet your needs atthis time Should you have any questions on any of She ' above,please do not hesitate to call:"' ` Sincerely \µ Q-AiMAI"m ; .. ichele Cudilo,P.E. ME 0 y- - ►� �m ;f �GT�RpL' ' } Ne.34na Q ssioiva� , a ( ? , e A - n r Town of Barnstable Building f i 1 1 Post This Card So That it is-Visible From the Street.-Approved Plans Must be Retained on Job and this Card Must be Kept I3A iin"tf.AL'L6, "4 4. 1�p) Posted Until Final Inspection Has Been Made. Where a Certificate of-Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has-been made. Permit No. B-17-3975 Applicant Name: CAREY,JEANNE S TR Approvals Date Issued: 11/27/2017 Current Use:. Structure Permit Type: Building-Shed`-Residential-200 sf and under Expiration Date: 05/27/2018 Foundation: Location: .658 SCUDDER AVENUE, HYANNIS Map/Lot: 287-009 Zoning District: RF-1 Sheathing: Owner on Record: CAREY,JEANNE S TR Contractor Name: Framing: 1 Address: CAREY TRUST Contractor License: 2 HYANNIS PORT, MA` 02647 Est. Project Cost: $0.00 Chimney: Description: 12x12 Shed Permit Fee: $35.00 Insulation: Project Review Req: Fee Paid: $ 35.00 Date: 11/27/2017 Final: Plumbing/Gas V _ Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and.shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final; 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) g g 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons.contractingwith unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT \�,�.t 1� 1=�W)ir-4t�� [�-v-:7+�1�z'\2__,S'v✓�jfv�er-;l�}..`-< Town of Barnstable EVE Building Department Services Brian Florence,CBO r r rRMW STAB . * Building CommissionerMAM F 63g6 ► � 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERM FEE: $35.00 LU m SHED REGISTRATION' RESIDENTUL ONLY ^ 200 square feet or less 44 --Location of shed(address) ill ge Property owner's name Telephone number .2 ®® Size of Shed Map/Parcel# )4 I Q Signa a Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway /� p ' Conservation Commission(signature is required) /\� q " Sign off hours for Conservation 8:00-9:30&3:30-4:30 f PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:08/6/17 {' r SUBDIVISION PLAN OF LAUD IN BARNSTABLB 17308 'Cape Cod Survey-Consultants, Surveyors May 1974 i w E eleli e+ e� wro��o' � Joao 9 o� c� old C / s\ colt Ilk / i ► �1 t6 sOd w ' � % M !` ce �plln a t , � f s Bic fop �� ' t �� I�6A1006 C. ° C es / p N Cott 6� Q Q a epeo Nss . ;.16 OS.• 'e a �� CA W r.�gnrl!M li � W W �� CIOIO Zv w OD ♦ s 00 �ooy�11A S� Y. fig s teer of L?b�ol/ons ft Ot c l of o to the Proft Pont&**W Cno'les t S�tee • w [.C 11b./d,l197 A Cbrt ft.jai Subdivision of Lot Shown on Plan 17308 Filed with Cert, of Title Noe 19244 Registry District of Barnstable County Shwele Certifcetes of title msy be sued for land S116"Aerm as.joij.Ataer/1.................... '' M°t.°r°° By at covet. LAND ftels RAT/ON OFF/CE NAY /I, /976 eftAls#04/ fF+rl to on inch • l PLAN OF LAND IN BAMSTABLS George Scale 20 feet to an inch Sa$i s. pgYe� + �$ Me I923 Frederic O.Smith,C.S. o to g6''so' yiarion �• CA `"� - ss l76.4'F� �\\\• �,�\` ems.. 4OQ %c m N C. !• 7 70,s. o 69 OQ• �o. r ► �$• �• gyp. ��bg, gst�h j79•p��• „ ,� ,�16�Op• ` 61S` n+ .�, ow• Jr.Z 63.00 CIO • :• $• 2DO.Ao r 75.00 r+ 81.64 A � Ep .0 E .' S C U D D E R .� Q z C'! Barnstable Property Maps Page 1 of 1 207150 z . Parcel Details 2 .. 63 �Is Location Parcel: 287009 . Address: 658 SCUDDER AVENUE µ Village: HY r� Acreage: 1.12 Full Property Info ? y ._ �____ti..___.._._ Property Photo # 4 ( � 28700 y j #17 sS 2800 w s Owner& Mailing Address Owner: CAREY,JEANNE S TR %CAREY;JEANNE S, TRUSTEE F , Mail Address: CAREY TRUST b: PO BOX 1 } HYANNIS PORT k'+. MA + I 02647 I ........ • Assessed Value (FY17) ! Building Value: $363,200 j Extra Features: $85,400-. ' Outbuildings: $2,300 1 } Land Value: $967,700 v G1 Al O Cnn Basemap S €_.._._..,m._..,..... .... _ ..._...._....._..,..._.._,... ....__� _..__. t ' 100ft Name 1%0, Layers v"7,kParcel Parcel... https:Hgis.townofbarnstable,us/Html5 Viewer/Index.html?viewer=propertymaps&run=Fin... 11/27/2017 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # — Health Division Date Issued '�-11-1 7 Conservation Division Application Fee Planning Dept. Permit Fee S, Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address (.0°S Sc-U DIMAZ . Village (4 poNT3 Owner CON"( Address Telephone Permit Request rimc�rQ'a 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 ❑ 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 Bags: 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: _ 2 �3'I;ILUiiV"� �. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ JuN 22 2017 Commercial ❑Yes ❑ No If yes, site plan review# TOWN Or BrNSTBuI Current Use Proposed Use APPLICANT INFORMATION ---(BUILDER OR HOMEOWNER)_ Name � 2 f I''"0Y Telephone Number Address 23 q 96vr D94Z AVE License # aQ 2 51 1 (�wluo Home Improvement Contractor# L( �Z Email t/ ��l q ca"')q h as, Worker's Compensation # U�7 'l 5-7799—��° ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO tA4P5fefZ SIGNATURE DATE Z' FOR OFFICIAL USE ONLY r i APPLICATION # - DATE ISSUED z MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL - FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth'of Hassachusetts Department of Industrial Accidents Of face of Invesdgadons ' 600 Washington S&e--t . Boston,MA 02111 tvww inamgvYAdia " Workers' Compensation Iusirance' Affidavit: Binders/Contractors/Electridans/Plimbers Applicant Informatfdn Please Print Legibly' Name(Businesslorganirationaudiridnat): VI*kNV-IY FJMW Ca'f 4 _C05i m 130 C,-(.u, ' Address: � • �I(e City/State/Zip: M S'K MA- d"SPbone.#: 1� JU �l�I r �— Are yo an employer?Cn appropriate bow Type of project(required): 1. I an a employer wifh 4.Py I am a genr:2al contractor and I employees(foil and/or .time). * have hired the strb-contractors ❑New consimcfion p I❑ I am a'sola proprietor or partner- -listed on tlic attached sheet, 7. XR=modcling ' ship and have no employees These sub-contractors have S. ❑Demolition . working for me in any capacity.' employees and have workers' n 7,, [No workers'comp.-inc=' rr_n Comp.ffisa ance# 9 1 1�"`++`++'b addition regahrA] 5. 0 We and a corporation and its 10.❑-Electrical repass or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Phunbing repairs_,or additions myself[No workers' ctjmp. rigbt of exemption per MGL 12.0 Roof rrpaizs rosin r requa ed j t c. 152, §1(4),and we have no ' employees.[No workers' 13.❑Othcr cps,manranrr_required.] *Any applicant flint ehsks box#1 must also fin out the section below showing t6cs women.'eompmsation policy information. t Homeowners who submit tips affidavit indicating they atm doing all work and thin Inro outside contractors must submit a new affidavit indicating such. ffantnctms that check this box mast attached an additional sheet showing the name of the sub-contractors and stale whether or not thoso ratifies have employers. If the suh a Ttactors have employ—,tbry must provide:their workers'comp_policy number. I am.an em-PLayer that is providing iPorkers'compensatun irrsurwme for my employees Below is the policy and job site infornzati.on. Iusrnance•Company Nam=: frop) Vr33(4- (/J�TL9f LGi, Policy#or Sal€-ins.Lic.#_ N 3 5 -7 7 8 1 "' ��o Expa-ation Date: Job Site Address: ,� VDCR -ff V/� Z City/SrtaW p: ( AMIuS�I�a � Iv�:jR Attach a copy of the workers'compensation policy declaration pap(showing the policy amnber and expiration date):, FBfl =to secure coverage as requiredvndar Section 25A ofMGL e: 152 can lead to the imposition of CEimirial penalties of a tine rip'to$1,500.00 and/or om-year imprisonment;as weIl-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 7nsu anco coymatre yetification- I do hereby certify under thepa&m-andpena&ies ofperjury that the infarmationprovided above"Co, and correct — : .... / Simatarc: Date- c" r2� Phone Official use only. Do not write in tlzis.area,to be completed by city or town gffidaL' City or Town: PermiflLicewe# - -IssingAuthority_ dreleone - - ------ ---- --- -.------- -- --- =- -- 1.Board'ofHealth 2.Building 3.City/Town-CIerk 4.Electrical Inspectot 5:Plumb** Inspector S.Other CorttactPerson: Phone#• i I ®` CERTIFICATE OF LIABILITY INSURANCE DATEf1AM/Dti7/YYY1� TIFICATE 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 i IMPORTANT:If the certificate holder lean ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to e terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER CONTACT NAME: ROGERS&GRAY INS AGCY PHONE FAX 434 RTE 134 (A/C,No,Ext): (AIC,No): E-MAIL SOUTH DENNIS,MA 02660 ADDRESS: 2342X INSURER(S)AFFORDING COVERAGE NAIC e INSURED INSURER A. HARTFORD'UNDERWRnERS INSURANCE COMPANY I RAMEY&RIMINGTON CUSTOM BUILDING LLC INSURERS: INSURER C: INSURER D: PO BOX 816 INSURER E: MARSTONS MILLS,MA 02648 INSURER F: i t 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 PERM INDICATED.NOTWITHSTAND%6 ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER vocumENr MYTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAW. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREINIS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCP BY PAID CLAIMS. i INSR ADD SUB POLICY EFF DATE POLICY EXP DATE I LTR TYPE OF INSURANCE L R. POLICY NUMBER (MMMDIYYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR. PREMISES(Ea occurrence) ED EXP(Any one person) $ ERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ j POLICY PROJECT a LOC RODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ j ANY AUTO LIMIT(Ea accident) I ALL OWNED AUTOS BODILY INJURY $ j SCHEDULE AUTOS (Per person) _ HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) i UMBRELLA LIAB M OCCUR EACH OCCURRENCE $ j EXCESS LAB rl CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY YIN UB-9FB57789-18 0BAM016 08/08/2017 LIMITS ANY PROPERITORIPARTNERIEXECUTNE Q NIA E.L.EACH ACCIDENT $ 1QQ Qpp OFFICER/MEMBER EXCLUDED? (Mandatory In NM E.L.DISEASE-EA EMPLOYEE $ 1 g0,000 H yes,describe under E.L.DISEASE-POLICY LIMIT $ 50!A,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLESIRESTRICTIONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTEFICATE HOLDER AFFECTING WORKERS COMP COVERAGE THE INSURED'S MA WORKERS COMPENSATION POLJCY AND ITS]LIMITED OTHER STATES ENDORSEMENT AUTHORIZES THE PAYMENT OF BENEFITS FOR CLAIMS MADE BY THE LNSURED'S MA EMPLOYEES IN STATES OTHER THAN MA.NO AUTHORIZATION IS GWE N TO PAY CLAIMS FOR BENEFITS IN STATES OTHER THAN MA LP THE INSURED IERES,OR HAS HIRED EMPLOYEES OUTSIDE OF MA, THIS POLICY DOES NOT PROVIDE COVERAGE FOR.ANY STATE OTHER THAN Mi 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 PROVISIO".,r, AUTHORIZED REPRESENTATIVE ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORP T1� ioPrts reserved. i i i 'I 1 I Town of Barnstable Regulatory Services Richard V. Scali, Director i63q �� i Bulding Division RFD MA'1 A . Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY Construction Supervisor License # 0 �� , hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit# , issued to (property address) �S scoff (7 roz MC- on 22 ) 2017. The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form (if applicable) copy of my Home Improvement Contractor registration(if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond (if applicable) LICENSE HOLDER DATE q/forms/newcontrb rev:07/18/16 IIL { Massachusetts Department of Public.Safety Board of Building Regulations and Standards License: CS-088595 i Construction Supervisor ALEXANDER M RANNEY 239 SCUDDER AVENUE HYANNIS MA 02601 r L../h 5 a'Xpftation '( Commissioner 0411612018 I • f • C i i i Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. i i i ' I Ii Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. t DPS Licensing information visit: 4VWW.MASS.GOV/DPS i j r i - (a I fi I i i 3 1 3 i { 1 , { 64` n»zi�rn�ztueal "y/C IrIIJJ(CCfItIJF Office of Consumer Affairs&Business Regulation i HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only k Type: LLC before the expiration date, If found return to: � Office of Consumer Affairs and Business Regulation ; � urration 10 Park Plaza-Suite 5170 1�r4Z52 11/01/2018 Boston,MA 02116 Ranney+RimrOgi fiu: Orf�. j Building, LLC Alexander Rannay z 157 Thankful Lane,...:'":, =" Cotuit,MA 02635" Undersecretary Not valid without signature { i 4 I i I I' i r I r i { i i i i _ z 1 � } { • i i k { { i 1 ' 'I PO Box 816 1 TORININGTORI Marstons Mills,MA 02648 Tel 508.428.7147 info@thecapecodcarpenters.com Fait 508.428.7167 RENOVATIONS•ADDITIONS•CUSTOM HOMES TheCapeCodCQrpenters.Com May 23,2017 ESTIMATE a Site: 658 Scudder Avenue,Hyannisport;Jeanne Carey,C: 617-733-6369; H: 508-775-6555;bosjsk@ao .com i Construct frame for already demolished home interior encompassing the basement and 3 floors j •. Sign over the existing approve building permit based on Cape CAD Design plans to Ranney&Rimngton 1 Custom Building, including fees li • Utilizing existing plans and previously completed work,complete interior framing of the basement,11gf, 2na� and P floors to prescriptive code, including some additional deconstruction,demolition, footings, Simpson ties, lally columns,and load bearing beams as necessary PROJECTED LABOR & MATERIALS COSTS $1001000.00 t I Please note: this estimate is based on inspection of the existing home and proposed approved plans. 77ie homeowner will be notified,for their approval before any costs exceed the estimated amount. Outside engineering costs are:not included in this estimate and should not be necessary j i Payment Schedule. �4gree upon deposit $ 1 U,QQO, Due middle of July $50,000.00 t Due end of July $25,000.00 Due upon completion $ 15,000.00 Please note-our standard contract: • This estimate is valid for 30 days. • No additional work is included in this estimate witless described in writing. • Deposits and payments are not refimdable unless,otheraa+ise noted. Contractor is not responsible for any damage to;lawn:or.plantings around demolition area. • Contractor is not responsible for any damage to interior..furnishings that may need to be moved to complete work All construction waste and replaced items(incltiildgenbiuets,windows,doors&appliances)will be considered disposable unless other indicated by property owner. • Property owner is responsible for all costs associated with hazardous materials,lead,mercury storm water pollution disc rge or costa essoeiatedwith Americeu.Disabilities Act requirements if uccesspry. Any repair,moving or installation of atom Voleui:foi security or fire/smoke is the responsibrhty,Of the plupmyy o}aner, .,. Customer is to - - -supply all point specrfied) • prop erty Owner agrees that Ranney&Rimington Custom Builders may display a small sign on the property during the atiou of the work and one mouth after completion. • Property Owner is responsible for any and all eagineering costs and site plan if necessary unless otherwise noted.Copse vittion,Zoning,aud/or Historical costs necessary in association with obtaining eay ueeesaary permits unless otherwise noted. J• • All hone improvement contractors and subcontractors shall be registered by the D'mector and any inquiries about a contractor or subcontractor relating to a registration should be directed to:Director,r Qmc hnprovemeut Contractor Registration,One Ashburton place,Rm 1301,Boston,MA 02108 i • The property owner has three-day cancellation rights-.of this contract order M.O.L.c.93,48;M.O.L c.140D,10 or M.O.L c.255D,14 as applicable.After 3 days all deposit and special order payment are uon- refimdable. • All warmuies and property owner's rights we wader.tbe provisions of 7g0 C7,4R 110.6 antl M.G.L,c.142A • Any alteration or deviation from above specifications invohting extra costs will become an extra charge over and above the estimate at S75.00per hour plus materials. if cost of materials and already eribed labor costs changes,this estimate may increase no more 1liau 15%without written notice, ics • It is the obligation of the home brrprovement contractor to obtain any and all necessary construction-related pewits;in the event that dne property owner aecuras their own coustructio-related pewita or deals with unregistered contractors they will be excluded from the guaranty fund provisions of M.O.L.c,142A.Work,will begin no later than six months from the issuance of any necessary pewits and will be completed no later than two years from the issuance of necessary;permits. • Property Owner's failue'to make payments for work duly performed may result in a lien against the homeowner's property.Owner is responsible for any legal fees and cows costa Rooney R Rimiugtim nay imout to colleen the monies due on this estimate.The contractor and the property owner hereby normally agree in advance that in the event the contractor bus a dispme concerning this estivate,the contractor toy submit such dispute to a private arbitration service which has been approved by the secretary of the office of consumer affairs and business regulations and the consumer shall be retpnired to submit to such wbitroribn as provided is M,01.c.1.42A. • DO NOT SIGN THIS CONTRACT IF YOU HAVE NOT READ IT OR IF THERE ARE ANY BLANK SPACES j t 5123/17 i J Ranney& Rimington Custom Building LLC Date ro rty Owner ate Home Improvement Contractor Registration#144752 t RANNEY+RI MINGTON CUSTOM BZiMDERS f , Proud Member of National Association of Home 80ders•Home Builders Association of Massachusetts•Home Builders&Remodelers Association of Cape Cod•Better Business Bureau TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map `ig, � Parcel a U _r�NBLEPermit# ct©2 Health Division `° ''`' _ Date Issued Conservation Division ': ? .;_.' Application Fee Tax Collector a/� / 9,��- Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Owner Address Telephone J j % `l Permit Request 0 60�lez_s 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 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: O Yes XNo On Old King's Highway: ❑Yes XINO Basement Type: 0 Full O Crawl ❑Walkout ❑Other CW E—r-00 Basement Finished Area(sq.ft.) AJ O Basement Unfinished Area(sq.ft) Ly , i 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: XGas ❑Oil ❑Electric ❑Other Central Air: ❑Yes )Q No Fireplaces: Existing . New Existing wood/coal stove: ❑Yes No Detached garage: existing Cl new size Pool:0 existing ❑new size Barn:O existing ❑new size Attached garage:0 existing ❑new size Shed:0 existing 0 new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded O Commercial ❑Yes No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name � Telephone Number Address 6 S-r —---to o ie7_ 1' -tlt- License# �� i►3 �� / �'>/�, Home Improvement Contractor# J Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE `7` �l /-2_�2--, FOR OFFICIAL USE ONLY �u ^ PERMIT.NO. " DATE ISSUED MAP/PARCEL NO. ADDRESS !' J! VILLAGE _OWNER r DATE OF INSPECTION: —'- ! ` r ✓, FOUNDATION F.. d ^ 'bt/E'✓✓�O bJ.s t. " r �. FRAME �� f l6( 6ir./ty�� tow'ryL/r ' `9 �f G INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL P, PLUMBING: ROUGH FINAL' GAS: ROUGH FINAL I FINAL BUILDING DATE-CLOSED OUT'. J i. ASSOCIATION PLAN NO. t l J .1 F r ; ts The Commonwealth of Massachusetts Department of Industrial Accidents ._ Olffce ojJfiY85 igatines _ 600 Washington Street Boston,Mass. 02111 Workers' compensation Insurance Affidavit name: 1 t location: . .. ..... Aokj N(A- j hone# ci I am a homeowner performing all work myself. I am a sole r rietor and have no one workiu in ca achywellow rs' co ensation for my em loyees working on this job. :::J;;}>}JJ;:::,;}:;;;;;:;.;<:?;<;:?;:;::> :v:::;:::>:_,-<:::<::°:,::<»; .:: me:��'':'�::::':%;: :::�::::i>::::::::f:::;':?�::;:: :::<±;i;'<;::3:;<�:£i::>5:`i::�:32;`;<"a::>.:;<;::<:i:::<:::;::J::;+:•}:.;�J:;;:,..:..;...::;::.::::•::::•::.�:.�:,:.:..:....................... J} :< <: :::•::. .........:::::{:..: ❑ I eowner circle one) and have hired the contractors listed below who am a sole proprietor, general contractor, hom i havethe following workers' compensation......o.:..:n.:.:...;. :1o.:.:..;lic ;:.:;.>::;•<J:.}:•}:•J:.:..>.: :::.::.:..... :::....::...::.:.: .is .;J:• .............:::............:. Jr d'i :•::�v4:•}:•}:{i•}}i:: :4:• .. }.v^:h}:y:.::•r r:4:..:{^JJ$:!{+.+,r�: i•• :+J.xv:.}xv.v.}'.::::.;.;....... :r:•J:{}.;?::w:4::::::::::.y•t• .r..r ... .. .... .. .... ... .........:.:::•:{4i}}::v:4:::::::,.:i:.,;...??'":<:wn•:i: :.:fd:•i:.?'•i:v.v. :. .. .......n......•..........,.•n n.... ....:. .. .. .. ... ............ ... ........ ........... ...... ..... ........... ........n.• .,......... ..:..;.. ::v:.v::;,,,w::Ji:•;FJJ::YiJ:!::r1J::::{iti:i::tv.,•.}..,.;•;,:+>F::::v.�..r\.,v,• {C::iFS"-?',�i.•::?nut ....r. ... .......... ... ..........t .:.......,........... .,..:n.. .........n+ .....r..n.• ....... n:Yi}i}}�;•^:•Ji:•}:!i}}:j;:;:v,.yJ...:., t .,.n.x...• ......:.:... f..,. ............ .t..........{. .............. ... ... .n•:::.:.. r... ..r....... n•:,•::.>.t..:•./},•,.}w{..;•:iF.:`•::.;..:.}} .: .........:.....,...r...::•........ }.•.., .........,......,,.:r.....:.:..........:.w:F.-.......,n,n•.vx::::.{v:........:::{!{n;.;+,.:?i};•:.::n:.: yy .:...::::n::•:;:�::•:n•. ... .............. ... .:.:::::::::::::;•.J}:.:;•::::::::•x:•J:;•}:;:>J:;•}::•>:v}::i::J;:�R-J}J}J:::;.JJ:}J••}�>JJ;{.};.;}:•J}:.J:;::.�:}5: �:•.:.�:..,.::............. ............... .............. .............. ......n.,... ................:v::'vn•::::::n:v::::n•:.v:..:........nv:n}•{:•:J}:•..... }.;... �:•}:•ii:.v..n}:....;•.... {ci7: ....::ri-"?:?:??i?::'r::i::i::;:j;r{.;{.;;:.}:::i:•iiJ}J:$•i:•}::JJ}}{:y^::�;:LJJJiJJ:�;• "ages ..:...... � ..::.:..::...}:::<•>.:{:.:;::n}'.::•:..:::.....:... .. ...:..:::.... ............... ..... ...... n................•v..............-.;.-, ....::::::•:.:..n•:..............................;. w:...;J,•:::..:}:..:.::::,Y,.}:.,-.v:.f.;�iN9,.::.}:vii.v}` .. .. ... ..... ....... n•:.............:.. ...::......x:n:,.....::v:•::::.:.......::::.•n}J}i::v:::nv.:+•::}J.:'•:;:,;.}'.J;:,;!•:!+.v.•.:. ..•rn�,}::Yrw:r!.;.;nf •.4 ...................... .}:i•}}:?-<:C!}J>}•;}!r..J.;:!..�.}•.}v:f.}}.n:t-::n n: ....... ....... ..... .. ...... .....,...........:::::::::::--::. ....ay...... nv::::...... -:�.:::::i.. :...: :.,.:::n::::•.v::......... ..I+iiv:}iti•}}4:i',`,*,J•J'v...:....:....ry::•.,::•., ..:::..........x::... ......::::......Jr.n}::x..,.......-v.:•.....n....::nv:...........m..n.nw.............:: .. nw:i:•::,• :::•:::::::.�:.::vw.t:•{,::.,v.v' ?CO{E h Faiim a to secure coverage regnirtd raider Section ZSA of MGL 152 can lead to the imposition of criminal penaltie+of a tine np to S1,500.00 and/or one yea'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereb certify the pains and penalti ojperjury that the information provided above is taco and correct Date - Signature Print name / W 4 1'�� 2 Phone# `� r Official use only do not write in this area to be completed by city or town official permittlicense# ❑Building Department city or town: ❑Licensing Board []SelecbneW$Office ❑checkif immediate response is required Ogpylth Department contact person: phone#; []Other United 9/95 PJAj i _ Information and Instructions ' Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any corract of hire, express or implied,oral or written. An employer is defined as an individual,partnership, association,"corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However.the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitllicense number which will be used as a reference number. The affidavits may be rehrmed to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invesdo0ons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 + °FZHE rq�� Town of Barnstable Regulatory Services ' BA"STPABLE, ' Thomas F.Geiler,Director 9 HAM. �pTED,59, A Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at leas:one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. C 3) Type of Work: �I hD Estimated Cost ��-��C-/'—y'9-� /'O 1`� Address of Work: b — J Owner's Name: Date of Application: c� a� I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY cI�hereby apply for a permit a agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav _ I i { h d� o �o°o s�I� � � �ems. � D-�� F�� f r,�o A-i oIL) u , The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION J G Please Print DATE: 70B LOCATION: number street ' village "HOMEOW �, CifNER' 3 IZ&—z-/ `7 S ^6 g S name home phone# work phone# CURRENT MAILING ADDRESS: C . 1 Y'7 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said pro d es and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner perfomung work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. O:FORMS:EXEMPTN '+-. -!'j ,,... x•�i .L., r ^ •"1 F—r, .. _[•. - .- . r ,. .. ..,�. - ,. .r .,s .-......r^r^aaUY-w. ...wdre�,�--r.r�-+.---•.�'."'` •♦ s ,_ =• oF,HE,o,,ti The Town of Barnstable BARNSTABLE. Department of Health Safety and Environmental Services �,,.-•_Y MASS 1679• �0 prEo may. Building Division 367 Main Street,Hyannis,MA 02601 �- Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection FX144 ,fit/ i'V a ��✓ is UTA Z � - Location (-*? _S'e o p P r,,f 11 v/F Permit Number 1� I = =_ Owner Builder 13 w Alm-,k _ One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: Q j C6-OS IF Aft 7 ri 7-0�` ®,� do 7?�� o ' ,lea y .per Please call: 508-862-4038 for re-'nspe tion. Inspected by Date /4 //0 0 ,+' Town of BarnstableBuilding c - •. v a: That¢tt�s-Visible'-,ro , t a Str�et=:'A coved-Plans"Musi be Reta�nedron=J.ob ari is GardFMust be Ke t£ Post Th�sC [d So ,� b A pp p � M Poste ��ntif>F na. Ins ecton.Has Been Made. x � � z� � "` a p -Wh eFt�ficate:of-0ccu anc, isTRe u red> such Bald�n hall NotbeOcc iedTunt�l a-Final ins e ct ionhas5been.made �r 1t ....07 P , '; ...,_.x�� Permit No. B-17-779 Applicant Name: BRUCE P. MILLS Approvals Date Issued: 05/69/2017 Current Use: Structure . Permit Type: Building'-Addition/Alteration-Residential Expiration Date: 11/09/2017 Foundation: Location: 658 SCUDDER AVENUE, HYANNIS c Map/Lot: 287 009 � Zoning District: RF-1 Sheathing: Owner on Record: CAREY,JEANNE S TR r Name: BR UCE P MILLS Framing: 1 Address: PO BOX 1 Contractor License GCS-078687 2 HYANNIS PORT, MA 02647 � �EstPro�ect Cost: $200,000.00 Chimney: Description: House was gutted, Remodel inside, redesign kitchen;dImng and Permit Fee:' �. _ $ 1,070:00 Insulation: - bedroom and . Insulate and reboard and plaster walls,retrim effected areas tile more finish ext floors r Fee Paid` $ 1,070.00 Final. Dates.;:. //5 9 2017 .. :� � : <: .. n Project Review Req: House was gutted, Remodel inside,redesign kltchen,:dimng a d n - bedroom and . Insulate and reboard and plaster walls;retr►m tip ,, > .-' Plumbing/Gas �� effected areas,tile more finish ext floors E rL Rough Plumbing: g Q F *Building Official Final Plumbing: �. This permit shall be deemed abandoned and invalid unless the work authorized;by this permit is commenced within six months a4r'issuance. Rough Gas: All work authorized by this permit shall conform to the approved application§and the approved construction documents"for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zomngyla stand codes. .� Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for pdbiie inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signu es byahe Bwldmg�and^FireOffic als are,provided on this'permit. Service: Minimum of Five Call Inspections Required for All Construction Work:' �t 1.Focdation or Footing v Rough: 2.Sheathing Inspection ' ' ` Z FLIZI, 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.WiriQg&Plumbing Inspections to be completed prior to Frame Inspection S:Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final' ... "Persons contracting with-,unregistered contractors do not.have access to the guaranty fund" (as:set forth in MGLc.142A):_ Fire Department Building plans are to be available on site Final: All:Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLI ATION Map 9 F7 Parcel 069 TOWN OF BARNSTABLE Application # W9 Health Division r: ,� � Oe Date Issued s 7 Conservation Division - Application Fee vit�� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board# Historic - OKH _Preservation/ Hyannis �l b F"M zL Project Street Address sC L)Jd R P Village i d.9` Owner Address c r Telephone Permit Request l ze "11110 -AA Square feet: 1 st floor: existingproposed 2nd floor: existing Iproposed Total new d Zoning District. Flood Plain Groundwater Overlay Project Valuation U b ,Qbp Construction Type Lot Sized c ms. / Grandfathered: ❑Yes a No If yes, attach supporting documentation. Dwelling Type: Single Family C/ Two Family ❑ Multi-Family(# units) Age of Existing Structure OC�f C'ns Historic House.: ❑Yes ❑ No On Old King's Highways❑Yes �lo Basement Type: WI/Full 2 Crawl ❑Walkout ❑ Other sgr=t Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) �(� Number of Baths: Full: existing L new Half: existing new 0 Number of Bedrooms: existing I new Total Room Count (no27G, uding baths): existing new First Floor Room Count Heat Type.and Fuel: s ❑ Oil ❑ EI tri yp ec c ❑Other Central Air: ❑Yes o Fireplaces: Existing I/New Existing wood/coal stove: ❑Yes ®'No Detached garage: ®'existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use ��.�tc�.QA � ` Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name y / r Telephone Number Address U C r o ael—e�&I Gf Ve License #l -� G Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO VC!'/ 0z,)`i, CAS reI- S 7 01 /) DATE SIGNATURE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE lb ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING j . DATE CLOSED OUT ASSOCIATION PLAN NO. -.a r, . �•aviie��Pomvrieoozc�' �s e .aa�C�v�a�aacfiu�e" `Office of Conn sumer Affairs&Bu�ness Regulation HOME IMPROVEMENT CONTRACTOR i Registration, 36003 Type: Expieatio --- �4Y=��18• Individual BRUCE P.MILLS BRUCE MILLS _ I 16 CROOKED POND"R HYANNIS,MA 02601 �,_Li Undersecretary Massachusetts Department of Public Safety qjBoard of Building Regulations and Standards License: CS-078687 Construction Supervisor BRUCE P MILLS 16 CROOKED POND,ROAD` HYANNIS MA 02601a -4 C; Expiration: Commissioner 06/29/2018 } i r' ®Boise Cascade Triple 1-3/4" x 11-7/8" VERSA-LAM@ 2.0 3400 SP Floor Beam\F1303 BC CALC®Design Report Dry 1 span No cantilevers 1 0/12 slope April 10, 2017 14:19:45 ;__.. Build 5837 File Name: BC CALC Project Job Name: Carey Residence Description: Beam A Kitchen Address: 658 Scudder Ave Specifier: City, State, Zip: Hyannisport , MA Designer: BC Customer: Bruce Mills Company: Shepley Code reports: ESR-1040 Misc: a /VG • I 1 3 i i " I i j - i i . I I i i I 7 f 1 1 I i A i i i t a BO 15-06-00 B1 Total Horizontal Product Length=15-06-00 Reaction Summary(Down/Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live BO, 3 1/2" 2,686/0 2,856/0 2,188/0 B1, 3-1/2" 2,075/0 2,165/0 1,601 /0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf. Area (lb'ft"2) L 00-00-00 15-06-00 40 10 06-00-00 2 wall Unf. Lin. (lb/ft) L 00-00-00 15-06-00 0 80 n/a 3 roof Unf.Area(lbift"2) L 00-00-00 15-06-00 15 30 06-00-00 4 Reaction'from Desi... Conc. Pt. (Ibs) L 03-04-00 03-04-00 1,041 1,176 999 n/a Controls Summary Value Allowable Duration Case Location Pos. Moment 20,400 ft-Ibs 55.6% 115% 3 06-08-13 End Shear 5,790 Ibs 42.5% 115% 3 01-03-06 Total Load Defl. U314(0.575") 76.5% n/a 3 07-07-00 Live Load Defl. U559(0.323") 64.3% n/a 6 07-07-00 Max Defl. 0.675" 57.5% n/a 3 07-07-00 Span/Depth 15.2 n/a n/a 0 00-00-00 Squash Blocks Valid %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Post 3-1/2"x 3-1/2" 6,511 Ibs n/a 70.9% Unspecified B1 Post 3-1/2"x 3-1/2" 4,922 Ibs n/a 53.6% Unspecified Cautions Member is not fully supported at post BO. A connector is required at this bearing. Member is not fully supported at post 81. A connector is required at this bearing. Notes Design meets Code minimum (U240)Total load deflection criteria. Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. calculations assume member is fully braced. Design based on Dry Service Condition. -astener Manufacturer:Simpson Strong-Tire, Inc. Jser Notes 'age 1 of 2 ®Boise Cascade Double 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Floor BeamlFB02 BC CALC®Design Report Dry 3 spans No cantilevers 1 0/12 slope April 10, 2017 14:19:54 Build 5837 File Name: BC CALC Project Job Name: Carey Residence Description: Beam B over kitchen Address: 658 Scudder Ave Specifier: City, State, Zip: Hyannisport , MA _ Designer: BC Customer: Bruce Mills Company: Shepley Code reports: ESR-1040 - Misc: I I i i I 1 i I I i yww 297 3" 05-06-00 05-00-00 06-06-00 BO B1 B2 B3 Total Horizontal Product Length=17-00-00 Reaction Summary(Down/Uplift) (lbs) Bearing Live Dead Snow Wind Roof Live BO, 3-1/2' 953/86 1,041 /0 885/0 B1, 3-1/2" 2,240/0 2,302/0 2,079/0 B2, 3-1/2" 2,544/0 2,826/0 2,449/0 B3 1,041 /62 1,176/0 999/0 Load Summary Live Dead Snow Wind Roof Live Trib. Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf.Area (lb/ft"2) L 00-00-00 17-00-00 40 10 06-00-00 2 wall Unf. Lin. (lb/ft) L 00-00-00 17-00-00 0 60 n/a 3 attic Unf. Area(lb/ft^2) L 00-00-00 17-00-00 20 10' '06-00-00 4 wall Unf. Lin. (lb/ft) L 00-00-00 17-00-00 0 60 n/a 5 roof Unf.Area(lb/ft"2) L 00-00-00 17-00-00 15 30 12-00-00 Controls Summary Value %Allowable Duration Case Location 'os. Moment 3,489 ft-Ibs 14.3% 115% 17 14-02-06 Veg. Moment -3,778 ft-Ibs 15.4% 115% 25 10-06-00 End Shear 1,582 Ibs 17.4% 115% 17 11-07-10 :ont. Shear 2,599 Ibs 28.6% 115% 25 11-07-10 Total Load Defl. U999(0.023") n/a n/a 17 13-11-04 _ive Load Defl. U999(0.014") n/a n/a 52 13-11-04 I-otal Neg. Defl. U999 (4005") n/a n/a 17 08-05-10 Max Defl. 0.023" n/a n/a 17 `13-11-04 Span/Depth 6.5 n/a n/a 0 00-00-00 Squash Blocks Valid %Allow %Allow 3earing Supports Dim.(L x W) Value, Support Member Material 30 Post 3-1/2"x 3-1/2" 2,420 Ibs n/a 26.3% Unspecified 31 Post 3-1/2"x 3-1/2" 5,541 Ibs n/a 60.3% Unspecified 3Z Post 3-1/2"x 3-1/2" 6,571 Ibs n/a 71.5% Unspecified } 33 Hanger 2"x 371/2" 2,706 Ibs n/a 51.5% Hanger Votes ®BolseCascade Triple 1-3/4" x 14" VERSA-LAM® 2.0 3100 SP Floor Beam1F1301 Dry 1 span No cantilevers 1 0/12 slope April 10, 2017 14:20:09 BC CALC®Design Report Build 5837 File Name: BC CALC Project Job Name: Carey Residence Description: Beam C-over dining room Address: 658 Scudder Ave Specifier: City, State,Zip: Hyannisport, MA Designer: BC Customer: Bruce Mills Company: Shepley Code reports: ESR-1040 Misc: f i i i ! 2 i t I I j i I i i l i 3 1 I i i ' �*� sit.':3t;��*'?�� t'f. ,:' �R` tsr K". h"#'a�;at_� ,�,. ,-.� wP�.� ,�k..;� a,. .7�*W��3..Ci r �r � ,a��s •.r' �. '.� BO 15-09-OB B1 Total Horizontal Product Length=15-09-08 Reaction Summary(Down 1 Uplift) (lbs) Bearing Live Dead Snow Wind Roof Live BO, 3-1/2" 5,685/0 2,537/0 B1, 3-1/2" 5,685/0 2,537/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf.Area (lb/ft^2) L 00-00-00 15-09.08 40 10 12-00-00 2 wall Unf. Lin. (Ib/ft) L 00-00-00 15-09-08 0 60 n/a 3 attic Unf.Area(lb/ft^2) L 00-00-00 15-09-08 20 10 12-06-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 30,602 ft-Ibs 70.3% 100% 1 07-10-12 End Shear 6,703 Ibs 48% 100% 1 01-05-08 Total Load Defl. U341 (0.539") 70.4% n/a 1 07-10-12 Live Load Defl. U493(0.373") 73% n/a 2 07-10-12 Max Defl. 0.539" 53.9%. n/a 1 07-10-12 Span/Depth 13.1 n/a n/a 0 00-00-00 Squash Blocks Valid %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Post 3-1/2"x 3-1/2" 8,222 Ibs n/a 89.5% Unspecified B1 Post 3-1/2"x 3-1/2" 8,222 Ibs n/a 89.5% Unspecified Cautions Member is not fully supported at post BO. A connector is required at this bearing. Member is not fully supported at post B1., A connector is required at this bearing. Notes Design meets Code minimum (L/240)Total load deflection criteria. Design-meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations assume member is fully braced. Design based on Dry Service Condition. Fastener Manufacturer:Simpson Strong-Tie, Inc. User Notes loads and dimensions determined by gc cross sections. 03/31/2017 02:37 15087789100 PAGE 01/01 - or�e�r V11 lv:[4:04 PM PST (GMT-6) FROM: 100005-TO: 1508-7401660 Page: 2 of 2 s4 R CERTIFICATE OF LIABILITY INSURANCE °AT"MM,°°M"" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDBER. 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(iee)must have ADDITIONAL INSURED proviBions or be endorsed, V SUBROGATION 18 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 endorsamen s, PRooucER KERRY INSURANCE AGENCY INC Cori rA AW- EASTHAM COMMON RTE 6 PHDNE PO BOX 1945 r"° N, NORTH EASTHAM, MA 02651 E $: INSUR 9 AFFORDING COVERAGE NAICS INSURED INUMMA: ranrs-LM Insu C oration 33600 BRUCE P MILLS wgee 16 CROOKED POND RD INSURER C: HYANNIS MA 02601 INSURERC: INSURER E B- F COVERAGES CERTIFICATE NUMBER 34869187 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. NOTWrrH8TANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THie 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. TR YYPEOFUUMANCE LI POLICY Ex YND POLICYNUhBCR M PO ID CY Y MMIDD LBNTS COMMERCIAL GENERAL LIA RrrV EACHOCCL1RReNCE $ CIAVAS-MADE OCCUR P IbES E r n $ MEO EXP(Any one D *00 I PERSONAL B ADV INJURY $ GENL AGGREGATE LIMrr APPLIES PER: GENERAL AGGREGATE S POLICY❑�� LOG PROAIJCT8•COMPIOP AGG $ OTHER. � AUTOMOBILELIAerLRY i LE UMir $ ANYAUTO BODILY INJURY(Per p9wn) 3 AAUUT�03 ONLY p�N�CAY08 BODILY INJURY(Par g�yG)q $ HIRAUTOS ONLY AUTOS ANi.YY Pot geddefol AMAGE $ 8 UMMOIAL" OCCUR EACHOCCURRRNCE S EXCESSUA9 HCLAft-HADE AGGREGATE $ RETENTI S A AND E W LL YE° 9 UAABaLmr WC5 31 S-60015E 037 3/2Qf2017 3f24/2016 S A 2" ANYPROPRKTORIPARTNERFXEDunve Y/N OFFlcswnaEMSERExcLUDEm NrA EL.EACH ACCIDENT $ 100000 (N�r�darery hi E.L.DISEASE•EA EMPLOYE $ a 100000 IIyes.Iieec�e under OESCR�TION OK OPERATIONS 6ebw EL DISEASE•POLICY L� T S $00400 _* 01 DESCRIPT13K OF O➢MATIONe I WCATIOM/VEHICLES(ACOrm 101,Add5I-nal Remwm Scha Uo.may Ire aeachad Il hm,m epece to regWred) WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE;OF MAT -at This cerllfiCate cancels and supersedes all previously issued certMDates,onlyy�as they relate io workers compans N L eoveOP r` THE WORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR BRUCE P MILLS. rV CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 MAIN ST. TME EXPIRATION DATE THEREOF, NOTICE VALL BE DELIVERED BJ HYANNIS MA 02601 7 ACCORDANCE WTHTNE POLICY PROVISIONS, .. - AUTHOM&DREMM9ENTATIVE LMlnsurence Corpora t on 0198&2016 ACORD CORPORATION. All rights reserved, ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 9A86>fLB7 L-50015E 0-)8 W. n0270258 9125/2017 10t2L:55 Frr IFDT)- rado 1 e£ L € - 6 - t Cr S t Pop a S y l j 1 � S Y.Y ' f i Caves r 17� I s 1 dl+ ' Av R. j 16. x R �: � �t� . as 4 VIM._ -vvxur�ragaPdia r _ WM' T& I1�ertsa�Iusarmca�. -Rm Xurtr ts, cfi� ers �Iafar�afFrk� _ Fiea5��°��' vS o f y. �repauair employer? ecktbeappro-priafebo-� TgpeIIfgrujeet€re��•c�_ . emgl es(fi�1 a foepaf �im��_�` Treelamedffse surer 6- ❑Nt4 a=NkucEon M�d Omfixe at#acw sheet Z F1 lam.a salegru o-rparfaer � s ca sactasha�*e ship and ham no ampla� 6 El D�emaIHDII fM l=iaacrfg Cg `�f 10yft andlive waffine 9. Ellklikriaxact6ftarl, 1N'a Wad=&ram,i mmancm Camp-MMMUM—$ 1{1= EiedFiral regaiE,or a3d�fiQus 1 i❑ WeamacmparafiamandiN .3111 am.a bier dairy aff wow Offi=xh=eseichmd fib 11_E]P grepaim ar ad(E6c . + of crMGI. msozanc a-��E - �I( �e7 aua IZD1Z°`d• ** camgmsat�r�.�,nre�� - ��yq 6�atc5e�sF3arrl�stsIsafinacEfhes�oahcraW--&u ia��wof�''amp—asnup�r•�; n�• t �a mb=a iris � Bey ar�3am�rsEwaa �d6zeahse nisi r�+*+�,•r, ��+sulr�tsn -ffi mdicrim�Q f� 6VJ.Lf rberY'3�5 ba€�sC w s3r-lffig�7.dwxtsba�gthea�' of Ih2 sir-r �rl sh�`e^�betha a-rmtt5ase a rshz�r_ . =Ib3m.Tf ff3-Mm ,..rR„+*�Bnm t=-T7ff--,&cY=n tgmviL-*Em vurb--&c mp.paficF mob¢ lam is erlQ MY- =7&j-T , $eTar�irfl�apaFicy mrdjaFa� a�Qrrcraf�tL ,' r - Tasnmca Campmyl Ta&y"t,os Sef-imlic. F�gi iaul a Job Re Address_ S SC.J - AH2ch a cups'c&8e vvorhme= p ms,dimpoUcy 10d rafian pagc tshawir;g the gaUcy er and,41mrfl. .&tL.): Fad tia as magainAT l j3es Sw6o F 25A(3€MGL a`l5-7 caa Issd to tha im3pasitirru of rAm;;m24 penalties of a tia0 up ty$L50M U a�ic�r�e geSrlm 3�o as well as cigrl pei'alge is$ff fb=of a STOP WORK M)EK-Enid a Elie ofupto$250Ma&.y d the Tatar Beadvisee€f dacopy of Imes'�rnasaffl�l]�4fnFsm�„�eaye�ge�'�r,�, . .I ro hm* . . rruc r#lbeprtiTTs es y ger a-fffis � rsafianprnn& aFm fs fnx and wrrectaf� a I'bam1k Oridd a-W E117 nd Wrifs W fF6=m;to Fie wmp&ed by city artaim z5gki7L . CRy or Tara: 1.BOMA O y BaffaV n ent-1�'irowa t.'-I=k .-Elec&lmd h p!nr S.PhmffiEbagE=imcf or 6.Offil:r �f7 Ct�Er$a]t: M03 aff: -J■Is. .1 r■rl/ ■`rR on .122171/- ■n 1r/- ►•11■.r rr Y.n rlt t.t [r 1 .!nl• •• - J r• ... 113 r■ V.Y.■■1 no n■]_ .•:n■tl as -/Jl - •Am�• :L •rR n■ 11 it- w-�.T tea. • In no a•• •1■= •1 •yl/■:r ..■ ■■•t Inrl- ■rnrr.!R•rr■ .LY■■lr_n.n .., ■r J.■n ■1 r■e r -•J"• . ■■ u1 - - - rr J:•:. n _ rn■1 rn■: n•� .].■ n n nu: i■ _ � • :Il rr■■ /r■I. .JP■rR■■p .L\•-Man •11 ■1 •i■. -1 :aU/t rnn ■•It• rnn ■•►� a •r . ■ ■ ■�- rnrcnl . it _ ■►• logo• ■■■ •.•n• t. n n i1 JI nl ► .0 a m:.IL :■■r •71■ .mot■ i■r .1n ■1 •■ • ■.n •••r. nr u t ■.. Ir■1_ rrr1. t r rnlr r 1 rR/]/ 71 ■r .t./Irlldr.Ir• - ■ ••n ■■' a .O■• .: .rl /■■/ J•r.IP:!e.1/1 '■r i:U ■-1 ■ ■ ■.rn • ■ .■ wllp r•/t r■1 _ -7 i 1 ■1 ■• ■ ■■ Y. ..] - it J� .r:n 1:1 • . Vrni.. it.e _Iu • .n ' u ..r`.. .r •1. ■n■ a a. r•:.■... ■ ' _ ■ r- ■UI .r 1 r -O r■ivtl.a ■ -■■■r �■ Li■ - - ■ • '� ■ ■N ■ J• ••tL 7b' ■rL 1■ - ■ •' ■.i1. ■.1 ma .:■� :31i■n ■■ .1nn1■1/ �� .h r Jr■r Y .ri1 e.' n n ar rur nm .n _nn■.n r.m ru rrlr. • r moo t:n v ■ •:r1 :]nlre n n- ►.m .rm i • � rnr :1- r rl: .■n. .r r ni.. �/.1 .lr■ • p ■u Vln_n q■ -u■ ■ • r.v C71 ■■■ ■• ••••� we M.N.r■1..1.u■ Ji■1_• 1 ►eu•■. - r ■1■rn► ■ .en r. ... .ut .tn■ um■r., n■• .. n u.11 .1 Boom* ■r .nn■ _rnl ..m: . ..p■ .■ r�nn .• .. •i.r. n_n n. .11■■■.n■i.. .. 11■.11:. J - ■• ..m :■ a rn ..■■.■rR nun�■ nun ■■ No•. u ..■ ■•i]R . rr. n.rn . n nr•In . ■unrnlr/ n n- :/m r. ./ w-/ it J i. _ i■e.•1 n. r■ i■/.•1 r r 1 1 • . /rt■L nt r■ ■/■t■/1 J■■1■ r 1. ■■ Jr rr•� � - ■wr■ r■■►l.. ■■ r■- �rr.■ ■■■rr ■ ■•■•.i. ■■ • - t • ■ t••'1 n.1 ■■ Jr.■,r:■■.Ie ■1 ■]' ■.•■■■1 • ■ ii. - ..•..•rR` uu nr - n.n :■ ennlr-nt� r r 1 � r ra 1 ■. �rr.1 Ir■rrI i. ■Irn■■r ►■r. ■ r.. nnu.e■.cn m ■• 1 r. urn .n nnn.:: u■ u- .0 n.n■-Ir nt- • �. J u ■r nnn v rr i■ _I n- ai■■_ 1 ► r■n10 - r :.■ nn_ n _.r■ rnt ■■ n 71 .n u i■ -•:u n O.i■. • n•..■__n■nL t, n ►.r11r • i■ JG■.. 1 ■ ■. :■ nu■■•r ■ .■a n u■ :n .0. rnl • •.91 ■.►e .■ .Im■1 n■ i■■.• 1 n■ r.w• m - r:■ue to -Il J•r■ � ■■.1 ■.nL ".Un■ 1/ t nn r.•11 n r■ - :Ir r � ■s■ n urn m. ■■:l r ■..w n. . . •• ■ e n i/ . 1 n MI .a ■■••u •..� r• • n _ i■r •1 rs1. . i11 r. r n r: J ■ Jit a•1 e r 7 nl Pun - ■r.0 IL ■ •:I■l■p :■ 11 r r ■■ n It .••■r rT Mlt/rt •r1K•nn■ ►.ft� .1 ■n.n 1 ■. .7■.r ■. .Ir' ....vlr w •1 ..nn ■■. ■rrr • r.,■tell 1• r■T•r ✓:• i■ V:.■ r iiR•11 A ■ � %■ • ■ '�r�:1■■)■ •'r■ ■ ■.1 1. 11.■■. •.■ 1■ .■•.n. 1■I •.■e q••rFU■n J■■ ■.■ r . r ■r ■■ ■ylrn n rr-1 n■.nl _■11 l :r r all _n/ r.• ■uu1 r r ■ • ��...til1■■• i■7■ ■ ter! 7• ti r ►� ' ' 1 ■t. '•• • alit, 41 AWC Gidde to Wood Constructu7n in High Wind A eas:IIO mph,Wind Zone'-� Massachasetts�Checkt)ist for Compfiauce(790 01MR 5301a.1.1)1 ��Cy�1�cche l< 1.1 SCOPE - Wind Speed(3-sep, 11.0 mph •Wind Exposure Category_._._.........._..... ............ .. ........_.... _.__._..._...._... _ B 1.2 APPLICABUTY Number of Stories .._._ ...._..._.._.._.. __ _. Fig 2) .......... ..._ stories 2 stories Roof Pitch ...._�.__ ...._ .._.. �g 2) ..„................._........ 512:12 Mean Roof Height _..�._.. _ . o _ Buildmg Width, —, —_.(Fig. 3). _..._._ --_.�.._ _ _ ft 5 SD' Building Length,L :................:.._.._ _.(Fig 3): _ s 80' Building Aspect Ratio(UW) __._ ...........----------(Fig 4). -. _.......... ��.—_ c 3:1 ✓, , Nominal Height of Tallest Openine................. (Fig .„ ,(Fig 4): _Y..„__' ► 5 6'8' _y� 1.3'FRAMING CONNECTIONS General compliance with framing connections. ..r.,.... (fable 2) 2,1 FOUNDATION , Foundation Wolfs meeting requirements of 730 CMR 54D4.1 Concrete ........................... Concrete-Masonry....... ................... __ .... . ...._ -_.. .._. t/ 2-2ANCHORASETOFOUNDATIONr' moo ~ ' 5/B'Anchor Bolts imbedded or 516'Proprietary Mechanical Anchors as an aftematnre to conaetonly Iz . r Bolt Spac1mg-general. . :_..:(fable 4)..._._._._.:...: ,:_-..<._ in. ' IV Bolt Spacing from•endljolnt of plates (Fig 5)_._.-------_.._.,. ;°jn.5 5'-12" Bolt Embedment-concxeie.-...._... _. _...._ ._...(Fig 5)....:_.___-'.. / in.>_7" ; Bolt Embedment-mason _~��„„��~� ' ry.. _(Fig 5). .:_ . ... _ _..� in.z 15' Plate Washer._._._.__...._ __(Fig 5)..„.._.........._.... _..! z 3'x 3"x'/" _ 3.1 FLOORS Floor framing member spans checked .....___�:......_..:...:(per 780 CMR Chapter55)._ ......................... Maidmum Floor Opening dimension_ _ __.-_..._...._...,(Fig 6)...„._.... .._. ., ft s I or L/2 or W/2 Full Height Wall Studs at Floor.Dpenings less than Z.from E)ferlor Wall i Ma)dmurn Floor Joist Setbacks I i Supporting Loadbearing Walls or Shearwall....._...._._ i Mabmum Cantilevered Floor Joists Supporting Loadbearing Walls,or Shearwall _....,....(Fig 8) I I ft 5 d Floor Bracing at Endwalls............. .......... _ .(F1g 9). _............_.._y..._.:..........._. :_ . Floor Sheathing Type .._.._.........................................._..(per 780 CMR Chapter Floor Sheathing Thickness----------_.-:--: ..„---__.(per 780 CMR Chapter 55) c_.........._. .. m. � { Floor Sheathing Fastening._�__..:... _ :..._.,(Table 2)-�d nails at�in edge/ in aid 4.1 WALLS Wall Height Loadbe:aring walls....._ :. ........ (Fig 10 arid Tabfe-5).._.... �ft -.5 10' - Non-Loadbearing walls__. .._. ....... (Fig 10 and Tabla 5)..:_............ •._.. ft 5 20' Wall Stud 5padtrg _ .(Fig 10 and Table 5). _„ .... in.5 24"ox. Wall Story Offsets -,(Figs 7 8 B)........... __...._...... ft S d ' 4.2 EXTERIOR WALLS3 Wood Studs Laadbearing wallsg __....... _.._ (Ta61e _ - _._..__..2x _ ff I tn. Non-Loadbearin walls_ (Table 5):_ ft jR• Gable End Wail Bracing t Full Heigh Endwall Studs _.. .._.(Fig TD).... .~ .^..... ......... 4-hL M WSP Attic Floor Length........_...._.. ___...... (Fg 1 i)_-........ {� ft>W/3 V Gypsum Gelling Length(1 WSP not used)..-_ _ ,(F{g 11).. _. ....�. L�_ _ft z 0,9W .2 x 4 Continuous Lateral Brace Q fi fL o,a_ (Fig 11). ...- ...... Qouble Top Plate Splice Length _. ..:..._,.._ __._. ,(Fg 13 and-Table 6)_,_. (` ft . _V Splice.Connection(no,of 16d common nails). .,_. ,(Table 6}. ,•�, w........... -_, _ , .r • AWC Guide fa Wood CorrstrutIign in Hight )rndAreas.-110 mph Wind Zone Ma.ssachasetts Checklist for Compliance po'ciHiit ooi.2.1.1)1 L.badbearing Wall Connectons 1 Lateral(nm of endnailed 16d common nails)....._._ {Table 7)___.�_._._- ..--•-. _- .••-•- . Non-Loadbearing Wall Connections lataral(no.of endnaled 16d common nals)___-.__.._(Table 8).._......_____..-.--_._-_............. Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ._.. _._ ___.............. __ (Table 9)__.. ............ ft0 in.s 1 P Sill Plate Spans ft_in.511 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) Header Spans:_...._ ._._ ......_. ___..._, _ .(Table 9).-- ft_in.512' Mill Plate Spans:... _..._.. ..._ ..... ._. ..__(Table 9.)_ _...... __... _ft_in.s 12' Full Height Studs,&.of studs)._-..... . ___ �_..(Table 9)..._. ........._.._..._._.__....... __ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously+ Minimum Building Dimension,W s 6•ir L/ a •Height of Tallest O enin ........_ .._. _.__ _......__._... . Nominal H gh P 9 •--••- -- Sheathing Type..._.__-_-.___._.._....---__._(note 4).. _... _...._..... Edge Nall Spacing.—---' __.(fable 10 or note in. -. Feld Nall Spacing___.._._...._._........... (Table 1D)........_ o Hof 16d common nails) able 1D)__ _ . _.__.... ._......._.--•--. . Shear Connects n(n . )Cr able -— -'-"" Percent Full-Height Sheathing...._. ......... ..... _.... __,% 5%AdMonal Sheathing for Wall with Opening>6V(Design Concepts)_....._.__.-...— MaAmum Building Dime c nsion,L Nominal Height of Tallest OpeningZ-..._..-_.................. .:.......:_-. �._.._.. _ Sheathing Type. ........ ._... ....__..___ (note 4)--.__..:...... Edge Nall Spacing.-__--------...(Table 11 or note 4 If le _._�.._..._._in. Feld Nall Spacing.. __ (Fable 11)-._......-_.-..._-._..-..T._._._. in. Shear Connection(no.'of 16d common nails)(Table 1I).--------- Percent Full-Helght Sheathing...._.....__._....(Table 11).-__._....... °/a 5%Additional Sheathing for Wall with opening>6'a"(Design Concepts)__...._ _... Wall Cladding Rated for Wind 5.1 ROOFS 404 Roof framing member spans checked?. �.(Far Rafters use AWC Span Tool,sea BBRS Wet sife) Roof Overhang ......................................_...........(Figure 19). ...._.. _f ssmallerof2'orLJ3 _. Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors (/ uplift—---....--...... 12)............ _ _U=_Of lf Lateral ___... .......... _.___........(fable 1Z).._._. _._____._.._...._._... p Shear. Ridge Strap Connections,If collar ties not used per page 21.....(fable 13). ......_..__........_:T= pif Gable.Rake Outlpoker.........................................(Figure 20)_......._..—ffssmallerof 2'orL/2 Truss or Rafter Connections at Non-Laadbearing Walls Proprietary Connectors Uplift_._......: _.._........_..._..._..._(fable.14)....._..__.._... ......... U=_lb. Lateral(no.of 16d common nails)_.(Table 14)..................._............ k_ Roof Sheathing Type._.__........._ .__............._. ..(per 730 CMR Chapters 56 and 59),'..............._. Roof Sheathing Thicloiess__...... ...._.._....�.... ,._..._:. ..... .....».__.__... _in.z T116'WSP Roof Sheathing Fastening._......__........_...___...__.(fable.2J..._..._ . ......_._�.._......_. �.. _ Notes: 1, This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply.with the requirements of 7B0 CMR 53012-1.1 Item 1.If the checklist Is met in Its eadrety then the folovAng metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gaga Straps per Figure 11 c. Uplift Straps per.Figum 14 d. All Straps per Figure IT e. Comes Stud Hold Downs par Figure 1aa. 2- Excepflon:Opening heights of up-to aft shall be permitted when 5%is added to the percentfull-heighisheathing requirements shown in Tables 10 and 11. • 3. The battam sill plate in exderior walls shall be a minimum 2,in.nominal thiclmess,pressure treated#Z-Made. .r 'AMC Guide fa Xbod CDjTS ruC:60a u �t 1� h jWilzd�4seas_IZ.9 - Alasmdfasefts Chad for CompHmca(7-aa cn-�is3nyt-2:is)' m. From Tables i U and 11 and lomffnn of vmff Weafffng and SuUdm-q AspedMm,d rnvne Perms Fu�Hejghs S?°reaff4ng and la1 Spacing req[ _ . b- •Wmd Sirucimaf Paml;shall be.rr** n Ndmem Df7fi i'and he iced as fr nmis: - - L Panels shall be idsfaDed wt sf-U4 g aus paranel fn sh& I AE hmhmnW joule--tA o=r over and be r ailerd in f ma mfq_ _ ut On single sfpfy =t„��an,}sanely shall be ai�ad ed to hotnm pis and fnp,anern of fe double - - — IDPL -- "'- Do hmn, ryz=d71di6u,urn nRk,4T-Ir�a ed fa.$ld•fnp meMbe3'-af-fbe.upper doubie - plafe and b band jossf at bDtbm of pane.Upperaffad=mrt Df bwer panel shal he made fn hand joist and Imm-raffaamart mada in f awas t pfalm at fast Mxf ui g. v_ Hor•izr l nab spacing at dnt�,fe fnP Pfaff,band 1o'csfs,and gud�s sfialf be a dou5te rox�of Bd - sfagget-ed at 3 iod'ies on mxbrpir%1�betuw--Uern=yland He mrM4 hfal Fin g for Panel Afiaclnneant. 5_� Gfaimg p�+otG a)re�house orho�rrfaf add�an-r�eritad ifprnje�Efs�m7e w'cfaserig shore(genea-ally,sn[�ht of Ra,ZS orrimihrf Rfz:5) - - � b) I addmori-not n:gulr�ed tuiless fhe�e� r,?tm��on fn$e�st•fioor :°, �)rephcErnE-�iwidotxs—i>�s r esgy Bans on�nip�raii onfyr(�TaP g3) E road Fram a Cormtu c.9on Varwal DWC� M)fmr 110 MPH,Ex posum S may he ofsfained frorrl fire.4merictil V cod Cz>Lmml CAWb) - V 7IL - €l rl ' K it II o f• I 1 _ Imo. r I tc , r Lr I` • - ZI « 1S1 Iir _ G IcL { �L I .. LL rl r / o t-I CI L Ir (tit' CL I {L _ 1 E ll i• ir ir1 u� I 1 Lt I i l IL p ti ii _ I a t ■ I I c I fi 1 n � ^ • ' �� k�4tLPRTTH�i t �' - P,Cf�H.' � - r'iFti— Jr - . F�3 'p�tracu�sn�FSP 1 L �— lre rfical and HDfMtTH KWTMg v . • - fm•Pam Aiiadmnt t - IDF?�!i�Affizr_►trr>-e4if _ , V Town of Barnstable • Regulatory Services r Rl�(�'Ii1T •R .Asses. Richard V.Scab.,Director Building Division Paul Roma,$uildmg Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnsiable.ma.ns r Office: 508-862-4038 s Fa$ 508-790-6230 Property Owner Must Complete and Sign This Section = If Using A Builder as Owner of the subject ptopetty f hereby-authorize : / to act on my behalf, in all nuattcts relative to work authorized by this bt'i1ding peimit application for (Address of Job) T� **Pool fences and alarm are the responsibility of the applicant Pools are not to be FA1ed or utilized.before'fence is installed And all final. . _ 1 inspections are,performed and accepted. , Signatwe of Owner Signature of Applicant 2c( A, I nl_ US Print Name _ Paint Name Y Date - QFORMS:0VaMRPERMISSIONPOOLS 1 V Y111 U.L yJ&XJ A.U3 iviv ,,i • ., regulatory Services otr Richard V.ScaA Director • J Building Division f r t BAXNH+•.S Paul Roma,Building Commissioner 200 Main Street Hyannis,MA 02601 s639� ti nud~ www.town-barnstable.m.a.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE ExR11D:rlION Plcaee Print DATE: JOB IDCATI virago number' strut - nBMo homo phono# work phono# CURRENT MAM'NGADDRFSS: city/t�wn y zip codo The cnirout exemption for"homowners"was extended to include owner-occ�ied dwellings of six units or less and to avow homeowners to engage as individual for hire who does not possess a license,provided that the owner acts as supervisor. • DEFJrIMON OF HOMEOWNER Persons)who owns a patcel of.land on which he/she resides or intends to reside,on which there is,or is intanded to be,a one or two-5 mily dwelling,attached or detached structures accessory to such use and/or farm structures. A '. person who constructs more than one home in a two-year period shall not be'considered a homeowner..Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work perform p performed under the building enniL (Section 109.1.1) The undersigned"homeowner:'assmms responsibtlity for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understmnds the Town of Barnstable Budding Department and that he/she will comply with said procedures and minimmn inspection procedures and req=eme� requirements. Signature ofHomeowncr Approval of Building Official Note: Tbree-family dwellings containing 35,000 cubic feet or larger wtil be required to comply with the State Building Code Section 127:0 Construction Control HOMEOWNER'S EREIYlMON The Code states that: "Any homeowner performing work for which a building permit is required . shall be exempt from the-provisions of this section(Section 109.1.1-Licensing of contraction Supervisors); provided that if the homeowner engages a persons)for hire.to.do such work,that such Homeowner shall act . as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the Unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responibilities,many communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. do the last page of this issue is a form currently used by several towns. Yon may care to amend and adopt such a formlcertification for use in your community. e ................_....... ............ . i i I y hT Hl—)o Elf i w - Z'Y _ ......__... . ... So 3 r - i 1 f r TOWN OF BARNSTABLE V .0 0 IN 2 d S� iJ 24� � t A,sr j 0.r f , 't • { A.< LLJ C.. ( Ln c- R.J'v ! - v � � :: ,.v..—.e..�nw u�..>h..^.vs4�..n...+a.«Twa.+-., v.s.•...-.�-..ate-a.-•'-m.._,........w:.��• �� i - - covgL f� a �t F i t Ou YE IF C i 4 5 1. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION V_ Map ' Parcel a Permit# 7 Healthbivision 02 ` 0ao -708' Date Issued �G G Conservation Division () Application Fee Tax Collector �o� Permit Fee/ Treasurer �&TIC °0cr_�s• SYSTEM MUST EE Planning Dept. INSTALLED IN COMPLIANC Date Definitive Plan Approved by Planning Board WITS TITLE 5 ENVIRONMENTAL CODE ANl Historic-OKH Preservation/Hyannis TOWN REGULR ON Project Street Address �tr- Village � -n•/a.1�.S rp� r Owner f1WW 7'c — Address _l Telephone -2 2:-- 6, Permit Request D'�/1'LLO/ 06 AJ d-.0 A14,0 DeEW &c-t4- o m Square feet: 1st floor: existing �qG`'L proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0 0 0 Construction Type A19614N WC)eCk Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family O Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes O No On Old King's Highway: Ores LO No M.- Basement Type: )4Full )4 Crawl ❑Walkout 0 Other =k Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing rfiew Number of Bedrooms: existing new a ry Total Room Count(not including baths): existing / 4/ new First Floor Roo Count Heat Type and Fuel: &Gas O Oil ❑Electric ❑Other Central Air: ❑Yes 14No Fireplaces: Existing New Existing wood/coal stove: ❑Yes )kNo Detached garage:0 existing ❑new size Pool: O existing ❑new size Barn:0 existing ❑new size Attached garage:0 existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes )�No If yes,site plan review# Current Use Proposed Use US- BUILDER INFORMATION �- K)66 Name i Telephone Number �F 77Z Fo)66 Address C.P V" License# 0' F6Y7 t Q/ lI t S /�� 1 I Home Improvement Contractor# 3 e 14 Worker's Compensation# S01 pd` ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 9 DATE FOR OFFICIAL USE ONLY' PERMUT NO. " DATE ISSUED T MAP/PARCEL NO..; ADDRESS - VILLAGE. OWNER DATE OF INSPECTION: FOUNDATION FRAME r INSULATION yti. FIREPLACE x r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH,, FINAL GAS: ROUGH"' W FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ' f The Commonwealth of Massachusetts Department of Industrial Accidents :— -- Office 1 f127YOS/ISONs 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit ri name: _..location: � 1��^--.. .. _ _:............ _. hone ci # .- �-C'—.I am a homeowner performing all Oork myself. ❑ I am a sole r netor and have no one worki>l in ca achy din workers' co ensation for my employees working on this job.:: ::::? mP � P..... ::::::::.......... < .» �h ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following o..11:..o..w...:m.....g worker;, com Pensatio P olic es: : :::::::.:::...i:i:::.::.:...;::.:}::...:.:.:..�.::.:.:::•i::..:>:..:}:...;;:.:i:..:::..i.:.:::..i::.:::.:::.'::.e.::.:::..::..:::..i:..:.:.:::..:..::..::.:'..::.. ::...........:...::.:..:. 4n ... : Y ; : .. : ;.. a : .........Y:mi>; .: .....:.....:.: . .:?:{:....}.. .;..}:., R. .,...;::}:.>::::;:?:.,.;.<•.:;,:}?.,:.::<.::::>::::<::;::>.. . W ..::.. ..' ...................:............ :.. n::n:;tv ,.,:•.�:48vi}i'ri'i}w:}+Y: .: ::::::..........::.�.:;v:?h:•YY}}}::;. .... vxY.w••v:...'•{?.iii• ��i:!3S:�:i+->.�?:�::?L�:�:`�:i:!�:;:ii;:ii;:>:ii;:i'i::i::i;si"fiii:::}v:�;:i'":2t:i:?;i:?:.+i;: i.:i;i{:::::::.:::::i.;i::�:::is�i:�'{l>.'.,:'<i:::;::::: �::i:::;:!:?::>:i%:;s�ii:::}�:;:i;:;:ti;:i_:{: :!:::�Y:'?::�:�'�'::;i:•:;::;ii:;i:;{:j;:i:;::i::ti?{:;???;{?;;?;i?� .{r.... ......................:.:::.:.::::......:.:v:::::::...::......•}::::•.:.:.....::?........;..:..... v.�:ntv:•...r.,.......v.�:::r.n.....:....•......::'?•:.tw:;;... t??;r.; --••e':fF �:i;�+:?;i l��,:.;ii:'.;i.i� ;::}ii;,;:}.iiy{j<?Sdis!'�::j{:;'sis��:':i>.i{%'�:��:h::iilrii':::��r.;.�t: ?.::::Y:•Yi:.i:.;:.:;;.;YY:<:.:;.::::-i::.:Y:.iY:;.:i.YYY:.i:?;.Y:.:.:.�:.::.�:::::::::::::.�:.�::.;:::;::;::;::'::::::'::-::':::;;:::::::::.�::::::.::�.:.::::::::^:....:.::::::;: . ...:........... .:.:.::::.::...-...... ......:.:::::..:::..?.:}iiii ii i::i:•i}i:......::w:::::.:�:;w:n�:.::.:::::;JiY i:}::{:i?:;:fy:ii:ii:ii:ti}:??Li::yiii::isvv}�•:•:•:•::-'::b'F.v}{nib}}f>tti•} ........................::::.:�:•::.�::::::::.�.:�:::.i:•Y:•:'isY::::.�:::::.�.�:::.�::•:':;:b::•'•i:::'i:':i::':�::J:YY}::?vF'ii:•:•:i•:??ti•:{•::::::• ?,} $'iC'.:>:�'i:iii:�i:i�ii:?vi v?:r'r'yj�i::i:iiii:i•:"':. ::vfw.;i.;�:i:;{i::•,{;>:.:;:�:;:y�:;�:;:ti;:y:'i{.}:::L::;:;:{}f:'r:;J:;•;^:�;:�'t+•y::�::•i:•i:•i:?�:Lvtii:tiibi'�ii'•iii:•i:�•: wi:Y:Y'�}ii}i:Y:b::b::bi'b::•:Y:•:i:ib}}::6}:•::::v:�v•:•::r.� .... ....... ??:i�iii:t•i:'�}iii;i Nii ii0iiii::�i'il'r:L}?�:?j;:si::;•:•ii'iiiti::i(�ii:�i::?••,•i'r'::!:y:{::v.:}i:v...::r.::w.i i+: •. . ti.:CQ:i::i<i:;i:;i:;:>.vi F�:<:iii`:{i:�:::`i•iii!i:}:t:;!:i^:i�:;::Y!i;::???:::�`}ii:�ii::;:;{:i;:;'.ii?;`:v;:i:;?.):;:i�Y;`y'•.::�}:�':`:;;';:Y}i:i•Yin il�tiranee .......... ......-.... ...............:•:::.:�..:........::•::::::•::::::::::•::::•:::.;i:...::....:.�:•:..:. .:::::..»:}:iii:;•}:•ii}:iiii i::iiii•:::}:::::. ??<<�::•::iiFi�i:^ii iiii iii}i::!?Yin:i:ii •}:?v:?:�:•:L�ii:t�:�i:;:v!3:`?'Y:i is?i:Sf%Y i:S�i;:iLi:i;::i::�?•ii::::}:::�iviiiii.``{}::ii:iiiiii$ii::ii':?4i:,r1:::;:;i:;:;isii:�:vX;:}«;i::i;i:;Y:ii:cY;iii:-:;i i:v:�iii:}:... :c an.aarrx .... :.....:............:.......:....,:::n.::i•Y}}}Y:}}}Y:b;•Y}{Y:};{bv}}Y:J:?:'i:�::iG:}:<i::ti:iiiiS�i+?:w:::n.:^....:: .... ..................:.:::•::::::::::::::::�.�:;•:::i•Yi:•::�:::>:;•>:•>:??•::Y:<is%Y•:Y:�:;;;i•i:o:•Yi:bYi:•:::iii:?•Y:;•>...., .....;:.;.••::-•xa•Yxo••Y:Yr::•Y: ''tt► n }� ?;y :rQG'+»�::?;::>:.:::.:`i ::"`;:ii?:: :::;:::;i;:::::+:; ::i`is::::; :::isi::;:::;i:::isii<::::i:;; :i:?;±:;;::'::::i:Y;:::.:.Y•y5.`:;i;. •�: :::`;�^`: '��::':� ?:':•::,:,':`:�': tt+ ::::iy.i:${:{F$iii:��:;>;?`;:^:}•:iv::^"%"jt':.::y%�`:�;:y. :nyilTa2tCE Fafirnre to secure coverage a'required ender Section 25A of MGL 152 can Lead to the imposition of crlrrrirud penalties+of a fine up to s1,500.00 and/or one years,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Sne of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do het y c the painsand pe es of perjury that the information provided above is)truo and correct Date Signature "T Print name L Phone# official use only do not write in this area to be completed by city or town official permit/license# ❑Building Department city or town: ❑Idcensing Board ❑Selectmen's Office ❑checkif immediate response is required []Health Department ' contact per-son: phone#; ❑Other - fJevited 9/93 PJtq � t Information and Instructions , Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or U trustee of an individual,partnership, association or other legal entity, employing employees. However_the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pertnitllicense number which Will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a'call. MOO The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 r , °FZHET°�� Town of Barnstable Regulatory Services y BARNSPABLE, ' Thomas F.Geiler,Director 9 MASS. 1639-1�prfD Mi►'f A�0 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building,be done by registered contractors,with certain exceptions, along with other requirements. # t-Type of Work:`S� y®d�C- ( Pew Estimated Cost Address of Work: '4 Owner's Name: Date of Application: C I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑ uilding not owner-occupied (VOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Date Owner's Name Q:forms:homeaffidav tHET Town of Barnstable y Regulatory Services BMNSPABLE, Thomas F.Geller,Director Mass. 9`�ptEp3 9. .i& Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: e.-4— Estimated Cost - Address of Work: ✓ Owner's Name: Date of Application:`6/�—/ �--- I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Date/ Owner's Name Q:forms:homeaffidav Town of Barnstable �OpTHE Tp� Regulatory Services saxrrsrasL, *" y Mass. $ Thomas F.Geiler,Director �p 1639. �0 rf MASA Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Check One: ❑Shed —]Deck ❑Pool Porch ❑Gazebo ❑Detached Garage FOR ALL APPLICATIONS: ❑Determine map and parcel number and enter it on application. (This information maybe obtained from the Engineering or Building Dept.) ❑Completed Building Permit Application Approval/sign-offs are required and can be obtained at 200 Main Street: ❑Historic District Commission ❑Old King's Highway Historic District (North of Route 6) ❑Hyannis Main St. Waterfront Historic District (see map for boundaries) ❑Historic Preservation(if applicable) ❑Health Department ' ❑Conservation Commission ❑Tax Collector ❑Treasurer ❑Homeowner License Exemption Form(if homeowner is acting as general contractor/builder for project) or Copy of Construction Supervisor's License must be submitted-(except-for in-ground pools) ❑Worker's Compensation Insurance Affidavit must be submitted. Home Improvement Contractor Affidavit must be submitted (residential only). Copy of Home Improvement Contractor's License (residential only if applicable) Permit fee. SHEDS/DECKS/OPEN PORCHES/GAZEBOS/DETACHED GARAGES: ❑Plot Plan or mortgage survey required to verify zoning compliance. Placement of proposed structure must be sketched in and the distance from property lines indicated. The location of the septic system should also be shown. ❑Two (2) sets of plans (8 1/2"x 11" or 8 1/2"x 14) showing cross section and framing schedule. ❑Prefab sheds require factory brochures &specifications. ❑Prefab sheds require a copy of the Home Improvement Specialist's License unless the homeowner is applying for the permit in their own name._ POOLS(250 sq. fl.and over or 2' deep or deeper require a building permit) ❑Plot Plan or mortgage survey showing the proposed location of pool and the distance from property lines. Plans must also show location of backwash pits if applicable. ❑ Construction Drawings or Factory Brochure & specifications. Q:forms:shed-deck The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: ,/U —/ylczy ZP/— JOB LOCATION: e/�/J c= � /Z7� number .n street village "HOMEOWNER": name horde phone# work phone# CURRENT MAILING ADDRESS: 9 d•C l �a l /�r o > y- cit1hown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said oce ores and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible, To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. O:FORMS:EXEMPTN 11 '� r _. _.._.. i t-• _ ' •--�{ �� f � ! f ' � f � �! I L .1 � �1�4 � r E � �S lµ rl J ... • • ttt s d_. 2.. , � ... _ � ��°` 'm'?" ry�y ic��i �'�,%rr"�',`. :� C.JP:��,,1��'1'��i "��1 �•�?^ 'a;*.� l �i . ;'�",,.L •Sf ^� _ '.�a,`.h��{ mw�'r,;6'.,y !"[:� ,�� i LA6 .. - s'� F � � �'�i7�� l��,s_�f: 1 f� 1 F"t P�'�i 't"•'...?'n'd ��......fL F�. ..i,v;'.n s .e �-`'� .. ",�2�,.A^' .,v.rs.. a:ter- !-�,t_..-.+ _.. Aw 04 ;� __ __..... .. T4a !�i R `� " 1 1 t %{ 4o ,isa i 7aj Heo Vic' �r i K00 , :.:�� e a; . r _ , I , _.. . 1 _ .. �_.... ... .. t .t ......- . . —_ — _._._.n _ _..___._..,:_,....__.__.___..._._... _.___. ._ _ __.,_._.._----_ { Tlt. I , -r { I� t , ............. _ 4-1 , Fr G7``o - 4Lff w M i� fo } ' a ,mac/ i Jvv x,A.' •\ wt' a 1+Cv 40 Y• .. ., v � i i ! 1 - .0>^•«n+' I Wryak.+l�..a,, I .............•..,I...... .........-...__-.....«I_ ". .O . • ... I •'fit i ._.. .... . _..: :..:.-- - _ � ___ �__ll ._ ._.... 16 a C, b' svinY .._ .p,...w,< .. ,-..__-..w...._.......................�,.+v..,w«�.,r....,..«.'.« .-.........."."^ �.�.r.,-. r.•a.w.. 1 ......,. ......... .... -.,....... ..._•-n•,...., ,...,... ,.....„%... ...... __ _ Y ry.i t rr 11 I^ �1 f � ` > ) .� •- to f t^.•1 �n'4P.R 1, L�S.!5��:,�,W�..• •y i'xpti♦'j i-r �t5-•Y n s ,� E O� p/jvg/r/E�vT � W a7 OS 1 p JI :BooIle 3 Q � P Sq � J � •�;� sue, � � _.- LU 4 Q "Y" Z%z sT. woo mod. J h 3�j 89 7 Zo/.Do DEiVNis /Y!• C�4/z��/ Q�'/Vn�is �! qw,# NNE S. 64,20Y CERTIFIED :PLOT PLAN NOTE.' 7'!l�Pao �l y DoFs NaT f lviT/fi�✓i4�f//�N LOCATION 4O 4W.94W Hyr�;t�d�u7T�J�• NAZg2o /W"00 -A10MV, 6ZhW0"C,A5_'MM AJ D.V corrriruwrry P�Oz. No. 2-coo gj Q/- 0008c gP SCALE. . =30'. DATE. AovaerD .411&4"sr/�J//ggsBy PUN REFERENCE AQ7. 8�¢e/srr�b�� .Qss�ssoes/��p Z87 Pet• y No,laDB6A.L!givb iA-;,o4,¢Nsrho,eg . SCRIE 20 F+ 'Td AV livell--�. Jgt3 ./ �n-w�o�' - O!/E1ZL�A ,�oA•1� - `atir. �r/ftr C lko • i � o Go G4,41104 � o 9 0 � Q Z%z ST. h l.oT A 37/ 8 9 7 CERTIFIED PLOT PLAN wore-* LOCATION 40AcA4WFf4+!E!/1.'R; N�9Z�i2D /'�L000 '7oNE, Ca RS y�l✓.V DtJ i to."ilmLwwiry po"A& /ro. zr0Oq/- 000 8 c /h.*p SCALE . ..�::s 3v.. OATE , ,QEYis�o •�v�vST/y//9gs0V ��.M.19. PLAN REFERENCE QTBGvr/�t,:�',f�lRa1. 8rt,2NSr�bIE A3sEssoeS/�,4p Z87 act. 9 �!O•jaaBbA; . . xvNiN� D�cs772i�7�F-/ SCeI�E 20 f+rTToAMv/irlty-FaB. /9t3. f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 0 v1 �7 0'Map" Parcel Permit# to Health Division Date Issued �o Conservation Division VR 2-w- Application Fee Tax Collector Permit Fe� 0. _ Treasurer SEPTIC 6YSTEM M ST BE Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board Y=TITLE S ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULITIONS Project Street Address 4Y cy-e� ,-A1j=- 'kz� AV,..,"tz Ae Village�� -TCo�ltsJ�o Owner �/0�l1_� Address s5i�?w Telephone �-; 7) 7 T'— 1��'�'S 0J o- ,� --/ 7�1�►'� Permit Request c f.C)/ d&.�s Square feet: 1 st floor: existing--------' proposed 2nd floor: existing proposed '`_` TotaE new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type .M 1 F. Lot Size Grandfathered: Cl Yes ❑ No If yes, attach supporting&7c'umentatfo.n. Dwelling Type: Single Family I® Two Family ❑ Multi-Family(#units) Age of Existing Structure /o-b Historic House: ❑Yes dNo On Old King's High ay: 0 Yes No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 1\16 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing V new Half:existing new Number of Bedrooms: existing 1�r new Total Room Count(not including baths): existing f new First Floor Room Count Heat Type and Fuel: dGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 'I/No .Fireplaces: Existing :;t - New Existing wood/coal stove: ❑Yes &4o Detached garage:❑existing Inew size Pool:❑existing 0 new size Barn:❑existing ❑new size Attached garage:0 existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0 Commercial 0 Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Num&�� - Address License# -" Home Improvement Contractor# _ ZL" Worker's Compensation# �'o/ (� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIG NATUR DATE ''z:> X_ FOR OFFICIAL USE ONLY Q PERMIT NO. DATE-ISSUED '.b MAP/PARCEL NO. ADDRESS 'VILLAGE OWNER DATE OF INSPECTION - FOUNDATION ' FRAME a. Z INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL,, r PLUMBING: ROUGHY, ,w,% FINAL. ' GAS: ROUGH w g t " FINAL• FINAL BUILDINGr - DATE CLOSED OUT nw IL i ASSOCIATION PLAN NO. X-' ` #r! ?' __ The Commonwealth of Massachusetts _ � - Department of Industrial Accidents t500 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance davit ��//L��L///�!�!/-y///!l/L///��1�/�iiiiiiiiiiiiiiiiiiii/�////O////O%%%%%%%�%��'�°r•• �.�/•"'' '��%%//////%%%%%%%%///%////%%%%%%%%%/////%//////%%%�%�%�%//////�%/ name - i location: r i 02�,6 hone# I am a homeowner performing all work m if ❑ I am a sole rc rietor and have no one workin m' capacity %%//G%%/%%%%//%% ///////%%%%%/ %///%%O//%///G%%%%%%%%%%%%//G%%/%/%%/��%/%%/%%%�/�/O%/%%////�%�%%%�//%�/ e 1 er' rovidin workers' compensation for my employees working on this job. }}}:?.}>: {{:,; I am an oy P g :.::.:::.::• ..;...:.::......::.:.....::.::.: oar n m z >'» :.:trv........... Q::; �i `'isisS�iii[%ii>ass:`3 }`>>;% i ?iiyi; %:••,i%?S`i;?'% '`<`?� 2<i?ci''':} • i ..r'`.�Ge:'NCO:>'% ;� !?� ::;%''% a:2'?�:�?:%�:?`:::::;';% <�};`%?::;2:`;`'::�<: �::::'•:� :<:><:�:�::::fi`?::�:::?%`:: ::r ::c:: 121St1i`an ❑ I. er(circle one) and have hired the contractors listed below who am a sole proprietor, general contractor,or homeown _ have :.r n workers' com ensation o4ces: the follows P ..............P.....:::•:.�:.:::.:::.:....:.::.::.�::::::::::..�:::.:::.............::::::::::.::.�.�:::::::.::.::::::::..:::..,:.:.}'.}:.}}:.}:.:�:;.}:.::::{.}}}}:::.}}:.:;;.%::}}:.}:.}}:�:.}•}}:-:.}:.}:.}:.::.}:. I `:esg.?:<:; ::<:%;::<::;:::i::;;%:;+.=}s:;>;$:<::•'•:>::<:i:%is c:%:%i:::%i:%•5:%ii::::%:>:%i:•>:{.}:{%:;ii;%>::::::::i}}:;.}>::{%:::<:i:::%>:{:::>:{::•:;•}}:;•}:'•:•:•i:%:iii:%::»<:•}}:•:?•>:.}:.}::;:{.}>:.}:;.:•:•:•:.}::}:..:::•}:.:::::.:?•}::.}:.:{{.}:.:{.}%.}:.}}:.}:•}:.:{.}:•}:<•>:{!.:{!::...:.......:.}:{•}::•:. {<:: s .....:..::.::...::...:..�.:...:.::..:::..:.......:..:::.:..:...:.:.......:..:.:.......:.....:......:.....•;�;:r:i}:?::;�>::}::::{:;:::::::::.;.,:..........r....;.:...:........;:: .: ................ ..........................::••.v::::::::::::.v:.v:::::::::.�:::.�.}:Si:•i}i:•}:?•}%•i:::•}i}'•i}:4:{v}}}:;•::w.............:.;...}•::::::.,.T;};?;:;>•.::A:•:fi•,{3:•:{•}:v•'i•}::: ... ..::...........n................:............' ....................:.v.:v•;.......... nv:�v-:::.v•:x::x:......:........,n v:}::J w::.......... .�4r: rn.}vy¢i{:: ..;...:.;.......::•. :.....::::.v:...........•;........v,}:4}i}:{{•:::.:•••>.•w:};.....:.. n..v.:r:::....mew::..}:............:.y................... •i::•::v:ii}}}:ti•.�}}:::i:iLL>}:t}:iii;ti}}v:- •v;3...• ':::... ....... v,...................:•:�.v::n.�..;}:.v:r:::?'3::;::•::-:::::.z:v:'v{:•}}:•;{.}}i:?•}}}iiivii:•iiiii:?%}:}r:::•{:::{%<v;•}}:::.}: ,•.v:.v:r:::.v:.:v..::,- ::•}::::.v::::r:::?4:}iiiiii:?i:'ii'r'ii'rijiY':?>.4%}�:4:4:v:G:4:•}}i:•:}}:?•:Cv:n.w:::.::::�•.}:.........!.,.-..v:^::v�:•; %iii%%:ii+�:•ii!is :iii:%:vv:�%i{ii%ii:?:i::':i:::�:Y:ir%iii:%i{{iiii`ii:i?:+:j�:'r:!%is}�''vii::ii:'v:-"�ii'::iii>i:{�ii::�;i:;i::r•`: �(. ;ti ....r... .......::.........:.}:.m::.v::3.v::.v:::.::•'.:{.}':?3:•ii::{•}::::.� � y:M�.:;::;•ri.;s.;0;ii:•:?i;:i-{iS:;+.:,..:.•.:.:':v{.::.;:?y}�:;}:i.i.�.•is?;:;1;>:%.%.i: t �.r :.: :iFi�iiraitice%cu:>;>:::«�»>:<:>:<::!.z::«:ir{:i::i:%:%:%s::i::sr?:i}:.}:;•}}:.};.}:.:.:.}}:•}}:;;.};:.::•::::•::::::::.:•:•:.............................. ......:.:?........:.. :j:{i{:.....iiii......iiiiiii%:;:•i:y:i...J. V11111111111111111011111111- ::::::J::::::::::.v.v::::;::?::..J..: .........................:.-;... .r..:.........:..n.........-;... ...:•:::.::}4:iJ.:}:4.�:•.{:•:h}}:..:::Zvi J..}; :::::v;::...v:{{•}:^}}:;3}}:•:•.i^i}:+ ............v::::v:::::::, ......... ..........................:w:::.:::v:v..v;,;':;i•}}:}:+:..:.:x.:v:::n:.`.•<iii::>:?%i}ii}•:::;:::::::::::.:•:.v;:..v:......,.:.:w:.v:;.v:y. .. .v:v:v.....• ....A;•.v%w:,v::r....:.......................;.;f:.:.:v:.v.+.v...........:•:.v:.::{•}}:v?;iJ:}::.r. •vr:............ ......:..::............:..:::.:::::::.:..:...........:.::::::::.:...,........:.: ...............r.......... :..........:.................. ,..: ... r......,...::. :%::o:;:;:f:<i3:%>:2%`;:`:`;:;;;;;;;j.:;:;': y%;i'`i'?:: 2%;:•':` :i::::'.: ?:i:;�:�� ti?%':;:;::i::: �::SSiS:%i: 2'�i %::<::<:isjt;:ty::��ii£:%:::?:�:;';::>:{t;:;.';:}�•'•:;;:;:•:.{•::.�:::::::::.;•::. dr. .. ::....... ....:....;....... < <>« >�><`?<«`:�� ' '��><s>� >?:'-: ,c�........... ...,:..... ,r..., ....... ... ..,...... .............r......:-•::i.. .................w:::}.:....... }:??.}}}::?tip:i:3.::.... .}....,....... 3i7Jti't9i]iC�C oil Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to Si,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDtR and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification - Tdo hereby-e nderthepains-and--pe 'es-of-perjury-that-the-inform p ationr-ovidedabnveassrue • Date � • Signature —� Phone# Priest name C official use only do not write in this area to be completed by city or town official city or town: permit%license# OBuilding Department ElLicensing Board ❑checkif immediate response is required ❑Selectmen's Office _OHealth Department contact person: phone#; ❑Other (mvind 9195 P7Ea i Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity;employing employees. However the owner-of a .... dwelling house having not more than three apartments and who resides theiein, or the occupant of the dwelling house of M' another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer: MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the' commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The-affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the`haw or R you are required,tq obtain,workers' compensation policy,please call the Department at the number listed below.: City or.Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom�ofrt'lie affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please.. be sure to fill in the.permitjhcense number which willbe used as a reference number..The affidavits may iie refit the Departaieiitl.1 4—..l'o'.CFAXunless other arrangements have beenmane, The Office of Investigations would like to thank you in advance for you cooperation and should you have any_questions. . please do not hesitate to give us a callOMNI The Department's address,telephone and fax number: The'Commonwealth Of Massachusetts .Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727.7749 phone#: (617) 727-4900 ext. 406, 409 or 375 �oFtHe►�,,, Town of Barnstable Regulatory Services aaxrrsznasze. " Thomas F.Geiler,Director Mass. �4'ArE 6 ;.�a``� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: ,/ �f ^�(1� �G/ Estimated Costs - ( � �—�� Address of Work: �—a---t—�� Owner's Name: " UU-w/"rL- Date of Application: �— I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied 'Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. ? 'e . ate Owner's Name Q:forms:homeaffidav Town of Barnstable yP�pF tHE Regulatory Services • Thomas F.Geiler,Director BARNSTABLE, MASS. �* s639. Building Division prEn �a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION G Please Print DATE: J 0 B LOCATION: number n^ strreeet® / village ~—� "HOMEOWNER': �E/V�!� �Tt��-�/ l name horfie phone# work phone# CURRENT MAILING ADDRESS: , D � i Ly ci town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as su eervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two-family dwelling,attached or detached strictures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such workperfomled under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements'and that he/she will comply with said procedures and /fe—q_ iiements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fomVicertification for use in your community. Q:forms:homeexempt F G � 1D xl � r G, /9 Cr0;1V s i 4ZL't e/62Dl t 75 As o,= AT,tG I TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY--BLDG.PMT.051114 I' PARCEL ID 287i, 009 GEOBASE ID 18950 ADDRESS 658 SCUDDER AVENUE PHONE HYANNISPORT ZIP - I ' LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 58850 DESCRIPTION CERTFICATE OF OCCUPANCY---BLDG.PMT_#51114 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY i CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: �� BOND $.00 CONSTRUCTION COSTS $.00 1% 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P' .C* 3�' . . HARNE TABLF, MASS. 039. FD INI� BUILDING DIVISi N �;� BY DATE ISSUED 02/01/2002 EkIRATION DATE ,r)�` C,/ i TOWN OF BARNSTABLE .+k BUILDING PERMIT PARCEL ID 287009 GEOBASE- ID .18950. 4 ADDRESS , .668.-SCUDDER AVENUE `PHONE �HYANNISPORT ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 51114 DESCRIPTION MOVE/ENLARGE EXISTING DWELLING SEWPT#01-0, PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONY CONTRACTORS:-Ri WAU)-��W A) ' Department of Health, Safet3 ARCHITECTS: E and Environmental Services TOTAL FEES: $141.36 �r BOND $.00 CONSTRUCTION COSTS $45,600.00 434 ' RESID ADD/ALT/CONY -1 PRIVATE P 13 9. BUILDING.DIVI BY DATE ISSUED 01/18/2001 EXPIRATION ,DATE. THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARO'KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY ISREQUIRED,SUCH BUILDING SHALL NOT BE gNICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. ® e ® • i ® &I I an BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 7r/�VV 2 2 _ 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1, O 2 C @ i BOARD OF HEALTH 'OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOW PROCid UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. - TION. F TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 7 Parcel Co>n, 9 Permit# Health Division 2.4V " Z° �At Date Issued _ Conservation Division I �d Fee l / Tax Collector i3O 5/. 01 C.M Treasurer �SI� I SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND YOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address 6 SA A✓t Village �cs,G i Owner EiJ,JIS C�I� a/ Address (,SS Telephone •771 i 7:Zs 4bx Permit Request 9- ryle),> tEL- 4— J ,JF-Lz-1 J(� Square feet: 1st floor: existinggo g_ proposed 2nd floor: existing proposed Total new Valuation�. Zoning District JCFi Flood Plain Groundwater Overlay Construction Type -Fr- rC Lot Size /- 2-- Grandfathered: �0 Yes D No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure rb Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ;4 Full - ❑Walkout Other sc A Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 1 new Half: existing new Number of Bedrooms: existing / new / Total Room Count(not including baths): existing Z- new First Floor Room Count 'Z Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric Other Central Air: ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:D 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 i_Jo ys Proposed Use Sa wit BUILDER INFORMATION Nam A""-:m(Fr-5 Telephone Number Address License# .�� I Home Improvement Contractor# �--i- Worker's Compensation# ALL CONSTR N DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO DATE SIGNATURE -- lc� i FOR OFFICIAL USE ONLY 0 a ' PERMIT NO. DATE ISSUED f MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION;Y, FOUNDATION FRAME i INSULATION k FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH ' FINAL GAS: ROUGH �. FINAL ' FINAL BUILDING » t'. DATE CLOSED OUT ASSOCIATION PLAN NO. j SMOKE DETECTORS OX ` ABLE BUI DING DEPT. � � � III • ,-.-►� I (� �� I L�JO ° •" C>A�G E , G.oNc-- Sc�APi k.rrz.NE+J O Goac. `a-A5 —Yi EX Dirt&- ?L-A rJ. a i f `i FAG F O.G.- G 1 Ef-Ir�1r �pl�f7 i i ' WA r ' '�GC.TI ota rg L • s . . r / �T 1 1 11 I , I •WWI 1 1 I 1 ■ 11 1. 11�• • 1 - .it . /1"ll ., 11 ■ 11 1 :1111• \ ' . • \ 1 ' \ :/ •i• 111•�11 • • 1 • II ' � III• • '� • .•. 1 ' \ 1 1 •• 1 1 ' q ■ 11 1 • •• • 1 1 1 1 1 • I 1 11 �1 I �l / 1 1 1 . - • 1 . • �• • \ • •'1 1 . ------------ MEMO 11 M IRE liggNiMNI 1 • • ' 1 ' '• .. �/ r•1111�11 • • 1 •• •w el 11 1 : 1 t II 1 1 1 q 1 1 1 1 • 1 11 • 1 l ' 1 1 1 1 1 1 1 1 1 1 ti - 1. • 11 1 11 � •u 1• 1 1 . I .111 I 1 1 •II 11 `� - '. I 1 11 .._ i- not write in dds am to be compigted,by city or town official permn nl. Department i Office -ckif immediate response is required 011ealth Department plume • contact person: .:...... 11 1 of I I! 1 �1H1• . . • �• . . 11 1 ,1 %• / , . •11�. �1 1 .1 1 1 - - . . 1 - 1. 1 .•Q oil I 1 - • - • • / • �11 r •�'• 1 • 11 �111 • 1 1 1 • 1 • 1 • A•IY. • :� • • -• III • • - • � ' • • 1 N • • • 11 q 1 . • • •1 • • / - r GII• �1IIU • 11 • il•11• • - • • - a / • • •� • • • 1 • 1• 1 1 • 1 • /1 • 1 1 1 • •• �Ifl 1 • • 1• �•. •:... I - .111 • 11 • • U • 1 • • 1 • 1• • • 1• 1�t 1 • :/•/1• • •A •11 • • • 11 111 �11 1 •II • «• •11 • - • • •, •11 / • • I • 1 • • •/ I - • U• • / 11 ' • • it fiqfkill olfwotii • f 1 i111U • I • �1 • •II • - Y.1 ti 11 .1 1 1 1 1 1 1 1 1 1 / 1 1 1 1 1 1 / 1 ' 11 4,zQ.1 It 11 1 1 1 1 1 1 1 1 1 1 @I ofell • 1 1 1 1 1 1 11 I III p I 1 ( 1 1 1 1 1 1 • • • •11 1�111/:1 • ' •IIIIII •11 • �•%life top1 • .11 • IA •• is WtsI • ., 111• • Y. • •�•1 • •1111• / V' 11 // 11 11 .•• �• 11 :+11�111•. • f1 1 ./• �1 1 •�:./1 • �. N11 �•• • 1 •111• •f• 1 1 •1.1 jj�j/��j��jjjj��j�j�jjjj/��j��jj��jjj��jj�j��jjjjj��j�/�j��j��j�jj�j�j��////j�j • :•: I 11 11 '• .. �1 V11111•tit Y:1• •11 i• • 1 •11111 fv4k, 1 ' 1 ..11 ' 11 •• ./ .1 .If • • • YI.1 .1• •11 •1•• III • 1/ • .111f1• .11 I •111:� • 11 �.. .11 • • or$-1#T4IlIIII •v1 •11 • II Vim/ •1• W.1 • II I .11 I •• f 1 11 • 1 IIIIIIII�f 1• 11 • 111�11 •1 1 111 • M 1 :.,IIA •) V•11I I1/1$ ,Will • 11 11 .11 V' • :1 I 1 1 / JI 1 • 1 11 11 1 1 i• 1 • 1 1 • 1 1 1 111.1�• /• 11 «1 ••1 • • •• 1 II .1 /1 .11 • «:'e •II • 11 •-1.11If 11 NI f:/11 • _. 1 � 1�1 1 I 11 I1 . .1 11/�11 .) 1 111 .. « /wI11, 11 . • . I 1 .t1 • I :� . .11 J: toff • 11 _I 111 _• • • I Y. 11 '•1•.•ti VU111/�•1 Y.1• •II r • 1 Ir: I 1/ • 111 till .1 11 foil$$ •�t /�• • • ' jj�j�jjj��j�j 1 1 1 � :� 1 11 •1 .1 11 •• • 1 •1111• l .11 . • 1.1/�• �.J • 1 � • •11:•11 1 • • •�• • .1 11 ••. •111 • •• 1 1 •1-t • • ilI • 11 11 11 till 11 •. Mail ski-IN •r.l• •11 1 • V•IIIY. • r • 11 • 1 • / w.11l �= 1 11 /• ilI 11 1/ r•.1.1111 V.•1 IIIIII •�1 • 1 1 I • - �/ -11-1 III IIIIII • 1 •• • w 11 f f11.1�• 11 1 • •11 :•,11 • • 11 - •1 11 • 11�1 .11 • w11:,IIA 1 f�-•1 1/ 1 1 •• • 1 � • •I:1• •II • • • 11 .11 • 11 • • .If V' • • •• • .1• •11 1 • /• • • 1 .11 1 .•. ••• • :� • • 1 • 1 �YIY.1 • J W. I 1 • •11�111 1•1 �+ f .• 1 1 / 1. 11 11/ •�t 1 1 11 11 1 1 I � A I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 , ' I I 1 1 • I ' 1 7MCIARAppmudtsJ , .—. , TaWa.1S2.ib(osat�aad) . ptar�Padta6a for Oaa amd Tws■FamdY ii'esideadai Ba iW v Hated with Fad Falb !YI/ XIBIUM MINIMUM aiming ccilmg Wail F7aor Bas�mt Slab Am'('A) R..fool K VBW Rovaiu2 WSH phicom Pam avaima` avow , Rai to 6500 fit;Deaeee Days' QIM 11050 3; 13 19 10 6 Normal g30 19 19 10 6 Normal S3/ 13 19 l0 6 U AFUE T3E 13 2S WA WA N� U38 19 19 10 6 Normal vin 9.0 iS WA WA !s AFZ1E w30 19 19 10 6 iS AFUE x38 13 2S WA WA Normal y33 19 23 WA WA N� Z38 13 19 10 6 90 AFUE AA30 l9 19 10 6 90AFM 1. ADDRESS OF PROPERTY: 19 2�U IV C-x- A 1 mA 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 1 z.E3a 3. SQUARE FOOTAGE OF ALL GLAZING. 144" 4. %GLAZING AREA 03 DIVIDED BY#2): , 112,! S. SELECT PACKAGE(Q—AA-see chart above): C� NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: II q-forms-f990303a i _ 780 CMR Appendix J Footnotes to Table J51.1b: f Glazing area is the ratio of the area of the glazing assemblies (_. iding sliding-glass doors,. skylighu, and basement windows if located in walls that enclose conditioned space, t =luding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may .2 excluded from the U-value requirement. For example,3 fl of decorative glass may be excluded from a building design with 300 ft of glazing area. =After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table JI.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness-over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R 38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned sp=and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R 13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-same or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements•are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4, or S. If you plan to install more than one piece of heating equipment-or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table JI.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 035). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). 43 ESTIMA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= construction) ® s feet X$57/sq. foot 4� (average cons ) ® square =—� GARAGE (UNFINISHED) square feet V$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value � a G r yi �� '� t� J� V/Y717.9Yt(YItIUQCI.LLft• O�� 'G'Q'ASOClfcwefCO BOARD�OFBUILDING°REGULATIONS xLicense CONSTRUCTION SUPERVISOR NurnWpn CS 077418 c r Expires 0812 12003 Tr.no: 77418 Restricted To: 00 RICHARD T WEISS JR 27 FOSTER RD � ! HYANNIS, MA 02601 Administf r �ard of Building Regulations and Standards One Ashburton Place - Room 1301 Boston , Massachusetts 02108 Home Improvement Contractor Registration Registration, 130717 Expiration: 0 /1012002 Type: Individual, J�e nmt?u rzrurufl✓c�,fzatrac�. -- HONE IMPROVEMENT CONTRACTOR Registration:9 13071] RICHARD T . WEISS JR ., _ Expiration: 04/10/2002 RICHARD WEISS JR . - 1 Type: Individual 27 FOSTER RD . HYANNIS MA 02601 RICHARD T. NEISS JR. RICHARD NEISS JR. U FOSTER RD. A HYANNIS DMINISTRATOR � MA -02601 P �v'wivF - ovE7Z1-E,q Raw w#y ' 67OS / o h 3� o X. x hlb GR,4V,�91- S9 Q "V 2%z sT, w000 # ds8 v 37� 8 g 7 DENNiS /Yl• C424i;y ! 6/>/N15 CERTIFIED 'PLOT. PLAN NOrE.' TNEP�oP�it7y oohs Nor f�cL k/iT��/,4N/�N LOCATION�S. :SCuq�E,� 1!L�.Hy/��t�t//sPA?T!/Iq• h�f1Z�2o /cGoOp �oivE, �ory��C•• ff5.Sh��ki.0 D.V ' eamftnuivrry PoovA No. 2SooQ/- poo 8 C /h�tP SCALE . ..�... .. .. DATE . //m�oo . . . . ,eET//SfD A�/��/ST/�f//985 By PLAN REFERENCE B4,OV5779,gcF AssEssDzs 04,p Z87 Pcc. q N.o.�oo86A-L!�tivd��✓gpR.vsTi�,atE. . . SCgCE 20 Fe T Td,0W lwcy h6B. MZ3 14 Of � o JoyN . . . . . . . . . . . . . . . . : . . . . . . . . . S I CERTIFY THAT THE �1GST.�Nr! �!/.�Q/!��r�, • . N y SHOWN ON THIS PLAN IS LOCATED ON THE GROUND 0.17030 O AS SHOWN HEREON SURl�� DATEIjQO. . . 'Q /SI�RE�L,gxYJ SU/1✓. W Y I cF THE, The Town of B. ,�sr"M , Barnstable MAS& Regulatory Services Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date b AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. P- Type of Work: /"d Z-! ^0? Estimated Cost Address of Work: Owner's Name: 2.� �'1 ,C Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that.- OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. t c�2,6 v 1 �__.,, Date Owner's Name q:forms:Affidav January 23, 2001 TO: Town of Barnstable Building Inspectors Office Hyannis, Massachusetts 02601 ° FROM: Dennis M. Carey 658 Scudder Avenue HyannisPort, Ma. 02647 RE: Building Permit Issued by the Town--of Barnstable to remodel Carriage House at 658 Scudder Avenue, HyannisPort, Ma. To Whom It May .Concern: On the initial papers filed with the Office of the Building Inspector the name of a builder. was listed as the individual who would be completing the project along with his license number. The name of the builder on file is as follows: R. T. Weiss, Builder,;" License Number 077418 As of this date the. Builder would like to have his name removed from the forms as the designated builder due to liability purposes since I as the owner have beeriwdoing some of the work myself. Along with this letter to -the Office".of the Building .Inspector I as the owner of the home have completed the form "Homeowner Licesne.Exemption" and have filed it along with this letter. Please remove the Builder's name, R.,T: Weiss, from the form. Thank you Sincerely, f Dennis M. Carey The, Town of Barnstable • t�►srtsrwats. • 9� &61 g Regulatory Services '�Ea►��' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: January 23, 2001 JOB LOCATION: 658 Scudder Avenue, HyannisPort, Massachusetts number street village "HOMEOWNER": Dennis M. Carey 7903085 771-1778 name home phone# work phone# CURRENT MAILING ADDRESS: P. 0. Box 1 HyannisPort, Ma. 02647 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town_of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said cedures and requirements. Signature of and Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section I27.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner perforating work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems.particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities.many communities require,as part of the permit application.that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FOrtMS:EXEMPTN r y '�.I Lv .. �� '� � t 8'' The Commonwealth of Massachusetts Department of Industrial Accidents . � _=-�� _� : 01�CC01lODCSIl�81lOOS 600 Washington Street - - Boston,Mass 02111 Workers' Co m ensation Insurance davit name: Dennis M. Carey location, 658 Scudder Avenue Ci hone# HyannisPort, Ma. 02647 771-1778 ' I am a homeowner performing all work myself: ❑ I am a sole piumietor and have no one woman in anv cmacitr ❑ I am an employer Providing workers' c�mpeasdtiion far fay employees working on thu job. ::::::::::..:-:•-::,::.:: .........::::.:::::.:.:................::. .,.n.......::....:.:.::::.::........:.:. ...................:::.:..:.:.:::::..::.::.::,,::.::..:::..:::..::.............,..:.::.::: .: hr coasov:n ........................ ....... ..:-::::••.v::::x:::::::n:v::::.:::v:::•::::•::.::r::::::::.�..a.....::...-�•:�:::•v:..::::::•.:v:::::.v.:..15.,.....::rn•......,........vh•.v......, n....... .........v::::x:::::w-.v.v::::::.v:::r?•i:{:.i:•:�:{{{•}:ii}ii:?fi:?•i±}:•is5•}:•:•i±Y:Y{•}isi•}::YYr:;J}}:-i:•:{?{•}:?Cti?{•v r ........ .:. .. .. .............................,.... ...... ........:n.::, ....:•:A;?n?i:::;.;:::iv}i•:r{;::•Y{{ifi:•}:^::•i%??O}i?:::v:::::.v.Yi}}:{iv;i.{r::i.,w:;.:i}:t�::-:::` :•.i•Y:. ..:•. � ..:.::v:::•.::v:: :vxn:w::::::v.v::{vv::::{:vvr xv........;...;.;v. ..............Yi ...................:... ............::'•:::•:`fjiY::iiY :`Ev:}Ykjij::}isi{i?4:?ti4:{t?.:4iii}i'ii:?•::{i::ti{i:i{r.;.:{?ti:•:-:iv:^ii:i.ii:::�i:o: : ..,....... . .......... . ............ . ......:::::...::..::...::::::;x•Y:•YJ:�:::::.�.�::.,•.::�:.�:.�::::.........:. ..:.:ri:<"•.. �'•:,::::::::::: %:::R:S::;::;::#�?:':Y:.E;..•:?•>Y:{�±:;::;:•: :�: ::�i:::�::_#;'::>:::k:iri?: : :::�::::5>:;�;:�;�:J: ..... x.:.,.r..•.....::.......:.r::fi:•:•:}:.;.;.:•::.�::::::.�:::::::•::>�•:%•:;,•::.,•.,::•:•.�::?•Y:;�r;{r•}Y-:i.;?..:. . ......,•::•........,..... .. ...:...<'::Y:Y:•:?=:Yr±:i•:fi•::::•::�::.�:.......................:............. ......,....;..:::._...........,:: Y•.L;.:• yy�, C�';{ii::.}}:w.v::::{:Ev:Y:}::•::i}}:iitiJ i?J:•:ii:}}::J:fi.v.{:%%.�.yY'{•i}Y}:{Jii^::�'+'�: ...::::w.v:.:v::::Y•::::::::::::.�.�nv.:�::w.:�:::}}:;:.:Y:{{•_::.:'::5}:i}}'{?:v::vi:.v..{vY•....::•:'•.::,:n.r.::.} ::�'::•:::.v:,::::::..n.::::::•:w._:.:::w::::::::...:..�..::.�:.�w:•::.,..:.:::;;..:::::::...:...::ry.. -::{.v:::v'v.:..:::}''r:1':?i:`.�i::';:;:;'i..i: ' �^... ..�:::w:::::::::::w.Y:::.v:::::::::::::{•>y>'Ti'rr:?'%�?:Y:;?:{fi:4.`:$}?i:?:?i::''•i:.{}i. ;:;;h?:.;..}:v:;:•v.:ii%:r•?:•`:�i??:t?%:Ti{i::`:i:%::.?:i ��Q fF" •:.•.:::.::.:: �,::•..:.�..,,... ........ ..::v.�:•.:?',r. :•:• ,:w:.fi}}j?:i:•isi::isi:•:::::�ii?'?�•;i;ii.::...:.ii:vnvi.}'.±v{J:{J:�`.�iii:{vi: ......................................:•:::........................r.....:..:a�:w:::::::.v::-}:•ri:•Y?::•:}:•:?.i:{:fi:v:Y:±:::{4±±:v.......:•.vY::::nv .::ii:•:'J:i::{::4i:vffi:{i•}:v:•:{4:{•:•:•:•:?B±:J:fiiii:S$:i:$:v:i`.<:i:$i:{v i:${>}:i•?`:::}i_ii:::{.}};$'?{j';'±iS i"�4:iC: ::iii�i?>:: :v' i:%i:;i'$:;:�:<v:?:i>:;i: ;i:ti'>i:"'M1•'? 'Jiii:;:;:;ii}:::!iii:i::::i%.:j;.:::}.":-.: :;: ltsm•a /%. ❑ I am a sole proprietor,general contractor, or homeowner(drele one)and have hired the contractors listed below who have the following�ad=s' c easat on Polices:: ::: .... ............:.:..r::. ,::.:..:..}:::.:.......... .......:.......:..:...... :. . . .... . .....?{.K,.::.::::.:::.:::.:::::..�::::...,..,x,..n. .,x,......::,.:::.::::.:::::.:.::::.::::.,-::.,,::..,•.,,.v:.r .,,:.rx,.,.,..,,> ......v-:kv'-}a:-}:v:Y::.v.:;•.vw:::.vr::::::•::v:::::::v: ::::::.....:::::.v....::::v.�.::::•. ...... r.:av:.vnv::::r.vr:.}}}:.}±.w:w:.v•:.;:{.;y •::.:v::m::::::.v:;:.v:,v,;.;y:.y•. ':;Y:OiY;{•YY:{v:i•Y:{:•}:•}Y:ii?i:ii i:G:�i?:�?:;}::?}T::::}:??:•}};}:{:ti•:4}?:•:!->:•:a:::::.�. ....... .............:....... ... .. •• ..vJrh rr:::::. v v::rry vr38Y/.•}:JY:J;{:::v-}±:•Y'•:?:•}::4:4..;........;�.;{.;.v::::.:J±Y}Y:{:v:{:.±Y:•}i±}:4:4i}iii>:it: :.:::........ ......:.. ;;..}:i.Y::'::.. : .-. :-. ..,.rr,...�.fi::•,.,±,�•,� •.::Y:Y}:.}:.}.:::.Y±YY:{;?:!•:}::.::}:.}:.,..}:.}:.Yrrh�. ...::•::::-- n.fir. .........:..........:r.. . .. .... ±c........ -::•.. .......r........... ...:�{,.,}ri:?.;.ifi:{•Y:•±:;i•>:•Y....:?•>:;;?{:;.Y:•::{;<;;•::•YYY±::• ...J.rn?..vN... ....,................... .i.}......v....{'$.n...n..., ,.,.x. .....x.vvv , .......:...:...v.,..},::•:::............. ......,::•::::::•:::..... :........................ ..............................r..............}...i.n...rh.. :.:vr_.....r .. r 4>r.. ...... r..v.+:.•:.:.............v:::?:{•};.v:.v...........::::::::.v::::::}}}:�::�}•w:::::::::::::.�.�::::-: ..r........ ................... a...:..........x•.:.•rS.•:i:'Cv.,YA�Y. ...Y. ,.,�::n.Yn.fi ..., ±.\::.}Y•}:•Y:•YYx•:fi:Y.•:rY:•}>}:::::•-:-::;:r{•:•-•Y:•±::.;•:::::::•.Y••Y:•:•:fi±:;-};:•r>:t-::•>;:�;r:-;:;�� •:•:•. ....v....vn+ :•.r.....h.n.v..................................................v.............•.....:n, ..;... .:1::?:•.n:;•,{t,n::v.\...n... .nx,x/....vr.•.v::.v..,xv....v.•fwA,"}:•:{:{q::^.v::vv.,w±:.vn•:•:.J•.v::::}i:.:^Tiff?:i:...- ,r..{;.�..vv:::.vm::?:??:.}•::{:.fi.?v;^hh{•±}/.v}}:::.vM'•:rv:::vvv:•{......:r.,{...},.}}.YLdn:...v::v;..,.. ...;G;.....{..........;.:...........................:.........,.•.aA,-:::.:•:•:v:::•:w:::::-::::•:: ....... .:...............:::•::.�:•::::::>::::.:�.�::.-:::::•::::.�:::::::::::::::::,•:.�>:.�:�:.�::::.�.:.�::::.•.•.•. :,•.x;;•::•::::Y:};;,x?.:J:{{:}•;�.}:;•:.w{Y:'•:'•:'Y"Y}r;;.}•::{,;{.:::?{,;::•:.ova:.,:c?,;.x{•±:•:i{i-a•>rx?•Ya;:;;:::Y:.;.,..:.-Y.:.. ..... :.,•::....... ,•:::..:.........................:..: ,,...,.....w..:. ......., ....•, a...Y: ,vJrSMYkJ. .A±,•., J:E:.,. :.r xf{•:::•:}••:•::•.v•.Y: }:••}•: ..,:r rx:::::•::.,:•r:::::.•::..... {rf�'i..v.h, 'rn•::•:,•:,;}, .. .,.. Yr...:.. /.1t,r:....... ... ...:•. .x•::•::.,?rx>,v:, ;to {hh .. ......... .�.s}. !i.x..:.;.a:•.•.�%::.'dc'c•:.:?J}Y�:±:y.�}:•±:^^.:'"'5:�:•-::.::''::R'.�'•�::C:' ;:`T;;�i::; x#. E.:t-.};.}}::::, ••.::• ,•. ....,.L, ;.;.... :.r:: �s;,....::... r.,-:....,....... r.,•..,c,+Sr,�e.•YY:}}x:::•:•x•:..•.,•:..•.. :• ,ax Y��••±::.. .,.:Y,.da}>.w:;a;.vJ:•: .fY.•Year:•.;,.:rY:•Y}a:;4:::;•:;,•:;:±±.,,;:::.}xu,:JY,:;v:�. .e,-r.•..•..•..;{r�w. :::a r...r.....,}...::.,,•.,:•:...........:..fi;w.,%:::.�:::::::...... ........�",,.,i,'{�y,.;ga6q}o::;n.. ... .....:ice .........?,w.0 .................;{.................:::::.,....:.;..;....?RY,�t... .........:..r::...r.•r:... ... ........ ..r.......... ... :.,•{r:rrh•...., f•.;•:}•:;�............... ....r..h...,• , ......r,..... .......:co..}t• ..;;.,.»"•. ...b .:., .... .,{..,.,,: �• , ...'c'•,a:r;•±x;±::?•±}:{•Y:•::i�:r: ::•i:::•i:;-:: .. ....:::::•:.,.......,Y:::::r.:y.}:}.Jh,......r.......•..,:•:r:{.:,,a�r,�,�,�.•:.�, �.... d•-:: r. ..:-•... ��.,o•. J.a.. :.},•::::�::v`?%v:�;;,{' ............. ..............................h..... o-..C, ......Ji..x.:'..Y`d'�.,c qd .. •ice e•,o. aifi:):;J.•R•Y!:•::,.E;:.,2:?�}::` ,:•.+c..x::r.,,Yi:; h vfi:v. r.S�f•.. Y• \WS•f• .•� ,K.{•?:r co- .�.�rxxP""a`��E ..:::•.:.........,,.::,,;,,;:.};:•}: .,1.yk�,.,,,,.:, y:...rx,.ha:fiv. ... ..•{ , ..•:;•:•.#$Rdc:....... .. ..fi , „ �`.. ....�.,\�sr•�. ..a.,A}.....^.`:c ?S•Y{{•r::?;a:•.:a:z;x;•Y:< ::q.: : a•:;:•:{_:}:;:.;;?op$'.};;.;8'�r«�.r.%::......:�•.::::?�>. �tilnranCE`[OE?:....;:..:;?.;:,,{.:n}.:??,•±:•:?.;{..�:;;.:}}:{c.�{.:}Y:•Y:.:,....'�C.,'�':�.:•^v.•• '.:•:::,•.<:fi}........ :.:.,........ .... A��SV•'#:.:.....:::•:.... ... /. ..... .... MEMMEMMMM {:,::r>:Y::.Y�:::::::�:.±:•::•:;;±:?:>.Y;••>:Y'::::x•Yr:.:�:=::.::?;•±:�;:;•rr:.};.Y:•}Y»:'•::�'::.::;;::•r:•:R;�••:�:;L}}:;::•:?•;;•::>:�:r:::»;; ... :............ ...............o..:......,r........., ......,.......... fx. ....... .. o:•')ts: ....h. h,. .... 3.J,.r:f...r.{:.r.::::}:r•.;:•::::::::::::::.:.... ....... ....,..... ...,,.. ,.r... .................,.,...... :fi...r...... r..;?x..:,.,... ... .,.i ..,...... .... ......r. .r.............. ',.... .....n.?3, .ri .. :'!Y.; .y.,•r:::•:�•:•Y:fi:::r::,.n..;••:JY+�YYY::•:i:{k:.?n.•r�••}••>:•r;:,a-;;.YY±;•.Y}:•:J•±:•}:•}}:o:•:{;•r::�;;::':i>: ..........,oa,:...•r::.r....x.,... ...::ir.?•.:r•:.,.::::::::r::::::.r........ ,....•... ..r....,•... .. aAY.•�n �a;,a±:?�:fiT..S.. rr..,•. a...,}..r.,.:... .....:::•:•:.:....................}.:.:,.............................::::r::r.::::.Y:•Y:-. r...:......;.}....r.�r\,�A.'�,�t.�.�.�.�...,..,,.;.. .h-f•:.�. }::;;::•Y.:...,,. .::Y::..;:•..:..r. ,r:'•hx •S%:.:• a!Jr'�.••.<.C�baw\,ak�r• }xtJ:•...•:,.•tfi:::r.•±±.w ., ,..,�.ar::xa{:s:::::y;#:,;:E';',•;,ti;:;::;;:;�:;_:..;::::;;::i:::.... .v..v:.vv..4.•a'•:;{?•.•::�:•Y}ih , v...Y �..{:.}Y•v r.,�KK"C.a'rv:'. ...,�.{. ... ,r... ..r..^:►,,:... .....:.h........ .:......x...{.........Y..:•Y:f±,:r•{Y:O.::........... 'itomaaav}ranit�..x,:,;..:::::.:::..............:•:::::::::w:::: :...... .. ... .. ... ...... ..............r.x ............ ............... ........ ........................:r.::v:::v.v:.v::nv•:vvx..n....... v...w.......nv.. .............:.:�..:...... .......n...........• vw:::::;:...v::•............}.. ......v.............................. w:::::' w•X.;fivvY::: :v::.v:.vv.:r::�•.::: ................::v.v:•::::::::::::::::::w:.Yv:•}}}:•:{fiY:::::: ::::::::::.:v:. :.v.............. ................v.,J::.4iFiv'{;•:�fr.•:•:iL:fiY:4:•Y}:•}::::::::::]+: Sii'::• ..:m,,,,.s :.�:. .........:...... ..............w:::.:........,.•.•.avw :v.:x::v:v::>w:.:::.v.................;}:,•....h}.v,.;tr�wvh}.f•:::::v:::::::v..........,.;...................................... xvJ.,v....v..Y.vrn. ..... ................... .............. .... ...... ...........vi ..........:..... .............a•:::nv::::•....r}:. h \•.:..... .. v..:::::.:•.:w:.v.,..vn•{:::.±::•:.�:::::•x......:•-::••::::..�:•.-•::•--::::�.. .....,............................ .,.:........:...........................................:.,.:•r...#.:xa..... new.,....:..}:.v•{?.};,;. ....,.......:.v.....{.:};. .........r:n:w:::::,v......:..:........... .....ay.a,.....r....:. .. ,....vE•7i... ...........: .•4+ r.n k. r ..................... ....v....... .......... .v........ .... ................ ..............rr... a. ..xfi?P}v Sx•...}f..v.. .... ........ ... .. ...................:::.:....w:::•:•v:; ,•.,.,...: \.r.•.'. x?•r:::xx:J.�x::::::: x:v..r::.w::::::..:::....v....................... ............. .. ..... r v:x. r....r............ ..v rr.,+v....:..v,.. •.•::?{!•'•....x:x�:a:•}:':.x{•::•}'•i'-�...... ......w:x•.v.?•;;•:{•:•Y:4i:::::............:. \...v ....r...... a„w..r.,r.,.... E{nw;r.,xn..a.A.....r;.};R,;.;.,.....:..r....v..ax.................... ....�;1,.,.. .• ....... ..... ..... ........vn rxx.,{v.:vvv:::.vnaA:vv {fi'•'•'•:ii::w.v.•.?vh.?}n!•::• {..:yx w:::}...R�Ati;{.;Y.•::: rv::•.vnv:.::x. .Y\}........................:•.,d IIlnr... .. ,..,•.,;:::{.;.o-3t°F?;::::..v:.v::.vv::.•::v:::::S::E?:Y:•±::.v:::E:•::.v:::::::::::ist?•r.,,-.v:.:..,,. ............. dnt:C't'0:.:. :... . .................. ...........,....................:.+.•::::.x?c;:??::::,::a.,• O�CP�;{:.,:;•;::;•::•.:.,;.:.,;.;:;:?.:;.{;>;>•,:,...:.......:,......:::,. Failure to seems coverage as required.mder Secdou 25A of MQ.152 cm Lad to the imposition of criminal penalties of a Bee nip to SI,SOO.00 anu/or one years'tmprisomand as wed as civil penaltles in the form of a STOP WORK ORDER and a Doe of SIOOAO a day against nm I understand that a Copy of this statement may be forwarded to the OIDoe 0tlnvesd9xdons of the DIA for coverage verincadon. I do hereby a thepah" pcnaLan ofpQJWY tha dw information provided above u truce and coned Signatats Print name Phone# olIIdal use only do not write in this arcs to be completed by dty or town official city or town: perm"cease# [3fthlin;Depart:aent ❑Ucen>m=Board check ithsmtedLds response is required ❑Sdecnnen's Omcc _ ❑Health Department contact person: phone MOMMMEM Qeaod 9/93 Ply 1 �1.11• . . . �. . .III • - 1 . / / . ./.�. �1 1.1 .• . . - . • . . - Ie• / • 1 Lit / / I • •11�• 1 I!• •I • ee 1 1 •M 1 •It • •• ■ •• • • 1.1 • :Iel• • ,le • • • 1•• • - • • • U • :1• •J: • - • 1 • II .r11 - • 1 • • • h • 1 " ' Y • ...i111 Y. 811#J- I • • •• •1 • •/G . 11 • • •1/ • • /M •r. L111/ :1••I• • 1/ • i1••1• • • • :/ • • • •a • • • Allis • • e • / • 1• 11 • 1 ,11 / • •1•.•11 t • 1 • .•.Y •w. I M till • 1 t• 1:./ 1 • �1•/II • •�i •11 • • • /1 - ill �1• 1 M- •11 • 1 M• •II • • • • /, •It • • • • • •• • •11 • 'J • • • • 11 • • • e-1 II •N .f/• 1 k 11*1 fellill•-•W. sjp 1 1 w4019)(Wi 11 w11 4• - •-w••m-•a on 11wiv.II w•111 • .I • • 11/ • •11 • Y.IV� e/ .1 1 1 1 V 1 I (DWI1 t Mitre a 1 1 1 1 :�/ / • 111 1 1 1 .11 1 1 Y11 r. 11&illrorlys1,14 v it"4 1 1 1 I I 11!4-11 It •1 / 11 I11 1 e / 1 • 1 1 1 I I 1 / 1 • • 1 1 1 1 1 11 1 1 11114,14I •11111• •11 ••�•': 111 1 •1 .Ir • •I 1♦ •• 1• W I ••1 Y •11 1 :1111w 1111• ,1/ • V•1/I• •I 1 •.i1 • /• .11 • • • • • •• t old, • •.�•V •I V•11II• ,11 Y ' 1•t 11 11 11 .11 M �• 11/ w11 w11A •1 111 • .11 1.• I •�•�I• • w. �111 �'• • It •1.1• ,1 1 1•111 ' ��j��j�/-mr-Mjj RMI NNj/j�////�%� • I 11 11 •••11. �11. V•1111•w/ w,1• •11 •• e • 1 V•1111• .1/ • • • ..11 • •1 ••1 /I ,1 .11 • �+. 1• • 11 YIU .t••1• .11• 111 • I/ • •1111• .11 • 1 ,/11 • 11 ^V- .11 •419141611 if I I Ili••.1•. ell , to Y�1 ••• ✓1/ •) II 1/ .11 V I - •• • ♦ 11 I 1 11111111�• I• /1 � • .1 111 w11 •1 1 •11 •1Y, YM • .••11►. 1•I Velllll•IIY.1■ •11 •1 11 11 .11 Y • �1 •1 1 1 11 1 :JI 1 1 1' •I •i 1 :01 • I • • .w•11.1 �• 1• 11 wl ''1 •1 • " 1 11 .t •1 .11 1 W,1• •11 (•I .1 1�111111 •1 �•• •..//1 • �• 1 Ise 1 1 /1 • ,1 e11.••11 11 1 •II •• VM • w111. 11 • 1 1 • @I 1 1 k 1is.L-Adel .1 �• 1/1 �• /• • • Y. 11 •11.•w•. V•Illle -4 Y.1• •11 4k 1 • • ✓- I 11 ' wen •r1 w11 .1 •1 11/111 •�1 1�• / • ' :.: V • II •1 •1 •1 •1 • • I Ve1111• w/- .11 / •I •/11�• �.•J • / ' • •11 w11 e me Roil, •�• • V .1 •1 ••• •III • •• 1 1 •1 • 1 a1• eil • 11 1/ 11 wtl e1 i• Y • 1 '.w• •ltl• •11 1 I• Y•HI•'. •• 1 'Y. U1/ of ,1• • K111 • �c I II 11 •.•1 ' 1 1 I of • A II • •••••w• 11 1 • •••w11 • • 1/ - •1 11 • ••./ • .1• • w11 w11A 1 - •��•• 1•Y. 1 / i• • It --• •/:18 •11 • • • (• Ie JI • 1/ • •,11 V • • • 1 •• •�1 .1• •I/ .Ie • 1• • • 1 •11 • ••1 1 / • •11�1.1 •el w / • 1 •It .1/ • I;V 11111e 1�1 1 e Role ' 1 1 1 1 e • 1 1 � 1 1 1 1 1 . . e I e 1 • ' t l � 11 I ' e PROPERTY ADDRESS I i I I I CSTATE LASS I.P,CS.I NBHD a KEY NO. ZONING DISTRICT CODE SP. - DISTS. DATE PRINTE 065$ IRVING : AVE{ UE 08 RF ; 1 400 08HY 07/09/95 , 1011 : 00 , 59AA R2874009. . 189502 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T 2 v UNIT ADJ'D. UNIT, CAREY♦ : DENNIS E 14 MAP- Land By/Date Size Dimension LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Description CD. FF-De th/Acres E #i A N.D 1 333s 600 CARDS IN ACCOUNT 10-IBLDG.SIT 1 ? X 1 A =1 5 100 199999.9 2999.99.9., :: i_00 . 300000 #,BLDG(S)=CARD-1 I 3.12 7D0 .01 - OF C2 A 11 .1 RESIDUAL. 1 X ; .1` A=15 46,7 : 40000.0 280200.0 .12 3:3600 #BLDG(S)-CARD-2 ° '! ' 28:200uu N #PL. SCUDDERI.AVE MARKET. . 420200 BATHS 4 2 . .. U X1 B=µ . 100 23900.0 23,900.0 1 00 23900 .,B #RR 0773 02183 . INCOME AT1 ATTIC U ' S x B= 100 3_1 3.9 .k. 2055 8000wa__. USE A FIREPLACE U X B= ~ 100 3900.0 ., 3900.00-:. 2.00 7800 B.. ... APPRA:ISED VALUE p ExT Fi REPL ; U X a B= 100 1700.0 1700.0 2.00 3400. B.., ; ,! A 674,r500 A U _.. l ; PARCEL, SUMMARY AND 333600 T S LDGS 340900 A T O-DIPS M {3TAL " 67450C F E = CNST E N p p'^ DEED REFERENCE Tyler ; DATE Recorded RIOR m'YEA2R I VALUE A T - Book Page in I. MO. yr. D Sales Price '£ AND 33 3600 T S I 78977 �70>00 LDGS ` 340900 ,. C 0 OTAL 674500 R l v M LAND ADJUST 'FOR E -BUILDING PERMIT „ S Number Date j Type Amount I E W..m s m s a_..ry s LAND ! LAND-ADJ : INC ME SE SP-8L0S : ; FEATUR.ES :: ; BLD-ADDS :..` UNITS 333600 • 43100-.. . . . - I Class Const. Total gale Rate Adj.Rate r B It Age Norm. Obsv. CND Loc N.R.G Repl Cost New .Adl Repl Value Stories Height Roortrs Rms Baths I fix. Partywalf Fac. Units Units A f Oepr. Cond. , _ I 018+-," 000 11.5 , 115 72;60 83.44 72 70 24.' 74 110 8b. .. `,. 372218 _312700. 2 2 i2 "�' 4.2 17 0 Description Rate Square Feet Repl.Cost MKT. INDEX: 1•00 IMP.By/DATE: "' SCALE: ^, ELEMENTS CODE CONSTRUCTION DETAIL B,ASS . 100 : 83.49 , 2055 171572 ' s B22 67 •` 55.94 . 2055 114957 , STYLE 05 OL.ONIAL I OLD 0.0 T FOP 35 29 22 ' 464 " 13558 AVJ,MT- .-0.3DESIGN 'ADJUST-R USF : 60 50.09 24 :' 1202 " THIS HOUSE COItiITAIiVS::D:IPIENSIONS: AAIDlOR AD,DIT3ONS€XTFR. AILS-- -01 Otf6-T12AE____ Z30 U FFB 650 65.00 48 3120 : " TOO _ DIFFICULT TOI VECTOR-SY THE COM' PUTER'r , ANDS. '. EAT1AC-:TYPE -04 Zl ---------- --�.0 C UFB .650 ' 65,.00 413 3120 . STILL <REMAIN; LEGIBLE. PLEASE' ASK :. FOR; THE ZIT-ERF3WISW -00 -------- ---------TT.(1 T FEP : 65 54.27 , 108 5861 SKETCH>-CARD IF r"YOU'WISHuTO: SEE THE DIMENSIONS. , NT RR.LAYOUT -02 - -----------------`1T.0 U UFO ' 60 50.t39 : 11 $ + 591 ! NTERURITY- -r12 ACE-A EXT =-TT�O R FOP._ 35 . 29:22 60 . FLOOFR7ST_KUCT- -00 ---- ------ ------IT O A 0 FSF . . .00 I 9 $064 +-#_ �_�_�,_._�_..__,.� _+ :: LD-aR-C-OVER-- -00 --- -------- ZA L Total Areas Aux = 692 2 ,Base = 2115 . 1 1 S i ' OD-F,TY�-___ 0lq __ ___ ,___________ y��a rt� E BUILDING.DIMENSIONS � ... SEE -ASOVE..... - EL --- L7 - ------.-------- 3-A T ) NOTE! ' OU fi17ATIIII -- �0 , -----------------9v.9 s ` . -----N1EI- tiBOR GD VAA -HYANNT-5----=-- L LAND ' TOTAL ` PIARKET PARCEL': 33:3600 ` 674500 AREA 180889 VARIANCE +0 >. " • +"734 � _._... STANDARD 25 PROPERTY ADDRESS I I ZONING I DISTRICT CODE SP- DISTS.I DATE PRINTED I CSTATE LASS I PCS I NBHO 11PARCEL IDENTIFICATION NUMBER KEY NO. 0658 IRVING I AVENUE ' 08 RF-1.a...:,_.40IB 08HY : 07l:09l95 1011 = 00 59AA R287 :009. 189502 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T +iti"- �x•` y _..,. UNIT ADJ'D. UNIT CAREY r " DEN,NIS -,M,+„ MAP— Land a /Date Size oth/Aden ACRES%UNITS VALUE Description YR.SPEC,CLASS ADJ.� COND. P PRICE PRICE , y ! CD. FF-De tniAcres LOC./ E_ 'CARDS MI ACCOUNT BATHS-: 1 0 _ . U X ` C= 100 -3500.0 3500.0 :.:,�.00 3500 8.. . . :... 0.2= ..,. OF 02 AiOiUSMT S : X `<. w.... C= 100 70.8 7.$5 •> 380 .. 3 10+0-t�.. _ N —:. i0 °.HE AT . S D( .. C= 100 2s3 2.35 ' :,.. 380 . 900-3. ..:: ARKE.T : 420200 INCOME D USE A ,.. APPRAISED, *VALUE p 674:500 p J PARCEL SUMMARY A U AND. . 333600 T S LOGS 340900 A T -IMPS M OTAL -674500 F E CNST , : . .. . , . L. .. -� RIOR"' YEAR VALUE N E DEED REFERENCE TYPe'i2 DATE Recorded Z r! A T Book Page Inst. MO. Yr. D Sales Price A N D 3 3 6 0 0 T S Yll.: .. LOGS 340900 U OTAL 67450E E BUILDING PERMIT Number Date Type Amount S LAND LAND-AOJ - INCOME �SE : SP-BL.DS i. FEATUR.ES 3 . 13LD-AIDJS ll1TT:S ' 4 0 0.- (,lass Const. Total Base Rate. Adj.Rate r.B It. Age Norm. Obsv. CND Loc °k R G. Repl-Cost Ne r Adi Repl Value Stories Height Rooms ,i Rma Baths a Fi.. P�rtywail Fac. Units r Units A I f Depr. Cond. w 01 C 000 105 . 105- 62. 90 .66.05 : 70 ,7#1 24 ": 335.52 22DC? lt7 3 1'1 10 4st} 1l01 ID f Description Rate Square Feet Repl.Cost MKT. INDEX: IMP. BY/DATE: SCALE: ELEMENTS CODE k, CONSTRUCTION DETAIL S SASS : 100 66.05 : 30 : 25099 ' , FOP 35 23.12 40 .; 925 * --„ .. ---20-------=-* —, -2 --- . — —f : 'TYLE ?i AiS€D . RANCH 50 ,:� T FF6 30 19. 2 400 7'9ZS .., ., : ._ ` EatGN .-A- JM7- �70 ---------------- U.t� R "XTE-R.:`WAT1S- 0l DWY'F1tKRE --- -IT.t1 .. U „ >!. ... EATlAC->TYPE- C 01 Z3�L£---- - ------ tT.,fl .... --------. ------.T 18 . BASE NT-ER-LATO0T 0t . --------- tT.O U 20 :; ,20 NT�RM�iU AL TY-t -G2 AXE-Ate,-EXTYWO, -O R < ; L DER S TR-U t T, +----------------D-0 ' UQ , A 440 , 380 W . ., E` 80RrCD1fER-- f7i3 ----- =---------U.L1 p i _L--- Total Areas Aux = Base - -- TY.� --- -130 -----------_��_ E BUILDING DIMENSIONS 1 ,�.—� - 1 µ. - arLEr T.'��CA L. :.,- ,------------- Lsis --------------- T OA N . ` 1, . N E2 S W 0 : . - 4 FOP' 2 FFG., OU DATI TN - i10 9 :9 A FOP .NO2 WlO SO4 E10 ,NO2 FFG X--- 10- *—..,--30 -- -- * .,, -------------------- , ---- - ------- --- I E 10 N 20 . E 2 0 S 2 0 iJ 2 0 W 10 .'. * --_.10-- * ' - - - ---------- --- p-------------------- L LAND ' TOTAL MARKET . PARCEL AREA VARIANCE a0 +0 STANDARD Property Location: SCUDDER AVE MAP ID: 287/009/ rision ID: 21595 Other ID: Bldg#: 2 Card 2 of 2 Print Date:08/24/1999 CURILENT Obf!NER TOPO _ , 'UTILITIES STRT.IROAD , LOCA TON„ CURRENTASSESSMENTx GREY,DENNIS M&JEANNE S Description Code Appraised value I Assessed Value ES LAND 1010 333,70 333,70 801 O BOX 1 ESIDNTL 1010 322,60 322,60 YANNISPORT,MA 02647 1999 Barnstable,MA i ccount# 189502 Plan Ref. Tax Dist. 400 Land Ct# er.Prop. #SR Life Estate VISION DL 1 Notes: VISION DL 2 GIs ID: Tota 656,30 656,300 RECORD'OFOWNERSHIP BK-VOL/Pf1;GE SALE.DATE fu: v/, SALE PRICE f!C.::. PREF�IOUSfiSSESSMEIVTS HISTOR - . AREY,DENNIS M&JEANNE S C789770 Q 0 Yr. Code Assessed Value Yr. Code I Assessed Value Yr. I Code I Assessed Value Total. 674 500 Total: 674,500 Total. 674,500 - EXEMPTIONS „ , 'OTHERASSESSMENTS This signature acknowledges a visit by a Data Collector or Assessor Year TVpelDescription Amount Code Descrijotion Number Amount Comm.Int. ;4PPRAISED VALUE SUMMARY ;;,; Appraised Bldg.Value(Card) 28,800 Appraised XF(B)Value(Bldg) 0 Total Appraised OB(L)Value(Bldg) 0 a AppraiseanValue NOTES (Bldg) 333,700 '- Special Land Value Total Appraised Card Value 6569300 Total Appraised Parcel Value 362,500 Valuation Method: Cost/Market Valuation et Total Appraised Parcel Value 656,30 BEADPW PERMIT RECORD VISIT/CIL9IVGEHISTORY e ._ �_ �. Permit ID Issue Date Type Description Amount Ins .Date %Comp. Date Comp. Comments Date ID Cd. I Purpose/Result � LAND LINE VALUATION SECTION _�- B# Use Code Description Zone D Frontage Depth Units Unit Price I.Factor S.I. C.Factor Nbad. Ad'. Notes-Ad IS ecial Priciniz A di. Unit Price an Value 2 1010 Single Fam RF1 4 0.01 SF 62.75 1.00 5 1.00 59AA 2.00 SPCL(OO)Notes: 200.00 10 Total Land Unio 0.0 A Total Land Valu 10 Property Location: SCUDDER AVE MAP ID: 287/009/// Vision ID:21595 Other ID: Bldg M 2 Card 2 of 2 Print Date:08/24/1999 r mGONSTRUCTlONDETAIL 'SKETCH .,.. .. .. m. ..._. Element Cd. Ch. Description Commercial Data Elements tyle/Type 8 1aised Ranch Element Cd. Ch. Description odel 1 1esidential Heat&AC rade C Frame Type tonesI Story Baths/Plumbing BAS 20 20 Occupancy 0 CeilingfWall ooms/Prtns Exterior Wall 1 4 ood Shingle /o Common Wall 2 Wall Height Roof Structure 3 Gablefflip Roof Cover 3 sph/FGIs/Cmp CONDO/MOBILE HOME DATA 18 Interior Wall 1 8 Typical �. . . 2 Element ode Description actor 2 0 2 interior Floor 1 0 rypical Complex 2 Floor Adj Unit Location Heating Fuel 1 None Heating Type 1 None Number of Units C Type 1 None Number of Levels 10 /o Ownership OP 10 Bedrooms 1 Bedroom 10 1 20 Bathrooms Bathroom COST/MARKET[VALUATION 10 R 10 Full Unadj.Base Rate 8.00 Total Rooms 3 Rooms Size Adj.Factor 1.79167 rade(Q)Index 0.87 ath Type Adj.Base Rate 74.82 Kitchen Style Bldg.Value New 39,505 Year Built 1970 ff.Year Built 1970 rml Physcl Dep 27 uncnl Obslnc con Obslnc MIXED:USE pecl.Cond.Code pecl Cond 1010 Single Fam 100 verall%Cond. 73 eprec.Bldg Value 28,800 OB-OUTBUILDING& YARD ITEMS(L)%XF:BIIILDING EXTRA FEATURES(B) Code Description LIB Units Unit Price Yr. DP Rt %Cnd Apr. Value u BUILDING SFIB AREA SUMMARYSECTION. e..._ __ __.__... ._ Code Description Livin Area Gross Area E .Area Unit Cost Unde rec. Value BAS First Floor 380 380 380 74.82 28,43 FGR Attached Garage 0 400 140 26.19 10,47 FOP Porch,Open,Finished 0 40 8 14.96 59 ea a Area 3801 82 52 BldL7 Val.• 39,501 Property Location: SCUDDER AVE MAP ID: 287/009/// Vision ID: 21595 Other ID: Bldg#: 1 Card 1 of 2 Print Date.08/24/1999 CURRENT OWNER TOPO. I UTILITIES ISTREIROADI LOCATION CURRENTASSESSMENT AREY,DENNIS M&JEANNE S Description Code Appraised Value Assessed value O BOX 1 ES LAND 1010 333,70 .333,70 801 IDNTL 1010 322,60 322,60 YANNISPORT,MA 02647 MA DATA 1999 Barnstable, ccount# 189502 Plan Ref. ax Dist. 400 Land Cdi er.I #SR Life Estate VISION DL l Notes: DL2 IS ID: Tota4 656JOq 656,30 RECORD OF OWNERSHIP BK-VOL/PAGE SALE DATE 1 v/l. SALE PRICE V C PREVIOUS ASSESSMENTS HIS TOR19 AREY,DENNIS M&JEANNE S C789770 Q C Yr. Code Assessed Value Yr. Code Assessed Value Yr. Code Assessed Value Total. 674.504 Total., 674.504 'Total., 674,50 EXEMPTIONS OTHER ASSESSMENTS This signature acknowledges a visit by a Data Collector or Assessor Year T /Descri lion Amount Code Description Number Amount Comm.Int. APPRAISED:VALUE SUMMARY ,i;;; Appraised Bldg.Value(Card) 287,900 Appraised XF(B)Value(Bldg) 5,900 Total. Appraised OB(L)Value(Bldg) 0 NOTES Appraised Land Value(Bldg) 3339700 *LAND ADJUST.FOR Special Land Value VIEW............ Total Appraised Card Value 656,30 Total Appraised Parcel Value 627,50 Valuation Method: CostlMarket Valuatio et Total Appraised Parcel Value 656,30 BUILDING PERMIT RECORD:: irISIT/CHANGE HISTORY _ .. Permit ID Issue Date Tvve Descri tion Amount Insp.Date %Comp. Date Comp. Comments Date ID Cd. Pur ose/Result LAND LINE VALUATIONSECTION B# Use Code Description Zone D Frontage Depth Units Unit Price I.Factor S.I. C.Factor Nbad. Ad'. Notes-AdYS ecial Pricing Ad'. Unit Price Land Value 1 1010 Single Fam RFl 4 1 1.00 AC 100,000.00 1.50 9 1.00 59AA 2.0 PCL(1.,U10)Notes:10 1BLD 300,000.00 300,00 1 1010 Single Fam RH 4 0.12 AC 93,400.00 1.50 9 1.00 59AA 2.0 PCL(.12,U11)Notcs:11 1RES 280,200.00 33,6Q Total Land UM w... .. .:.,1.1 A �.. -Total Land Valu . ._.. v .-. 333,60 Property Location: SCUDDER AVE MAP ID: 287/009/// Vision ID 21595 Other ID: Bldg# 1 Card 1 of 2 Print Date:08/24/1999 CONSTRUCTION N DETAIL. SXETCH Element Cd Ch. Descri lion � P Commercial Data Elements tole/Type 3 olonial Element Cd Ch. Description odes 1 esidential eat&AC __ e + + rame Type - AS/UBM[2055)— aths/Plumbing tones .2 Stories wNo ccupancy 0 eiling/Wall AT/FUS[2055] ooms/Prtns. xterior Wall 1 4 ood Shingle /o Common Wall 2 all Height FOP[524] oof Structure 3 able/Hip oof Cover 3 ph/F Gls/Cmp CONDQ/MOBILE HOME DATA US[24] tenor Wall 2 8 ypical lenient ode escriptton actor tenor Floor 1 0 ypical mplex �AS[48] 2 loor Adj nit Location eating Fuel 2 it FUS[48] eating Type 9 ypical umber of Units C Type i one umber of Levels /o Ownership FEP[108] edrooms 7 Bedrooms athrooms Bathrooms ;COST/M,4RICET VALUATION 2 Full+2/2 nadj.Base Rate r145 US[118] otal Rooms 2 2 Rooms ize Adj.Factor ath Type rade(Q)Index itchen Style dj.Base Rate rAS[60] Idg.Value New at Built ff.Year Built rml Physcl Dep uncnl Obslnc on Obslnc MIXED USE pecl.Cond.Code Descrintinn pecl Cond%1010 ingle Fam 100 erall%Cond. prec.Bldg Value 87,900 OB OUTBUILDII VG B� YARD ITE1VlS(L)/XF B tfILDING EXTRA FEATURES B _ . _ ( 1 Code Descri lion LB Units Unit Price Yr. D o Rt �.Cnd A r. Value FPL2 irepi-1/2 Sty B 2 3,200.0 1 770 1 100 4,70 FPO xt FP Opening B 2 800.00 1970 1 100 1,20 BUILDING SUB'9REA SUMMARYSECTION = Code Description Livin Area Gross Area E .Area Unit Cost Unde rec. Value BAS First Floor 2,16 2,16 2,16 62.8 135,92 FEP Porch,Enclosed,Finished 10 7 44.2 4,77 FOP Porch,Open,Finished 52 10 12.5 6,59 FUS Upper Story,Finished 2,24 2,24 2,24 62.8 141,07 UAT Attic,Unfinished 2,05 20 6.3 12,94 UBM asement,Unfinished C 2,05 411 12.5 25,82 TIL Gross LivILease Area 4,4081 9,1501 5 20 327 14 P�oF Tati Town of Barnstable *Permit#_ Expires 6 months from issue date BArwSrABM : Regulatory Services Fee - � 1639.. Thomas F.Geiler,Director ATEDfA`yp Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 - Fax: 508-790-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 7 ®� Property Address XResidential Value of Work Owner's Name&Address Contractor's Name 6_ Telephone Number Home Improvement Contractor License#(if applicable) D O Construction Supervisor's License#(if applicably U �b ❑Workman's Compensation Insurance Check one: XI am a sole proprietor Q`� ❑ I am the Homeowner 1p01 ❑ I have Worker's Compensation Insurance 1 E [assurance Company Name �P NV Workman's Comp.Policy# /9-2T'D R® Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. signature !:Fonns:expmtrg pVi cp(1111 0M "7e7a - r ---GAS METER I ALL MEA5UREMENT5 ARE INTERIOR. iT ---EXISTING WALL OF ACCESSORY APARTMENT 1 B• f_____________ - � -KITCHEN LAYOUT T.B.D. I R EXISTING FINISHED AREA i I SIZE TO BE DETERMINED m ._ 20 2" %w I KITCHEN w I U K I �O N: u�j Q g9 �N K W C A i ioI BATHROOM 3 S" 13'-7' _ 15TAIR5 DOvVr i" 14 . i - 2� 70 BPSEME: --___— STAIRS UP -- - I STAIRS UP TO 2nd FLOOR i - I o B'-tD. BED ROOM -- BAT ROOM I 3 S" j I 77 SMOKE DETECTORS REVIEWED LEGEND I ®TO BE REMOVED B R BUILDINGDEPT. `DATE D EXISTING WADS ' FIRE DEPARTMENT DATE EXISTING 1ST FLOOR 90TH SIGNATURES ARE RdQUIR£D FOR PERMITTING t ,1 RENOVATION OF HOME FOR: GE"�`"°`� NOTE: SCALE. DRAWING NUMBER: Cape, CAD I ALL EX THE DIMENSIOI 5 ARE FOR REFERENCE ONLY CONTRACTOR IS TO THE PLANS SHOWN ARE NOT BE C PROPERTY OF — VERIFY EXISTING CONDITIONS AND DIMENSIONS IN THE FIELD PRIOR TO THE DESIGNER AND CANNOT D.COPIED, In� F I��J F F F START OF WORK REPRODUCED AND/OR ALTERED,USED FOR PERMIT CAI \LY 1 \L 5 I D N C 2.THE GENERAL CONTRACTOR SHALL BEAR SOLE FETYON THE FOR AND5E FILING WITHOUT T THE EXPRESS WRITTENNGT 1/4�� 1 MEANS AND METHODS A TORS HALL EA AND E SAFETY ON THE JOB SITE CONSENT OF THE DESIGNER,EXP R 55 ' 3. ALL WORK SHALL CONFORM TO THE MASSACHUSETTS STATE BUILDING De51qn 4. IF(LATEST EDITION)AND ALL OTHER A IDENTIFY L CODES. . 6 5 8 5 C U D D E AVENUE 4 IF APPLICABLE PPJ CONTRACTOR OR SHALL IDENTIFY ALL EXISTING LOAD BEARING ELEMENTS PRIORTO COMMENCING WORK AND SHALL DEIGN AND roved PROVIDE SHORING AS REQUIRED TO SUPPORT LOA05 DURING Approved CONSTRUCTION. r filing —1 YA N N I S P O ITT, M A S. AL BE 5CREPANCIE5,ERRORS TIONANDIOR THE D SIGNE PR IOR TO I or DAT E P.O. BOX V Ob SHALL BE BROUGHT TO THE ATTENTION OF THE DESIGNER PRIOR TO COMMENCEMENT OF CON5TKUCTION. PROCEEDING WITH CONSTRUCTION MARSTgON5 MILLS, MA CONSTITUTES ACCEPTANCE Of THESE DOCUMENTS AND ANY Patrick 508-280-707" RE5P0WANCIES,ERRORS ILDIOR INGCONTRACTSBECOMETHE 9 01/02/2017 RESPONSIBILITY OF THE BUILDING CONTRACTOR Rimin tOn 1 I 6'-7- 6' 6'-7' ALL MIPA5UREMEI4T5 ARE INTERIOR I . I 19 1' mf BEDROOM EXISTING FINISHED AREA SRE TO BE DETERMINED ___________________ _-- 3 I 17-5" BATHROOM BATHROOM I ALL MEA5UP.EMDIT5 ARE INTERIOR BATHROO I I Y-6' 2•�- j I •I PPDUCED I I REDUCED HEADROOM THROUGHOUT f`D ROON� F ACCESSORY APARTMENT '.. 4n� 5 1 UP I - j. T A IC 2•-B' - I STAIRS TO ROOF HATCH--� - TP D NIJ I I 4 T-10' R STAIRS UP O 5t FL,�R BED ROOM N \ TOATIC - ^i ooe a e„ oo`oo`o Ii - 5TAIP5 DO.ARJ :! N011-CONFORA1ING STAIR.PJ.IL 'FJ m TO I st FLOOR, _ m I 0 2ND PLOOR� _ 11'-10' r a + - 16.-T. I STAIRS DOWN - z'-B' 1 -` i 14'-T L nth•-T -_____- 101 La ''-'- ,•.6• j BATHROOM i 6'-9' T___________- I PULL DOWN im! ATTIC HATCH L M� m fti I I 1 i___________j I . 6'-B" IF, REDUCED HEADROOM THROUGHOUT y i 4•-7• 15 6" 1 - I FL— i 1T-3' I MASTER I BED ROOM LEGEND EXISTING ATTIC TO 13C REMOVED ELf5TING WAL75 EXISTING 2ND FLOOR Cape CAD RENOVATION OF HOME FOR: GENERAL NOTES' NOT2 SCALE; DRAWING NUMBER: 1.ALL OF THE 1)CON510145 ARE FOR REFERENCE ONLY CONTRACTOR 15 TO T„E PLANS SHOWN ARE THE 50LE PROPERTY OF VERIFY IXISTING CONDRIONS AND DIMENSIONS IN THE FIELD PRIOR TO THE DESIGNER AND CANNOT D.COPIED, 2 (��`] (/� START OF WORK REPRODUCED AND/OR ALTERED,USED FOR PERMIT w„ w , CAREY I \E�./I DEN�JE M THE GENERAL CONTRACTOR SMALL BEAR SOLE RESPONSIBILITY FOR AND/OR FILING WITHOUTDESIGNER, THE IXPRE55 WRINGT 1//' MEANS AND METHODS OF CONSTRUCTION AND SAFETY ON T„E JOB SITE CONSENT OF THE DESIGNER,PATRICK RIMINGTON. T 3.ALL WORK SMALL CONFORM TO THE MA55ACHU5ETT5 STATE BUILDING CODE(LATEST EDITION)AND ALL DITHER APPUCA.BLE CODES. De,516jn 4.IF APPUCABLE,CONTRACTOR 5„ALL IDENTIFY ALL EXISTING LOAD 2 BEARING ELEMENTS PRIORTO COMMENCING WORK AND 5„ALL DE51GN AND 5 5 6 S C U D D E I \ AVENUE PROVIDE SHORING PS REQUIRED TO SUPPORT LOADS DURING Approved LONNY015 ON for filing DATE: q //•� H YA N N I S P O RT M A 5.ANY DISCREPANCIES,HE ATTENTION AND/OR OMISSIONS W THE NOTES, P.O. BOX 8Ob SHALL BE BROUGF7T TO ERRORS ATTENTION OF THE DGSIGtIEP.PRIOR TO MAR5TON5 MILLS, MA ' CO51TT� OPCOCEo„IE5EDOCUMnS MTh y°IJSTRUCTIQN Patrick 01/02/201 7 DISCREPANCIES ERRORS ERRORS AND/OR OMISSIONS BECOME THE 506-280-7074 RE5POI15101LRYOFT„E BUILDING CONTRACTOR Rimington ---GAS METER - T-10" 9..4• NEW BALUSTERS r ---EXISTING OVERHANG.RECOMMEND � IT BE INSPECTED FOR CONTINUOUS BEAM j IT NEW ENGINEERED LVL OR STEEL BEAM � -EXISTING WALL OF ACCESSORY APARTMENT " POINT LOAD TO EXISTING BRICK COLUMN is, I t2'-t• i N 6 --- FINISHED ADDITION IN KITCHEN LAYOUT T.B.O.AS LAYOUT TO E DETERMINED i - d• I I NEW ENGINEERED LVL OR STEEL BEAM q 6 -j ---EXISTING 2'XB"JOISTS TO HANG ON ; ` A5 A5 A5 I I THIS SIDE OF NEW LVL. . fN j 20'-2• ---NEW ENGINEERED LVL OR STEEL BEAM POINT LOAD TO EXISTING BRICK COLUMN-- 9/ I __ V 2 r' � �� -POINT LOAD TO EXISTING BRICK COLUMN 11'-11 I y KITCHEN AS ;---SHOWER r---HALF WALL WITH GLASS A6gVE I i fVq*< r; S0. 5 Q A3 3 , ---LINEN SHELVES OR 1L -�o A3 I - BEUCt: DRAWERS BELOW r Ni 6' SHOWER CURB R I j A Tpf7DR QON' ;l WINDOW 7' GLO3 STAIRS DOW 14' O BAEME . 2 6- STAIRS UP A$ 6• 6 7 O 2.4 FLOOR STAIRS UP AS AS q � 7 _ I mIN F R AS -�I I o� j AS [3- POINT LOAD TO NEW LALLY COLUMN AS BED ROOMAS 2 A3 ATPOINT LOAD TO EXISTING BRICK COLUMN-- 4 7" 2 10" 4 B" F ! GLASS DOORS 77 -T-4"-- `95 AS ATHR (A � I i 17. `---PEDESTAL SINK " 2'-11' 7 ' \ ---POINT LOAD TO EXISTING A5 m j ---POINT LOAD TO NEW LALLY COLUMN BRICK COLUMN NEW WINDOWS NEW ENGINEERED LVL OR STEEL BEAM 5 B 3. LEGEND - - ®NEW WALL5 - NEW WINDOWS T.B.D.---y' IX15TjNG WALLS ---NEW WINDOWS T.B.D. -ALL MFJ5UREMENT5 ARE INTERIOR PROPOSED 1ST FLOOR RENOVATION OF HOME FOB. 1. ALL OF THENOT SCALE: DRAWING NUMBER: Cape, A D ALL C THE DIMENSIONS ARE FOR REFERENCE ONLY FIELD PRIOR T IS TO THE PLANS SHOWN ARE THE SOLE P IED. OF — VERIFY COSTING CONDITIONS AND DIMFJiS!ONS IN THE FIELD PRIOR TO THE DESIGNER ND/CANNOT COPIED, START OF WORK REPRODU CEO AND/ORALTERED,HEUSED FOR PERMIT 1/A" 1 ' C A f�EY ICE S I D E N C E 2.THE GENERAL CO 5 o CTON S RUC I N 50 E RF5PON5THEJ FOR AND/OR FILINGEDE51 WITHOUT THE EXPR ICK WRITTEN 4 MEANS AND METHODS OF CONSTRUCTION AND SAFETY ON THE JOB SITE CONSENT OF THE DESIGNER.PATRICK RIMItJGTON. T 3. ALL WORK SHALL CONFORM TO THE MASSACHUSETTS STATE BUILDING De51 CODE(LATEST EDITION)AND ALL OTHER APPLICABLE CODES. 4. IF APPLICABLE,CONTRACTOR SHALL IDENTIFY ALL EXISTING LOAD (� n BEARING ELEMENTS PRIOR TO COMMENCING WORK AND SHALL DESIGN AND 6 5 6 5 C U D D E R AVENUE PROVIDE SHORING AS REQUIRED TO SUPPORT LOADS DJRIIJG Approved A3 CON5TR11f1ON for filing P.O. BOX 8OE h YA N N 15 P O RT 0 M A 5 ANY DISCREPANCIES•ERRORS AND/OR OMISSIONS IN THE NOTES, 9 DATE SHALL BE BROUGriT TC THE ATTENTION OF THE DESIGNER PRIOR TO MARSTON5 MILLS, MA COMMENCEMENT MEMOPTANCERUCTION.E PROCEDOCUMENTS NTHGONSTRLCTION 01/02/2017 D15CRE ANGI ACCEPTANCE D/THESE DOCUMENTS AND HE Patrick 5� Q -7 -7�t DISCREPANCIES,ERRORS AND/OR OMISSIONS BECOME THE 508-28O-/O/4 RE5PON51BILTTY OF THE 13UIID114G CONTRACTOR Rimington 6'-7' 6' 6'-7' ALL MEA5UP.EMENT5 ARE INTERIOR BED ROOM BATH TUB WITH TILE SURROUND---� ---ADDITIONAL FRAMING REQUIRED FOR BATHROOM FLOOR - 76' 3' ____--- 7 AS / I FINISHED ADDITION AREA �` 2,�• _ 3__ 4 i LAYOUT TO BE DETERMINED CLOSET BATH ROO ---SHOWER CURB BATHROOM a ^--SHOWER 7 A5 ---HALF WALL WITH GLASS ABOVE I SHOWER CURB---- m - 7�BAT V 2-6. O —WASHER 6 DRYER I ALL MEASUREMENTS ARE INTERIOR REDUCED CLOS 7 LINEN REDUCED HEADROOM THROUGHOUT of ` FADPooMc�sET^ AS ti AS °� ---------------- 7 n 5 I UP AS - 6 T Tic 2.- STAIRS TO ROOF HATCH I ❑ _—_ - I - 14'-6' - 12`11" 5`11 ♦ I j - T R_D NN L,I'BED ROOM "1 7 STAIRSICP O �t FLOOR iv AS 7 5TAIP�DOWN'. o0 00 0 0 0 \ TO st FLOOR `� NON-CON-8 INS STAIR.RAll r I O 2NO FLOOP.ZD, I 11'-10' N r• ; IN I I STAIRS DC%gI eoae o00000 ; 7-S• o 76'-7' 4 I o00 I AS I IQ 2tt Q FLOOR 14..7. - P. AS ��16 7 6'-9' BUILT-IN —_---- —_.— J----.-- li/JI/ 1 - 73'3' T___________t 4'_9•!, , rn� 4'-5' 7-6' 4'-11' N PULL DOWN - i tol • 7 - i ATTIC HATCH °' '1111 5' i 1 m 1 1 REDUCED HEADROOM THROUGHOUT---- di C OStT ---LINEN CLOSET 1 \2'-6^ '1 3'-3' 2'-6' ��3' 2'-6' . 6 1----FULL GLASS � STYLE OF TUB T.B.D. AS rnj ---SHOWER CURB r -- tT3' _ MASTER 4 i BED ROOM I PROPOSED ATTIC LEGEND 9 5'-7' ®NEW WALLS O Et!5TING 111A.L15 PROPOSED 2ND FLOOR Ca GENERAL NOTES: NOTE RENOVATION O� HOME FOB. V I.ALL OF THE DIMENSIONS ARE FOR REFERENCE ONLY CONTRACTOR 15 TO THE PLANS SHOWN ARE THE SOLE PROPERTY OF SCALE. DRAWING NUMBER: VERIFY EXISTING TING CONDITION AND DIMENSIONS IN THE FIELD PRIOR TO THE DESIGNER AND CANNOT BE COPIED, e CAD F C]F F F START OF WORK. REPRODUCED AND/OR ALTERED,USED FOR PERMIT 1/�" 1 ' C A f�EY I \I��I D I^N C L 2 FAP15 THE A NERAL ETH CONTRACTOR OF CON SH RUCTION SOLE RESPON5THEJ B SITE AND SENT FILING WTT O T THE1GNEK P PRECK RIMI EN GTON _ MEANS AND METHODS Of CONSTRUCTION AND SAFETY ON THE BUILDING SRE CONSENT OF THE DESIGNER PATRICK RIMINGTON. De,5 I B. ALL WORK SHALL N)NFORMAND AL O THE M PUCA15 E COD STATE BUILDING f CODE(LATEST EDITION)AND ALL OTHER APPLICABLE CODES. 6j n6 5 8 S C U D D E AVENUE 4. IF APPLICABLE PRIOR TO COMMENCING IDENTIFY ALL AND 5M G LOAD BEARING ELEMENTS PRIOR UI COMMENCING WORK AND SHALL DESIGN AND roved PROVIDE SHORING AS REQUIRED TO SUPPORT LOADS DURING APP�; CONSTRUCTION. for`lin A4 P.O. BOX 806 h YA N N I S P O f�T M A 5.ANY DISCREPANCIES,ERRORS TIO OR OMISSIONS E THE NOTES, 9 SMALL BE BROUGHT TO THE ATTENTION OF THE DESIGNER PRIOR TO MARSTONS MILLS, MA COMMENCEMENT E5ACOPTANCE fTHES. PROCEEDING WRHCONSTRUCTION 01/02/2017 CONSTTNTES ACCEPTANCE OF THESE DOCUMENTS AND ANY Oa{r".1� �L Q �1 DISCREPANCIES,ERRORS AND/OR OMISSIONS BECOME THE Patrick k 508-2,50-7074 RE5PON51BIUTY OF THE BUILDING CONTRACTOR RIm(ngton (2)2x4 TOP PLATES----------- .(2)2x4 TOP PLATES--- ---ENGINEERED LVL OR STEEL BEAM T.B.D. 2"x4"TOP PLATES----------- ' 2"x4"TOP PLATES (3) 2"x8"HEADER (3)2"x4��KING STUD KI ---- ---(4)2"x4"FRAME --__ --- 2x4 STUDS Ca-) 16 o.c---------_-_--- 2x4 STUDS @ 16 ox---------_____ 2"x4'BOTTOM PLATE (2)2"x4"JACK STUD--- ----EXISTING 2"x8"JOISTS - R-20 BATT INSULATION--- OR EQUIVALENT ---EXISTING SUBFLOOR ' ---NEW 2"x8"BLOCKING 3.5"dia.CONCRETE FILLED LALLY COLUMN 2"x4"BOTTOM PLATE-- 2x4 BOTTOM PLATE--- 2x4 BOTTOM PLATE--- ----30"x30"x12"DEEP CONCRETE FOOTING EXISTING SUBFLOOR--- EXISTING SUBFLOOR----- EXISTING SUBFLOOR----- 1 LVL SUPPORT TO LALLY COLUMN DETAIL �, 2"x4" INTERIOR WALL A3 HEADER OF LARGE OPENING A3 4 5 2"x4" EXTERIOR WALL FOR DOOR FRAME DETAIL A3,A4 FRAME DETAIL FRAME DETAIL _---ENGINEERED LVL OR " = STEEL BEAM (SIZE T.B.D.) 2"x4"TOP PLATES------------- =' � __------LU28 JOIST HANGER 2)2'kB•HEADER - ------ _- (2)2"x4"KING STUD-- EY.I5TING 218'J015T5 TO BE SUPPORTED ON BEAM OR TOP PLATES OF STUD WALL 2"x4"JACK STUD---,., '-' ----2'k10"RIM JOIST 2"z10'CEILING JOISTS Cal 16"o-C. � I -------EXISTING 2"x4"WALL -- -TO BE SUPPORTED ON BEAM OR TOP PLATES OF STUD WALL OR 2"x4"BOTTOM PLATE CONNECTED TO BEAM WITH LU210 JOIST HANGERS EXISTING SUBFLOOR-----___` TYPICAL NEW CEILING JOIST SYSTEM HEADER OF OPENING 2 JOISTS TO BEAM CONNECTION A3,A4 FOR DOOR FRAME DETAIL A3 DETAIL 2"x4"TOP PLATES------------- (ZJ 2•><6•HEADER 2"x4"KING STUD---,, ---ENGINEERED LVL OR STEEL BEAM T.B.D. --2"x4"TOP PLATES 2"x4"JACK STUD--- ---(4)2"x4"FRAME 2"x4"SILL--- TO BE SUPPORTED ON SILL PLATE OR TOP PLATES OF STUD WALL ---2"x4"BOTTOM PLATE _ ---2'k/0"RIMJOIST ---EXISTING 2"x8"JOISTS 2'X4"CRIPPLE STUD--- —j I i z 1o"FLooflJolsTs@16" R-20 BATT INSULATION-OR EQUIVALENT ---EXISTING SUBFLOOR a 2`'x4"BOTTOM PLATE-- NEW 2"x8"BLOCKING --TO BE SUPPORTED ON BEAM OR TOP PLATES OF STUD WALL OR CONNECTED TO BEAM WITH LU210 JOIST HANGERS EXISTING SUBFLOOR-----�__; '----EXISTING BRICK COLUMN TYPICAL NEW FLOOR JOIST SYSTEM HEADER OF OPENING 3 BEAM SUPPORT TO EXISTING BRICK A3 FOR WINDOW FRAME DETAIL A3 COLUMN DETAIL Cape CAD RENOVATION OF HOME FOR. GENERAL NO ES NOTE SCALE: DRAWING NUMBER: 1.ALL OF THE DIM&6 ON5 ARE FOR REFERENCE ONLY CONTRACTOR 15 TO THE PLAN5 SHOWN ARE THE 501E PROPERTY OF VERIFY EXL5TING CONDRIONS AND DIMENSIONS IN THE FIELD PRIOR TO. TnE DESIGNER AND CANNOT BE COPIED. START OF WORK. REPRODUCED AND/OR ALTERED.USED FOR PERMIT C AREY RESIDENCE 2.THE GENERAL CONTRACTOROFCNS AULRUC BEAR AND E FETYONSTHEJ FOR AND/OR FILING WITHOUTDESIGNER. THE PAENFRE55ICK WMINGT /2�� MEANS AND METHODS OF CONSTRUCTION AND SAFETY ON THE JOB SITE CONSENT OF THE DESIGNER PATRICK RIMINGTON, t 3.ALL WORK SHALL CONFORM TO THE MA55ACHU5ETT5 STATE BUILDING /7 I {/� CODE(LATEST LE, ON)AND ALL OTHER A IDENTIFY I L CODES. C I I 6 5 8 S C U D D E R AVENUE 4. IF NG ELEMBIE•CONTRACTOR SMALL IDENTIFY ALL AND SHALL COSTING LOAD BEARING 5"ORICTION.NG S REQUIRED ED TO SJCING WORK AND SMALL DESIGN AND Approved PROVIDE SNORING AS REQUIRED TO SUPPORT LOADS DURING /' 5.ANY for filing DATE: A5 P 0 BO/ 80b H YA N.N 15 P O RT MA 5.ANY DISCREPANCIES,ERRORS AND/OR OMISSIONS IN THE NOTES, SHALL BE BROUGHT TO THE ATTENTION OF THE DESIGNER PRIOR TO MARSTON5 MILLS, MA COMMENCEMENT OF CONSTRUCTION. PROCEEDING WITH CON5TRUCTION CONSTITUTES ACCEPTANCE OF THESE DOCUMEMS AND ANY Patrick - - O /02�2017 DISCREPANCIES,ERRORS AHD/OR OMISSIONS BECOME THE 508-280-7074 RESPD"SIB1U YOFTHE BUILDING CONTRACTOR Rimington A NAILING SCHEDULE IECC2012 RESIDENTIAL ENERGY EFFICIENCY DETAILS 110 MPH EXPOSURE B WIND ZONE ` CLIMATE ZONE 5A (USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION JOINT DESCRIPTION NO. OF COMMON NAILS NO OF BOX NAILS NAILSPACING TABLE 402.1.1 (MINIMUM PRESCRIPTIVE INSULATION & FENESTRATI.ON REQUIREMENTS) ROOF FRAMING: FENESTRATION SKYLIGHT I CEILING WOOD FRAMED WALL R FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL BLOCKING TO RAFTER(OE NAILED) 2-8d - 2-10d _ —_ EACH END _ U-FACTOR U-FACTOR R-VALUE VALUE R-VALUE R-VALUE R-VALUE R-VALUE RIM BOARD TO RAFTER(END NAILED) 2-16d 3-16d EACH END 2.32 0.55 49 20 or 13+5h 309 15/19 10(2 FT.DEEP) 15/19 WALL FRAMING: TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-16d 5 16d AT JOINTS 9-Or insulation sufficient to fill the framing cavity,R-19 minimum. STUD TO STUD(FACE NAILED) 2-16d 2-16d 24"o.c, h-First value is cavity insulation,second is continuous insulation or insulated siding,so"13+5"means R 13 cavity insulation plus R-5 continuous HEADER TO HEADER(FACE NAILED) 16d 16d 16"o.c.ALONG EDGES. insulation or insulated siding. if structural sheathing covers 40 percent or less of the exterior,continuous insulation R-value shall be permitted to be FLOOR FRAMING: reduced by no more than R-3 in the locations where structural sheating is used-to maintain a consistent total sheathing thickness. JOIST TO SILL,TOP.PLATE OR GIRDER(TOE NAILED) 4-8d 4-10d PER JOIST BLOCKING TO JOISTS(TOE NAILED) 2-8d 2-10d EACH END BLOCKING TO SILL OR TOP PLATE(TOE NAILED) 3-16d 4-16d EACH BLOCK LEDGER STRIPTO BEAM OR GIRDER(FACE NAILED) 3-16d 4-16d PER JOIST JOIST ON LEDGER TO BEAM(TOE NAILED) 3-8d 3-10d PER JOIST CONSTRUCTION NOTES: BAND JOIST TO JOIST(END NAILED) 3-16d 4-16d PER JOIST BAND JOIST TO SILL OR TOP PLATE(TOE NAILED) 2-16d 3-16d PER FOOT 1 . BEAMS ARE TO BE DETERMINED BASED ON DEMOLATION ROOF SHEATHING: AND DECONSTRUCTION FINDINGS WOOD STRUCTURAL PANELS(PLYWOOD) Sd lOd 6"EDGE/6"FIELD RAFTERS OR TRUSSES SPACED UP TO16"o.c. 8d 10d 4"EDGE/4"FIELD 2. OTHER EXISTING FRAMING TO BE SUPPORTED. RAFTERS OR TRUSSES SPACED OVER 16"o.c. 8d 10d 6"EDGE%6"FIELD GABLE END WALL RAKE OR RAKEoOV HA 8d 10d 6"EDGE/6"FIELD THROUGHOUT THE HOUSE AS PER BUILDING CODE GABLE END WALL RAKE OR RAKE TRUSS W/STRUCTURAL 8d 10d 6"EDGE/6"FIELD OUTLOOKERS 780CMR AS NECESSARY AND IS TO BE DETERMINED GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS 8d 10d 4"EDGE/4"FIELD CEILINGSHEATING: 3. PROPER BLOCKING REQUIRED BETWEEN FLOORS GYPSUM WALLBOARD 5d COOLERS **** 7"EDGE/10"FIELD WALLSHEATHING: 4. ELECTRICAL AND. PLUMBING TO BE DETERMINED BY WOOD STRUCTURAL PANELS(PLYWOOD) CONTRACTOR STUDS SPCED UP TO 24"o.c. 8d 10d 6"EDGE/12"FIELD 1/2"&25/32"FIRBERBOARD PANELS 8d **** 3"EDGE/6"FIELD 5. FINISH DETAILS TO BE DETERMINED BY CONTRACTOR 1/2"GYPSUM WALLBOARD 5d COOLERS **** 7"EDGE/10"FIELD FLOOR SHEATING: WOOD STRUCTURAL PANELS(PLYWOOD) 1"OR LESS THICKNESS 8d 10d 6"EDGE/12"FIELD GREATER THAN 1"THICKNESS 10d 16d '6"EDGE/6"FIELD RENOVATION OF HOME FOIE: GENERA` THEDI THEP SCALE: DRAWING NUMBER: Cape CAD I ALL OF THE DIMENSIONS ARE FOR REFERENCE ONLY FIELD OP,T IS TO THE PLANS SHOWN ARE THE SOLE PROPERTY OF — VERIFY EXISTING CONDITIONS AND DIMEIJSIONS IN THE FIELD PPJOR TO THE DESIGNER AND CANNOT BE COPIED, START OF WORK. REPRODUCED AND/OR ALTERED,USED FOR PERMIT 1/4 „ 1 , C A r� / ^ I D N E 2.THE ANDGEN E CONTRACTOR SMALL BEAION SOLE RETYO n THE FOR AND/OR FLUNG ME DESIGNER. THE PAEXPPZ55ICK JM N6T KE 1Y IRE C TEN MEANS AND'SHALLMETHODS OF CONSTRUCTION AND SAFETY ON HE JOB SITE CONSENT OF THE DESIGNER PAIR CK R MINGTON. 3.ALL WORK SHALL CONFORM TO THE MA55ACHU5M5 STATE BUILDING De5loj CODE(LATEST CABLE. AND ALL OTHER APPUCA AL CODS. y/� I I I 5 IF APPLICABLE,CONTRACTOR 5HALL IGENTIFY ALL AND SMALL G LOAD 6 5 6 5 C U D D E R AV E N U E BEARING ELEMENTS S 0 REQUIRED COMMENCING WORK AND SMALL DESIGN AND Approved PROVIDE SHORING AS REOVIRED TO SUPPORT LOADS DURING AG CONSTR`/ /� 5. ANY for filing P.O. O BOX 80b H YA N N 15 P O[ZT M A 5. ANY E BROUGHT TO,ERRORS AND/OR THE D 51G E THE NOTES. 9 DATE: SHALL BE BROUGHT TO THE ATTENTION OF THE DSIGNER PR10R TO MAR5TON5 MILLS, MA 5 COMMENCEMENT OF CONSTRUCTION. PROCEEDING WITH CONSTRUCTION 01/02/2017 PLAN CON5TTUTE5 ACCEPTANCE OF THESE DOCUMENTS AND ANY 506-280-7074 GRfSPON516`�OFRTHO BUILDINNGCONTRACfOR BECOME THE Rating — Rimington L - _..� ter- -is i - I r rt- I I I j i I _ I _SCa4NED 31S(o 10 _ I Ali ►�C� �� n �.a -- -- — — -- - --- -- --- - - - --- -- - --- - - ' _ , — BUILDING DEPT. BV -- TOWN 0!F BARNSTABLE ( i -LL �reO Pw _-AN I Ea:�U,--a-] 60 I : -- -- 1 _ _ _ - : - _ • I Ii i : I � � I i � I I ► i il_ � � , I � i _ 4-� ! Ilk A NO Ir - -fir ,-tip I Ti __ _ _ ► -ILL [17, 1 1