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Home My WebLink About0016 SEA STREET f —. I, � J. t "h�a* 'I� �r �.y t �` '� I'I � � C3 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town [which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. :MI S DATE: -10-(3 Fill in please: 0°Ar E o + APPLICANT'S YOUR NAME/S: Iv)D t ti t t "ice ` BUSINESS YOUR HOME ADDRESS: 1 Cwki 6430 V (�f�! �0$ ?3`15a80 =N�E Ui le A'I 3 TELEPHONE # Home Telephone Number N �` NAME OF CORPORATION: o? Co,C Fb r p 7-70 NAME OF NEW BUSINESS / A W�S. &- vE TYPE OF BUSINESS IS THIS'A HOME OCCUPATION? YES NO ✓� ,�� 00 9) ADDRESS OF BUSINESS 6 A `3T hrii',s MAP/PARCEL NUMBER (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO IS I NER,�F�FI This individ al b e infor e o y p r it r quirements that pertain to this type of business. horized Signatar ** 1 COMMENTS: v ' l f 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized.Signature* COMMENTS: 3. CONSUMER AFFAIRS [LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: - Town of Barnstable Building Post This Card io;That it''is Visible From the Street=Approved Plans Must.be Retained on Job and this Gard Must be'Kept greet B , Posted Unfil FinalAnspection Has Been Made � � �= p�y�m1 %63� tee , i Permit JlilJl � b Where a Certificate"of Occupancy is Required,sucti.Building shall Not be Occupied until,a Final inspection has been made. riii a C a w.r..'e^.-.r.r.c+.vas,.ws..e<.n++ .,..w.e:1`..d.n.+..._.....mot w�..f++.r..r+..a.,-v.,..sY«... Permit No. B-16-1924 Applicant Name: Paul J White Wood Carving Map/Lot: 308-120-001 Date Issued: 07/06/2016 Current Use: Zoning District: HVB Permit Type: Sign Expiration Date: 01/06/2017 Contractor Name: Paul J White Wood Carving Location: 16SEA STREET,HYANNIS _ Est. Project Cost: $0.00 Contractor License: Exempt 31 .� Owner on Record: KOURI,JOSHUA - Permit Fee: $50.00 Address: 98 HIGH STREET Fee Paid: ,$50.00 DANVERS, MA 01923 Dete'' Y 7/6/2016 Description: Century 21 North Shore Cape Cod 14 sq wood carved sign Blk white&gold Project Review Req : Century 21 , North Shore Cape Cod . 14 sq wood carved sign Blk whit&gold r x Zoning Enforcement Officer This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after'issuance. All work authorized by this permit shall conform to the approved application and.the:approved construction documents 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. This permit shall be displayed in a location clearly visible from access streeYor road and shall be maintained open for'public inspection for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit: Minimum of Five Call Inspections Required for All Construction Work-.' " 1.Foundation or Footing 2.Sheathing Inspection - 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection ' S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy 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. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in.MGL c.142A). , Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable " 0 Regulatory.Services MUMSTABMASS.`E Richard V.Scali,Director Eo; - � � Building Division j Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Rax: 508-790-6230 Permit# Building Official approving Application for Sign Permit JOIcS . !D ► /IallcC� ' _Applicant: 'Assessors No. - Doing Business As:--�.G/'r T Z� f / , Telephone No. R Le Sign Location c Street/Road: �k V 5�� y �y WOO Zoning District 'lk? Wld Kings Highway? Y /No yannis Historic Distric Yes o Property Owner , Name: A7n Telephone: G _ Address: O �� l/c � �� Gl� -Village: 6A6:6-1I Sign Contracto��y� �1'\�v Name: / � `�/tJ Tel �ephone Mailing Address: 2--`� �: / l,t �p A- �i �—•9 vJtJt(—� A p+ K _ Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and s. location. :- Is the sign to be electrified? es/No (Note:Ifyes, a wiringpermitis required) Width of building face ft x 10 25 0 x.i0 � � : Check one Reface existing sign or New``x Total Sq. Ft of proposed sign ( " Ifyou have additional signs please attach a sheetlisting each one with dimensions M If iefacing an existing sign please provide a picture of the existing sign with dimensions. I hereby cei*that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the d consFCkd�r conform to the provisio of. ' §240-59 through§240-89 of the Town Barns 1 Zoce. Signature of Owner/Authorized Agent: ` Date SIGNS/SIGNREQU E. revisedl 10413 Town of Barnstable ' Regulatory Services * BBARNSTABLE, '+ Director Mass. Richard V. Scab Dit or 1619.�Eo1+a Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 SIGN PERMIT REQUIREMENTS 1. a A photograph showing the existing facade, on which has been mdic ted the proposed sign location. The photograph'is to include a portion of adjoining stores or building. For a proposed building or new facade, an architect's elevation may be submitted in lieu of a photograph. 2. A scale drawing of the proposed sign. A scale drawing'indicating: 1) The type of proposed sign(wall,hanging, free standing) 2) Dimensions of the proposed sign and any designs, logos, or lettering 3) A cross-section with dimensions showing edge detail. Minimum scale 1 = 1'. Minimum sheet size, 8.5 x 11 3:' A scale drawing of the bracket.`A colored-gcale-graphic indicating dimensions, showing colors, materials and method of affixing it to the sign and to the building. Minim Un? scale 1"= 1'. Minimum sheet size,;8.5 x II 4. A completed Town of Barnstable Sign Application, including scaled diagram showing location of sign on building or location of free-standing sign. Show dimensions. 5. The width of the building face or the leased area- NOTE: the map/parcel q number is required on the application. 4 SIGNS/SIGNREQU revisedl 10413 r— � V) f r I i 11 ' 4 1 I �7� v� �lC-s P A�U L WHITE Copyright Notice 0 Woodcarving G G This drawing and as reproductions therof are the property A of PAUL WM woodcarving and E. 6 ndwich, MA may not be reproduced,published, 508-888-1394 /71& /ot/ � changedoruse nywfywithout ` ' /' ��% Cik.�� written co nsen www.p'aulwhitewoodcarving.com �� '� /.ova✓ /00 q .F y�" 31. 1-J -10 T !� y os , M t p+ f ' t ' 7 1 R i 1{ y C 4 s o , a i {v ��`i ��j µ ` t �.. 1 t I.. �P �a•' 11 i,, .� f f; Y w , Q r. t ,g If 33 t i S I _ Pi f IDAUL J. WHITE woodcarving RT.6A,E SANDWiCFI,MA02537 IA 60 NO/ ziv . r i r YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: 3 41 Fill in please: YOUR NAME/S: _� :—•� S7 c. C APPLICANT'S BUSINESS YOUR HOME ADDRESS: L-1 � `3 `� ' -� w •-i TELEPHONE # Ho e Telephone Number 0,6 "3 •� �!,!"��,�:�?4�. _.. � � . j do..c--7 1 co C a 1,n1 S � G vim, S' c5hi O 0- " s NAME OF CORPORATION: s7 E-"ry (--L C. NAME OF NEW BUSINESS C Ch�Tv� a2 t c au -{ Rx?6 TYPE OF BUSINESS - "� '�- IS THIS A HOME OCCUPATION? . YES NO ADDRESS OF BUSINESS /G SC� L5`T�ZEr`i� firy/ r�/nl cS MAP/PARCEL NUMBER 30,F 1a 00 l (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you,in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. • 'I. BUILDING COMMISSIONE OFF CE This individual has bee inf d bf any r i r quiremerits that pertain to this type of business. Auth ized Sig ture* COMMENTS: V. 2. BOARD OF HEALTH n This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS LICENSING AUTHO RITY) TY the licensing requirements that pertain to this type of business. This individual has been informed of P tY T 9 q Authorized Signature** COMMENTS: INE Sign TOWN OF BARNSTABLE Permit * RMW"ABLE, MASS. 9�ArF p 39. A� Permit Number: Application Ref: 201003890 20070492 Issue Date: 07/30/10 F ' Applicant: KOURI, JOSHUA Proposed,Use: MIXED USE RETAIL &RES Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 16 SEA STREET Map Parcel 308120001 Town HYANNIS Zoning District HVB Contractor.' PROPERTY.OWNER Remarks NEW 8 SQ WALL SIGN MATHNASIUM Owner: KOURI, JOSHUA Address: P O BOX 210 CENTERVILLE, MA 02632 R Issued By: POST THIS CARD 50 THAT IS VISIBLE FRAM THE STREET oF1MET Town of Barnstable Kt F 0 rr g r' Regulatory Services �eBARNSTABLE,g Thomas F. Geiler,Director tt f € 3: 'ijA i6;q. ,0 recr�'�s Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 ♦Y i � www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 3O9 of 0 001 Permit# Building Official approving---------_ _ b 30 — Application for Sign Permit Applicant:_ n- SLAM Y1-e r-S ____Assessors No.- D O /J 0 00 Doing Business As:__ ------�-��--�1----------Telephone No._�� Sign Location Street/Road: __ 1 --------- -- - otn►�i�_�_M _o_a 1001_ Zoning District: Old Kings Highwayp Ye /No Hyannis Historic,District? Yes o Property Owner Name:---� Q _I � --------- Telephone: -------------------- Address: ------- - ----______Address: oZ ------------Village:_ ee�r ),r vl_ / Q- o� 03 SignContra �3 a c 1 Name:---- - 1 - L+ - -----Telephone:__508-73 s-a5v I Mailing Address:--&-$ 3 Ott y%i LIU n n i S MA o a 6c) Description -- - Please follow die cover directions.You must have an accurate rendition of sign with dimensions and location. Is die sign to be electrified?, YesE (Note:Il yes, a wiring permit is required) Width of building face _-ft. x 10= s0 ---x .10 Check one Reface existingsign---- q. proposed gn JC gn____ or _____Total S Ft. of ro osed si (s) If you have addi6orlal sighs please attach�Y sheetTisLllg each one with dimensions — lil - --------------- � 1 --` If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am die owner or that I have die authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of §240-59 through §240-89 of the Town of Barnstable Zoning rdinance. Signature of Owner/Authorized Agent: _ - -- - ---------- ate--------- n r SIGWSIGNREQU revised 103 009 1 508 76-5306. I76 5306 ,EASER' iSALE OR LEASE i I MH NASI UM' - LeamIng center • GRA Na OPENINGI COMINGJ H� NOUN! x INN HNASIUM MlHNASIUM {{ "` 'fit s1lr.i�M�011tl. 3 rr�rr.nath�ilswr•.can+ 108-771-NATR(6186) va yTM i r S ��'"•mat xk4 t r>k,n V''�� s ^" tkk ��k�'k ^��` J';4�`aw. tyr«`" �► f 14% 4k�n arc, wv px:+ � :•,�,AR ''r A �"s f � at S 7 ,r k .. r t� ,^d . x et' +k M's�-"P t:A,` ..v^a t�",' :: a �� "7 �a,�eP `�� \�9"w d �1%^' 'haw "a�tfn�' �� x 1 2•: " !'"t,J; �# " .+ .,' � p*mad ,x3 y 1 �" ,� far 1��* •a+�..."�' ,ni � M „. mt'd Sy �w, � Ft q mmM ka k:: r ..'� �rea �" Z " '".n`�d(r whyk d a r� mwr y,, s.,*.;S°v. <.. ail$; •^� ''<' '` "'� xxka,w kti�' 4tds C>� �,� �"eam '� ,5.. a fie. A end ' a� * q*€ Fs" d a ,•zW r � aok a✓-or °�� ;2d.S,m4Y�`+a" x,'"r„dp� .^'."'>.,. .K;.9�$ }' �� S^ �. ';;',r �»`17w}:�*,.�m *� 'a„p*+?t,�.! ,.✓" .a#s ",• w' Y ?w' � '`� c �"';,v � .7 . 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J.ai;. ,,'�&., �. ., ,�'°�" •,� -P, y, a .:.� � ' -.' �... . � �" `S and j"E'a�,,� Hyannis Main Street Waterfront Historic District Commission RAPOW"BM ' 200 Main Street mess �,,�n ►�� Hyannis,Massachusetts 02601 TEL: 508-862-4665/FAX: 508-862-4725 Application to Hyannis Main Street Waterfront Historic District Commission in the Town of Barnstable for a CERTIFICATE OF-APPROPRIATENESS. Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness. under M. G. L. Chapter 40C, The Historic Districts Act for proposed work as described below and on'p►ans, drawings or photographs accompanying this application for: PLEASE CHECK ALL CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: 3. Signs or Billboards New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole. ❑ Other . 5. Parking Lot: ❑ New Building ❑ Addition ❑ .Alteration (Please see the guidelines for explanation and requirements) TYPE OR PRINT LEGIBLY DATE �P s— 10 ASSESSOR'S MAP NO. 308 ASSESSOR'S PARCEL NO. APPLICANT tW 'SkMMe.,rS TEL.NO. APPLICANT MAILING ADDRESS_ Seg, ffiS A D Q&o I ADDRESS OF PROPOSED WORK s M oa!of PROPERTY OWNER OSb K TEL.NO. O— "' S w .J OWNER MAILING ADDRESS r•D• SOX DLI d CSLAJ�� A 034 3D. FULL NAMES AND MAILING ADDRESSES OF ABUTTING OWNERS.Include name of adjacent property owners across any public street or way. This information is best obtained at the Town Assessor's Office. (Attach additional sheet if necessary). VED T T )V t Ur DM-111mv AGENT OR CONTRACTOR HISTORIC PRESERVA-f I EL.NO. ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done, including detailed data on such architectural features as: foundation, chimney, siding, roofing,roof pitch, sash and doors,window and door frames, trim, gutters - leaders,roofing and paint color, including materials to be used, if specifications do not accompany plans. In-the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet,if necessary). Signed caner-Contractor QjE IRCLE ONE) SPACE BELOW LINE FOR COMMISSION USE Received by HMSWHDC Date s"u�v. Y This Certificate is hereby Time � Date l By i TOWN OF BARNSTABLE U HISTORIC PRESERVATION HYTORTANT: If this Certificate is approved,approval is subject to the 20-day appeal period provided in the Ordinance. CONDITIONS OF APPROVAL: f Barnstable Hyannis Main Street Waterfront bAd °FTHe r°w� Historic District Commission AD-Amedca0v 200 Main Street w r Hyannis, Massachusetts 02601 BARNSTABLE, t v� MASS. g Phone: 508-862-4665 / Fax: 508-862-4784 ArF p .�A www.town.barnstable.ma.us 2007 George A. Jessop,Jr. AIA,Chair - Marylou Fair, Commission Assistant SPECIFICATION SHEET FOR SIGNAGE • Prior to filing your application for a Certificate of Appropriateness, please contact Robin, the Town's Zoning Enforcement Officer,.at 508-862-4027 to discuss the amount of signage allowed for your building, as well as any other Town Sign Code regulations which may affect the sign(s) you propose to install. • Even if you are applying for the same amount of signage as previously existed on your building, the laws may have changed since that sign was installed. • Once you have applied to the Hyannis Main Street Waterfront Historic District Commission for a Certificate of Appropriateness for signage, you may apply to the Building Department for a temporary sign permit. The Building Department can provide all information regarding the temporary sign permitting process. • Please fill out all information requested below. • If you are applying for Certificate of Appropriateness for more than one sign, please fill out ONE SPECIFICATION SHEET FOR EACH SIGN. BE SURE THAT YOU HAVE INCLUDED WITH YOUR APPLICATION: • a scale drawing of the proposed sign • color chips for all colors on your sign • a photo or scale drawing of the building on which the proposed sign location, as well as any light fixtures proposed to light the sign, are indicated • a scale cross-section of the sign, with dimensions, showing edge detail • specifications for any light fixtures proposed to light the sign • a scale drawing of the sign bracket, indicating dimensions, color, and material Size of sign X 3 M m Material(s) of sign V n APPhU 10 V� Material of Lettering (if different) N/A The Sign will be (circle one): carved wood / painted wood / vinyl lett rn)jj n (i;other (explain) L�, L5 V 1 Location inyvhich the sign sill hang EJUT116 TOWN Of VATIONRIC PRESER Will there be exterior light fixtures to light the sign:' S If so, what type of fixture? Where will the fixture(s) be located? �1EptU S,eC 21 S Barnstable Hyannis Main Street Waterfront sHE TOw Historic District Commission AO-AmericaCity 200 Main Street STAB Hyannis,Massachusetts 02601 Phone: 508-862-4665 / Fax: 508-862-4784 m www.town.barristable.ma.us 2007 George A. Jessop,Jr. AIA, Chair Marylou air, Commission Assistant SPECIFICATION SHEET FOR SIG AGE • Prior_to filing your application for a Certificate of Appropria ness, please contact Robin, the Town's Zoning Enforcement Officer, at 508-862-4027 to iscuss the amount of signage allowed for your building, as well as any other Town Si Code regulations which may affect the sign(s) y u propose to install. • Even if you a e applying for the same amount of si age as previously existed on your building, the 1 ws may have changed since that si n was installed. • Once you hav applied to the Hyannis Main St eet Waterfront Historic District Commission for a Certificate if Appropriateness for si , you may apply to the Building Department for a temporary si n permit. The Building epartment can provide all information regarding the temporary sign ermitting process. • Please fill out all in mation requested elow. • If you are applying for ertificate of A propriateness for more than one sign, please fill out ONE SPECIFICATIO SHEET F EACH SIGN. BE SURE THAT YOU HAVII IN LUDED WITH YO APPLICATI N: • a scale drawing of the propose ign • color chips for all colors on y r ign • a photo or scale drawing of a bu ding on whi the proposed sign location, as as any light fixtures propose to light a sign, ar indicat • a scale cross-section of t e sign, with mensions, • specifications for any b ht fixtures prop ed to light the sign • a scale drawing of th sign bracket, indicate dimensions, color, and material Size of sign Z X t 7�CJ1� Material(s) of si l/V Material of L ttering (if different) Al „ Q ISTORIC PRESERVATION The Sign ill be (circle one): carved wood painted wood vinyl lett ing o er (explain) Loca on in which the sign sill hang &&r0,,_ wkt'n Will there be exterior light fixtures to light the sign?_ N 0 If so, what type of fixture?_ A Where will the fixture(s) be located? _N/A a� ,�,.�.,�.. - - • _z_. � 4. 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", u� - .sat R .f k` # ,,., - •4.:". fir;*'�;:?77:+''F.E:e'k'�_ .. .. .s'Pa.• ` .e*.. :.. ��'.. < ,...,3 �' s+'+T,,_:"- ": .r- - . ...< ' - '��{-r"�i.,,Y �t Y� a:;:�s ti� �54;� �"-s `'�.,«F� "�`i;> �`� y_;� q�_ -`;:t *�i'=rd u�>F�r, "; � •+r3TP ¢zr^.reY �W .c ,;# � f t�/i+ w.n oilk dR �: e , x z%�,� :s�',"ms .�iP`'�r'` ..'�-'�' � t� 1.. i � L SA �:'F� ',` `g 'its•... t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ?3101� Parcel �,' OF Y k!STAB1.E Application Health Division Date Issued Conservation Division Application F 44—U—n Planning Dept. - - - Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street AdJJdJress //0 Village 17 _ Owner ��"1`� 1/,0V Address Telephone 7 (o- i,3 9 �• Permit Request 9-f- 14'e- Aro d Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay . Project Valuation - Q rJ 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 �,� �' Telephone Number Address 13& '�L License# y� C) Home Improvement Contractor# ® Email.C�, re n AJ f �e�dlS <b cs ��vt 4i�/orker's Compensation # ON ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 14 SIGNATURE DATE 1 FOR OFFICIAL USE ONLY e APPLICATION# DATE ISSUED 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. ��r37'he7��i!ll�lS.Y1�rrCie�t 690 WwhirgfaaMr'eet 1'VF4`W.7,F�FQSS�g(Mi��ilt � Workerse CcfmpensaficmInsurzare davit RmIders/,Contracfnrs/BecfricianslPlvmbers tpIicaat TIIfai-mami>< please plint L> ftr = `-�•® �'"'� ice_S_�- G!� c�� 5;:a emPlo-Ter?Chexlc . a . priate box:` Type of�I�(''4- I employer�,ec 4 I ama a1 c tractor anal l _ to €nit agdlor tim- e * � have:hireci.the 6, New c=stuo im 2_❑ I am a sole{proprietor listed an the attached sheet 7- ❑Remodeling. ship and have no employees These sob-contractors have S. []Demabfioa vroxi ing forme in any caparity' emplayees and have wort{=- o urarkers'comp:insanance comp.zasuranI 9- ❑Building addition 1 5- %Te are a coaparaiiouand its I -[] ecxical repairs or adciitims 3.❑ I am a homeowner doing all work oftirers have exercised their I L O Plambiug repairs or additions Myself[No workers'comp- fit•of a ficarper MGL I2-0$oaf repairs insmanee segah-e&]i c-152,§I(4),andwe have no emplayeM[NQwoAs' 13-0 Odwr. COMP-insatawerevired.j *Any=_pBrs d tIxat cbedcs b=f'1=st also iM ovt the Rwdmbgowskh xia5 ffi&lea'oonalrrnss�a paia�ii�tma l�ameawneatipsubmittaxisaf�d:vitini tgtheya�dxri¢g�ttra sadtbeitbeeoatsidecon�crosamstsmb�itaxes idaritis> =dL IODMIMct=tbatc5er]<thisGvsxaastettar}sedmadRitimnsl shed 5hmdngtheaxameofthesobao smasts3eorhedxeroraatfiu�ser r>s� ea�tppges. jft]rernttirnntrsCt�la-seexxePloyees,tlte3'nnrstpxauxdetbeii'WOrb�4�iOmp.p61'icfIIv®beZ . am art emPZG5w that is praAE4 uvrkers'cangxmm f&n inscrraace for my enq&yesL HeL7fr is f cpa&y aced job site irr,�fbrntQhit�n. ' Insarmce CompauyName: L Poky 4ofSelf_ins-Lie-� (,rC �-^ 3 l S ouDate: _ Iob Site Address Cify{StatyZig: A-Unch a copy of the work='conipenvation policy declaration page(showing the Policy number and eiTim6oa dater). Failure to seeore-caverage as reT iredunder Section.25A of c.L52 can lead to the i�mpositim ofaiminal of a ' fine up to$L.500.00 andlos one-yearrmpm as well as civil penalties Mi the fry of it SMp WORK ORDMand a hw. c&up t>o$250-00 a.clay against the violator- Be advised ttat a copy of this statement mnybe forwarded to tine Office of Iuvesfigxdons o€ffie DIA for- cavecage tm I do hemby cwl fp r ' s Uf pen u; ' spay thatatire in jnrmatianprasifkd abam"�s arrd correct SiPnaturer -. I3at �. Phone7 <;73 9' Q f j WOI use only: i&rrat tvrzbs in this area,to bg CMpfew by city'or faun a,ffrtcraL City or Town: Pere*cenzse# hsumg Aathtaritg(drele one)c L Board of Health W BaUdiqg Department I a4lraw a Clerk 4.,Rlecttical Inspector S.Plumbing h1 pmtor 6.Other Contact Person: Phone 9: 6 I CERTIFICATE OF LIABILITY INSURANCE DAIE(MMIDDIn"M 5f7M14 'THIS,CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER FRANK L HORGAN INSURANCE AGENCY INC CONTACT 44 BARNSTABLE ROAD PHONE PO BOX 250 c No HYANNIS, MA 02601 ADDRESS: INSUR S AFFORDING COVERAGE NAIC A INSURED NSURERA: LM Insurance Corporation 33600 - CAPE$ ISLANDS CONSTRUCTION COMPANY INC NsuRERB: PO BOX 210 NSURERC: CENTERVILLE MA 02632 NSURERD: INSURERE:' . INSURER F: COVERAGES CERTIFICATE NUMBER 20102526 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN'ISSUED.TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD POLICY NUMBER % MMIDD .MOLICY EXP - LIMITS - COMMERCIAL GENERAL LIABLI Y EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RM7rET S. MED EXP(Any one person) $ • PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICYEl JJEECT LOC PRODUCTS-COMPIOP AGG $ OTHER $ AUTOMOBILE LIABILITY IN I S.. - - Ea accident ANY AUTO BODILY INJURY Per( person) $ ALL OWNED SCHEDULED r AUTOS AUTOS - BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS - Per accidentI $ S UMBRELLA LIAB OCCUR - EACH OCCURRENCE $ EXCESS LIAR HCLAIh4S-MADE AGGREGATE $ DED RETENTION i $ A WORKERS COMPENSATION WC5-31 S-377540-014 5/7/2014 5/7/2015 i ST TUTE ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTNE EL.EACH ACCIDENT S - 100001 OFFICERIM EMBER EXCLUDED? a N/A - (Mandatory in NH) EL.DISEASE-EA EMPLOYE $ 10000( If yes,describe under - DESCRIPTION OF OPERATIONS bebw EL.DISEASE-POLICY LIMIT $ 50000( y DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Workers compensation insurance coverage applies only.to the workers compensation laws of the state of MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to°workers,compensation coverage CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS MA 02601. AUTHORED REPRESENTATIVE - n LM Insurance Corporation ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25,(2014101). The ACORD name and logo are registered marks of ACORD CERT NO.: 20102526 LUCY Garfield 5/7/2014 7:38:38 AR (PDT) Page 1 of 1 - a Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-074660 ' JOSHUA X KOUIt PO BOX 210 , CENIERVH LE CIA Expiration Commissioner TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION (� Q� D ' Map- Parcel_ , ( — I Application # `V Health Division ~' Date Issued Conservation Division Application Fee d� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic.- OKH Preservation/Hyannis Project Street Address Village a �, S Owner b`i'�9 t ✓✓' i` Address Telephone C, (Q Permit Request ) ' �, �d _ s �� l� M ` Square feet: 1.st floor: existing w proposed �2nd floor: existingproposed Total new Zoning District Flood Plain Groundwater Overlay r�P Project Valuation d Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Fa;No y # units) v Age of Existing Structure ' Historic House: El On Old King's Highway: ❑Yes YNo Basement Type: O Full W(Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing -�� newer_ Number of Bedrooms: j3 existing new ,y otal Room Count (not including baths): existing _ new / First Floor Room Count Heat Type and Fuel: X Gas ❑Oil ❑ Electric ❑Other Central Air: a Yes ❑ No Fireplaces: Existing New _ f)::� 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 ❑ C/ 1.1 CD Commercial ❑Yes ❑ No If yes, site plan review# - Current Use plv��-cue;y1� � i iLiA Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ��S t4 L Telephone Number ` 736 3616 ��ddress _ 6 r) )D License# . , 7V L- ' v- I-c' /M.11 ' 0Xi -`9- Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO gilt SIGNATURE DATE a P, FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED , MAP/PARCEL NO. ADDRESS VILLAGE OWNER ; DATE OF INSPECTION: FOUNDATION Y .FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL w FINAL BUILDING DATE CLOSED OUT ASSOCIATION,PLAN NO. I T 1 - C t+ 1 \ < < l..,I . ti:: , , ;" H annis.Main Street Waterfront Y �' ' Historllc'_D><stir><ct Commission ". ' 200 Main Street ,, Q� Hyannis,Massachusetts 02601 A . TBI 508.-862 4665/FAX 50, :86, -4725 Application to Hyatuus Main Street`Waterfront Historic Dist. Commission in the Town'of Barnstable for a .; a4o CERTIFICATE OF APPROPRIATENESS -+W` Application is hereby matle; in triplicate,for the issuance of a Certificate of Appropnatenes under M G L Chapter 40G The Historic Districts Act for proposed work as described bel ► and;on plans drawings or photographs accomPanymgahis application for , PLEASE CHECK ALL CATEGORIES THAT APPLY. �a r'Pt. 1 Exterior Building Construction ❑ New Building ❑ Addition ® Alteration Indicate type of boil.ding ❑ House ❑,Garage` ® Commercial ❑ Other 2 ExtenorPamhng ❑ ,:, 3 Signs or Billboards .❑ New sign ❑ Existing sign 0 Repainting existing;sign 4 Structure ❑ Fence ❑ Wall ❑ Flagpole ❑ Other 5 parking Lot ❑ New Building ❑ Addition ❑ Alteration (Please ee the gwdelmes for explanation and reguuements) TYPE OR PRINT LEGIBLY DATE Q'- ASSESSOR S MAP NO (} ASSESSOR S PARCEL NO. L / �.� APPLICANT , ' D+ ' TEL NO J 7 ' APPLICANT.IVIAILING ADDRESS r / ��'/� a''�/ `� `�'� ADDRESS OF':PROPOSED WORK PROPERTY OWNER' J 54.. ��+m� r TEL NO OWNER MAILING?,DDRESS .r a FULL NAMES AND MAILING ADDRESSES OF ABUTTING OWNERS Include name of adjacent property owners across.any public street or way This information is best obtained at the Town Assessor's 4 Office (Attach additional sheet if necessary) c)v_ 1� ...��.-,._.-...�_�:-,.*�,_..�I.-.-:,._:;:.-..�,:_-....:;_�,.�..,�'.,:,,,��..,..�:.:'l�.-.�q...-.,1;.��....._.,��,::1�':.,_:,�.�....,-.:�%'..-.�,:�,...�;,�;�.-.".i7..._.,�..::::.�,..j��:�.":.:,,!.:.��_�;�:,�*�.:�.__:....:�...�...�I:..,�,_��.,�:,..1:.�.�...:.,:.�:.,-...�,..,�:,,_:,.__..";.�.��.:..��__....-;.�...�.,:��..-.,.._;,4:—_::.::,....��,.,�.�.,.i.__.',.-.!.:,:�.:�....�.,..L!.�:�.�.,��..::..:�i...".!�,.,,.,.','�...�.�:4-......*.:..':.,,,'..;.J..::*.�.,_,.'�_ AGENT OR CONTRACTOR 7 �i TEL NO 1 { —, ADDRESS t � } �� :: - -�-:-.-w ... - ---- - - * ' - * - - --.�.�,.�'-.!:�r Q .-'-.- --: -..--�........��',-..-,�.............,,..�,.,,�'...*..*..:�� -��-. .-�*-� --_' � ---'X.�..--�. �.,��-,...,.�...�.��..*,*.*�....��...,.�'...�.,.�..,'..�.-.,.-.....,..��..�.........-..-.�,.�,.�.,.-.��l��,..�,.�!..�.,.......�:�.�.,�.....�.�:,,��..�...�..,.�.....�...��.�...- � '. �..�..�...��.�......�....�..�..�....r..,... .�... .- ' , _ . - — - .. .- ' , -_ ..... .... -.. .-...' -...� ...- . � . . . - , - �. 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DETAILED DESCRIP PION OFPROPOSED WORK Give all parnculars of;work to be done, mcludmg detarled data on such architectural features as foundation, chimney, siding roofing,roof pitch,:sash and doors;unndow and door frames fim,;gutters leaders, oofing and paint color,including materials to.' used,if specifcations`do not.accompany plans In the case of aigns, give locations of existing signs and proposed;locations of new signs (Atta f. ch additional sheet,of necessary) O e L>°r a.1� 1 1. lq✓r��lf T i Jjt! c7t e.,yA Y`��'/�Gfi l w'+ "I 1/�1.v F1 =�i�� y �`' q4 'M. t3� 1z 1t . : -0 '� ►� t�c 1 c �' g41� W w 1 j 5 U: Z.�.:yc7�.lJ(''�7 Yn> '�1,L Yl7 lup ii� F f�r��d.. �-L' e��/ �'t,4-: �jc`d 1 Signed caner Contractor Agent (CIRCLE ONE) im >;:�, SPACE BELOW LINE FOR COIVINIISSION.USE Received by HMSWHDC Date This Cernficate is hereby car Time Date 3 ' 13y Signed J�� IMPORTANT If this Gernficate is approved,approval'is subject to the 20 day:appeal penod piovidedim the Ordinance CONDITIONS OF APPROVAL 1 { v c uvv GR��ifTH 1AtGE' T IYANNIS MAIN STREET WATERFRONT,fIISTORIC DISTRICT COMII�ISSIUN ***SPECIFICATION SHEET*** ADDRESS OF PROPOSED WORK %k I FOUNDATION_ F SIDING TYPE ` lJ.G' Cl�✓ .`eia i � _COLORi�i ln/'/� CHIMIJEY TYPE COLOR L COLOR v.R�J ROOF ivI ERIAL ��--- ;PITCH WINDOW l COLOR .tom Fm TRIM COLOR r DOORS SHUTTERS �/�� I t� GUTTERS N �/ WRY DECK N 'GARAGE DOORS � COLOR NOTES Fill out completely, including measuiementsand materials/colors to be used Three copies of this form are requued for subuuttal of an appheation,along with three copies each of the plot ds plan,lancape plan aril elevation plans,when applicable The:Plot plan need not Certified",butahould how all structures on the lotto scale 'AbutterReport Page 1 of 1 Adjacent (Please choose abutter list type) Abutter List for Map & Parcel(s): '308120001','308131001' Default buffer of parcels adjacent to the selected parcel Total Count: 18 ( Close Map&Parcel Owners 0wner2 Addressi Address 2 Mailing CityStateZip 308120001 KOURI,JOSHUA 16 SEA STREET HYANNIS, MA 02601 30812000A FORMAN,TODD 5230 DOYLESTOWN, CARVERSVILLE RD PA 18901 30812000E POPOVICH, MCPHEE, WENDY E 27 HOLWAY DR E DENNIS, MA ANDREW D IV& 02641 30812000C PEYTON, KENNETH 615 MAIN ST HYANNIS, MA 02601 30812000D GRIFFIN,CLARK 615 MAIN ST UNIT 4 HYANNIS, MA 02601 30812000E FABRI, LUCIO W 615 MAIN STREET HYANNIS, MA 02601 BARNSTABLE HYANNIS, MA 30812000F HOUSING 146 SOUTH ST 02601 AUTHORITY 30812000E HYNES, ]OHN J TR 512 MAIN STREET W YARMOUTH,MA 02673 30812000H GARVIN,JOHN 615 MAIN STREET HYANNIS, MA UNIT 8 02601 ARSENAULT, HYANNIS, MA 30812000I STEPHEN D 615 MAIN ST UNIT 9 02601 30812000J ETZEL, DEBORAH A DEBORAH A ETZEL 170 LOVERS LN FAIRFIELD,CT TR REV TRUST 06824 MCCAFFERTY, DUXBURY, MA 30812000K THOMAS H& BARBARA J 5 HIDEAWAY LN 02332 30812000L DROUIN, PAUL F& SWEENEY,ANNE TRS PAUL F DROUIN 104 PLEASANT HYANNIS, MA LIVING TRUST ST 02601 ZOGRAFOS, SOUTH 30812000M GEORGE TR DPC REALTY TRUST 436B STATION AVE YARMOUTH, MA 02664 30812000N RATHCRONA LLC 734 TEATICKET E FALMOUTH, HIGHWAY MA 02536 COUTOS REALTY C/O COUTO MGMT STONEHAM, MA 308131001 INVESTMENT CO II ' GROUP 169 MAIN ST 02180 LLC 308131002 LOWE, BRADFORD 439 STATE RD NO DARTMOUTH, W MA 02747 308142 COLOMBO, DAVID L THE OLIVE OIL 488 SOUTH ST HYANNIS, MA TR TRUST 02601 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abu rV ig CC` LS a M�M) certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on his list is from the Town of Barnstable Assessor's database as of 2/27/2008. FEB 1 200 GROWTH MA tit tiv ENT http://wvwv.town.barnstable.ma.us/arcims/appgeoapp/AbutterReport.aspx?type default• 2/27/2008 Map Page 1 of 1 Town of Barnstable Geographic Information System New Search I Home Help Parcel Viewer Custom Map Abutters Map Size Q ❑ Zoom Out®Y 0®o®0 G DIn JPG Turn map layers on/off by el �h+ selecting check boxes below 3� X I4 308082 R618 _ 0 Town Boundaries 0020 _ 308118 0595 ❑ Road Names 30 #88058 308117 Q Map&Parcel Numbers 1597 Q Parcels 30.26 X 3023 308118 0599 *,. 0 FEMA Q3 Flood Zones 13 AE(100 yr flood) AO(100 yr flood) 308120CNO 308120CN0 0817 0815 - E 13 VE(100 yr flood w/wave action)11 D X500(500 yr flood) 5 X 22:07 ' _ ,i ❑ Neighboring Towns ; X 29.6 308280 O 7 308131001 31.05, N 434 9821 X 1i 308120001 = ''v4 3128NIB X El water .�, ❑ Streams i> 308122 ".308123 0450- N438 330883131002 308121 ❑ Jetties lJ i 63 Fee 308142 OZO '0478 —**.+ $ tr ❑ Edge of Water Set Scale 1"= 63 I (Aerial Photos---,, Copyright 2005-2007 Town of Bamstabte,MA All rights reserved.Send questions or comments to GIS BarnstableMA v0.2.91[Production] s k ' FEB GROWTH NMANAGEMENf hq://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?properryID=308120001&... 2/27/2008 r y. � r rua� a ��y� ��,� . ��,� ,�� a� �aJ 1��,5� 1��yX 1��yX 1 j� a�d �� a�� a�a �� +v •• u o is� mom= RAW na+ana�a r � c�j mass aa�'Ei/Mrirrl� as.# s-Y..s•N1�ibir*9v �'yrr ' rrrrlurrYrY�N -:L}?J ii�prytiiirl�-- yr -m.ygirriyryyorMtb�lr�� _ �.«wuJ.Wi'iY dr A � liro�4riHi�r � -�� irrflifi rrY'� - IiaYYtrrrE�'W � YIY��IrI r�r�rrrrrriiiruxr� irYifi m.,wurrarr ,ffirrrrr striver rim » +taastr ,� rriwltsv'ur y' -ascsri �`_• W 1ii. sa wlY�c )e irYltlii - .fltt/IY s ; i�ivr.uei rrrarr paor tti �iktaiW r sM.dam .ur4r m �� 1��1�t � ,�� ;� 1��L� 1��y� 1��,� �� z�� r. •_ I�� A r JUL a ,.1 I Lial ,,, ,.,J = �a�a �a�a �a�L � � � . ;i 1��y� 1��y� ��y� , a3�� a �� a �� • - ` a � Oak >> ,� .r Oft- NO OL mm ab • I,II I cry ■�' .��, ''.�� 1 m all 1� yX 1��y�► 1 pap a ti ' + wA� war r>� NOW t Ay f t . .IM1 I f L y C iL _ ILIui -_ _'.-::.�- _ .. .._._ ._ ✓,/,��®sad";�� >,.-irk �w ®r�uGrva� �rr�rr� r�a rrrm. � 1�/�� r�� r>��r�rir �ru��ua arr }.D Ads i 4 .'} 9p t Will it "�_yi a � ��a a ��a a d ��a`i . x M Yl�tl p al w .' yea ��a U3a ;� 1��y� 1�� 1��y� �� y� �� 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): IC l9 y r ,- Address: 0 s 2/(1 City/State/Zip: l,�P, fv.J1-t M11 o�6 Phone.#: 651�' _7 7 7 o Are you an employer?Check the appropriate bog: Type of project(required): L❑ I am a employer with 4. M I am a general contractor and I 6. ❑New construction - employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees 'These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P t3'• 9. ❑Building addition [No workers'comp.insurance comp.inmrrance.# i required.] 5. ❑ We are a coiporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LEJ Plumbing repairs or additions myself[No workers' comp. right of exemption per MGL 12❑Roof repairs 152. , , �^ insurance required.]t c §14 and we have no s ) 13. Other j2 GW f us,J j4�*✓ ' employees. [No workers' comp.insurance required.] •Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. k-m ractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the subcontractors 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.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify and pains d penalties of perjury that the information provided above is true and correct Si mature: t Date: 2 Ido Phone#: d 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 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 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 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-977-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia ACORD,, CERTIFICATE OF LIABILITY INSURANCE °0624/200'7'' PRODUCER Serial# B3031 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION DAVE PIZUR 8r ASSOCIATES,LTD. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 20800 SWENSON DRIVE,SUITE 160 ALTER THE COVERAGE AFFORDED BY.THE POLICIES BELOW. WAUKESHA,WI 53186 PH: (262)798-9280 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: TRAVELERS INSURANCE COMPANY HAYDEN BUILDING MOVERS, INC. INSURER B: P.O. BOX 496 INSURER C: COTUIT, MA 02635 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR DATE MMIDD/YY DATE MM/DD/YY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 660-866K679-6 06/24/2007 06/24/2008 DAMAGE AMAG ESOEa occEence $ 100,000 CLAIMS.MADE ERD OCCUR __ _ MED EXP (Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 1-1 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO - (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNEDAUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 EX-866K679-6 06/24/2007 06/24/2008 A OCCUR 0 CLAIMS MADE AGGREGATE $ 1,000,000 DEDUCTIBLE RETENTION $ $ » a. WC STATU- OTH- WORKER'S COMPENSATION AND TORY LIMIT S JER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? If yes,describe under EL DISEASE-EA EMPLOYEE $ SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT $ A OTHER 660-866K679-6 06/24/2007 06/24/2008 150,000 LIMIT STRUCTURAL MOVER 5,000 DED. COVERAGE DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF BARNSTABLE, BUILDING DEPARTMENT DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 230 SOUTH STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL HYANNIS, MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORRIIZ^E/D REPRESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988 i . .r 0 . ✓lie t�omvma�zusea�li a��,/liGaaocu.�icieelt l BOARD OF BUILDING REGULATIONS { CONSTRUCTION SUPERVISOR Number45� 074660 Birthdate. 02/1ti1'970 E'')tptr 02/ 009 Tr.no: 12934 �i ! Restiri �0 a JOSHUA X KOURI a :< 4 PO B0X 210 0 CENTERVILLE, MA 2F_ "!j Commissioner >t 7814418721 NSTAR SUM SW3024 09:18:11 a.m. 04-10-2008 212 NSTAROne NSTAR Way EL,tC rwc Westwood,Massachusetts 02090 GAS April 9, 2008 Josh Kouri P.O. Box 210 Centerville MA 02632 RE: 615 Main St, Hyannis WO# 01644616 Dear Mr. Kouri: This letter serves as confirmation that, on 04107/08, the electric service to 615 Main St., has been temporarily disconnected. Based on this information, there is currently no electric power at this address and you may proceed with repairs as needed. Electric service will not be reconnected without the approval from the town wiring inspector referencing work order number 01644616. If you have any questions, please contact me at(781) 441-3334. Sinc ly, JurnRihl New Customer Connects rt Hyannis Water System Invoice No. 7448.499E P.O. Box 326 Hyannis, Massachusetts 02601-0326 (508) 775-0063 fax (508) 790-1313 INVOICE Customer Name Joshua Kouri _ Date 04/03/2008 Address P.O. Box 210 Acct. No. 607601 City Centerville State MA ZIP 02632 Service No. 7448 Phone FOB Qty Description Unit Price TOTAL 16 Sea Street 1 Special Charges- Turn off for construction 4/1/08 $25.00 $25.00 PLEASE ENCLOSE COPY OF INVOICE WITH {;YOUR PAYMENT IN ENCLOSED ENVELOPE Non-Taxable Total $25.00 SubTotal Non-Taxable Total ' Taxes MA TOTAL $25.00 t k , APR-04-2008 FRI 11:21 AM KEYSPAN ENERGY FAX NO. 508 394 5019 P. 01 trowl ly noilmi.y 127 W1w(-.,'#'mh South Yarmotah, MA 02664 A ri I.4-, 2008 Josh K6w-i FAX:' 508-419-1 752 RE: 615 Win St., I Iyannis REAR OF BLDG, OFF SEA ST. - This is to coil ,Firm that the natural gas line to the above address has been cut artci cal-il)cd as regnested. "I'll is was done on Apri 13, 2008. If you have nay questions please call me at 508-760-7481. ' Susat) Nile allin Hold Coordinator F ey-Npaa'Deli very Company { Massachusetts Department of Environmental Protection eDEP Transaction CopyLl Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: JOSHKOURI Transaction ID: 168802 Document: BWP -Deifiolition Form for AQ-06 Size of File: 137.934 K Status of Transaction: PAID Date and Time Created: 2/28/2008::12:53:43 PM Note: This file only includes forms that were part of your transaction.as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. I i � A. Massachusetts Department of Environmental Protection L71 Bureau of Waste Prevention . Air Quality 100068470 Decal Number BWP AQ 06 Notification Prior to Construction or Demolition Important:When filling out A. Applicability forms on the computer,use only the tab key A Construction or Demolition operation of an industrial, commercial, or institutional building,or to move your residential building with 20 or more units is regulated by the Department of Environmental Protection cursor-do use the etturnt (DEP), Bureau of Waste Prevention-Air Quality Control Regulations 310 CMR 7.09. Notification of key. Construction or Demolition operations is required under 310 CMR 7.09 (2)ten (10) days prior to any work being performed. The following information is required pursuant to 310 CMR 7.09. (( B. General Project Description 1. a. Is this facility fee exempt-city,town, district, municipal housing authority, owner-occupied Instructions residence of four units or less?y❑Yes ❑✓ No 1.All sections of b. Provide blanket decal number if applicable: this form must be Blanket Decal Number completed in order to comply with the 2. Facility Information: Department of COMMERCIAL BUILDING Environmental Protection a.Name notification 116 SEA ST requirements of b.Address 310 CMR 7.09 BARNSTABLE IMA 102601 c.Cit /Town d.State e.Zip Code 508 776 5306 1 Ijosh@kourirealestate.com f.Tele hone Number area code and extension . E-mail Address(optional) 1000 2 h.Size of Facility in Square Feet i.Number of Floors j. Was the facility built prior to 1980? ❑✓ Yes ❑ No k.*Describe the current or prior use of the facility: COMMERCIAL STORE FRONT AND APARTMENT ABOVE. I. Is the facility a residential facility? ✓❑ Yes ❑ No �o m. If yes, how many units? Number of units �° 3. Facility Owner: �N JOSHUA KOURI �o a.Name �o IBOX 210 b.Address CENTERVILLE MA 01632 . c.City/Town d.State e.Zip Co e 0 15087765306 +` f.Tele hone Number area code and extension .E-mail Address(optional) O SAME �Q h.Onsite Manager Name ag06.doc •10/02 BWP AQ 06 -Page 1 of 3 i3. Massachusetts Department of Environmental Protection LF�1, Bureau of Waste Prevention • Air Quality 1o0068470 BW P AQ 06 Decal Number i Notification Prior to Construction or Demolition General �Statement: If Description Project B. General P Cont. asbestos is found during a Construction or 4. General Contractor: Demolition 1JOSHUA KOURI operation,all responsible parties a.Name must comply with JOSHUA KOURI 310 CMR 7.00, b.Address and Chapter BOX 210 MA 02632 Chapterer 21 E of the . General Laws of c.Cit /Town d.State e.Zip Code the Commonwealth. This would include, f.Tele hone Number area code and extension .E-mail Address(optional) but would not be limited to,filing an ISAME asbestos removal h.On-site Manager Name notification with the Department and/or a notice of release/threat of C. General Construction or Demolition Description release of a hazardous substance to the 1. Construction or demolition contractor: Department,if applicable. NA a. Name NA b.Address NA NA NA c.Cit !Town d.State e.Zip Code f.Telephone Number(area code and extension) E-mail Address(optional) NA h.On-site Manager Name 2. On-Site Supervisor: SAME On-Site Supervisor Name 3. Is the entire facility to be demolished? E Yes [Z] No �N �O 4. Describe the area(s) to be demolished: �o ROTTED SILL AND FLOOR JOISTS AND FOUNDATION. �N �O -_0 5. If this is a construction project, describe the building(s) or addition(s) to be constructed: REPLACE OLD FOUNDATION, SILL AND FLOOR JOISTS. �o �C �Q ag06.doc •10/02 BWP AQ 06 -Page 2 of 3 Massachusetts Department of Environmental Protection ■ Bureau of Waste Prevention • Air Quality 1100068470 Decal Number BWP AQ 06 Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.). 6. a. If this is a demolition project, were the structure(s)surveyed for the presence of asbestos containing material (ACM)? ❑ Yes ✓❑ No If yes, who conducted the survey? b.Survevor Name c.Division of Occupational Safety Certification Number 4/15/2008 7/15/2008 7. COnSifUCtlOn Or Demolition: a.Start Date(mm/dd/yyyy) b.End Date(mm/dd/yyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: ❑ seeding ❑ paving b. If other, please specify: ❑ wetting ❑ shrouding ❑ covering ❑✓ other ALL INTERIOR WORK. . 9. For Emergency Demolition Operations, who is the DEP official who evaluated the emergency? a.Name of DEP Official . b.Title c.Date mm/dd/ of Authorization d.DEP Waiver Number D. Certification 1 certify that I have examined the JOSHUA KOURI �O above and that to the best of my a.Print Name _o knowledge it is true and complete. JJOSHUA KOURI The signature below subjects the b.Authorized Signature �N signer to the general statutes OWNER/BUILDER , 10 regarding a false and misleading c.Position/Title =o statement(s). ISELF d. Representing 02/28/2008 e. Date(mm/dd/yyyy) �O .. �Q ■ ag06.dloc •10/02 BWP AQ 06 -Page 3 of 3 =eDEP - Payment Confirmation Page 1 of 1 my homepage ''' start new continue current ` arty profile help tng out li Payment Confirmation DEP Transaction ID: 168802 Payment Date:2/28120081:06:51 PM $85.00 has been charged to Credit Card*****""""""3081 Transaction Information DEP Payment Code#29607 Payment Confirmation#25726 Please note that payments received after 3:30 pm will not be posted until the next business day. cirm MassDEP Home o Contacts o Feedback o Tour o Privacy Version: 6.9.0.1 hops://edei).dep.mass.gov/Restricted/webpages/PaymentConfmnation.aspx 2/28/2608 ,1 w IKKE ' Town of Barnstable Regulatory Services sw MAES.i.E Thomas F.Geiler,Director 16.19.ArFo�.1e► Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder <bL as Own C er of the subject property hereby authorize S l/ to act on my behalf,. in all matters relative to work authorized by this building permit application for (Address of Job) Signature a Date � v L Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERM ISS ION i ; Town of Barnstable ' �pF ZHE Tp�� Regulatory Services BARNSrABLE, Thomas F.Geiler,Director 9 MASS. 1 39. Building Division rfn �a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A 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 l . 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/cerdfication for use in your community. Q:forrns:homeexempt I I miltab 4A � MICHELE CUDILO, P.E. Consulting Structural Engineer Centerville,Massachusetts 02632-1979•(508)771-7601 •Fax(508)771-7163 •mcudilo@comcast.net February 19,2009 Town of Barnstable Building Department 200 Main St. Hyannis,MA 02601 ADVANCE COPY VIA FAX: Attention: Mr.Thomas Perry/Paul Roma 508-790-6230 Building Commissioner/Inspector RE: Proposed Modifications 16 Sea St.,Hyannis,MA Northern Heritage,Builder Dear Mr.Perry, Please be advised that the repair for the installed steel beam at the 2°d floor framing level,as designed by others for the above captioned project,was observed via site meetings during and after construction. Note that the continuous steel beam as modified shown on SK-I REV.2,by a licensed welder(license attached),is adequate for the repair. Sincerel , A OF' � Michele Cudilo,P.E. A- /2008155 p=v z cue;La cc: S.Burke z o No.347"r4 STRUC-rURAI. • tv O U Ci7 � , i 1 To 2'�� _ I l (�I -: cfl� �o -S -�Y o-► >� PS 2,�2 x 14 x -o--IL _ -- 1. -POLL U�tAOI� 4 I AFL WD NI+ S �- C'v P4 9bQT S ,ALL- rG 70 klC i��l�i��s ; i�.� W��.D�i _. d� 6ep�fTeD 10 OF MAS 4, Iti� V�Ra � p�► sl-arks.. _:.' � ' °ti MICHELE �. CUD1L0 v NO,34774 N STSUCTup, L PROPOSED MODIFICATIONS MIC14ELE CUDILO, P.E. Consulting_onsultin Structural Engineer 123 Cottonwood Lane, Centerville, Massachusetts 02632 Drawn .By: MC Date: 12 10 08 16 SEA STREET ,� Drawing Scale: AS NOTED Rev. 8� p9. ry HYANNIS, MA NorthernHer � ,� File Name: Project No.:2008-15 " WELDER and WELDING OPERATOR QUALIFICATION RECORD Welder/Operator' s Name CHARLES R. PHARES ID# S49159265, Welding Procedure Specification No. B2. 1-1-016-94 Rev. 0 Date ' 4/93 Process SMAW Current/Polarity DCRP Manual X Semi-Auto Machine Actual Values Qualification Range i Electrode (Single or Multipl'e) SINGLE SINGLE Position 3G & 4G ALL POSITIONS Weld Progression VERT UP VERT UP Backing YES BACKING OR BACK GOUGE Base Metal Specs. A36 to A36 Thickness Groove 3/8"PLATE a 1/8" TO 3/4" Fillet N/A UNLIMITED Diameter (pipe/tube) Groove N/A GREATER THAN 24" OD Fillet N/A UNLIMITED Filler Metal Specs. A5. 1 A5. 1 Class E701.8 ALL CLASSES F-No. F4 "'' F4 & LOWER Gas/Flux Type N/A N/A Other Visual Examination (4 . 8 .1) SATISFACTORY Guided Bend Test Results (4 .8 . 3. 3) Type Fig. Result Type Fig. Result 3G FB1 FACE BEND 4 . 12 ' SATISFACTORY RB2 ROOT BEND 4 . 12 SATISFACTORY 4G FB1 FACE BEND 4 . 12 SATISFACTOTY . `. RB2 ROOT BEND 4 . 12 SATISFACTORY Test Witnessed By RON COULSTRING _SR. Date 6/26/2007 Test Conducted By TRIANGLE ENGINEERING INC. Lab Test # ST-6729 Per ` C Date (IV-z7-10 I-]" We, the undersigned, certify that the statements in this record are correct and-that the welds were prepared and tested in accordance with the requirements of Sectiont4 of AWS D1. 1 ( 06 ) Structural Welding" Code. Manufacturer or Contractor PHILS MAINTENANCE Authorized by Date I F0RMS\WELDER\GW138AWSE4 I Horgan •e 44 Barnstable Road, P.O. Box 250 Hyannis,Massachusetts 02601-0250 INSURANCE'AGENCY i N c o R P o R-A T E D (508)775-5830 (800) 775-5830 MA Fax(508) 775-6688 4/20/2010 John C. Manoog III 450 South St. - Hyannis, MA 02601 RE: Handicap Parking Spot Dear Atty. Manoog, I spoke with Josh Kouri this morning regarding the parking space for his property that you will be letting him use. I will be happy to provide you with a certificate of his liability insurance naming you as an additional insured as soon as the tenant signs the lease. The reason for this is that we currently have the building insured as vacant and under renovation. Under this policy we could not issue a certificate for the parking space. Once there is a tenant signed, I am going to rewrite the policy to a standard market at which time a certificate can be issued. Josh expects,this to take place in the next week or so. I have advised him to let me know as soon as he signs the lease. I will then issue you the certificate that you will need. If you have any questions in the meantime,please feel free to give me a call. Sincerely; F. Larry Horgan III, CIC Vice-President - 0 0 � w Town of Barnstable \ 0-1-THE tok� tr: Y Re ulator Services g Thomas F. Geiler,Director t,tAss 019. +� Building Division . Tom Perry,Building Commissioner 200 Mairi.StTgt,_Hyannis,MA 02601. . www.town.barnstable.maxs Office: 508-862-4038 Fax: }509-790-6230 HOMEOV NER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER', name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of sa units or less and to allow homeowners to engage an individual for hire who does not pdss s a license;provided thafthe owner acts as. supervisor: DEFINITION OF HOMEOWN R Persons)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 i 1 requirements. Signature of Homeowner �- Approval of Building Official �'A" 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 1 D9.1.1-Licensing of construction Supervisors);provided that if the homcorsarer engages a parson(s)for hire to do such work,that s�utch Homeowner shall act as supervisor." Y' Many homeowners who use this exerrrption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, s Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particular] 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 can t amend and adopt such a forrn/ccrtification for use in your community. Q:forms:homcexcmpt 'IKEt, � Town of Barnstable ` Regulatory Services • s,�vsrAsr.� KASEIL Thomas F. Geiler,Director 1619. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Usinn A Builder as Owner of the roect subject property P m' hereby authorize �� /� � E to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signa of Cffr Date 1�Ur- Print ame If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSl01d _d TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map _ Parcel Application # Z,016 C� } Health'Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address �,,��,4 ��- Village Owner �T�S k�V r �f Address 0 4 l�l v Telephone 7 ? 6 Permit Request •� C,u c dgy 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 0 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 ©� �- ko(�r Telephone Number �f - v 7` 6— Address T. ® License# Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE r. FOR OFFICIAL USE ONLY E APPLICATION# 'DATE ISSUED MAP/PARCEL NO. ADDRESS - VILLAGE OWNER .- r 1 ` DATE OF INSPECTION: r FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. "YOU WISH TO OPEN A BUSINESS? For Your Information: Bus Hess certificates (cost$30.00 for 4"years). A business certificate.ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. -it do s not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1°`FL.; 367 Main Street, Hyannis, MA 0 601 (Town Hall) ;r 'DATE ' Fill in please: PPLICANT'S YOUR NAME/S: Is 'M USINESS YOUR HOME ADDRESS: ' D b8- all Rj MA �y €j fd ; TELEPHONE # Home Telephone Number NAME:OF CORPORATION: 6TL2 NAME OF NEW"BUSINESS Iy1 t�-i�j�nGt 5`��C 4 Vl TYPE.OF.BUSINESSr IS THIS A HOME OCCUPATION? YES NO. ADDRESS.OF"BUSINESS sr:." bn�1� 5 �} MAP/PARCEL NUMBER 306.'.1Z0 - aQ� - (Assessing): When starting a new business tliere are several things you must do in order to be in compliance with the rules and regulations of the"Town:of Barnstd'ble. This form is intended to assist you in obtaining the information you may. need. You MUST GO TO 200 Main St. -.(corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits-and licenses required to legally operate your business in this town. 1. BUILDING,CO ISSIO ER'S OFF E This.individ al h s e n i a an per it'requirements that pertain to this type of business. e Au horized Signa COMMENTS / 2. BOARD OF HEALTH This individual ha bee ormed of ern- r uirements that pertain•to this type of business. . Authorized Si ature* COMMENTS: ". 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has b en informed of the licensing requirements that pertain to this type of business.` t on ed Signature* COMMENTS:_ P�I7J;1I . General.Code E-Code: Town of Barnstable, MA Pagel of 1 Chapter 104: HANDICAPPED PARKING [HISTORY: Adopted by the Town of Barnstable 5-8-1984 STM by Art. 5 (Art. XLIII of Ch. III of.the General Ordinances as updated through 7-7-2003).Amendments noted where applicable.] GENERAL REFERENCES Handicapped parking fines— See Ch. 1,Art. II. Handicapped Parking Fund— See Ch,86,Art. IV. § 104-1. Parking reserved for those with special license plates only. No person shall park a motor vehicle,.motorcycle or like means of transportation in a designated parking space that is reserved for vehicles owned and operated by disabled veterans or by handicapped persons unless said vehicle bears the distinctive license plates authorized by§2 of Chapter 90 of the General Laws. § 104-2. Number of handicapped spaces required for certain uses. Any person or body that has lawful control of a public or private way or of improved or enclosed property used as off-street parking areas for business, shopping malls, theaters, auditoriums, sporting or recreational facilities; cultural centers, residential dwellings, or for any.other place where the public has right-of-access as invitees or licensees shall be required to reserve parking spaces in said off-street parking areas for any vehicle owned and operated by a disabled veteran or handicapped person,whose vehicle bears the distinguishing license plate authorized by §2 of Chapter 90, according to the following formula: If the number of parking spaces in any such area is: A. More than 15 buf not more than 25: one parking space; B More than 25 but not more than 40: 5% of the spaces but not less than two; C. More than 40 but not more than 100: 4% of such spaces but not less than three; D. More than 100 but not more than 200: 3% of such spaces but not less than four;. E. More than 200 but not more than 500:, 2% of such spaces but not less than six;. F. More than 500 but not more than 1,000: 1 1/2%of such spaces but not less than 10; G. More than 1,000 but not more than 2,000: 1% of such spaces but not less than 15; n H. More than 2,000 but less than 5,000: 3/4 of 1% of such spaces but not less than 20; and I. More than 5,000: 1/2 of 1% of such spaces but not less than 30. http://www.e-codes.generalcode.com/searchresults.asp?curd=getdoc&DocTd=22&Index=... 10/11/2006 ZONING 240 Attachment 2 Minimum Parking Lot Design Standards Handicapped Parking Dimensions fl K' Q - (2rp� gr•OR G'a` At-�i Nmte ►!NwArdP+-vn iv* Prz 5 rou Fuls[LE[LY 1[q 61wr6iz* 240 Attachment 2:1 11-of-2004 ZONING -6(f Parking gimensions 7CP Parking Dimensions a R -4 loan aY...Y Gw1,J � � r a ar„T > �o srnr f.► _ Ma i A .Stall width x s c a e r a Stall to Curb n e c o t r T xd-z' ad C j s-i6 :4-tf ff i C Aisle Hidth d-6`, ad.aD i9.i 4-o ei-i sa-x •a- z as- an-s !- 55-i '.0 .. i-0 9.}-a d S ai•f ld d xa a sds si i D Car Curb Length s-d ai-i id-d sd-i, ar-fo sys a'oa xi-t u4 aid 41-1 si-o E Wall to wallli-d, li-i se-o,. ad-i id-i s'+-1 - - E overlap to Overlap 8d' Parking.Dimensions 9Cf Parking Dimensions -- ifT I 16 Ic II. A Stall Width S Stall to Curb • s c n s d t a6-1 24-d r 9 il-S sx-a6 C Aisle Width 4-i 244 aid f-f i!-f . D Car Curb Length 4-i' 3i-o at-6 Y-d 91-0 a(-6 ao- xd-6 ad-i ai-S xd•f 654 E Wall to Wall so o ti-o F overlap to Overlap J _ � 240 Attachment 2:3 11-of-2004 HANDICAPPED PAfv_f,(/NG SIGNAGE KEY DOUBLE HANDICAPPED PARALLEL PARKING SPACE SIDEWACX-- ..T RAMPS S/OQWAIX— s'M/N MIMAz SINGLE HANDICAPPED PARKING DOUBLE HANDICAPPED PARKING SPACE SPACE IN SINGLE ROW —I- - � - - p - —� I- - � — —. RANP..-. 2, (STANDARD I I A ! I STANDARD I STmw ALL I STALL IC�; i � r 24' to LETTERS + L SINGLE HANDICAPPED PARKING SPACE + a DOUBLE HANDICAPPED PARKING SPACE END TO END IN DOUBLE ROW END TO END IN DOUBLE ROW 2rrafrN I STANDARD! 1 ISTANDARD 'MIN I I STALL VAN ACCESSIBLE ACCESSIBLE STALL J 1 JO HANDICAPPED ! I PARKING SPACE i ! _ — I i I STANDARD 1 I l o'MJN I STANDARD I ! M> STALL I I STALL I Nv �,._.::Q ar— •I s.��{{ .._ re' GROUND LEVEL TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel /a�� Application# D?W�Q Health Division Conservation Division Permit# Tax Collector Date Issued a3 Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board (� Historic-OKH Preservation/Hyannis Project Street Address �- 3 :r Village 11 -a VL I Owner u V Address �� Telephone Permit Request ' .1 �— e � w N,,, Square feet: 1 st floor:existing (� proposed 2nd floor:existing proposed W >Total new Zoning District Flood Plain Groundwater Overlay T Project Valuation Construction Type Lot Size Grandfathered: [ Yes ❑ No If yes, attach supporting.documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Ct�Yv►d'�GYL�c� �; �?jl Age of Existing Structure 0 Historic House: ❑Yes UNo On Old King's Highway: Yes �kNo Basement Type: ❑Full ;A Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Numberof Bedrooms: existing �` new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: XGas ❑Oil 0 Electric ❑Other Central Air: ❑Yes to Fireplaces: Existing New Existing wood/coal sto e: ❑Yews ❑.No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existin ❑new size Attached garage:0 existing ❑new size Shed:❑existing ❑new size Other: ` - Q Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ' ;;. _Commercial- ❑Yes ❑No-- site plan review Current Use Proposed Use BUILDER INFORMATION � Name_ ®° ' y� r y Telephone Number Address 0�71.a`vG (C ( License# e � ' , n r1GYV✓` Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Pc Y3 SIGNATURE Z_ DATE �� y FOR OFFICIAL-USE ONLY• PERMIT NO. s 1 DATE ISSUED ^ MAP/PARCEL NO. i ADDRESS' VILLAGE. OWNER DATE OF INSPECTION: FOUNDATION _ FRAME INSULATION ., FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 1 f - DATE CLOSED OUT ASSOCIATION PLAN NO. F i t The Commonwealth oj'Massachusetts Department of Industrial Accidents Ofj`ice.of Investigations. a 600 Washington Street y Boston,MA 02111 sy" www mas&gov/dia Workers' Compensation.Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): , Address: City/State/Zip: &Q-Phone#• (rt� C� Are you an employer? Check the'appropriate box:. Type of project(required):- am a mpto 4. ❑ I am a general contractor and I Yer with 6. New construction employees (full'and/or part-time).*° have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet$ 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. emolition working for me in any capacity. workers' comp. insurance. 9. Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or.additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL II-0 Plumbing repairs or additions myself. [No workers' comp. � c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required•J t employees. [No workers' 13.❑ Other comp.insurance required *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: `• ' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site information. - Insurauce-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 a 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 statemenf maybe forwarded to the Office of Investigations of the DIA for insurance cover ge verification. I do hereby certify under the pains a n tie o perjury that the information provided a l ove is a and correct: Signature-. Date: Phone#:. ;/Y 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#: HE o Town of Barnstable Regulatory Services 9' MAM' ' ` Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner Y 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, (s Owner of the subject property hereby authorize ` - 't; - to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address o ob) Signature 4�AMUgr If Date Print Name G19 Q:FORM&OWNERPERMISSION r BOARD OF 13UILDIN REG I CONSTRUCTION SUp LATION3 Numbert2s ERVISOR 074660 B► h' dafe 0y12%970 .f t ExP�res 02/12/2009 Re Tr.no: 12934 +s',j I = j JOSHUA b rQO ``f O CENTER ILLE, COmmIsS'Oner - s 1 w TOWN .OF BARNSTABLE , 1 SIGN PERMIT i f , PARCEL - , 1308 120 GEOBASE ID 22088 ADDRESS (l617 MAIN STREET)(HYANNIS PHONE Hyannis ZIP - ��E�F LOT l BLOCK LOT SIZE DBA (� DEVELOPMENT DISTRICT HY PERMIT J 16370 DESCRIPTION GUIDO'S REST_ (93 SQ.FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRA;ICTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $100.00 �Im BOND $.00 CONSTRUCTION COSTS $.00 753 MISC_ NOT CODED ELSEWHERE * 1ARN3TAB g MA83. OWNER VIOLA, ANTHONY M 039.1 �TR EDINIr►�� ADDRESS TANEUIL RESTORATION TRUST 615 MAIN ST - B LDING DIVIS19N / HYANNIS MA B' t to DATE ISSUED 07/08/1996 EXPIRATION DATE n UI nsta o no. . Department of Health, Safety and Environmental Servicps r 70 • "= _ Building DivisionKOM dau7 367 Main Strut,Hyannis MA 02601 ®d fee Application for Sign Permit 34$'/IaZO, Applicant: L4L P° Assessor's no. ' ``-f� Doing Business As: 11A Telephone :!6-zs-`,n,6 -a` &4 Sign Location � streettroad: 10 sk mj Zoning District in) Old King's lEghway District? yes no Property Own r Name: 2-L Ion !LJ Telephone 50$-1`7 Address: Village Sign Contractor �! Name: LbLL- - DDELjeiATelephone `7� �' a3� Address: Village BILASL�o Description Diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new to be drawn on the reverse side of this application. \-_ Is the sign to be electrified? yes no (Note: if yes,:a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinances. Date 3ign&6 of Owner/Authorized Agent E Size (sq. ft.) .3 Permit Fee /Sign Pernut was approved: � �/ � aPProved: Date Signature of Building Official 3 r i yS 'i � • 7 �S #€ �?¢�gt a p y a �. Ir.y��7r.� __ �� y�, Y/•\�1.`1 �f'. I -_ -_ - _�- f s an :, s� . . a _ 4. �. __ ;, � ., rr ___ _ _. _ !._—__ _..__.__.__ A �� . � .:y ...._.� I y. ��.,�."a.� �`. y ? 1 f II 4 I v C�� s*L2&: ►2� s�.� SEW Sf ; '-la s�� . S,Rpt W, Cal �Lro � art. a I ' k Sl aow-�-Q Co '1a" k Nad Pat n.4F-to 1A cAooCI t_ a w � 251 _ I I Cl I I I -I-- PRGFESSIDNAL ENGINEER 25 -- 0 . N 4 X b POST DOWN OR EQ. _ O w St � m LD EXISTING 2 X 12 FLOOR JOISTS @ 16, Z T- /G — � o ( - co , Q . LI x 9-I/2" TJI 230 SERIES @'16" O/G PROPOSED FOOTINLL Lu w o N 5.2 I z N r W LD N 0 > (o 4" '0 LALLY COLUMN DOWN " — V _ I (3) 1-3/4 X q i/4" LVL '(LOW) Cn Q � ) z 0- o � Q PROPOSED FOOTING " " PEPRC (3) I-3/4 X 9-V2 LVL CONTINUOUS POSED FROST WALL � Z 7" X 9-1/2" PSL (SIMPLE SPAN) OR- 6 w J W8 X 21 (SIMPLE SPAN) H LL I 4" 0 LALLY COLUMN DOWN f � I I " � wr V ' 2 � PROPOSED FOOTING z o � z _ � Q / 4 X 6 POST DOWN OR EQ. Li o \. E3 71 JOB W.1 f ® 07-257 DRAWING, 8 � 12 L ,_ / I I 7 12 I _ / (I 07-257FDN.DWG �- tQ 1,Q DATES 3/17/200B SECOND FLOOR FRANING FIRST SCALE,FLOOR FRANING As NOTED p R xAxAA,a.P tv r . t . r• t, A� 1 N w tyi PROFESSIONAL ENGINEER (2) #5 CONTINUOUS EXISTING 2 X 12 @ ib" O/C ` FINISH GRADE 1-3/4 X 9-1/2 LVL CONTINUOUS OR APPROVED EQUIVALENT }- Lu 1/2n DIA. N.D.G. ANCHOR BOLTS > r BITUMINOUS DAMPROOFING d ° . TO BE PROVIDED AT-(MIN.) OF � w m SIMPSON LCC OR EQ. i REQUIRED FROM TOPOF 6' O/C WITH S" (MIN.) EMBEDMENT FOOTING TO FINISH GRADE. N BITUMINOUS DAMPROOFING Q E REQUIRED FROM TOP OF 4 5" C.I.P FROST WALL FOOTING TO FINISH GRADE. J z 4 4" CONCRETE SLAB X w Q !Y L �. W cu ° N 10" X 20" CONCRETE FOOTING N r (3) #5 REBAR CONTINUOUS Z lu PROVIDE KEYWAY AT i— N CONSTRUCTION JOINT ix co 'y VLo ! -s DETAIL 3: TYPICAL FROST WALL DETAIL FOR C.I.P. AND C.M.U. SCALE: N.T.S. J Q Q Z W NOTES: Z q-1/2" TJI 230 SERIES @ 16" O/G` 1. CONFIRM ALL DIMENSIONS IN THE FIELD AND COORDINATE 1 WITH CONTRACTOR PRIOR TO CONSTRUCTION. CONSULT` WITH Q ENGINEER FOR VARIATIONS IN .FRAMING OR STRUCTURE. .. 9-1/2" 'TJI 230 SERIES @ 16" O/C 2. ALL CONSTRUCTION TO COMPLY WITH THE MASSACHUSETTS w V'Z (3) 1-3/4" X q-1/4" LVL STATE BUILDING CODE 6TH EDITION. s f 4" m LALLY COLUMN w- w r (CONTINUOUS THROUGH FLOOR SYSTEM) 3-1/2" 0 LALLY COLUMN OR Z 6 X 6 P.T. COLUMN Z � >Z • w 0 w CL 4" CONCRETE SLAB 3'_X 3 X I CONCRETE FOOTING 4" CONCRETE SLAB ' ' ' (3) ##5 REBAR LONGITUDINAL 3 X 3 X 1 CONCRETE FOOTING 5 #5 TRANSVERSE (3) '#5 REBAR LONGITUDINAL (3) #5 TRANSVERSE JOB Nw 5" X 5" X 1/4" B.P.L. 5" X 5" X 114" B.P.L. 07-257 BRAWINGi 07-257FDN.DWG DATEt 4 3/17/2005 SCALES AS NOTED DETAIL : AI : 2 TYPICAL .GIRDER, ; COLUMN AND FOOTING DETAIL DETAIL BEAM CONNECTION AND FOOTING DETAIL SCALE: i" I' SCALE: I" I' •