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Town of Barnstable'y� 'THE Regulatory Services P Thomas F.Geiler,Directo ,p Q �rdrro�� ♦ r Building Division * BAMSTABLE, • r g 1 � T . om Perry,Building Commissioner ,k., ,� ,' .� ts�s rFc '' 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us � Office: .508-862-4038 ,11 { Fax: 508-790-6230 Approved: Fee: Ss d-O Permit#: HOME OCCUPATION REGISTRATION 1 � Date: 1 C / I U k Name: 11 �0 � r(""� Phone#: ; � 7r Address: �lS/ SI 1 S �C7n �i ►� Village: I—tr\ i1 S t/ - V T Name of Business: Type of Business: r 1 I Map/L'ot INTENT`: It is the intent of this section to allow the residents of the Town of Barnstable to operate.a Home occupation «Rthin single family dwellings,subject to die provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside die dwelling. there shall be no increase iu noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;,no increase in traffic above normal residential volumes; and no increase in air or groundiaater pollution. After registration iazth the Buildirng Inspector,a customary home occupation shall be perautted as of right subject to the following conditions: • The activity is carried,on by tie permanent resident of a single family residential dwelfing uhut,located hiithii that dwelling unit.' • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,mid there is no outside evidence of such use. • No traffic will be generated m excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive mat erials,ih excess of normal household duauti6es. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupations,and not within the required front yard. • There is no exterior storage or display of materials or equipment'. • There are nor commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up trick not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires;parkin on the same lot containing the Customauy Home Occupation. • No sign sliall be displayed indicating tie Cu stoniary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,die streef.address-shiall not be included: • No person shall be e' loyed iu the.Customary Home Occupation it ho is not a permanent resident of the dwelling unit. nip. I, the uind7;= 1 agree n o`e restricti for my home occupation I an regiXing. APPlicaiht: Date: 2& 2 Homeoc.doc Rev.01/3/08 YOU WISH TO OPEN A BUSINESS? For Your Information:-Business Certificates cost $40.00 for 4 years. A Business Certificate ONLY REGISTERS THE BUSINESS NAME in town (which you must do by M.G.I. 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 S' FL., 367 Main Street, Hyannis, MA r02601 (Town Hall) and get the Business Certificate that is required by law. ' Fill in please Date: APPLICANT'S NAME: Lla AN "�QC K Wr`G�' f�,y sp aaS sal 921ig .. r;"d fir. Et, YOUR HOME ADDRESS: immois Pd� � G i(L N A Jf! is M A 0 0 �l MMLIcZ 809"4s F6 3b �5�1 Fib INNisPd � Mfl o�� 1 ' 't BUSINESS TELEPHONE # HOME TELELPHONE #: EIN ORS N: q 15 L �o Fib# NAME OF CORPORATION: NAME OF NEW BUSINESS TYPE OF BUSINESS ctJ��-� � � IS THIS A HOME OCCUPATION? YES X NO ADDRESS OF BUSINESS — S MAP/PARCEL NUMBER I (Assessing); C�YYI,e 5 /M M 0 S )q ANw v %M 0G 1 When starting a new business there are several things you must do to be in compliance with-the rules:and regulations of the Town of Barnstable. This form"is 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 town. 1. BUILDING°CO" ISSI NER'S OFFICE This indivi u begin i o e of any permit requirements that pertain to this type of business. �" Authorize i na re** '� !VIUST COMPLY WITH HOME OCCUPATION COMME S AND REGULATIONS - i;,UINIPLY MAY RESULT IN-FINES. 2. BOARD OF HEALTH This individual has bepa4nformed of the permit requirements that pertain to this type of business. L . TViVl Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual ha( eerjnfneddof the licen 'n requirements that ertainl,tp this type of busin�s. O Authorized Signature** Lti1 I S - t �% c Ou— Qc� �r c cis TOWN OF 1:ARNS`1 ABLE BUILDING PERMIT ; �E�` �AS 1) �203'trfL 289 ' .a PHONE sM_s t5671L NS P(t (D ` I y ( L [ yyNppYY IDEA A." 1'SY"'L T k � \•-S"r'()'�• i'4? - :.s. F 'r.tf�r W2_t'f' tAS ,0N �,�� S�'}4.��, # t-_^.h M ij �f{{,IR (}� f i c 8 s{` 1 �IT ��L.4-�1.3. t'd a. iTT.. t�=,.+1';,+ A;,< i 1..�-. 4 L� �1... a 4 A N.1,7P. 0 TOR 20..f _ .-, FU[CH.,R;) Department of Regulatory Services 76 $.()0 �1NE . ,1"�r?.i.. -sr�.�,TON CO( ._- .�;°,a�.37p.3R0{.1 g 4 f�Ys�:S)1-1) ADD/�'i L..i.S.�'`L..+4t.�+14� - Z s. JCL.I`3 W,i Lea } * opv� •ntt�� • * �iY,STff�aacry # MAM 9. BUILDING D ISION q BY �l s a:f t ((� t �v: ('+ }`:)) [� t t S a? T`j° i .r �.r•-..1 .,ta.c 1rt:)ISt i11 l-..r ,�p✓..e.f _' .l.,t�'.�f.1 .r...� .Y,. ly„r mil. i THIS.PERMIT CONVEYS NO BIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK,OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS:ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED.UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS I. PERMIT DOES NOT,RELEASE.THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS: MINIMUM OF FOUR CALL INSPECTIONS.REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR z PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- `JREADY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. SULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. INAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTIOU APPROVALS ELECTRICAL INSPECTION APPROVALS ij 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT p BOA$fD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED 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. /VS Ive C-4, Ax- Ir PKly) �,t 10/,(—, T � � i 7co i rn 10 ' cio'.O TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 'Map Parcel C 3,&cr2'I Permit# 6 Q T Health Division !R4•—gig'1'Z) Date Issued Conservation Division �� s �� S Application Fee a °--0 0 Tax Collector eN 1,411 Permit Fe �, 2 Treasurer - ,... 4 EpT►C SYSTEM ffF -'�— ' EXI .-Planning Dept. ST1N OF 9WR40MS L►MiTED TO.:c Date Definitive Plan Approved by Planning Board _Historic-OKH Preservation/Hyannis ` Project Street Address J 4o ors ,Oosz t�:/st, � Village T.�h.� t Owner S;m rkb li -e // Address .3 (� Telephone � Permit Request Square feet: 1st floor: existing proposed 2nd floor: existing 6 proposed ✓—56 Total new 2 , Zoning District&rz Flood Plain Groundwater Overlay / i Project Valuation . "10 Construction Type f Lot Size ZALC� Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family r� Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes V'No On Old King's Highway: ❑Yes 2.40 Basement Type: O Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing a new y Number of Bedrooms: existing new Total Room Count(not including baths): existing new—,,3 _ First Floor Room Count s Heat Type and Fuel: ❑'Gas ❑Oil ❑ Electric ❑Other Central Air: 0 Yes U/No Fireplaces: Existing _ New Existing wood/coal stove: ❑Yes CiI�o Detached garage:O 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 BUILDER INFORMATION ` Name /O.i,4/&/ _ L a4011-P S Telephone Number S a 8 •—3& 2 - S d Address yS .�/.9/hf.��/�� 9/ License# D �� (o 7 Home Improvement Contractor# /VAfkd�vA I 6/41,(4-e t4, i Worker's Compensation# Xo"n T3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE l O i }y FOR OFFICIAL USE ONLY - t • "PERMIT NO. DATE ISSUED r MAP/PARCEL NO. ADDRESS. : , VILLAGE l OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION 451AIS V / a6 p S O FIREPLACE ELECTRICAL: ROUGH FINAL �, r PLUMBING: ROUGH FINAL f' GAS: ROUGHS FINAL { FINAL BUILDING Do` W it f DATE CLOSED OUT • >' as t ASSOCIATION PLAN NOZ S' Town of Barnstable Regulatory Services f snxSUB Thomas F.Geiler,Director 9q,A abgq s`�� Building Division rED MAC( . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date , ti AFFIDAVIT' i HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMEN T 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: O'd'I Estimated Cost .�� 00 YP — ' DZdo/ Address of Work: ✓? �D f//hit c� �G� ��'1 /,t . Owner's Name: /L L 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: tNREGiSTERED OWNERS PULLING THEIR OWN PERMITORDR �MENEALING T WORK DO NOT HAVE CONTRACTORS FOR APPLICABLE HOME ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner.: /!�//9J-7 7 ' Registration No. Date Contractor Name OR Name Mate, Owners s� oft„E, Town of Barnstable Regulatory Services s1e Thomas F.Geller,Director �b 263 AQ Building Division QED M� • Tom Perry, Building Commissioner 200 Main Street,IJyannis,MA 02601 www.town.barnstable;maxs Fax: 508-790-6230 ffice: 508-862-4038 Property Owner Must Complete and Sign This Section If Using A.Builder as wner O of the subject property I •1��--2 tr a. Spa �-✓ � r to act on my behalf, hereby,authorize in all natters relative to work authorized by this building permit application for, (Address of ob) %�J�.o - , G f�� II_ Wiz- 6`�►'. afore of Owner Date Print Name ' RESIDENTIAL BUILDIN G PERMIT FEES APPLICATION FEE ' New Buildings,Additions 450.00 Alterations/Renovations 'g-o•a 0 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE e 60 square feet x$96/sq.foot= �� x 2 p from below(if applicable) , / ?' e> 6 ALTF,RATIONS/RENOVATIONS OF EXISTING SPACE square feet $64/sq.foot= x.0031= plus fr below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRTTCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf-1000 sf 75,00 >1000 sf-1500 sf 100.00 >1500 sf-Same as newbuilding permit: . square feet x$96/sq.foot x.0031= STAND ALONE PERMITS x$30.00= .� Open porch (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60,00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee 7 6 projcost 790 CMR Appeodk J Y � Table JS Zlb(continued) Prescriptive Packages for One and Two-Family Residential Buildings Hated witbFasail "ela 1 MAXIMUM MINIMUM • Wall Floor Basement Slab Heating/Cooling Ceiltn Glazing Glazing B eta Equipment Elliciexsc}t Area (%) U-value= R-value' R-value' R-value' R-�� 6 Perimeter Package 5101 to 6500 Hating Degree Days' Normal 6 12% . 0.40 38 13 19 10 Norma! 12% 0.52 30 19 19 10 6 .6 8S AFUE S 12% 0.50 38 13 19 10 N/A Normal T 15% 036 38 13 NIA 6 Normal U 15% 0.46 38 19 19 10 85 AFUE y 15% 0.44 38 13 25 N/A NIA 6 85 AFUE W 15% 0.52 30 19 l9 10 Normal x IS% 0.32 38 13 25 NIA N/A N/A Normal y 18% 0.42 38 19 25 N/A 90 AFUE y l8% 0.42 38 13 19 10 6 AA 18% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-980303a 780 CMR Appendix J Footnotes to Table A2.1b: i Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 R2 of decorative glass may be excluded from a building design with 300 if of glazing area. 2 ARer 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 J1.5.3a. U-valves are for whole units:center-of-glass U-values cannot be used. 3 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 ventilated onion of the roof. conditioned space and the v p , the p Do not include insulating sheathing (if used). + e sum.of the wall cavity insulation plusg g represent the tY Wall R-values p exterior siding, structural sheathing, and interior drywall.For example,an R-19 requirement could be met EITHER u apply by R-19 cavity insulation OR R-13 cavity insulation plus R 6 insulating sheathing. Wall requirements pp Y to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. . S 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 5. 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. . s For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: 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 0.35. 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 -value rating U g for that door is not available, include the in Table J1.5.3b. If a door contains glass and to aggregate 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 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation Ievels,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(0.35 for doors). 43 L—,f' __.�^"'�sa"� e"i... " _-`.`. _ ro' �=`�._JJ L 1'z----®��.'-..--•:...y„ ..3 � ... � E.e'.' ;-. St 97 I 5 BOT4 �1 _`'sirens i 9Pt 1 c Al i 1N t R_ X �} Sol."of �tg Rcytala{ia sad s HR1�� PFtO(EIV1{� ONT �TC3R yinbor. CS 085267 Expft�s 0?J2i2DD7 7r.6p: 87 a f�:_:a�" •.- 1�.. _._. _ �_ ..� .... ,_ _: � - _ -ate ��,. ,,� ' �. � �g: lc►div�c9 �+:� - � "' � � � •�� ,Rf,CI1ARD SOARESti ��'� �at4. �'�^ � i R.ICRA7 D SOARES RffrtiAM �SMM; -Q5 FlAMPSHIRE AVE7 "�a r y HYANNI5,.;MA 02!601 AdtTirusxPr t; 0 � 451�AMPSNI�E'A4 AtAft$ �6Q1 � �' 1 is�tra�tsx•- PHISAY w 1 q� f % 4 3 Y {._ _ �.•. .._ .ii "' �', ��'-' "PVT Lil�-E&i[ i�W�it'..� Y.." ya�ld�o�vggs�aup . � K - - swi f[ 6wp-ro wis suesr seu� g SO�t�4tFe 1ct2?n? . IUa2a Own,' !0 8'SSeS9cd aF anire. Q x a ar i.s aq;atieo� f JO � r f4uo Rrts�� (1D8 S Et L'J �F�9a -ti9� The Commonwealth of Massachusetts oT - Department of Industrial Accidents 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit-General Businesses ii� 7 rra ten. _'• .,_ :.� ,.:,.: .. -L.,. - -, .... ., ;,, • name: address state: /9 zip: �n6Z phone# �t work site location full address am a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Eating Establishment working in any capacity. ❑Office❑ Sales(including Real Estate,Autos etc.) ❑I am an em to er with em loyees(full& art time). ❑Other ONE I am an employer providing workers' compensation for my employees working on this job; eom an name: '�L;; city pbone#• .instirance.cot•: ...; .;• �• •' '' ••' I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: b7h :. comnanv city phone'#.: insurance co. cons"8n•'138i"e address city "• •• •`. .. • •.•:: - :•.::.•, .. - ,.. -- . phone# : . :• ;•,...... ..:., ;.� i:.... -.. irisu'r'sncc so,: o7icv#: 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$1,500.00 and/or one years'imprisonment as well as civil penalties In the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that P copy of this statement maybe forwarded to the Office of Investigations of the DIAfor coverage verification. I do hereby certify unn the pains and pe es ofperjury that the information provided above is true andcorrect Signature `� /i `—�—+ Date �/' Print name Phone# -2 i` official use only do not write in this area to be completed by city or town official city or town, permit(license# ❑Building Department ❑Licensing Board ❑check if immediate response is required []Selectmen's Office ❑Realth Department contact person: phone#; ❑Other ' (revised Sept 2M) F. N _ 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 artnership, association or other legal entity,employing employees. However the owner of a trustee of an individual,P 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 yoprisituation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confarrnation 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 Deparment 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 Ellin the permit/license number which wall b'e used as a reference number. The affidavits maybe returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would hike 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 WIN of wesdpadens 600 Washington Street Boston,Ma. 02111 fax.#: (617)727-7749 phone#: (617)727-4900 ext.406 Aug 10 98 02: 27p Buyer• Brokerage of Ost (508) 420-4450 p. 1 t i Single Family - LOrg Report 08110198 Page 1 Address 38 Simmons Pond Circle List Price $197,500 Town Barnstable List# 8043504 ListType MLS Listing Status ACT Style Cape Rooms '6 FBaths 2 DescStyie Beds 3 HBaths 0 YrBuilt . 1986 Approx #LVIs 2 TBaths 2 Garage 2 Car-Attach, DirEnt, DoorOp,StorAb OccupBy Owner Leasble N Fplce Y SepLivQtr No Separate Living Quarters Bsmt. Y County Barnstable LotSlze 1.00 YrRnd Yes Village Hyannisport LivSpc 1501 to 1800 MlsBch 5/10 to 1 Mile ConvenTo ConsAr, GlfCrs, MedFac,Shpng BchDsc Ocean Area South of 28 Street Paved,TMalnt, CulSac BchOwr Public Subdiv Dock NoDock OthAcc Zip Code 02672 Pool No DscAcc Basement Full, BulkHd, IntAcc Floors PtCrpt, HdWd,Vinyl EquipAppl Dish,GRange,SAlarm Roof Pitchd,Asphlt InteriorFt Attic,CableH,WashHk SpclFnc NoFin ExteriorFt Deck, ExtLgt, Garden, InsIDr, PLndSc, Screen, StDoor, StWind, USpmk Siding Shing,Clap WtrSwr PriSew,TwnWtr,Gas, Elect, Phone, CAN, Undrgd HotWtr NGas,Tank HtCool NGas, HotWat Foundatn- Main 34 x 28 Assoc No MshpReq No YrlyFee $0 FeeYear EL x Feelncl Irreg N Pitchd, AdditSvc AsphR LotWidth.. Depth ` Irregular Yes LotDesc Cleard, Inter, Level,Wooded Ad Copy A Wonderful Location Belongs to This Spacious 3 Bedroom 2 Bath Nickulas Built Home offering 2x6 Contruction Large Fireplaced Livingroom with Gleaming Hardwood Floors, Good Sized Kitchen Leading to Formal Diningroom.Oversize 2 Car Garage.with, to All Cape Cod Has To Offer Beaches Golfing and Shops. Directions Scudder Ave to Pitchers Way'to Simmon's Pond Circle Map# 289 TitlRef B 0 P 0 LCIO6082 Assmt8tat Assessed Parcel# 171 Plan B 0 P 0 LC36483-D LandAsmt $50,000 UFFI N AnnualBttr $0 PlnLot 16 Improvmnt: $101,000 Asbest N UnpaidBttr $0 Zoning Res TotalAsmt $151,000 UTank N FloodPlain Not in Flood Plain Use 101 -Single Family. Taxes$ $2;400 LPaint No Tax Year 1998 Room Oimen Level Features Living Room 13.2x26.9 1 Fireplace,Closet,Wood Floor,Sliding Door Forrnal Dining 18.8xi 1 A 1 Wood Floor Kitchen 10.8x11.4 1 Vinyl Floor,Pantry Master Bedroom 16x25 2 Closet,Walk-In Closet,Wall to Wall Carpet Bedroom 2 10.9x11.5 2 Closet,Wall to Wall Carpet ' Bedroom 3 10.901.5 2 Gott,Wall to Wall Carpet Information Daamed Accurate but not Guaranteed-printed by Stephen Perry,Buyer Brokerage of 0atervi{t.pe043504 Member Calculations Report Mid-Cape Home Centers PO BOX 1418 465 ROUTE 134 SOUTH DENNIS,MA 02660 5083986071 5083984559 Level Name: ROOF LOADS Status: Ready to Plot Application: Roof Non-Residential: No i 22, 3 Design Date:11/29/2004 3:33:33 PM Report Date:11/29/2004 3:38:57 PM Obiect: Flush Beam#11 General: Product: 3 1/2"x 16"2.0E Parallam PSL Plies: 1 Deflection Criteria: Standard,Live Load L/240,Total Load L/180 n Member Weight(plf)per ply: 17.5 a Design Value Control Value Result Moment (Ft-lbs) 21536 40198 Passed Shear`(]bs.) -3421 12451 Passed Live Load Deflection (") .54" 1.09" Passed Total Load Deflection (") .81" 1.45" Passed Reaction (lbs.) -3957 4594 Passed Bearings: Bearing Location Input Length Required Length 1 Wall#4 0 3 1/2" 3 1/2" 2 Wall#5 0 3 1/2" 3 1/2" 3 Column By Others#20 22' 1 3/4" 1 3/4" Reactions Assumed Member Weight(plf): 14 Location _ Dead Load Live Load Total Load Uplift 1 (lbs.) 1 3/4" 6674 1318 1985 0 2(lbs.) 1 3/4" 667 i 1318 1985 0 3(lbs.) 21' 11 3/4" 1317 2602 3919 0 Loads: Roof Load Duration Factor: 115% Load Location Live Dead Type Distributed(plf) 0 to 22' 119.1 to 119.1 53.2 to 53.2 Roof Distributed(plf) 0 to 22' 119.1 to 119.1 53.2 to 53.2 Roof Notes: Design Methodology: ASD See Trus Joist Framer's Pocket Guide for Product Trademark Information TJ-Xpert 6.35 (#689)A Page 1 STOCKWELL ADD.:JOB Design Date:11/29/2004 3:33:33 PM Report Date:11/29/2004 3:38:57 P;VI IMPORTANT! The analysis presented above is output from software developed by Trus Joist(TJ). Allowable product values shown are in accordance with current TJ materials and code accepted design values. The specific product application,input design loads and stated dimensions have been provided by others,have not been checked for conformance with the design drawings of the building,and have not been reviewed by TJ Engineering. See Trus Joist Framer's Pocket Guide for Product Trademark Information TJ-Xpert 6.35 (#689)A ; Page 2 STOCKWELL ADD..JOB Member Calculations Report Mid-Cape Home Centers PO BOX 1418 465 ROUTE 134 SOUTH DENNIS,MA 02660 5083986071 5083984559 Level Name: ROOF LOADS Status: Ready to Plot Application: Roof Non-Residential: No i 22, 3 , F. Design Date:11/29/2004 3:33:33 PM Report Date:11/29/2004 3:38:54 PM Object:Flush Beam#11 General: Product: 3 1/2"x 16"2.0E Parallam PSL Plies: 1 Deflection Criteria: Standard,Live Load L/240,Total Load L/180 Member Weight(plo per ply: 17.5 Design Value Control Value Result Moment (Ft-lbs) 21536 40198 Passed Shear (lbs.) -3421 12451 Passed Live Load Deflection (") .54" 1.091, Passed Total Load Deflection (") .81" 1.45" Passed Reaction (lbs.) 3957 4594 Passed Bearings: Bearing Location Input Length Required Length 1 Wall#4 0 3 1/2" 3 1/2" 2 Wall#5 0 3 1/2" 3 1/2" 3 Column By Others#20 22' 1 3/4" 1 3/4 Reactions: Assumed Member Weight(plf): 14 Location Dead Load Live Load Total Load Uplift 1 (lbs.) 1 3/4" 667 1318 1985 0 2(lbs.) 1 3/4" .667 1318 1985 0 3(lbs.) 21' 11 3/4" 1317 2602 3919 0 Loads: Roof Load Duration Factor: 115% Load Location Live Dead Type Distributed(plf) 0 to 22' 119.1 to 119.1 53.2 to 53.2 Roof 'Distributed(plf) 0 to 22' 119.1 to 119.1 53.2 to 53.2 Roof Notes. Design Methodology: ASD See Trus Joist Framer's Pocket Guide for Product Trademark Information TJ-Xpert 6.35 (#689)A Page 1 STOCKWELL ADD..JOB Design Date:11/29/2004 3:33:33 PM Report Date:11/29/2004 3:38:54 PM IMPORTANT! The analysis presented above is output from software developed by Trus Joist(TJ). Allowable product values shown are in accordance with current TJ materials and code accepted design values. The specific product application,input design loads and stated dimensions have been provided by others,have not been checked for conformance with the design drawings of the building,and have not been reviewed by TJ Engineering. C� See Trus Joist Framer's Pocket Guide for Product Trademark Information TJ-Xpert 6.35 (#689)A Page 2 ' STOCKWELL ADD..JOB Design Elate:11/29/2004 3:33:58 PM Report Date:11/29/2004 3:39:28'PM IMPORTANT! The analysis presented above is output from software developed by Trus Joist(TJ). Allowable product values shown are in accordance with current TJ materials and code accepted design values. The specific product application,input design loads and stated dimensions have been provided by others,have not been checked for conformance with the design drawings of the building,and have not been reviewed by TJ Engineering. See Trus Joist Framer's Pocket Guide for Product Trademark Information _• t; TJ-Xpert 6.35 (#689)A Page 2 STOCKWELL ADDAOB Member Calculations Report Mid-Cape Home Centers PO BOX 1418 465 ROUTE 134 SOUTH DENNIS,MA 02660 5083986071 5083984559 Level Name: PLATE LEVEL Status: Ready to Plot Application: Floor Non-Residential: No J 1 2 J Design Date:11/29/2004 3:33:58 PM Report Date:11/29/2004 3:39:28 PM Obiect: Flush Beam#8 General Product: 3 1/2"x 9 1/2"2.0E Parallam PSL Plies: 1 Deflection Criteria: Standard,Live Load L/360,Total Load U240 Member Weight(plo per ply: 10.4 Design Value Control Value Result Moment (Ft-lbs) 5498 15016 Passed Shear (lbs.) 2128 7393 Passed Live Load Deflection (") .04" .18"` Passed Total Load Deflection (") .06" .26" Passed Reaction (lbs.) 2219 4900 Passed Bearings: Bearing Location Input Length Required Length 1 Wall#1 0 3 1/2" 3 1/2" 2 Wall#7 5'7" 3 1/2" 3 1/2" Reactions: } Assumed Member Weight(plf): 14 Location Dead Load Live Load Total Load Uplift 1 (lbs.) 2" 911 1318 2229 0 2(lbs.) 5'5" 911 1318 2229 0 Loads: Roof Load Duration Factor: 115% Load Location Live Dead Type Distributed(plf) 0 to 3 1/2" 0 to 0 63.9 to 65.3 Roof Distributed(plf) 3 1/2"to 219 1/2" .0 to 0 . . . 65.3 to 76.5 Roof Distributed(plf) 5'3 1/2"to 5'7 0 to 0 65.3 to 63.9 Roof Distributed(plf) 2'9 1/2"to 513 1/2" 0 to 0 76.5 to 65.3 Roof Concentrated(lbs.) 2'9 1/2" 2637 ,1334 Roof Notes.- Design Methodology: ASD See Trus Joist Framer's Pocket Guide for Product Trademark Information TJ-Xpert 6.35 (#689)A Page 1 STOCKWELL ADD..JOB `Barnstable Assessing Search Results Page 1 of 2 ryeMP " Home: Departments:Assessors Division: Property Assessment Search Results 36 SIMMONS POND CIRCLE Owner: STOCKWELL, MARCIA Property Sketch Legend Map/Parcel/Parcel Extension ... 289 /171/ Mailing Address STOCKWELL,MARCIA 36 SIMMONS POND CIR HYANNIS, MA.02601 2005 Assessed Values: Appraised Value Assessed Value Building Value: $ 190,500 $ 190,500 Extra Features: $2,800 $2,800 Outbuildings: $0 $0 Land Value: $ 170,000 $ 170,000 Interactive Property Map: Ma re uires Plug in: .Wg Totals:$363,300 $363,300 1 have visited the maps before Show Me The Mapes April 2001 photos available a Sales History: Owner: Sale Date Book/Page: Sale Price: STOCKWELL, MARCIA 7/2/2003 C169718 $ 1 MANOOG,JOHN C III 4/15/1986 C106082 $ 167,500 WOJTKOWSKI,JOSEPH M JR 12/15/1984 C99488 $ 129,500 STOCKWELL, MARCIATR. 10/9/1998 C150429 $ 192,000 2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Land Bank Tax $65.94 Town Fire District Rates Other I $6.05 Barnstable-Residential $2.12 Land B Barnstable-Commercial $2.80 Hyannis FD Tax(Residential) $552.22 C.O.M.M.-All Classes $1.01 Cotuit FD-All Classes $1.28 Town Tax(Residential) $2,197.97 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing... 1/11/2005 - I Barnstable Assessing Search Results Page 2 of 2 Total: $2,816.13 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 1 Year Built 1984 Appraised Value $ 170,000 Living Area 1904 Assessed Value $ 170,000 Replacement Cost$207,065 Depreciation 8 Building Value 190,500 Construction Details Style Colonial Interior Floors Hardwood Model Residential Interior Walls Drywall Grade Average Plus Heat Fuel Gas Stories 1 3/4 Stories Heat Type Hot Water Exterior Walls Wood ShingleClapboard AC Type None Roof Structure Gambrel Bedrooms 3 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 2 Bathrooms Total Rooms 6 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL2 Fireplace 1 $2,800 $2,800 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SF13 Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing... 1/11/2005 i Town of Barnstable °f1HErq,, Regulatory Services °� Thomas F.Gefler,Director _ Building Division �'°TEn +p Tom Perms 8ilding Commissioner ' 300Ma :SttC&t, 02601 . 6230 )ffice: 508-8624.03.8 Fax: 508-79 - CO 'LAINTTQUIRY:RED'ORT D ate: . Complaint ..Name: {'� �, ,��- f:P,l� ap/Pa+rFel r . P f C Location Address: ' originator Name Street: Village: (�State: - Zip: Telephone: 9,� Complaint Description: �� .C�..�.-ems �..��.��-� � C�� • FOR OFFICE USE ONLY Inspector's Actioixomments Date: .-_ . ///0.cS inspector: _+ O % .. Td ffo asp Ori �✓ S g- /e C/1'0 c/i!'.4-- -_ . Gc®/%/Y ayrlc 511ee O � _ CislfTi '°' 9 - P /a' OS 1,uAl e T �113164 d& of T Town of Barnstable *Permit# '78 S«" Expires 6 months from issue date s � s�tvswt�. �'Re t0 SerTiCes Fee + 9 MM& Thomas F.Geller Director 2639- CQg_ '7 S�, �d Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508 790-6230 EXPRESS PERNIIT APPLICATION - REswnsaaERSFERMIT Not Valid without Red%Press.Imprrnt AUG4 2004 Map/parcel Number a S i t Property Address o b t" 2 TOWN OF BARNS TABLE e *Residential Value of Work c� Owner's Name&Address fy)arska S6tLAA.)e-Fl ��Le Sv►�mov+� PO C��e�� Contractor's Name IsDrc,n U P elephone Number 50$ 7 7S-17-7 �r Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) DOV&kman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance v _ Insurance Company Name-yY1 J+ny i f�c o Workman's Comp.Policy# W4 I`-A3 O 1 A 00!4, 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 Rep lacement.windows. U-Value (D. 3 (maximum.44) *Whm required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.I1istoric,Conservation,etc. ***Note: ust sign Property Owner Letter of Permission. H e vement Contractors License is required. Signature Q:Fom=expmtrg Revise053003 work to be erfo pro emen to..act.on P need m on this job i.e. perrmi � a PPhcati matters relative oche ons etc.)if necessary. DO NOT SIGN THIS O ROMEOWNER. ,✓� NTRACT Lp ARE ARE •/ � ANY BLANK SPACES gnature Contractor gna re Date e f /L BOARD OF BUILDING REGULATIION'S License: CONSTRUCTION S-UPERMSOR Number-CS 006643 BI#Wate:.1:0/08/1-955 E ep 14%(0605 Tr.no: 5-711 BRAD K SPAMME:. 190.LOT1-tROPS Li IN BARNS-TABLE, M4 02668 Admrnistrator Board of Building Regulations and Standards HOME lrI OVEMEMT CONM- CTOR Reglstr wm-*., 103757 f zpa t i <:192006 T se Ptla,gte Corporation SPRINKLE HOME 110M,k6. MIrNT',INC. Brad Sprinkle 199 Barnstable Rd. _. i,ram✓ Hyannis,MA 02601 Administrator 00-35,000 cf enclosed space (MGL C.112 S.60L) 1 A-Masonry only 1G-1&2 Family Homes Failure t0 possessf a current edition o the , Massachusetts State Building Code Is cause for revocation of this license. j Kj DI G SAFE CALL CENTER: (8&8)3'4xI-7233 a License or registration valid for individul use only before the expiration date. H found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston,Ma.02108 Not valid without sign at re I . ✓�✓ G��(,�� ,: � j 1 ��2� -- ---. pr 9000 FINE T Town of Barnstable *Permit# l�C Expires 6 font/is front issue date BMWSTABLE, : Regulatory Services Fee S 9'- Z�,J v '""SS" Thomas F.Geiler,Director ib39 �0 f A'FD'"A�A Building Division Tom Perry, Building Commissioner g�� PERMIT 200 Main Street, Hyannis,MA 02601 r'"iil�� Office: 508-862-4038 MAY 16 2OO2 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL Q )I OF 13ARNSTABLE Not Valid without Red X-Press Imprint Map/parcel Number VV" I 1 1,-oli Property Address i 0 s 01 [4 Residential Value of Work 5�`1 U C' Owner's Name&Address, ctt>N1 e \\ X 1� 901 Contractor's Name /yi c Ice r> ^`�e `^ rL v e e V-c_ Telephone Number 3 6 0 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ® I have Worker's Compensation Insurance Insurance Company Name �e c X�a Workman's Comp.Policy# 1 3\ S -31 1 o a - Olt Permit Request(check box) ® Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) E ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc: Signature Q:Forms:expmtrg Revised121901 iNo. cd 1 Pages. PROPOSAL NUMBER: 793 ti1CKERsQH it OME IMPROVEMENT, INC. P.O. Box 2476 HYANNIS, MA 02601 , (508) 790-5880 Fax (508) 255-5107 Marsha Stockwell 508-778-4832 110/26/2001 TO Ill Berkshire Street Job NAME i LOCATION Bellaire TX 77401 36 Simmons Pond Circle Hyannis SCE NUtv.BER JCH?HQt4� �.�..^.^ 6 ♦._ ._Roof Estimate: Strip existing roof shingles off entire house front and rear Renail all loose boards : . Install 8" white aluminum drip edge on all lovit�r edges Install ice and water shield on all lower ed4es Install black underlayment felt paper on.,s.tr-j-pp6d areas Install 25 year 3 tab roof shingles oir'"stripped areas Install new flanges around soil pipes_, All trash and debris will be removed grid disposed of properly All material, labor and dump Zees for above �S Option: Install ridge vent on ridge for ; _ per lineal foot Option: To install 25 year Architect roof shingles add to above V) Option: To install 30 year Architect roof shingles add to above na Option: To install 40 year Architect roof shingles add to above ri; Please note on contract `a shingle .color, yes or no to all options and any concerns you have 1 t CeAA-. 9&te �raf'1�l�cw , .-_ ;•_ .. .hove specifications,for the sum of- r dollars(S I• Payment to be-made as follows: $500, deposit upon signing, progress payments upon request, and balance due upon job completion Q� L{.Z3-02 All mater'.al is guaranteed to be as specified. All work to be completed in a professional - manner according to standard practices. Any alteration or deviation from above specifiea- Authorized tions involving extra costs will be executed only upon written orders,and will become an Signature extra charge over and above the estinvte. All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado,and other necessary insurance_ dote:This proposal may be 30 Our workers are tufty covered by In'orker's Compensation Insurance. withdrawn by us if not accepted within Clays, d � U�Zii if ACCEPTANCE OF PROPOSAL—The shove prices,specifications �zi --— and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. -------------- Signature Certificate ot insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPONYOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND,EXTEND;OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. 'Fhis is to Certify that F PRODUCER OF RECORD: IMPROVEMENT INC. PIKE INSURANCE AGENCY,INC. ' PO BOX 2476 PO BOX 1658 02653 ORLEANS,MA 02653 oRLEANs, VIA . y at the Issue date of this certificate,insured y the Company under the policy(ies)listed below. The insurance afforded by the listed policy(ies)is subject to all their terms,exclusions and conditions and is not altered by any requirement,term or condition of any contract or other document with respect to which this Certificate may be issued. TYPE OF POLICY POLICY DATE POLICY NUMBER LIMITS OF LIABILITY Coverage Afforded Under WC Law of the.Following . States: 11-06-01 TO WC 1-31 S-318102-: MA Bodily injury k3y WORKERS Accident Each 11-06-02 021 $ 1,000,000 Accident COMPENSATION Bodily Injury y Each Disease $ 1,000,000 Person $ 1,000,000 Policy Limit GENERAL LIABILITY enera ggrega e- her anProd/Completedps Products/Completedoperations Aggregate N/A N/A t y njury and Propertyamage Liability Per Person/ OCCURRENCE Organizat ion AUTOWBILE Each ccl en -Single Limit- LIABILITY B.t.And P.D.Combined OWNED Each Person NON-OWNED N/A N/A Each Accidentor Occurrence HIRED Each Accidentor Occurrence OTHER PROJECT: THIS WORKERS COMPENSATION POLICY PROVIDES COVERAGE ONLY FOR THE STATE OF MA AS NOTED IN SECTION 3A OF THE POLICY NOTICE OF CANCELLATION: SHOULD ANY OF'THE ABOVE DESCRIBED WLLPOUCIES BE CANCELLED BEFORE THE Lib"Mutual 30 DAYS WRITTEN NOTICE TO THE CERTEXPIIFICATE HOLDER NAMED BE OW,TION DATE THEREOF,THE ISSUI NG BUT FAILCOMPURE WILL. MAIL SU HRNOTICELSHALL IMPOSE NO OBLIGATION OR Insurance Group LIABILITY OF ANY KIND UPON THE COMPANY.IT'S AGENTS OR REPRESENTATIVES. . TOWN OF M CERTIFICATE BUILDING DEPT. A � . HOLDER 367 MAIN STREET HYANNIS, MA 02601: AUTHORIZED REPRESENTATIVE November 26,_2001 WAUSAU, WI " This certifica a Is executed JAL INSURANCE GROUP as reg-pects su insurance as is afforded by Those Companies u BS-772RE C , 1— Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: — Board of Building Regulations and Standards Registration: 133851 One Ashburton Place Rm 1301 t Expiration: 8/17/03 Boston,Ma.02108 Type:_DBA NICKERSON HOME'1MPROVEME URK NICKERSON 286 SOUTH ORLEANS RD.' ORLEANS,MA 02653 Administrator Not valid without signature <a ' f o TOTM OF BA-RNSTABLE permit No } K Building: his pector, _ < 1 saes�r.ni _ Cash OCCUPANCY' PERMIT Bond ____ Issued,to Tat Yet Ni�1rii1 a Address r. e Tnf-. I I Sir ryi r►s Pcvncl ['_imiP' , `Hyznrai p5rt,. Wiring-Inspector s^�T 'Inspection date Pll bing Inspec=nr �•^ttGi ! Inspection,date a l�.� `r Lb ns. e Gas Inspector <' Inspection'dat }Eng neering Departm t �1 f Inspection date •- + •Board of Health f Inspection date' �i�/�y' THIS PERMIT :FILL+.NOT=BE VALID,._/t1'ND THE BUILDING '.SHALL,NOT BE OCCUPIED :UNTIL. SIGNED. BY-THE..-BUILDING INSPECTOR UPON-, SATISFACTORY COMPLIANCE, WITH`..TOWN - „ REQUIREMENTS AND.:IN. •ACCORDANCE' WITH•.,SECTIOIV 119.0 OF THE:MASSACHUSETTS STATE.-. F BUILDING',CODE Y ..................................................... .. 7� B _.......................................... .— . .,. tl , o ld� Inspector i . •-e FROM - '- ' TOWN 4F 'BAR STABLE �(y �� BVILDING DEPARTMENT i 1�.1'1{.• F anc s 1X1i1�,.Cr.�ne MAIN STREET 14YANNtSt Mil -020M Tom Clem' thane: 775-11M SUBJECT: FOLD MERE .DATE - - - M,,ESSAG.E Work has been came" under Peimit 26964` �,azz Nickel as) - r...a. +a x...4 4 s..;.... s:�,T,r-t.!.ye sa =-'Hr•.s., �,,.«. -.... me � s��+s,w_�e a-,o.a.e•�r r ��.+�N Please release-Bmui; SIGNED` ;"r.,.� DATE REPLY_ Y V , , big T. 1✓ O `.' <7 '` sT tKV q. A L / / s T l k d !� }y t� �F • Pam. z LoT i7 a $ V) - � s. 4 N , A }.14 pz Z Liz +y + O r y- �� \ � z4N�"b - 3 .74 'S � of n1 CERTIFIED PLOT PLAN ROBERT L !97 1�/�S/�]M//vJONS M U C C 4� 1 ��/� V �(/ /��S �vf 7— � o ELDR ,. ° A e\INI 'Tf 4 SCALE. DATEi y r E E 0/ E� foVG CO.a A//Ck'0 �5 s ,, --�----� — CLIENT I CERTIFY THAT THE �"v'✓•�� Teo K� 181?ERED REO{STERED 3 SHOWN ON THIS PLAN 19 LOCATED wd4 LAND ®b N®• ON THE GROUND AS INDICATED •A40` ®_INEER SURVEYOR DR.BY, 4- A ,/�'/. CONFORMS TO THE ZONH40 L.AV3. by �f ------ OF A R Af S TA® E, I�A 8 S. TrI:2 M A I N STREET. CH.®Y� Tz - s N ISO MASS: SHEET-0 FY MAE RE4. LAND- SURVEYIR r $arr• tip +#K.a. a� � -. "'f �r::3'+•j _ - '"�" ''b • x' (•�:i r� 1 P.-�■ Y �� 171 � y 74JG I 1 T J < [Did¢�� [, br As01S-iar's map'and lot number'....— �.✓ A> . \—.� . L�.� a �� *THE Sewage Permit,-number ...... ............... � % Houses number .........: / ' },. ' 90 rnss��!. CE 4� ...t� ............ �J„ TOWN OF . BARNSTABL TOWN RE6ULATIONS BUILDING ' IN'SPEC=T0R.' . . ,� a-/ a- APPLICATION FOR PERMIT TO ;.... .................................. do cr c TYPE OF CONSTRUCTION ............ ..................................................................t ....... .k .. .. •• `4 . ' ........... ........ ............19........ -TO THE INSPECTOR OF, BUILDINGS: �. The undersigned hereby applies foorr a permit according to the fo wing information: Location ...:...........: . i4�..........j1..°�... .. �* ....5...!..� �..:....../�................... . . , Proposed Use ....:...... :�.... .�� ..•:... . ^^'''-a •......:.......................... ............. ......*.... Zoning District ............ . ............ .............................:...:Fire District ...........d..... `. .... Name of Owner ........ .. ..................... Name of Builder .......... •..Address Nameof Architect .........:........................................................Address Number of Rooms ............ ................:.......................Foundation .... 6........................................................... Exterior .............. �/.. . ..C............ ........... Roofing .......... � �<. .. ,/....... ........... Floors • ........Interior ............ ��f ! `........ ......... �� ............ ...... ...................................... ...... Heating .:::... .�"'�......... .........Plumbin �� 1. 02 Fireplace ...� .... .............. `............`Approximate Cost ....:......�. ....... . Definitive Plan Approved by Planning Board ---_________________ __________19--------- Area .... ®� .............. /. Diagram of Lot and,-Building with Dimensions Fee �... ....ii�'.:.:`................ SUBJECT TO APPROVAL OF BOARD. OF HEALTH �N �.� t { OCCUPANCY PERMITS.REQUIRED FOR NEW DWELLINGS ' S I hereby agree to conform to all theRules and Regulations of the Town of B ble reg ng the above construction. Name ... .. ... ............... ......... .. .... ... ... ... ... . . { ... , • Construction Supervisor's License ................................ - ,4 T-CKULAS LARRY 26964 12 Story No .. _:.....,ar Permit for .................................... Single"Family Dwelling - ............i ... ......... ...................... ........ ` Location ...Lot..16�..... u .Pond Circle ....... .... ............ ......... .. Hynspo ..�........... �� `�• � � � `�. .............................. Owner ... '.�.�'.. N(ckulas......................................... ' i 'jt. f f ?J~ Type of Construction Frame.............................. <Plot Lot'..................:............. :`Permit Granted' ..September: 13„ 19 84 � , r ,Date of Inspection ........ . .........................19 f r Date Completed . - : ..1............... ..1 r ~' • �': jj t r or -e Ax 0 .Assessor's map and lot number V... .. ....;............................ THE Tod Sewaq,3 Permit number ...... n....(5/2.......................... 33 ST LE, Housenumber ........... .... ................................... 039- TOWN ' OF BARNSTABLE BUILDING INSPECTOR ON FOR PERMIT TO ............00 APPLICATION ...�L/ .............. .................................. TYPE. OF CONSTRUCTION ......................... ................................................................................... .... ... . ... ...... ....... ...............................................19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the f-glig. wing information: oo, ........... ....... .Z..... ...................... Location ................Z!q Proposed Use ............... ......... .......................................................................... ....................... Izoning District ........... ...... .................................Fire District ...........e................... ....................It!....................... Nameof Owner ...........1� .(./eAddress ................................................. .................................. Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .................. ........................................................... 2........................................Foundation ......... Exterior ...............1 .0.............................................Roofing .......... ........................ Floors ............. ...............................................Interior .................. ................................ Plumbing ..........t:v.,.; Heating ............... ......A., ... ........ .....!?�.. .. ................... ...... ......-,/............................. '00 Fireplace ..... ...................... ...............................Approximate Cost ...........7 A. ................ ... Definitive Plan Approved by Planning Board -----------—-------------------19--------- Area .... ..,.................................. Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH L OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Bam'stable regard-i,ng the above construction. Name ---- -- .........?. ........... .................. Constructionr's Licen 2 Superviso se 7 ................ Y, NICKUI.AS, LARRY No ...26964 . .for 12.. ry Sto ` . .. ................. ' Sin le Famil Dwellin f Location ...;qt,.16j.....36. Simmons-Pond Circle ...................Hyann sport............... `....... .......... Owner ...;@,Kz ..Ackulas ry Type of Construction D;XQQ.................... i Plot . ....................... Lot ................................ �. ri r Permit Granted September 13, 19 84 Date of Inspection .....................................19 Date Completed ..................:...................19. f • l x w, . A complete TJ-Xpert framing,..plan requi ',es`the Trus Joist.Framer's Pocket Guide See Trus Joist.Framer's Pocket Guide for Product Trademark Information. x a 4,. �T - ert® W- 0 _ ; p CREATED BY JOB COMMENTS .. .°, . _ ... .•' r,. Mid-Cape Home Centers RICHARD SOARES 24' - p Po BOX 1418 STOCKWELL ADD. n ,I - - 465 ROUTE 134 36 SIMMONS POND CIA SOUTH DENNIS, MA 02660 HYANNIS MA - •='s FAXD85 83984559 2 , °,:.. •4r,�. ors. - F _-. Y F.. .,: '� .. � - -� t • , , a " ,:r. , _ r • - - „ SYMBOL LEGEND - a - � Point : , e Line Load d I Area Load - - Ba0 Ream By Others Detail Callout Label(See Framer's Pocket Guide) s cw ; r . O' , , c G V- ro _,,. ^ .i d•. ei'' I� '-: -.-: 9 to M S m 4 I P , i LEVEL NOTES e File Name: STOCKWELL ADD..JOB - •, Level Name: SECOND FLOOR '. h. Plotted: 11/29/2004 15:35 ro; '� _ _ r. - •. - Design.Status:. , • a . - y :..' ';, _ .- _ &:..�. FIRST FLOOR....11/29/2004 15:34 - ,: �" • ' 4 ;<. .. _ e I - - K. _ I - - SECOND FLOOR...11/29/2004 15:33 , PLATE LEVEL....11/29/2004 15:33 r ^_ ,.,. _ _ ; .. -- c yt- •:. - I - "_ _ .. k - - ROOF LOADS.....11/29/2004 15:33 NOTE: Level design times indicated above provide assurance for proper level stacking s, _ ., _ _ r Design methodology: A SD I . . .,. - ° 1 or Area LoadingIs: o40psf Live Load and 12 psf Dead Load _ - F ' ,4 HBO HBO Maximum Joist Deflection: « CS L 480 Live Load g CS - — - — - — — - — - — - — - — - - _ a. x �.s _.�., _ �, � .x �• Rml - ,.. - L/240 Total Load TJ-Pro Rating Information: Weighted Average: 42 Lowest Rating: 42 Highe t Rating: 42 Glued s&Nailed Decking is Required Direct Applied Ceiling of 1/2" Gypsum is Required ¢ 1 X 4 Strapping is Required A Floor Decking: 23/32" Panels (24" Span Rating) NormalO.C. Spacing = 12"* *Unless noted otherwise Layout Scale: 1/4" = 1' ACCESSORIES LIST HANGER LIST - Simpson Strong-Tie Company, Ina.® i JOIST AND BEAM LIST �'' Plot ID Length Product - Plies Qty Plot IDQty Product Label . Top Nails Face Nails Member Nails Notes Plot ID Length Product Plies Qty 81 42 U410: 14-N10 6-N10 (2) Wbl 8 7/8, 2x4 Web Stiffeners 2 84 H2 2 ITT411.88 4-30d, 2-10d 2-N10 Rml 16 1 1/4" x 11 7/8" 1.3E TimberStrand LSL 1 2 Al 24, 11 7/8" TJI 560 joist 1 21 Pcl 24 11 7/8" TJI 560 joist 1 1 M1 22, 1 3/4" x 11 7/8" 1.9E Microllam LVL 1 2 Page 2 of 2 5 Hanger Notes: _ , P le Closure 23/32"'Panels (24" Span Rating) - 1` 18 '(2) Web-Stiffeners'Required - Pc, Parallel Closure �-.; FOR THE TJ-XPERT WARRANTY SEE FRAMER'S POCKET GUIDE TJ-Xpert 6.35(#689)C6.35 D6.35 S6.35 P6.35 IMPORTANT - UPGRADE REQUIRED TATE BUILDING CODE REQUIRES THE UPGRADING OF • MOKE DETECTORS FOR THE ENTIRE DWELLING WHEN <" NE OR MORE SLEEPING AREAS ARE ADDED OR CREATED, - CN OTE: A SEPARATE PERMIT IS REQUIRED FOR THE INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL O ERMIT DOES NOT SATISFY THIS REQUIREMENT. , S aETECT® REVIEWE 3 oS t� BARNSTABLE BUILDING DEPT. D TE J O O1 TE FIRE DEPARTMENT o n BOTH SIGNATURES ARE REQUIRED FOR PERMITTING <- o EXISTING 2 CAR GARAGE N z 0. UL. r- - - - - - - - - � — — — — — - - - -1 KO u- m z Q - - - - - - - - - - - - - LU 24l-0" o . � a < q - f z z EXISTING FIRST FLOOR PLAN ° � ' C\ - L O I I I Li Qco I I , 1 . o .�- I I I I I - I ry O � I ATTIC SPACE I I z Q O z i I UJI - Wv o I � 06 < - - - - - - - - - -- - - - - - - - - - - - - - - - - - - � Z � Z No EXISTING SECON P FLOOR PLAN fill I T I I I I I I I 1 011. y r t cv O y „♦ - , W .. Z �� •. - a W - o , Ln + - LuI O 0 EXISTING GAMBREL-ROOF ta IFITIM IITTT J [] z EXISTING ELEVATION ° W v UJ 2X6,CEILING TIES Q w LU �Z./ ' W Q - LLI 9'-10" w Q VO EXISTING BUILDING SECTION o v~iM = Gb�e l�75 T ON :C'/ O LLJ Z ' CONVERT EXISTING BEDROOM x EXISTING BEDROOM i HALL TO WALK CLOSET O UNCHANGED [n V1 0 w O I \ oo 2 PROPOSED DOORS INSTALL NEW 2X10 FLOOR )OISTS AT16"OC 2 STEPS DOWN FROM EXISTING FLOOR , I I O i --� II r� a. 1� I �I I Z U � i I I x BUILD.KNEEWALLO AT 616 - I ABOVE FINISHED FLOOR ,� I I - � L . . y � z f CENTER 2 DOUBLE HUNG I I � Q - < > WINDOWS IN GABLE END I I Z i < I I Igz I— - - - - - - - - - - � `J _ } - - - - - - - - - - O M S SECOND FLOOR PLAN, PROPOSED • EXISTING HOUSE i. = SEEPAGE 7 O e 'RF - .. to ui N n • r— O (V z N uj EXISTING 2 CAR GARAGE lLn • r - - - - - - - - - -i r - - - - - - - - - -i � O - ICI d u- Lu IL - - - - - - - - - - - - - - - - Z v Lu �+Q 24'-0 Z U-1 p �; � Z Q . O >- PROPOSED FI RST FLOOR PLAN i ADD 2 DOUBLE HUNG WINDOWS • 0\ Fm till I W Z O. V 1 EXISTING SIDING _ in . w O h r- Jill Q \ N 0 0 EXISTING DOOR EXISTING DOOR i Z c) EXISTING ROOF ' Q O W U PROPOSED ELEVATION w � ADD 2 INTERIOR KNEE WALLS 6'-6"MIN CEILING J HEIGHTAT V KNEEWALLS V cz Z V w � Z T11s 0 16'OC W v� EXISTING WALLS Y Z SECTION o EXI5TING v, M 2 _ CONCRETE FLOOR 28'-0" , ----------- BEDROOM t LIVING ROOM 50 50 R ENTRY &^SH O . t - STARI WAY \ - � BATH F 7� HALL cb- O KITCHEN ® O II - ' a DINING ROOM o BEDROOM 2 -BEDROOM 3 � to W w O LU w vr ' GARAGE Aj CSVACELU EXISTING 2 CAR GARAGE I I I I I Z R Lu 24'-0" EXISTING FIRST FLOOR PLAN EXISTING SECOND FLOOR PLAN