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0151 SOUTHGATE DRIVE
6-t F�' ��I z _ �! I j = oFTHME - Town of Barnstable *Permit I�(� Re ulato Services �i eires e 6 monthsJrom issue date ► BARNSTABLE, v Maas. Richard V Scali,DirectorPON) o reo tea+ Building Division. Paul Roma,Building Commissioner APR 13 2017 200 Main Street;Hyannis,MA 02601 1 A/ www.town.barnstable.ma.us ®!�!l 0 4t N STA- LL 62 Office: 508-862-4038 Fax: 5087030 30 EXPRESS PERK UT APPLICATION`- RESIDENTIAL ONLY Not Valid without Red X-Press Imprint " Map/parcel Number Property Address /j"-1 5'0 u [f]'1�/ esidential Value of Work ,A$.- ��U�� • '1 'Minimum fee of$35.00 for work $6000.00 Owner's Name&Address A v IA' -' 14 e a2G a' r�h�11N I1,1-� , 151 Jou-t6a J�pvJ� fa�u�4s; Juk 02-GoI B` Contractor's Name 61qm C- G a.4 Ntgm .60449m LLC, Telephone Number l ` Home Improvement Contractor License#,(if applicable) /I AIL l�f Email: C Rai S 61 n-m L I C-.1�,i; — Construction Supervisor's License#(if applicable) a a y 6, ❑Workman's.Compensation Insurance Check one: ❑ I am a sole proprietor r � � have he Homeowner Worker's Compensation Insurance- Insurance Company Name Workman's Comp.Policy# �C.V at 05 `j'0 061 K Copy of Insurance Compliance Certificate must accompany each permit: Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to Re- of(hurricane nailed)(not stripping. Going.over existing.layers of roof). e-side ' ❑ Replacement Windows/doors/sliders:U-Value (maximum.32)#of windows-' of doors: '*Where required: Issuance of this permit does not exempt compliance with other town department regulations,Le,Historic,Conservation,etc. ***Note: Property Owner must sign property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License:is -•r q fired. - - SIGNATURE: Q:\WFFILES\FORMSIbuilding permit forms\EXPRESS.doe 01/25/17 The Colt molTft akh i2f Qnttdku&d S. Deparhnent Of lud zzy ial Accide?$g � e 0f rm-zEvt�iS. Balton,AL4 02111 -- fplVt'1;niasmpopldia Warkere Cumpensafiau Insurance Affidavit:Builders/CentractursXlecEricianslF'hunbers Applicant Informafi gn Please Print Nmm GahilAn• Lie Ad&esr 46 73tz�-F .cv4y Citgf te1 N� AN,<<, rh�4 ��6v� Phone-.a- SbV7-7 -/y6/ Are you an employer?:Qtecicthe appropriate bar: . Type of project(required): I_C�'1 a�a emplay�s itfi _ 4 ❑I am a general contractor and I 6. ❑New consfn d ba employees(falt andfor part-Aime)* have luredthe sx&-cotes 2.❑ I am a sale proprietor or partner- listed on:the attached sheet ?- ❑R ---"deligg.- shjp and have no employees. ` These sub-contractors have g- ❑Demaaba ,�r -e ' nv farms is any capacity' cto and.havewo&m' 9.: B.nil addihoa,� . [No wo�E[s'oomg_i�n© e xanr Camp.rnertrarxr# r regz d 1 5.0 We are a corpocafian and its lO:El Electrical repairs or a ddatious 3.❑ I am.a homeownw doing aU waik officers have exercised their 1L0 Flumbingrepaiss or adcisfions Myself o woslaess' rigbt of emw3p5m per MGL 7 El Ro of rqrairs imuraare require&]1 C.152, 1 andwe have no employees-LTawo&s' -�rher comp_inmrarme required-] bAupapgEiesvt gat d3e bOaiRllmastalso c®penatiaupeTiepi1EfMnX6 L #l�nmeoara�rs vrho sah�tt dtis af�daciF iramrg they sn=dain�ag vro$sad then hie autsid�c,�mare�„=nmst submit a new affidavit mdirutiva scu3L ICa ffistcheckthi bmc mmt r tsrly saadditimal siseet slumiug the--of the sab-contrwh=sad staftvrhethec ar not thuse ave { -v&)yees.ifthe hace empiafers,they—, pm4ide&ea—rkr-'-mp.policy amahez lam art $erotf iS fJte prrHcy ruzd job Site inf ormafiart Insurance CompanyNrame: ,` �)J A2Tr(Z Policy or Self-ins Ii WC-Vol.05 1 Cx)4 � rs3phxtioaDate: Job SiteA&res- /�-/ 5ovyf6A)-ec b2. jWcityistateov: /9TtiS, rnA: 602601,-p Attach a:-copy of the wurlwis'compensationp.oHey dedTara4ioa pap(showing the policy number and expiration date). ` FaRnre to secure coverage as required.under Seckon 25A of MGI,m 152 can lead to the imposition of criminal penalties of a fim up to$UOa OQ anitor o6i.:y irinpzism=emt,'as well as rim penalties.sn$fie form of a STOP WORK ORDER and a Ehe of up to MOO a dap against the violator. Be adsased flat a copy of this statement maybe forwarded to the Office of Investigations ofthe DIA far insurance coverage on- I do fffrebT ce1fy mrdar edpmatdi u of`Irer�try fhatflta iafarma#imspratfd�rl abot�s i�Gus anti correct Sisnature_ v Date Phone 9-7 t),�:at�areIF Da uat write tt�t f�afet�€o be arlaplet�by try arfa}en a,�aL J Oily or` OV= Perm tfLicense Issming Aufiority fdrde trite): L Bond of$nth I l uWng Departroa t 3.CRyl Tovm Clerk 4 Bectrical Inspector 5.Plumbing inspector -&CHh4w Coact Person: Phone-#- --- - 6 haformation and lastrucions ' la_cear_lrr Cffn Laws C spun'M recur=an mnploY=to XO T ICIM-W=h&COMpensat n fx th-,M emplaYMM. , p fp flijS Vie,an avkyee is defined at=evcrypersaain filie sefvice of Faothea u der any contract ofbne, esprass or implied,oral or vtEa" An Mayer is defined as aaa individual,Pmtama ,association;c mpmdion or other legal=±iLy,or any two or more of the foregoing=gagedk a joint entcaptise,and including the legal of a deceased employer,or tbr, receiver or trustee of an individual,pip,association or other legal entity;employing employees. However the owner of a.dwelling hone having not more t ma.three apar(meots and who resides therein,or the occupant of the - dweIIing house of another who=:plays persons to do maintmaace,constraction or repair wak on such dwelling house or on the grounds or bmlcrhg appurtenant thereto sbzH not beaanse of such employment be deemed to be an employer." MGL cbaptea 152,§25C(6)also states�"everystate or loc2I Ticensffig agency sh,-LU Pi-thhold ffie' ance or renewal of a Timm e.or permitto operate a business or to construct buRdings in the commonwealth for any applicnni:-*ho has notproduced acceptable evidence of compliance with the insurance coverage required." Additionally,M(ff,chapter 152,§25CM stars¢Neithm the nor any of its poIifical subdivisions shall e�,tPr into any contract for.the pmafma anw ofpublic wmkuml acceptable evidence of compliancevMh the insurance._ req=enieats of this chapter have been presentedtD the conft r autbouty" Applicants PImse fill out the woias'compensation affidavit completely,by chug the bo=that apply to your situation and,if sob._contractors)name(s), address(es)andPhone n�ber(s) along with th it cerdc�(s)of necessary,Supply s wiBino Io ees other than the insurance. LimitedLial?dityCompmmes(LLC)or LimitedLiabl7ityPat�biF (LIP) � Y merrlben or parb=s,are not mquired to trey worice&compensation ice- If an LLC or L LP does have employees,a.policy isrequired. Be advised that this afftdayitmaybesnbmitl$dtotb.DepartmentofIudustrial Accidents for confrrmati.on of insmmce coverage. Also Be rare to sign and date the affidavit The affidavit should be returned to the city or town that the application for thin permit or license is being refines A not the D epathnet of ; Incfias tat A r-1-;d.ents. Shoddyou have any questions regarding the law or if you a=e rulmrcd-to obtain a w'ork=' compensation policy,please call the Department at the number listed below. Self-insured companies should eoi er their self-i sm ce license amber on the apprapdaia line. City or Town Officials . c . Please be sot a that the affidavit is complete and printed IegfIy. The Deparhneot has provided a space at the bottom of the affidavit for you to ifil.out in.the event the Office of7nvestigaiiAns has to cozd$C-'tycu g e applicant Please b e sure tD f ll m the peEmn/ cease Tnym es which vM be used as a rafxmce nomber- In addition,an applicant that mast submit ID.vltiple pcu itllicense apphtrations in any given Year,need only submit one affidavit indicating cent policy information(if necessary)and under"Job SitD Addres"the applicant should write`&U locations in (city or town)-"A copy of the-affidavit that has been.officially stamped or marked by the city or town maybe provided to the applicant as#oofthat a valid affidavit is on file for fW=peunits or licenses- A new affidavitnn st be fmcd out ea.ra year.-There a home owner or citizen is obtaining a license or F�f not related fo any bn s;,,���or commercial v are tense or ' to bum leaves etc.)said person is NOT rcgcaed to complete this affidavi Le_a dog h p� , ( The Office of Inv zatic ns would like to thank you in advance for your cooperation and should you have any qussiims, not to call.please do give US a call. The Department's amass,telephone and fax mmiber_ '. *of Messachmzm . Degaz�me�nfi cif Izid Ac�.i�-�nt� • f�t�e af��fioa� - Ro MA OiIIF Ta 4 617' -4900 m t -06 or 14M-MASS,� Fax ff617` 27'74 Revised 4-24-07 v Town of Barnstable Regulatory Services •, , tears. MAS �, Richard V.Scali,Director ►� Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 509-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, PAS 66o4g A-0-6 P,� �tli'1 , as Ownerjof the subject property hereby authorize 6RP A rn Z L e to act on my behal f in all matters relative to work'authorized by this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final pections.are performed and accepted. S ture-of Owner _ Signature of Applicant , ?A,,A-6Eo Print Name Print e " Date QTORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services 10 pFT Richard V.Scali,Director Building Division II t Paul Roma,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: _0B 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-ocMied 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 some in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable..to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) - The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 1/19/2017 09:51 PST TO: 15087756688 FROM:6174886501 Page: 4 CERTIFICATE OF LIABILITY INSURANCE °01/1�,1 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 IS WNG INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:it the certificate holder is an ADDITIONAL INSURED,the policy({es)must be endorsed. It 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 endorsement(s} PRODUCER 00391 -001 pCT Horgan Insurance Agency,Inc. A/C No.Ex4QJ508)775-5830 --- { rro.:..................._............... ---- PO Box 260 Hyannis,MA 026M __._._.___............__..iPpslaRER[ ..Af 7ttG..00v1 ACE.-----------...._....._._..._-------._............HM. -A__..__... _......................_....................:............_.................................................... ................._...INsuRtaRA.:..Atlantic Charter Insurance Company VDAC .......4432.6 INSURED Graham,LLC ®UREA C 66 Brant Way INSURER-Q.:........................._. _...--_-..-._.__...._.............-............. ........................- Hyannis,MA 02601 .._..._... INSURER IF COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES-LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. p�q .......... ..........................._...-..,..._....,..........................._................._.. ------------------- - - ----._..._------------ ......................... _.................... .. pip g�gp. ppL�Cy�F_ ppL�y Epp LTR TYPE OF INSURANCE INS WVD=-............_....._._POLICY NUMBER__.........._......__.__=_{MkUDD/YYY1�_(MM/DD/YYYY).....__.._---..._.._._._---- LIIWfTS - ..._......._.........._._..._....-._._.......--_..... ------ - -_.....-_-.................... ._..__..._._ GENERAL UABUlTY EACH OCCURRENCE $ -- COMMERCIAL GENERAL L1ABtUTY s DAMAGE TO RENTED ^$ -—--- ' .:_........: - -------- . ........................ .PRElfII,SES(Cart�cel ... CLAIMS-MADE i =OCCUR MED EXP(Any one person) $ . _ .......................................................... - ..._..... .............._........._..............._............—........... ._..__._._..._....._...._... j ......_............__._____._ ..... -- -........_..._...._._...................._....__.__— PERSONAL&ADV INJURY $ ..... .......... GENERAL AGGREGATE $ --..................- -------------- - GEWL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ ............ PRO- POLICY._.._._._.1ECT. .:...__ LOC:...- _ _.._..i .................. . .................. .._....- _ . AUTOMOBILE UABWTY COMBINED 31NGLE LIMIT $ jEaaccidant)------------------- - -------------........................... s ANY AUTO BODILY UUURY(Per PMW) [$ ALL OWNED —SCHEDULED — —— -- BODILY 1N{URY(Per AUTOS - --- - -.._........._. ......... - NON-OWNED P HIRED AUTOS AUTOS _(Peraccidarr!)--......._._........accident) $ E UMBRELLA UAB =OCCUR - --- EACH OCCURRENCE -$ EXCESS UAB CLAIMS MADE AGGREGATE $ .......... _...__......_.._... i DED =RETENTION$ _...-.$ �� IaiECUTIVE YIN WCV01059004 1/29/2017 1/29/2018 E.L EACH ACCIDENT $ 500,000.00 A Y (Mandatory in NH) ; Policy Coverage State:IUTA E.L.DISEASE EA EMPLOYEE!$ 500,000.00 _ _ ... __.... UT0 PERATIONS below --- E.L.DISEASE-POLICY LIMIT $ 500,000.00 Gary C Graham Is covered by the workers compensation policy AND Laura A Graham is not covered by the workers compensation policy. s ......................- ---------------------- ----------------------------------------------------------- - --- --- -- - --- - -- -- -- -- __...._. DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Sdwdule,if more space is required) CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 200 Main Street BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY Hyannis,MA 02601 WILL ENDEAVOR TO MAIL NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1888-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER COPY - cJfze Toanu�na�uaecr/,l/aa�C���cr�3a��uelta Ufiice oi=Consaater Affairs"&Bns�ness Regnlatio6 . 11dE IMP-90VEMfiNT CONTRACTOR itc 8 19 ication LLC GARY GONAM` k 66 BRANT WAY FIY/.►NNIS MAp26p1 `�`--✓ ` Uudersec€elary L-cense:ar reg-slratzon vaLd forsjaiv, iil use only before the eapuataon-date. I�'t'ound retain tq Office$f Consiner Affairs ands Business13Regulatiom 10 Park:Plaza-`Suite 5170 15 Bostyn ;INA O�11G - of valid�rtl'out siguatate Massachusetts Department of Public Safety Board of Building.Regulations and Standards 'License: CS-042246 Construction Supervisor -.GARY C GRAHAM 46 BRANT WAY - F WYANNIS MA 02601 (-�JZn -C _— expiration: s Commissioner 03/20/2018 Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit: WWW.MASS.GOVIDPS TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION a Map __YDfo Parcel }i a+v;q Application# " / Health Division ul Conservation Division ✓�� PH 1 Permit# Tax Collector Date Issued �7 Treasurer ` C+' Application Fee f Planning Dept. Permit Feed-(- o w Date Definitive Plan Approved by Planning Board 0 Historic-OKH Preservation/Hyannis Project Street Address ZV Village jqvaanis' Owner PaA4q Geo -c + "/C-, krlelv Address /cam/ sca . Telephone d F -7W �j_3K Permit Request )?e mdur nC,,7,2s dA,,, c� 17k ��s �r� �c�.,,r m /,J-r4l J� o 1` M� a �r�>��.f �tk1�c,•'y� �tduh �f,.ah✓t/(�'7 D�?? 'L�1U\J'%/�i I�-j'h< C�+�t ����'i� o ,U,..d�� /�i� XG dT r�•� `Xy�'` d,a�,' s l✓.t� 'ties TO Square feet: 1st floor:existing�(a posed 1W 2nd floor:existing 7& proposed Total new / 7 Zoning District Flood Plain Groundwater Overlay Project Valuation , �,�a39 Construction Type ' Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family � Two Family Cl Multi-Family(#units) Age of Existing Structure A"f�1 Historic House: ❑Yes ONo On Old King's Highway: ❑Yes UNo 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 7 new First Floor Room Count Heat Type and Fuel: VGas ❑Oil ❑Electric ❑Other F J42,56eJ Z5j,,t^C Central Air: ❑Yes ❑No Fireplaces: Existing *-AS 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 BUILDER INFORMATION Name_lbr1I'juoy L>TC /-Ic Telephone Number Address License# 49r9�797 Cc�rvc�. 21-1 et- LQ2 33 y Home Improvement Contractor# Worker's Compensation# c ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO ©Qs' a's'f fre..1 u pyy r SIGNATURE DATE A— I FOR OFFICIAL USE ONLY z PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS' , VILLAGE ; OWNER r DATE OF INSPECTION: p FOUNDATION FRAME INSULATION ( -, FIREPLACE ELECTRICAL: ROUGH FINAL z x PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT i l , ASSOCIATION PLAN NO. " f i I , Job Name:6''Cy � T Drawn By: Q' Approved B PP Ycf:�-4- Scale:None JAI 61 room gf— WE t v �,^i �• fie [ _ >� �� � , -;� x f • a r I O q S aid F � f Job Name: Drawn By: ry EJ Approved By-,a- Scale:None -47 iJ1, P eq. 114 M It - $ t ,� 'f N Y s' � f - 3✓+ �� m� FPOST AND BE,4M FRAME 4-S�,aS0N _doom 4x8 GLUE LAM f —4x6 RAFTER 0 O.G.y7 OSB 4" C. BASE FOAM INSULATION 2x6 TtG PINE ROOFING Ix8 FASCIA 4x6 GLUE LAM HEADER 4x6 GLUE LAM 5/x8 SILL PINE 2x6 K.D. SfoIICE KNEE WALL /z" CDX PLYWD. R-15 FI5ERGL5. INSULATION CROSS S;=GTlnN SCALE: �'ROJECT TITLE: DATE: y ® unrooms Etc. /•I C. 16-00 + 5CALE: 5wEET No. cu� "Huff" DRAWN 8l (� �66-5/S{ r,Nt CSOU K6-73S1 W Iul RDCIE ------------ C 1 e m •.� 1 + W Q 9 uj •1 Aa ® w to NM WNH O j- O BILL y a M zT7 let PL__ 1 k GIQ�4DE CROSS S C1'ION ,q RooPM r ., T .�' _�- .� ��W �s ;f$ ice,. .�Y....f.-.--.. � b••�Y ��I t ... _ �.� _. -T � _ � _ s �, r ........................... � 1 � � 1tm PAGE 02 12 a.12 smomm by SunmomEt 10� % 151 Sm&rb Dfin 3:11pm AMA 1 of 1 Member Data DesaWDa TP1 MendmTbP Pkft On am sideM Beam buiV CNOMOM TOP APPfioe�an:Roof Lire Lood 30 PLF Md me Co mftn;Dry SroP& OAO/12 Dead Lmd 15 PLF Dion Caih3lEr L/a40 hue,U ISD WW 1�CaLk Other DOL 115% �m�XM Member Weft 4.7 PLF ro Loaft a agoTOM Dead PPoint ) 0' 1.6w e1° M"dat seaat End store End nod Paird(Les) 4' 1 Z� � 130 11596 Pottrt i1. 0.W 2130 115% 12' 1.00' 33 200 �Xi 1� 115 130 115% Goa 60.8 1210 Bump tlupij ft. tea, k"d VAN*mee Law/r ToW 1 1 aOAT V" 5.Sfl" IAV 4eee 28M 2 9 Ar wan SW 1.6d" 1359E 77M OE 213E 35M 3 11'&77 W#M sw 15V WN 2m QE 217S 1363E ZltQ# OE 217iE � Dmospwo 5Ur S7ffi' ftO*Xt W4JM 304 In 1 tl Own 1 1 ehmubEr OeXiiln Pawed Omgp Oheds.'P OatnuarAw bWWl lae9tleeevPda�d• AlkWMM9 SbM DesiEpt Aire Mont AodM ARWwmle Negabs ttoltlant �.1 �T Tdd load 115% NOMOm N •mod A�1E 2 % S 7obd bad 1151� 40I5. 2 0% 5AV Tidal toad 119% amon R Ohm88ed 3OU 17% 5,v Told bad 11 S% LL no Roo o n lom" 12% S.eB bead b w O 011d• .0.2w LOW &7r Twd bad 115% n oeo Omer OX71- LAND& UF Tdd lead 115% Ca�tat t�mlie A/omoat - at��er�b�srn�uewerr� owrr R14 aYpAe�y N C AtAN�RSe�, rF�bwk„gq� a�rra.a bAr0��1�rSbrJ�,�M09►��7MEON� rflb•le+�l�a�l�6fa�Isbq 0�d� r����q�RM1U1M0lII PP-UjLbl,LN PAGE 03 12 x 12 amoom by S wooma 10-xwx 151 SoWbgot Drive 3:06pn A9inm,MA 1 of 1 AAOMWDAN Desalpt n.'R4 Member Type Sam APPHwftw Roof rates for 12 x 12 room Lzde W Omdng Con6nuoto Top Slope; 4.00.112 Blab Lout Ma dum Co xftn:Dry Buildng Code;Olher UM Watt 30 PLF Odecion CtP6 b. LA240 Iva,UI8D lift 1.50C'ttux LL Dead LN d: 15 PLF Dedr'Cormflos m Ndw umber Weight 4 7 PLF DOL: 115% Fleneme:DCJ4MBJ(YB p611114ftnilAr+d.Loads Type >hiIL LM �Poaq Book Eld VAN _ Dead End ReplacemiertUfftm(PLF) ry 0.00" B' O.00r 20 WL ar FM1. O O 000 BMI 11193$qd Reacftm a o o k "IN Cafe -L+OCatl011 Tyne L00 LlMM Toil 10% Im 1 ar OAC' Wdl 3.1r 1.9T 5w am a 2479 ISM 2. 9 t3.W aOder 3 W WA ISM 3xw at 247e 5M saw- Pmddot 24F4.06 a V"eft 1 p!► �vtlAN Chmom— NKdbn ftd AIL&. i Dealp Shm 4= ILL 578 612" Tdd b w 1199i cr 7L o oaenv � �emae2.7Vofaa goad OA661; 0.3il80r' U9Mt 79 Tetd bsd 11S1i Poe�o Mamom Tblol b94 7 9% ��� d bnpred amp�d of 1�a eo1�10aion sglo fled fIs not toonefa h Bia9dwiya ��.su.e.�rpwwyw ►eMewMea awrr. �SW14n eoser�.,MrBdWdM Ur-ALWNW �q.. Al ft"clrFwK �w ad��lrta�,{per wf11�71�rl��S�fsplr =ON 13- Ap0 A4MMIo011�P -. Ik51EW PAGE 84 12 x 12 m nnxn by Somum ma 10.20.06 151 So&Se Adze 31a4p n HYAImkUA loft T MMber Data RBI L%mber Type:Beam NO beam L oWd Bmdng Coninuove T AAppriMon:Roo` mid Loat Mddm Cane:DN DP opet MOO/12 Li►e Load 30 PL.F BufWVDdledbn Clil�elia: L 240 ire,LA8D� 1.500'nm LL Offer Dead L-oart 15 PLF Deck Connecdom-Naffed Wntm DOL_' 115% Fi lfm:DCe4Ail8 KYS W81�It 02 PLF NOflry�Loads type T111a. LIM ) End vwdlh Stet End Slat End DOL 0' IM 339 26Q 115% 4' 1. m 520 115% Pdnt L.BS) W 17 Im � S20 115% 2W 1159E IL 1230 to O 1248 Swrinp and RmMom kod MN""m' wA Case tmjm L"em Taw --l-m Deed Taw 1 O aA' won 3AW 1.50' 21310 12136 of 919R 2131d 2 12'OW Wdl 3 W 1.90r' 14M sm 0e ear 1� Dedwqmw 'c'o r 0 9.01r ill e�n1} Pr/od�iRy�t�2is -m 8 ll�T 1ft �lhmmd owns"COPly Pa. hk DMW ohm Moe k 5"t'f MR's Lq g♦' Tomb"11116% 121W13 0 am � 0 TD land 115li n D 0.7w 0~ U931 9104' TaaN hod 115% IAp�Rt U188 aw TClod b 115% Tt RL -0.OW 02w 12-19 ToniWadlift cbdat nnas y� sz vlwr 7 3VL"VL 5= � .� ©t DvAbdw �" Itosre�r+ua�u bons bw.ft rrrwaTra .�4�+�aesd,trisu�s+iaae�r,m� ���r<��nso'rr 6rlrru I Gil PAGE 05 12 x 32 manoom b9 snnmm Rt ' 151 Saolhaft DAw 10,2D46 nib MA 3:19pn )art L%Nnber pap ftdWd ® 9w end Afrter Type Beam l Lao"BMW Cononuoue TOP Ag "On;Rao# We Load: 3D pLF Mohftm Coixkbrc Dry SIMM 0 W11Wam oIher Dead Load 1S PLF De* n Cd L/2401�LNa o kW 1- SW ax.m LL. DOL i 1596 Qec k�n�Flenu m:OCAMO-KYB Member Wftft 4.7 PLF TM �d Loads mosm"o ) Trow um Pbint(L.BS)bWftmdftobwMs 10 End 911� start tosDa m 1213wt DOL �Tgxrod(" g 10.83" 919 115% 11' 92S'O 0.00' T 10.E 0 0 40 20 Ica% 0 0 20 4a 100% 9e $ 532 1194 Benrlop and Pam on Tem 10ofi Odd 1 O 0.0? Wdl S14' 1.5P 990tR 89E Tad- 2 B 3W Wdf 5m 150' 2499! ao 1278 1sa� 3 11'4.7li Wdl 3.1r 13V .� 1-� a 14 2-770 -770 a Ur tr oAr Pit> 438 Sifts va 1 ply Do*n�m omgm � "t W m ClMdts.� d�9 afte the tip attotel. Allowallla'storeme Design w POt U''s Am's �� tt.37' Toed 1 1157G UwW 795�10 4Q99'1 s87t 8 3T Tbtd bqq 11@4 21i1.1t 1916 8 32' Toth bad 11316 G.M. d Um Rmdim 241" 107WA 22% t332 7omload11976 baa M Ddbeft 0.our 0MNI Do RI9Bl>� 3A8' T bad 119l� 0.0419' 0.4213' LJ899+ Tabl 1139i dtatet� K�a�t�rwr+�bar���erirr b�ffi lladdwbaen b�yrMrt(i1�0arZ006b�hest arbw�WQ ALib01e8 tom. IdiO�d�4 ws�uv bpr�rerbM�r�e.�lvt+�.s�spr�Mo�wffi eleli�rr�krla�,��s�tiAM�w ri�71sY�mb�bdba��epMp ffi���' rMwwl�o/�C6eilOm joe -ed✓�sc 66 No. Main Street SHEET No. of CARVER, MA 02330=�` (508) 866-5858 CALCULATED BY /74L' DATE FAX (508) 866-7151 CHECKED BY/� DATE SCALE / LtXJQ �LG� �xis�i //okse kXi�ST,� �r r (Oy lq - - y 6yy ,f 173. � I � .S�carcx arc, 1�► ►oa Gt�r�s� �' 1e.�sv. 66 No. Main Street SHED H0._ CARVER. MA 02330 OF (508) 866.5858. CALCULATED BYfiJ DATE FAX(508) 866 7131 CHECKED BY DATE SCALE EX I-S71 /✓0(jjc kX�STh axe Jo;ar /6 ` 0 c- Cc��� An J-7—Vi TO w Sunrooms Etc.,Inc. PROPOSAL 66 N.Main St. Date: 10/04/06 Carver MA 02330 877.866.4SUN H.I.C.# 144446 C.S.I.#057777 All home improvement contractors and subcontractors engaged in home improvements contracting,unless specifically exempt from registration by Submitted To: Provisions of Chapter 142A of the general Paula George laws,must be registered with the Kathleen Riley Commonwealth of Massachusetts.Inquires IS I Southgate Drive about registration and status should be made Hyannis,Ma. 02601 to the Director Home Improvement Contract Phone: 508 771-2593 Registration,One Ashburton Place,Room 1201,Boston Ma 02108.(617)727-8598 We hereby submit specifications and estimates for work to be performed and materials to be used: 1. Draw plans, specifications,and contract. 2. Consumer information form—"Sunrooms"-to be signed.Apply for building permit. 3. Furnish and install an all-season sunroom to print and specifications. 4. All construction debris will be removed after completion of job. 5. Date to start project subject to Building Permit Approval. 6. Remove existing decking,install pressure treated plywood and insulate deck prior to installing 3/4" tongue and groove plywood. 7. Kneewall: 2"x 6"kiln dried forming, V2"CDX plywood,Tyvek Housewrap,white cedar shingles to match existing as close as possible exterior and 1"x 6"tongue and groove pine interior. Kneewall height is 24".R-19 faced fiberglass insulation. 8. Room: A. Framing: 4"x 6"glue lam post and beam framing with 4"x 8"center beam. B. Glass/wall: 7/8"clear insulated, Low"E"coated,argon gas filled high performance glass. C. Windows: Five(5)white vinyl rolling windows manufactured by Harvey Industries, Inc.with high performance 7/8"glazing. D. Doors: One(1)6068 white vinyl rolling patio door with high performance 7/8"safety glazing manufactured by Harvey Industries. Inc. E. Roof/Ceiling: 2"x 6"tongue and groove pine,4"Atlas nailbase polyisocyanurate, %2"OSB plywood,Certainteed 25 year roof shingles in color,to match as close as possible. F. Miratec trim exterior with one coat finish trim paint in white color. G. Furnish and install seamless aluminum gutter and downspout in white color. 9. Electric: Five(5)Duplex receptacles. A. Furnish and install one(1)G.F.I.receptacle. B. Pre-wire for switch and ceiling fan/light,fixture by Homeowner. C. Install light outside of door,Fixture by Homeowner. D. Furnish and install one cable Tv outlet. 10. Heat: Baseboard electric. 11.Notes: A. Furnish and install tongue and groove pine to existing wall of house. B. Does not included finish floor materials. C. All interior wood to have: One coat of MinWax Gelder color stain and three coats of MinWax polyurethane in high gloss finish. td 4171t. UIR16 t.. ' 1 of D. 'dot plan to be pwvided by Homeowner: E. Does not include any interior or exterior painting and/or staining except as noted. F. Existing door is staying in place. G. 7' x 42"pressure treated platform with steps to grade will be installed outside of patio door. Decking will be Weatherbest,railings will be pressure treated. H. Furnish and install 3 ✓i"colonial baseboard trim. I. If footings are required they will be 12"sonatubes and there will be.$400.00 additional charge. • NOT RESPONSIBLE FOR ANY UNDERGROUND OBSTRUCTIONS. WORK SCHEDULE Contractor will not begin the work or order the materials before the third day following the signing of this Agreement,unless specified here in writing.Contractor will begin the work on or about (date).Barring delay caused by circumstances beyond Contractor's control,the work will be completed by date).The owner hereby acknowledges and agrees that the scheduling dates are approximate:and that such delays that are not avoidable by the Contractor shall not be considered as violations of the Agreement. WARRANTY The contractor warrants that.the work furnished hereunder shall be free from defects in material and workmanship for a period of 3 years following completion and shall comply with the requirements of this Agreement.In the event any defect in workmanship or materials,or damage caused by the.Contractor,his subcontractors,employees or agents,is:discovered within one year after completion of nay job,including clean up,the Contractor shall,at his own expense,forthwith remedy,repair,correct,replace,or course to be remedied,repaired,or replaced,such damage or such defect in materials or workmanship.The forgoing warranties shall survive any inspection.performed in connection with the agreed-upon work. WE PROPOSE hereby to furnish material and labor-complete in accordance with above specifications,for the sum of $20,639.00. Payments to be made as follows: Sunrooms Etc.,Inc. Paid 10-03-06: $280.00 66 N Main St. To order materials:300/6 $6,100.00 Carver MA 02330 Weather fight 40% $8,200M Federal ID#: 2"092428 Substantially complete:209/o $4,100.00 Completion: $1,959.00 William Wright Authorized Salesman Authorized Signature Notice:No agreement for home improvement contracting work shall require a down payment(advance deposit)of more than one-third of the total contract price or the total amount of all deposits or payments which the contractor must make,in advance,to order and/or otherwise obtain delivery of special order materials and equipment,whichever isIL gar. NOTE:This proposal may be withdrawn by us if not accepted within 30 days. NOTICE OF SCHEDULE CHANGES The Contractor agrees that when delays become known to the Contractor,the Contractor will advise the Owner as soon as is reasonable. DELAYS IN COMPLETION DUE TO HIDDEN CONDITONS The Owner hereby acknowledges and agrees that in certain remodeling work,the demolition of portions of the pre-existing structure may reveal additional defects,conditions or the need for additional work which must be repaired,altered,or carried out in order to commence or to complete the work descn'bed.under the contract.In such cases the Owner agrees that the duration of 2 of 4 the work and the scheduled date of completion may differ from the date stated on the front,and that such variations which is not avoidable by the Contractor shall not be considered to be a violation of this contract. ADDITIONAL WARRANTY INFORMATION All warranties for equipment by the Contractor under this Agreement shall be those given by the manufacturers of such equipment,which shall be and are hereby passed through to the Owner.Under such manufacturer's warranties the Owner may be required"to register or mail in a warranty card or other evidence of ownership and such equipment in order to activate such warranties.The owner's failure to mail in or register documentation,which failure voids the manufacturer's warranties shall not create any responsibility for the Cofactor to warranty such equipment. The warranty gives the Owner specific legal rights,.and Owner may also have other rights which vary from state to state.Under Massachusetts law,sales of goods carry an implied warranty merchantability and fitness for particular purpose. All material is guaranteed to be as specified All work to be completed for a workmanlike manner according to standard practices. Any alteration or deviation from above specification involving extra costs will be executed only upon written orders,and will become an extra charge over the estimate.All agreements are contingent upon strikes,or delays beyond our control. SUBCONTRACTING Contractor agrees that,not withstanding any agreement for materials and/or between Contractor and a third party,Contractor is responsible to Owner for completion of all work described in a.timely and workmanlike manner. NO ACCELERATION OF PAYMENTS BUT ESCROWING ALLOWED The Contractor.may not require payments to be made in advance of the times specified in Payment Section(front)for the reason that he deems himself or the payments to be insecure.If,however,he deems himself to be insecure,he may require,as a prerequisite to continuing the work described herein,that the balance or the payments under this contract that are in the control of the Owner,shall be placed in a joint escrow account that requires the signature of both the Contractor and the Owner for withdrawal. INSURANCE Contractor will be responsible to Owner or any third party for any property damage or bodily injury caused by himself,his employees,or his subcontractors in the performances of or as a result of the work under this Agreement.Contractor agrees to cagy insurance to cover such damage or injury. CONSTRUCTION RELATED PERMIT ACQUISITION The Contractor under provisions of Chapter 142A or the General Laws is required to apply for and obtain all construction related permits.The Contractor shall not be deemed responsible for delays in the work described in this agreement caused by regulatory, permit granting,or inspectional agencies,authorities,or individuals. NOTICE:H the Owner obtains his own construction-related permits for the work described under this agreement,the Owner is hereby advised that in the event of a dispute,judgment and nonpayment of the contractor,the Owner will not be entitled to make chum to or collection from the guaranty fund established by Chapter 142A,M.G.L. MODIFICATION The Agreement,including the provisions relating to price and payment schedule cannot be changed except by a written statement Signed-by both Contractor and Owner.However,cancellation by Owner is allowed.in accordance with the Notice of Cancellation. COMPLETENESS OF AGREEMENT FOR EXECUTION The owner is hereby advised that he should not sign this Agreement unless and until all blank sections have been filled in or marked as void,deleted,or not-applicable,and until all exhibits and related or referenced documents that are incorporated herein are attached hereto. COPY OF AGREEMENT TO BE GIVEN TO OWNER The Agreement governed by the Laws of Massachusetts.It must be executed in duplicate,and copy hereof given to the Owner at the time of execution.No work under the Agreement shall begin prior to the signing of the Agreement and transmittal to the Owner of copy thereof. ACCEPTANCE OF PROPOSAL I have read both sides of this document and accept the prices,specifications and conditions slated.I understand that.upon.signing this proposal becomes a binding contract.You are authorized to do the work as specified. Payment will be made as outlined above.You,the Buyer,may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.Cancellation most be done in writing. 3 of 4 DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Shia WteWI 't( .� S Dat� ,� y 0& 4 Of4 08103/2006 13:52 5089476182 AftCUSHING INS PAGE 01 AZ OM. CERTIFICATE OF LIABILITY INSURANCE OPM omp """m "ovum THIS ICATE IS AS A MATTM OF�OINIA?10N PO Hwy 54 Q OILY AND CO NO UPON THE CowwCAT6 148 N Gram at HOLD'TM COVOWMATE CM NOT oR ffi.delleborc mA 02346 M@ ALTM T COVEMM AFFORD®BY THE POLII BELOW. lbosba:509-947-3036 ftZ:509-947-6182 v4st"tMAFFORMSCOWERAGENAB! MSURER erg _. A: Axbella Prot mtjon Ins Co NMJRRR t 8aaover lnmxr=�oe Co 320131 sun66 °m 1z c ll�ars 'Rome Aaauraae�e��� ft Carr MR 02330 0. covomm THE POLIM OF"MOM LL4M BELOW NAVE e� 16v ro THE NAM®ABM FOR THE POLW pE W=CAM� aw►�.TERM OR COmnM OF ANY cT COMVV CR UTHM OOCUMB�li wml RESPECT TO N0 T CeRT1CftM war W OR MAY PeY}pry TN@ AFOROED 8Y THE POLICES 01�NEI�N SUBJ�C r TO ALL TN6 T! $,OCCId13 A!m OOt�1Mp SIICN POLlM 1 AT8 LbM S"a M MAY HAVE OW 1 RBDUCWBTPMCLAW. L7T� POLICY Baeel� Lom �f01AL NA�rY EFxmOCCURREMM $1000000 A X C Tf a. IGB�iALLMB®.ITY 8500028648 00/04/06 09/04/07 a famiku _ $100000 PER80RX&AOVKWY $1000000 GUMPA AGGREGUE $2000000 Q'A GATE�A� �O PRO -comPWAW $2000000 POLICY Loc lu r"NU "UABO Y AWAM t� Lmr31000000 ALL OWNED AUTOS b X SMiMXAJM AUTOS AM734454200 08/04/09 09/04/07 X NIREO AUTOS - — B X W AUTOS ME= f =M= s LBI mAy ANYAUiO ALt OKY-EAACCHMM f eA AM S AUTO ONLY: A@0 = ALA[J MUM F/1CH 0� _ OOGXt Cd/UMSMAOE Aft f _ RE1E crm i M =KAimc 9W%ffMWUAWLIrV Ulm ER f ANrCs8967241 08/04/06 L08/_OaJOT E Ar $1000d0 ifsaw HL OMEAw-EA f 100000 y` onm EL.DIStA8H-PoWyUkaT $500000 � /LQCATTCNS/w�/ ABO®Bye/ p CATS IP06m OIULATlON 9TIo11Lo AIITOF 7NB AgpyEOMCMMPp,=M W 00"M IEIMldt o oAtE ,na MMM WALLMEM R to w. 10 m11181YRT1� 20TILg707NEem"M Ammxm-A WTimLwrf,BMtFAumTOBOa»IpWt aTPn BoaeLl0AMMoftUMU"oFAWMWW=jW nrsAtMwesaR °JIM[ Town of Barnstable Regulatory Services v �+$ Thomas F.Geller,Director ' Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA b2601 www.town.barnstable;maxs office: 508-862-4038 ; . Fax; 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ,as Owner of the subject property hereby authorize _S'!ci1 eu_y_,� Etc /h C to act on my behalf, in all matters relative to work authorized by this building permit application for. dress of Job) Signature of Owner Date Au i 1 Print Name ' Q:FORMS:OwNERP�5I0N ' iw WEW�_`� �)l1CtILL11'�J'�al7G.LIUSLxU iri'163'iR l- ,yYps" . ' 6d!rr:. .s :iar:,.. cw: 'scmr3s .,.. �"rtatemas acKe.rac.�rse r,, .n.uu� tJ F+ul,l 41 b0 N The Massachusetts State Building Code(780 CMR) includes provisions to ensure that houses and . 44 house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION FORM is to.be filed as part of the building permit application when a builder/contractor or homeowner, N o constructing/installing a house addition with very large percentage of glass to opaque wall, seeks to utilize a o special energy conservation exemption option for "sunroom" additions to an existing house (780 CMR, Appendix J, Section J1.1.2.3.1). This FORM is not intended to prevent a homeowner from selecting a w � O "sunroom"of any size, configuration, orientation, form of construction or percent glazing, but rather is only d o` O intended to assist homeowners in becoming aware of some of the important energy conservation and year- to o 0 o round comfort considerations involved in selecting and utilizing a"sunroom"addition. to N •H The connection of "sunroom" structures to residential buildings may create comfort and energy ,v� a I consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In o the selection and construction/installation of"sunrooms", included below is a non-required, open-ended list to H Q of product and design considerations that a homeowner may wish to consider before actually .0 o o w constructing/installing a "sunroom". It is recommended that consumers carefully review these options with N � ° their designer, builder, or contractor, in order to minimize potential energy consumption and/or house ° b 0 M discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired .19 are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"S1UNROOMS" low9 01 • Solar Orientation and Natural Shading a c • Type of Glazing b s Insulating value 10 y U •, Solar heat gain e Frame materials Glazing to frame sealing and gasketing materials/seal durability and/or weather tightness of the sunroom S Adequate ventilation-Operable windows and fans s Applied Shading Systems • Insulation level in floors,walls,and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider, . • Heating and Cooling Methods: Efficiency,Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section J1.1.2.3.1, requires that the actual property owner (not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read Q. the information in this document concerning sunroom comfort and energy conservation. Signature of Actual Building Owner Date •• Print Name Address of Perrrftged Project Owner Address(if different than project location) Owner's telephone number t3(JAItD OF BUIL6I Rt GIfLA YE3 iS "" License: CONSTRUCTION SUPERVISOR tdurrfber'ES 0893 W-11/'1967 IEkPWOS4 `/ Tr,no: 89397 SCOTT R MITCHEtt, 66 NORTH MAfN T CARVER, MA 02330 Comrnissfener V Board of Building Regulati ns and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: -j14"4446=1 Type: Private Corporation Expiration: 1pf /4/2008= SUNROOMS ETC, INC. SCOTT MITCHELL 66 N. MAIN ST CARVER, MA 02655 Update Address and return card. P Mark reason for change. Address Renewal Employment Lost Card DPS-CA1 0 50M-05/06-PC8490 -- -- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ��J Parcel ='� Permit# ✓��' Health Division l� ' Date Issued ` Conservation Division ee7� �p Tax Collector Treasurer ' X - 4QNNECTION ANT MUST OBTAIN A SEWER ` PERMIT FROM THE EERING Di VISION PRIOR aQD UCTION -Date-Befinitiv Ian Approved by Planning Board ; Historic-OKH Preservation/Hyannis Project Street Address `Village Nls Owner �o �� Address Telephone Permit Request l 1 ?24�' Square feet: 1st floor:existing proposed ' �W 2nd floor:existing__920 proposed Total new 3y� i t Estimated Project Cost 02�. Zoning District Flood Plain Groundwater Overlay Construction Type 4��s Lot Size Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family X Two Family, ❑ Multi-Family(#units) Age of Existing Structure ,P' ,y Historic House: b Yes No On Old King's Highway: ❑Yes 4(No Basement Type: ❑Full )a Crawl . ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq:ft) gsd Number of Baths: Full: existing �2 new T Half:existing new Number of Bedrooms: existing 3 new - Total Room Count(not including baths):existing 7 new_ First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes Dd No Fireplaces: Existing New Existing wood/coal stove: O Yes _MNo Detached garage:❑existing ❑.new sized Pool:❑existing ❑new size ,Ui� Barn:❑existing ❑new, size �11� Attached garage:❑existing ❑new size 40 Shed:❑existing ❑new sized Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No 'If'yes, site plan review# 4'N Current Use Proposed Use BUILDER INFORMATION Name �?.� � �� Telephone Number 27 - Address YLicense# Home Improvement Contractor# Off/ ` Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM TH9 PROJECT WILL BE TAKEN TO- SIGNATURE DATE ' Ar FOR OFFICIAL USE ONLY _ PERMIT,NO. r DATE ISSUED - MAP/PARCEL NO. ADDRESS' 1 ,-VILLAGE OWNER• DATE OF INSPECTION; •* s - t FOUNDATION .—FRAME , INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL - FINAL BUILDING ' •F - .. a w'�,i+,�*- « _ '. - ` .,' ., .µ - •. ', DATE CLOSED OUT ASSOCIATION PLAN NO.