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0040 STRAIGHTWAY (NORTH)
..atl � � � a� ,., ��Ja -- -- -� ,1 „` .�, �� THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) m A- 7"�-C&' LF A A _ Town of Barnstable ing Post Th►s Card So That►t,►s N►stble;From the,StreetApprovedPlans Must be`;Reta►ned on'Job andth►s Gard Must be:Kept„ , -.i e'ARATTAW.�. • . .: N' e z ; /s' '»'6t" A -� - ;, k, `� F Posted Until.Finallnspection HasBeen Made Wherea:Certificate of Oceu anc s.Re,wired such Buildingshall',Nofbe®ccu ►ed un"til a Final Ins ec#ion;has beenmade 1:' Permit No. B-18-807 Applicant Name: ROLAND LANGEVIN " Approvals Date Issued: 04/13/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 10/13/2018 F r oundation: _ Location: 40 STRAIGHTWAY(NORTH), HYANNIS Map/Lot 271 008-002 Zoning District: RC-1 Sheathing: Owner on Record: WALKER,JAMES A&LYNNETTE L TRS �: Contractor.Name: INSULATE 2 SAVE, INC. Framing:. 1 Address: 725 FALMOUTH ROAD Contractor License: 180747 2 HYANNIS, MA 02601 Est. Project Cost: $5,053.80 Chimney: Description: weatherization x= Perm►t Fee: $85.00 Insulation: Project Review Re Fee Pa $85.00 q :; - Final:. ` N e Date 4/13/2 018 Plumbing/Gas �L Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after;ssuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which th s permit has been granted. T 11% Final Gas: All construction,alterations and changes of use of any building and structures 1 shall be in compliance with the local zoning by laws and codes. ' This permit shall be displayed in a location clearly visible from access street 6gg9ad and shall be maintained open for public mspectio'n for the entire duration of the work until the completion of the same. 6 11,41,4 � Electrical �. Service: Minimum The e 'cate of FivefCOall Inspncy ections ectionls Required ue ed for until all AllConstruction le by they Building ad5Fire�Offic Is are provided on this permit. 1.Foundation or FootingP q Rough: 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT r Application Number........ v * . AxIYSi`EY$ E. * Permit Fee..........:...d.,...............:Other Fee..: TotalFee Paid........................... .:....... ..:..................... ....:. TOWN OF BARNSTABLE Permit Approval by... . On............................. BUILDING PERMIT APPLICATION Mom... Parcel Section 1 Owners Information and.Project Location d�e a/ Project Address/IQ 51-Q2 sh otGh4 i &0 d4 o Lr n4 v4 Village . a rut4 f a 3 Owners Name v el Ia'l 1 Owners Legal Address o v City 1 L Ct_K_A4 s State. I r lr Zip Owners Cell# (1 P=r13 3 " 3-6 Email Ce'_ r .Y�)01a l• 0 A4 Section 2:= Structural Ube Single/Two Family Dwelling ❑ Commercial:Structure over 35,000 cubic feet .Commercial Structure under 35,000 cubic feet a Section 3 Type of Permit ❑ New Construction ❑ Move%Relocate ❑ Access©ry Structure [] Change of use �. Demo/(entire structure) ❑ Finish Basement ❑ Pool ❑ Fire Alam Rebuild ❑ Deck ❑ lar 1 P Sprinkler.System` Addition ❑ Retaining wall sulal ion El Renovation W Other—Specify I= c=� n Section 4 DetaiI , Cost of Proposed Construction s 573. F 0 Square Footage oflProject Age of Structure Dig Safe Number ,; r s #Of Bedrooms.Existing Total#Of Bedrooms 1(proposed) 1.10 MPH Wind Zone Compliance Method MA Checklist WFCM Checklist De a IJast updat.e@: 1gp140i7 Section 5 - Work I esenp on f f rezr'd &.0i-d 1016me-e.u1-etLf - f S f Vo ba V-A k a o 011 Ar ) yz u .X 04,U 0/- Y' `A- !2— "b � s 19Lz-J `f ;j Section 6— Project Species ;f Wiring Oil Tank Storage ❑ Smoke Detectors ❑ ❑ i ❑ Plumbing [ Gas ❑ Fire Suppression ❑_ Heating System: ❑ Masonry Chimney ❑Add/relocate bedroom if Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal I ❑ On Site Historic.District ❑ Hyannis Historic District j . ❑ Old Kings Highway Debris Disposal Facility�,�'����y,�or1 Rey, 2 ia f'IW 1XI4l using a crane ❑ Yes. ❑. No Section 7—Flood Zon Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes:❑. No ❑ Section 8—Zoning Inforniation Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage it#of Dwelling Units(9n site) Setbacks Front Yard Required Proposed Rear Yard Required ProiDoied Side Yard Required Propo} d Has this property had relief from the Zoning.Board in the past? Yes ❑ No Last updated: 10/31/2017 Section 9—Construction Sul'ervisor, y Name� Telephone.Numbe` d Address�/Dv v 6 re S City F-a.J),P&Ie� Stay _Zip a a-u License Number j23Ro. License Type y E iration Date Contractors Email aker�2,aeoAfu(a ascttjP,nP)!. ell# fQ ?' F0Ya- I understand my responsibilities under the rules and regulations for Licensed Co truction Supervisor in accordance with 780 CMRthe rMassachusetts State Building Code. I understand the construction insl ection procedures,.specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a cop. of your license: Signature — Date Section 10—Dome Improvemeni Contractor Name �� G�.r�Q eu�Is► Telephone Numl ier Address 4/f2 t�I St —city City r if W i�a P� Sta 7"Yl Zip a U � Registration Number f Fd 7 e-/ Expiration Date '1 d la ll I understand my responsibilities under the rules and regulatiorAor Home Impro ement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction in ection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a cop of your H.I.C... Signature - Date 3LI7f. - y. Section 11 Home Owners Licen Exemption Home Owners Name: 2a` ;�' R Telephone Number To 3 j?-D. a a Cell or.Work Numb r -57U T- `7 3 3 - IQa- I understand my responsibilities under the rules and regulations for Licensed Co struction Supervisor in accordance with 780 - CMR the Massachusetts State Building Code. I understand the construction ins'ection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. 1 Signature -iee. c�. "a G Date �C 1— r APPLICANT SIGNJ kTuxn%xlvj " ��- -------- Date 3 Signature 7//T Print Name A ".d GGAxP v//7 Teleph ;rje Number jj l�l ' ' �/� 1 a7 4 vc�� E-mail permit to: .rcn. s u la.oL� S n e w Last updated: 10/31/2017 P Section 12 —De art�nent Si n-Offs 4 Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plait Review(if required) ❑ Fire Department ❑ s Conservation For commercial work,please take yoi ir plans directly to the fire 6partment for approval , Section 13-Owner's Autho' ' tion h pa C tm LA 01 1 go 1, y , as Owner o' the subject property hereby. authorize e-v i'll to act on my behalf, in all matters relative to work authoriz d by this building perm application for: � Ya-1 J (Address of job) Z///l Signature of Owner date Guo ✓l Print Name Last updated: 10/31/2017 RISE VA.0 0ring Ra'--ISE: S t)Hpont Aye3tttC,:Souih.l'armauth;'MA 0265Q ENGii�EE.ERIIv�' CONTRACT 5t18- iQ26�=fi29Z FAk 398�SG&I?�33: an t?a�e OGRAM ItAQ-cmTowit.1DRiR'CRRA8 s D DATE p 'H R1t swam.. .. W-HAWA W. z a< stfa " ..._ . NQifFt 40 *; d E F7..$TATEZP .: Hy�utt�;., A U'?tf}1 HyazitS,:ti�tA.425t�.1,: AcI alb:Pmvade:bbo snd matcrrafs to i #aff s 10'fayer.raf tt.3:7.t lass l Getivfiise.adddd to &2tY},square€i t a!c�eii s e aac 1,2 2fF. K1�IEiYAI IS.tvtde ahoy.ani€irtateriaisu3 tastall?"mid laoerd KzlEt iluE required fete Latin tag. square fefF of E nevvall aca $fOf& Se$f"aff seams�tA FS�,taRe K3�tEE}A AL1 +tmide" r end m eri2ls to at►sfait 3 S"1;.i 3i fasted E rgtass butt. olatic co t l y square few f kn ws}l area" l p 7 � )ss feT ofcsp eat ' r1A,0U. Ai;L Fi.Ot3lt:.t'rovtde lal?or smL i���ats to:ittstakl a.It) la er of'R 37'G�ass 1 C�4crsc atStled to 4t10 ki►eeakaf!i3imr Al M ACM Pro sit lai�Crr.and a t taiais to un �{t) easi3j r ov i:is uiizGng.ct for ttte attic scccss folding stair:;A�rria�l'tat 231:65 sine of pEyvrt d wip ite< t i4 groono iw openir►� tlszn.ate atacs This wig al M tfse;cove`s inz� l eaif# Pi tlr res[rict ait Leakage: YFAMLA'fKINI :Prdvide (l)►i.tsWW4�0 eft toe iscutg bathr=n fans}t. p U{p VEl77LA770?+f Rrgxide faisoi and tna;eiiWAD mof4u>kied . .. tq.eat�st haihrc}tim"tan{s Btoaot at�ode!€1::636;ar egma+aferrf. V +iTIf.A ff(N Pcok ide[abcir:9nd mafeiiats ao insml's ofirla Wn ctautess:fa(i9f}3 Laffier t* o ax atntatn:a4t Aow:; 349 8p AIIt SEriL Ifilti;Ptox?de Is'tecr amd;► aiS:to seas areas of ur Itcanc 1� . against wasteful excoss au fit. Ttus- ti14fl tic ocif,, cd 3 0 ttt c;X+cert.�tfa#te WI specaotools and diagrtnstu`tests#c�atre tft y<iur hornewt�t be left wtt3a a treaft€ul level ofatr �cofsange: aad'thdcmratr., estt3ls,foams;u�tatltEtstrippirig and other is Pnnffiry quafrty Ifs.to be used(u seal yoiv home cap include erea5:fer sWins odude air leajuw to amcs;:i xtertts,aitaetsed garaey�s and other uaheated:araas(w>ndows are.not neraTty, addressed) (I5t 4tl+laghours::.A recfuc tan u�cubic:text per 'inure(clip)o€aif i tfiktMOoRvo I 000ml:IJ4 the acts umbaro;�.6: j }10t.�UCl3!}LCEt}-. BA$$Et+ftI fik3L (I(i:Pxt1�!([B Iabol Blld'rrtatenafs ttt tnSt8ll l Itttear.ft Of - nttfarell fi the basetnuni; tftt at;lhe hats . . .... l�giass.u�sulatioxi to tfae petitneter.gf Sb5 7f3 ,; I Town of trn-stab e. t Regulator Brice Ri hRr lli,l)htc'tar Di iii ems. Batdg Campae lot# airy Street, ya"A*IMA 026+41 t3# 'tee: 08-$62--038 Fa �`5{ 3-M-6 0 P'rop.e.r Ines MUSS Complete aid Sign ' hi Secttou i I, RIC 3[ARI7 A.-W R "as"Oe of the s> b,��ct Property herr&�:-auth&izeir k c.1 �( ��� IQ act on my behalf;: ....:....................................:.....................:.....:.,_:.........:..:.......::_..:.---------...__.---.-- .::. -.....;...___..... in all:rnafte.r relative to.work authorized by this,builditig Ierrriit.app icalon.for:: i 4a Stralghtvtray N. Hyannis,MA"0.6O:I i tA€l ress ofloo x r' S",. o f3v��rier Date : E if'#!r..operty U:wuer is apPl3';ag Car pert.pWase complete: e;.:o ►Pers�. muse:umpioa Form.:. C liserstc ecol kv4pp eta? ocaM ,O.sgft W Odors'IN Vt,-,helCai�t�iat t��tlo�kiL�t�fi9L `��PI� �S:(Q}r.doc RI �Eogia rye eg EAttGItYEt,R.ItVG' > on�R . Aven,uc, ;tzaltt YAYOpHCGtls: ONE RAC PROGRAM sI p cohr�tpck es rttwkMA ro aE7Y1£EN 19E lG- E:S aagrcxaiirwrns o �s�xea,cwa _ cteRYoraEri _ sdie -i ►na .:..:.: ICHAR D A WALKER (5W7s3.-2622 4212112C 1$ Z 940 0502 sE�rnce srnEEr. a star 40`Stra.00way'lo 40&W,h y N slice cxiv,axAr z s ra"ISTA w H' 1125, I HyaCuiJSA ... ............ Joamc :... Y4tlR t�tF,T�"fIVE'ELAF�FEI only t3�nel:amixsPi:Currently,fcr�e tttSl £ngflae�ing will a gt}c all epplieable,:.elihle ineokm wW vw*ill be F illed: Ugible tnmum the:C e Li't C at3 arnPact n ets a 75%msi ittzv.e; sdi no limit oil she:am"ret,.grid u c +rive of;200"!6 rot,ft, A; Seal%ineaswes Incettti€V s $ ,1; 0.36 w 4N�ACsiFEHEREBY'rQ F�sERit10ES-COME'LE3E Kl A1tNC�fiIKI@'FiE A60}TE$PEQF3GhT4DN5.FCR 7HE 8lEAe CF: j *•:Njq <Hundre F+n; Three.&4511 t]c iars Alt- $%3AS I3FllN'fTNdt.Jw - ALSY.ROE ENGikEE�tNt3.C "CGS�ER 0.0 ;EE870 RfAUT,JUttOt tT IMFULl,,,mi,'EREST O !Y N�Li; CH+5Ft6En.6dQAPk1ZLY. A$IY, UiiPk#3AtRlQCE. DAYS. Esti02AHiRYf9RM�4iQU}3'q.E REcamom • rt�,Y��n�N�sAr�#�ua H`ciar r�tee�ER,awrwa an'n�pccE�t ,C:AYB; A4CEPr1,WCE:f�"CD![IRi1C.�' "iHEAB6YES:.'3�. CIFIWi�EitfSAP�:.CQ ;A� ,. _ ;SATl3RRiGT, MTO # ;AEEF A TEB Yp�iYfRE tlTa4N C'pD'D4 .1Stl' It 9P@S:ffiE�:FJ(Yf�?4K�.l.BE�A[�ASA86YE: The Commonwealth of Massachusetts Department of Industria:l Accidents > 1 Congress Street,Suite,100 Boston, MA 0211.4-2017 ww►.mass zovldia Workers'Compensation Insurance Affidavit:Builders/Contract6rs/Eleeteicians/Pf6mbers. TO BE.FILED WITH THE PERMITTING AUTHORITY. AP olicant information" .Please ftik Lepjblv .' Na Me(Business/Organization/Individual): Insulate2Save Inc. Address:410 Grove Street City/State/Zip: Fall River MA 02720 Phone:#.:508-567-6706 Are you an employer?Check the appropriate box Type of project(required): . 1.0 tam a employer with 20 employees(full and/or art-time)! 7. ❑New construction .. ?.Q:t am a sole proprietor or pattnetship and have no employees working for mein $ 0 Remodeling any capacity.[No workers'cornoJistirance required.} 3.[]]am a homeowner doing all work myself.:[No workers'comp.insurance requtred.3 9 ❑Demolition t 10 0 Budding addition 4.f 1 am a homeow•ner.and.will be hiring contractors to conduct all work on"my property. t will ensure that all contractors either have w_ orkers'compensation.insurance.or are sole 11.[ Electrical repairs'or additions proprietors with no employees: 12.E]Piutnbing repairs.or additions 3.C]I am a general contractor and i have hired the sub-contractors listed on the attached sheet: 3.DR30€r@ These sub-contractors.have employeesand have workers':comp.insurance.: pairs 6.Q We area corporation and its officers have exercised their right of exemption,per m%C, 14.[]x Other Insulation 152,§1(4),and we have no employees.[No workers'contp:insurance required.] 'Any applicant that`checks.box tF I must also.fill out the section below showing their wni3cers'oampen'ation policy infgrnsatior}:. t Homeowners who submit this affidavivindicating they am.doing all work and then hire outside contractors must submit a.ncw affidavit indicating such. *Contractors that check this box must attached an additional.sheet showing the name of the sub-contractors and:state whether or not those entities have employees: If the sub-contractors have employees,they must provide their,workers'wmp..poticy number. . Tam an employer that is providing workers'co mpensationinsurance for my employees. Below is the policy rand jr�h site information. Insurance Company Name: Liberty Mutual Insurance Policy#or Self-ins.lie.#: XWS 56418741 E.xpimtio.:n Date:. 12/10/2018 Job Site Address: `a t � 1� Ci /State/Zap: . L'L- f1,/S M , J y r s!i a u` e'r 'l, h Attach a.copy of the workers'eompensa#io policy declaration page{showing the policy numb .wand exltiretiott t#ate}; . Failure to secure coverage as required under MOL c. 1:52,§25A is a criminal violatimpunishible by a fine up to$1,500.00 and/or one-year imprisonment,as well as.civil,pt nalties:in the form of a.STOP WORK ORDER and a foie of up to$250.00 a day against the violator,.A copy-of this statement:inay be forwarded to the Office of investigations of the DiA for insurance coverage verification; I do hereby certify under the an a ties of perjrsry that the.i0formadon,provided aboy.e:is true and correct: -sip nature:,, Dated 7 �: Phone./#: 508-567-6706 Official use only. Do not write in this area,to:be completer!,by city or town official: City or Torun: Per.mittL,icense.#` issuing Authority(circle one): I..Board of Health 2.Suil+ding Department 3.City/Town Clerk .4.Electr cal.inspector. 5.Plumbing inspector 6 Other "Contact Parson: Phone#: . a; -91 Office of Consumer.Affairs and-Business,Regulati on 10 Park Plaza- Suite 5170 Boston, M usetts 0211 i Home mprovem' tractor Registration 'rye Ccratlon Registradorr: 180747 - 'INSULATE 2 SAVE_ , INC. Expiration: 1212812018 410 Grove St Fallriver, MA 02720 t"ate Address and return Cara Mark.reason for Change. >CA t. 0 20M is .._ _.____ M © C]Lost Card ?�'�� tsrsrnaxorrrzra�,ax+��o�f? ,<rrtncxcd ua�d __� -.........� ... Office o!Con�mer 1�falrs&Business Aligulation' ." HOME IMPROVEMENT PROVEMENT CONTRACTOR t Registrstlon valid for individual use only. TYPE:CoMastion 0eiare the•0pirwon Hats. if found return toC' Office of Consumer Affairs and Business Regulation Ego rr !2/ 81 18 14 Park Plazai-Suite 5123• Boston;MA 02116 INSULATE 2 5 Roland Lang ffll 410 Grove St g Fali6m.MA 027 p y undersecretary.. Not valid wi#tout ilof ihirle Clarnr ran -of Massachuseft Board of SuMing R 'ons and Standards C on str rvlsr yA CS-40386`1 IF FALL t A� '� DATE(MMIDDIYYYY) CCMV CERTIFICATE OF LIABILITY INSURANCE 0MM/DD8 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER UUNIALA NAME: Anthony F.Cordeiro Insurance FAX PHONE o E,a: 508-677-0407 (AC, Ac No): 508-677-0409 171 Pleasant Street SS: hsouza(�cordeiroinsurance.com Fall River,MA 02721 ADORE INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: -Liberty Mutual Insurance INSURED INSURER B: Insulate 2 Save,Inc. INSURER C: 410 Grove St. INSURER D: Fall River,MA 02720 INSURER E: INSURER F: - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR TYPE OF INSURANCE POLICY EFF P CY EXP INSD WVD POLICY NUMBER MWDD MM/DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR - PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 5,000 A Y Y BKS56418741 12/10/17 12/10/18 PERSONAL&ADV INJURY $ 1,000,000 R'OTHER: LAGGREGATELIMITAPPLIESPER, -. GENERAL AGGREGATE $ 2,000,000 POLICY PRO- JECT LOC PRODUCTS-COMPIOP AGG $ 2,000,000 - $ AUTOMOBILE LIABILITY COMB NED SINGLE LIMIT $ Ea accident 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED A y y BAA 56418741 12/10/17 12/10/16 BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS X HIRED X NON-OWNED - PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE, $ 2,000,000 A EXCESS LIAB CLAIMS-MADE Y Y USO 56418741 12/10/17 •12/10/18 AGGREGATE $ 10,000 DED RETENTION$ $ WORKERS COMPENSATION - X PER OTFF AND EMPLOYERS'LIABILITY YIN . STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBER EXCLUDED? N/A XWS 56418741 12110/17 12/10/18 (Mandatory in NH) it E.L.DISEASE-EA EMPLOYE $ 500,000 yyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Proof of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT ©19 -2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION L17 1 Map`- Parcel OOP. 1, �F a'r",}.� ;�j ABLE Permit#IUM Health Division `� or 3 Date Issued /' r n�}'� �t � —l3 1 E I Conservation Division qldol OA6 Fee 1 DD . dd Tax Collector a d D c - D k -- IU ,Treasurer_ L 03 = Planning Dept. .A MCANTMUST OBTAIN'A SEWER Date Definitive Plan Approved by Planning Board CONNECTION PERMIT FROM THE ENGINEERING DIVISION PRIOR TO Historic-OKH Preservation/Hyannis GONMUCTIOX Project Street Address 0 STY-Q_t 7- , Village C01)n t Owner i cha-rir-J 4 &1 u e r Address o 5-Fra �T Noice+ Telephone- 5()R _ '7`7 57`- 553 ' Permit Request t s bot i ` 3 X Square feet: 1st floor: existing proposed )( Cq 2nd floor: existing & IA= proposed Total new Valuation �i 5 .07�� Zoning District C- Flood Plain/ Groundwater Overlay Construction Type iA-��_)1�o E f°aM F Lot Size_3411 ''1 "1 S S, 1�: . Grandfathered: ❑Yes _0kio If yes, attach supporting documentation. Dwelling Type: Single Family ,�21K Two Family ❑ Multi-Family(#units) Age of Existing Structure ( � Y r 1�, Historic House: ❑Yes _�M0 On Old King's Highway: ❑Yes Flo Basement Type: ❑ Full ❑Crawl )fNalkout ❑Other Basement Finished Area(sq.ft.) t4oN,r=� Basement Unfinished Area(sq:ft) Number of Baths: Full: existing c new Half: existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing J new First Floor Room Count ' Heat Type and Fuel: YGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ;SrN o Fireplaces: Existing New Existing wood/coal stove: ❑Yes _Eft l Detached garage: ❑existing >(new size $Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed: existing ❑new size Qs, Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name wo, Telephone Number Address o S :c.,'� hd- w �� /vrDt ,' m �1 � License# Home Improvement Contractor# 10 w. No o"`(L c)"'''z c✓` Worker's Compensation# r ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE `/48-�cC v FOR OFFICIAL USE ONLY i ' F PgRMIT NO. i DATE ISSUED r 7 MAP/PARCEL NO. ADDRESS VILLAGE OWNER c DATE OF INSPECTION: FOUNDATION ,fS !Za t1 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL a , PLUMBING: ROUGH FINAL GAS: ROUGH FINAL F FINAL BUILDING DATE CLOSED OUT ! ASSOCIATION PLAN NO. 4 q t The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing.at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with.certain exceptions,along with other requirements. Type of Work: f o- c Estimated Cost I s-i v0c Address of Work: t(y S ✓^° w! Y h c Owner's Name:' Date of Application: I hereby certify that: Registration is not required for the following reason(s): E]Work excluded by law ❑Job Under$1,000 Orwnei Ing not owner-occupied pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR q:forms:.Affidav :rev-122001 The Commonwealth of Massachusetts M = _ Department of Industrial Accidents =- - oxce ollosesmostleos . b - 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance davit name � iG4l���� tyct�yCr.. location �o ST✓0.: h.� way �01 tl ci Gt w M r'�ct c�, 6 d l hone# -0!R- ?S` 5 S I am a homeowner performing all work myself. lamas I etor and have no one workin in ca achy I am an em Io er roviding workers' compensation for my employees working on this job. toms nsm gili{Tess.. ...::: ....::.......... :....... ..............:: _ •:::::::::::.: a h n - > `'olicv ustiranc %/ ❑ I am a sole proprietor;general contractor,or homeowner(circle one)and have hired the contractors listed below who have e followingworkers' compensation polices: the ...................................:.:...:.:::: :::::._::...................,.::::.:.::::::::::::::::::::.............::.::::::::._.::.:...............:.:.:::.::::::::.:::::.:.......:.::::::::::::.........:......::: ::::::... M. « > '` < > ` < »> < <> `<< ><' >=>'>;< :<:<:::> > <;:<<'::»<<>-> ::<<:::>;>:<::<::«:;<:;::: :<:>::::: ::>:::::::::>.::::::::::>;:<:::<:::;:<;::;.>.:<;<;><::;<;>::»:<:<:;:::>:::; »:<_:>:<:>: :cum sn noun . :`>ildea > s `:?On :...:.:........ CP lriraircejJ%/%% .............. :e sa.na :::... addres . ........................ ......................... . ............................. ''r'•:t%iiii`:i%i:L>.%:':i%:vii�:%i:'v?::::?%`i.`•y:•ii%j•'.:•ii`�:;':w::.�:. ::::::::::::::::::::::n•.�:.i}i}i:iv:^1:+•i::::nit::%ii::::L:i%iii:•i:%iii::•iii'xi:•i'riii:i:%iii:.+i:•:%ii:viii: - M'::#;::%:%:�i�v:'i:i'}%:':'%:y}i:;::`�:%:�:i�:`;iCi:`:::%:'i:i:%.';i:;:;:',:v�>:::.::.�;i:�•ii:!•: �:±ii�:�{i�:�:i;:{i;i.; tllilrEltCC• j 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$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct /� �iQ Date /A.r63 . signature n Print name (` c 6r a r rl W (yf f✓ Phone# �U&' 7 ofndal use only do not write in this area to be completed by city or town official city or town: permdtNcense# C]Bufidimg Department ❑Licensing Board ❑checkff immediste response is required ❑Selectmen's Oice ❑Health Department contact person. phone#; _ ❑Other. flamed 9195 PUS Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein; or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract'for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers'. compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a.certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pi number,which will be used as a reference number. The affidavits may be retin:ER fu the Department by mail or FAX unless'oth&arrangements have been made: ----.__... _ The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts . Department of Industrial Accidents Ofilce of Inses"gauOns 600 Washington Street Boston,Ma. 02111. fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION f �y. Please Print DATE: JOB LOCATION: S`f✓a �^'a y ©✓ �Li t Y a number street village "HOMEOWNER'': R ,' � wv-l;(,-A name home phone# work phone# CURRENT MAILING ADDRESS: Y U s �`� '�/Li `�' y YI o r 4-11 GavG�rh;� ,na 0A.6c) ity/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more.than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Deparbnent minimum inspection procedures and requirements and that he/she will comply with said procedures and re uirements., tire of Homeowner SXa 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 pemvt 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 pemut application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a farm currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. (Z° 131 2 LAJ - 28.35' 3 7 7 5 0 If __ .. - w s .7Z'a / G .52 CEe7\-l FT " `.nT EX!STD rJ� LAj (TEA -�� of [3A�►JS�..��� �osJ,,'`� - P SOT nfLAO I - Fo� Of Algs�, a r=X(e.7 I!J( -�OcJr3nATta1�. �Bs SYKES #MIS �•at.3-�t f %.�a.�rF'��,'fp� ..G.�4 w.��i GEL-1QQ a--s�4� _ �.!� ", �.? 0.;. �y.:. ..-s�".�tiar$,'•'�Nt: ^rt±r•�d.a is f z.�,a.��_`� s �:..��t,�,! f e:,+a�- � _ 1 � .�� t�, s E'. �4 k - JOB ® SHEET NO. OF ' fl nic (508) 888-9282 CALCULATED BY DATE P.O.Box 1051 • Sandwich,MA 02563 CHECKED BY DATE SCALE j f ........ ._.. .......... .. ... _ )v� lsty - Sr ,... ........ .._......_a_ ........;.,._�..... .....__Y._._ ...-.y..... -._... ........_ -._. 1 t ape : _ OLv 4 < 6�5- f t : < . < i t g i ...._....... ... ...............ice....... ..:._ ——--------/ .I 1 . i J ? - 4 .......__ .. ...;�_... .. x.. ........ .. t- ._. ... _ _ _... _ ......... ._ _._..._. .. ._ /,f_,_ i. ..... .............i f........... ........_._ f . -_ _ ...., ........... = _ -- - _ . 2....... .. ._. < LD o F .........,_,.— --_. .i _j... ........--.—, -. ... .... j t ' JOB .Alff.lantic O SHEET NO. OF f (5 0 8) 8 8,8-9 2 8 2 CALCULATED BY DATE CHECKED BY "� "`DATE �•_ P.O:'Boz'1051 •Sandwich, MA 02563 — �LI SC&LE _......... NX j • < _ _ .." - --� y .. _ _ .. +�. _ . -- : j f • 3 3 �t s : f t _ _ ..... ._.. _......._ 1 _ I y; t 5 " < i ` b ` ' I _..._._ ♦ _.-.yam.-.. y. d. 0 { - ..-.. .. _._-. __.. ..... — - t t i , �r E , � 7 3 y_ U c j s s F f ' i f i i i i ; Y I 4, TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY i PARCEL ID 271 008 002 GEOBASE ID 43897 ADDRESS 40 STRAIGHTWAY (NORTH) PRONE i HY'.4NNIS ZIP - LOT 2 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 29767 DESCRIPTION MODULAR SINGLE FAMILY (BLD PMT #27367) PERMIT TYPE BCOO TITLE . , CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES DIME BOND CONSTRUCTION COSTS $.00 Q� 753 MI SC_ NOT CODED ELSEWHERE * gpgTAg MAS& 1639. A�O� �ED BUILDING VISION BY DATE ISSUED 03/31/1998 EXPIRATION DATE 'I.t'+WN OY PARt aT 1 L _ BUI'wj"ING PERMIT PARcrzir i D ',Z'l'I Joe, t'U4 r2 U 08AS!i. I n 4a897 I:YANNIS ZIP I.-OT MOCK LOT ABA LEVELCPt�Is T D fSTP,:l'C'e i-:Y PERMIT y�{� ''7'.3 DESCRIPTION TIC�����.�7i:�I;,E�P S1�y 'NG.F..M,,+ (""OWN SEV5,'R) A�411 Z TYPE SU�.LD TI'�'1.AI, �V.LW �,�w i�.3.+i.NTIAL BT-W2 17i:',� CONTRACTORS.- .PROr ;ERTY. OWt4,Pl ? Department of Health, Safety �''` ' 1" and Environmental Services BOND $.00 �TNE ONSTRUCITION COSTS * BARIVSTABLE, • 1639. BUILDING'DIVISION - DATE ISSUED l i/2 fib'1:? ? fi` }?I_jW'r T(1,N iIA'1.'t THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE 1:FOUNDATIONS FOOTINGS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERER ING STRUCTURAL MEMBERS . ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 12 �f f 3 1 HEATING INSPECTIO PROVALS ENGINEERING DEPARTMENT 2 `` 3�JQ8 BOARD OF HEALTH rap, OTHER: 'kas SITE N REVIEW APPROVAL WORK SHALL NOT PROZEED 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. Ak t , BUILDIN .G , PERMIT ro: i t y t • Engineering Dept.(3rofloor) Map - '-] f Parcel 00 9. 0� Permit# o��3 f � ^ . j House#' -�% -K/ Date Issued 0?(4 Board of Health(3r oor)(8:15 -9:30/1:00-4:30) Conservation Office(4th floor)(8:30-9:30/1:00-2:00) -I 1 l ,.`Z�- ✓e Planning Dept.(1st floor/School Admin. Bldg.) APPLIG �nK �l, a 3 - CONNB 0 A B�SW�SE Definit' Plan Approved by Planning Board :Y 19 p8108 TO 659 TOWN OF BARNSTABLE- Building Permit Application ect Street Address /} ��,� "�� `ct ,i Ad r-?V1 Village N ts0nt + n /� Owner'_R+cli ,r c A wQ lk=+- Address 6-cn rr4 Telephone -7 7.S--5-5-3 9--- f ' .Permit Request ` AA152A " 4 • 1 i First Floor 3 c� / Second Floor `�d? y square feet ..Construction Type od v la P- Ho f Estimated Project Cost $ 1 (O�o- i Zoning District Flood Plain Water Protection Lot Size D q,7?.� Sg pr Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: fffu11 ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New a Half: Existing New 1 No.of Bedrooms: Existing New y Total Room Count(not including baths): Existing y New �_First Floor Room-Count Heat Type and Fuel: ("Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information ,Named Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. r ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE / `?ti✓ - L DATE /l t 7 /q 7 BUILDING PERMIT DENIED FORTE FOLLO ING REASON(S) ,b Y `+ 5 /fir,, 4 _ q.. _ FOR OFFICIAL USE ONLY , PERMIT NO. DATE ISSUED MAP/PARCEL NO: 1 ADDRESS VILLAGE � . OWNER - i DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE — ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH ' ' FINAL '— GAS: # . FINAL - n. FINAL BUILDING wi /IV tc DATE CLOSED OU'I-4,.., F s s z + t ASSOCIATION PLAT ' n� 3K 2/02 P4 240 vU l3K !Z 04 P4 �a�Z S tZ° /3Z5" W vv 28.35� r loq, cep J -07ID 2 N � 0 4q' {�-b 7Z•8 0 40 E S 7'/Z A 6 7- w A K o Q 7-9 1 k�tR�tiY CEe\(F�' l'1-4A�T ..,ilk �X►ST�rJ(�. �o��pATto�1 rS ra Co�1�a�.}�tR NEE W (TH THE ToWt 13AktJZ7A V, 4 - QYc,AuJ p�Ar� [31�Kn1S-�Pr�c,E PLoT OF Mg Fob ROBB B. (Z��1;AC�iJ VJ A kE R SYKES y #35418 ors :�'40 NNN? 2-71 �AftCEI_ 00$�002 �(LON\ 3 HO V NYAr,�rJkS , SIoc Sc-ALE , r " = 0' A 7ce', i Craftsbury Company, Incorporated 490 Main Street, Yarmouthport,Ma. 02675 508-3624013/fax 508-362-4139 48 Hour Notice for Modular House Set Date: To Building Department. We will be installing and setting a Modular home on /-�✓� 9� Permit: Map: IR `7/-00 00';2— Lot: -' Street: 'yO r House #: 'yQ Owner: W,c4.. Construction Supervisor: ��-°��•�� �+- l�4/d�l�bR License#: 05 OP-og 6`I Certified Installer: 'C'ys-oMiZch STRUrOVC&S Home Manufacturer: C U 5 -d Mi Z&Z S97-RO CT'WZF5 Home Dealer .The,Craftsbury Company, Inc. Contact Person "Timothy Kautz Phone# (506) 362-9013 This complies with 7 0 1.1 8 CMR 3508. " T11c• C(1111111(111 t r'Cult11 of 3fassuc h usells -, Departntcltt of Lldustrial Accidems, .3 `, ;�`` • 1. 9fffCZ,91lj7yesu9allons Smer •�•• `'�''i•- % � B(rstulr. .9lus�: t U3111 Workers' Compensation Insurnncc Amdavit �1l c 'nt inftirmatinn Plc'tse PRINT'1e`�iii'y"�'�� �nc^'inn• �V S�/-e,' � '�" 1Ataa tYPO�'�"�'t � t nhv •,y I am a homeowner performing all wort:mvself. I am a sole proprietor and have no one working in any capacity a �. I am an employer providing wori:crs' compensation for my employees working on this job. cnnm•in, n•tm(- ` 4 add rrrc- cin nhnnc d- in-nr-nrr ^n nniirr d am a soic proprietor. general contrzcro , or'horneowne (circle oue; and have hired the contractors listed beic"—•;'cc the toilowinc_ '•vcrKc.. compensation'polices: cnvtn tn� nntnrPa r c) r m 5 ' jritirr•. _ Ott• �� l�t� � / G � ✓ nhnnc�• `k — S O 1� t"n.tir-nrrn _ .._ - Cn n'^.'nt n:l In r' �• - k , atit!rr�•• rtn.. nhnnc 0* in-rrnrr rn nnlic�• A ,::ch a Lid itionai sheet if neccS7lrY -_i•r����•a►.ii. '•.... --......•r. •...._ .+.-......n�.�.�.v_.. - -�.... F:,,turc n)secure ciwcrni:c:ts requircu un cr section=°A of 111GL 15:can lead to the imposition of criminal peflalues of a line up to S1 OU.UU inure: uric cars imprisonment a. %%ell as cijii penalties in the form of a STOP 11'ORK ORDER and a Gne uf3I06.00 a dap against me. l underst2nd that - corgi tf this .)uiicmcut ma% uc furw ardcu to ttte Office of In%•cstitstions of the DIA for covcragc verification. a ijercmv cri7.fi•re[rricr ncc pains and penalties ofperjurt•rha[the irrformarton prow ded above is[rune Bd correcct- Oatc v C'< Pr ^ Phone ttTiciai use unh• do not write in this area to be completed by city or town of iciai t rermitiliccnsc>� r7Uuildin:Department ciiv or cnt%n f auccrisina Board i.. Jcfcctrncn's 0MCC ., _ cnen, itimineciatc rrspunsc is rcquirru Clttcallh Ucrartmcnt . phone 9: n�thcr_� ac a Massac.'rusctts Gencril Lzws chapter 152 sec:ion ,S requires all employers to pmvide workers etnnlm•ccs. As duotcd f*rgni the an erilpturer is defined as even, person in the service of allotlier LIM— cor,:rac: of Dire, cypress or implied. oral or written. An enipim-cr is dctincd as an individual. partnership. association. corporation or other legal entity. or any two, the �orc_oin�_ cn`_z=:.•d in a joint enterprise. and including, the legal represcntatives of a deco: cti employer. Jr recc;Ver or intstee of an individual . partnership. association-or outer legal entity, employing, employees. HC«V. owlier of a dwellilu ilotl.sc having, not more than three apartments and who resides therein. or the occupant do ciling !tousc of another who employs persons to do maintenance ;construction or repair work on such dwc;` , or on the _rounds or building, appurtenant thereto shall not beczuse of such employment be deemed to be ::n MCii_. _11::ntcr ? seciion 25 also states that ever• state or local licensing agency shall ivithhuld the issu nnc: al of a license or permit to opernte a business or to construct buildings in the commomi ealtlt Cor c::nt who lies not Produced acceptable evidence ofcomhlianec svith tine insurance covern;c required. ;e ..:oilail\.. neither the commonwealth nor an-,- of its political subdivisions shall enter into any contract for :lie pc-:6rmz::.-c of public work until acceptable evidence of compliance with the insurance requirements of this to the contracting authority. a{�lriic::nts :he work-=" compensation affidavit completely, by checking the box that applies to your situa::c;: c:- suc: ivin_ _o:ncany names. address and phone numbers as all affidavits inav be submitted to tite Departmcn: of for confirmation of insurance coverage. Also be sure to sibs and date the nfiidnvit• Tte -houid be -eturnL-d to the cin, ortown that the application for the permit or license is being reques:ec. of Industrial ,accidents. Should you have any questions regarding the "law" or if you are -ec::: c wcri crs' cornpensattOn policy. please call the Department at the number listed below. C.' lr iUl\tt$ .... p?� ;e Air:: :hat the vffidavit is complete and printed legibly. The Department has provided a space at tite b_'0=7 111L "' anti it -or %'OU to fiil out rn tite a.,ent the Office of Investigations has to contact you regarding tite appiicz, to fill in the pe=, it/liccnse number which will be used as a reference number. The affidavits may be D.narztnent by inaiI or FAX unless other arran`_ments have been made. Ti.- of?ilvestigations would like to thank You in advance for you cooperation and should you have any qu=- pit_..L �o not !te�itate m _^ye us a cell. Tire �.epar:r,enr s adaress. te:epizone and, fax number: The CommoniveaIth Of Massachusetts Deparrment of Industrial Accidents , Oifcr: Cif investigations ". 600 Washin-ton Street r Boston. .Ma. O2111 fax T: (6I7) 727-7749 J - e • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION -------------- Please print. DATE JOB LOCATION et ya n h.is. :- Number Street address Section of town "HOMEOWNER" Name Home phone Work phone - - PRESENT MAILING ADDRESS a�- G�� -rk P� t}�r► fir, "`� City town State Zip code �.• y The current exemption for "homeowners" was extended to include owner-cc,.s.,_ dwellings of six units or less and to allow such homeowners to engage an in dividual 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 r side, on which there is , or is intended to be, a one or two family dwellinc attached or detached structures accessory to such use and/or farm structure. attached person who constructs more than one home in a two-year period shall not b considered a homeowner. Such "homeowner" shall submit to the Building Off-L on a form acceptable to the Building Official, that he/she shall be respons_ for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the Building Code and other applicable codes, by-laws , rules and regulations. he undersigned "homeowner"rompowner certifies that he/she understands the Town of arnstable Building Department minimum inspection procedures and requirement nd that he/she will comply with said procedures and requirements. OMEOWNER'S SIGNATURE �►/ APPROVAL OF BUILDING OFFICIAL ote: Three family dwellings 35-, 000 cubic feet, or larger, will be require: 0 comply with State Building Code Section 127. 0 , Construction Control. s HOME OWNER'S EXEMPTION • f The code state that: "Any Home Owner performing work for which atrwbuilding permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that i- Home- Owner engages a persons) for hire to do such work, that such Home OW,-,. shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q. Rules and Regulations 1or . licensing Construction' Supervisors, Section 2. 15) . This lack of awarenE often results in serious problems, particularly when the Home Owner hires ;unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "Owner� act_ as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, ma ;ommunities require, as part of the permit application, that the Home Owner dertify that he/she understands the responsibilities of a supervisor. On th. Last page of this issue is a form currently used by several towns. You may ,are to amend and adopt such a form/certification for use in your community. f i - TOWN CLERK -Town. of Barnstable BARNS?°`!�. MASS. zoning Board of Appeals - ����yy - - Variance Bulk Regulations, Mini mum.'hbt''�`!ze5 .P4 Decision and Notice Appeal No. 1993-27 Summary: Granted with Conditions Appeal No. 1993-27 Applicant: James A Walker Address: 726 Falmouth Road (also 30 straight Way North) Hyannis, MA 02601 Property Location: 30 and 60 straight Way North, Hyannis, MA 02601 Assessors Map/Parcel:: 271/008 and 169 Zoning: RC-1: Residential C-1 District Overlay District GP: Groundwater Protection App.l cant�s;:;Request r:Variance to,sect on,a 3- (S) Hulk Regulations,_ r.., Minimum Lot size Activity Request: To permit two (2) existing lots, totaling 2.63 acres to be redivided into three lots, two of which will not conform to the required minimum lot area of 1 Acre. Procedural Provisions: Section 5-3.2 (3) Variances: Background: This decision concerns the petition submitted by James A Walker, who appealed to the zoning Board of Appeals for a Variance to the section 3-1.1(5) Bulk Regulations, Minimum Lot Size to permit two (2) existing lots totaling 2.63 acres to be redivided into three lots, two of which will not conform to the required minimum lot area of 1 Acre. According to the Assessors Records, the area of this division is presently two lots. Assessors Map/Parcel No. 271/008 is 1.70 acres and fronts 160 feet on Route 28 and 514+/- feet on to straight Way North. It is developed with a one and one-half story, 2,464 sq.ft. single family dwelling and a detached garage measuring 30 feet by 50 feet (1,500 sq.ft.) The home was built .about 1970 and the garage in 1982. The second lot is Assessors Map/Parcel No. 271/169 is 0.88 acres and fronts 197+/- .feet on to straight way North. It is presently vacant land. The applicant has requested a variance to permit division of the total land - area .of 2.63 acres into,,three lots, two of which will :be undersized by -. . approximately 8,785 aq.ft._ or -2,08=:less then: the one acre requirement for the• . .district..- A sketch plan for the proposed division prepared by Ed Kelley and. : Decision 4nd.Uotice -1993-27 _ . dated March 29, 1993, was presented. It met all other district requirements for division of the site. The locus has public water and sewers are available in the area.- Procedural Summary: The application was filed in the office of the Tb Jerk and at the Zoning Board of Appeals office on April 05, 1993. A public--h., ing, duly noticed under M.G.L. Chapter 40-A, was opened on A it 22, 1993�a which time the hearing was closed and a decision rendered. etitie as heard by Gail Nightingale, Elizabeth Nilsson, Dexter Bliss, Gene Burman and Chairman Richard Boy. Attorney Gary Blank represented the applicant, James Walker, who was also present. Attorney Blank discussed the history of- the paccels explaining that the land had been in the Walker family from the 1950s. •James Walker constructed his residence during the 1960s and had intended-to divide the remaining area of the lot. It was Mr. Walkers intent to provide building lots for his sons. Attorney Blank discussed the size of surrounding neighborhood lots most being smaller in size then those proposed in this division of land. He concluded that this proposal would not be detrimental to the neighborhood and will blend in well with the character and aesthetics of the existing neighborhood. Attorney Blank also cited that not granting of the variance would create a financial hardship to the family. Attorney Blank noted that variance conditions, as required in MGL Chapter 40 A, section 10 are established by the shape and size of the available land and by the raised level of the fronting roadway. The Board questioned whether the existing garage would be closer to the _ setback line than what is allowed. Attorney Blank responded that all existing structures would conform to the required setbacks for the district. No one spook in support or opposition to the.petition as presented, however, Mr. & Mrs. McMann explained that they were present merely to inquire what was being requested. Finding of Facts Based upon the evidence presented and the testimony given at the meeting of April 22, 1993, the Zoning Board of Appeals unanimously finds as follows: 1. The lots proposed and illustrated on the sketch plan submitted and numbered 1, 2 and 3 are substantially larger in area then existing surrounding lots in the neighborhood. 2. The applicant has described the topographic changes .that satisfy the conditions for granting of a variance under MGL Chapter 40 A, section 10. Testimony represented that the road was raised in relation to the -:Iota during reconstruct of the roadway. Decision and' Notice - Appeal No. 1993-27 3. The applicant has presented information that there would be substantial financial hardship for the family if the owner could not subdivide the - land to provide lots for his children to build homes- on. 4. Allowing lots as proposed, one being in compliance with the one acre zoning for the district,- and the other two (2) approaching 35,000 sq.ft. each would not be substantially detrimental to the neighborhood nor would it substantially derogate from the purpose and intent of the Town of Barnstable zoning ordinance. Conclusion: Accordingly based upon the findings, a motion was duly made and seconded that, Appeal No 1992-27 be granted subject to the following conditions. 1. The petitioners shall divide the land as presented and as represented in the plan submitted and prepared by Ed Kelley dated.March 29, 1993. The vote was as follows: Aye: Gail Nightingale, Elizabeth Nilsson, Dexter Bliss, Gene Burman and Chairman Richard Boy Nay: None Orders Appeal No 1993-27 is granted for a Variance from Bulk Regulations, Minimum Lot Area Required. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, section 17, and shall be filed within twenty (20) days after the date of the filing of this decision in the office of the Town clerk. This variance must be recorded at the register of Deed and the petitioner has . one year in which to exercise the variance. pe Any person aggrieved by this decision may appeal to the Barnstable Superior Court, as described in Section 17 of Chapter 40A of the General Laws of the Commonwealth .of Massachusetts by bringing-an action within•.twenty days after the decision has been filed in the office of the Town Clerk. Chairman , I, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this day of 19 under the pains and penalties of perjury. _ Distribution: Property Owner Town Clerk Town Clerk Applicant Persons Interested Building Inspeceor Public Information Board of Appeals t PARTIES IN INTEREST APPEAL NO. : 1993-27 JAMES WALKER MEETING OF APRIL 229 1993 . JULIO C. & KERRY CANIZAL.ES 44 MCGEE DRIVE, HYANNIS ERIC D. JONES & ROBERT H. & CAROL A. JONES 58 MCGEE DRIVE, HYANNIS LAWR ENCE M. & DEBORAH MAHAN 68 _MCGEE DRIVE, BOX 1B, HYANNIS NANCY L. LITTLE 7313 WEST SIERRA VISTA DR GLENDALE, AZ 85301 JOSEPH D. JR & ELAINE MCMAHON 423 OAKLAND RD, HYANNIS RAYMOND F. & DORIS HOPKINS 426 OAKLAND RD, HYANNIS PHILOMENA JARVIS 439 LINCOLN RD, HYANNIS LIONEL C. & PATRICIA A. BACHAND P.O. - BOX 210, HYANNIS MER.EDI.TH A. MAYO. 4,.'.. < ,.,.. 423_.-L! NCOLN ROAD EXT. ' HYANNIS JAMES J . , LORRAINE, & JEANNE E. CAPONE 2 HARNDEN RD, FOXBORO, MA 02035 BRADLEY E. & SHELBA J. COY 419 LINCOLN RD EXT. HYANNIS ERDVILIS JANULAITIS 680 FALMOUTH RD, HYANNIS ROBERT J. & DEBORAH A_ UMBRELLO 414 OAKLAND RD, HYANNIS ANDREW B. & SUSAN M. MILK 23 OAKLAND RD. , HYANNIS FRANCIS & RITA A. STAFFORD 390 OAKLAND RD, HYANNIS PAUL A. & LORETTA A. DAVIDSON 376 OAKLAND ROAD, HYANNIS JOSEPH F. COUGHLIN TRS JOSEPH F. COUGMLIN TRUST 404 THIRD AVE, MELBOURNE BEACH, FL 32951 LEWIS A. & GLORIA. W. PSAROCOSTA 391 OAKLAND RD, HYANNIS SHERRIE D. CAHOON 399 OAKLAND RD, HYANNIS ELEANOR DAVIS C/O THE BOSTON COMPANY ATTN: EILEEN B. BUCKLEY 1 BOSTON PL OB3K, BOSTON, -MA 02108 JEANNE C HARR I t+sf3TCt TRS . OAKLANr pro %ZiVI NEE TRUST 17 JUN I PER DR. , NORWOOD, MA 02062 MITCHELL A. TROTT 361 OAKLAND RD, HYANNIS TED & ROSE VARTABED 41 MCGEE DR, HYANNIS RICHARD S. BALDNER 55 MCGEE OR, HYANNIS FEDERAL ONE MORTG SERVS CORP 510 WALNUT ST, 16TH FLOOR PHILADELPHIA, PA 19101 EDMUND J . & IRIS E. FLYNN P.O. BOX 37 , CENTERVILLE LEON D. NARBONNE & FREDERICK J . THACHER' JR. . TRS 43 PINE ST. , YARMOUTHPORT DAVID M. SALZMAN TRS LEON-DAV.ID . REALTY TRUST . . 90 HAWTHORNE CIRCLE, S. BURL I NGTON , VT 0 5 40:1 JOSEPH M. WEINBERG 4 GUY LANE, HYANNIS LEON D. NARBONNE TRS . JENNY-LEE REALTY TRUST- - 101 IYANOUGH RD , HYANNIS F CAROLINE A. MANNING 15 GUY LANE, HYANNIS CHRISTOPHER J. & LEON D NARDONE, TRS , MID CAPE TRUST 101 IYANOUGH RD, HYANNIS HARRY D &_ ROSELYN H. COHEN 35 SEABROOK RD, HYANNIS ROBERT F, SCHUMANN TRUSTEE , ADELE REALTY TRUST . P.O. BOX 549 , CENTERVILLE JOAN P. LUKE 530 MIDDLE RD, GULFSTREAM, FL 33444 JANICE B. WADE 39 MARK' S PATH, HYANNIS GEORGE P. TUTTLE 483 PHINNEYS LANE, CENTERVILLE JOHN SERGIO 81 BRIARWOOD DR, HANOVER, MA 02339 LESTER J . & JANE T. BEAUDOIN 36 HAMMOND PL, WOBURN, MA 01801 MICHAEL L. & PAULINE JOYCE 22 ALVIN AVE, QUINCY, MA 02171 ' ROGER L & ViRGINIA WHARTON 772 WILLOW BROOK DR #908 NAPLES , FL 33963 BEVERLY A. COLE OAKLAND RD, HYANNIS HOPEFIELDS SCHOOL INC C/O RIVERVIEW SCHOOL INC 551 RTE 6A, E. SANDWICH DONALD F. & FLORENCE ROGERS 326 OAKLAND .RD, HYANNIS KEVIN M. PETROVEK JAN-AUG REALTY TRUST 353 LINCOLN RD, HYANNIS NICHOLAS D. FRANCO TRS FRANCO FAMILY NOMINEE 765 FALMOUTH .RD, HYANNIS JAMES A. WALKER 726 FALMOUTH RD, HYANNIS GERALD F. MORGAN 435 OAKLAND RD, HYANNIS JOHN W & CORA M. URNICK P.O. BOX 1372, HYANNIS Pit Q 00 � t � _ �fs� .•�M� - Q '• r�x t Py�E��+ 3� � 4 .i �. — _ _____________________________ ---- -------- -------- ------- Note: 7h,s' --- _�-==------------- Suf:.^: t..._..L..- -� Welk Out. ; - ----, I saf• --- -------------- ' Plev:: and If nc - _—�/ —sa 7-2 1/16" 73 1 1 , 1 '7-3 15/16" as A•--r Yam— 1 1 1 ' 1 ' ' r' _I. L__—_—_� ; ' r 1 Smoke i 1 ' Area Detector -----1 1 1 I Ell ulstl ` %Founciatton Footing ------------- '• --__ -- - ., 1,.. ---- --- --.- - i 441' In14 5 � I ATTIC o ?a� e IDin Down --- ---- 150 112 --- ---- Flat Gaiffng: i. - --- i Slope Gelllr� MW304ls. 4R31 ._ .. 15 tA. '4 112" -- ' 10.8 1 4» DW e. u ✓s ' i *I u Dining ( � ecro®m2 801 5,3314 o � 1 IL � r02,4 I 11, i'I 1 IL 1 i O I 026 { I 9.11;112.. \ r�r A p i1 I N h zl- I I n ------- - I�w xvc ------ •�-- M'11DI6 YFOM -- MUJd40 - N _- --__ ---- i ( Linen Dour' i I -- ---- -------------- .�v0 ---- -- Note: T 1 I _ ----_-__ � u P11 V o i�iagt�r Ian ---� --- i vine ROOM N d �.. I f g Lit a - 51 0 I CL i --- ---- I-- --- -- 1}•7' Uc d--- - ---- 17'6" — ---- j . q 04 MW3046 MW3046 MW30db C3210' MW3046i; MW3046 y p 4 • ' Nole:lnes<dpn reprvsrnl Ibe Cl esl oppros•molron to Ibe submit ed design ono.mq loe eslobbsned Wrfldinq adlty slorrdords and design limilelions. (�T please moke d revisions to 7 m psn a pencil •lul" ono sign aM dote eaN ps.Do Then retIt urn to CS' for eone� If rasdsions ae desired.sign, dole eocb pogo — find bprevoQ k Ralun to C51 00 Front Elevation 5cale:114"d!G" u p , Z. Mn •� — t,. - 0 V 1/2" COX PLY / 5 ROOF FELT ---- ---- ROLL VENT W/SHINGL_S -------._... . SRM,S.J.013 - h CLASS C' ASP:.ALT �---� ROOF SHINGLES �,5\ SEE R4.44.89 FOR "ORMER O e 2-215/16• 0 ROOF FRAMING DETAILS 7/16.Osa I WALL O 2 I]/w 4AILER • 6 2'0��^. j. r— / ! r. 12" SC.-FIT I SRM.S.J.012 "T� ZNO FLCCR ixa FASCIA I I i I SHEATHING C BY BL_R. TRUSSES 0 24" 0' \i (53 pst SNCW I ) 12 II M00. BCX 2X4 SEAT .' 2%6 FRAM I NG I —�I SPAN BEAM 1f/MTL. HANGERS I SRM.a J.01 S 5/16• I C8%''" j SRM.Qr'1rQiJ i> E t0 3/I6• sy Fi . . " PANELIZED WALLS ED F , 1'6 7/ 6• RM.S.J.012 25/6• � 5UNH ATED/UNFINI H 1/- II ITE}rh+Ie 2x1 O Jo.sis S i s'• G.C. /z sPF S ED REAR SOFFIT DETAIL 3/4" W OSa SHEATHINCJ SHFA I TIE ISRM.S.J.012 ; !F SCALE 1/2" -I'D" i R-19 rIBERE X a�CWN INSULATION I/2• GYP. �B•e \ PLYWO. BEARING SHIM 2/2XJ PLT. L� m IXG =ASCIA BY aLCR. 1/2" GYP. ` 6" VENTED SOFFITS HANDRAIL 2X3 STUDS 0 16" O.C. _ ��_ ' ? � i/2" =!'.'W'O. SHIMS - _T 2/ZXS PLT. .2 SCFFIT �� ;/`• -YP %9 FASCIA aY _ ;0140 2X6 S UCS 0 16" O.C. S :e. R-;B :NSUL. � �:.�'-tieVi TRI,__ 2X'0 JOISTS 0 '6" O.C. #2 SPF a-I 7/16" CS3 SHEATHING TW OSB SHEATHING �-HANCRAIL • WHIT CEDAR SHINGLES 0 5" TIN. R-12 INSULATION.(YIN BY BLOB) " CRAOE �' - 2/2X10 PERIYE7ER 4/2X12 GIRT _ o- /2X6 SILL GIRT BOLTS •-- ' .I , SILL SEALER 2X2 LEDGER ANCHOR STRAPS GIRT CAP �• J I .I - UNHEATED/UNFINISHED J 1/2' cc4c. I ; �IZIREAR DORMER SOFF i T DETAIL FND. WALL FILLED COL. II _ BASEMENTS SCALE 1/1" -1'0" CONC. SUB • STAIRS • �`v t - CONT. WALL FOOTING •COL. FOOTING • ' e NOTE: ANY& ALL Materiel shipped loose for the site completion of the manufactured product is ULTIMATELY the SOLE RESPONSIBILITY OF THE BUILDER LISTED BELOW to install and finish. i - ADDENDUM IV THESE'TWO TREADS AND RISERS. ALONG WITH THE TREAD BLOCKS ARE SHIPPED LOOSE AND INSTALLED ON SITE w - 3'-7" ADD A 2.x .6 •fio arm FLOOR oEac CEILING PERM 1ST FLOOR cauNc W oA� sEu r A '-9 7/Bit '1 ' SLOPED S OP , L WALL 3'0 5/8" 1 2" i 2110 JOISTS 1 2 X 4 f ` 4161/2' 12X6 1 2X8 . , 1 IIIIII o 1�1=III ' - z. x Or 1 o p III II 7'6• N ; 1 I 1 1 - 1 1 r: ------- ----------------------------- Wll 11 � � o T1'Je. IIHIII 1> III- __ c1es--------- ---------- -- ' 1 ' -------------- r :1 �nI s o - -- ---- ---------- -- r - ; =u o _ _ a r_ -_�I m • 4'6 5/16" =•-o---- 5,2„ 18'3 I I I6" w «o c m r.. y ^ N ♦ 4i.. N -• .. :. • - jJO m � � 3N w =,yO.. I, I: o WDm -CIA $Of�rWinZOSmK >AAr> - - 9y aN 4ry m J 0> ANAl 11�op2op0 2 ACZ N O pp J N�m!~.1 tDOF OOy A}Sn N�O� Dm.A �A -bZ • _ �O O� y�V -JO.jJ Orm °DOS ii A+IF� �y� o o '^�� ov m� Z �- >•N of TJ nF �� o�A ^��i^ �Sg�� ,•°.,gym �°$is �>� ��u � •. n � +H� � ay°J Z 11��11>> pp Z ZZ !A � ° e �• 3 sJ�n ~ 'NAL. AC�tq OO.O AOA '^OZ. C qo R P G ..v .>-nDi pJgm 2A~N yAwZNNm �y AZnO n-� y0 a°T � J J p° NCO '_ Opr' TOOK m>AA� CV1O �+I SVn 0=2 ON ti = om O D �r>nn-W ppG� Orppn mo _ + > IAf t� Sc ZO� 2�� r0 N _ n O C_.° dy,N v No n? yo3 .. O• QUA"A m�+n� Dp��AH Ta n. I.Io� O� - ��O m -, N 0 7 O ° Y N•N F'"A >SINmmA �g xDy o OmV--- 00-�AONOy A^IO Z• o Ov>. (Zl t•1 rIS y VZa O l mQ j NC " SMMST TITLE: MEMBER F3NYIBJGNB 0Y cola Foundstton Lsyout °,Al WN OF - 28 X 44 Custom Cape -Crafisbury Co. sssO HOME II 6-9I a reed I0�31/9l a �R1016916 Plan,02 ulalker DRAWN 0 r JSL SC.o.LE: SH y CUSTOMIZED STRUCTURES INC. C ,. DATE:10-21-9'I C�UJC� OF THE UNITED STATES P.O'. BOY ee4 DLR A,PPRI0: #: 1�+ CLARENONT, NH" 03743 TEL. 803-543-1E38 BUILDING SYSTEMS -- CGUNCIL9 - - ---- --- -_-'•._:�'-- _' Fib; F' '�, S -'Ya - # 6 . ij _—..o--I_ 3-0,� lit. S U DOOR SCHEDULE 0 0 0 160 1/2" 0 �. x 1 i . . E- Ems'., o n p Mz E- o 0 CRT I F ICAT IN LL .© e BTAT$THIRD PARTY 4 ow �sG DATA PLATE i`ItGt''lc�..t�1 ST STATE LAW ------: PFS -THIRD PARTY LAM, D P DATA PLATE mo. tie O "EGRM WIN=BILL HEICaFlT LESS THAN OR EQUAL TO 44"ABOVE FNI5H FL.OM" r I z�w xst � 0 a Note:These plans represent the closest approximation to the submitted design allowing for established building codes, i saftey standards and design Limitations, i Please make all revisions to plans in RED pen,or penell �Q and sign and date each page.Then return to CSI for corrections. oom N ,�a If no revisions are desired,sign:and date each page FIPV 161 tTIB ' a (signifyinx Final Approval)&Return to CSIots CZ 03 _ Da & N M c . _ fmill i O v e = �.`f:u.... iaaiaiaoaiiaaiaia i I a _ t a Q._ , 4. fa IL U 10 8 . 1 > yam o d LlU UQ m Note:.These plans represent the closest approximation to the U m submitted design allowing for established building codes, Z softey standards and design.limitations.. Please make oil revisions to plans in RED pen or pencil- and sign and date each page.Then return to CSI for corrections. If no revisions are desired,sign and dote each page ..i *` si nifin Final roval & 04 co Return to CS! - [-. LLLU E. n o' O x z r' o 1 Lw a . ego ��,. �i�t Elevation � j ITEMS`ARE SUPPLIED BY CUSTOMIZED b.RIDGE VENTILATION AND SHINGLES LEFT OUT A7 ROOF C AND INSTALLED BY FIELD CONTRACTOR HINGE LOCATIONS ARE SUPPLIED AND INSTALLED BY [l OCR INSPECTION) CUSTOMIZED STRUCTURES CREWS. May 16 1 CNS DNsNOT INSTALLED AT FACTORY. 6. STANDARD'EAVE SOFFIT IS 3/8"AC PLYWOOD L GABLE END SIDING AND LAST ROW OF I WITH ALUMINUM vENT STRIP TO PROVIDE ATTIC oSR D 6AGKJ VENTILLATION ALONG WITH RIDGE VENT. ao m I FrXTURES. 7, 159 FELT INSTALLED AT CORNERS OF HOUSE AND o�" F F ARTS,FOR 2ND.FLOOR CONST. AROUND ALL OPENINGS FOR ALL SIDING APPLICATIONS. = m yam'.°Ja IED ROOF SYSTEM. AIR INFILTRATION BARRIER INSTALLED UNDER CEDAR cc B EI:S�TCJ SHINGLES AND CLAPBOARDS. `" U z WINDOWS,SHUTTERS,ON SPLIT < 40 o z R AVAILABLE AT EXTRA.COST. 8.MODULE WIDTHS ARE AVAILABLE IN 12',13'AND 14'. o o p IZn.-fED STRUCTURES FIELD INSTALLATION A. 12'WIDE-2xS FLOOR JOISTS, 16"D.C. N F I S M _ 11 2 I C e 't' levatio Fill LLLLJ Rear Ole �. sca le: 1A 5ca 1e1/05"=1 '0" b a SID11t1 1. REFER,TO INDEX SHEET To LOCATE SPECIFIC INFO NC SIDING >:)C"'r-D/T CORNERS TRIM RF'M.4RK8 COVERED ON tH is SHEET- SIDING VINYL vMriiPINE (gtD) 2. ELEVATIONS AS REPRESENTED'MA*r NOT OR SPECIFIC VINYL (.I DBL.) TO MODEL,OR SPEC IFICA'fION:•GRAD ORDERED. *GEpgR LFIS b EXP PINE 15D3 PINE/HRDBD ( � 3. THE FOLLOWING -ITEMS TO HE SUPPLIED 81' FIELD CONTRACTOR AND ARE SUBJECT. TO LOCAL INSPEC' #CMD,qIQ Ar.11112,E PINE BD3 PMEMRDBD (OPT.) EXCAVATION, FOUNDoa.TION GJORK,SILL PLATE L�4LL COLUMNS AND SILL .SMAL. R�OUIRBg ,. t-111 PINE g68 PINEMRDBD DRIP GAP(OP?) #FIR yI:RTIGAL H. EXTERIOR STAIRS tUITH MAX RISE OF 'T 1/2" AND MIN. TREAD OF II"(NoSE TO NOwE) C. EXTERIOR RAILINGss_WHERE REQUIRED. D. DOWN4POUT°v AND GUTTER°a WHER= REQUIRED. .D SrDING3 RRDL►112� l�ill4L.D SMALIK6 Cam' STAINING- Y , ELEJ fID 0 h a� v �i�t �1e�atio� :ar Elevation 5ca1e: i/a11.1 �011 i/aII_VD CUSTOMIZED b. RIDGE VENTILATION AND F,HI L ED AND NSTALLED HGLISS LE. T OUT AT G FIG INFO NOT 4. THE FOLLOWING 1•TEMS ARE SUPPLIED 15 GUSTO f I INaE LOCATIONS ARE gUPP STRUGI'URES.INC. AND INSTALLED BY FIELD'CONTRACTOR CUSTOMIZED STRUCTURES CREWS.' (SUBJECT TO LOCAL INSPECTION) D AT FACTORY. h. STANDARD SAVE gOFPIT IS 3O AC PLYWOOD BE SPECIFIC A. BALANCE OF SIDING NOT INSTALLS WITH ALUMINUM VENT STRIP TO PROVIDE ATTIC ?DERED. 5ALA 'ICE O ALL GABLE END SIDINCs AND LAST ROW OF yENTILLATION ALONG WITH RIDGE PENT• `61DING FRONT. AND BACK.) 1 Igss FELT INSTALLED AT CORNER°- O# HO% A AND 31' FIELD $ EXTERIOR LIGHT FIXTURES. ppR CONST. AROUND ALL OPENINGS FOR ALL SIDING APPLICATI� :AL INSPECTION.0 ANY PANELIZED PARTS FOR 2ND FL AIR INFILTRATION HARRIER INSTALLED UNDER CEDE PL.AT5,L.ALLY OR FIELD APPLIED ROOF S*? 6T�• SHINGLES AND CLAPBOARDS. (IE:CAPE°v, GAMBRELSOOW ON SPLIT e t EXTRA COST- 8. MODULE WIDTHS ARE AVAILABLE IN 12 ,13 AND 14'. F � 1/2 AND D. 1CNEEWALL °-SIDING, WINDOW°-+,°-�UTTER3, A IZ' WIDE-2x8 FLOOR JOISTS, 16" O.C. " ENTRY MODELS ARE" AVAILABL— A E R TO CUSTOMIZED STRUCTURES FIELD INSTALLATION S. 13' d I�•' WIDE- 2914 FLOOR JOISTS, Ih" Q.G. MD. NOTE, F2EFE REQUIRED. MANUAL FOR SPECIFIC DETAILS OF FIELD FIN15H AND 5 MGDULE°.� AVAILABLE IN ANY LENGTH UP TO C�Q'G"• RESPONSIBILITY. "