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Home My WebLink About0004 WASHINGTON AVENUE i � `� i, A s +. {: r _ _ _ � __.:y,,,,�.� E I I i i X • , f y Town of Barnstable Building Department-200 Main Street DfA88 A ° p`00 Hyannis, MA 02601 Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-16-3382 CO Issue Date: 6/21/2017 Parcel ID: 287-041 Zoning Classification: RF-1 Location: 4 WASHINGTON AVENUE, Proposed Use: Single Family Home HYANNIS Gen Contractor: Michael Olson, Owner Permit Type: Residential-Single Family Comments: Remodel of Existing Home 11 06/21/17 Building Official Date: J �"'E'ki, Town of Barnstable m _ � Il � `° l'BANN'b.ABLE..I' Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Posted— `\�& P �s39 /0/ Until Final Inspection Has Been Made. Pt e�ye p Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. 11 R Permit No. �.f'—RB-16-3382 Applicant Name: KENNEDY, REGINA M ESTATE OF Approvals Date Issued: 1/22`2016 Current Use: Structure % ,.;Permit Type: Building-Addition/Alteration-Residential Expiration Date: 06/22/2017 Foundation: FO Location: 4 WASHINGtO�N AVENUE,'HYANNIS Map/Lot: 287-041 Zopirig District: RF-1 Sheathing: Owner on Record: KENNEDY,REGINA M ESTATE OF Contractor Name: Framing: 1 Address: 44 TEMPLE PLACE 2ND FLOOR Contractor License: 2 BOSTON,MA 02111 Est. Project Cost:, $200,000.00 Chimney: Description: --rehab esiting structure. New sheetrock,replace existing porch and Permit Fee: $2,140.00 windows. New kitchen&bathrooms. Update smokes Insulation: Fee Paid: $2,140.00 _ Project Review Req: rehab esiting structure. New$heetrock,replace existing porch Date: 12/22/2016 Final: O (• z� �P.0 and windows. New kitchen&bathrooms. Update smokes / Plumbing/Gas /! Rough Plumbing: .1 Building Official Final Plumbing: /k g: &A, ! G This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of _ the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing Inspection - - 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: ei�a 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage.Rough: 6.Insulation ! 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final 2( "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Depa n Building plans are to be available on site Final: 6 1 7 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TQWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2 Parcel 6`� l Application Health Division Date Issued I 2JZ /G Conservation Division Application Fee Planning Dept.. Permit Fee Date Definitive Plan Approved by Planning Board Historic -,OKH _ Preservation/ Hyannis Project Street Address ABC_ Village Owner Z4W '^y ^ �� , S(�o�� LLG Address l L��cei�� 14c� '` �� 3o5�,,M,A G -+' Telephone ��`j '�� OZt( Permit Request r�1��'� �x<sn sIIL . Newl � `" Q �� ofc� cv ,� i.ntJlou�S• IJe� ��i1L�.o� c Wo�S. Mac 5r.- t fA Square feet: 1 st floor: existing o proposed 1 5-D O 2nd floor: existing proposed i z Total new 2, 3 Zoning District "� Flood Plain ,> Groundwater Overlay o Project Valuation k 2,o01 O6° Construction Type tie i Lot Size D•Z3 c-crcS Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family d Two Family ❑ Multi-Family(# units) Age of Existing Structure /�� Historic House: L�Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full OiCrawl ❑Walkout ❑ Other ' Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) ! l z<- Number of Baths: Full: existing `� new O Half: existing. O new Number of Bedrooms: ( existing C) new Total Room Count (not including baths): existing new O First Floor Room Count S Heat Type and Fuel: Ll-/Gas ❑Oil ❑ Electric ❑Other / Central Air: �es ❑ No Fireplaces: Existing f New 0 Existing wood/coal stove: ❑Yes O"No Detached garage: 3/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 ❑ BUILDING DEPT. Commercial ❑Yes L3"No If yes, site plan review# NOV 16 2016 Current Use Proposed Use TOWN OF BARNSTABLE APPLICANT INFORMATION (BUILDER OR HOMEOWNER)._ Name M C'�,LKv� �5�� Telephone Number �� -��`� q�1 Address l Lo�G�r f I ow ��e�P. (`�I`b License# 0_?_\kJ Home Improvement Contractor# Email mot? �� `C_`,0-I Worker's Compensation # ALL CONSTRUCTION II DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE IM(4 DATE 1 , FOR OFFICIAL USE ONLY - APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME �0lSli'� INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ��Q� (, s1 ;-7 DATE CLOSED OUT ASSOCIATION PLAN NO. I fi The Commm"reaks ofMassa&uzet& Deparimmt afradmsbid Ac ides C6 1 , f�f1f7 F3�QS�WIg�fIA,�TfFeet Boston,MA 02111 . 1-VFNt►S.U1fl`T��7P��iQ - - Warlmrs' C=pensaiien.Ins>n=ceAffidavit:$,mlder5/C ntr-�sXkriric and ers Please Pry Are y&u an emnployer?f heckthe appropriate bay . L❑ I ant a 1 4. 0 I am a general coafsctar and I Type of project�re��cl�: * lrave hin d he sub�osi4 fas 6- ❑New c • employees(fII11 a�for gait-iime�_ �._,/ 2.El am a sale proprietm orpartaw- Pisfed oatite attkhed sheet. 7- IJ�a ` dup and have no emplflfiees. Thew sob-ca mtmdors have 9- Q Demalifiau t airing £orm,e ih any capacity enrlo .and have WO&Ers' g. 0 BaUffimg addition [No W06M&Mnp-kwnn e comp.;rgmrtrF- regained-] 5. Ware a cmporafim and its 16-0 E1ect:cd repaim or aadslimm 1 0.am.a Immemmer doing aft work _ ofbicershave exemised f U!k 1L0 Flumbiagrepaim or adcfifiaas mysself o va rk=' _ TigU of egemgfiaa per M(M -0 Roof��insuc d-I i c.M §1(4k andweba<veao L_ eaiplayees [Nowo&ers' 13.0'fkher comp.msaraace sequhed-) •lacysppSc BsstrFin'icba;rfflIDCSt61saf�a�thesettsaabeIaa*s gi�PSNG�GES}�vncafin�rpp �� #�c�eoRT4LCv$7a submit dtis sffidz%*=&cxthg bey smdaing-O wcak wA imb¢e au=&ca amst s��mit a nezvs�dzert indie sacFL fC.aat act=tbst cbecl*&boa mast attedsed sa addifinaat she ei sb=ingd en—of use and sme vLeffiec ormttbnse emitiesbaM employees.If tbesvfi t=tffchM5hsre em ivfws,fiLqY=asrgm-d&&eft ate'tam•policy mmdret I am all errip sr f7iat is prduidirrg ivarkets'ca�perisrdurrt uisrirarrmccs jor emphxy�eex $elary is f�Teg prrliey a jala sits �farm�vrt , . Iasamcec=panyNar$e: Policy aorS H jnL I.io_41- auDafe: Job Site Addreg Ciiyl5welzip: At#ach a copy of the workers'c mpensationpolicy declaration page(showing.the policy nuraher and erpn ation date).' Fagre to swum coverage as requimdnudes Serum 25A of MCH c_15 can lead to fiie imposiliam of cximinai penalties of a fine up to$L5OG-D and{ar one--yearimprismx=3t as w&as civil peaalfie is fbe farm of a STOP WORK ORDERand a E of up to$250M a clap ag-ainst the vio}af. Be advised,&d a copy of this stdemwt maybe faxwarded fa the Office of Iavestipfions of the DIA far fi==ce coov=ge X rla Iters6y csr f jR ruder tIrs pains aredpenal s of pegmy fhatfJie iuf ar ma(zun prm•&d abases i€hug and correct PhMe rk 02id l Ass manly Do not write in fps m wo,to be cvztW&ed by cdy artoim anal My or Ta ww F erase# LssnngAmfharity(c rde one): R L Board of Health 3.Buffirmg Department 3.Cay1rdim Oerk 4-Elec&lcal Iksp Anr S.Plumbing Tctsgedmr &Other �`4�1#34't Irei'St1II: Ph-am 6 11: ••= ..1■..�•■• - ■~ .■-ta[� �■.al�- I �•.n •'�R 1. •1 • ■- ••al■.1�R raft•[•.ii :r\u\ 1.1 ■. t �Ittl/: 'n ■r_nl ■■ n /- r_unc .n �.1. 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R ■t •�+• t G■a.• t nu . ill�/ . 1 - .■ :n a rn. u •• u.t w -:. a•a - ■a r• - /••. • t+u iw ■■r nu\: rw u r�m t \• .n.a a is r/vn.. • rnnm w. •au.1 - ■• ra■ • a aen 1 n r aen �t r a /n .a m ►• a r■nu .r n i■•. 1 ■_ � u • . •..�I•n••I .•.■ ■ a n n.n, •tt n .a•.n.. a .n .a•r� -nm .n• ■■■ ■ •■ ■. -n ■■:.tu■ �■ �• r m.nl c•In- fit .• r ra•u\ n a r.► nnu a 11-5 ...tie 31` I.1 ■ s■ 20 a ►J The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 1 Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: M4 DZ�iq Phone#: (J- 91 q Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑'I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction listed on the attached sheet. 7. Remodeling 2. � I am a sole proprietor or partner- � g ❑ P P ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.t required.] 5. .We are a corporation and its 10.❑Electrical repairs or additions 3. 1 am a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per.MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' _ 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :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'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins..Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well.as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above t is true and correct. Si ature: '{'V l i, � _ Date: 1( Phone#: `L✓ l �� V S Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r Mass. Corporations, external master page, Page 1 of 2 R 1� n .� Corporations Division Business Entity summary ID Number: 001206699 i Request certificate ( €New search Summary for: 4 WASHINGTON HYANNISPORT LLC The exact name of the Domestic Limited Liability Company (LLC): 4 WASHINGTON HYANNISPORT LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 001206699 Date of Organization in Massachusetts: 01-22-2016 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: 44 TEMPLE PL 2ND FL City or town, State, Zip code, BOSTON, MA 02111 USA Country: The name and address of the Resident Agent: Name: ERIK LIEN Address: OUTSIDE IN ADVISORS LLC 141 TREMONT ST STE 500 City or town, State, Zip code, BOSTON, MA 02111 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER MICHAEL OLSON 44 TEMPLE PL BOSTON, MA 02111 In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title fi Individual name Address http://corps sec.state.ma.us/Corp Web/CorpSearch/CorpSummary.aspx?FEIN=001206699... 11/16/2016. Town of Barnstable Regulatory Services of tt� Richard V.Scab, Director Building Division • Paul Roma,Building Commissioner 6"3 �� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 509-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: Please Print f 111(��.1� JOB LOCATION: `� �1�s1�•`�,t��rl Ay[ �Gtictin=S number street village "HOI FMWNER": C �.�a - �cSYtP��IciGn i yi`{ name home phone# work phone# CURRENT MAH lNCrADDRESS: l cityhown state zip comae The current exemption for"homeowners"was extended to include owner-occupied dwellings of sic units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to. be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be-considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. A Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required . shall be exempt from the-provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed. persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Town of Barnstable Regulatory Services MAM ` Richard V.Scan,Director. Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maus Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder L , as Owner of the subject property hereby authorize to act on ray behalf in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner. Signature of Applicant - Print Name Print Name Date Q_FORM&OWNERPERMISSIONPOOIS -- Town of Barnstable Building , � `;.:� ,•�° r �a �,�"'s,fi` 2. ,.'�a.�?v�.. "�.; ��,a# � �'; '�%F%. a €tu d;c'-,.. `a,4;_'.'"' .q, %?*' 7 .�.•�"�'P3�, � r.,,„' "Po stThis Card So-Thai it is,'V�s�bleF�orn-thesStreet 'A roved Plans"Must'be Retained on Job and his CardIUlust be.Kept k PP + 1ABi.�. - _ ` .`:T, 3 ',' i, r,,3, a 'x;; .; se3a Posted Until;Final Inspection HBeen Matle x a r �; .wPermit eat Where a Certificate;ofOccupancy';is Requ�red,.such Bu�ldmg shall Not be Occupied"until a=F�nal Inspection hasbeen made ' Permit No. B-18-1455 Applicant Name: RICHARD P SULLIVAN Approvals Date Issued: 05/14/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/14/2018 Foundation: Location: 4 WASHINGTON AVENUE, HYANNIS Map/Lot 287-041 Zoning District: RF-1 Sheathing: Owner on Record: 4 WASHINGTON HYANNISPORT LLC ` Contractor;Name: All Star Renovations LLC Framing: 1 e , Address: 44 TEMPLE PLACE 2ND FLOOR �� Contractor.License 190848 2 BOSTON, MA 02111 n Est Project Cost: $6,000.00 Chimney: Description: re-roof stripping old Permit Fee: $35.00 Insulation: Project Review Req: -, Fee Paid : $35.00 Date 5/14/2018 Final: Plumbing/Gas E Rough Plumbing: $x - � Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work adfhib i'e&by This permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved appl canon and the approved construction documents;for whit this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoningby laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. a =y Electrical The Certificate of Occupancy will not be issued until all applicable signatures�by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work ' ; 1.Foundation or Footing # '° µ 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 Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 1r l ,1 8tr' Application number ? Date Issued........... `.................... ........ KAM MAY, 10 201 Building Inspectors Initials... T�WNI k 1k�N .IABL� ap/Parcel... �...� �.l...l..M ................ TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/S IDING/WIND O W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: NUMBER STRE T VILLAGE Owner's Name: i I()r, 0L..50-n Phone Number Email Address: Cell Phone Number Project cost$ lD ong. 0 O Check one Residential 1/ Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize L 1, Cc,Y �f 7v®V ib i 4n S to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK El Siding 0 Windows(no header change)# 0 Insulation/Weatherization —1 oors (no header change)# Commercial Doors require an inspector's review E Roof(not applying more than 1 laye of shingles) Construction Debris will be going to qQ W, 5 a�L,,Y, CONTRACTOR'S INFORMATION` Contractor's name 1 a a a Home Improvement Contractors Registration(if applicable)# q (2 (attach copy) Construction Supervisor's License#C 5 ) 0 'a 2(�5� (attach copy) Email of Contractor Phone number 5(2S P 9SG 0?9 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's'approval prior to issuance. f Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constrmtrltbptvisor CS-103265 E' ires: 08/31/2019 i RICHARD P SULLIVAN 14 POWDERHO)2N-,WAY' s CENTERVILLE MA102632, a� Commissioner j ie an+iriaanraeaA n� laeeariu«e%Cs 1 Office of Consumer'Affairs&Business Regulation_ I NOM E iM PROVEM ENT'CONTRACTOR` s PE:LLC Realstration E r ion } 190848 03/02/2020 ALL STAR RENOUATI&s LLC: #ylpV Z � 5 RICHARD SULLNAN 14 P0IIVDERHORN r 'CENTERVILLE,.MA Q2632 I Undefsecretary$ I Client#:44947 2ALLST1 PATE(MMIDDIYYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 0210812018 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 poiicy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endoreement(s). PRODUCER PAO FAX 5087781218 Dowling&O'Neil Insurance Agy AIC c�,Fxc:508 775-1620 AIc No 973 Iyannough Road Ep REss P.O.Box 1990 INSURER($)AFFORDING COVERAGE NAIC p Hyannis,MA 02601 INSURER A:Awometed Employers Imumnae t:cmPeny 11104 INSURED INSURER 8 All Star Renovations,LLC INBURERC. _ Richard Sullivan INSURERD: 14 Powderhorn Way INSURERE: Centerville, MA 02632 INSURER P: 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 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. D SUB MUDDY MMIDDm LIMITS �TRR TYPE OF INSURANCE NS p POLICY NUMBER GENERAL LIABILITY EEAACHGGOEECCCURRENCE $ COMMERCIAL GENERAL LIABILITY PR ISES a o�rtence $ CLAIMS-MADE OCCUR MED EXP(Any onePerson) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ PRO- $ POLICY :J CT LOC COMBINED SINGLE LI IT $ANY OBILE LIABILITY Ea accident BODILY INJURY(Per person) S NY AUTO LL OWNED SCHEDULED BODILY INJURY(Per accident) $ UTOS NON OWNED PROPERTYOAMAGE $ IRED AUTOS AUTOS Per accident S MBRELLA LIAB OCCUR EACH OCCURRENCE $ XCESS LIAR CLAIMS-MADE AGGREGATE $ S ED RETENTION$ WC STATU- OTH- ERS COMPENSATION WCC50050116252016A 1/0212018 011021201 X LIMITS ER MPLOYERS'LIABILITY E.L.EACH ACCIDENT $5OO OOO ERR REMBER EXCL DEAD?ECUTIVEQ N I A Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 OOO (yes,describe under E.L.DISEASE-POLICY LIMIT $SOO,000 DESCRIPTION OF OPERATIONS below i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Rome"Schedule,N more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE C. 01988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD LS1 #S2060151M206014 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington-Street Boston,MA.02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeiibly Names(Business/Organira4on/lndividual): L CA-,_ �.eMa [, � 1 OA2 S Address: ' /v R Y City/State/Zip: G i/i�i /4' Phone#: C7 8 a C7 Are.yo an employer?Cheek'the appropriate bog: Type of project(required): 1.L I am.a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an aci employees and have workers' Y capacity. 9. ❑Building addition• [No workers'comp.insurance comp.insurance.t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.El I am a homeowner doing all work officers have exercised their _ 11.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contactors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sbeet showing the name of the sub-contractors and state whether or not,those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition.of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains angpenabley of perjury that the informatwn provided above is true and correct: Si AIZ —Date: S-/ Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: PermitMicense# Issuing Authority(circle one): 1.Board of Health 1,Building Department 3.City/Town Clerk 4,Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: E Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. pursuant to this statute,an employee is defined as"...every person iui 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 employes,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to,do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants _ Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contactor(s)name(s),address(es)and phone nunber(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sire to fill in the peumitMeense number which will be used as a reference number. Iuu addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided,to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. , The GommonwWtli OfMa§s�� ►�� `�. I3epartment of Industiial Accidents Office of InvestigatiWU 600 WasWngt=Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov1did. I Nam®- mike Olson- Job add r-ss rr., •as 4 Washington ave Date- 03/29/18 hyannisportMA Phone- 617-894-9597 Home address- ,=•*c;t ^ r Cell- 617-275-7777 Email- P.O.box- Office r �„. n.. i1i• : <W 1'. vi�,..''Sllt:''``� "•' C1 .. ' '.t .` , All material and work is guaranteed to be as specified and all work will be completed in a':, -j€ - substantial workmanlike manner for a total sum of. .f a,f., • ,$6,000.00 , 4:: w�!... ' _ •• " ' with payments made as outlined. ,. , , f deposit $2,000.00 !'. .i,.. '� j= �r• F ;Remainder due immediately,upon completions i i' r - ;J `�. :n• .p t4 :.ni -..,,. `nt"'F t ,,,:.`r..ia :�,�� ya L• -;`. r� f Please make check payable to All Star Renovations q' If paying by credit card please note that there will be an additional cost of 2.75%in addition to any APR that you may already be incurring. If you would like different payment options please ask. . All workmanship is guaranteed. Factory warranties apply to all materials used and we ' Stand by the products we use and also our customers. In the event of a problem with any product used we Pledge to s/ f Any alteration or deviation from the above specifications involving extra costs will be executed only upon written order,and1will become an extra charge over and above the estimate. -' This proposal may be withdrawn by us if not accepted within 14 days. Any issue of mold in the building will not be our responsibility during or after.the project: Signature y o — f �'ig_ /"t, _.,t acceptance A%cxeptance ®f proposal The above prices,specifications and conditions are satisfactory and are hereby accepted. I as the owner of the property hereby authorize you to do the work as specified. Payments will be made as outlined above. I Improvement Contractor registratiori#164857 (Call the office at: 781 217-8123 Construction Supervisor License#103265 ML L i'7 MA!F!!!!! 1:-�r-'AE ! W 910 0 69 E i Name- mike olson Job address 4 washington ave Date- �.03/29/18 hyannisport MA Phone- 617-894-9597 _ Home address- " Cell- 617-275-7777 P.O. box- Job - - ' Job description: new roof (will be stripping off old roof) 18 We hereby propose to perfoim the following services in a neat professional manner in accordance with manufacturers specifications and local building code. " � •',: - 1,Supply and install Certainteed brand/Landmark (limited lifetime-warranty ten year surestart protection 10 year warranty algea resistance 130 MPH wind resistance warranty)These shingles are heavy weight self sealing multi-layered fiberglass reinforced architectural style shingles festering copper-ceramic stones. 2.Supply and install Certainteed Winterguard ice and water shield at all eves walls roof vents skylites valleys and roof penatrations 3.Supply and install try-flex premium under-layment to entire roof deck 4.Supply and install new stink pipe flashings` r- 5-Supply and install 8"white drip edge along all fascias 6.Supply and install vent along the ridge In addition to the above work we will also clean and remove debris from the work area daily, re-nail roof deck as needed, and clean all gutters. �- . , ;• ;, . . 130 MPH wind warranty copper base flashing and step flashing and siding will be replaced along the top of this porch roof replacing shingles with granite gray(closest match) Rick Sullivan 781-217-8123 Home Improvement Contractor registration#164857 14 powderhorn way centerville MA 02632 Construction Supervisor License#103265 41ts� ic� p(I-q5qj . i Town of Barnstable Building Post This Card So That it is,Visible From'the Street=Approve, Tia'ns Must he Retained on Job and'thit Card Must bekKept z ?AAJ& Posted Until Final Inspection Has$een Made rA s Er' i rsf :•, Permit 019 �� r "a s a 1 t c� Where a Certificate of,Occupancy3is Required;such,Bu lding shall Not be Occupied until a Final Inspection'has,been made el llll Where a Certificate r...wn,..�u. ,R, eq.�...".....sr�s .; ..lam-.....aure_:L.►,"d.-wat,d::x:7a:u:-e......�.::..n....m..,�...:...:i.,.,+�.�• TM�s&;,itsi,..-:.�.�..:.....�+.3�.......,.a.�: ` Permit No. B-16-937 E Applicant Name: KENNEDY, REGINA M ESTATE OF Map/Lot:_ 287-041 Date Issued: 04/22/2016 Current Use: Zoning District: RF-1 Permit Type: Addition/Alteration-Residential Expiration Date: 10/22/2016 Contractor Name: Location: 4WASHINGTON AVENUE, HYANNIS Est.,Pro'ect Cost: 200 000.00 Contractor License: Owner on Record: KENNEDY, REGINA M ESTATE OF ,Permit Fee s, $ 1,070.00 Address: 44 TEMPLE PLACE 2ND FLOOR X, Fee Paid $ 1,070.00 BOSTON, MA 02111 " ""- " Date: 4/22/2016 Description: create half bath, remodel upgrade, re-sheetrock,"re-insulate new smoke detectors Project Review Req I - .......... Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is comn enced withi-n si'months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be-incompliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open or public inspection for the entire duration of the work until the completion of the same. . The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:-1 "•j 1.Foundation or Footing '{ 2.Sheathing Inspection c 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 5.Prior to Covering Structural Members(Frame Inspection) ,. 6.Insulation 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ' i 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS 51.00: continued R315.2 Replace as follows: R315.2 Installation Locations. One alarm shall be installed on each story of a dwelling unit, including basements and cellars(but not including crawl spaces and uninhabitable attics). When mounting a carbon monoxide alarm on a story with a bedroom, the alarm, shall be located outside of bedrooms butLno further than_10 feet of any bedroom door. If a combination smoke/carbon monoxide alarm is used,its location must comply with this section. R315.3 Replace as follows: R315.3 New Construction. Alarms shall either be an interconnected 120V or part of a low- voltage combination system or wireless system. Alarms shall have secondary(standby)power from monitored batteries in accordance with NFPA 72. For fire alarm control units(panels)and wireless systems,the panel battery shall serve as the source of secondary power. Alarms shall be UL 2034 or UL 2075 listed,as applicable. Alarms may be interconnected with fire alarms providing.they are compatible and the fire alarms take precedence. R315.4 Add subsection: R315.4 Existing Dwellings. For existing dwellings,carbon monoxide alarms shall be provided in accordance with Section 315 for new construction, as applicable, for the following circumstances: 1. When one or more bedrooms are added or created in a dwelling unit,the entire dwelling shall be provided with alarms. 2. When a dwelling unit undergoes complete reconstruction such that all walls and ceilings are open to framing the entire dwelling unit shall be provided with alarms. 3. In an existing two-family dwelling,when one or more bedrooms are added or created in both of the two dwelling units,the entire building shall be provided with alarms. 4. In a townhouse building when one or more bedrooms are added or created in a dwelling then that dwelling unit shall be provided with carbon monoxide alarms. 5. In a townhouse building when a dwelling unit undergoes complete reconstruction such that all walls and ceilings are open to framing,that dwelling unit shall be provided with carbon monoxide alarms. R319.1 Replace subsection: R319.1 Address Numbers. See M.G.L.c. 148,§59. R320.1 Replace subsection: R320.1 Scope. For townhouses see 521 CMR. R321.1 Replace`ASME A17.P with`524 CMR'. R321.2 Replace`ASME Alb.P with`524 CMR'. R321.3 Replace`ICC Al17.P with`524 CMR and 521 CMR'. R322.1 Replace as follows and delete the exception: R322.1 General. Buildings and structures constructed in whole or in part in flood hazard areas (including A or V Zones)as established in Table R301.2(1),or in a coastal dune as established in Section R322.4 shall be designed and constructed in accordance with the provisions contained in this section. R322.1.1 Add the following note to this subsection: Note. In using ASCE 24 delete tables 1-1, 2-1, 4-1, 5-1, 6-1, and 7-1. For elevation requirements use elevation requirements of R322, as amended. Also, delete references to Coastal A zones and instead use requirements for A zones in R322. 2/4/11 780 CMR-Eighth Edition-217 mot . Town of Barnstable Building � s �PostrThisCard,So That it is,Uisible;from the Str.,eet, Approved Plans,INl;ust berReta�ned on Job and this Card Must;be Kept: s MhN`JCABLM: • 3 � $� � ,a :� e, ,'8.a g, �';�,. ,.: �``s. �� ,y ,. � `.��' 3'"u° �t. M� � " s �,a � � �`- • b � " Post'ed�UntilFrnallnspecttonHas,BeenMade E y � ,. nb � s �W�here a Cert�ficateofOccupancy is Required;such Bu�ldmg shall Not be Occupied until a Fin Inspection has begin made er mit Permit No. B-17-1441 Applicant Name: Approvals Date Issued: 01/18/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 07/18/2018 Foundation: Location: 4 WASHINGTON AVENUE, HYANNIS Map/Lot 287-041 Zoning District: RF-1 Sheathing: Owner on Record: 4 WASHINGTON HYANNISPORT LLC "- SContractor;Name 7, Framing: y qy z_ /� Address: 44 TEMPLE PLACE 2ND FLOOR i _ ;h Contractor License` 2 ,iEst Pro ect Cost: $50,000.00 BOSTON, MA 02111 Chimney: Description: Update Existing Detached Garage New/Replace Windows New -Permit Fee: $305.00 Insulation: Framing and Sheet Rock. FeePaid $305.00 Project Review Req: USE TO REMAIN AS GARAGE. HEAT ADDED MUST COMPLY Date 1/18/2018 Final: B I& 9�8J WITH 2015IECC. j :.fi wry -- Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonR&Wb 'this permit is commenced within six months afterfissuance. Rough Gas: All work authorized by this permit shall conform to the approved applicat owand thelapproved construction documents"forzwhich this permit has been granted. a All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoningby laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public ni spection for the entire duration of the Electrical work until the completion of the same. s a The Certificate of Occupancy will not be issued until all applicable signre�bb the Building and Fire Officialsa� provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: , 1.Foundation or Footing ' Rough: �, A,, 3 .� ';9. 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ' Rio Commonnyealth of Vassaclrrrsetis Ike arliffent of rndiuslria1Acdderdg . .. . 600 Washington, treet J.->y BDstaq,',4 02111 ' " tpFV14:7l7tISSF•�dXf'�d�Ifl Workers' Campensatimm Insurance Affidavit:Bmtders/C+antra:ctur-,JElect icians]Plumbers Applican#laf trmatiGn / PleaseErint Lem al »smesstOiganQationllnili�ill} `) �c S��Kfb� �l�l CIAA*spo/�' c-Ad& Cit f iate`f p= �AtA fYL.1d�. Phone Wj- - Ai a you an employer?Gheckthe appropriate boar ' Type of project(required), I.El I am a em 1itb 4 ❑I am a general contractor and I Poyer have hired the sub-comtmctms 6. ❑New constmr.5ot2 employees(full andlor part-ime}.* 2.❑ I am a sole etor or rtner- listed on the attached sheet Remodeling ❑ReodeSing ship and have no employees. These sub-contractors hafie • $.,❑Demalitiott wod-dng forme in any capacity. employees aadhace wodcere 9. ❑S,uilding addition [NO wodmrs' camp.rsrsrrnce comp.mcnranml e�uir�d j 5. ❑ We are a corporation and its 10:0 Electrical repairs or additions 3. am a fiameoitn er doing all work officers have exercised their 1L❑Plumbiagrepairs or additions. myself[No v�kem'comp- t of exemption per 14iGL L.❑goofrepairs �*��+r nceretluizsd Y c.I52,§1(96andwePiaveuo employees:[No wormers 13-❑Outer comp-msur =required-1 •dayapplicrart6utchedaltax ffl=nixalso51loufthxsedHanbelowshnsiagaieaaaorlies'compeasatiaapa&cyiafarmsRiooL T Eomeu=ers who subagt r33is cffidn'u MT=ting they Rae doing allwc*=dl&eahEm outsidecontmdorsnmst sohmit anewaffidsest jndiev�n<sacfi_ rcantractorsffut checktbis box must attached sa.sddifiansl sheet showing thensrne of the=b—ca atwtoa.sad sfste whether or=!hose entitieshave employz�.Ifthezuh caatradarshzce empIoFets,theymustpm%ide their worlre&-comp.parmy aumben lam art enipbyer flint is pravNing warkers'carigwLvdion insurance f'or cry enrp&yees $elow is the policy and job site ircforra than Insurance Caiupa�*i�a>1re: ' Policy Af-or Self-ins_Jic. M�cpiratianDate: . w Job Site Addtesm CitylStateltp: Attach a copy taf the vvorkere compensation.policy-declaration page(shoving the policy number andexpiration date). Failure to secure coverage as required.under Section 25A of MGL c.157 can lead to-the imipasition of crimical penalties of a fine up to$L50D OD andrar one year imprison as well as civil penalties•in the form of a STOP STORK ORDER and a time of up to$250-00 a dap against the violator. Be adtdsed that a capy of this datement-may be forwarded to the Office of Ira-estrgatinms of the D1A for insurance•coverage Irerificatiom -I d'a hereby cRrfrf k�uude,Y�fTf�a pru�ris QrLdpsf�a S afFet uryt fFiat fiEs is arRrct€iord pro t rl/ed abm a is bars and csvrrect , ,Sit-atu� Phone ik t3,�ciaL,use tally:. I]v plat arrita is fl'�rrr€a,fir be cerruplete�d 5g city artott�u a,;�rciaL City or To-%= Permivucense# Issuing:AuthDr€ty(circle one): 1.Board of$eaIih 2.SUffdin9PCP2rfmCnt 3,C!tj-1rownC-1erk d.Electrical Inspector S.Phimbmg Inspector f 6.Other- Contact Person: Phone#- -- --- - 6 luformation and lastruction's ' Massa�huseits Ge)aeral Laws chapter 152 regmr-s all errrploymss to provide worker'compensation far flieir=PIoyees. pM=M&m this fie,an Mz eTL =is defined as"_.averp person M.the service of another under any confrart of hits, express or implied,oral or written- An vnpkyex is defraed as"aa i adiividual,parfnamhip,association,corporation or other Iegal eaity,or any two or more of the foregoing=gaged m a Joint enimp6se,and inclndmg the legal representatives of a deceased employer,or the receiver or trustee of an individual,parfnmsbip,association or other Iegal entity,employing euployees- HOwMver the owner of a dwDILi a.g house having not more tbm tlE=apalbnmts and who resi dss theaem,ar the occupant of the- dWeUing house of ano$er who employs persons to do maintenance,consfracfion or repay work on such dwelling house or on the grounds or bml mu apPl nr �tlierMto sbaIlnotbecanse of such maplaymentbe deemed to be m.employer." MGL chapter 152,§25C(6)also states that"every state:or local Hceming agency shall withhold ate issuance or renewal of a T3cease or permit to operate a business or to constmct bmldiags za the commonwealth for any applicant:who has not produced acceptable evidence of cdM.PR ce Wn the insurance coverage requtred_ Addhionally.M(ff-dlaPtr 152,§25C{7)shdts Weifher the co=Qnwean nor guy of its political subdivisions shall enter into any cont adforl ieperformauce ofpublicwolkn2 l acceptablM evidence of complianceviih the insur' ce•. regt=Menfs of this chapter have Itempresertedto the contractingauihorzty." AppHcaats Phase fill oil the workers'compensation affidavit completely,by che6I ,$e boxes that apply to your situation and,if necessary,supply sub-confractor(s)name(s), addresses)andphonMnumbez(s)alongvitb.theit certffic at*)of i=a:ace. Limited Liability Companies(LLC)or LimitedLiabUity-Parfa=bips CLEF)withno employees other flim the members or per? S,are not r&quired to carry wozirere compensafion insurance. If an LLC or LLP does have joyMes,apolicyisregaked. Bedvisedtbatthisaiddayitmaybesnbmi�dtothe;Depairbnentoflndustrial �p Accidents for conEamation of Lsormce coverage. Also be sure to sign and date affidavit The affidavit should bmTDtmmDd to 1he city or town flat the application for the permit or license is being requested,not the Departramf of Tnrinefi sal A cci dew. Shouldyon have any questions reg�dmg the law or ifyou are refired to obtain a workers' compensation policy,please call the Department at fhe n=berlisiLd below. Self-insvreti companies should enixr their self-insur-�ce license numbea on the aPPmPII line. City or Town OfCrcials t - Pleas5 be sore fiat the affidavit is complete and prime d.Iegi ly. Thin Departmenthas provided a space of tI1M bottom of the afidavit for you to fill out inthe event the Of ofluvestigations has to confactyonmgmag the applicant Please be sure tc)fM inthe pennitlIicense mmber vAdchwMbe used as arefm=ce number. la addition,an applicant f3iat must Sabmt multiple p=itI=se applications in any given pe ar,need only submit one affidavit indicaimg cogent policy b fb=B ion Cif necessary)and under"lob Ste Address"the applicant shD J,&write"all Ioca60,ns iU.__L—(CiLY cr town.):'A copyof the-af idndthathas been.officially stamped ormarkMd bythe city or townmay be provided fo the applicant as proofthat a valid affidavit is on file for fufine'petmifs or H=M es A new affidavitmust b e filled out each year.'Uteri a home owner or citizen is obtaining a license or pe=it not related in any business or muunm-vial v�n� D. a dog license or peonit to bum.lezves eta.)said person is NOT requited to completo this affidavit The Of of In. 'on wouldhke to ti�.k you in a.dvaam for your cooperation and should you have any question, please do not hesitate to give us a call 'Ihe I}ep artment's address,telephone and fax number_ . . Tht C�a=MonWM- J*of MassaGhuseM . . I�eapaxEmr�c}f�dr�ial Ac�i�en� �.4�aslzm�an Sfre�� Bmtm.,MA E 111 T61.1' 617' -4 Qot 4-G6 or I-V7-MLaSAFE Fax#617 727-7M . Revised 4-24-07 r! rgp is AWC Guide to Wood Construction in Ffigh Wind Areas:110 mph.Wind Zone Massachusetts Checklist for Compliance(790 C.�5301.2.1.f..)l ,. Q Check CompIimcc . 1.1 SCOPE w WindSpeed(3-sec.gust)..._..........._...............................................__........................ .............110 mph WindExposure Category.................................................... .. ............_.._..._.._..............._._............................................................B 1-2 APPLICABILITY Number of Stories _......._._._.._-_............._...._.....___._(Fig Z)._............_........... stories 52stories Roof Pitch ....... . _._.. _...._........-_..____(Fig 2)........._........._.:................. 512:12 MeanRoof Height -.._---------_---- _. _..._.....--•--.._._._.....(Fig Z)_._.....__..._..__.:._..--.............._ft 5 33' . Building Width,W....._..__ _.(Fig 3)..__ _._..__._...._.._..-.m___.__ft 5 80' Building Length,L ._..............._................................ F 3 Building Aspect Ratio(L/VV) _.(Fig 4).......................................... 5 3:1 — Nominal Height of Tallest Opening2 ........... (Fig 4).__..........._ _.:.._....._...._.,_..__ S 6'B' 1.3 FRAMING CONNECTIONS General compliance with framing connections.........._........(fable 2)........................................._......_ ....... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete......................................._........................................................................_............. — ConcreteMasonry......................... ,................ _..... ..._ ......................................-•-......... 2.2 ANCHORAGE TO FOUNDATION" 5/8"Anchor Bolts imbedded or 5/8'Proprietary Mechanical Anchors as an alternative in concrete only BoltSparing-general..................................__....(cable 4)......................................... tn_ Bolt Spacing from endpoint of plate _.......... ....__..__.(Fig 5)......... in.5 6'-12" Bolt Embedment-conaete.._.._._...__ _._-•----- ._.:.(Fig 5)..............._-___.-.._._...._in.>_7" Bolt Embedment-masonry.......................................(Fig 5).__.-_._..._............. ._...:_.. in.z 15' PlateWasher._..._......_......................_...............-•-(Fig 5).._..__.........._......__...:_:........2 3'x 3'x'/" 3.1 FLOORS Floor.frarning member spans checked ....................-.......(per 780 CMR Chapter 55)..._............................. Ma)dmum Floor Opening Dimension_.._.___.._.._............:.(Fig 6)....................._._.._fts 12'or U2 or W/2 Full Height Wall Studs at Floor Openings less than 2'from Exderlor.Wall(Fig 6)................................... Maximum Floor Joist Setbacks • Supporting Loadbearin Walls or Shearwall............... r _ _ uPP 9 9 (Fig 7)._...____...____...................._......__ ft s d Ma)dmum Cantilevered Floor Joists Supporting Leadbearing Walls or Shearwall.........::....(Fig 8)........................._-....................._ft .5d Floor Bracing at'Fndwalis.........................__...............;-.(Fig 9)..._............._._.._.........:......_..._.. Floor Sheathing Type ..................._..._..........................._..(per 780 CMR Chapter Floor Sheathing Thickness.......-._....___... .-...._.._.._..(per 780 CMR Chapter 55).._..............._.. in. Floor Sheathing Fastening._...........................................(Table 2)-_d nails at in edge/ in field 4.1 WALLS Wall Height Loadbearing walls...._..._ .._....._.._..._...................(Fig 10 and Table 5) ...... _ft 510' Non-Lcadbearing walls........................................._..(Fig 10 and Table_5)._._............_......._ft 5 20' Wall Stud Spacing ......._............_............................(Fig 10 and Table 5). ...._ _in.5 24"o.c. Wail Story Offsets .......................................... .(Figs 7&8).................................... ft 5 d 42 DCTERIOR WALLS Wood Studs Laadbearing walls....... ......_...__..... (Table 5)...................._.......2X ft in. Non-Loadbearing walls ........._..„..(Table 5).__._..._.._......__.:.:..2x --ft—In. Gable End Wall Bracing i — — Full Height Endwall (Fig 10)....... :._..__... ......,................. :... WSP Attic Floor Length..............._. .._........... .. .(Fig 11)............._.._.._.,__ ft>W/3 Gypsum Ceiling Length(if WSP not used)..... (Fig 11).....................__..�;,..__.... 2 x 4 Continuous Lateral Brace @ 6 ft o.c-..(Fig 11).:..:......................... Double Top Plate Splice Length .............. (Fig 13 and Table 6)_..._..._.....-._ ft Splice Connection (no.of 16d common narks):....._.._•(Table 6).--,,,:_.-�-_:.........___........_..__�....:_ AWC Guide to Wood Construction in High Wrnd Areas:110 qTh Wind Zone Massachasetts Checklist for Cotupiiance(7so cuR su.7.1.1)t Loadbearing Well Connections Lateral(no,of endnailed 16d common nails)..___--._-{Table 7). __._._......_.....»..»_......._.. Non-Loadbearing Wall Connections Lateral(no.of endnaffed 16d common nails) _._»..._(Table 13)._...........__........ .._._.»__».. »._. Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ».. .._...___,...._._._..».._.._.._ _..(Table 9):.__-- ........ ft_in.s 11' Sill Plate Spans able 9 _ft_ Full Height Studs (no,of studs)_».I .»_ _..__.. (fable 9)~-_.»..__ »:. »....... _ . hfon-Load Bearing an g Wag Openings(record largest opening but check all openings for compliance to Table 9) Header Spans._._.......--__-.._.................».. _.._...__....(fable 9)»_...___......_.»-•--•._ _ft_in.s 12' Sill Plate Spans...._...... _».............___._. .(Table 9)»..».._.. »»__........ ft_In.!;12' Full Height Studs(no.of studs).»......__ ..» _»..__...(Table�..._.»»........».....»..._.._.»..... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 M•mimum Building Dimension,W Nominal Height of Tallest Opening2 ..»..............._.__._..._....__........... � Sheathing Type._ ....»»___._........._..........(note 4)...........__.................................... Edge Nab Spacing._...»__»._»_.._....____»..(Table 10 or note 4 ifiess)_..__..._»._.. Field Nail Spacing....................................._..(Table 10)..................___-............._.__........ Shear Connection(no.-of 15d common nails)(fable Percent Full-Height Sheathing........-....._._.(Table l0)»..._....._..---..»».....»...-----_»_..._% 5%Additional Sheathing for Wall with Opening>US.(Design Concepts)-__.___..— Maximum Bu11dmg Dimension,L Nominal Height of Tallest Opening?-------:..............................................__....._._s B'B' Sheathing Type._.. ........_._..._ ......_..__.� (note 4)._........_...._._. ............ .. Edge Nall Spacing....... .»..»(Table 11 or note 4 if less)......_......:...-__._In.' - Field Nail Spacing._._,.__:....._.......»....._..(Table 11)....................».........____._._... In. Shear Connection(no,of 16d common nails)(Table 11)._..___.__» ............. ..__.....»...... Percent Full-Height Sheathing...._......»_.......(fable l l)...___.................._-.._..........._....... 5%Additional Sheathing for Wall with Opening>SS'(Design Concepts)................... Wall Cladding Rated for Wind Speed7... _.._..-___....»».. ..._..__... » _..... .._.._.:_...».. _..____�.._.._.._.».... 5.1 ROOFS Roof framing member spans checked?._-'._.__(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ......._........................_..............(Figure 19)............._ft<_smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors _ .(Table 12)............................-_.__._U=._plf _ Lateral....»._.. ....»..... .._ .._....».(fable l2).._..._..._.__.»..._.» »..L-_plf Shear.,._...»....»......._..».._....._......(labia 12)...................».............._._._.S= Of _ Ridge Strap Connections,If collar ties not used per page 21...-(Table 13)........._.,»»...._...._.T==_pif Gable Rake Outfooker........................................ ) 20 Figure _ft s smaller of 2'or L12 Truss or Ratter Connections at Non-Loadbearing Walls Proprietary Connectors _(Table 14)......_...__..»...-_......»»»_-- U__ lb. Lateral(no.of 16d common nails)...(Table 14)...............................+_.. ..L= lb. _ Roof Sheathing 780 CMR Chapters 58 and 59). .. ... Roof Sheathing Thickhess .__.........._........ in.a 7116'WSP Roof Sheathing Fastening_........ ......._.._»_. _...»(Table 2)_ _-_ ••_,._. __-__. ....._._.. Notes: _,_ 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 53012-1.1 item 1.If the checklist Is met in its enntirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gags Straps per Figure 11 c. Uplift Straps per Figure 14 d-• All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a 2. Exception:Opening heights of up to 8 ft shall be permitted when 5%is added to-the percent full-heightsheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate In exterior walls shall be a minimum 2•in,nominal thickness,pressure treated 92-grade. AWC Guide to Wood Construction in High WindAreas: 110 mph Rind Zone Massachusetts Checldl f for Compliance(MrCMR530Lil.1)t 4. " a. From Table 10 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing requirements 'b. Wood Structural Panels shall be minimum thickness of T/16'and be installed as follows L Panels shall be installed-with strength axis parallel to studs. I All horizontal jo'mts shall occur over and be naled to framing. nl. On single story construction,panels shall be attached to bottom plates and top member of the double tap plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Lipper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Hortzontal nail spacing at double top plates,band joists,and girders shall be a double row of Bd staggered at 3 inches on center per the Figure, Verficaf and Horizonfaf NarTing for Panel Atfachmen4 } AWC Guide fa Wood Construe ion in High Frmd Areas:I I d mph Wind Zone M"sachusetts Checklist for Compliance(7so cmRs3o1.2.m)1 -VM THM EDGE FtEMS ON FWA AIG flSEsd fJhfl$. AT Obim LI ' 11 • 7 - _11 j 1 t ' t n 11 Y 1 it fl 1 • 11 1 • i ii 11 � � • t H H _T , • 1 11 11 N 1 8 tY rs r F,F Y as F- 1 M 1 j ID f1 1-1 I ;i ;i t � 1 a N t1} -' u /1 11 11 It 1 n tq I1t 1 H t 11 It 1 • 'II • YI t1 t y MA LSFACM FskNEL See DaWl on Text Page Vertical and Hoftntal Mailing for Panel Attachment r t �1HE � Town of Barnstable Regulatory Services " R&M LE' Richard V.Scali,Director 16.59. �� Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601. www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property.Owner Must Complete and Sign This Section If Using A Builder t , I_ ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the'applicant. Pools are not to be filled or utilized before fence is installed and all final x inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date R Q:FORMS:OWNERPERMBSIONPOOLS Town of Barnstable Regulatory Services OtrtWKWE row Richard V.Scali, Director g" Building Division B"NSTAWA Paul Roma,Building Commissioner 6 9. �� 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' —�--�5'� � `— JOB LOCATION.) �45��..g�en �� . 4%1An, r number street village MEOWNEEt': �J ;nq�oi, �I�G n'gf� .(� it�t�R(:'V�5u1 �JI t ��1y Gi5 j~ ` �' names home.phone# work phone it 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 home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. . The undersigned"homeowner"certifies.that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and d requirements. Signature_of Homeowner - Approval of Building Official i Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed . persons. In this case,our Board cannot proceed against the unlicensed-person as it would with a licensed Supervisor.. The homeowner acting as'Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many.communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend h a form/certification for use in our community. and adopt such Y c � 'o TOWN OF$ARNSTABLE BUILDING PERMIT APPLICATION Map � -� Parcel b Application # r Health Division Date Issued Conservation Division Application Fee Planning Dept. 410 �Opt,� Permit Fee Date Definitive Plan Approved by Planning Board 4)t11 , Historic - OKH _ Preservation/ Hyannis ^, �Vilolage ect° CZ-E)wv-h6r �i � 5��n }, N�c�.►�,e � ,��" L-Lc- Address Ct" ' 6A-,Dn AAA o 1t tjr CTelephone cPdFm-it Request u p fjc�ck f,y i 5(; Air [.t_.*(kC_ f 6k, t c,: gg r � QI(ti(L ln(XV.•'S. @.trJfl(jt ..,,a� Cc. Snug �1Y11.' CYi� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District I S Flood Plain Groundwater Overlay Project'Valuation Construction Type Lot Size -7 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 01 'g g Historic House: ❑'Yes ❑ No On Old King s Highway: ❑Yes Z�`No Basement Type: ❑ Full , ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: Clexisting ❑ 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 i APPLICANT INFORMATION (BUILDER OR HOMEOWNER) <a�Nar_ne�.. M('C Z( 0(5011 /c( t,,%4,s1,i tc ;2�lepho e..Nu ber C (o( 4-- ,Address , ( y I y�� of License # Home Improvement Contractor# Email_ <��ae� �r�=h� a<r';}��1�. ADM Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE. DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i FINAL BUILDING f DATE CLOSED OUT ASSOCIATION PLAN NO. -7 qV *�7 n Ave. 0:1-son ,FamilyGarage Renovation Hanus'Port, MA I GENERAL REQUIREMENTS B4ld:;jARNDT:a:^.:1._'<:�_ ' \ Z` "- �• REFERENCE NUMBER L ALL WORK SHALLREINCOMPUANCEWITHALLAPPIICABLELOCALS BUILDING CODES AND REGULATIONS. BUILDING SECTION GONTRACTOR SHALL BE RESPONSIBLE FOR PERMITS APPLICABLE TO SPECIFIC TRADES OR SUBCONTRACTORS. Bwtlm Mow Zl TI "4,807 ABBREWATION9 \p207 DRAWING SHEET 2. CONTRACTOR SHALL FAMILIAR THE THEE ISTINNDOTESONS TOCOWARE BUILDING P TOT HE CONTRACT (61])BJB-0OB \_. DRAWINGS ND WILLALLOWANCES ARET BE MADITHE TO INCLUDE ALL ITEMS OF OF THE BUILDING PRIOR TO LABOR OR MATERIALS IA BID ACT ACOUSTICAL NUMBER.ALL OTED,DNCESARETOPLIED I EMS REQUIRED OATTAIF THE CO INCLUDING DITI NS PROPOSED Coraueanls REFERENCE NUMBER 6 ADA AMERICANSHEDIFLOOR ES ACT �'-�� FOR DRAWINGS NDSPS,ORIMPO S. ITEMS REQUIRED TO ATTAIN THE COMPLETED CONDITIONS PROPOSED IN A.F.F. ABOVE FINISHED FLOOR / 1 DETAIL THE DRAWINGS AND SPECIFICATIONS. A APPROXIMATE --'T Re' ARCH.RCH. AUDIO VISUAL `�A201/ DRAWING SHEET B. ALL SUBCONTRACTORS GHALLENE INSPECT THE CONTRACTOR E AND WILLCONVEYCONVEY THESE REGARDINGARCHITECT PRIOR INTENT AV. BLOCKING ISUAL AU NUTTING SCOPE ABID AN P THE GENERAL LING WORK WHO WILL CONVEY THESE TO THE ARCHITECT PRIOR TO BLKG. BLOCKING —. SUBMITTING ARID AND PRIOR TO COMMENCING WORK. BLO. BUILDING • ), �� {^ � A. CONTRACTOR SHALL COORDINATE THE WORK OF ALL TRADES AND SUBCONTRACTORS AND SHALL 8E B.O. BOTTOM OF REFERENCE NUMBER CAB. CABINET RESPONSIBLE EMPLOYED ACTS,OMISSIONS,OR ERRORS OF THE SUBCONTRACTORS AND OR PERSON DIRECTLY OR C.M. CEILING HEIGHT �jJ DRAWING INDIRECTLY EMPLOYED BY THEM. C-1 CONTROLJOINT �1\`� DRAWING SHEET :. CL CENTERLINE �—. S. CONTRACTOR SMALL ASSUME SOLE RESPONSIBILITY FOR JOB SITE CONDITIONS INCLUDING THE SAFETY OF ELF. CLEAR i A2DI PERSONS AND PROPERTY FOR THE DURATION OF THE PROJECT. CMU CONCRETE MASONRY UNIT CDL. COLUMN 6 CONTRACTOR SHALL CONFORM TO ALL NEIGHBORHOOD ASSOCIATION RULES AND GUIDELINES. r - " COW CONTINUOUS ON DOWN T ]. CONTRACTOR SHALL NOTIFY ARCHITECT IMMEDIATELY AND PRIOR TO ORDERING OF ALL LONG LEAD TIME DIM. D MENSION REFERENQ NUMBER I ITEMS AN O OF APPROXIMATE DELIVERY DATES. DIM. DIAMETER O INTERIOR ELEVATION . DTL. DETAIL AA07 NG M ALLCURERS'RECOMMENDATIONS. SUPPLIES ARE TO BE STORED.HANDLED.AND INSTALLED ACCORDING TO DWG. DRAWING OM nG SHEET MANUFACTURERS'RECOMMENDATKINS. (E) EXISTING EL ELEVATION B. IF ERRORS OR OMISSIONS ARE FOUND IN THE CONTRACT DOCUMENTS,THEY SHALL BE BROUGHT TO THE ELEC. ELECTRICAL �7 gEFEgENCF NUMBER ATTENTION OF THE ARCHITECT BEFORE PROCEEOINGWITHTHEWORK EO EOUAL M. FLOOR DRAIN E%IERIOR ELEVATIO N 10. DRAWINGS SCHEMATICALLY INDICATE NEW CONSTRUCTION.THE CONTRACTOR SHALL ANTICIPATE.BASED CN r F.O. FACE OF - A407 EXPERIENCE,AREASONARLE NUMBER OF ADJUSTMENTS TO BE NECESSARY TO MEET THE DESIGN F.O.C. FACE OF CONCRETE __. DMWING SHEET OBJECTIVES AND SHOULD CONSIDER SUCH ADJUSTMENTS AS INCLUDED IN THE SCOPE OF WORK. F.O.F. FACE OF FINISH F-O.S. FACEOFSTUD 11. WHFNSPECIFICFEATURESOFCONSTRUCTIONARENOTFULLYSHOWNON THE DRAWINGS OR CALLED FOR IN GSM. GALVANIZED SHEET METAL NORTH ARROW THE GENERAL NOTES,THEIR CONSTRUCTION SHALL BEOF THE SAME CHARACTER AS SIMILAR CONDITIONS. EPIC GROUND FAULT INTERCEPTOR CIRCUIT GWB GYPSUM WALL BOARD 12. ALL DIMENSIONS ARE TO BE TAKEN FROM NUMERIC DESIGNATIONS ONLY:DIMENSIONS ARE HOT TO BE SCALED Hor HVAC HEATING,VENTILATION B AIR CONDITIONING OFF OF THE DRAWINGS. g H.B. HOSE BIB '`q' WINDOWTAG N HM HOLLOW METAL 13. THESE NOTES ARE TO APPLY TO ALL DRAWINGS AND GOVERN UNLESS MORE SPECIFIC REQUIREMENTS ARE MAX. MAXIMUM INDICATED THAT ARE APPLICABLE TO PARTICULAR DIVISIONS OF THE WORK.SEE GENERAL NOTES IN THE INDIVIDUAL MISC. MISCELLANEOUS - (jD� POOR TAG. SUBSECTIONS OF CONTRACT DOCUMENTS FOR ADDITIONAL INFORMATION. ED Q MINIMUM (� oY MECH. MECHANICAL la- ALL DIMENSIONS ARETO FACE OF FINISH UNLESS OTHERWISE NOTED. O MEP MECHANICAL ELECTRICAL PLUMBING J WALL TYPE TAG M.O. MASONRY OPENING DESIGN IS BASED ON THE INTERNATIONAL RESIDENTIAL CODE OBC)M"THE INTERNATIONAL ENERGY METAL CONSERVATION CODE(IECC)1009,MID THEMASSACHUSETTS BUILDING CODE 1009 AMENDMENTS.CONSTRUCTION @@ N.I.C. NOTINCONTRACT <,> APPLIANCETAG SHALL CONFORM WITHALL APPLICABLE SECTIONS. ¢ NO. NUMBER co N.T.S. NOT TO SCALE LL Y:'• 'Y OPNO. OPENING 't 1�. REVISION TAG n % O.C. ON CENTER y'� \ OOD/ OVER DE DIAMETER 0 c CENTERLINE N. _. DPP. OPPOSITE O w V P.G. PAINT GRADE P PLYWOOD ... PTOTD. PAINTED }••......., R.O. RODFDRAIN REOD. REOUIRED R.O. ROUGH OPENING SCHED. SCHEDULE Prebet DAM S.G. STAIN GRADE SIM. SIMILAR A)Gross Arca S.LD. SEE LANDSCAPE DRAWINGS SO. SQUARE Ground Floor 6B]s4R SPEC. SPECIFICATION S.S.D. SEE STRUCTURAL DRAWINGS B)Uas Group:Rs SBTL STAINLESS STEEL � '. STL STEEL STOP. STORAGE C)Con—d.CMsaHicatlon - V Conarcuctlon STRIX:T. STRUCTURAL Trw SYMMETRICAL T. T. TEMPERED -: T.S. TUBULAR STEEL T.O. TOP OF THK THICK. e TAG TONONGUE AND GROOVE I TYPIC U.0. AL M. U.O,N UNLESS OTHERWISE NOTED GO.Ot Govar,Hales,Sheol LIsL Abbrwbtbm VCT VINYL CEILING TILE V.I.F. VERIFY W FIELD 01.01 Demo W/O WITHOUT ` W/ W A1AIMPr�pos.dPWnsASeclbns- �x} WD. WOOD D GaraOa,NA - � bt" WPM. WATERPROOFING MEMBRANE A1.02 Proposed Ela—iona-Garage f l ii1 " 7 g 904rDR` Ar of L. 5G10::IARNOT:a �vA.,..� OLonBletlow%.a160] .n......•,....,.. ,..�.....,.,.,,. Boslon.MA 02t ld I6t2)eaa.aofia LwN Lwa z •••.... coreanams —e•-o-o- e'-o• __ Level _ _Cavell n rtSouth Elevsion-Demo rl Wes Elevation-penlo Rool R�ool e. i\N°Rh Ebvetbn-Demo aEast Ebvatbn-Demo nLevN2-Demo PARTITION NOTES 1)SEE FLOOR PLANS FOR PARTITION TAGS AND LOCATIONS. ca c8 555 2)SEE FLOOR PLANS FOR LOCATIONS OF SOUND LL 5 INSULATION.PARTITION TYPE DETALLS SHOW ONLY C PRINCIPLE COMPONENTS AND REOUIREMENTS:RATED PARTITIONS WITH U.L DESION NUMBERS MAY _y a cox c•'o Wo moxxo,Fs HAVEADDfiIONAL COMPONENSANDREOUIREMENS: lAULVEl ro BEcoxoOCTBOwsecwA REFER TO U.L.FIRE RESISTANCE DIRECTORY. Eu:MEMSIX Eros TOTECTEp As6nEouo- o 3)RATED PARTITIONS SHALL HAVE U.L HEAD DESIGNS. au Eatslwo EZTFnroR wAusARE io REu,W uwEsS SEALANT.AND FILL MATERIAL OF THE SAME RATING. _ OIHEAwIBE xotEO. t•w• xEE ALL ET D T THROUGH-WALL PENETRATIONS MUST BE C OMRxOµiEoweROTEciMFo BE�NovE0 COMPLET ED TO PREVENT DIRECT CONTACT WITH FRAMINGITHAMEMBERS AND SHALLBEACOUSTICALLYSEAL gsoMREo THEE NET TIRE ISTHO.NON FIR&RATEDARDENING CAULK.IF ^ sE OENousHEONCEwETHB gEuovAc of THE PENETRATION IS THOUGHA%ATEDCAU gAwwARE,Axp FRAstE Oxus olHOlvnsS 'PARTITION,AN ACOUSTICAL FIRE-RATED CAUU(SMALL 1 xoTEn. AxOOEwcEs vrawB za•wooe sweOxoF. ve cwa BE USED, gpgipN ARE io BB CODE s•Fe REo w o BS s � S)SEE S PECIFICATIONS AND STRUCTURAL DRAWINGS z"rwaoeaue0 zr oc. zae wamsmaB zro.t. Yz wtr yr cwB FOR REINFORCING,BRACING AND OTHER SPECIAL Iw 0ifP� __ suz e.nswmip isgvm Nn REQUIREMENTS. - xcsve sa Gwe zaewom smaOzr o.c. +rr v.T.rry 6)PROVIDE LATERAL BRACING AND CROSS43RIDOING AS RECOMMENDED BY STUD MANUFACTURER FOR N DNe EACH CONDITION. yr qve cm.A°wPw eF"+ TI COORDINATE FINISHES APPLIED TO PARTITIONS AS INDICATED IN THE FINISH SCHEDULE.INTERIOR 'ta qoe°e1b1O" ELEVATIONS AND ELSEWHERE IN THE CONTRACT DOCUMENTS. .wo�e ma sauro AoxuwNe.n . �� ta•P.i.-IFawy-T0.c. e)PROVIDE BLOCKING AT LOCATIONS INCLUDING BUT Ism Pe pm rmAiuomp (s.o Perelatncw�wul (sr Fws ar Towuml NOT LIMB OTOCASEWORK.SHELWNG.COUNERS• m FumiP rmeewiom®ta"o.c� CABINETS,DOOR STOPS,HANDRAIL BRACKETS, TELEVISION LOCATIONS,BATHROOM ACCESSORIES. ETC.W HERE INDICATED.SPECIFIED OR REOUIRED TO w swmEnmasi°u PROVIDE A SOLID E. SUBSTITUTE MOISTURE-RESISTANT GYPSUM BOARD AT �a-•°•a �n.sy.I. _ I ! ALL BATHROOMS AND LAUNDRY ROOMS 9)PROVIDE TILEL LOCATIONS OSIBACKER BOARD.ALL IT ze wow BATHROOM TBELOATIONS IN PLACE OF GWB. Dem.B Wa L nd mum cwB on wew sw snmrcwBmwaoa sxa cw6on Wove aue.rtb sip srxFwYo-GWB=n weee p.a E.w,w-xeraooe Rarcmn se'vm aBa Wa0 L 10)WHERE TWO OR MORE LAYERS OF GYPSUM s BOARD ARE USED.BOTH HORIZONTAL AND VERTICAL a 112'.1'-0' JOINTS SHALL BE STAGGERED. ANGt-ASS FIBER STIUR SHOULD BE SCED D SECURED TO STRUCTURE TO PREVENT SAGGING. D1.O1 Scab W InmcNod GENERAL NOTES B g 1)WHEN SPECIFIC FEATURES OF CONSTRUCTION ARE NOT FULLY SHOWN ON THE DRAWINGS OR CALLED MR IN THE GENERAL NOTES,THEIR CONSTRUCTION SHALL BE OF THE SAME CHARACTER AS SIMILAR CONDMONS. 2)ALL DIMENSI—SARETOBETMENFROMNUMERIC DESIGNATIONS ONLY;DIMENSIONS ARE NOT TO BE A SCALED OFF THE DRAWINGS. .............. ALL INTERIOR DIMENSIONS ARE TO FACE OF FINISH UNLESS OTHERWISE NOTED.ALL GYPSUM BOARD SURFACES ARE TO BE r�8'THICK UNLESS OTHERWISE 4 Lmg�Pl.#1807 .......... NOTED.ALL GYPSUM AND KASTE FINI S SHOUL................ A SHE 0 MA.1 ................—..— BE SMOOTH.CONTINUOUS,FREE OF IMPERFECTIONS. .......... .................. ............. I.—=. AND HAVE NO VISIBLE JOINTS. .............- ....................... C�muft— w ............ ..........................- 6)ALL PLUMBING WORK TO BE PREFORMED BY .......... ..........-..........................=.= LICENSED PLUNIBER. !- - -.......... .... ...... ........... 7)ALL ELECTRICAL WORK TO BE PREFORMED BY LICENSED ELECT—!o&k- _ —I_1—I V-0'�I _ 61 ALL EXTERIOR WOOD TO BE PRESSURE TREATED Rn -II —III—III-I' I III—III III—II II—III .............. WOOD I EXTERIOR ANCHORS TO BE GALVANIZED. ........... ................... ............. A .. MECHANICAL SECURITY NOTEB ....................... PROVIDE NEST LURNING THERMOSTATAT TED .................... LOCATIONS.FOR LOCATIONS,SEE FLOOR PLANS. ............... 3)HEATING AND AIR CONDITION NO IS TO BE PROVIDED .............. .......... BY HIGH VELOCITY FORCED AIR SPACE PAT HIGH VELOCITY AIR CONDITIONING SYSTEMS WITH HYDRONIC HEATNG. ELECTRICAL NOTES I)a TRICALSERVICEPOWER ISTOBEEVALUATED ....... ...... FOR MEETING LIGLITING DESIGN AND EQUIPMENT IIMOU -L.—ETS.PHONE 1AM..AN.TE-EVISK)N -03 HE UIRE.ENTS.PROPER POWER LEVEL SHALL BE .................. ................................. I HH I PROVIDED.ALL NEW ELECTRICAL ITEMS ARE TO BE U.1- ......................- ................. RATED. ru,--I' ............. ......... 2)ALL ELECTRICAL PANELS ARE TO BE RECESSED INTO A WALL WITH A MINIMUM 4'STUD DIMENSION.ALL DISTRIBUTION PANELS ARE TO BE NEW. I 6)ALLSMOKE DETECTORS SHALL RECEIVE THEIR PRIMARY SOURC OFMWER FROM BUILD[NG WIRING on WITH BATTERY BACK-UP. CADLE JAMS VERTICALLY AT IFTO CENTERLINE ABOVE T E FINISH FLOOR UNLESS OTHERWISE NOTED.WHERE BASE AND TRIM IS LARGER THAN&I�TALL PROVIDE 6' co CLEARANCE FROM BOTTOM OF PLATE TO TOP OF a 6ASEBOARDTFUM. ul EFII EM,—101LI.. 8)MOUNT ALL SWITCHES AT TO CENTERLINE ABOVE FINISH 190011 UNLESS OTH MWISE NOTED. E 9)PCVEATICSSMLEM- ALIGNAI�SWTTCH&OUTLETSIF ca LL c: PLAN EXISTING WALL TO REMAIN tw ----------EXISTING STUDS TO AS El> o WATER D—Pom M Date RO n 1 D..1 DUPLEX OUTLET WATEFIIROOIOURIET U....BTLET TV LOCATION ProposeC STRUCTURED VIDEO PGarago l— THE....TAT LOCATION A. Rood s'u4:a:ARNOP;a:cht4:c.•, _::... ----- —___ _—___ _______—_—_—_ _ Rool J 6-b t� a Longfegow RI. Ilaa,oa,fM 02114 (6t JIB3B-0063 ..0 a.e.. •.mn DOMu0.aMs nr.nuuo-w.o LM 2 _ a-o• �EaL Elevation 2 NorM Ebvatbn N _ _ _ _16-6R1/2' O co f lL � C k - N a _ Lew12 n Tpl ir vonuo .—mro..:w a p- I 9p4i0N A0i /15aNh EMwatbn /1 We5 Elevmon +.-.. .u.n Dwcripion�w Date Gerage Elevetiom d A1.02 .: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 9--- Mapes Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept.'" Permit Fee Date Definitive Plan Approved by Planning Board O 5 Historic - OKH _ Preservation/Hyannis Project Street Address Village Hua.�=yj?al� Owner y ( ,��n� ,, p�rc N �� Q a L i.t- Address (D 1�zl- C+ 1A,& 6 2-03 Telephone g Yq CiS``- - Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size 6 a 2-,, �re*_12' Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family CY Two Family ❑ Multi-Family(# units) Age of Existing Structure ' Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ® No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new I Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 1LDJ1VC, Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ MAY Commercial ❑Yes ❑ No If yes, site plan review# 1 6 Zo�l i0 WN Current Use Proposed Use OPAI �I ��Y4 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) -- - Name fA�c�w--I DL-io Av-t,�'1, nY-,J`1 Telephone Number (� �`�`i `� _4 Address I 1) I�4rn�t�r CA- License #. Home Improvement Contractor# 6 Email +rr,�,t '� �� ^� �,t k�� 1 lL ��,��-, Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �� A l SIGNATURE / �CJ� DATE 1 i FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 27x Comm..ornreahil ujfMaysadrusetts Dep astrffeat cfrud s-aid Acc idexts . 600 Was fugtou Street Bas1071,A4 02111 twin}mfmgovIdla Workers' Cmalpensatimt Insurmce Affidavit-BuUders/CantrartersMec€ri,cianslBlmibers AA t c3i�73 �II PieasePrint ¢ � NwTSPg� �nFfnciiina Addrr City/StatdZil3q Are you an employer?Checkthe appropriate bay Type of project(required): 4. ❑I am a genera].confimctor and I I.El I am a employs 6. ❑New caflsfcacfion employees(fullanalforpar#-ime)* Ltarelvre�.tlre sufr�ondra�ss tdetor orprimer- lisfed on the aftacfred sheet~ t 2.❑ I am a sole prrp - ❑Retnodelifrg ski and have no employees . These:sub-coatractars have 8. ❑Demaliiiaa wading fornm in any capadty. employees andhare woikers' 9. ❑BUU63,g sdxiifiOSQ LNO ' camp.insurance comp.am anml rewired] 5. ❑ We are a coaporafi=aid its 10.0 Electrical repairs,or adclihu= 3.[2 I am,a ftomeovmer doing alI work officen have e=cised their 1L❑Plutabingre-pairs or additions mysdE[No, comp- eight of a ampiion per MGL 17❑Roofr atrs �.inx ce required-]T c.152,§IM aadwe have na . employees-[No worjcers' 13-El Oilier cam.insurance required.) *Amy W11cmtfstcbedsbaxR also Moutthesecdoubgmsbureagtlieswu aeec=Vam doxrpoHcyinf==ff= I Mmeo=e=who sabagt dais afid.,i.i-,Ur�-i submit anewaffidavk ina,'r-ling sme i fcontcu cfgm-ffist drawl iWs box must&ttaclud as addifiamsl sheet showing the rime of the sub-caatsctam snd state whether ornat rlmse ewities have employees.Iftheiub-coma►do skave mnplayEes,theyamstpmuide•theu wadkew comp.policy aumbm I arrf art elffpIar flfrrt uprauidiitg tvor?ters'zoftrlre�csrr€larf i�fszirccrrce 'or my* F3'ees $eIofv is fTfePa 'rrifd jQ srtcr informalfois. Insamce Corvpany Name: ' Pohcp or gelf izLs Iic. FxpirationDate: Job Ran Ad&e= CitylStafeytp: Affach a copy of the zwarkere compeusatimf Lpolicr-declarafion page(showing the policy mnaber and expiration date). Failure to secure coverage as req*edunder Se-ctibn 25A of MGI.c 15 can lead in the imposition of nrimi-nai penalties of a fine up to$UOaOD mdfGr one-year imprisoujn z as w611 as civil penalties is the farm of a STOP WORK ORDER and a fine of up to$250-00 a dap against the violator. Be advised that a copy of this Aatementsnap be forwarded to the Office of In-esfagat ons of the DIA for iflsuranw coverage yerificatiom Fria lteraTiy c&Efjr fzarda tI ptigts arfdpsrfat ¢s afpayuty fltatfhe mforma#rm i� rovi�kd aBom is 6=avid correct MLU Sitmaturer Dates S I Phone ik QA%!;ird rrse auTy.. Da not twite in ffib lrrea,ta be.srriny&6d by city artown offictat City-or'Fotiru: Permitff kense# Lwidn.g.'udwr€ty(Circleone): L Board of Health Building Department 3.Cityd£own Clerk 4.Electrical hmpector S.Plutgbmg Iuspecter, 6.Other Contact Person: Phone#: formation and Ms con M�cc�rlir £S Getmal Laws M req� all boy=`Eo provide woriceas'compensation frnC their empIoyees- P=Sa=±-fU this sty,an enpkyee is defined as°`: Y Pelson in.$fe seavi ce of another under any conizact of hire, e3press or i3MpHDCd oral or wtiftEn-" An Moyer is defined as`pan.individual,paxinMMbT,association,corparation or offer legal errEhy,or MY two or more . of the foregoing P�� m a joint uprise,and mclndmg flie Legal mpresLves of a deceased employer,or the receiver'or trustee of an m.6vidr A paxtrieaship,association or other Iegal entity,employing emPmy5m-- However the owner of a dweIling home havingnot more than tbree aped mew andwho resides therein,or the occopant of the- dwelli g house of anode£who employs pegsons to do make,cans tract on or repair woII on such dweIIing hoIIse ur�there sb to allnotbecmmm of such employmeutbe deemedto be an employer." or on the grDma&or bmldmg apg I�GL chapter 152,§25C 6)also states that"every stain or to cal rs agen CF shall wiflihaId die issuance ar renewal of a 1jr-mse or permit to opexate a bvskess or to contract bmldings in the commonwealth for any a licanf'�ho has notprod-aced acceptable evidence of campfianm with the hism �an_ce_covermge raPaed_' Pp of>ts political subdivisions shall I 25 states¢I�Teither the nor� P - _ 'o M(r`L ter 52,§ � _ Additionally. � the msorance. for the erfozmmm of lic wo]I mrhil acceptable evidence of comp liancmwdh . mfn an contract p Pub eufi�r _y reT r enfs of this diaptm have be=p==ed.to the cm&wfing mffiouty:' AppficzmJ3 Plcase f�ovt &0 worl�ers'compensation affidavit compIdely.by rho the boxes that apply to your situation and,if necessary,S'OPPIy sub-contras or(s)name(s), addresses)and phonenumber(s)along withthmr=tda-cate(s)of Dance_ Limif�d.Liability Companies(LLC)or L=itrdLiabMty l'ar�eisbigs(LLP)wi$�no �Inyees other than the members or partners,are not mquired to cant'worms'compemaiion insurance. If au LLC or LLP does have empioyess,apolicyismqmri4 Be advisedihatthisafhdayitmaybemhmith�;dtothe.DeparfmeutofIndnstrial Accidents for confnmafion of insarmce coverage: Also be sure to sign and date the affidavit The affidavit should beretrzcne to ,'he city or tnwntTiaf the app&cation for the permit or license is being regnest� not the Depar mmf of Ldrsizial Acci T�.fs. Tmnldyou have my gnestionsTcg�the law or ifyon are mq,,- d to obtain a workers' compensalionpofiey,pleasecalltheDepartmentatthenmnberlistedbelow Self-ice =33pames Should enbnrlhfe:r s elf-fiLmn ace license nzmmber on the appropriate line. Crty or Town Off dots f Please be sore that the affidavit is complete and priff:d Iegibly. 'Lire Departmmthas pmvided a space at the both= of the affidavit for you to fill orA m the eve the Office of luvest�. has to coxdact yamregazding the applicant P Leas a be sra-e to fill in the pe�it/Iicense zrvinber vehich w�be Bsed as a reference fiber. In addition,an applicant . at mstu submit mul4IO pezmitUCense appliesions in �a given year,need only submit one affidavit Indirat;,,g con�ut th policy fi fi:) atian.(if nay)and ffi i "Job gte Adduemr the applicant shod vie "aII loc�ors in (may Or .town)»A copy of fhe.affidavit that has betin officially stamped or madmd by the city or town maybe provided to the ' licant as proof that a valid affidavit is on file for fotare-p=,n s or.Trmmm A new affidavitmu-st be fMed ovt 6a.c app h e owner or citizen is obtaining a license or permit not relai Sri to any bBsmess or mmmercial year.Where a hom (ie.a dog lic®se or permit to bum.Ieaves etc.)said person is NOT regLmed to complete finis affidavit The Office of Invesfiga iow would Iibe to thank you is advance for your coop mm Ian and sbouldyou have any question, please do not hesibat'to give ua a call The Department's address,telephone and fax mmMberr f�a an i of Massarh I�egar�n�c�f�nd�tialA�d�n.� Q�ce��Stve�g�fio� Baste MA Q111. Tg1..A 61-1--727-4 at 4-06 Or 1-977-IAA qA1F- Fax#617` 27 7749 Revised¢24--07 d I AWC Guide to Wood Canstrucfiaw in High Wind Areas:110 mph.Ww' d Zone Massachusetts Checkist for Compliance(790 CJMR 53o1.7-1.1.)1 Q Check Compliwce 1.1 SCOPE WindSpeed(3-sec.gust)........... . _.. ..._.„... „....:........._.._.__......_._..._...__„....._..-..-110 mph _ WindExposure Category__._. ...„..„ .._„...„„.....„„. . .. .......„„......._„..._.._..._. B 1.2 APPLICAB1Li1Y Number of Stories ._.......„_„_..__..„». _........ _...(Fig 2). ._.......__........ stories s 2 stories Roof Pitch __._._. _....»._.__.____„.._........„......_._, (Fig 2) .................._ ..... _ 512:12 _ Mean Roof Height _.._...„.._..._ _.._....__--.___. .(Fig Z)_._._„..„_._„..:__ _..._.._. _ft S 33' Budding Width,W..-.-_. _ __.__.„__ . »..__ __.(Fig 3). __„. ___...._.._„_.. It S 80' Building Length,L (Fig 3)._._...„_.._„.___„._..„ —ft s 80' Building Aspect Ratio(UW) _............._..._„_.. .„.._.(Fig <_3:1 _ Nominal Height of Tallest Opening2-----------------_-.-. 1.3 FRAMING CONNECTIONS ; General compliance with framing connections.._.._:.__... .(fable 2)...................................»_...... ....... 2-1 FOUNDATION' Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete..................................................................................... ..................... ..._............ .....:...---........------------ .. _ Concrete Masonry ......„.__.„.....„.„.„„....„....._-...._...._„._..._-- -:_...._..__...„_..„_„_... » 2.2 ANCHORAGE TO FOUNDATION',' 5/8"Anchor Bolts imbedded or 5/B'Proprietary Mechanical Anchors as an alternative in concrete only BoltSpacing-general..............................._..._„..(Table 4)._...._.._.............. ..._.... .. in. Bolt Spacing from endfjoint of plate ........_. ..__„_..(Fig 5) .„ in.s W-12" _ Bolt Embedment-concreta._.._...___.__.__.._.__:.(Fig 5)..._..___._.. ___ ..._„._in.z 7". Bolt Embedment- ..._....„ ..„.._.(Fig 5)._.�._. ....„ ...:...�„_ .. in.z 15" PlateWasher._.._......._.._...»...„.............„......... (Fig 5).._.._......... _. _..._:....„ Z 3'x 3"x z/" _ 3.1 FLOORS Floor framing member spans checked ..... (per 780 CMR Chapter 55)...__...„.............»».-_... Maximum Floor Opening D'unension_.____„_._.„.........:.(Fig 6)..___....:_...__._..�Its 12'or U2 orW/2 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wag(Fig 6).:...............................:„-.. Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall_............. (Fig 7)__..___.....„„. _ Maximum Cantilevered Floor Joists Supporting Loadbearing Wails or Shearwall................(Fig e)...._......._....„.._....................... ft s d Floor Bracing at Endwalls.........._... ....... „..........._ _(Fig 9).„_........ ... .._.............. Floor Sheathing Type ._.. ..._......__...».._.».„.--•--......:. ..(per 780 CMR Chapter 55)....... Floor Sheathing Thickness (per 780 CMR Chapter 55)..__.......___ in. Floor Sheathing Fastening__ ...»„.._......„__ _...::_._..(Table 2)„—d nails at_in edge/_infield 4.1 WALLS Wall Height Loadbearing walls...._.._ ..„._..._ ............ (Fig 10 and Table 5)....___:....._.., �_ft 510' Non-Loadbearing Walls.....-...._................_._.._.._.._:.(Fig 10 and Tabla_5)._._._......._......._ft s 20' Wag Stud Spacing .......„........ (Fig 10 and Table 5)._„ :_._..._in.5 24'o.c. Wag Story Offsets ... _ „.. __.„.:..„_.(Figs 7& ......... ft s d 42 EXTERIOR WALLS - Wood Studs " Loadbearing walls......„...„„..__„. _ ..„...... (Table 5):.._»„._ __... ..2x ft_in. Non-Loadbearing wags�._._„......_ ...„„:„. (Table 5)............... - ft_in. Gable End Wag Bracing r. - — — Full Height Endwall Studs.._.--"-__----_.(Fig 10 ....... .. .._.. »„.. ....... ......... WSP Attic Floor Length------------- »_„»_ (Fig 11)_._........_„_ ._ „.... ft— Gypsum Ceiling Length(if WSP not used)..__,:..-.._..(Fig 11 ft z 0,9W 2'x 4.Confmuous Lateral Brace @ 6 ft.o.c--(Fig 11)........................._.... Double Top Plate Splice Length ........... (Fig )_.:._..._.._.._.-_.-... —ft _..._..___.�.. .._._. Fi 13 and Table 6 Splice Connection(no.of 16d common nags):.._- _...(Table 6}.__...:_.._. _.. AWC Guide to Wood Consftwaion in High Wind Areas:110 tvfi Wind Zone Mas§achasetts Checklist far Compliance(rso cNm s3oi.Lu)1 Loadbearing Wall Connections Lateral(no.of endnaffed 16d common nags)...__„.____{Table Non-Loadbearing Wall Connections Lateral(no.of endnaffed 16d common nags)___(Table Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans _»..._..»__,....».......».._...__...(Table 9j:._..___._..»......... __ft_in.s 11' Sal Plate Spans »._._._----»_.....:._....,.�.. .(Table 9)—-____-__. -__ft_in.511' Fug Height Suds (no,of studs)__ _..__.__._ (rabie Ncin-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans._._„__»--_.._»,-,,,». , .._,__„»,___»-(Table 9)__»__.»_�..._.._»_it_In.512' Sill Plate Spans..-—- __(Table 9)_.._.._._..._... .. ft_in•s 1T Full Height Studs(no.of studs].»_:...__»»_ . _..(fable 9)...»... ..,._...»_......_.. ».»„_ ,. Exterior Wall Sheathing to Resist Uplift and Shear SimultaneousV M-mimrum Building DiQnension,W Nominal Height o!Tallest Opening2 .._.... _ _..._....... .._.....: _» .., s 6'Er Sheathing Type._ ..__. _».. .._.. (note 4)..._._.._»....._...... „».......»._... Edge Nag Spacing_.--____—_.(Table 10 or note 4 if less]_.. ...__....__ in. Field Nag Spacing..»..__.._.._._...»_..._--(Table 10)_.....».....__. __».».. in. Shear Connection(no.-of 16d common nails)(Table Percent Fug-Height Sheathing.___ ' ___,».(Table 1D)_._-_---_._.-__.. .....»..._.__..._% 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts)_....._.___...». Maximum Building Dimelnsion,L Nominal Height of Tallest Opening?.__..._: .................._.I..............I............... s 66 Sheathing Type__......»._._...._»...._.---(note 4). .._...._ ... _....:... Edge Nag Sparing»._„» ._»_�_ (Table 11 ornote 4If less)...... Feld Nag Spacing»._.:.__;....__..».,.__..._..(Table 1 I)..»_.._»»...._.»..„_....»»__.»_... In. Shear Connection(no,of 16d common nails)(Table 11). Percent FuMelght Sheathing........_.»,__.......(Table ,.... ...» _y 0 5%Additional Sheathing for Wag with Opening>6'8'(Design Concepts)_»..., _..».».. Wag Cladding Rated for Wind 5.1 ROOFS Roof framing member spans checked?»_. .._..__. ,(For Rafters use AWC Span Tool,sea MRS Website) Roof Overhang .....__.».......:................_._...........(Figure 19)............_ft!9 smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls _. . Proprietary C-annectnrs U__ if Lateral...._�..»...._»...»..».,.._.......(Table 12)._.._.„»._._.. _ L= pif Shear—__....___......._(Table .._..»...._._„_._S= pif Ridge Strap Connections,if collar ties not used per page 21... (Table 13). ....._..__...»...._.T= pif Gable Rake Outfooker.»...._.„............................Figure 20).............. ft s smaller of T or L 2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors , UpGft........ 14).....»...____»._._...»»„. _U= ib. Lateral(no.of 16d common nags)...(Table 14).................._...........4._..-:L= lb. Roof Sheathing Type .__....»». ...__».....»»_».....(per 780 CMR Chapters 58 and 59).... ........ Roof Sheathing Thickness_ ..........»......_»»»... .. _._.._..-....._».„__. in.a 7/16'WSP Roof Sheathing Fastening_.........»»...._._»_._ (Table 2)..__.._.,__..........._1.»_.........—..»_ Notes: 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply.with the requirements of 780 CMR 53012 -1.1 Item 1.If the checdist is met in its entir*then the failowing metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uprdt Straps per Figure 14 d.• All Straps per Figure IT e. Corner Stud Hold Downs per Figure 1 Be 2- Exception:Opening heights of up to 8 ft shall be permitted when 5%is added to.the percent fuMneight sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate In exterior walls shag be a minimum 2•in,nominal thrclmess,pressure treated#2-grade. AWC Guide to Wood Construction in Sigh WindAreas:110 mph Wind Zone Massachusefts Checklist for Compliance(rs11CMtR00 .2.1.1)r 4. - a. From Table 10 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-l-teight Sheathing requiremenfs b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: L Panels shall be installed-with strength axis parallel to studs. li. Al hartzontal joints shall occur over and be nailed to framing. u'L On single story construction,panels shall be attached to bottom plates and top member of the double top Plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. " v. Hortrontal nail spacing at double top plates,band joists,and girders shall be a double row of Sd staggered at 3 inches on center per the Figure, Vertical and Horizonfaf NarTrng for Panal Attachment r • AWC Guide to Wood Construction ir:High FNindAreas:110 mph Wind Zane M"saehusetts Checklist for Compvantce(790 CMR5301 2.1.1)' ' -1i trt��s orr �ad A • 11 r Y 1 11 tl so 11 I r • 1 �1 Il � 1'1• - Q I O t U � 1 i ii d u 1[F 1 r- ro 1 II rr 1 • p{}UBLE --- �� tUAJE-S?ACM See Devil on Text Page Vertical and Horizontal[Jailing for Banal AtUchmenf I THE Town of Barnstable Regulatory Services Richard V.Scali,Director 16S9. c raa+' Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601. www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property.Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant . Print Nafne Print Name Date Q:FORNMOWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services ptr Richard V.Scali, Director Building Division BARNSTABLE. : Paul Roma,Building Commissioner MAM `�$ Maim Street, Hyannis,MA 02601 pr� 200 www.town.barnstable.ma.us Office: 508-8R-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 1 I L JOB LOCATION: number street village -HOMEOWNER^• `( W c�sl, :wt�sA kl— �i uc�.;�`5(-�° la.F r ti,.c f name home phone# work phone# CURRENT MAILING ADDRESS: 0 T_'4,CA S c/r cityhown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to -be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. . The undersigned"homeowner"certifies.that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed-person as it would with a licensed Supervisor.. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many.communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. f Mass. Corporations, external master page Page 1 of 2 William Francis Galvin Secretary Commonwealth of Massachusetts Corporations Division Business Entity Summary ID Number: 001206699 IRequest certificate Ni ew search Summary for: 4 WASHINGTON HYANNISPORT LLC The exact name of the Domestic Limited Liability Company (LLC): 4 WASHINGTON HYANNISPORT LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 001206699 Date of Organization in Massachusetts: 01-22-2016 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: 44 TEMPLE PL 2ND FL City or town, State, Zip code, BOSTON, MA 02111 USA Country: The name and address of the Resident Agent: Name: ERIK LIEN Address: OUTSIDE IN ADVISORS LLC 141 TREMONT ST STE 500 City or town, State, Zip code, BOSTON, MA 02111 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER MICHAEL OLSON 44 TEMPLE PL BOSTON, MA 02111 In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=001206699&... 5/16/2017 • ' 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map L'I � Parcel �`� � Application # A Health Division I� Date Issued Conservation Division Iv ?d Application Fee Planning Dept. I Permit Fee C)o i Date Definitive Plan Approved by Planning Board / ® '7 Q4 a Historic - OKH _ Preservation%I Iyan l -_ _—1 Project Street Address - � Village „;5�� Owner Mj ck-f,! Ok5v/i LJ �I4(,,,. >P1Dr4-1,L(-Address 2 �s i L�P4. �#- .� I,��da,; `gq vzl`/ Telephone & C1 5 �1 Permit Request C.r-e.,k k-t� 1"suux- n.z_..,� s�o Ico f.�-k.�-Eaij Square feet: 1 st floor: existing 1� proposed 1%36 2nd floor: existing il9T proposed 16� Total new 2 Zoning District �F�- Flood Plain N/'� Groundwater Overlay +3 r�"" Project Valuation Z'a, Construction Type c.-0,�0er4tfl.,,4 (JD DJ 5t�4v,-,_ (50 Lot Size P) ° q S Grandfathered: ❑Yes 31 No If es attach sup porting pporting documentation. Dwelling Type: Single Family QI` Two Family ❑ Multi-Family (# units) Age of Existing Structure 1I'� CM 0 Historic House: ❑Yes 19 No On Old King's Highway: ❑Yes 0 No Basement Type: d Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) 0 Basement Unfinished Area (sq.ft) / LS Number of Baths: Full: existing 5 new I Half: existing o new I Number of Bedrooms: (0 existing 0 new Total Room Count (not including baths): existing 11 new First Floor Room Count S Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes 2 No Fireplaces: Existing_JNew Existing wood/coal stove: ❑Yes W No Detached garage: ® existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: M existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes VNo If yes, site plan review# Current Use 5 ^�� M,�y Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name f 1;c lnc,,u1 Q�s V n Telephone Number W-- -t�`� '`�51 Address e--9� 5�«t License # n A 0Z o� Home Improvement Contractor# Email PA\'c,\L-,t e�\i wo Go i;� A 11 G. c o n Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO o a r, o� �, ,,s�-��(x , 5�� SIGNATURE .h� DATE 11 6) 1 U FOR OFFICIAL USE ONLY APPLICATION # �. DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE "OWNER DATE OF INSPECTION: FOUNDATION7 FRAME -TNSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDIN DATE CLOSED OUT f ASSOCIATION PLAN NO. 'down.of Barnstable Regulatory Services oFy Richard V.ScaE,Director , RMICing Division. t Tom Pent,Ear7dmg Commiasionrs 200 Maier ftect HyannIs,MA 0260I - wwwJDwmh%rncfahTr Tn%F= Office: 508-962-4038 Fay 509-790-MO - $o�owr��s{.z�t�c�nsg�-rmx .L V�CPiiat JOBrrx=DIZ- 4 nAvL a�a' . namr- b®Gpb®G� :WD�Cpt]OIIC� CQR.RENTLEAMIM ADDRESS. O� O T2 Me� 5�-2��' �' 0211� ' cQy/tea alarm aP Tho ram**= t exernpfioa for`homwwmf was ex=&Ato mcl'ud.e owner-o==ied(1wt-On s of mx units c r Ims snd in allow homeowners to engage an individual for hirewho does notpossms a Hcwse,%mvided thatffiC owner acLz as s=m-yisor_ DEFR71'TLON ORHOMEOw1i ,P eason(s)who ov=a parcel of Imd on which helshe resides ar intends to reside,do which these is,or is h tmdnd to be,a one or two- fam�y dwelling,atfacbed or detached siractnres accessory to such use ardor farm shrnetm es. A person who consfxncts nVam than one home in atwo-yearpc3ioci shall notbe cmddered•ahamzawn= Surd'n=mwner",shaU submitto 13ie Building Official on amnn acceptable to tI=BuT1rEn-Of5r-iaL that brlahe shall be mMmmiblc for all sash work peed uiLff= hz bm7(Fma pert. (Section 109.L1) The,u dm3igned Immmvmm"asmzn=rmpmmlffi.y for compHM=withths State BUg Coda and o$a applicable codes, bylwpm rules andraguIaiiM the Bnd=igned-homeownCe=tf=ihathelshe undeastands tb Town.ofBamsEable BinZdiug Deparftamtmh�inspectioa pmmdn=md rDqaamm=ds andthathelshewM commplywhh saidpm=bn-es andregoaemaat. Arai ofBr@crmgoffldat Note-- Thr$o,- hn3fly dwellings conb aing 35,000 cubic feet err laigez wM be required tD conxply with the Stag Bu7d"iag Code &=dam 1227.0 Caustraction.CmtmL EDUEOWNMIS err The Code sfates that =Any homeowner performing worts for which a bull permit is required shag be exempt from the provisions of this swAm(Section 109.L1-L'ICmising of contraction Snpervismrs);provided that if ffie homeowner engages a person(s).for bse to do such work,that mch Snmeowner shall act as supervisor." Many homeowners who use ffiis exemption.are uaawarE;bsatffiey are gsmnm*f+gffie respow birill of a supervisor (see Appendix Q,Rules&Reg F fions for Licruskg Co=tmciion SIIpereisors,Section 2.I5) Tbb hark of awareness Off= result`s in serious problems,p &cahrlywhen the homwwnj--r hires unlicensed persons: In this case, Board cannot proce,md against the unlicensed person as if would with a licensed Supervisor: The homeowner acting as Supervisor is uif=tehy responsiibIe. To easm a tkaE ffie homeowner is tally xwzm of hiv rx respaasibrTrtwe ,many corn rff— ies require,as part of the permit applim n,that ffie homeowner cm-ffy thzathelshe mnae *+a 'Ste responsi T-ryffes of a Supervisor. On the hmtpage ^ of ffib issue is a fors.carreatly used by.several towns. Yon may care t amend and adopt such a for=Icerf firafrnn for use m your comm=dty: RzvL=d 06U 33 u ' ofr Town of Barnstable Reg alatory Services . E ai ps Richard V.Scan,Dh=tDr 4f Buldmg DiYWon tomrerrp,Bm'Idmg Commoner 200 Maim Street Hyaais,MA 02601 www tDwn:b nstablema us Office: 5084862- 038 Fay 508-790-6230 Property Owner Must ' Complete and Sign Tbis Section If Us Wg A Builder as Owner of the subject P1OPerty bexe�paz�horize to act on mpbehalf, in all matters relative to work arubotized bpthis bmMiag permit application for. . (Address of job) '`Pool fences and alarms are the responsibi7ityof tbE applicant Pools are not to be Med or t'��d before fence is installed and all final inspections_are performed and accepted. S4=re of Owner - Sigaa =of Applicant Priat Name Print Name Dace . QFoa�� ours f 77m Comraamveah*gfMaysaditrsetft Depm-ftnest of Ind=trial Acddemft- Q,we 0fIMVSMk,26aas 600 WashirWton Street Baswa,CIA 02111 ' tcrv��meu�ge�+rrtra • Warlm s' Compersafim In�ce Af wit Bmlders Cnnfi=WrrsM ers Applicant InfarsnatioII. Please Frint I,es1 Nsme Andrew. a i Ci �g. 1 0 h L t t Phoa�e �° 1 �S`1 -Ott -4- Are you an employer?Check the appropriafe bey Type of project(reqdred): L❑ I am a employer with 4_ aI am a general tsctar and I 6. [:]New employees(fish andfor part-fiime).* hn a hhtd.tfie bmctots 2.❑ I am a sole gropriefos argariuer- Iisbed on the attach d sheet 7- [ ;g ship and fiave:no employees I here have, 9- F1 Demolition wading forme is any capacity. enployees andlzve wadzers g- ❑Building addition. Wo wodm& -;no „ congs.iusura't''p t reTzired-I 5. ❑ We are a cmpozafim and its 10❑Electrical repay or additions 3.❑ I am a homeatamer doing all wok of eem� ed exercis theme 1L❑Munbragre pals or add�ons � [No workers'�- sight of em=tson per MM 12_EI Roof repairs ;w�reepmed]T c.1.52.JIM andwe have na 13.E] ❑other Ex cep-insmanre,required.) •Any ggffi=&at cheds boa#1 mast zlsa sn autthe sewn beTaw dvvdm&a it wwka s'=W=msd=paHLT ML I ECmnw n=vft snt=t this zffdac it they am dam;sh vial sd d=bim 0U=&C0==M=M5 t submit a new afaaamid M rode =Ca is cbe�tlas box mast atsar%PA as-Amd-1 sheet Aamingtienameof the and statetftmtec isn ihwe here emplayees.ifibe sub-c=&sctmsb=e emplayea%fiLey pmm&iha untie'==p-poi mmbw- Inut an eutplefar tltatrsgraurdir;g at�arkets'taesensatiart iusnraxce far my'ettrpta}�ees. BriorF is flee podt"cy Ltd jab�s IftfaYAla!`itJlt. Insmance.Company Name. Pa&cy,4 or Seff ins.Ilc-¢ Job Site Address CttylStatefZtp. Ad2ch a tflpp of the:workers'txmpensaiioapolicy decbration page(showing the poHcy somber and espaatioa date}. Faihwe to secure coverage as sequued under Se stun 25A of MGL c.157-can lead to the imposition of criminal penalties of a hue up to S1500-00 andror one-pear imp3sm m nt as well as ci0 penalties in the farm of a STOP WORX ORDER and a f lime of up to S25100 a dap agair&(fie violator. Be advised that a copy oftbis statement maybe f a arded to the Office of Invesii ptions of the D.TA fix (overage vim. Ida hereby cam 'undar tits ' s and pmatfres a Fexgsry tWthe h¢fotwafiaiFgerorcded abatis i g tins and carrel Siog - I�RJ zRtL- `fL15/1b PbQne g (q 1-� -M 4 �- afflda£ties aril,. Da not scribe its tFds are;to be cautp£eted by city artmm;WSCfat City or Taw PeMMACense f IssningAai}tetritp(mcleone): ' L Board of E[ealth 3 wag Department 3.Cityffmm Cl wk 4L IItchleal LLVector 5.Plumbing Inspector 6.other Contact Person: Pho #s 6 1 1 /1 • I t 1 1 t 1 t t �I- -•: WE '..• �.1 ■J.lam! �•n■w -1 .af.l■ •'�R .• •1 ■• /' •••1■1rR ►•/..1■�l :■■•Il itt i■- a rarU ■a •.a■1 ■. it .....a- ..■ %•�• •ipll.�• � - •�! .■ n is • ...•■■Y .1.■�' :■■ -east. .. • .■■ �..■l w�_ • nn■ �.• •e: .1 ••■IOC. • ■ �r u • •� •an■�• : •n u n mr . ■.�w a■. :+.wrn.n .• .•r-n.n n •i►� -_ :run n a.• •.• n ■■n - to ■■- t•1 .u �+• �■ u e nl �1n.�+ n.l:- ..... 0■ n ,..■tt•: i.� �- - n �.1nr_■•... • _ •� .! �e gnu . - a ■■ • ■ ■ .�- . a. u u a ■_■ ■•.�w.a.. _..�•wrn m •� .n:; -_r �u■1 1.u. • u_ .run • :... if �'.�� w. _ •• 1 ■■• ■•/ •.•u• ■■ nu u... m � _u:. m�■.a. al. - .. ay.�. ■.a .In n i.� • ru.•:OI • n .• - 1 l.. ■•. • a•.•l� ••a• :.uu •• r�w.l■ n ■• n.nnl.■-u. w ■ • ■■n •� ._■1 -'... •u ■ t ■• lau_ ■•••. • •oil BE •J •all. •1 .of a is ..e■.r l:+■:l.I it �.• ■ 1 •■ ter:■t . • .■ dart• ••.■ral • ■r�■.�• ■. •' :■■ �!..1. • 1 ■I a• • n •l I .n a _ • _ � � - . 1 ■' .. 1 a• ■ .- a' . ■ ■I�v. • 1. r.► ■ .r • 1• • n _ .1 ■I - .l a1■■ ■ ■ ■• • r• �■ . • �• : ■ . ✓. . . ■ • - f. . .. 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'1 l/ • •' ■•1■a n1�1 n ■. r�.•I■■■�1.1 • ■/la t. •hall a• .•nra.n.11 all ■ t/ .. da - .■• _- • .- 4 1. ♦�. .. • ■-- ■ O. ■. : •.._•1 ■e. ■ • aum�. as • l t•il n• ■ n.. i■ 1..■r_n m u n .Win■t • r.. .�In_ •a��t�■ .• if 1=..• w-■ e ■ ... am M■i.!.■l 11 a■ • •l ■: .n f■w■w _I nu u- • ■ .■ .■ —•.w 4■ u •.rem ^e..�++ ■a■.l•!■Y■U■ ■■1 • - - r.1 ■• P•.I n.iill b .If OI.Y l ti■ a- .•' - O w�■ r.)ln•-■■ ■■■ f a■ //' 1 / • • . 1 G■ _l i■ ..■c■.■. iia • u .n._ t el • n 01 ■n u n �n ur •u. • n• ■__um or. wn►: .■ __. • n_ .. n• ran ` n .• ■■ to l■ .man 1 ii. - n m f r ••a1 l '• 1 ■- IL�• -.tie i.. .InO■•1 ■ _••■t.•• :.■ _►.• .K•■1 to a .12 n.t f■ ■• v■11.t l■ I.n ■�'.►.11 �f■ - -.t• w:l■■a■ 1/ -r■- J•�r r:l ■��• .• t n■a 1 •1► •.• •1 l■• :.■■_ ne �■ • t■ •1■O. ■.■ ■i :�4:. :..• n■.r. •• tila- .■1�..•.. ■ ...a ■real. ■■ l •.■t�. n•'f .•• • n ■■.. 1 ■■. ■- .�^•'■ •■■M.l• .r1■■l.�• •1 n.1..(r■ .' .a MI .1 ■••• a■- .' el •• ■�f 1. n a.. ■.-_u. : w •• n•1 ■ :ao.. 1 ■f 7 nl nun - ■.+m ll • ►w ■ o..• 1 ■.■ •- :11�■ •.. .■ -_. ( ■u � .•.■ .••r� n wl■ .�■ ..-nun_ - ram+.- u .Win./ ■• .u�■ n ... ..•ru w . .ew■■r wY- .,um - - _ ■.• .�■ . e:�.n I u • ul �■ +:■■ .�+■.ur • �■■u �c o ►stun - r ut n.: t ■ • i■ • ■ -i..�l.•:1■oa ••.■ ■ .�- n u_n. •.l n :• _n- nl .m r•..:+•:n n. a■. ■.. . •.• ._ - .n e■:+■m J . .■ 1 Rio.ti `•• ur Tlie Co€ ptornveaith of-Vassachusetts D tinerst of rirdr strict AccideYL& l'�,f w-e of rmwfigafions 600 Washbigion Street Boston„MA 02111 - wimmasa gorldia Workers' Compensation Insurance Affidavit:EuildersiContracturs/Electricians(Plunbers Applicant InfGrmatFtrn Please Print Le. Na= T k Can,A Address_ �j c,110� ee City/Sta,& Phone it �O l-} Are you an employer?Checkthelappropriate.ban TYi}e of project 4_ I am a eireral contractor and I p iect(r �': 1.El I am a employer with ❑. 6- ❑New construcEiort. �.�employees(full andlor part fiime�* have lriredthe subr-contactors � , I am a sole proprietor orpartuer- listed on the attached sheet, 7. E2,1�nodeliriia scup and have no employees. . These sub-contractors have g_ ❑Demolition working forme in any capacity. employees and have woAkers' 9. ❑Building addition'. LNO worlous'camp-iracnrrnce. Comp.insuranmt . required-] 5. ❑ We are a corporation and its 10.❑Eleddcal repairs or adcritsons 3.❑ I am homeflumer doing all work officers have exercised their 1L❑Plumbingrepairs or additions myself,[No workers',camp- right of exemption per MGL 12.❑Roofrepairs insurance required-]i a 152,§1(4) and we have no employees.[No worms' 13. other comp.insurance iequired.] 'tiny app€ic=ftt cbedm box#1 nmst Elea Moot the section below shovrkZ tLekworkere camp—satiau poliiey infozmadan- Zameoaraeswho submit dsis afiidz%Fg inicatmg they are doing Wwa t sad then him amidecontactorsnmst so'hmitanewafdn t inAicmdug.Sstch fCoatactorsthd rhackthis boa must attached aaadditiond sheet shouang the nuaeof the sib-cam=ctxs and state whether or not those e¢titieshave empiayees.Tfthe mt-cont ctn.chnm emplayee%theynnutpntride their workers'-comp.policy number- lam an errtpZgvr fltatisprai ding workers'compeasditTit insrirauce for wy e>lfpioy�em Selaty is diepoUcy and fob wile inLfOYJlialiDtL IStsurance CompmYName- Policy 4p or Self--iris-Lic. k Fxpiration Date: Job Site Address~ Citylstate zt pl Attach a copy of the workers'compensation policy declaration page(shouing the policy number and expiration date). Failure to secrim coverage as required.utider Section 25A of MGL r 152 can lead to the imposition of criminal penalties of a fine up to$U-0D 00 andrar one-year imprison—t,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250-00 a day against the violator. Be adtdsed drat a copy of this statement snap,be forwarded to the Office of 1mvestigations of the DIA for insurance coverage irmifica ion.. I do her•.eby eat 711,:L ndsr the paints andgenaWes afperlmy fhatthe infbrma#ian prinlAd hbm a is h7m and ctrrrect Sisnatu[e: Date: to Phone A- C1 Official um atnfy..Do not wrote in tfds ltrea,to be cormpWed by city artoirn of)rciaL City or'Iaww Permiff tense if Issuing An1harity(circle one): 1.Board of Health 2.Building Department 3.C ity]Town Clerk 4.Electrical Inspector S.Plumbing inspector 6.Other Contact Person: Phone 9: - -- 6 Information and Instructions �y hfaccarJmsctfs Geaeaal Laws chapter 152 retparm aII employers ln,provide wo�em'compensation for their-edrgloyees. Pursromtto ibis sty,as enpl�,�is defined as_"__every person`in i he service of another nnder any comt7aot ofhire, express or implied,oral or wrhmf An ervplayer is defined as"an mdiyidnal,partner-14,ass:Ddab on,corporation or other legal ertf Hy,or any two or more of the:foregoing engaged is a joint entrzprise,and incTn�the legal represmnfatives of a.deceased employes,or the receiver or trustee of an individual,partammhip,association or other Iegal entity,employing employees_ However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of fha - dweMrig house of another who employs persons to do mainteamm,construction or repair work on such dwcRing house or on the grormds or building appurt mawthereto shall not became of snich employment be deemed to be an employer." MGL chapter 152,§25C(6)also St3 S that"every Sf or local Iiceasing agency shall withhold tize 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." AdditionaIly,MM chapter 152, §2SC(7)states'Neither the commonwealth nor jay of ifs political subdivisions shall enter into any contract for the perfmanance ofpublic wo=kuntil acceptable evidence of wrapliancewit'h the n,crrance. requirements ofthis chapter have beenpresentedto the contacting mihmity_" Plies , Please fill out the workers'compensation affidavit completely,by checking&e boxes&at apply to your situation and,if necessary,supply sub-conftactor(s)name(s), addresses)andphone n�ber(s) aIongwithti�ezr cerfifrcate(s)of ingar nce. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)withno employees other than the members or par[neas,are not required to cant'workers'compensation iasruance If an LLC"or LLP does have empIoyees, a policy is required. Be advised that this a$dayit maybe sabm��to the Department of Industrial Accidents for confirmation ofmsurance coverage- Also be sure to sign and date the affidavit The affidavit should be ret=ed to the city or town that the application for the permit or license is being requested,not the Department of Ln2nstial Accidents_ Should you have any questions regarding the law or ifyon.are rcgabmd to obtain a workers' compensation policy,please can tine Department at the number listed below. Self-fim red companies should enter their self-mmn=ce license number on the appropriate lime. City or Town Officials Please be sore that the affidavit is complete and priated.legibly. The Department has provided a space at the bottam. of the affidavit for you ti)Ell out in the event the Office of Investigate=has to coact you regal ding the applicant Please be sure to fill in the peunit/Iiceme mmnber which wM be used as a reference m tuber. In.addition,an applicant that must submit multiple petmWHcense applitalims in any given year,need only submit one affidavit indicating cosent policy i ofb=ation(if neces-sary)and under"lob Site Address"the applicant should wiite"all locations in (city or town)-"A copy of-the affidavit that has been officially stamped or•matted by the city or town may be provided.to the ' applicant as prooft3hat a valid affidavit is on file for future permits or licenses A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bmm leaves etc.)said person is NOT recpired to complete this affidavit The Office of Invtsgadom would at to ibank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commm tth of Massacah�i#s , Degailmmt caf liid stdak Ao,-,idents Office of), gato= 600 waffivoa Boston,MA 0�111 Tf,-L 4 617 727-4900=t 4-€6 or 1977 MA S 4AM Fax 9 617 727 7M 1Zevised 4-24-07 .mas�;_gav i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2DIz,&3q� LZ Parcel '- Application # Health Division Date Issued `` l i Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street ddress Village Q.(II✓l I,- Owner Address Telephone Permit Request d2 lGl LdYI �z ��' /2 A4 61 a 2-Z2 Cl l l�leSc 32 Deved rc �c� ' Q �r �y 35S5 �``u l0�ie 3zo Q� ll t1zC AC& o Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ^ Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family is/ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ N Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION r (BUILDER OR HOMEOWNER) r Name �' �� 'v� ✓G1�iJ ,��l�/ Telephone Number _ZeZ r�/2/ Address License# Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ��Z FOR OFFICIAL USE ONLY r 't APPLICATION# DATE-ISSUED ; c MAP/PARCEL NO. ADDRESS VILLAGE OWNER S DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING E f DATE CLOSED OUT ASSOCIATION PLAN NO. d — , . � "✓�C9��i.c�Ojc �12"f�4 ��d i��l��i"a�l�i • __,��`�E=:��, 10 Park Plaza - Suite 5170 a e Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration:, 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC HENRY CASSIDY 455 YARMOUTH RD, HYANNIS, MA 02601 Update Address and return card. Mark reason for change. -..I Address Renewal L I, L'niployment Lost Card Ulli.e I/-�:ul,uuler:\fl;u l3us�ne_ liegul ttion License or registration v;;lid for i::clividu! s!; �j }' ulcli,etGl before the expiration date. if fouud return to: HOME��II'p�6��1(l�` 'f:'(71V 1`1'�AC1�E51�` Registration: 153567 Type: Office of Consumer Affairs and Business Regulation Expiration: 12/15/2012 Private Corporation Lil Part:Plaza-Suite 5170 Boston,MA 02116 .SOD INSULATION, INC HENRY CASSIDY 455 YARMOU fH RD. HYANNIS,MA 02601 Undersecrelary /talid une - �J;i,,.ik hosciis-11cllartinent ul•Public tiafeh Bv;ir l of Btiildin!� Ro tilatio ns and Stand:11-ds.- konstruction Supervisor License y Liceli CS 100988 ' HENRY CASSIDY 8 SHED ROW WEST �ARMOUTH, MA 02673 Expiration: 11/11/2013 t 111111111•^I11•'1 Tt T• 7620 e. s No, 1605 K Client#:4597 CCINSUL ACORD,., CERTIFICATE OF UABILITY INSURANCE DATE(MMIDDYYI- 07/02i2012 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 CONSTrruTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:I--�f the cartjficate holder iF an AbDITIONAL INSURED,the Iaolicy(ies)must be endorsed.1f SUBROGATION 1S WAIVED subju(:t lu the tetras rand cundltlons of the policy,certain policles may ruy,dlis all endorsement.A statement on this cerlificute doeti not confer ri Ills lu(hc Curtiflcate holder in Iiou cif such elldor$emen(($). 9 NRODUCER Rogers&Gray Ins.-So. Dennis NAME: Mar aret Youn _ PNONE 508_760 4602 rtix 434 Route 134 Arc No Ex,. uc N�. 8%%•B16.2I�G E•MAII _.._—.--.. -- SDuth Domus, MA 0261i0-iti01 _ 508 398-7980 `IN&URER(0)AFFORDIN13 COVERAGE I—_NAIC N '"""'--------- INSURBRA;Peerless Insurance _ •10333 INuUREU C: ------ ape Cod Insulation Inc INSURER a:Evanston Ins m urance Copany 4;S5 Yarmouth Road INSURERc:Atlantic Charter Insurance --- HyaruTis, MA 02601 1k INJURER.-.Commerce Insurance Company 34754- INWRER E: — __ IN6f,IRER F: --- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER; 771I8 1—TO CERTIFY THAT THE POLICIES OF wtiURANCE 1-*TED OCL OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INUICAI ED. 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 THI_ POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL. THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVFF BEEN RGDUGED BY PAID CLAIMS. LinTYPF,OF INSURANCE ADDL SUER POLICY EFF POLICY ex -- PaLlcr NUn+ReR MMIDDIYYYY MMIUD/YYYY UM17s A GENERAL LIABILITY C6P8263063 4/01/2012 04/0112013 EACH OCCURRENCE �1 UUU UUO X COMMFRCIAL GENERAL LIABILITY pp hh��,qq kkTT EPITEO Pf1L=M�kS .a nrcuirence 10O OUO CLAIMS-MADE OCCUR MED EXP(Any ono peroorU $5 000 PERSONAL&AOV INJURY $1 000 000 ` -- GENF_RALAn4REGATk $2,000,000 GE_N'L AGGRLGATE LIMIT APPLIE$PER: PRODUCTS•GOMPIOP AGO s2,000,000 POLICY ' PR11 o- El LOC _ _ $ h AUTOMDIiILkuABIuTY 12MM8CKVN'IK 4/01/2012 04IO1/201• COMBINED SINGLE LIMIT —_ Ea amidenl1 1 000 000 AIVY AU3'0 - BODILY INJURY(Pu i,...un) ALL OWNED X SCHEDULED AUTOS _. AUTOS AUTOS BODILY INJURY(Pee z,a:id0nl) S X HIRED AUTOS X NON-OWNED PROPERTY DA�1M QED -- AUT03 (Par nccWanll — 9 ti X UMeRFLLA LIAB OCCUR XONJ453512 4101/2012 04/01/201 EACH OCCURRENCE' $1 000 000 ExcEtiy LIAR -- CLAIMS-MADE AGGREGATE Isl ODU UUU DEL) X RETENTION 10000 W - C URKERaCOhIPENBNTION VIICA00529J0<,- 6/30/2012 06/30/201 X WcsiA7u; oni. — ' --AND EMPLOYERS'LIABILITY ANY PROPRIE'O P 8 C r �OuTIVR N DFRCER/M�MJER kXCTdO NIA E,L•EACN ACGI()FNT 1,000,000 it Y06,dewiba Und E,L.DISEASE-EA EIOPLOYEE 11,000,000 Ir yen,uew;Aon,/ndnr _— DESCRIPTION OF OPERATIONS below _ ._— E.L.DISEASE-POLICY LIMIT $1 000 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES(AUaah ACORU 101,Addl,lonal Rwn ,kc S;;hlldule,I(PIprB itpRC810 r@gUIr6Q) -Workers Comp Information 11 Inc►uded Officers or Proprietors Certificate Holder is Included as an additional insured under General Lia0ility when required by Wrltton contract or agreement. CERTIFICATE HOLDPR CANCELLATION T Cape God Insulatiorl,lnc SHOULD ANY OF THE A13OVEDESCRIBEDPOLICIE$RECANCFkLFPt3EFURL• THE EXPIRATION DATE THEREOF, NOTICE WILL 13E DELIVERED IN ACCORDANCE WITH THE POLICY PROVIJIONS, AUTRORIZE0 REPReSENTATIVE 1B0 -2010 AC014D CORPORATION,All rights reserved. ACORD 16 U5) 1 of 1 The ACORA name and logo aru roglstered marks of ACORD f1S89949/49/M83d4f) MAY The Common ii rrth of Massachusetts Department i l i)Justrial Accidents w Office ,:l lovestigations - - 'si —__ 600 1.1 i r.h o igton Street w (,� y Bost, :. 'l1A 02.11.1 VV11'Ii i::„s'.�•.goV�CllLt �Vo►rlccr's curr►1)eitisatibn insurance. Affi4t,:::1: tiuilders/Contractor•s/Electrici-tiis/.l,Ititi.lbet-s Ai)lalicaut lnforrrratit.►n 'lease Y'rittt l...egibly :nit (liu�tu( s/Urban►.Z.2il1C?I'lLLll(:[1Vll[lkll�: c / Q 02 a�Z 'f�T5 - Z-11� O 11 C you all employer? Cllecic the appropriate box; Type o1'pt'u,jecl (rctluired): I � I.tin a r.utplUyt:r with). - -_-- `l Q I am ac,l,i.,l contractor and I have 6. New corlStructiort cull,luycC5 (I'ttll anii/or pzu't-tirtle.).'r hired tll, �id, .,owractors listed on 7. Rcruotae.liiti the all ilc li,,,i [] I all a ;tile' prUptlt:CUr Or hdrCrlCl'SI"Ilp These stir, :,,ntnnCtors have 8. Demolition old Inavc nu cuil_Aoyees working for employ ,:.:aid have workers' comp. 9. Building addition ulr in any capacity. [No workers' insurauc` i to, wcctrteetl r'Cp il'5 Ur inldIUU1IS c,nlip in.ulra CC rrilulrCd j 5. We are;i;.;,p ration and its I olhcers'il:lt,. i xovised their right of 11. Plumbing rc parrs ur aclditians L.1 I aIII a hollleuwiler cJoing all work exempll(al I,r I\rtGL c. 152§(4),and 12. Roof t,ep tics ❑ryscll [Ntl wurkrrs' comp. wehavc ij,,,n ployees. [No workers' 13. OthCr��Ctr�"ic'hj(tt.fi�'�) u(suriulcc Ct,Ctuu'CCI.j '[ comp. ul::(:r: uc'c reQUlred.j F n,gipla ant that chucks box.41 roust also fill out the section below shot)m- h,ir'workeis'compensation policy information, bnucu.vucn uhu submit this affidavit indicating they arc doing till Wo,l,.0 J ILru hire outside eonuacnors must submit a now affidavit indicating such. it ,Inn lrt,.,n that c hcc:k this box roust attach an additional sheet showin"[h, it:,w,of the sub-connactois and state whether or not those entities have emlloycr., If 0 ii,,;'till,uill,u.a,n have Cmployccs, tricy roust provido their WOrkCrS•COu,I:! 1111 i uumba'. t um an employer that is providing workers'compensation Ho i ance f it my employees. Below is tlle.,poliey and job site tit{i,rrutttion. luiurun:r l.'outp,uty Nttn"teA: 1 �� 1 1/'i ��-_I" - tVL Policy tl to :.sclt-ins. 1_ic. #: r � �� _. r._. Expiration Date: I,Ib Luc tiddrr.ss: ._� _...'...__. City/State/Zip: .atlach a copy of the compensation policy declaration pago ta,ilwing the policy number and expirittinn elate:). I Auj to scenic covorttpc as requiicd under Section 25A of MGL c. 1 i',.III Icad to the Imposition of criminal pCoallics of u fin Up to$,I,50Q.00 iii0w 011(''•c:ir llul)tlsunrnr.nt, as well its civil perialLies in the form of a STOP G i tl:l:ORDER and a fine of up to$250.00 a day against the violator. Be;ulvised li,.0 a :,,py of(Ills$tatelficn( lilt e forwarded to the Office of Investi ..ul.•i s vi the DIA for insurance coverage verification. l elo here c I-if' under the pjairts and penalties oj'perl.m-v that the information ro ided above is true and eorrect. liuzuurr.: Date: b ---._._ 1'lunit�il: � ' (Ticit'i use wily. 1:)J rrot write in this area, to•be completed oi,I iri'ortown official City ur'howtt: I'crmit/[icense# Issuiuh e#_ithurity (circle Otte): I.lk,ard of health 2. Building Departrneill 1 Cit)/'i o,rll Clerk 4.Electrical ll►spector S.Plumbiltg4uspector b.Othel l:untart 1'rrsui: _._.... Phone#: OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at q \n/6.51,;cc ton Ave 'l (Property Address) —' ti yan n s.p . Al A 04 g� (Property Address) ' hereby authorize C %p-/ -) (Subco actor) ' an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. X � Owner's 1gnatu Date c q`1�� CAPECOD �� OF SA 6 1 INSULATIONS . 16 A1- 6 2 7 NY MITI Y SepM[[SS fpYpf FOAM SYSP[NORO YATTS 6YRfYS WfYLYf10N- C[I[INOS 1-800-696-6611C= 'Gown of Barnstable Regulatory Services Building Division 200 Main St Hyannis,pMA 02601 Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed.on the building permit application. All work has been inspected by a certified Building Performance Institute (BRI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village q Insulation Installed: Fiberglass Cellulose, R-Value Restricted, Unrestricted Ceilings (A-) (30 ) ( ) Slopes ( ) ( ) ( ) ( ) ( ) Floors Walls — f Atk �eallvl Sincerely He ry E C:as y Jr, President C• e Cod I , u)ation, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_— � 1 Parcel ppli' ati(n# �O — Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee 3 S Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street ddress Village cJ ,, / Owner / Address �",a, � Telephone 7 / Permit Request ` C L .l �ZZB 'jQ�l Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project ValuationA �'U Construction Type—WAtar Lot Size / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family a--," ' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sglla Number of Baths: Full: existing new Half: existing " new} c-) ` Number of Bedrooms: existing _new b+ Total Room Count (not including baths): existing new First Floor Room Count Zn 3 Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other CD Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Au orization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) � QJ /�/�li��ts� Telephone Number VO(pZZ�22J�— Address ,� �� .� /.� License # l Home Improvement Contractor# Worker's Compensation #� l/�� ,� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0 0 SIGNATURE DATE t FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: t FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' t j GAS: ROUGH FINAL. ti FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 1 Massachusetts - Department of Public Safct� Boar(f of Builkling Regulations and Stan(lards, o constraption Supervisor License Licen CS 100988 4 HENRY CASSIDY 8 SHED ROW WEStT.'*ARMOUT:H, MA 02673 Expiration: 11/11/2013 ('nuntissiuttur Trt#: 7620 w0wwt0w;0eM1W11 0/14 _- Office of Consumer Affairs and Business Regulation -- 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/Zb14 Tr# 233831 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE ----- _ .. SO. YARMOUTH, MA 02664 _ Update Address and return card.Mark reason for change. Address Renewal F] Employment 1_1 lost Card sCA r �, 20M-051, A �o-nrncc�ircFerxlCl of G�ll<rsdac�u.le Office of Consumer Affairs& Business Regulation License or registration valid for individul use only IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 153567. Type: Office of Consumer Affairs and Business Regulation xpiration: 12/1`5/2014 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 f CAPE COD INSULATION�`.:INC:. HENRY CASSIDY 18 REARDON CIRCLE -^"'" ,.� ,�•:,•.�,;,�.,�•�t�*�,..,.,. .,, .. .. . SO.YARMOUTH, MA 02664 Undersecretary of val' witho t Zat re I The Commonwealth of Massachusetts Pnnt Form ,--- Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 ry Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual): (, 6 a Address: �ul h V G DIII l,rd j City/State/Zip: V I/4L MA' Phone #: yJO�- 7 ' - !Z I Are you an employer? Check We appropriate box: Type of project(required): I. I am a employer with M 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp.insurance.: 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof re airs insurance required.] t c. 152, §1(4), and we have no �j � 't J D employees. [No workers' 13.� Other W Kl�V comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *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. I f the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. CkAvhv Insurance Company Name: akV�f,,c, 1M%J(a06&. Policy#or Self-ins. Lic.#: WG�OD l Z� �D� Expiration Date: (�` Job Site Address: 44j%, City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expi ation date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cer�-Ver the pains nd penalties o er'ur that the in ormation provided above is true_and correct. ' Signature: Date. Phone#: ILI Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: I N I o V') I ' GllentM: 4507 CCINSUL A`iC0; ;D,., CERTIFICATE OF LIABILITY INSURANCE IJAICIM1IhII+)I;,Y;,Y,_- 1"HIS CFk'I11=ICAl'L-:lS ISSUkLI A�i A MgTI Ely OF INFORMATION ONLY AND CONFERS NO RICiHT3 UPON THE CERTIFICATE HQLGCIR`+11101S' CERTIFICATE DOE-, N01'APFIFMAI"tVE1_Y OR NEGATIVELY AIK-KI,EXTEND OR ALTER TFIE COVERACI!AFFORDLD UY TI-11:POLICIES ksI L,Uyy.THIS CER'nFICATO OF INSURANCE GOES NOT CONS'Ih a IF,A CON I"RACT BEtWE.EN]'HE IS:UING IN:iUl�lil�(8),AU I IIQItILLD R REPRC$LiNI-AI IVr_" (ll�F,F10DUCER, AND T-HF CERTIFICATE I10LOL:R. Ih'PURTANT:Ir tho r.erUflcatu hul,lar ie an gbDITIUNAL IN$Uf;r1 Ihr IluIicy(ids)must ba endulsed.IF SUEIROGATION 1;J INAIVLt1,su1)Iala to tnc(t,I(lid unLl(-unUllltanx of the pulley,ca)-tcyln l)ullcfen n)ay Io vd� all widwaam int.A 5ta(qulCrlt 01)this ctdrtil'icutr.tICIL`;I nut t:htnlbr nUllls kt the uulll .11,nuhi`f i11 IiuU c,If -,uch t>I'ICIULJ4'nlanl(9). ___ .._..._.... ..--"-- I iljfC,S t1 C;IYly 111:5. -so. Oibr Rt$ NAMF Mal' alet YUU11[I Isd huutu'131! PNONfltoe No euI E-hIAIL ".'----------------._..._._-LC.Nei1.:...1�//•tllt)��)'IJh :iulltH tlunnl , MA U2LjG j() 9GU'I I . 50H;4`?Ii;l£)R0 � muunhr+lulAFronntnucov�r+Anr: ,v;�)�H Nsw+tNA;Pee1`105,s InsuraI1C0 .331.-___ - ._._._._..__._,___....... _..-- _ wsuRl:l;a,Evansl0n 111wranco C:c)li L'alpz cod lnsulatlon Inc _.._.-._.. ;l`,`•i 1'1lrlru)utF, Ruacl INsureec:Atlarific Cf1+u'ter Insurculcr. HVy llli3, MA 0260'1 1NyuRreo•Commerce lntmance C'unlNiny .... _...----- --- _.,_..__.._.......... .. . . u+sur+r'R e _ --- — _..........--- - 4EIt1IF ICACLNUMBER' __ RI_VISIOPJ NIJMUL=Ft. hh n +I:It l u l' rnA l I HE N0L IL IF , l)r wtiutz yNCE LI$'I EO bta..�II HAVE BEEN(SSOED TO'I HE INSURED IJAlv11�D ABOVE I UR I Hk Pt)Ll l PL'rtluu .IJLII:AIt.L'. IJVIWIII-11i'1'riNDINI; ANY N(lOUIRENIFNT, IN%l OR C IN111Y10h1OF ANY CONTRACTOR OTHER DOCUMENT WITH Fil=tiPl_CT 1'0 w1-UCI-I u11; GKnFIGAIL:. MAY LSI. 13SL1E;0 OIL MAY PERTAIN. THE INSURANi:r: nf-rOR060 BY THE POLICIES DESCRIBED HEREIN IS SU0JL=G'r 'r0 AI_L. lTit'' TInMS, l-,�CLUSION5 ANO CONDIT-ION$ OF SUCH POLICieS. LIMITS SHOwpj III,,Y fr,�V�p�N REDUCED By PAID CLAIMS. AOOLWaR -----l trt I'YYH CIf=1NyURAN(:E � POLICY FFF iMMiaONYYY) IMM)OU111'YYI _ A ti61VLW1l.LINIIIUILl r1' �^ ---- --- LIM1IPri: - CBP826306:; 4101/2012 04l01120'Ij eAc"Oecurtl+t:NCE---x :Uh1hC1LLARICMU;ik-Lh 7GALUNL.F+A_L LIABILnY 1x I oDUuU Nl_)I_ -UU. ._.-_• (_X accurt Nlko e.Ar(Any an,) all r<tiRB,jNA1.6 ADV INJURY 31,000 UUO _ --- _.....----•----- GENERALA01;1RGElAIk $4000,U00 l...l•!l A4,:HL.(1gl k t.IMn�APNLILi tI PkR: ^'.�"---•^• .__.,-..._.�-...__._ ' -"-"- rt UGT'i-CQMI'IUIIAG Y1QUII1111U � 12MMaCKvmin 4l0712012 041U112>01, )CI(OhllJ114fa)C3 dl'A:II SINGLE LIN11T ]II--.__......__ 1j 000 kl(lU NV r nl)I U OOUILY'INJURY' Pam, $ UWN[:U X tiL:rl L"I')ULL`❑ .---.�-_.____,._-_...__.._..._._....-_............ .. ... AVID) AU-I'U$ BODILY INJURY IPur:w.a4nl) Ic NON-OVVNEp X rdi(EU AUIOS _........... _. ..... __.._.... U X umalttLLA uAN ( _..__ CCAIR XONJ453512 EiAcU DC.Cur(NkNcL 411 000 000 lil k1t LIAtl CL .. AINIS-MADE AGGr<h_C:A I'k 4%1 lIOO UUU r+,_Ir.lvrluN�IUUUt1 - �- - — ovunat l uhlhENUAIION — - ANU!-MPLOY'E+14 IIALIILIIY WCAOU525JU_' ti13012012 UG/3Ul?09, AwrlRnurllu n +,v Lr F ] JL N MM �,IF�st cu rlvK Y!N C.L,G [:rI Ar CtOr;r+'I' 1 UUU UUU OFFIL6) Nf 1 1 li L�C�.UnL l]h AI( N I A (hlmnlulgry n1 NN( :-J BNI:A$'L..t o GIYIh1.OVEL :a'I UUU UUU ptrtiilNlr rlON OF OPEI�ATIQNS Ucluw E.L.DI3CA6L,P01,IC1'Llkiff y'l QQt1 UQu Uryl;ryll'IIUN UI'UPtkAI IONS'l LOCA PIONS I VLHICL6S(A,laah ACORU 101,Addhlnnal i<:,ina;p�pyhtl4u,tl,II InPltl tlpHCU 16 ItlrIUhuUJ Workers Curnp Infonnution`^ 6u'hltlutl Offlc'ertS Qr PI-Pp1"10tors - (.artlrlcace 1I01dW is lnulcidQL4 wi an additional insurad Unaut Gonciial Lii Oility whon roqulrod by written contract or agreement. - ------------- — CEIflTIFICAIE•140LUER CANCELLATION Cripv.GcLd IIIL"u1.-11iujI,I11C 9HOULD ANY OFTHEAEOVE t:sCIs164QPOLICIE'4iuEQANLltl.LI:Puf;IOk( THE EXPIFtATION DATE THEREOF, NO.11C:E WILL BL-: DELIVEkEu IN ACCORDANCE WITH THE POLICY PROV13101,13. AUIhQRIZLUREPkVSL'NIATIVE - 1u0 2010 ACORO CORPORATION,All ilyh n':Iaryati. 1 of'I The ACORV Hymn and 1000 aru roljlslerUd marks atACORD 1f5tisti441IMti384t1 MkY , r� OWNER AUTHORIZATION FORM G� (Owner's Name) owner of the property located at waS i n ton A ven Property Address) Nva n n i's Pof--f . mig Opo (Property Address). hereby authorize Cv /69 (Sub ntractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. �.,. .. Owner's SignatQe- Date a .m„ r (� Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee ,2 = Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PENT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Lnprint Map/parcel Number Prop Address q 6cJy�`��l A —Td'& Residential Value of Work Sid ' Minimum fee of$25.00 for work under.$6000.00 Owner's Name&Address ame Telephone Number Contractor's N Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance -PRESS PERMIT Check one: I am a sole proprietor MAY 220�7 I am the Homeowner ❑ Ihave Worker's Compensation Insurance TOWN OF BARNSTABL Insurance Company Name Workman's Comp:Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 4 ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ -roof(not stripping, Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) A.7 *Where required: Issuance of this permit does not exempt compliance with other town e }a fin@ i�e�oricH Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home mrvwent Contractors Li s�� ! ! Z SIGNATURE; Q:Forms:expmtrg Revise061306 r The Commonwealth ofMassachusetts Department of Industrial accidents Office of Investigations d 600 Washington Street Boston,MA 02111' w►immass.govldia ' Workers" Compensation Insurance AUdavit: Builders/Coutractors/Electricians/Plurubers Applicant Information Please Print Legibly Name(Business/Organization/Indiyzdual): �E-6-1iy 'Ve5k)��VV\ . Ad6ress City/State/ZipgiV/10015 Nkt M11, 626V)Phone.##: � �� r) Are you an.employer? Check the appropriate bog: ;Type of pioject(required):• 1:❑ I am a employer Io er with 4. I am a general contractor and I 6. ❑New construction . 'employees(full and/or part-time),* • have hired the s'ub-contractors 2.❑ I am a'sole proprietor or partner- listed on thvattached sheet. 7. ❑Remodeling ship andhave no employees These sub-contractors have 8. []Demolition �vorkin for me in an capacity. employees and.have workers' g Y P ty 9, Building addition [No workers' comp,insurance comp,insurance.# jequired.] 5. [] We are a corporation and its 10.0•Electrical repairs or additions 3.0 I am a homeowner doing ill-work . officers have exercised their 11.❑Plumbing repairs or additions ' myself.[No workers' comp, right of exemption per MGL 12.❑Roof repairs insurance.required.]t c. 152, §1(4), and we have no employees. [No workers' 13.7 Other comp,insurance required.] *Any applicant that checks boz tl must also fill out the section below showing their workers'compensation policy iriffmznation. t Homeowners,who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the Sub contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Frame: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(shovr ing the policy number and expiration date). FL.,=e•to secure coverage as required under Section 25 A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK,ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Of ce of Investigations of the bIA for insurance coverage verification. Zdo hereby under the pains nd enalries of perjury that the iriforrr�aton provided ab ve is true and c�erect. Signature: 1 Date: Phone#: C J 4 Z QJ"rcial use only. Do not write in ibis area, to,be completed byciry or town official: City or Town.: .Permit/?�icense r Is.F ing?uthority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk S.Electrical Inspector 5.Plumbing Inspector 6.Other Contzct Person: Phone#: 1HE Town of Barnstable pp 1p� - yWP' Regulatory Services > BARNSTABLE, Thomas F. Geiler,Director MASS. 1639• Buildinu Division lEn � Tom Perry,Building Commissioner 200 Main Street, Hyannis,NLk 02601 vs?ww.town.barnst2b1e.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION PIease Print DATE: c� - i ` JOBLOCATIO?\: �I U��` �•cJ., �,�-:9�1 �—,.J"�� '+ number street village "HOMEO'WINER": RCS "n �C%tJ� name r home phone# work phone r CURRENT MAILING ADDRESS: . b.AS N (8ti Ato i i kv:t o ti tip city town state zip code J , 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 homeov,mer. 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"homeo,vmer" assumes responsibility for compliance writh 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 re ire ents. c Signatur o. wmer 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 perfom'ung work for which a building pemvt is required shall be exempt from the pro-,isions of this section(Section 109.1.1 -Licensing of construction Supervisors);prodded that if the homeowner engages a person(s)for hire to do such wonk,tbet such Homeowmer 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 homeowi,.er certify that he/she understands the responsibilities of a Supervisor. On the last'page of this issue is a form currently used by several towns. You may care t amend and adopt such a form,/cenification for use in your convrmunity. Q:fo,-mshomeex errtpt k' v t t v 1 ^ w —r r r! z -- . r ,m m t - a tI J I I x TwY . , a _ _ .rm u � e i f� , p y , T CAPE COD INSULATION lq7N-01- I q N® NBBR OIARS SBAMISSS SPRAT TOAAI SUSPSNOBO BAT" OUTTSRS m3uu1NTN QUM$ J 1-800-696-6611 Town of Barnstable �I Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: ,Z3 Dear Building Inspector w Please accept this Affidavit as documentation that Cape Cod Insulation, Inc performed' completed the insulation and weatherization work at the property listed below. , ape Cod 53 Insulation did this in accordance to the specifications listed on the building pe ° it application. All work has been inspected by'a certified Building Performance Institute k M17 (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. ; IrTv Property Owner Property Address Village . t Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings 6C u q f / Cx5 3r) Slopes Floors Walls ( ) ( ) ( ) ( ) R ( ) A*r J" c� Sincerely He y E C sidy , President Cape Cod nsulation, Inc. v � 2016 J=e L i HI�� r�•.. Town of Barnstable N: i rIj.,.N Growth IMahagement Department Samstable Historical Commissicri •ivwx.town:bamstable.ma.us/hisiodcalcommission NOTICE OF INTENT T®.DEMOLISH A SIGNIFICANT BUILDIN '� Z September 22 , 2016 Date of Application ❑rull Demotion Partial-D�moliuon 4 Washington Avenue Building Address: ? _X3 Number Street 9 -_ Hyannisport 02601 Assessor's Map# 287 (Assessor's Parcel# - Village ZIP : F_ Properly Owner. Michael Olson, 4 Washington Ave., LLC (617) 894-9597 rn Name Phone# Property Owner Mailing Address(ifdifferent than building address) One Longfellow Place,#1818,Boston, MA 02114 Property Owner e-mail address. michael@rhinocapitalllc.com Contractor/Agent: To be determined Contractor/Agent Mailing°Address: Contractor/Agent.Contact Name and Phone#`. Name Phone.# Contractor/Agent.Contacfie-mail address- Detail of Demolition Proposed_. Modifications to the mid-to-late 20th century enclosed porch including removal of the existing aluminum storm winodws and installation of new aluminum clad wood windows with simulated divided lites in a six-over-one configuration. Removal of tower windows and door at the first floor and replacement with french doors. Type of New Construction Proposed: Replacement of existingenclosed porch windows with new aluminum clad wood windows as noted above and installation of new french door's at first floor of tower. Reclad exterior of porch with new cedar shingles to match existing and installation of new wood trim and lattice. Provide information below to assist the:Commission.in making.the required determination regarding the status of the Building.in accordance with Article 1, § 11.2 Year built: ca. 1898 Additions Year Built: mid-to-late 20th century porch enclosure Is the Building listed on the-National.Register of-Historic-Places or is the building.located in.a National Register District? No L] Yes ( Hyannisport National Register Historic District &eel Property Owner/Agent Signature May.2014 • �O��Qn ��✓� ,Y . Ma - Town of Barnstable iOrEDrr+o+°i�� Growth Management Department Barnstable Historical Commission www.town.barnstable.ma.us/historicalcom mission JoAnne Miller Buntich,Director Marylou Fair,Administrative Assistant COMMISSION MEMBERS: . Laurie Young,Chair Nancy Clark,Vice Chair ; Marilyn Fifield,Clerk George Jessop,AIA Nancy Shoemaker Ted Wurzburg Elizabeth Mumford 0 i•_T September 28,2016 Re: Notice of Intent to Partially Demolish Structure 4 Washington Avenue, Hyannis Map 287, Parcel 041 ` Douglas J. Kelleher Epsilon Associates, Inc. Wit. a � 3 Clock Tower Place kw.l w-Y4 Suite 250 �j ss+ Maynard, MA 01754 �- a Ann Quirk,Town Clerk 367 Main Street, Hyannis, MA 02601 JPaul Roma, Building Commissioner 200 Main Street, Hyannis MA 02601 Pursuant to the attached decision,please be advised that the Barnstable Historical Commission will hold a public. hearing on this matter on October 18,2016 at 4:00pm, 367 Main Street, Hyannis,2nd Floor, Selectmen's Conference Room. This public hearing will be advertised, notices sent to abutters and a notice form will be posted on the building or other visible site on the property The applicant is responsible for advertising and mailing costs associated with the pubic hearing. Please contact Marylou Fair at 508.862.4787 or marylou.fair@town.barnstable.ma.us for processing information. Sincerely, Laurie K. ou g,C • 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508-862-4782 r Town of Barnstable eA ; 'E Growth Management Department' Barnstable Historical Commission f0 Mp'1 www.town.bamstable.ma.uslhistoricalcommission Jo Anne Miller Buntich,Director COMMISSION MEMBERS: Marylou Fair Administrative.Assistant - Laurie Young,Chair ° 201 :� 6EFc =,f•;1L,�` George Jessop,AIA Marilyn Fifield,Clerk Nancy Clark,Vice Chair Nancy Shoemaker �r� .'NSTN ,c i!_II,jIN i:(_c�:;; Ted Wurzburg Elizabeth Mumford I i Chapter 112 Historic Properties,Section 112-3 D. DETERMINATION of SIGNIFICANT BUILDING 4 Washington Avenue,Hyannis Map 287/Parcel 041 Pursuant to Intent to Partially Demolish.Structure The Barnstable Historical Commission received.a Notice of Intent to Demolish application for this address stamped by the Town Clerk on September 27,2016. i This property, located at 4 Washington Avenue,Hyannis,was built in 1898 and is known as the Captain Moses Sturgis House. It is a Contributing Building in the Hyannisport National Register Historic District;and is associated with the broad architectural and cultural history of this area. In accordance with Chapters 112-2 and 112-3(D), Barnstable Historical Commission.Chair has determined that this structure is a significant building. 6 t 200 Main Street,Hyannis,MA 02601(o)508.862.4786(f)508-862.4784 367 Main Street,Hyannis,MA 02601(o)508-862-4678(f)508-862.4782 r IKE DAMSTABLE, Town of Barnstable 1639 . � Growth Management Department Barnstable Historical Commission www.town.barnstable.ma.us/historicalcommission Jo Anne Miller Buntich,Director Marylou Fair,Administrative Assistant COMMISSION MEMBERS: Laurie Young,Chair 2016 AUG 4 Ptt1�.66 Nancy Clark,Vice Chair Marilyn Fifield,Clerk George Jessop,AIA Nancy Shoemaker BARNSTABLE TOWN CLE>~K Ted Wurzburg Elizabeth Mumford August 03,2016 Re: Notice of Intent to Partially Demolish Structure 4 Washington Avenue, Hyannis Map 287, Parcel 041 Andrew Philbrook Philbrook Engineering&Construction 107 Beach Street Dennis, MA 02638 Ann Quirk,Town Clerk 367 Main Street, Hyannis, MA 02601 Paul Roma, Building Commissioner 200 Main Street, Hyannis MA 02601 Pursuant to the attached decision, please be advised that the Barnstable Historical Commission will hold a public hearing on this matter on August 16,2016 at 4:00pm,367 Main Street, Hyannis,2nd Floor,Selectmen's Conference Room. This public hearing will be advertised, notices sent to abutters and a notice form will be posted on the building or other visible site on the property The applicant-is responsible for advertising and mailing costs associated with the pubic hearing. Please contact Marylou Fair at 508.862.4787 or marylou.fair@ town.barnstable.ma.us for processing information. Sincerely, Laurie K.Young air G (� 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508-862-4782 IKE °fI Town of Barnstable &MWgrABLE, Growth Management Department MASS ' `� Barnstable Historical Commission ATFO�p www.town.barnstable.ma.us/historicalcommission Jo Anne Miller Buntich,Director COMMISSION MEMBERS: Marylou Fair,Administrative Assistant Laurie Young,Chair George Jessop,AIA 2016 AUG 4 R-I12:57 Marilyn Fifield,Clerk Nancy Clark,Vice Chair Nancy Shoemaker Ted Wurzburg Elizabeth Mumford 1 BARNSTABLE TOWN CLERK: Chapter 112 Historic Properties,Section 112-3 D. DETERMINATION of SIGNIFICANT BUILDING - 4 Washington Avenue, Hyannis Map 287/Parcel 041 Pursuant to Intent to Partially Demolish Structure The Barnstable Historical Commission received a Notice of Intent to Demolish application for this address stamped by the Town Clerk on July.29, 2016. This property, located at 4 Washington Avenue, Hyannis, was built in 1898 and is known as the Captain Moses Sturgis House. It is a Contributing Building in the Hyannisport National Register Historic District and is associated with the broad architectural and cultural history of this area. In accordance with Chapters 112-2 and 112-3(D), Barnstable Historical Commission Chair has determined that this structure is a significant building. 200 Main.Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 \ 367 Main Street,Hyannis,MA 02601 (o)568-862-4678(f)508-862-4782 s Page 1 of 2 Fair, Marylou From: Sarah Korjeff[skorjeff@capecodcommission.org] Sent: Thursday, October 13, 2016 1:52 PM To: Buntich, JoAnne Cc: Jenkins, Elizabeth; Fair, Marylou; Doug Kelleher(dkelleher@epsilonassociates.com); Jonathon Idman Subject: RE: 4 Washington Ave Resubmission JoAnne and Marylou, I have reviewed the latest plans submitted for 4 Washington Avenue in Hyannisport, dated 9/12/2016, and believe they will preserve and restore the character-defining features of this contributing National Register building, particularly the tower and the wrap-around porch. As recommended in my memorandum to the Historical Commission on August 4, 2016,the proposed plans restore the front porch to its original configuration,with the porch wall at its original height and clad in wood shingles. New windows are proposed in the previously glassed-in areas of the porch, but they retain the same configuration of porch posts and openings as the prior windows. The proposed upper window sash includes divided lights, but still maintains the open feeling of the original porch and allows a view to the tower wall behind. The proposed plans will also restore the first floor wall of the octagonal tower, replacing its original windows with French doors of the same height and width. Given that this portion of the house is partially shielded behind the porch wall, I believe the change from windows to French doors of the same configuration is acceptable. The three windows on the interior wall of the porch are slightly larger to better preserve the original open character of the porch. Given these changes and the fact that all other original-exteri&features and building materials will be preserved, I believe the project does not constitute a substantial alteration to a National Register building and does not warrant referral to the Cape Cod Commission as a Development of Regional Impact(DRI).. Please feel free to contact me if you have any questions. Sincerely, r-- Sarah Sarah I(orjeff Historic Preservation Specialist Cape Cod Commission 3225 Main Street/PO Box 226 Barnstable, MA 02630 508-362-3828 CC) CAPE. COS COMM'ISSI N From: Buntich, JoAnne [ma ilto:joa n ne.bu ntich @town.barnsta ble.ma.us] Sent: Wednesday, September 28, 2016 1:13 PM To: Sarah Korjeff Cc: Jenkins, Elizabeth; Fair, Marylou 10/14/2016 _P�'�TNE�� GEMENrO ♦ - .. 9� * IARNSTABLE, MASS $' _ 1639• ♦0 Town of Barnstable °wN°FapaNSP� Growth Management Department Barnstable Historical Commission- www.town.barnstable.ma.us/historicalcommission COMMISSION MEMBERS: Jo Anne Miller Buntich, Director Laurie Young,Chair Marylou Fair,Administrative Assistant Nancy Clark,Vice Chair Marilyn Fifield,Clerk `tJ OCT`,Fr1L, George Jessop,AIA 04 Nancy Shoemaker Ted Wurzburg BARNSTABLE T0WN CLERK ; Elizabeth Mumford 'DECISION Summary: Demolition Delay Not Imposed Pursuant to Chapter 112 Historic Properties, Section 112-3 F Applicant/Property Owner: 4 Washington Hyannisport LLC, Michael Olson Trustee Subject Property: 4 Washington Avenue, Hyannis Assessor's Map/Parcel: 287/041 Hearing Date: October 18, 2016 Pursuant to the Barnstable Historical Commission Chair's determination on September 28, 2016 a duly advertised and noticed public hearing was held on October 18;2016 to determine whether the significant structure identified as a single family dwelling on this property is preferably preserved and whether demolition delay would be imposed for the partial demolition of this structure on the parcel addressed as 4 Washington Avenue, Hyannis. This applicant previously submitted a Notice of Intent for work that had already been conducted which altered many character defining features of this 1898 Queen Anne structure. At the August 16, 2016 Hearing, the Commission found that the work completed constituted a substantial alteration and referred this Contributing Building in the Hyannis Port National Register Historic District to the Cape Cod Commission. After an informal review by the Cape Cod Commission, the owner retained the services of Epsilon Associates, Inc and formally withdrew their previous application with the Historical Commission. Epsilon Associates, Inc. on behalf of the owner resubmitted a new application and plans that restored most of the character defining features to the satisfaction of the Cape Cod Commission, primarily the restoration of the wrap-around porch and octagonal tower. After review of resubmitted plans prepared by studio lArndtlarchitects dated 9/12/2016 and consideration of public testimony, application and record file, the Commission by a unanimous vote found that in accordance with Chapter 112-F the demolition of the portions of the single family dwelling identified in the plans are not preferably preserved, however, the parts of the significant building to be retained are Preferably Preserved and shall not be demolished. . In accordance with Chapter 112-3 F, the Commission determined by a unanimous vote that the demolition of the single family dwelling would not be detrimental to the historical, cultural or architectural,heritage or resources of the Town. Laurie K. Youn ! air Date 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508-862.4782 t o n* of Barnstable - ..il ice.._... .-...._.L. ...... ..__.... Growth Management Depairtment Barnstable Historical Commissich w m.town:bamstable.ma.us/historcalcommiss;on NOTICE OF INTENT TO,DEMOLISH A SIGN91173CANT SU90.1139MG Date of Application September 22,2016 ❑Full Demotion` Partial Demolition Building Address: 4 Washington Avenue • Number Street Hyannisport 02601 Assessor's Map# 787 Assessor's Parcel# 041 Village ZIP ' Property Owner. Michael Olson,4 Washington Ave.,LLC (617) 894-9597 Name Phone# Property Owner Mailing Address(if different than building address) One Longfellow Place,#1818,Boston,MA 02114 Property Owner e-mail address: michael@rhinocapitalllc.com CContractor/Agent:. To be determined Contractor/Agent Mailing Address: Contractor/Agent Contact Name and Phone#: Name Phone# Contractor/Agent Contact e-mail address: Detail or Demolition,Proposed: Modifications to the mid-to-late 20th century enclosed porch including removal of the existing aluminum storm winodws and installation of new aluminum clad wood windows with simulated divided lites in a six-over-one configuration. Removal of tower windows and door at the first floor and replacement with french doors. Type of New Construction Proposed: Replacement of existing enclosed porch windows with new aluminum clad wood windows as noted above and installation of new trench doors at first floor of tower. Reclad exterior of porch with new cedar shingles to match existing and installation of new wood trim andTattice. Provide information below to assist the:Commission in making the required determination regarding the status of the Building in accordance with Article 1, § 11.2 Year built: ca. 1898 Additions Year Built: mid-to-late 20th century porch enclosure Is the Building listed on.the National Register of Historic Places or is the building.located in a National Register District? No L Yes aj Hyannisport National Register Historic District Property Ownet/Agent Signature RIEVIE U E® OCT 10 2016 - May,2014. Town of Bamstable HiStorcal commission soon ASSOCIATES INC. September 23, 2016 PRINCIPALS Ann Quirk, Town Clerk ' Town of Barnstable Theodore A Barten,PE 367 Main Street Margaret B Briggs Barnstable, MA 02601 Michael E Guski,CCM Dale T Raczynski,PE RE: 4 Washington Avenue, Hyannisport Cindy Schlessinger Barnstable Historical Commission, Notice of Intent to Demolish Lester B Smith,Jr Robert D O'Neal,CCM,INCE Dear Ms. Quirk: Andrew D Magee Michael D Howard,PWS On behalf of property owners Michael and Morgan Olson, I am pleased to.submit Douglas J Kelleher the enclosed Barnstable Historical Commission Notice of Intent to Demolish AJ Jablonowski,PE (Partial) application for 4 Washington Avenue in Hyannisport. Stephen H Slocomb,PE An application had been submitted previously for this property. In response to David E Hewett,LEED AP comments provided by the Commission and Sarah Korjeff of the Cape Cod Samuel G.Mygatt,LLB Commission, the project has been revised and the earlier application has been withdrawn. The enclosed application addresses the comments provided by the 1943-2010 Commission and Ms. Korjeff. Specifically, the plans for the enclosed porch have ASSOCIATES been revisedr to more closely replicate the fenestration of the existing enclosed porch and the first floor of the tower has been reintroduced, maintaining the original Dwight R Dunk.LPD footprint and openings. David C.Klinch,PWS,PMP We look forward to meeting with the Commission at its October 18'' hearing to present the enclosed application. In the meantime, if you have any questions, please do not hesitate to contact me at (978) 461-6259. 3 Clock Tower Place,Suite 250 Maynard,MA 01754 Sincerely, www.epsilonassociates.com EPSILON ASSOCIATES, INC. 978 897 7100 p FAx 978 897 0099 Douglas J. Kelleher Principal cc: Michael and Morgan Olson, 4 Washington Avenue LLC � � ENGINEERS ENVIRONMENTAL CONSULTANTS Town of Barnstable Geographic Information System September 27, 2016 287158 28730�2j 287025 287633001 287032 7:'- / #30 #39' #61 287103 287102 2�871A1 287113 #558 #10 #97 287030 #83 #51 #51 287033002 #124 ffi 287034 #44 , ' r C #26r �t 287035001p 287159 # 2871 287035002 00 #570 287031 287099 #41 #6 �zAYTog 9/ #.106 #35 287114 287089 #34 287157 0287039001 Ai/ #100 ® i 287098 #,586 r,P,. k`;'- ' 287038 #57 287037 pg®�� #31 a_r #45 287036001 #3 El 287036 #16 #59202 #15 1 r, '5287097 AE 287093 4/ #25 ��$�� 287039002 5 2#860 #58 2#185 287047 #� 287013 2048 #�87 #604 #621 � 287040 287096 ® 287092 8948709 #76287014001 #68 #630 -" , . 287046A 287042 r-,, #� CO #629 #69 287011 28#041 2#701 �N6iS1�8VG•Pori AVE 628 287012 G �' #626 287045 287049 #2g 287085 #639 �0 a 9287088 287087y 288770.86 ' 287150 �� 287D44 287055 #56 #33)4Z7B 287082 #287083 287151 #24 ovf 287050 r 19� 287056 #55 '#72 287084 #38 ... is T#� 9 k; #16 #90 1#��`"� „ - A 287081 , 287.133 287079 287080 #62 z. ' C1 287043 #32 287054 #44 #58 C r#9 �, #45'� a ? 287051 #41 #35 WAC,,v5Ep-rAVE 287009 #658 a YF 4 r 287075 287155 � 287076 ..» �'� � #25 287.137 ® #71 287132 287057 #39 287078 'q #40 ;x #31 s #55 287058 �#" �t 287074 a r 287010 2 7059 .#25 , #41 287077 #43 #15 ti: 2887004 287061 - 2#23 #18 #6 #689 , #692 287072 _ J. 0 80 Feet 287003 ` 287139 287070 287071 #160 - #17 287007 #21 287osa #152 287073 #688 #120. #144 #172 DISCLAIMERS.This ma is for Tannin Ma 287 Parcel:041 p planning purposes only. It is not adequate for legal p� Selected Parcel boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:KENNEDY,REGINA M ESTATE OF Total Assessed Value:$1066400 1"=100'may not meet established map accuracy standards. The parcel lines on this map r _ are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner:%4 WASHINGTON Acreage:0.23 acres Abutters g boundaries and do not represent accurate relationships to physical features on the map Location:4 WASHINGTON AVENUE such as building locations. Buffer `��- •' Shea, Sally From: Shea, Sally Sent: Monday, December 12, 2016 11:46 AM To: michael@rhinocapitalllc.com' Cc: Jenkins, Elizabeth Subject: Permit/Application:TB-16-3382 at 4 WASHINGTON AVENUE, HYANNIS for Building - Addition/Alteration - Residential Dear Michael, We are unable to approve your permit as submitted for the reasons below: • The description of work on the permit application does not include the change to the roofline and elevations. • The plans reflect 3 stories by definition which is not allowed under our zoning ordinance 240- 13 Please see both Historic as well as the Zoning Board should you desire to move forward with your project as reflected in the plans presented_. We will also need a new permit application submitted describing all work being proposed. Thank you. Sally Shea Town of Barnstable Assistant Zoning Admin/Lead Permit Tech. 508-862-4031 1 r 8UsL®fVG December 13,2016 �IEPT T DEC 310,s 0V V1V O"8q,1VsTA Re:Affidavit 4 Washington Ave, Hyannisport, MA Roof Line Elevations ALE To whom it may concern, This affidavit is to confirm that the roof line elevations of 4 Washington Ave in Hyannisport will not be altered,enhanced,or changed in any way per the plans stamped by the architectural firm Studio Arndt submitted to the Town of Barnstable Building Department. Thank you, Michael Olson,Manager-4 Washington Hyannisport, LLC Commonwealth of Massachusetts County Then personally appeared the above named: 0` SOYI And made an oath that the above statement by him/her is true: Before me: ,1 J �I� I Date n n My Commission expires on�� 20 NotaryAl A '0 It LIE t� F�tNotary NEILLE BLAKE ",ic.Commonwealth of Massachusettsmission Expires January 16.2020 -La n Shea, Sally From: Shea, Sally Sent: Wednesday, November 23, 2016 11:56 AM To: michael@rhinocapitalllc.com' Subject: ViewPermit, Permit No:TB-16-3382 { Dear Michael, We need a few things corrected before we can move forward with your perm' eview. Please correct the following: • We need.plans that can be read: The 8x10 Plan are impo able to read. Please replace with the four sets of 11x17. You can highlight or circle 'n red a locations. The large sets are good to read however the Fire Dept needs 2 reduced s is of they can read and our department requires at least one set for our street folder. • The workman's compensation affidavit is not completed. • Stop work order needs to be paid for and the permit fee doubles for work a without a permit. Please pay a balance of $1,070 Thank you. Sally Shea Town of Barnstable Assistant Zoning Admin/Lead`Permit Tech. 508-862-4031 1 i Town of Barnstable Growth Management Department ,:-, :;Q T: ,. - _,,,, Bamstable Historical Commission rnw,.farm.barr�table.ma.us/nistors7'0alcoF:m;ssion NOTICE OF INTENT TO DEMOLISH A SIGNIFICANT BUILDING Date of Application 29 JULY 2016 Full Demotion ® Partial Demolition Building Address: 4 WASHINGTON AVE. Number Street HYANNISPORT 02647 Assessor's Map# 287 Assessor's Parcel#041 Village ZIP Property Owner: MICHAEL AND MORGAN OLSON 617-894-9597 Name Phone# Property Owner Mailing Address(if different than building address) 1 Longfellow Place#1818,Boston,MA 02114 Property Owner e-mail address: michael(C7rhinocal)italllc.Com / morgan.q.olson(cDg mail.com Contractor/Agent: PHILBROOK ENGINEERING AND CONSTRUCTION Contractor/Agent Mailing Address: 107 BEACH STREET,DENNIS, MA 02638 Contractor/Agent Contact Name and Phone M KELLEY/VARN PHILBROOK 860-690-3760/508-364-1301 Name Phone# Contractor/Agent Contact e-mail address: KELLEY@PECSG.COM/VARN@PECSG.COM/ANDREW@PECSG.COM Detail of Demolition Proposed:REMOVE EXISTING DOORWAY AND WINDOWS ON WEST FACING WALL ON PORCH REMOVE EXISTING WINDOW LAYOUTS-NORTH/EAST/SOUTH FACING WALLS ON PORCH AREA REMOVE/REPLACE FOOTINGS SUPPORTING PORCH AREA/REMOVE SINGLE WINDOW EAST FACING WALL-KITCHEN AREA REMOVE DOOR ON WEST FACING WALL-MASTER BEDROOM WIC RELOCATE DOOR ON EAST FACING WALL(REAR)TO ADJACENT WALL(NORTH FACING)-ENTRY TO PANTRY Type of New Construction Proposed: SEE ATTACHED Provide information below to assist the Commission in making the required determination regarding the status of the Building in accordance with Article 1, § 112 Year built: 1898 Additions Year Built: REMODELED SINCE 1976 Is the Building listed on the National Register of Historic Places or is the building located in a National Register District? No Yes Property Owner/ •gnature May;2014 CERTIFICATE OF INSTALLATION 'a v' "BAY TATE S INSULATION - Your Best Choice! 781-853-7408 12 PRINCETON DR. MILFORD MA,01754 BAYSTATEINSU@GMAIL.COM We hereby inform to whom it may concern that BAY STATE INSULATION CORP. installed the product: • THERMOSEAL CLOSE CELL 2.0 SPRAY FOAM INSULATION R-38 on roof rafters of garage • Install CERTAINTEED FIBERGLASS INSULATION with vapor barrier on exterior walls of garage At property located at 4 WASHINGTONX, HYANNISPORT,MA 02647.In accordance to the manufactures recommendations and code compliance research as follow on technical data sheet. � o< Sincerely, Felipe Coelho(president) 05-23-2018 VrIl r rn tr 7. ..,. 4 DIVISION:07 00 00—THERMAL AND MOISTURE PROTECTION SECTION:07 2106—THERMAL INSULATION �- REPORT HOLDER: - .CHEMICAL BROTHERS INTERNATIONAL, LLC 200 INDUSTRIAL BOULEVARD MCKINNEY,TEXAS 75069 C EVALUATION SUBJECT: QUADFOAM® 500 OPEN-CELL SPRAY POLYURETHANE FOAM INSULATION f ' ICC ICC ICC F PMG :Look for the trusted marks of Conformity! . . - .ate ®1U "2014 Recipient of Prestigious Western States Seismic Policy Council ®®� (WSSPQ Award in Excellence" C"O[DE'COUN I A Subsidiary of CODE COUNCIL ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied as to any finding or other matter in this report,or as to any product covered by the report. ..woo .. Copyright 0 2016 ICC Evaluation Service, LLC. All rights reserved. EICC EVALUATION SERVICE Most Widely Accepted and Trusted IMES Evaluation Report ESR-3458 Reissued November 2016 This report is subject to renewal November 2017. wwwAcc-es.Org 1 (800)423-6587 (562)699-0543 A Subsidiary of the International Code Council® DIVISION: 07 00 00—THERMAL AND MOISTURE Quadfoam 500 is a two-component, low-density, open-cell, PROTECTION spray-applied, polyurethane foam plastic insulation. The Section:07 21 00—Thermal Insulation installed nominal density of Quadfoam 500 is 0.5 pcf (8 kg/m3). The two components of the insulation are REPORT HOLDER: polymeric isocyanate(A-component)and a polymeric resin (B-component), which, when stored in unopened' CHEMICAL BROTHERS INTERNATIONAL, LLC containers at temperatures between 40°F and 100°F 200 INDUSTRIAL BOULEVARD (4.4°C and 37.8°C), have a shelf life of twelve months. McKINNEY,TEXAS 75069 (972)542-0072 3.2 Surface Burning Characteristics: www.guadrantchemical.com , When tested in accordance with ASTM E84, at a maximum thickness of 4 inches (102 mm) and a nominal density of ADDITIONAL LISTEE: t 0.5 pcf.(8 kg/m3), Quadfoam 500 has a flame-spread index ' of 25 or less and a smoke-developed index of 450 or less. QUADRANT URETHANE TECHNOLOGIES Thicknesses of up to 7% inches(191 mm)for wall cavities 200 INDUSTRIAL BOULEVARD and 11'A inches (292 mm) for ceiling cavities are McKINNEY,TEXAS 75069 recognized, based on room corner fire testing in (972)642-0072 accordance with NFPA 286, when the product is covered www.guadfoam.com with minimum '/r-inch-thick (13 mm) gypsum wallboard or an equivalent thermal barrier complying with, and installed EVALUATION SUBJECT: in accordance with,the applicable code. QUADFOAM 500 OPEN-CELL SPRAY POLYURETHANE 3.3 Thermal Resistance,R-values: FOAM INSULATION Quadfoam, 500 has thermal resistance (R-values) at a 1.0 EVALUATION SCOPE mean temperature of 75OF(24°C)as shown in Table 1. Compliance with the following codes: 3.4 Intumescent Coatings: ■ 2012 and 2009 International Building Code®(IBC) 3.4.1 QuadCoat TB-Intumescent Coating System:The QuadCoat TB intumescent coating system consists of ■ 2012 and 2009 International Residential Code®(IRC) QuadCoat ICP Primer and QuadCoat TB intumescent Top ■ 2012 and 2009 International Energy Conservation Coat coatings, manufactured by TPRZ Corporation. The Code®(IECC) coatings are single-component, water-based coatings, ■ 2013 Abu Dhabi Intemational Building Code(ADIBC)t supplied in 5-gallon (19 L) pails and 55-gallon (208 L) drums and having a shelf life of 12 months when stored in 1The ADIBC is based on the 2009 IBC.2009 IBC code sections referenced factory-sealed containers at temperatures above 50°F in this report are the same sections in the ADIBC. (10'C). Properties evaluated: 3.4.2 TPRz Fireshell TB Intumescent Coating; • Surface-burning characteristics System: The Fireshell® TB intumescent coating system ■ Physical properties consists of Fireshell® ICP Primer and Fireshell® TB Top ■ Thermal resistance(R-values) Coat coatings, manufactured by TPR2 Corporation. The coatings are single-component, water-based coatings, ■ Attic and crawl space installation supplied in 5-gallon (19 L) pails and 55-gallon (208 L) 2.0 USES drums and having a shelf life of 12 months when stored in Quadfoam 500 is used as a nonstructural thermal' factory-sealed containers at temperatures above 50°F (10 C). insulating material in buildings of Type V-B construction (IBC) and nonfire-resistance-rated construction under the 3.4.3 Quadcoat IB Intumescent Coating: Quadcoat IB IRC. The insulation is for use in wall cavities and intumescent coating, manufactured by TPRZ Corporation, floor/ceiling assemblies, and, when installed as described is a single-component,water-based coating. The coating is in Section 4.4,in attics and crawl spaces. supplied in 5-gallon (19 L) pails and 55-gallon (208 L) 3.0 DESCRIPTION drums and has a shelf life of 12 months when stored in factory-sealed• containers at temperatures above 50OF 3.1 General: (10°C). ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use.There is no warranty by ICC Evaluation Service,LLC,express or implied as to anyfinding or other matter in this repor4 or as to any product covered by the report. e Copyright 0 2016 ICC Evaluation Service,LLC. All rights reserved. Page 1 of 4 ESR,3458 ( Most Widely Accepted and Trusted Page 2 of 4 3.4.4 TPR2 Fireshell IB Intumescent Coating: be applied at a minimum wet film thickness of 9 mils Fireshell IB intumescent coating, manufactured by TPRz (023 mm)[5-mil(0.13 min)dry film thickness], at a rate of Corporation, is a single-component, water-based coating. 0.53 gallon (2 L) per 100 square feet (92 m2). After The coating is supplied in 5-gallon (19 L) pails and 55- curing, QuadCoat TB Top Coat must be applied at a gallon (208 L) drums and has a shelf life of 12 months minimum wet film thickness of 15 mils (0.38 mm) [9-mil when stored in factory-sealed containers at temperatures (0.23 mm) dry film thickness], at a rate of 1 gallon (3.8 L) above 50°F(10°C). per 100 square feet '(9.2 m2). The coatings must be 3.4.5 DC315 Intumescent Coatings: DC315 Primer and applied over the Quadfoam.500 insulation and cured in DC315 Top Coat are intumescent coatings, manufactured accordance with the coating manufacturer's published by International Fireproof Technology Inc. The coatings instructions and this report. Surfaces to be coated must are single-component,water-based coatings,supplied in 5- be dry, clean and free of dirt, loose debris and other gallon(19 L)pails and 55-gallon(208 L)drums and have a substances that could interfere with adhesion of the shelf life of two years when stored in factory-sealed coating. Each coating must be applied in one coat by containers at temperatures between 41°F (5°C), and airless spray equipment at ambient temperatures above 95°F(35-C). 50'F(10°C)and relative humidity of less than 70 percent. 4.0 INSTALLATION 4.3.2.2 Application with the TPRz Fireshell TB Intumescent Coating System: The prescriptive 15- 4.1 General: minute thermal barrier may be omitted when installation is Quadfoam 500 must be installed in accordance with the in accordance with this section (Section 4.3.2.2). -The manufacturer's (Quadrant Urethane Technologies) insulation and coatings may be spray-applied to the published installation instructions and this report. The interior facing of walls, the underside of roof sheathing or manufacturer's installation instructions and this report must roof rafters, and in crawl.spaces, and may be left exposed be strictly adhered to, and a copy of the instructions-and as an interior finish without a prescribed 15-minute thermal this evaluation report must be available on the jobsite at all barrier or prescribed ignition barrier. The thickness of the times during installation. foam plastic app lied the underside of the roof sheathing must not exceed 131/2 inches(343 mm). The thickness of 4.2 Application: - the foam plastic applied to walls and/or vertical surfaces -The insulation must be applied using spray equipment must not exceed 11 inches (279 mm). The foam plastic specified b uadrant Urethane Technologies. The must be covered on all surfaces with the TPRz Fireshell® p y Q product must not be used in areas which have a maximum TB intumescent coating system (TPRz Fireshell ICP service temperature greater than 180°F (82°C), nor in Primer and Fireshell TB Top Coat). The Fireshell® ICP electrical outlet or junction boxes or in contact with rain or Primer must be applied at a minimum wet film thickness of water. The product must be protected from the weather 9 mils(0.23 mm)[5-mil(0.13 mm)dry film thickness], at a . during and after application. The insulation can be installed rate of 0.53 gallon (2 L) per 100 square feet (9.2 m2). in a single pass up to a maximum 13 1/rinch (343 mm) After curing, Fireshell TB Top Coat must be applied at a thickness. R minimum wet film thickness of 15 mils (0.38 mm) [9-mil (0.23 mm) dry film thickness], at a rate of 1 gallon (3.8 L) 4.3 Thermal Barrier: per 100 square feet (9.2 m2). The coatings must be 4.3.1 Application with a Prescriptive Thermal Barrier: applied over the Quadfoam 500 insulation and cured in Quadfoam 500 must be separated from the interior of the accordance with the coating manufacturer's published building by an approved thermal barrier complying with, instructions and this report. Surfaces to be coated must and installed in accordance with, IBC Section 2603.4 or be dry, clean' and free,of dirt, loose debris and other IRC Section R316.4, as applicable, except where substances that could interfere with adhesion of the insulation is in an attic or crawl space as described in coating. Each coating must be applied in one coat by Section 4.4. Thicknesses up to 71/2 inches (191 mm) for airless spray equipment at ambient temperatures above wall cavities and 11'/2 inches (292 mm)for ceiling cavities 50°F(10°C)and relative humidity of less than 70 percent. are recognized based on room comer testing in 4.3.2.3 Application with the DC 315 Intumescent accordance with NFPA 286, when covered with minimum Coating System: The prescriptive, 15-minute thermal M.-inch-thick (13 mm) gypsum wallboard or an equivalent barrier may be omitted when installation is in accordance thermal barrier complying with, and installed in accordance with this section (Section 4.3.2.3). The insulation and with,the applicable code. coating system may be spray-applied to the interior facing 4.3.2 Application without a Prescriptive Thermal of walls, the underside of roof sheathing or roof rafters, Barrier: and in crawl spaces, and may be left exposed as an interior finish without a prescribed 15-minute thermal 4.3.2.1 Application with the QuadCoat TB barrier or prescribed ignition barrier. The thickness of the Intumescent Coating System: The prescriptive, 15- foam plastic applied to the underside of the roof sheathing minute thermal barrier may be omitted when installation is must not exceed 12 inches(305 mm).The thickness of the in accordance with this section (Section 4.3.2.1). The foam plastic applied to walls and/or vertical surfaces must insulation and coatings may be spray-applied to the not exceed 8 inches (203 mm). The foam plastic must be interior facing of walls, the underside of roof sheathing or covered on all surfaces with the DC 315 intumescent roof rafters, and in crawl spaces, and may be left exposed coating system (DC 315 Primer and DC 315 Top Coat). as an interior finish without a prescribed 15-minute thermal The DC 315 Primer must be applied at a minimum wet film barrier or prescribed ignition barrier. The thickness of the thickness of 4 mils (0.10 mm) [3-mil (0.08 mm) dry film foam plastic applied to the underside of the roof sheathing thickness],at:a rate of 0.25 gallon(0.95:L) per 100 square must not exceed 131/2 inches(343 mm). The thickness of feet(9.2 m). After curing,the DC 315 Top Coat must be the foam plastic applied to walls and/or vertical surfaces applied at a minimum wet film thickness of 16 mils must not exceed 11 inches (279 mm). The foam plastic (0.41 mm) [11-mil (0.28 mm) dry film thickness], at a rate must be covered on all surfaces with the QuadCoat TB qf;..1 .gallon;.(3.8 L) per 100-square feet (9.2 M2). The intumescent coating system (QuadCoat ICP Primer and coatings' must be applied over the Quadfoam 500 QuadCoat TB Top Coat). The QuadCoat ICP Primer must insulation and cured in, accordance with the coating - I ESR-3458 ] Most Widely Accepted and Trusted Page 3 of 4 manufacturer's published instructions and this report. thickness of the insulatioh applied to the underside of roof Surfaces to be coated must be dry, clean,and free of dirt, sheathing and/or rafters and the underside of wood floors loose debris and other substances that could interfere with and/or floor joists in crawl spaces must not exceed 11'/z adhesion of the coating. Each coating must be applied in inches(292 mm); the thickness of the insulation applied to one coat, by low-pressure airless spray equipment at the vertical surfaces must not exceed 71/2 inches ambient and substrate temperatures above 50°F (10°C) (191 mm). The FireshelP IB intumescent coating must be and relative humidity of less than 70 percent. applied over the insulation in accordance with the coating 4.4 Attics and Crawl Spaces: manufacturer's published instructions and. this report. Surfaces to be coated must be dry, clean, and free of dirt; 4.4.1 Application with a Prescriptive Ignition Barrier: loose debris and other substances that could interfere with When Quadfoam 500 insulation is installed within attics or adhesion of the coating. The coating is applied with low- crawl spaces, where entry is made only for service of pressure airless spray equipment, at a minimum wet film utilities, an ignition barrier must be installed in accordance thickness of 4 mils (0.10 mm) [3-mil (0.08 mm) dry film with IBC Section 2603.4.1.6 or IRC Sections R316.5.3 and thickness], at a rate of 0.29 gallon(1.10 L)per 100 square R316.5.4, as applicable. The ignition barrier must be feet(9.2 mz). The coating must be applied where ambient consistent with the requirements for the type. of and substrate temperature is at least 50°F (10°C). The construction required by the applicable code and must be attic or crawl space area must be separated from the installed in a manner so that the foam plastic insulation is interior of the building by an approved 15-minute thermal not exposed. Ventilation in the attic or crawl space must barrier as described in Section 4.3.1. be in accordance with the applicable code. The attic or 4.4.2.3 Application with DC315 Intumescent Coating crawl space area must be separated from the interior of the System: Quadfoam 500 insulation may be spray-applied, building by an approved 15-minute thermal barrier as in attics, to the interior facing of walls and to the underside described in Section 4.3.1. of roof sheathing or roof rafters; and in crawl spaces, as 4.4.2 Application without a Prescriptive Ignition described in this section (Section 4.4.2.3). The thickness Barrier: Where Quadfoam 500 insulation is installed in of the insulation applied to the underside of roof sheathing accordance with Sections 4.4.2.1, 4.4.2.2, 4.4.2.3 or and/or rafters and the underside of wood' floors and/or 4.4.2.4,the following conditions apply: floor joists in crawl spaces must not exceed 11'/z inches (a)Entry to the attic or crawl space is only for the service (292 mm); the thickness of the insulation applied to the of utilities and no storage is permitted. vertical surfaces must not exceed 7 /z inches (191 mm). The DC315 Top Coat intumescent coating must be (b)There are no interconnected attic or crawl space areas. applied over the insulation in accordance with the coating (c).Air in the attic or crawl space is not circulated to other manufacturer's published instructions and this report parts of the building. Surfaces to be coated must be dry; clean, and free of dirt, loose debris and other substances that could interfere with (d)Attic ventilation is provided when required by IBC adhesion of the coating. The coating is applied with low- Section 1203.2 or IRC Section R806. Under-floor pressure airless spray equipment, at a minimum wet film (crawl-space)ventilation is provided when required by IBC thickness of 4 mils (0.10 mm) [3-mil (0.08 mm) dry film Section 1203.3 or IRC Section R408.1, as applicable. thickness], at a rate of 0.25 gallon(0.95 L)per 100 square (e)Combustion air is provided in accordance with IMC feet(9.2 mn ). The coating must be applied where ambient (/ntemational Mechanical Code®)Section 701. and substrate temperature is at least 50°F (10°C). The attic or crawl space area must be separated from the 4.4.2.1 Application with QuadCoat IB Intumescent interior of the building by an approved 15-minute thermal _Coating: Quadfoam 500 insulation may be spray-applied, barrier as described in Section 4.3.1. in attics,to the interior facing of walls and to the underside 4.4.2.4 Use on Attic Floors: Quadfoam 500 insulation of roof sheathing or roof rafters; and in crawl spaces, as described in this section. The thickness of the insulation may be installed. at a maximum thickness of 7/ inches applied to the underside of roof sheathing and/or rafters (191 mm) between joists in attic floors. The insulation and the underside of wood -floors and/or floor joists in must be covered on all exposed surfaces with QuadCoat crawl spaces must not exceed 11'/inches (292 mm); the IB intumescent coating as described in Section 4.4.2.1, thickness of the insulation applied to the vertical surfaces TPRZ Fireshell� IB intumescent. coating as described in must not exceed 7'/z inches (191 mm). The QuadCoat IB Section 4.4.2.2, or the DC315 intumescent coating system intumescent coating must be applied over the insulation in as described in Section 4.4.2.3, as applicable. The accordance with the coating manufacturers published Quadfoam 500 insulation must be separated from the area instructions.and.this report Surfaces to be coated must beneath the attic by an approved thermal barrier. An be dry, clean, and free of.dirt, loose debris and other ignition barrier in accordance with IBC Section 2603.4.1.E substances that could interfere with adhesion of the or IRC Section R316.5.3, as applicable, may be omitted. coating. The coating is applied with 'low-pressure airless 5.0 CONDITIONS OF USE spray equipment, at a minimum wet film thickness of 4 mils (0.10 mm) [3 mil (0.08 mm) dry film thickness], at a The Quadfoam 500 spray-applied polyurethane insulation rate of 0.29 gallon (1.10 L) per 100 square feet(9.2 mz). described in this report complies with, or is a suitable The coating must be applied where ambient and substrate •alternative to what is specified in, those codes listed in temperature is at least 50°F (10°C). The attic or crawl Section 1.0 of this report, subject to the following space area must be separated from the interior of the conditions: building by an approved 15-minute thermal barrier as 5.1 The insulation and intumescent coatings must be described in Section 4.3.1. installed in accordance with the report holders and 4.4.2.2 Application with TPRI Fireshell® IB manufacturers published installation instructions, this Intumescent Coating:. Quadfoam 500 insulation may be evaluation report and.the applicable code. If there is a spray-applied, in attics,to the interior facing of walls and`to conflict between the published installation instructions the underside of roof sheathing or roof rafters; and in crawl and this report,this report governs. spaces, as described in this section (Section 4.4.2.2). The ESR-3458 ( Most Widely Accepted and Trusted Page 4 of 4 5.2 This evaluation' report' and the manufacturers 6.0 EVIDENCE SUBMITTED (Quadrant Urethane Technologies) published 6.1 Data in accordance 'with the [CC-ES Acceptance installation instructions, when required by the code Criteria for Spray-applied Foam Plastic Insulation official, must be submitted at the time of permit (AC377), dated November 2012 (editorially corrected application. April 2013), including data in accordance with 5.3 The insulation must be separated from the interior of Appendix X of AC377. the building by an approved 15-minute thermal barrier as described in Section 4.3.1, except as noted in 6.2 Reports of room comer fire testing in accordance with when installed as described in Section 4.3.2. NFPA 286. 5.4 The insulation must not exceed the thicknesses and 7.0 IDENTIFICATION density noted in Sections 3:2, 4.3 and 4.4 of this report. All packages and containers of Quadfoam 500 insulation 5.5 The insulation must be protected from the weather components must be labeled with the Quadrant Urethane during and after application. Technologies, name and address; the product name (Quadfoam 500); the product type (A- or B-component); 5.6 A vapor retarder must be installed in accordance with the flame spread index and the smoke-developed index; the applicable code. the shelf life and expiration date; the mixing instructions; 5.7 The insulation must be applied by installers approved the density; and the evaluation report number(ESR-3458). by Quadrant Urethane Technologies. The QuadCoat(ICP Primer, TB Top Coat, IB), Fireshelle 5.8 Use of the insulation in areas where the probability of (IB) and DC315 (Primer and Top Coat) intumescent termite infestation is "very heavy" must be in coatings must be identified with their respective accordance with 2012 IBC Section 2603.9, 2009 IBC manufacturers name and address, the product name and Section 2603.8 or IRC Section R318.4, as applicable. use instructions. 5.9 Jobsite certification and labeling of the insulation must comply with IRC Sections N1101.4 and N1101.4.1 and IECC Sections 303.1.1 and 303.1.2, as applicable. 5.10 The insulation components are manufactured in McKinney, Texas, under a quality control program with inspections by ICC-ES. TABLE 1—THERMAL RESISTANCE(R-VALUES') Quadfoam 500 THICKNESS(inches) R-VALUE(-F42-h/Btu) 1 3.6 4 14 6 21 7.5 26 8 28 10 35 11 38 11.5 40 12 42 13 46 13.5 47 For SI:1 inch=25.4 mm,1°F•ft2-h/Btu=0.176 110K•m2NV. 'R-values are calculated based on tested k values at 1-and 4-inch thicknesses. 2R-values greater than 10 are rounded to the nearest whole number. BOMBARDIER STRUCTURAL ENGINEERING Structural Site Visit Report Bombardier Structural Engineering 131 Lincoln Street, Abington, MA 02351 February 10, 2017 Michael Olson Re: Structural Engineering Services 2016-37 4 Washington Street, Hyannisport Per your request, I have reviewed the fastening of the perimeter header beam at the second floor level of the tower and find it acceptable. N OF Mqs LEON yG, A. BOMBARDIER &No.27616 0 rt 1 Y��. np Leon A. Bombardier, PE Structural Engineer t F 's BOMBARDIER STRUCTURAL ENGINEERING Structural Site Visit Report Bombardier Structural Engineering 131 Lincoln Street, Abington, MA 02351 January 14, 2017 Michael Olson Re: Structural Engineering Services 2016-37 4 Washington Street, Hyannisport Project No.: 2013-39 - Date of Visit: January 5, 2017 Project Title: Residential Renovation Project Location: 4 Washington Street, Hyannisport, MA Client: Michael Olson In accordance with Section 116.0 of the Massachusetts State Building Code, I have determined that the work is being performed in a manner consistent with the construction documents approved for the building permit. The following observations were noted: 1. All framing work has been completed except for the reframing of the tower support columns and footings on the first floor as indicated by revised drawings dated 11-12-2016. 2. The site visit was performed at the request of Rui Zhang. Some minor changes had been made to the architectural partition plans. The reconstruction of the tower supports were discussed. OF M, g LEON A. `rl BOMBARDIER v ,p No.27616 p Leon A. Bombardier, PE Structural Engineer Site Photographs Janua 5, 2017 ` -. ciiiliiiiiiiillv44 Photo 1 Tower framing at second floor Photo 2 New lally columns, beams, and sistered floor joists first floor framing ... Photo 3 Looking from tower—second floor sistered framing Y • 3 Photo 4 Roof sistered framing ESR-M9 I Most Widely Accepted and Trusted Page 3 of 4 coating manufacturer's instructions and this report. 5.0 CONDITIONS OF USE Surfaces to be coated must be dry, clean and free of dirt, The Quadfoam 2.0 spray-applied polyurethane insulation loose debris and other substances that could interfere with described in this report complies with, or is a suitable adhesion of the coating. Each coating must be applied in alternative to what is specified.in, those codes listed in one coat by airless spray equipment at ambient Section 1.0 of this report, subject to the following temperatures above 50°F (10°C) and relative humidity of conditions: less than 70 percent. 4.4 Attics and Crawl Spaces: 5.1 The insulation and intumescent coatings must be installed in accordance with the report holder's and 4.4.1 Application with a Prescriptive Ignition Barrier: manufacturer's published installation instructions, this When Quadfoam 2.0 insulation is installed within attics or evaluation report and the applicable code. If there is a crawl spaces, where entry is made only for service of conflict between the published installation instructions utilities, an ignition barrier must be installed in accordance and this report,this report governs. with IBC Section 2603.4.1.6 or IRC Section R316.5.3 or 5.2 This evaluation report and the manufacturers R316.5.4, as applicable. The ignition barrier must be published installation instructions, when required by consistent with the requirements for the type of construction required by the applicable code and must be the code official, must be submitted at the time of installed in a manner so that the foam plastic insulation is permit application. not exposed. Quadfoam 2.0 may be installed in unvented 5.3 The insulation must be separated from the interior of attics when the foam plastic is applied at a minimum the building by an approved 15-minute thermal thickness of 1.0 inch (25.4 mm) in accordance with 2012 barrier,except when installed as described in Section IRC Section R806.5 or 2009 IRC Section R806.4, as 4.32. . applicable. The attic or crawl space area must be 5.4 The insulation must not exceed the thicknesses and separated from the interior of the building by an approved density noted in Sections 3.2,4.3 and 4.4. 15-minute thermal barrier as described in Section 4.3.1. 4:4.2 Application without a Prescriptive Ignition5.5 The insulation must be protected from the weather during and after application.Quadfoam 2.0 insulation may be installed in an attic or crawl space without a prescriptive ignition barrier,in 5.6 The insulation must be applied by installers approved accordance with Sections 4.4.2.1 and 4.4.2.2, when all of by Quadrant.Urethane Technologies. the following conditions apply: 5.7 Use of the insulation in areas where the probability of a. Entry to the attic or crawl space is only for the service termite infestation is "very heavy" must be in of utilities and no storage is permitted. accordance with 2012 IBC Section 2603.9, 2009 IBC b. There are no interconnected attic or crawl space areas. Section 2603.8 or IRC Section R318.4,as applicable. c. Air in the attic or crawl space is not circulated to other 5.8 Jobsite certification and labeling of the insulation must parts of the building. comply with IRC Sections N1101.4 and N1101.4.1 and IECC Sections 303.1.1 and 303.1.2, as d. Attic ventilation is provided when required by IBC applicable. Section 1203.2 or IRC Section R806, except that air- 5.9 The insulation components are manufactured in- impermeable insulation is permitted in unvented attics McKinney, Texas, under a quality control program in accordance with 2012 IRC Section R806.5 or 2009 with inspections by ICC-ES. IRC Section R806.4, as applicable. Under-floor(crawl- space) ventilation is provided when required by IBC 6.0 EVIDENCE SUBMITTED Section 1203.3 or IRC Section R408.1,as applicable. 6.1 Data in accordance with the ICC-ES Acceptance e. Combustion air is provided in accordance with Criteria for Spray-applied Foam Plastic Insulation International Mechanical Code®(IMC)Section 701. (AC377), dated November 2012 (editorially corrected 4.41.1 Assembly without a Prescriptive Ignition April 2013), including data in accordance with Barrier:Quadfoam 2.0 insulation may be spray-applied, in Appendix X of AC377. attics,to the interior facing of walls and to the underside of 6.2 Reports of room comer fire testing in accordance with roof sheathing or roof rafters; and.in crawl spaces, as NFPA 286. described in this section. The thickness of.the insulation 6.3 Reports of water vapor transmission testing in applied to the underside of roof sheathing and/or rafters accordance with ASTM E96. and the underside of wood floors and/or floor joists in crawl spaces must not exceed 11%2 inches (292 mm); the 6.4 Reports of air impermeability testing in accordance thickness of the insulation applied to the vertical surfaces with ASTM E283. must not exceed 71/2 inches(191 mm). The insulation may 7.0 'IDENTIFICATION be left exposed without a prescriptive ignition barrier. The attic or crawl space area must be separated' from the All packages and containers of Quadfoam 2.0 insulation interior of the building by an approved 15-minute thermal components must be labeled with the Quadrant Urethane barrier as described in Section 4.3.1. Technologies name and address; the product name 4.4.2.2 Use on Attic Floors: Quadfoam 2.0 insulation (Quadfoam 2.0);the product type(A-or B-component);the flame spread index and the smoke-developed index; the may be installed exposed at a maximum thickness of shelf life and expiration date; the mixing instructions; the 7/2 inches (191 mm) between joists in attic floors. The density; and the evaluation report number insulation must be separated from the area beneath the (ESR-3459). attic by an approved thermal barrier. The ignition barrier in accordance with IBC Section 2603.4.1.6 or IRC Section The QuadCoat TB, Fireshello TB and DC315 R316.5.3,as applicable,may be omitted. intumescent coatings are identified with the manufacturer's name and address,the product name and use instructions. ESR-3459 Most Widely Accepted and Trusted Page 4 of 4 TABLE 1—THERMAL RESISTANCE(R-VALUES"2)OF QUADFOAM 2-0 THICKNESS(inches) R-VALUE(°F•fe.h/Btu) 1 6.5 2 13 3 19 3.5 22 4 25 5 31 5.5 35 6 38 7 .44 7.5 47 8 50 9 57 9.5 60 10 63 11.5 72 12 75 12.5 79 For SI:1 inch=25.4 mm,1`F•ft2•h/Btu=0.176110K•m2NV. R-values are calculated based on tested kvalues at t-and 4-inch thicknesses. 2R-values greater than 10 are rounded to the nearest whole number. i CERTIFICATE OF INSTALLATION I BAY �IHSULAT10N Your Best Choice! 12 PRI,NCETON DR. 781-853-7408 MILFORD MA,01754 BAYSTATEI NSU@GMAIL.COM We hereby inform to whom it may concern that BAY STATE INSULATION CORP. installed the product: QUADFOAM°500 OPEN-CELL SPRAY POLYURETHANE FOAM INSULATION on roof rafters, QUADFOAM 2.0 CLOSED-CELL SPRAY POLYURETHANE FOAM INSULATION on first and second floor exterior walls and OWNERS CORNNING R30 with vapor barrier on basement ceiling at property located on 4 WASHINGTON ST, HYANNISPORT, MA 02647. In accordance to the manufactures recommendations and code compliance research as follow on technical data sheet. Sincerely, Felipe Coelho(president) 03-01-17 f CiS . C ` w ¢ l ems. v< i A DIVISION:07 00 00—THERMAL AND MOISTURE PROTECTION SECTION:07 2100-THERMAL INSULATION f REPORT HOLDER: CHEMICAL BROTHERS INTERNATIONAL, LLC i > " 200 INDUSTRIAL BOULEVARD ' MCKINNEY,TEXAS 75069 EVALUATION SUBJECT: QUADFOAM 2.0 CLOSED-CELL-SPRAY POLYURETHANE FOAM INSULATION s ICC ICC�. ICC a: { C PMG Look for the trusted marks of Conformityl :== aarC�. "2014 Recipient of Prestigious Western States Seismic Policy Council (WSSPQ Award in Excellence" A Subsidiary of =Ecou a ICC-ES Evaluation Reports,are not to be,construed as representing aesthetics or any other attributes not , SCCA ,sred specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a G recommendation for its use. There is no warranty by ICC Evaluation Service,LLC,express or implied,as a� � to any finding or other matter in this report,or as to any product covered by the report. PRODwr uffWWWb � �N.00 Copyright©2016 ICC Evaluation Service, LLC.All rights reserved. r S icc EVALUATION SERVICE t Most •ely Accepted and Trusted IMES Evaluation Report ESR-3459 Reissued August 2016 This report is subject to renewal August 2017 inrvYii�i.ivtr-es.ar I (800)423-6587 1 (562)699-0543 A Subsidiary of the International Code Council® DIVISION:07 00 00—THERMAL AND MOISTURE 2.0 USES PROTECTION Quadfoam 2.0 is used as a nonstructural thermal'insulating Section:07 21 00—Thermal Insulation material in buildings of Type V-B construction (IBC) and REPORT HOLDER: nonfire-resistance-rated construction under the IRC. Under. the IRC, the insulation may be used as air-impermeable CHEMICAL BROTHERS INTERNATIONAL,LLC insulation when installed in accordance with Section 3.4. CHEMICAL BROTHERS BOULEVARD The insulation is for use in wall cavities and floor/ceiling 200 McKINNEY,TEXAS BOULEVARD assemblies, and, when installed as described in Section (972)542-0072 4.4,in attic and crawl spaces. www.civadrantchemical.com 3.0 DESCRIPTION 3.1 General: ADDITIONAL 1_ISTEE: Quadfoam 2.0 is a two-component, medium-density, QUADRANT URETHANE TECHNOLOGIES closed cell polyurethane foam plastic insulation. The 200 INDUSTRIAL BOULEVARD installed nominal density of Quadfoam 2.0 is 2.0 pcf. The McKINNEY,TEXAS 75069 two components of the insulation are polymeric isocyanate (972)542-0072 (A-component)and a polymeric resin(B-component). The www.auadfoam.com insulation components are supplied in 55-gallon (208 L) drums,and have a shelf life of twelve months when stored EVALUATION SUBJECT: in unopened containers at a temperature between 50°F and 80°F(10"C and 27'C). QUADFOAM 2.0 CLOSED-CELL SPRAY The attributes of the insulation have been verified as POLYURETHANE FOAM INSULATION conforming to the provisions of ICC 700-2008 Section. 7032.1.1.1(c) as an air impermeable insulation. Note that 1.0 EVALUATION SCOPE - decisions on compliance for those areas rest with the user 1.1 Compliance with the following codes: of this report. The user is advised of the project-specific ® P provisions that may be contingent upon meeting specific ■ 2012 and 2009 International Building Code (IBC) conditions, and the verification of those conditions is ■ 2012 and 2009 Intemational Residential Code®(I RC) outside the scope of this report. These codes or standards ■ 2012 and 2009 International Energy Conservation often provide supplemental information as guidance. Code®(IECC) 3.2 Surface Burning Characteristics: ■ 2013 Abu Dhabi International Building Code(ADIBC)t When tested in accordance with ASTM E84,at a maximum tThe ADIBC is based on the 200916C.2009 913C code sections referenced thickness of 4 inches (102 mm) and a nominal density of in this report are the same sections in the ADIBC. 2.0 pcf, Quadfoam 2.0 has a flame-spread index of 25 or Properties evaluated: less and a smoke-developed index of 450 or less. Thicknesses of up to 7Y2 inches(191 mm)for wall cavities ■ Surface-burning characteristics and' 11 V2 inches (292 mm) for ceiling cavities are ■ Physical properties recognized, based on room comer fire testing in ■ Thermal resistance(R-values) accordance with NFPA 286,when the insulation is covered is Attic and crawl space installation with minimum '/2-inch-thick,(13 mm) gypsum wallboard or an equivalent thermal barrier complying with the applicable ■ Air permeability code. ■ Water vapor transmission 3.3 Thermal Resistance,R-values: 1.2 Evaluation to the following green standard: Quadfoam 2.0 has thermal resistance (F?-values) at a ■ 2008 ICC 700 National Green Building Standard m (ICC mean temperature of750F(24°C)as shown in Table 1. 700-2008) 3.4 Vapor Retarder: Attributes verified: . The insulation has a vapor permeance of 1.0 perm ■'See Section 3.1 - [5.7xl0-"kg/(Pa-s-m2)]or less when applied at a minimum ICC-FS Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use.There is no warranty by ICC'Evaluation Service,LLC,express or implied,as to arty fording or other matter in this report,or as to any product covered by the report. ',awl Copyright m 2016 ICC Evaluation Service,LLC.All rights reserved. Page 1 of 4 I ESR-3459 Most Widely Accepted and Trusted Page 2 of 4 thickness of 1.5 inches (38 mm)and tested in accordance 4.3.2:1 Application with QuadCoat TB Intumescent. with ASTM E96; and qualifies as a Class II vapor retarder Coating: The prescriptive; 15-minute thermal barrier may under the IBC and IRC. be omitted when installation is in accordance with this 3.5 Air Permeability: section (Section 4.3.2.1). The insulation and coating may be spray-applied to the interior facing of walls, the The insulation, at a minimum thickness of 1..0 'inch underside of roof sheathing or roof rafters, and in crawl (25.4 mm), is considered air-impermeable insulation in spaces, and may be left exposed as an interior finish accordance with 2012 IRC Section R806.5 and 2009 IRC without a prescribed 15-minute thermal barrier or Section R806.4, based on testing in accordance with prescribed ignition barrier. The thickness of the foam ASTM E283. plastic applied to the underside of the roof sheathing must 3.6 Intumescent Coating•_ not exceed 121/2 inches (318 mm). The thickness of the foam plastic applied to walls and/or vertical surfaces must 3.6.1 QuadCoat TB Intumescent Coating: QuadCoat not exceed 81/2 inches (216 mm). The foam plastic TB intumescent coating, manufactured by TPR2 insulation must be covered on all exposed surfaces with Corporation, is a single-component, water-based, QuadCoat TB intumescent coating at a minimum wet film intumescent coating supplied in 5-gallon (19 L) pails and thickness of 18 mils(0.46 mm)[12 mils(0.30 mm)dry film 55-gallon (208 L) drums. The coating has a shelf life of thickness], applied at a rate of 1.08 gallons (4.1 L) per 12 months when stored in factory-sealed containers :at 100 square feet (9.2 m2). The coating must be applied temperatures above 45°F(7.5°C). over the Quadfoam 2.0 insulation in accordance with the 3.6.2 TPR2 Fireshelle TB Intumescent Coating: coating manufacturer's instructions and this report Fireshelle TB intumescent coating, manufactured by TPR2 Surfaces to be coated must be dry, clean and free of dirt, Corporation, is a single-component, water-based, loose debris and other substances that could interfere with intumescent coating supplied in 5-gallon (19 L) pails and adhesion of the coating. Each coating must be applied in 55-gallon (208 L) drums. The coating has a shelf life of one coat by airless spray equipment at ambient 12 months when stored in factory-sealed containers at temperatures above 50°F (10°C) and relative humidity of temperatures above 45°F(7.5°C) less than 70 percent. 3.6.3 DC315 Intumescent Coating: DC315 intumescent 4.3.2.2 Application with TPR2 Fireshell® TB coating, manufactured by International Fireproof Intumescent Coating: The prescriptive, 15-minute Technology Inc., is a single-component, water-based, thermal barrier may be omitted when installation is in intumescent coating. The coating is supplied in 5-gallon accordance with- this section (Section 4.3.2.2). The (19 L) pails and 55-gallon (208 L) drums and has a shelf insulation and coating may be spray-applied to the interior life of two years when stored in factory-sealed containers facing of walls, the underside of roof sheathing or roof at temperatures between 41°F(5°C)and 95°F(35°C). rafters, and in crawl spaces, and may be left exposed as an interior finish without a prescribed 15-minute thermal 4.0 INSTALLATION barrier or prescribed ignition barrier. The thickness of the 4.1 General: foam plastic applied to the underside of the roof sheathing must not exceed 121/2 inches(318 mm). The thickness of Quadfoam 2.0 must be installed in accordance with the the foam plastic applied to walls and/or vertical surfaces manufacturer's published installation instructions and this must not exceed 81/2 inches (216 mm). The foam plastic report.The manufacturer's installation instructions and this insulation must be covered on all exposed surfaces with report must be strictly adhered to, and a copy of the Fireshell® TB intumescent coating at a minimum wet film instructions and this evaluation report must be available on thickness of 18 mils(0.46 mm)[12 mils(0.30 mm)dry film the jobsite at all times during installation. thickness], applied at a rate of 1.08 gallons (4.1 L) per 4.2 Application: 100 square feet (9.2 m). The coating must be applied over the Quadfoam 2.0 insulation in accordance with the The insulation must be applied'. using spray equipment coating manufacturer's instructions and this report specified by Quadrant Urethane Technologies. The Surfaces to be coated must be dry, clean and free of dirt, product must not be used in areas which have a maximum loose debris and other substances that could interfere with service temperature greater than 180°F (82°C), nor in adhesion of the coating. Each coating must be applied in electrical outlet or junction boxes or in contact with soil', one coat by airless spray equipment at ambient rain or water. The product must be protected from the temperatures above 50°F (10°C) and relative humidity of weather during and after application.The insulation can be less than 70 percent. installed in multiple passes at a maximum of 3 inches (76 mm)per pass.Where multiple passes are required,the 4.3.2.3 Application with DC315 Intumescent Coating: cure time between each pass is a minimum of 20 to 30 The prescriptive, 15-minute thermal barrier may be omitted minutes. when installation is in accordance with this section(Section 4.3.2.3). The insulation and coating, spray-applied to the 4.3 Thermal Barrier: interior facing of walls, the underside of roof sheathing or 4.3.1 Application with a Prescriptive Thermal Barrier: roof rafters, and in crawl spaces, may be left exposed as Quadfoam 2.0 must be separated from the interior of the an interior finish without a prescribed 15-minute thermal building by an approved thermal barrier complying with, barrier or prescribed ignition barrier. The thickness of the and installed in accordance with, IBC Section 2603.4 or foam plastic applied to the underside of the roof sheathing IRC Section R316.4, as applicable, except where must not exceed 111/2 inches(292 mm). The thickness of installation is in an attic or crawl space as described in the foam plastic applied to walls and/or vertical surfaces Section 4.4. Thicknesses up to 71/2 inches (191 mm)for must not exceed 71/2 inches (191 mm). The foam plastic wall cavities and 11'/2 inches(292 mm)for ceiling cavities insulation must be covered on all exposed surfaces with are recognized based on room comer testing in DC315 intumescent _coating at a minimum wet film accordance with NFPA 286. thickness of 18 mils(0.46 mm)[13 mils(0.33 mm)dry film thickness], applied at a rate of 1.14 gallons (4.32 L) per 4.3.2 Application without .a Prescriptive Thermal 160 square feet (9.2 M2). The coating must be applied Barrier: over the Quadfoam 2.0 insulation in accordance with the PROJECT NAME: C Y L'Cc i`Ls G—`t'►1 l ADDRESS: L'I �QrS�� i .� -t �� Ave H �s U PERAUT# PERNUT DATE: M/P: LARGE PLANS ARE FILED IN: BANKERS BOX S FILED ALPHABETICALY BY STREET INFORMATION SHEET FILED IN STREET FILE q/wpfiles/forms/archive/BANKERSB OX PROJECT I l . NAME: L' ADDRESS: PERMIT# J3- /U2— 13 1Mr PERMIT DATE: Ivvp: I y 1 LARGE PLANS ARE FILED IN: BANKERS BOX FILED ALPRABETICALY BY STREET INFORMATION SHEET FILED IN STREET FILE q/wpfiles/forms/archive/BAN .ERSBOX s �, �{2� 4 Washington Ave. ' 01son ' Family RearDeck Hyannis Port, MA ENERAL REQUIREMENTS studio ARNDTja rch itects REFERENCE NUMBER 1. ALL WORK SHALL BE IN COMPLIANCE WITH ALL APPLICABLE LOCALS BUILDING CODES AND REGULATIONS. 4 Longfellow PI.#1807 .BUILDING SECTION ONTRACTOR SHALL BE RESPONSIBLE FOR PERMITS APPLICABLE TO SPECIFIC TRADES OR SUBCONTRACTORS. Boston,MA 02114 ABBREVIATIONS DRAWING S CONTRACTOR SHALL EXAMINE THE PREMISES AND SITE SO AS TO COMPARE THEM TO THE CONTRACT (617)838-008 DR RAWINGS AND WILL BE FAMILIAR WITH THE EXISTING CONDITIONS OF THE BUILDING PRIOR TO SUBMISSION OF BID A201 ACT ACOUSTICAL CEILING TILE UMBER.ALLOWANCES ARE TO BE MADE TO INCLUDE ALL ITEMS OF WORK INCLUDING BOTH LABOR OR MATERIALS Consultants AOA AMERICANS W/DISABILITIES ACT •y'9 tT'. Y ,� ``4-'9� �• 5 REFERENCE NUMBER OR ALL NOTED,DETAILS,OR IMPLIED ITEMS REQUIRED TO ATTAIN THE COMPLETED CONDITIONS PROPOSED IN • �. , ,�, /�� • --.-, TM�'$�r '.. "+'�y:..� �� A.F.F. ABOVE FINISHED FLOOR DETAIL E DRAWINGS AND SPECIFICATIONS. PR AP OX. APPROXIMATE 1 /// H FICA ARCH. ARCHITECTURAL �201/ DRAWING SHEET3. ALL SUBCONTRACTORS SHALL INSPECT THE SITE AND CONVEY ANY QUESTIONS REGARDING DESIGN INTENT AV. AUDIO VISUAL / ND SCOPE OF WORK TO THE GENERAL CONTRACTOR WHO WILL CONVEY THESE TO THE ARCHITECT PRIOR TO • '` �,,; '' BLKG. BLOCKING SUBMITTING A BID AND PRIOR TO COMMENCING WORK. + .- BLDG. BUILDING 1 B.O. BOTTOM OF _/ REFERENCE NUMBER 4. CONTRACTOR SHALL COORDINATE THE WORK OF ALL TRADES AND SUBCONTRACTORS AND SHALL BE CAB. CABINET ....1.. DRAWING RESPONSIBLE FOR ANY ACTS,OMISSIONS,OR ERRORS OF THE SUBCONTRACTORS AND OR PERSON DIRECTLY OR C.H. CEILING HEIGHT NDIRECTLY EMPLOYED BY THEM. C.J. CONTROL JOINT 1 DRAWINGSHEET CL CENTERLINE CONTRACTOR SHALL ASSUME SOLE RESPONSIBILITY FOR JOB SITE CONDITIONS INCLUDING THE SAFETY OF • CLR. CLEAR g201 ERSONS AND PROPERTY FOR THE DURATION OF THE PROJECT. CMU CONCRETE MASONRY UNIT _ - -+'- --• "^ CONTRACTOR SHALL CONFORM TO ALL NEIGHBORHOOD ASSOCIATION RULES AND GUIDELINES. h _. -• CONTINUOUS ORDERING OF ALL LONG LEAD TIME COL. N CONT. NU � IMMEDIATELY AND PRIOR TO ' a DN DOWN CONTRACTOR SHALL NOTIFY ARCHITECT IM --- REFERENCE NUMBER ' - F APPROXIMATE DELIVERY DATES. DIM. DIMENSION TEMS AND O DIA. DIAMETER O INTERIOR.ELEVATION .' t _ ,^ „ • DDTL. DETAIL WG. DRAWING DRAWING.HE NUFACTURERS RECOMMENDATIONS. SUPPLIES ARE TO BE STORE HANDLED,AND INSTALLED ACCORDING TO A407 ALL CONSTRUCTION MATERIALS AND D H ED A RDIN SHEET ' (E) EXISTING EL. ELEVATION D. IF ERRORS OR OMISSIONS ARE FOUND IN THE CONTRACT DOCUMENTS,THEY SHALL BE BROUGHT TO THE ELEC. ELECTRICAL �Al REFERENCE NUMBER TTENTION OF THE ARCHITECT BEFORE PROCEEDING WITH THE WORK. EQ EQUAL FD. FLOOR DRAIN EXTERIOR ELEVATION 0. DRAWINGS SCHEMATICALLY INDICATE NEW CONSTRUCTION.THE CONTRACTOR SHALL ANTICIPATE,BASED ON F.O. FACE OF - DRAWING SHEET EXPERIENCE, A REASONABLE NUMBER OF ADJUSTMENTS TO BE NECESSARY TO MEET THE DESIGN F.O.C. FACE OF CONCRETE BJECTIVES AND SHOULD CONSIDER SUCH ADJUSTMENTS AS INCLUDED IN THE SCOPE OF WORK. F.O.F. FACE OF FINISH F.O.S. FACE OF STUD 1. WHEN SPECIFIC FEATURES OF CONSTRUCTION ARE NOT FULLY SHOWN ON THE DRAWINGS OR CALLED FOR IN NORTH ARROW E GENERAL NOT HEIR CONSTRUCTION SHALL E OF THE SAME CHARACTER AS SIMILAR CONDITIONS- . - a :• � '" - GSM. GALVANIZED SHEET METAL .. NORTH ARROW H EST LL B GFIC GROUND FAULT INTERCEPTOR CIRCUIT GWB GYPSUM WALL BOARD 2. ALL DIMENSIONS ARE TO BETAKEN FROM NUMERIC DESIGNATIONS ONLY;DIMENSIONS ARE NOT TO BE SCALED ,[ H or HVAC HEATING,VENTILATION&AIR CONDITIONING FF OF THE DRAWINGS. V H.B. HOSE BIB WINDOW TAG HM HOLLOW METAL 3. THESE NOTES ARE TO APPLY TO ALL DRAWINGS AND GOVERN UNLESS MORE SPECIFIC REQUIREMENTS ARE Q < MAX. MAXIMUM NDICATED THAT ARE APPLICABLE TO PARTICULAR DIVISIONS OF THE WORK SEE GENERAL NOTES IN THE INDIVIDUAL MISC. MISCELLANEOUS 100 DOORT,AG UBSECTIONS OF CONTRACT DOCUMENTS FOR ADDITIONAL INFORMATION. o 0 MIN. MINIMUM N VI MECH. MECHANICAL 4. ALL DIMENSIONS ARE TO FACE OF FINISH UNLESS OTHERWISE NOTED. O MEP MECHANICAL ELECTRICAL PLUMBING .ti I WALL TYPE TAG r = 10 M.O. MASONRY OPENING s ESIGN IS BASED ON THE INTERNATIONAL RESIDENTIAL CODE(IBC)2009,THE INTERNATIONAL ENERGY MTL. METAL ONSERVATION CODE(IECC)2009,AND THE MASSACHUSETTS BUILDING CODE 2009 AMENDMENTS.CONSTRUCTION N.I.C. NOT IN CONTRACT O APPLIANCETAG. HALL CONFORM WITH ALL APPLICABLE SECTIONS. C ¢ °6 NO. NUMBER ! C N.T.S. NOT TO SCALE 9 OPNG. OPENING ) REVISION:TAG LL o N O.C. ON CENTER v7 + O.D. OUTSIDE DIAMETER O v O/ OVER CENTER LINE Y _ � OPP. OPPOSITE N P.G. PAINT GRADE � ,� a. . PLYWD. PLYWOOD _ PTD. PAINTED 1 ^' R.D. ROOF DRAIN REQ'D. REQUIRED R.O. ROUGH OPENING SCHED. SCHEDULE Prolect Data S.G. STAIN GRADE SIM. SIMILAR A)Exterior on Grade Deck S.L.D. SEE LANDSCAPE DRAWINGS T SQ. SQUARE SPEC. SPECIFICATION ' S.S.D. SEE STRUCTURAL DRAWINGS SSTL STAINLESS STEEL STL. STEEL STOR. STORAGE ' �/ STRUCT. STRUCTURAL �C SYM. SYMMETRICAL ®��l e T. TEMPERED T.S. TUBULAR STEEL T O TOP HICK. T&G TONGUE AND GROOVE Sheet List /^' TYR TYPICAL r r �iNO� ?O U.O.N UNLESS OTHERWISE NOTED GO.01 Cover,Notes,Sheet List,Abbreviations VCT VINYL CEILING TILE e V.I.F. VERIFY IN FIELD A1.01 Rear Deck Plans W/O WITHOUT V W/ WITH WD. WOOD c WPM. WATERPROOFING MEMBRANE `\St EC.1.yG'�. ( Q N0. 211 BOSTON u� n/OF r �' o 16'-11 3/15'•VIF 6-11 3/16' 8'-7 12"•VIF ,z o.Fonke-a•o.v studio JARNDTlarchitects ••"'i 4 Longfellow PI.#1807 Boston,MA 02114 (617)838-0083 — —-—-—-—-—-—-—-—-— — — — Consultants t �� (�. � ` i� ' okckW romemt F,m, I b mro 0,eo.c.wa.rmee.,rro wrwa rn- . i ' P�Fadirq fPrp z I Al 03 ID ¢ ,M, �A N mOeckMmMEcn lO Fmrt Peuq 2� k ® Pe Fwmefoap Pam T,uuPncemummf sauvn P.t Tya p- W N 1 6 4 ;' I -4 P^'S' F�?Baatl Mecn(O Fv0.Pck Fv® y ,c N C O LL C ' 1 � BKkwraayuimC N N Si. Fier worn. a» 1 S g W k ro� A1.03 — — crre sre Q M �a,rzcw ems,. m ,cocgM —�I I—I I I Tw dk' 'i 1 ln1. � III-III III III-III- y O _ l0 J III—III II=III=III � , �F�orF�w o Detail — 1 2 �� 3 n �0HTON e��'e1n 9Wb M,aM Description Date , �3 Rear Deck Plan 0. L IiV Rear Dedc Plans d N !T ' Rear Deck Plant-Callout 1 Al .0 3 2 1/2"=''o o WASHINGTON AVE c� Scale As indicated zt N I studiolARNDTIarchitects 4 Longfellow PI.#1807 J Boston,MA 02114 1y Consultants Epll—A—de-Inc • 3 CI..k Tourer Place,guile 25D Veme My.! Maynanl,M---h—ft 01754 Di.d:979.461.6259 ELU • WHITE CEDAR SHINGLE 6"-W/ WEATHERING STAIN-TO MATCH EXTERIOR i TRIM BOARD. RED CEDAR,PRE-PRIMED EASTERN PINE,OR _ POPLAR BOARDS-PAINTED WHITE-SIZING AND COLOR TO MATCH EXTERIOR I—_ ® ® ® NEW ALUMINUM•CLAD WOOD WINDOWS SIMULATEDWl DIVIDED LIGHT GRILLES,TOP SASH ONLY(PELLA 45D OR EQ.) W2 W2 W2 W2 W2 W2 DOOR WITH HORIZONTAL a - W00D TRIM-RED CEDAR,PRE-PRIMED EASTERN FINE,OR _ MULLIONS- POPLAR BOARD. - �1'-6"z T-0"DOUBLE _ 41 lull N WHITECEDARSHINGLES"TOWEATHER; .,} SINGLE PANE TO BE PATCHED TO MATCH EXISTING.RED CEDAR, - ZONTAL WOOD TRIM(STATER TABLE"): - RED CEDAR,PRE-PRIMED-EASTERN PINE,OR -POPLAR BOARDS " ' III—III—III—III—III—III—III_ 4•WOOD BASEBOARD WOOD LATICE OVER PAINTED CONCRETE FOUNDATION WALL RED CEDAR,PRE-PRIMED EASTERN PINE,OR r n South Elevation - !j1 South Cut-Away Elevation I i—III—III—III—III III—III— POPLAR BOARD.-PAINTED WHITE' 1/lam "= Eaerinr Wau Removed OnH fnr Illuo ba of Irdedor .< + c IL 0 o m rn > O ( cl) � c z o byd --- _ i }> o REVIEWED OCT 18 2016 Town of Barnstable Historical commission Tom' Description Date GLITTER NEW ALUMINUM-CLAD WOOD WINDOWS W/SIMULATED DMDED LIGHT GRILLES,TOP SASH ONLY(PELLA 450 OR EQ.) - WOOD TRIM-RED CEDAR,PRE-PRIMED EASTERN PINE,OR W7 W1 Wt W7 W1 W7 Hi W7 W1 EJ POPLAR BOARDS WHITE CEDAR SHINGLE 6"TO WEATHER; TO BE PATCHED TO MATCH EXISTING. 6'HORIZONTAL WOOD TRIM("WATER TABLE"). RED CEDAR,PRE-PRIMED EASTERN PINE,OR POPLAR BOARDS WOOD LATICE OVER PAINTED CONCRETE FOUNDATION WALL - 2 Eas^ DowNsrour wi SPLASH BASINI - South&East Elevations vg 0 A2.01 Scale 1/4"=T-0" N W stu d i o lA R N DTI a rc h i to cts 4 Longfellow PI.#1807 Boston,MA 02114 (617)838-0083 a Consultants •' ' Epsilon Asscclates,Inc. 3 Clock Tower Place,Suh 25D ' - Maynard,Masaech—IIII01754 Direct:978.461.6259 ` NEW ALUMINUM-CLAD WOOD WINDOWS W/SIMULATED DMDED LIGHT OODWGRILLES,TOPSASH ONLYTEDD DEDLGHT WOOD TRIM-RED CEDAR,PRE-PRIMED EASTERN PINE,OR - ,,, POPLAR BOARDS _ WHITE CEDAR SHINGLE 6"TO WEATHER; - -TO BE PATCHED TO MATCH EXLS nNG.. - S'HORIZONTAL WOOD TRIM("WATER TABLE"). ' RED CEDAR,PRE-PRIMED EASTERN PINE;OR + - POPLAR BOARDS - - WOOD LATICE OVER PAINTED CONCRETE FOUNDATION WALL 1 Nor o + Q C r y C .O a' o ED!i C 0 R , - - 1^= OC1 18 2016 z Town of Barnstable Historical Commission 4r�m Aamave Emi i— Description Date rm NEW ALUMINUM-CLAD WOOD WINDOWS W1 SIMULATED DIVIDED LIGHT GRILLES,TOP SASH ONLY(PELLP.4500R ED.) W4 W4 t WHITE CEDAR SHINGLE 6'TO WEATHER; TO BE PATCHED TO MATCH EXISTING. _ 6'HORIZONTAL WOOD TRIM(-WATER TABLE-I. RED CEDAR,PRE-PRIMED EASTERN PINE,OR n West Elevation _ POPLAR BOARDS L`J 1/4"=1'-0" WOOD LATICE OVER PANTED CONCRETE FOUNDATION WALL - - Now&West Elevation 0 A2.02 o T - Scale 1/4"=1.,A., m I 1 ' studiolARN DTIarchitects • 4 Longfellow PI.#1807 Boston,MA 02114 ' I �I--�� Consultants MASTER BATH I ( - Epsilon Associates,Inc 3 Clock Tower Place,Suite 250 (` Maynard,Massachusens 01754 Daect:978.461.6259 - .... MASTER BEDROOM I I, M777REVIEWED 'THROOM y _ OCT 18 2016 W.I.C. - i cLIIEr l i r .' I LAUNDRY s _ Town of Barnstable" Historical Commission f I PANTRY - I BEDROOM BEDROOM r CLOSET I I CLOSET BATHROOM- I �_ 1 i��i�i W3 W3 WG .O d O Ir WING ROOM 1 I 1NEN I III II I 1J ATHROO I II � 1 1 { > ,0 1 w1LL � c U 6ATHROO wt - - I ii w IjI BEDROOM wi - f DTI �] 111 - J .. j BEDROOM tu W7 W4 w1 o ' W4 Description Date LI ! I. W4 W1 _..._ _____. —.--- — _ h wz wz wz wz wz wz I rl I 2 Le 2 ,l Groound Floor 3 _ Floor Plans WASHINGTON AVE A1 .01 � O N ` . Scale 1/4"=1'-T t VANKO STUDIO ARCHITECTS t 67 KEMBBL�f REVIEWED = Il/lll�lN :li. �N�tl�� 19111111 If _ 111 �ll� 11__I/IIIII�IIUIIIU/III/i IIIIIII/Illla'iilliai�t��111� ` Town of Barnstable Historical Commission , t 1411 ," 4 WASHINGTON AVENUE, HYANNIS PORT PHOTOS OF EXISTING CONDITIONS . ., LU t Jn PLOT PLAN WrM 0 s Y } MORiI GAI It E bl'NSPE,C:TI�QN PLr�N �® - Q +' ,, �.• �„ Flppficatic �y r • -t , - ... -, Tee •'i •. , :� $ � w ,i �. ,. i �, .� ,r� REVISIONS`T— No. Description Date - i r` a r fr •�" } \rh + "tr I .• ,�', of yt y ram{ u "J .:rx»{ < ' .�` era` ..?� �• I�}d iT Yt a -{i n �.I to>rrl;4Li r5 i o�;, - q "+1 r' r+'•_.^- r:.., *( - tr Ih ��€ t'++r 'tw't35 t , i k. 44 4. * r � ..� 4 Y ern _� WM.45 �* '+�•—+ •'' �� ra s 3 r r T 1 a ........� ..r ^w EXISTING " _ Witter 24m/tam, j1o6dP&ne[ tio6rril is r gl �one' ,'' a �,• .» n 1 9hereb''terG .that'[hrsmort'"a erns "` ronwas z( "`T+== CONDITIONS 9 9 �� ,.'prepared%dr _•, '° I 1,Anrrr�'r?osrr,,uf��ec.c.791n''y� .,e.'i: tavd� ��orea ' � �. � '•- [he-dwelLn shown hereon' ' IFrnas dl EJ1tR.'%iood'zorie t.;,y.'4•' ��'�^ � 3.<- - � - �' �� Aar'U wrthane/%chvedateof. -7c.1/�:at7dthelocatroh%;1+eitwelGdg. 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NPTL THL.15 hk7rA 00lJI.'�A SU0.VEV�AND LS FOIi'AWM1TGAGE' RFYl5E50NLY.: _,.��-r_ i • COLONIAL LAND;SLIRUEYINGCONIPANY, INC: r a t � ` 1 PLSi OiiQE BOX�,-:MILNNfOCIC MA U2017 P'�Ielb•TBe P7S4@fi-iffi3 ECVI�AL]tIX\"E\'oCdInILCCtl.1. �f< '�y�` d H•E0• of N 1 Scale y - - +1 F r "G^#s�r R J. • � }.�� ,4.i w. 1 �� t` ^ h f ^wiu... �S • , wrf J 4 `'y r D .. ! i� 1 +t i. '.��t � �'�•^p�`�.'F Y .r. ``."' y `� � f � I � vrF.Y R. {{ r %jA FY I _• _ T„ -�� .�. ♦ .�—� .Riffs ' -, 'ZZ i �� _ f�..w` r��*,r_, • etc; i \'", 1 .� �•-1t '��:.� ,.��s,_�.0 '"-y_..' _ ` 72 s {, -- — 7 �. {F'I T i { r _ - NEW OPEN LIVING /CONSERVATORY NOTES: kl 1. REMOVE EXISTING INTERIOR FINISHES,SUSFLOOR,AND WALL BOARD. !''� 1 v S • fjr)o, 2. FRAMING AND EXTERIOR OF THE PERIMETER WALLS TO REMAIN. - 7. PROVIDE TEMPORARY SHORING AND BRACING FOR THE STRUCTURE ABOVE. i ' ., - . 4. SISTER NEW 2X12'JOISTS TO THE EXISTING 2%B'FLOOR JOISTS.NEW FLOOR FINISH TO BE ALIGNED WITH THE - LEVEL OF THE EXI8TINO FIRST FLOOR FINISH. VANKO STUDIO - 6, REMOVE EXISTING WINDOWS AND REPLACE WITH NEW DOUBLE HUNG WINDOWS BY'PELLA',SERIES.BID,OR EQ. 'ARCHITECTS B. JAMB BETWEEN THE WINDOWS TO BE 6XB'TO ALLOW SPACE FOR NEW STRUCTURAL COLUMNS(BEE FLOOR " 7. PROVIDE 45X48XIB'FOOTINGS AND 1BX1B'PIERS FOR THE NEW BEAMS AND COLUMNS SUPPORT. - 67 KeMBLe eTNeI:T,eu02.1 B• VERIFY STRUCTURAL ADEQUACY OF THE EXISTING FOUNDATIONS ONCE THE ACCESS 18 PROVIDED AFTER THE - .. ewroN,MA Om lr L4q,ea7.n7o DEMOLITION PHASE. B. PROVIDE ACCEBS AND VENTILATION TO THE CRAWL SPACE. - 10. MATCH AND PATCH ALL FINISHES DISTURBED BY WORK. 11. EXISTING FRONT PORCH ROOF AND ALL REASON PORCH ROOFICONSERVATORY TO REMAIN,INSPECT AND VERIFY CONDITION OF THE ROOF.REPAIR IF REQUIRED.VERIFY IF THE ROOF IB PROPERLY.VENTED AND - INSULATE NEW CONSERVATORY ROOF WITH CLOSED CELL FOAM INSULATION. _ 12. EXISTINO EXTERIOR TRIM TO BE MATCHED,PATCHED,AND PAINTED IF REQUIRED. iJ. EXISTING HEATING AND COOLING SYSTEMS TO BE DEMOLISHED AND REPLACED WITH NEW HIGH VELOCITY SYSTEM.NEW GAS FIRED BOILER TO BE LOCATED IN THE BASEMENT MECHANICAL ROOM. 14. PROVIDE OUTDOOR CONDENSER AND CONCRETE PAD.LOCATION TO BE REMOTE. - - 16. ASSUME NEW CABINETRY,APPLIANCES,AND FIXTURES TO BE LOCATION STANDARD PRODUCTS.SELECTION AND ' PURCHABE TO BE APPROVED BY THE OWNER.ALLOWANCES FOR THE KITCHEN ARE EBTIMATED 75,000, -- BATHROOM 618,coo. 18. THE EXISTING ENTRY PORCH TO RECEIVE NEW FLOORING,COMPOSITE BY TREX,W NCHESTER GRAY FINISH,OR - AZEK,OR WESTERN RED CEDAR IF REQUIRED BY THE HISTORIC COMMISSION. - - NOTES ON NEW CONSERVATORY DEMOLITION NOTES 1. PRESENCE OF HAZARDOUS MATERIAL IS UNKNOWN.GENERAL CONTRACTOR TO - - - W ^}• PROCURE ENVIRONMENTAL SERVICES AS REG'D FOR SUSPICIOUS MATERIALS - 6 - - - - 2. PROTECT ALL EXISTING WALLS,MOLDINGS,CEILINGS,FLOORS,DOORS,WINDOWS, _ p LIGHTS,COLUMNS,PLUMBING,HVAC,ETC.TO REMAIN O , E. AFTER REMOVALIDEMOU ON:LEAVE ADJACENT AND REMAINING SURFACES READYFOR NEW I RK 4. REMOVE ALL AND WINDOW TREATMENTS.PATCH ALL PENETRATIONS(EXAMPLE: WINDOW TREATMENT HOLES IN WALLS AND MOLDINGS)S. REMOVE ANY APPLIED FLOORING(EX:SHEETGOOD,TILE,CARPET)ORIGINAL _ HARDWOOD TO BE EXPOSED - - - - � 0 B. IDENTIFY,PROTECT,AND AVOID 018RUFTING ALL WIRING AND EQUIPMENT TO REMAIN. - - - - COOROINATE A TEMPORARY CONNECTION IF NECESSARY - - - - Q a 7. REMOVE ALL INTERIOR SWITCHES,RECEPTACLESIOUTLETS,AND LIGHT FIXTURES. E •� PREPARE FOR REPLACEMENT BWITCHEB,RECEPTAOLESIOUTLET8,AND LIGHT - FI%TURRE - - - C B. FOR TERMINATED OR ABANDONED CIRCUITS,REMOVE ASSOCIATED WIRING (INCLUDING COMMUNICATIONS CABLING)BACK TO MAIN PANELS. - - B. ALL BUBPENDED OR APPLIED CEILINGS TO BE DEMOLISHED.REPAIR WITH PLASTER AS - NECESSARY - _ 10. REMOVE ALL HVAC EQUIPMENT EXCEPT THOSE LOCATED WITHIN BASEMENT.DEMO - S D ETEC R S REVIEWED - - VENTING CHIMNEY TO BASEMENT A PATCH ROOF WI APPROPRIATE MATERIALSpol- DEMOLITION LINETYPE x �'2� �'� : Z —______e____— DEMOLISHED O Q 4 �-- BARNSTABLE BUILDING DEPT. DATE � DEMO NOTES N 6 1/4°a 1'-0" J FIRE DEPARTMENT DATE 0 3 LIP BOTH SIGNATURES ARE REQUIRED FOR PERMITIAG J EXISTING FOUNDATION WALLS TO REMAIN EXISTING STAIR TO BE DEMOLISHED, ` - - FLOOR OPENING CLOSED. - 1310 - - -- a REVISIONS No. Deecd en Date 6 UP EXISTING STAIR TO REMAIN - No.71U6 )J BASEMENT EXISTING CONCRETE PIERS AND FOOTINGS TO REMAIN: - - VERIFY STRUCTURAL INTEGRITY. - {' • - b _ Project Number .16.1628.001 k D to 4/12/2016 rj L1 rr 1:.1 rI - - . a FIRE ALARMS: Draw By JPv El El - - I BO . AMONB DETECTOR-SURFACE MOUNT .Checked By ,Jpv 42'-1D„ IL 7 ® OARION MONOXIDE DMCTOR•SURFACE MOUNT BASEMENT- 1/*';V-o MS Al e0 121 BASEMENT DEMO _ Sae s As Indlceted r VANKO STUDIO ARCHITECTS NEW OPEN LIVING /CONSERVATORY NOTES: f 47 KlMA 0 110 1 6 7-081 .e07TON,MA 0711►1417.p07.1170 1. REMOVE EXISTING INTERIOR FINISHES,BUBFLOOR,AND WALL BOARD. y FRAMING AND EXTERIOR OF THE PERIMETER ON TO REMAIN. ], PROVIDE TEMPORARY SHORING AND BRACING FOR THE STRUCTURE ABOVE. _ 4, SISTER NEW 3X1T JOIST.TO THE EXISTING 1XI'FLOOR JOISTS.NEW FLOOR FINISH TO BE ALIGNED WITH THE . LEVEL OP THE SXISTINO FIRST FLOOR flNISH, B. REMOVE EXISTING WINDOWS AND REPLACE WATH NEW DOUBLE HUNG WINDOWS BY'PELLA',SERIES SSG,OR EQ. - S. JAMB BETWEEN THE WiNDOWB TO BE BXB'TO ALLOW SPACE FOR NEW STRUCTURAL COLUMNS(BEE FLOOR PLANS). I. - 7. PROVIDE 4BX4eX1e'FOOTINGS AND 1e%te'PIERS FOR THE NEW BEAMS AND COLUMNS SUPPORT, e. VERIFY STRUCTURAL ADEQUACY OF THE EXISTING FOUNDATIONS ONCE THE ACCESS IB PROVIDED AFTER THE DEMOLITION PHASE. I - 0. PROVIDE ACCESS AND VENTILATION TO THE CRAW.SPACE. i 10, MATCH AND PATCH ALL FINISHES DIBTURSEO BY WORK. . 11. EXISTING FRONT PORCH ROOF AND ALL SEASON PORCH ROOPICONSERVATORV TO REMAIN.INSPECT AND VERIFY CONDITION OF THE ROOF.REPAIR IF REQUIRED.VERIFY IF THE ROOF IB PROPERLY VENTED AND - 1]'•1 tn" T•]]M^ B'•S]R" _ INSULATE NEW CONSERVATORY ROOF VWTH CL088D CELL FOAM INSULATION. - 11. E%IBTING BXTSRIOR TRIM TO BE MATCHED,PATCHED,AND PAINTED IF REQUIRED, 11'•e 11S' 1]. EXISTING HEATING AND COOLING SYSTEMS TO BE DEMOLISHED ANO REPLACED MATH NEW HIGH VELOCITY .— —.—.—.—. SYSTEM.NEW OAS FIRED BOILER TO BE LOCATED IN THE BASEMENT MECHANICAL ROOM. - 14. PROVIDE OUTDOOR CONDENSER AND CONCRBTE PAD.LOCATION TOR E REMOTE. _ 14. ASSUME NEW CABINETRY,APPLIANCES,AND FIXTURES TO BE INDY STANDARD PRODUCTS.SELECTION AND PURCHASE TO BE APPROVED BY THE OWNER,ALLOWANCES FOR THE KITCHEN ARE ESTIMATED 7e,000, _ .1; - ! -III I - i BATHROOMS iSA00. - - I I I I.I I l l l 1 1; 18. THE EXISTING ENTRY PORCH TO RECEIVE NEW FLOORING,COMPOSITE BV TREX,WINCHESTER GRAY FINISH,OR _I I I I III 1 I b I, A1EK,OR WESTERN RED CEDAR IF REQUIRED BY THE HISTORIC COMMISSION. - ' . III � I,i II a,lIlI10 III ! ! I,Till; e'.a r•1' j L u ^v A W] • , - V p I III III III I I I'1 . I � IIMAITER:IIlIiIIIII '�Illi. DEMOLITION NOTES 1�osFI III j l! II j III IIII' II 1111 II I II LL oI! I� . 1. PRESENCE OF HAZARDOUS MATERIAL IB UNKNOWN.GENERAL CONTRACTOR TO I I IIIIII I - t • Q to , i PROCURE ENVIRONMENTAL SERVICES AB RSO'D POR SUSPICIOUS MATERIALS - t', I�! I j I III III I!I pl ,n 1, PROTECT ALL EXISTING WALLS,MOLOINOS,OSIUNGS,FLOORS,DOORS,WINDOWS, I ! 1MC I I!,I;,I j _ LIGHTS,COLUMNS,PLUMBING,HVAC ETC, TO REMAIN ]. AFTER REMOVAUDEMOLITION,LEAVE ADJACENT AND REMAINING SURFACES READY - 1 46'6F I 1 ' i' I I I III m Illl III 22 FOR NEW WORK to 1 e -III 'ICI III III I I,_ III I®ID1' II il 'iIj jlllll!I I III I II I _ _ w 4. REMOVE ALL WALL AND WANDOW TREATMENTS,PATCH ALL PENETRATIONS(EXAMPLE: - I I! I I'. I I I ! j I j I I I I - WNDOWTREATMENT HOLES IN WALLS AND MOLDINGS) I I I I!I I ! LAUNDRY e. REMOVE ANY APPLIED FLOORING(EX:SHEETOOOD,TILE,CARPET)ORIOINAL I'" �I '.r 41 SF i! HARDWOOD TO BE E%POSED 1 I b j 'i- PANTRy, I, - ' - B. IDENTIFY,PROTECT,AND AVOID DISRUPTING ALL WIRING AND EQUIPMENT TO REMAIN. - _ C CO ORDINATE A TEMPORARY CONNECTIONIF NECESSARY Pk,:l-Ip ]1n IIII 'LII ' 1� ?"II_n J,I I la+ — — jl I I."' ,'II �' 7 7. REMOVE ALL INTERIOR SWITCHES,RECEPTACLESIOUTLETS,AND LIGHT FIXTURES. l I IIII I! L I I I I I III !!i!IIII 6F 1_j'i I - L u 11 DIM �I PREPARE FOR REPLACEMENT SNATCHES,RECBPTAOLEBIOUTLETS,AND LIGHT I! I ! FIXTURES I I ! , Q p. F,XT AES INATBO OR ABMlDONSD CIRCUITS,RSMOVB ASSOCIATED WRINGL. I NQ II II:.I I I 4'•10" III 1;1 IB i]M ,I ! - (INCLUDING COMMUNICATIONS CABLING)BACK TO MAIN PANELS. I I 11 I 1 I I' IIII 1; I ' 18 fiF 1 ! - I I I I,I 1 fl1 j l' S, ALL SUSPENDED OR APPLIED CEILINGS TO BE DEMOLISHED.REPAIR WITH PLASTER AS 1 ' NECibil ESSARY III iIIIIIi I I.I. .IIII I III I IiII'I III ', III IIIIiIlI.1� II„I 1 I, i - .. 10. REMOVE ALL HVAC EQUIPMENT EXCEPT THOSE LOCATED WITHIN BASEMENT,DEMO 6 III 1 III ,I I III I I ® II I. j • E VENTING CHIMNEY TO BASEMENT{PATCH ROOF WI APPROPRIATE MATERIALS - II 51 I I III I I III ILf Iil 111 e1 1 j jIII III 11I aV 71n.I Iiilll,t l'i ' 111 /1M I!. I ..I DEMOLITION LINETYPE I I I II ;' I. I' !' IIII 'I' ! iKIyTCHEN! i II j ------ DEMOLISHED--e 11 , I,..j III -hII 11 III ' 1i796F I I11 I III j ---- �II_ IIII. II1!;1 11II,BI 3I SII F I IIII Iil�IlIll IIIIi'4I i!II�I III II II pI lII!!' � sIli t�I ei1 I' or ��® WA F LY ROOM I jIII I;I 1!lII1 I' O IC III I I I j ,It W4 II'�Ljl �'I pt_I\ � III I-I I I I!;I-;IIIIII III I LII IjII II.;I I 1 II III IjII!.;'I I:II II!II III I 1I Il Il I1 11j,II II II(IIIIII IIII�'j II�'I Ij I I-I I I I—I III'I—I I—!I jI—I 1I 1j—1I I,j—lI II iILj_lI—.Ii l—1I! I,IIII I.II,I I1I;I.1'I I W1 - - REVISI,O N$ 7—F,—Wpj.m Datallo.) IIi RETAIN AND I , . I IjI II U I I I PROTECT III I l j Di II -II '' l . VIM I I l I IICHIMNEY _ --JL=� r e i I 'III i j j I , I I !II!i Ij jIII! ,LhI IIII II IIII III IIII '.I \ L❑ — IIII 'I: ! I!I_j; j IIII-III II-. . it I II I I I I, !. Ijll I; I I`I�I I'.I, I I ( III Ii W1 /•1 I ,I'I I ' 111 1: I� 1 I'i 11 1i1 II: i I I 'll' I I `. I I 111 I 11 I i I lid,I I"I'I I Ii III'.II Ii'I I Ij I I,LIII I I I LIj_j,1 I I �QIINIII�I I!II i : �II II jYIl IIIIIji I I II I(III. IIi,Il.Il;..Il II1jI I I.IjI FI RE ALARMS: l I No."3`1��6 {MONI DETECTOR-SURFACE MOUNT CARBON MONCADI DITICTOR•SURFACE MOUNT j 07 I II � "'• .. , W1 l I I I j IIIIII ' jll I. IIII II I III II I III III I I I j I I I I FIRE ALARMS I 1/4„, 0 V-„ 'FIRST FLOOR Td GT•_� III III:II•.1111! I��IT a---l�l.il III: i I '' 'I w1 -1 -- -- ---— — ij Illl' - I I I l j I I I I j �I, I I I:I�I I 1 I I � KEYNOTE LEGEND I,I I I I I I j l b I III I I III III : \ I I i l 11 .III I I I I I I I I 1 I Ka v!u. 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