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Home My WebLink About0033 BAY LANE �' I I fi ;� 1 � - �i �J t jo NO.. 152 1/3 BGR 0 0 0 0 ii J�pI f e d ,f AN Town of Barnstable Building a Post This Card So That it is Visible from the Street-Approved Plans Must be Retained on Job and this Card Must be Kept • WUiNSTA�t.6. - Posted Until Final Inspection Has Been Made16 39. . P rmit 'Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until"a Final,Inspection has been made Permit No. B-20-1440 Applicant Name: Tate Isenstadt Approvals Date Issued: 07/17/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-.Residential Expiration Date: 01/17/2021 Foundation: " Location: 33 BAY LANE,CENTERVILLE Map/Lot: 186-068 Zoning'District: RD-1 Sheathing: - r Owner on Record: SARGENT,WILLIAM T&JULIE Contractor Name:", :, Framing: 1 Address: 33 BAY LANE Contractor License-2 CENTERVILLE, MA 02632 -' " ~�;4. Est. Project Cost`. $60,000.00 Chimney: Description: Turn Breezeway into a laundry room := Permit Fee: $356.00 Insulation: Fee Paid:F $356.00 Project Review Req: Date: 7/17/2020 Final: Plumbing/Gas ((( Rough Plumbing: b Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after 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. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road,and shall be maintained open for public inspection for the entire duration of the final Gas: work until the completion of the same. 1 i Electrical 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: ? Service: 1.Foundation or Footing i 2.Sheathing InspectionP ;E_. Rough: 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 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: "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 Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Commonwealth of Massachusetts tie;a�oasiapun Division of Professional Licensure L179ZO VV4`l�:lOd SINNVAH 'Nk j Board of Building Regulations and Standards '?� "/��" 3nb 3>iv SS w � (U� 1� Qb1SN3SI 31tJ1 Const�r�uetl $i5pprvisor r . rC"* Expires: 03l24l2021 11�F` CS-098149 AZIV32i I d 1 r 1 a ^ Y a l•Z0Z/8Z/S0 " L6 S6 5G ? 7 j TATE D ISENSTADT Air uol ejl x u i ei si a .' PO BOX 796 �j -i O + uol lei st HYANNIS PORT.MA102647 • r�l�) �1�� 9 eOI seaN OD 1N3W3hOMdWl 3WOH uol 1 fSS I M e is sjle}}y iawnsuoo;o aoy;p 3€r f C4 Commissioner y a�° � r Town of BarnstableBuilding Post This Card So That it is Visible From the Street-Approved Plans Must be Retained,on Job andthis Card Must be'Kept SAA.VSIAHL&. w Ma Posted Until Final In Has Been Made. ',. Where a Certificate of Occupancy is Requ..ired,such Building shall Not be Occupied until a Final Inspection has been made.. Permit Permit NO. B-19-676 Applicant Name: TATE D ISENSTADT Approvals Date Issued:i 03/05/2019 Current Use: Structure Permit Type: Building,-Addition/Alteration-Residential Expiration Date: 09/05/2019 Foundation: Location: 33'BAY LANE,CENTERVILLE Map/Lot: 186-068 Zoning District: RD-1 Sheathing: Owner on Record: MEANY, PHILIP E JR& DANIEL, HELENE C Contractor Name: T D I REALTY GROUP INC Framing: 1 D ? Q Address: 33 BAY LANE Contractor License: 155:997 2 CENTERVILLE, MA 02632 Est. Project Cost: $50,000.00 Chimney: Description: New Master Bath Remodel Half Bath, refigure Kitchen. , Permit Fee: $305.00 Insulation: Changing Windows in Master Bath and Half Bath. �? Fee,Paid: $305.00 Project Review Req: Date: 3/5/2019 Finale n -3a is Plumbing/Gas Rough Plumbing: PU This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuan e. Final Plumbing: 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. Rough Gas: This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building_and_Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:, 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed: Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: ��rojy Application Number............�/... ......... .... .......... .......... . snxrrar!►BM MAS& Permit Fee..................... , Other Fee.. 03 Total Fee Paid........... ......!l/ :........ Z)...... ...... TOWN OF BARNSTABLE Permit Approval by......... .l... ..............On..... �sl.M...... BUILDING PERMIT Map......... . �D. ..............Parcel........ ....... ................... APPLICATION Section 1 — Owner's Information and Project Location Project Address eta_ Ce.nsr-ro e le Village Owners NameU I` �✓ V' �+ Owners Legal Address 33 Qct-q City State Zip Offers' ll# E-mail Section 2 —Use of Structure Us 'rro p f d ❑ Commercial Structure over 35,000 cubic feet o M ` ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling z Section 3 — Type of Permit5. ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ . Solar Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work De ription {� Sher mac' �...<c _ l�eG4 � . Last updated: 11/15/2018 Application Number.................................................... F— Section 5—Detail Cost of Proposed Construction p p I Square Footage of Project Age of Structure Dig'Safe Number t # Of Bedrooms Existing _ Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method © MA Checklist ® WFCM Checklist ❑ Design Section 6—Project Specifics J4 Wiring ❑ Oil Tank Storage Smoke Detectors X Plumbing ❑ Gas ❑ Fire,Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Public Private Water Supply , Sewage Disposal ❑ Municipal On Site , t Historic District ❑ Hyannis Historic District ❑ Old Kings Highway - J Debris Disposal Facility: I am using a crane ❑ Yes No Section 7—Flood Zone Flood Zone Designation A Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District D Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed # Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated. 11/15/2018 1 a The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Y- C) Address: Tc' > I C �o City/State/Zip: Az ©f Phone#: 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 6' El New construction employees(full and/or part-time).* have hired the sub-contractors . 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• Demolition workingfor me in an capacity. employees and have workers' Y aP t3'• # 9. ❑Building addition [No workers' comp.insurance comp•insurance. required.] S. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 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.E]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. lContractors 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 thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL 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 ay be forwarded to the Office of Investigations of the DIA for fimAce coverage v ' I do hereby certify under penalties ofperjury that the information provided ab e ' true and correct Si ature: Date: 3 1 Phone#: 2 2—0 p Official use only. Do not write in this area,to be completed by city or town official City or Town: PermitlLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance wn the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: - ` The Commonwealth of Massachusetts Department of Industrial Accidents r Office of Investiptions 600 Washington Street ✓ Boston,MA 02111 Tel.#617-727-4900 e t 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.maw.gov/dia TDIRE-1 ACORD' CERTIFICATE OF LIABILITY INSURANCE FMMIDDIYYYY) 10/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER 508-771-1632 CONTACT Kathy Geddis SGBD Insurance Agencies,LLC He Nr o,Ext:508-771-1632 FAX No): 640 Main Street,Suite 9 Hyannis,MA 02601 EDDA E INSURERS AFFORDING COVERAGE NAIC# INSURER A:Western World Insurance Co INSURED TDI Realty Group Inc. INSURERB:Guard Insurance Group 42390 P 0 Box 796 Hyannisport,MA 02647 INSURER C: INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 TO R CLAIMS-MADE �OCCUR NPP1503990 01/16/2019 01/16/2020 PREMI DAMAGES(EaED $ 50,000 occurrence) MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑JECT LOC PRODUCTS-COMP/OP AGG 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT(Ea accident) $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED N&,N6S\ NED PeOacEcRdnt AMAGE $ AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ B WORKERS COMPENSATION X I PERTUTE OTH- AND EMPLOYERS'LIABILITYYIN CERT WILL COME FROM CO 09/18/2018 09/18/2019 1 ER 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE [::] E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A WITHIN 5 DAYS "` (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 100,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE O CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Will Donnelan ACCORDANCE WITH THE POLICY PROVISIONS. Clubhouse Drive Hingham,MA AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Application Number............................................. Section 9- Construction Supervisor Name S'c Telephone Number Address flfio)C 774 City gfKkjt,)(' QIl State Zip License Number License Type0J-'C-S+,Qj Expiration Datet/j� IZContractors Email AS �t n� Q, 1 cd�"�- Cell # �0;/- Z q2 Z 0P I understand my res ilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 r CMR the Mass ach tate Building.Code. I understand the construction inspection procedures,specific pections and documentation re CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor r // C— Name r0 Telephone Number f Address City State Zip Registration Number Expiration Date Z I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts Se Building Cod 11inderstand the-construction inspection procedures,sp ific inspections and documentation require 80 C d the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number t 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 LICANT SIGNATURE Signature Date 'Print Name LTelephone Number ; E-mail permit to: Last updated: 11/15/2018 a Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) 3 Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval i Section 13— Owner's Authorization I 9tfA 11-k as Owner of the subject roPert Yhereb y authorize p to act on my behalf, in all matters relative to work authorized by this buildingipermit application for: (Address of j ob) S i tur of Own. date 0 : Print Name Last updated. 11/15/2018 Commonwealth of Massachusetts Division of Professional Lice nsure Board of Building Regulations and Standards Construdt-1� -1tbpyrvisor CS-098149 1> 11� Fi�ires: 03/24/2021 I It 4": TATE D ISENSTADT r PO BOX 796 HYANNIS PORT 3 Commissioner , .;F` Office of Consumer Affairs&Bur �s Regulation ! HOME IMFROVBMENT CONTRACTOR } �t TYPE::Corporation Registration Ex iraa on ' z155997` c �k. 5 28 ( it FF s T#PA REALTY 011' U 11 INCt ISENSTAiDT ` €55`LAKE AVE. + ' 'HYANNIS PORT,MA. 02647 �} x, Und rSe ry — 1 R Registration valid for individual use only before the expiration date. It found return to: 'r Office of onsumer Affairs and Business Regulation f' i 7U Far 1 a-Suite 5170 Bos 176 ti No#valid Withot It Signature ` A TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map� Pa(*el ,Y s `$F r, Permit# ��Lf / �?4„iiS Health Division ��0� ►a'� o 1��-il 1 Date Issued Conservation Division �� 7 O ' ? �� Application Fee Tax Collector Permit Fe e �� „ Treasurer SEPTIC SYSTE NI f UST C% Planning Dept. INSTALLED IN COMPLI ►od �: WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AEI Historic-OKH Preservation/Hyannis T004 REGULATIONS Project Street Address : 33 Village 669u�/441E Owner s �. i'��.v�/ CIE- Address 3y/7 Al. s4t�.*4eiE .01 2-MO Telephone 703 ,551 4':713 ��-Sam 77f�ir7� Permit Request 0, *W ------------ Square feet: 1 st floor: existing proposed/ 1O 2nd floor: existing proposed Total new 3OZ Zoning District Flood Plain /1/9 Groundwater Overlay 'No n Project Valuation Construction Type 4/nojs SH/u��s, wiaecws, .As�P,ocT/6m,e Lot Size 14e406 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes Colo On Old King's Highway: ❑Yes ❑No Basement Type: gull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) A10-ye Basement Unfinished Area(sq.ft) Number of Baths: Full: existing -1 new 2... Half:existing new Number of Bedrooms: existing 2 new Total Room Count(not including baths): existing S new First Floor Room Count��- Heat Type and Fuel: ❑Gas, CI 01I ❑ Electric ❑Other Central Air: Cd Yes ❑ No Fireplaces: Existing I New O Existing wood/coal stove: ❑Yes RlTo Detached garage:t existing •❑new size Pool:❑existing ❑new size Barn:❑existing ❑new. size Attached garage:❑existing ,❑new size Shed: ❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ _Commercial Ll Yes ❑ No If yes, site plan review# Current Use egwc l Proposed Use BUILDER INFORMATION Name .wap �!n %y dy Telephone Num er 7,00 S3 3 0,-o Addresses/7A/ ¢C 97it,fZLA .67'= License# rl2L/ 7Gti (/f} ZZzo� Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4&,0 SIGNATURE - DATE FOR OFFICIAL USE ONLY 1 r, F L r 1 + PERMIT NO. ^ DATE ISSUED _ 5 MAP/PARCEL NO. , ADDRESS ' VILLAGE f' OWNER DATE OF INSPECTION: ' FOUNDATION �L�Y f - �, y FRAME � INSULATION ?J'2-,11o1 4±0 r FIREPLACE ELECTRICAL:• ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ; DATE CLOSED OUT . ASSOCIATION PLAN NO. THET°�� The Town of Barnstable NBARNSTABLE. MASS. Department of Health Safety and Environmental Services s67p' �0 °'EOMpya Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 (PLAN REVIEW Owner: I114 Map/Parcel: Project Address L Builder: __ DLO The following items were noted on reviewing: CL I , o Y- e� t YY1 e n C I � '\ C ib • Reviewed by: . -,a 0-,A .12 Date: q:buildinghnns:review The Commonwealth o•f Massachusetts Department of Industrial Accidents t 600.Washington Street _ Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit i name /hIZ440 location. 3 3 /. 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' . ..h....£....,.,rt...n,. .... e�.,r ntY....,.,tk ...r..}:............ %,...:..... {a....,}..,n.y.L..n ..fi..«.;}.:tr:;. ::-.-::r}.::.;•;.}}:•{.x•::•``•.'•}}:{2>.i::i:?'r:<`'{{...�'.............:,...•r:.vt•>C;.r.?R a.:}:?.•.,wn•.}•.}}::,'•4?:Y:::h;.;..-........ :::Yh••:•r:::,,•:.:J:{;4a,:{+.,?n;..,.. ...{.o}.tr:.a. ..}.. y::'•'.;;,.Y:.}:..::....{s ,r...,..vr,ih} .., a v 4.h v ,t t•....-.::}'•...,t:v'Z{.....4..t...n... :.v+':nn•...., ��l - ..... wnmace?err£::}::?:.:::.:}::.}.:i%•.:.:.:;::'•,:..:.,.,?•.:..-.,:{:•..:.:::.':::::+;..::..r.:.. .n. . +.... Failure to secure coverage as required under Section 0f MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.o0 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me: I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify e and penalties of perjury that the information provided above is trip an. sorted Signature Date Print name ��/ / G /d Phone# 703 S5 7/3 official use only do not write in this area to be completed by city or town oflicial city or town: peradt/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office _ []Health Department contact person: phone#; ❑Other Uvv;.ad 9195 arnf Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the.service.of another under any contract of hire, express or implied, oral or written. 4 An employer is defined as an individual,partnership, association, corporation or other legal entity, or ariy two or more of the foregoing engaged in a joint enterprise, and including the legal representatives'of•a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contacting authority. { Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and applying company names,address and phone numbers along with a certificate insurance as all affidavits maybe . . submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and ;- date the affidavit. The affidavit should be returned to the city or town that the application for the permit or,license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference num_tier. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. rg The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents 11mce of Investigations 600'Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 . °ptHE r Town of Barnstable Regulatory Services s saxrtsxaBtE Thomas F.Geller,Director v Mass. g • �A 0;9. �,� Building DiVlsion TED MP'� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-623Q Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: 141," mil, d- AWK- MI'&WO jAQ246 Estimated Cost ✓rD,OGt�. Address of Work: �3 �ffL�� '•. —•l�� • Owner's Name: tyN/Gl'o Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 R []B 'ding not owner-occupied er pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. - ;a Date weer' ame RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq. foot= � x.0031'= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE � GG square feet x$64/sq. foot= 6 x.0031= plus from below(if applicable) GARAGES(attached&detached) " square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq. foot= x.0031= > STAND ALONE PERMITS r Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground.Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) /G 7 Permit Fee O projcost Town of Barnstable of�►,E T� . 4 Regulatory Services AZ Thomas F.Geiler,Director RAMMZ bUM 16 9. �,1 Building Division TED + Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 ice: 508-862403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION:, 3 ✓ 7 La"7�� C�f�/LL�. number street village , 1'HOMEoVNW: P11146a F ��uY� 761,:?53 K,,; 713 7G3 64Y 2 3Gel- name home phone# work phone# CURRENT MAUZG ADDRESS: 35,117 Al 2- city/town = state -zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and. to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a'parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use andlor farm,structures: A person who constructs more than one home in a ft o-year period shall not be considered a homeowner. Such "homeowner"shall submit to theBuilding Official on a form acceptable to the Building Official,that he/she shall be respongible for all such work performed under'the building permit. (Section l09.1.1) 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' 'ection procedures and requirements and that he/she will comply with said procedures and re ents. tore meo er . 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 tht 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 6=ently used by several towns. Yon may care t amend and adopt such a form/certification for use in your community. "NOTE:not all symbols will appear on a map kP GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES �^~ EDGE OF BRUSH ORCHARD OR NURSERY V-V-V V EDGE OF CONIFEROUS TREES _ \ ❑ ` MARSH AREA -— EDGE OF WATER DIRT ROAD DRIVEWAY b E �— NG LOT PAVED ROAD 1 DRAINAGE DITCH PATH/TRAIL %MA MAP AP 18, Q PARCEL LINE** � V MAP Ito-< -- MAP# \ (^ 21—PARCEL NUMBER ["✓✓) #teAo—HOUSE NUMBER 3 2 FOOT CONTOUR LINE �— - 10 FOOT CONTOUR LINE Elevation based on NGVD29 4.9 SPOT ELEVATION STONEWALL -X—X- FENCE ► s RETAINING WALL i-;-T-- RAIL ROAD TRACK �-- STONE JETTY SWIMMING POOL \f \1 > PORCH/DECK BUILDING/STRUCTURE \ rt DOCK/PIER HYDRANT 1 a VALVE O MANHOLE 0 POST 0F1 FIX POLE T O W N O F B A R N S T A B L E 6 E O ® R A P H I C I N F O R M A T I O N S Y S T E M S U N I T v SIGN ® STORM DRAIN It PRINTED SULE:IN FEET *NOTE:This map is an enlargemem of a **NOTE:The parcel lines are only gmpbic mpmsenfitiorrs DATA SOURCES:Planimetrirs(man-made features)were interpreted from 199S aerial photographs by The James UTILITY POLE o TOWER W1 E - - 1"=100'SCOIe map and may NOT mast property boundaries.They are not true looallorrs,alld Yy.Sewall Camppaany.Topogmphy and vegetation were interpreted from 1989 aerial phorogmphs by GEOD 0., 201.: 40 Ndonal Ma Accuracy Standards aithis do rot re resent actual relatiorrshi to al ob'as n. Planimetric, and ve etution were ma to meet No ional Ma Aaw Standmds fAdgn\conservation.dgn 05/24/02 02:17:11 PM i r �2�47�7 Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSotlware Version 3.5 Release Id Data filename:Untitled.rck PROJECT TITLE: Second Floor Remodel CITY: Centerville(Barnstable) STATE:Massachusetts HDD:-6137 CONSTRUCTION TYPE: I or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE:08/12/04 DATE OF PLANS:N/A .PROJECT DESCRIPTION: 3 33 Bay Lane Centerville, MA` DESIGNER/CONTRACTOR: Phil Meany Owner Subcontracts N COMPLLANCE:Passes Maximum UA= 128 Your Home UA= 117 8.6%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Cathedral Ceiling(no attic) 944 28,8 0.0 34 Wall 1: Wood Frame, 16"o.c. ' 643 13.0 0.0 43 Window I:Wood Frame:Double Pane with Low-E 115 0.350 40 Furnace 1:Forced Hot Air,94 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application. The proposed building has been desiped to meet the Massachusetts Energy Code requirements in REScheckVersion 3.5 Release I d (formerly MEGchec4 and to comply with the mandatory requirements listed in the RESchecklnspection Checklist. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified i ns 780CMR 1310 and J4.4. Builder/Designer Date From the office of Anderson Insul i n P.O. Box 2003 Abington, MA 02351 800-472-1717 z d 80l 19 HH 'ON/L l : 8l '1S/8l : 8l b007 l l HV NIM) WOd� REScheck Inspection Checklist Massachusetts Energy Code REScheckSottware Version 3.5 Release 1d DATE: 08/12/04 PROJECT TITLE: Second Floor Remodel Bldg. I Dept, Use Ceilings: [ J I 1. Ceiling 1:Cathedral Ceiling(no attic),R-28.8 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16"o.C.,R-13,0 cavity insulation Comments: _.__..... �._ Windows: [ ] I 1. Window 1: Wood Frame:Double Fans with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: Panes Frame Type Thermal Break?( )Yes[ )No Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air,94 AFUE or higher Make and Model Number I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with-no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283,with no more than 2,0 cfin (0.944- L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented&arced ceilings,walls,and floors. I - Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided, [ ] Insulation lt-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. I Duet Insulation: ( ] Dusts shall be insulated per Table 74.4,7.1, I Duct Constructions - ( l I All accessible joints,scams,and connections of supply and return ductwork located outside . conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation S. d 80119968S9 'ON/L 1 : 81 '1S/91 : 81 ME 11 00d NIM) w0dj instructions. Mesh tape may be omitted where gaps are less than 1/9 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems, Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load a9 specified in Sections 780CM R 1310 and 14.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ( ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and-Cooling Piping-Insularion: [ ) HVAC piping conveying fluids above 120 OF or chilled fluids below SS OF must be insulated to the levels in Table 2, b d 801 1996Z£9 'ON/1 l ; 81 '1S/8l 8 l b00Z 11. 50b N]M) Table 1: Minimum lasrdatloe TJFkkmwssfor Cift*laliwg Arai wafer Pipes; Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating ltunouts Circulating Mains and Runouts Temperature(F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-190 0.5 1.0 1.5 2.0 140.160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Titickmess joi RVAC Pipes Fluid Temp. insulation Thickness in Inches by Pipe Sizes Piping System Types Ran e F 2" RuT pouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 015 0.5 -0.75 -1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) 9 d 80 l 19967,89 'ON/Z l : E '1S/6 l : 8 l VON l l HV NIM) I - - - LIST OF DRAWINGS - • C. _ COVER W . .. 1. LOWER FLOOR PLAN W - 2. MAIN FLOOR PLAN W - _- 3. UPPER FLOOR PLAN -- 4.. FRONT&LEFT SIDE ELEVATIONS V l a 5. REAR&RIGHT SIDE ELEVATIONS W 6. MAIN FLOOR FRAMING PLAN - - ®® ® 7. ,ROOF FRAMING PLAN 8. MAIN FLOOR ELECTRICAL PLAN - L<7 ❑❑❑❑❑❑ 9. UPPER FLOOR ELECTRICAL PLAN 000000 w � v � w 1AUG 2003 ® 12 DEC 2603 Ak. - . - Thomas French Architects 6723 Whittier Ave. EXTERIOR VIEWS 3u McLean, 402 VA 22107 Tole. 703 734 0064 .RENDERINGS ONLY; REFER TO PLANS&ELEVATIONS FOR ACTUAL DETAILS. _ Fax. 703 734 1964 L - ��gywwmmwe m�mmmtlmm�. mm V ��. mm�m.tl.mwm,�dme�m,�wnomw�.�m.wm� �me.m. r mmm�mmmw�dwmamnro n.mmn�_mm—mmmm— . �am�mmma.m,.mm�.ww.xr Im.wsaw,mmwimmm.rw,ywpmym e.c. mmmm�mmemm.w.mme. ' - - Ounensloru HmmemmmenNnpa).Nd eheOmweuwemmwrEe.sNtl ndwry. . - - - pmmMmu emmmmd Nmmnex0edtlwmrels lweeu ndeeane,.nwleron �. . - .. mtl�Wlewmemmbq DeNmm,.'e¢ . - — - - - fnnnmona em maam0edmmmmq mnmrwW and onYmd WNmmbWp Z W a RR E X. U-N.F I N 1 S H E D_ B A S E M E N T t l Exi I I a. wly.li I �HUFMAS as mm°"`so`tla.�i`nnrotl...� I I,a • 2�MICHELE R I �G 'ol I UNFINISHED STORAGE - I I o TUDO 3 4 .y► IAUG 2003 A U N o. cn PVL STRUCTURAL 12 DEC 2003 I I �wcoww,caws w.re I I t---------1 •r-- I - 1 The mee French • _ Architect. .. .. 6723 Whittier Ave. LOWER FLOOR RLAN Salta 402 McLean, VA 22101 Tale. 703 734 0084 _ - 1/8 n - 1 i_oa Fen. 703 734 1964 - .. en.,wam.ww.,.�owna.aa..w,yn...,..v.,m w�aaeamwnamnw W NOTE TO WINDOW SUPPLIER _ .E X.YBEDROOM EX. LIVING ROOM -_ BREEZEWAY : EE X. HALL EX. GARAGE \.J EX. BEDROOM E EX. =i EX. q0 KITCHENI BRKFST. - - m". EX. BATH Oi0 I erc,k,w IT Tj E I — -T -- ——— 1 AUG 2003 N W - - 12 DEC 2003 I .i r FAMILY 6 - t R O i0 M r I � l - L' I - . noonion ,R, ® Thomas French I_ Archltectw 6723 Whittler A Y e. MAIN FLOOR "PLAN S McLeaan,n,D 402 VA 22101 pO 1 Tale. 703 734 0064 1�-0II Fax. 7037341964 ._ L . - - daaiq leas,m.md wreumn�em,n,Twu ammaw narven vspnry meuue ne n _ - - id Wv�.meswu..u.�w(' ten wvaw„owm o4,M'vw dOMm Z. Q e-osnaaba wavmemonw�No m,ad wseeemnros bea wvE mia vruv,u ven - - - we,bm�aemu.ncl.wdme.i newsuwssw.•n,Iv+vu ngeaaixmwl mea ' . 6EmMamentl�meenbwmNedenuNrpanew wMv wgonWedfWNd Wetliq W .. �I NOTE TO WINDOW SUPPLIER a ov�odr mxw�,wawnr>,.ww„w,e - - _ - -. s.w.e.ww�eed�r,•wv.usi>we.+a„e,�,ona.a�nenm+,.a.. - � Q� � I BEDROOM e -BEDROOM l - - -- - - ' M E- spy? '°B"I aiy S I g6$ gSggSggSg HALL o Jam..\ l+•1 Ol 1 AUG 2003 - .. .. .. 12 DEC 2003 • Thomea - : F r a n 9 h L - - -Architect.. - 6723 Whittier Ave. UPPER FL,.00R PLAN 7 SD 4D2 McLean, 22101 Tale. 703 34 0084 1/8° = 1'-0N Fax. 7037341964 L , 4. -7 l f z, f SwYlrNuo, P� a M Z U LEFT SIDE 'ELEVATION vs = r-o° MICHELE Sg4YG v C. b LIDO No.34774 u0. UC.R 'TURAL 4 ST o� � 9 0 6♦ F E a GI ST P ST E oNAL 1 AUG 2003 12 DEC.2003 La ®�® ®®® �Sfh�c w7ckL. fiN , ILLU EJEI ❑❑❑❑❑❑ Thomas Freneh _ Architect. 6723 Whhtier Ave. FRONT ELEVATION suite 402 McLean, VA 22701 Tale. 703 734 0084 1/8u - 1�-or� Fax. 703 734 1964 L ® 1 ®® ® ® a a W w RIGHT. SIDE ELEVATION 1/8" =.l'-O' 1 AUG 2003 Him MEN 12 DEC 2003 RON N=m EF MEN ®�® op MEN® ®®® 0ll c n e r F h French Architectm - - - 6723 Whittler Ave. _ - - - S u I t e 4 0 2 2101 REAR ELEVATION Tele.McLean, 720084 Tele. 703 734 0064 1/8" = P-O" - � - Fax. 703 734 1964 - r-71 - r L_J pq W a S A. v q � MICHELE C. GN V 0 "'► 74 STRUCTURAL Ni - 1AUG 2003 12 DEC 2003 I I pr /ONAL" STRUCTURAL CRITERIA —os(nF) LIVE e610 MUfeR nIm SETTRF.MPFVOLE .i - I I . 1 I'I 11 I I I I. AODIeONAL I RW - I _______ . oeaEcroR OR,u�wwuv¢.TUREO Fuxwmisra s�uu ee uueeoro weo I ____J. ., .. ,. •. - s French - Amhltect. 6723 Whittler AV e. S U l l e 4 0 2 MAIN FLOOR FRAMING PLAN TcLean 7037, 22101 Ole. 34 0064 . _ .. l�p❑ _ 11-ou Fax. 7037341954 L r " - , W II I i El , .1 � W 111 FIT[: �H=H �,(�P), O?� MICHELE .9�',v 6 Pub N0.34774 ► 1 AUG 2003 a STRUCTURAL ♦ 12 DEC 2003 a 9 p FG/STE�� < 'ONAL�G . - STRUCTURAL CRITERIA . Lonos lvsF) uvT oTno" rota - - - - ADD roR GPDW AT VAULTS' - .5 .. .0 OEILMO.b15,5IunaTx:osroRAeE/x0 102.1 A21 Thomas French - - 6723 Whittier Ave. Sui,e 4U2 ROOF FRAMING PLAN -McLean, VA 22101 Tale. 703 734 0064 El cn W O ao I . I -- _ 1 AUG 2003 7T/. 12 DEC 2003 - AL . I Thomas French Architect. 6723 Whittler A v e. MAIN FLOOR ELECTRICAL PLAN salts 4U2 McLean, VA 22101 Tele. 703 734 0084 1/8 Fax. 703 734 1964 .. L - - - W -R qp c) i � LIEW i i U �i 1 AUG 2003 12 DEC 2003 - - _ Thomas Fro nch Archl 6723 Whittler Ave. _ S u I t e 4 0 2 E McLean, VA 22101 UPPER FLOOR ELECTRICAL PL AN A N Tale.- 703 734 D084 • 1/8" = 1-0 Fax. 7037341964 L BSI .� DATE SU EC IJ K- SHEET NO.S OF CHKD. BY DATE L A_ JOB NO. -'p 2x4 TOP PLATE ,p HEADER 16 NIN. • _E:I3M. '1•j rl' MAX. PANEL NAIL SHEATHING TO 'I'1 I.I. HEIGHT HEADER AT 3'o.c. B.W. 'i•i .I j .. 2-2x4 STUDS 11 I I NAIL SHEATHING :: AN RATED''SHEATHINO •I' 1't'' TO EACH STUD 3/6- MIN. 24/0 D(P. 1 U. .LI 1.1. •j•� I. 'o I I• NO FASTENERS 2-2x4 BLOCKNC AT . . O BLOCKING ANY.PLYWOOD JOINT '14L • "; 84 NAILS AT F r' — Z.I. 3'o.c. ALL PLATES.. . •L1 I I HEADERS 6c STUDS - •I•I Pt• .LI HI, It :� �•�, APPROVED OOKED-END. •1•I 1. ti .WOOD. CONCRETE ..I CONNECTORS WITH 1 ,' 3500 lb CAPACITY (MIN.) 111 4 i 3-2x PLATES J LE]8 NAIL SHEATHING it TO EACH PLATE U •: 1/2'0 A.B. T UABEDNENT Y CONTINUOUS FOOTING OR SLAB EDGE 460NINUN`LATERAL RESTRAINT PANEL DETAIL /1 bAAAA 'ZHOFtijq MICHELEss��'y°� C. Gn TUDOR rn 0 No.34774 ; < s STRUCTURAL co MICI► ELE. C. ' T-U,D.0 R I P. E. ': ONAAIL G'S"��G��:4' Consulting Structural Enginee %fir ��°�• 123 Cortonw000 Lane•Centerville.Mosspohusery / s 02632 (SOB))71 �601 / 'A.. :TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma( Parcel . Permit# ? 4 4 3 0 i Health Division "k� � Date Issued Conservation Division �� ,, Fee Tax Collector Treasurer Planning Dept. EXISTING S PTIC SYSTEM Date Definitive Plan Approved by Planning Board LIMITED TO #OF BEDR©OMS Historic-OKH Preservation/Hyannis Project Street Address 0E O Village �U� //fir 3VI7 IV Owner ��f�f�/G/!� � �/ /� t7� Address �� i �16 _2: Telephone-4�264 •114�7a-_0 o� 70;?,.S Permit Request 00��bo 22F125�e�o Square feet: 1st floor: existing /?� proposed 12nd floor: existing < proposed Totalnew=U Valuation s Zoning District Flood Plain Gr()�}`j''dwater O e-rlay F E.! - Construction Type OD Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting ocumentafion. o Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes o On Old King's Highway: ❑Yes ©<o Basement Type: U Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing �,5 new © Half: existing ® nO ¢Number of Bedrooms: existing new D Total Room Count(not including baths): existing new 6) First Floor Room Count Heat Type and Fue Gas ❑Oil ❑ Electric ❑Other Central Air: Yes No Fireplaces: Existing New L12 Existing wood/coal stove: ❑Yes ❑ o Detached garag . ting ❑new size Pool: ❑existing ❑new size Barn:❑existing Cl new size Attached garage: existing ❑new size 160Z- Shed:❑existing ❑new size Other: Zoning.Board of Appeals Authori ation ❑ Appeal# Recorded❑ Commercial ❑Yes JKo If yes, site plan review# h� Current Use Proposed Use BUILDER INFORMATION Name 0// _ Telephone Number _ Address,9-0 4�4? 405_ �' Tf7LUlCf ,/(�A License# Home Improvement Contractor# i Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 0 t t ' FOR OFFICIAL USE ONLY «; PERMOP NO. DATE ISSUED :MAP/PARCEL NO,. _ ADDRESS VILLAGE OWNER DATE OF INSPECTION: ' FOUNDATION FRAME dNSULATION 7 FIREPLACE ELECTRICAL: ROUGH FINAL' � Q Y PLUMBING: ROUGH FINAL' GAS: ROUGH L' FINAL' E FINAL BUILDING ftl �v, DATE CLOSED OUT . ASSOCIATION PLAN Nq{1c1' ; The Commonwealth. of Massachusetts Department of Industrial Accidents ,� =--: •: ,'._ Olflceol/mrestlgatloos - = 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit namef7�L�� location city ( � hone# JO I am a homeowner performing all work myself. ❑ I am a sole irop�rietor and have no onMe workingnany capacity.�W"1/0 �/D//E0/din workers' ensation for mp employees working on this job.;< :} ❑ I am an employer providing::..::.....::: .: .:::.:'}:>;;._:,:..:.:.::;;:«;.<.:: ><:::::: :..Y:.7:i.?;:.;}.};:;.. torn �nv:n�ater: ' ... ....... }•::::. : .. 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FaOmro to and/or to secure coverage as required under Section 2SA of MGL 152 can lead to the imPositl°a of tstmiaai penaltle+o[a Hue np understand that a one yam,imprisonment as well as dvn penalties in the forte ota SPOP WORK ORDER and a Hue o[5100.00 a day against ma I undderstand copy of this statement may be forwarded to the OHlce of Investtgatio�of the DIA for coven;e verliTcatioa 1 do hereby c fy tote pa and penalties of perjury that the information provided above is hw..and coned Date ��- Sigoa J 57 _ Print Warne 7 /�l�/f ��•�/ Phone# otndal use only do not write in this area to be completed by city or town official din De artment. city or.town: perndt/Ilcwe# aU„y,ng guard (3Selectmen's Omce ❑checkif immediate response is required [3]IOdth Department phone#; bother £ contact person: I (m ma 9/95 PIA) Information and Instructions ensation1for their Massachusetts General Laws chapter 152 section,25 requires all employers vereson i the servicede eof another under any contrac employees. As quoted from the"law", an employee is defined as every'P of hire, express or implied, oral or written. or more of An ernP lover is defined as an individual, partnership, association, corporation or other legal 2 or lo any ver, w the receiver the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased P trustee of an individual,partnership, association or other legal eatit3', 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 s c other who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every_state or local licensing agency shall withhold the issuance wh ` of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant not produced acceptable evidence of compliance with the insurance coverage requir the edfo��Ce�u neither c he rkuntil, the commonwealth nor any of its political subdivisions shall enter into any have been presented to the contracting evidence of compliance with the insurance regtmiremeats of this chapter authority. Applicants ' Please fill in .he workers compensation affida completely,by checking the box that applies to your situation and 3�supplying company names,address and phone with a certificate of insurance as all affidavits maybe numbers along submitted to the Department of Industrial Accidents for camfirmatt�of insurance coverage. Also be sure to sign and lication for the permit or license is date the affidavit. The affidavit should be returned to the city or town that the app "law"or if ye have as questions regarding the being requested,not the Department of Industrial Acci dents• Should you have policy,please call the Department at the number listed below. are required to obtain a workers' compensation FEE City or Towns bl The Department has provided a space at the bottom of tl Please be sure that the affidavit is complete and printed legs y. eP the licant Please affidavit for you to fill out in the event the Office of Investigations has to ca=d you regarding aPP be sure to fill in the permitlIicease number which will be usc�as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. ike to thank you in advance for you cooperation and should you have any questions. The Office of Investigations would l please do not hesitate to give us a call. The Departnment's address,tekephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents 0mce of luesugadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#. • 617 727-4900 exL 406, 409 or 375 � ) EVE T° The Town of Barnstable BA-ANSTABLL •' 9 MASS. g Regulatory Services 1639..t� Thomas F. Geiler, Director, Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. . Estimated Cost ' _ Type of Work: Address of Work: 3� y� Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 D VjBpikling not owner-occupied wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR MPROVEMENTTWORK DO NSTERED OTHAVE CONTRACTORS FOR APPLICABLE HOME ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date. -Contractor Name Registration'No. 7 Z � Date O is Name q:forms:Affidav:rev-070601 . t yyyyyy K�*P • 1 t 4 Townof Barnstable �, r z o� Regulatory Services - - Thomas F.Geiler,Director � ;,� 9 tMuss 8, ': Cb i Building Division w s63q. �m •; ��r ArFD � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 `3 = Office: 508-862-4038 Fax: 5'08°790623°0 ` f. HOMEOWNER LICENSE EXEMPTIQN Please Print JOB LOCATION:. number street village f/A—7G3 535-=4;7?� .IHoMEOWNER":A1�/p name home phone# work phone# y CURRENT MAI IING ADDRESS: city/town state zip node` s _ F vh The current exemption for"homeowners"was extended to include owner-occupied dwellings of six:units or4864�andv� . z 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 nr ismtended?to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farms structu s -A_ . person who constructs more than one home in a two-ye 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 b-ems •. responsible for all such work performed under•the building permit. (Section 109.1.1) a The undersigned"homeowner"assumes responsibility'for compliance with the State Building Code an ot}e 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 I ignature of meowner 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 persons)for hire to do such, work,that such Homeowner shall act as supervisor." 4 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,par ularly .. when the homeowner hires unlicensed persons. Ia this case,our Board cannot proceed against the unlicensed person as it would with a licensed . t Supervisor. The homeowner acting as Supervisor is ultimately respondble. the erarit a lication, To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of P PP that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form cinreatiy used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:borneexempt C ,ol`110 C) ( Do's /Z- DIME Town of Barnstable *Permit# Expires 6 months jrom issue dare .-F 1�2 gulatory Services Fee - - � Y ''. , Thomas F.Geiler,Director TOWN �� Building Division �"N ` Tom Perry,CBO, Building Commissiomer X. 200 Main Street,'Hyannis,MA 02601 www.town.barnstable.ma.us l Office: 508-86 -4038 OCT Fa ° 08@90-6230 . EXPRESS PERMIT APPLICATION RESMEL' Not Valid without Red X-Press Imprint OliNIVS rA b Map/parcel Number t'7�� Property Address 33Ll P, 3 ['Residential Value of Work Minimum fee of$35.00 for-work under$6000.00 T3 , J Owner's Name&Address h 25 �41ex-V t i�, ✓�� oa 6 ss'" Contractor's Nam ey I Y1�Y`^�5 �jNS /Nc Telephone Number !os Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 19workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner �have Worker's Compensation Insurance PERANT Insurance Company Name 6 20lo Workman's Comp.Policy# DO) w6310 WN OFf3AR/V Copy of Insurance Compliance.Certificate must accompany each permit. �/BL Permit Request(c eck box)- Re-roof(hurricane nailed)(stripping old shingles) All construction deb6s will be taken to &'OVI A! J ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) r ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum[.35)#of windows *Where required: Issuance of this permit does not exempt compliance with other town departmer.rt regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is req ; ed. SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet,Files\Content.Ouilook\DDV87AA.Z\EXPRESS.doc Revised 072110 0 506-328-1635 SPECIALIZING IN ALL. FORMS OF ROOFING & SIDING doyleandthomasconstruction.com P.O. BOX 1613 BBB. ` CENTERVILLE, MA 02632 Fully Licensed & Insured Construction Supervisor Lic# 99913 Doyle and Thomas,Inc. Proposes,to perform the following work: Location of proposed work: Mr. & Mrs. Hinckley 37 Bay Street, ` Osterville, MA 02665 Date on which construction should begin: Fall 2010 The homeowner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that cannot be avoided by the contractor shall mot be considered as a violation of this contract. The contractor agrees that when such delays become known-to the contractor,the contractor will advise the homeowner as soon as possible. The homeowner herebyacknowledges that in certain remodeling work the demolition process g g s p may reveal defects in the existing structure which must be repaired, creating additional work which may need to be carried out in order to complete the work described in this contract. in such case the homeowner agrees that the duration of the work and the schedule date of completion may differ,and that such variation is not to be considered a violation of this contract. The total cost for labor and materials under this contract: $3,403.28 30 yr:GAF/Elk Timberline Architectural shingle I In the event that while stripping the roof we find rot that needs to be replaced,the homeowner then has to agree and authorize any replacement or restoration. Then in addition'.to the above contract price,the homeowner agrees to compensate the contractor for any repairs or restoration at the hourly rate of$45.00 for a carpenter and $30.00 for a carpenters laborer, plus the, cost of materials.. ' f Thank Ynu Fnr Givinn ll; ThP nnnnrtr rnity Tn HAIn Yni r Imnrnva- -Roof to be stripped and cleaned of all old shingles and debris -Roof to be papered with weather watch leak barrier,synthetic roof underlayment and installed with Timberline architectural shingles using galvanized nails. (Storm nailed) -All new 8 inch drip edge and pipe flanges to be installed -Cobra ridge vent to be installed on all ridges . -Timberetex premium ridge cap to be installed -10 yard container will be needed on site; and will be removed at completion ofthe job -Contractor will be responsible for all building permits needecl at the property NOTICE R _ .. C REQUIRED BY LAW With the agreement of the contract$500.00 of estimate is due. Further payments under this contract are as follows: 1/2 of the estimate due at the start; and remainder due at completion of the job. Balance of all materials and labor shall be payable in full uporm completion of work described in this contract. Payment as agreed upon shall be made when clue. Any payments which are delayed shall be subject to a finance charge of 1.5% per month. The contractor warranties the work completed under this contract for a period of ten year from the date of completion. During the stated warranty period the contractor shall be responsible for the service of the repair or adjustment, but the contractor shall not be responsible for the normal maintenance, repair due to abuse, misuse,and or normal'wear and tear,which shall be the responsibility of the homeowner. All warranties for the materials supplied by the contractor shall be passed directly to the homeowner. The homeowner may be required to register or mail in such warranty card or evidence of ownership in order to.activate such warranties. Homeowner failure shall not create any responsibility for the contractor under the warranty provisions;the choice of repair of replacement shall be at the " discretion of the contractor: The homeowner acknowledges that the form,content, and notices contained in,this contract are intended to comply With the applicable portions of the K!9ass. General Law Chapter 142A, and regulations promulgated there under. In the event of any instance of non-compliance,only such portion shall be invalid and-the:remainder of this:contract shall be in full force effect. In addition,any, such portion not in compliance shall be read and interpreted so as to (have its intended meaning to the maximum extent allowed under such law and regulation. Signe&as a sealed instrument on this date: Dater Homeowner Contractor . 1-7 �,V,� • Tile COMM!"am s efts _ Dep�rttne��t' >fT��.��rx�ts Office,afAm-vs tt aa& 6001 ash-ihigpit Shveet Bosfiwx,MA 02111111 Workers' Compensation Insurance Affidlwr&ma' s tractors/Flect icians/Plumbers ApRh Information Please Print Le ibl Name(Business/Organization/Individual)' t� y f� "'►6 C,l � uC,��'e r Address: ®, o City/State/Zip: yr/ f /� 41ro?UQ i'hone;9- Are yo n employer?Check the appropriate box: Type of project.(required,)-. 4. I am aim nerallcontracxor and/l I. am a employer with:_ ❑ -. employees(full.and/or part-time).* have,.lucedlthe,&, cantractat 6. New construction 2.� m I a a sole proprietor or partner- listed om, die,attachedisfiea. 7 E]Remodeling ship and have no employees These safi-contiactovliax�e S. Q Demolition working for me in any capacity. emplo yees:and fiav,-wer k , tnstuattce 9'. Q Building addition coo [Na workers'comp.insurance p 10.�'�Electrical repairs or additions required.] 5. We.are,wcoM..oraYsanaandiifis: 3.01 am a homeowner doing all work officeLsIiamexerc sedYtheun l 1.Q Plumbing repairs or additions myself o workers'comp. righttof,'es pf im etri' Li ' }` � t P c. 15?� ��' I12.' oof repairs, insurance required.] , �{�)>1,and,we1iaxaenov emplco�;ees, M , �M- kerg' 13.�,Other compie um-traneeeEeWuinse ]� . *Any applicant that cheats box 91 must also fill out the section,below lion policy infomuati;on. 4 Homeowners who submit this affidavit indicating they are.doing all must subunit a new atiiid'avit indicating such. :Contractors that check this box must attached an additional sheet:shoxving;the-n tme: and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their' % l: 'cunttt.lutl'ia�uu maser. lam an employer that is providing wot*ers'compeasatihut insrrrance,,fctrfnpe►np(ogees. Below is the policy and joh site infor"Wtion. Insurance Company Name-- Policy#or Self-ins.I c.#: �C�d/ �J�a lea pirafian Date: Job Site Address- 3.3 i f y/State/Zip: j ti/4' N14 4U,5r Attach a copy of the workers'(compensation policy declaratiam page( ho�viitg the policy number and expiration date). Failure to secure coverage as required under Section 25A:aftMGIL,c:.11522 cam teadl to the imposition ofcriminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as welhas;ciuvilllpena4tiimiraatke form:.of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised may be forwarded to the Office of Investigations ofthe DIA.for insurance coverage verificatioal, l do hereby certify the p ins and penalties of perjut,,Iy tliatitheiiFfttmnatiizrn j jr©vided above is trine and correct Si attire: Phone#: Official use only. Do not write in this area,to be coi*1etedlktvci#verr,tit ria�,�,fT vial City or Town: Eermit'/,License K' i Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrlinvn)06& 41,Iwle4Ak:a1 Inspector 5.Plumbing Inspector, 6.Other Contact Person: Phone-,A t :Massachusetts- Department lit'Ptuhlic Safety Board of Buildiil"Re�-ulations an"l Standards Construction.Supervisor Specialt:r•License License: CS SL 99943 Restricted to: RF,WS TROY THOMAS 499 NOTTINGHAM DRIVE { CENTERyILLE, MA 02632 Expiration 4/13/2012 ( nnuui>1i1airl' Try: 99913 C)�v��-l7J:iClff1.2CGP.t� Board of Building Regulatio s and Standards License or registration valid for individul use only 2 HOME IMPROVEMENT CONTRACTOR Wore the expiration.date. If found return to: Boaird of Building Regulations and Standards: -v Registration: 145954 One Ashburton Place Rm 1301 Expiration: 3/15/2011 Tr# 282668 Boston,Ma.02108 - Type: Private Corporation DOYLE+THOMAS CONST INC TROY THOMAS 499 NOTTINGHAM DR CENTERVILLE,MA 02632 Administrator Ztval�id wit out signature ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(M 09/07//2010 Y) 010 PRODUCER (508)428-0440 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Mark Sylvia insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 771 Main Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE CCVVERAGE AFFORDED BY THE POLICIES BELOW. OstervtUe AAA 02655 ! INSURERS AFFORDING COVERAGE NAIC# INSURED I INSURERA: Farm Family Casualty Insurance Doyle& Thomas Construction,Inc. PO BOX 168 INSURER B: Centerville,MA 02632-0168 INSURER C: INSURER D: _ INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AILL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR Do' POLICY EFFECTIVE POLICY/EXPIRATION LTR OFINSURANCE POLICYNUMBER DATE MM/DD/YY DATE:(MM/DDIYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A 2001X0485 7/21/2010 r 7121/2011 DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ 50,000 X CLAIMS MADE F—XI OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $. 'Hi GENERAL AGGREGATE $ 2,000,000 nGEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY 17 PRO- L 0 C I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO - - - - (Ea accident) $ I i I ALL OWNED AUTOS BODILY INJURY Iq SCHEDULEDAUTOS (Per person) $ HIRED AUTOS BODILY INJURY � HI NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) I$ GARAGE LIABILITY L_ i AUTO ONLY-EA ACCIDENT I $ �I ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY I EACH OCCURRENCE $' I OCCUR El CLAIMS MADE i AGGREGATE $ DEDUCTIBLE 4 $ R RETENTION $ - — $ WORKERS COMPENSATION AND WC STATU- X OTH- A EMPLOYERS'LIABILITY 2001W6390 .. 7/1/2010 7/'9/2011 - 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE I E.L.EACH ACCIDENT $ OFFICERWEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE1$ 500,000 If yes,describe under Yes E.L.DISEASE-POLICY LIMIT $ 500,000 SPECIAL PROVISIONS below OTHER i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Carpentry Troy A Thomas, President; Shawn Doyle, V President are not covered by the workers compensatior policy. CERTIFICATE HOLDER CANCELLATION (508)790-6230 SHOULD ANY OF THE ABSOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable Building Department DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIF CATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis,MA 02601 IMPOSE NO OBLIGATIONI OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE I ACORD 25(2001/08) ©ACORD CORPORATION 1988 4 ' °FIKErp� Town of Barnstable *Permit E.ipira6storrNisf i e Regulatory Services Fee BARNSTABLA % I MAC• Richard V.Scali,Interim Director AIFo �� Building Division Tom Perry,CBO,Building Commissioner Mawr 200 Main Street,Hyannis,MA 02601 EP 182015 www.town.bamstable.ma,us •TOw Office: 508-862-4038 Fax: TABLE EXPRESS P + T APPLICATION - RESIDENTIAL ONLY ' A'ot Yapd williorr[Berl X--Press Imprint Map/parcel Number Property Address �� residential Value of'Work$ W� e w Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 'd I llt y 1S L, S _ Contractor's Name m �� Telephone Number 0— Home Improvement Contractor License#(if applicable)_ mail: Construction Supervisor's License#(if applicable) ❑NVorklnan's ompensation Insurance Che one: ff I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Requ (check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to ❑Re-roof(hurricane nailed)(not stripping, Going over existing layers of rood ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property O ust r erty Owner Letter of Permission. o y f the H me mprov e t Contractors License&Construction Supervisors License is requn d. SIGNATURE: Q:mvpp1LM\FORMS\bui mgpermitforms\EXPRPSS.doc Revised 061313 1 oFzua row Town of Barnstable Regulatory Services v ass Thomas F.Geiler,Director M, ' 4'pr16 9.cb Building Division Tom Perry,Building Commissioner 200 Maize Street;Hyannis,MA 02601 wmv.town.barnstable mains Office: 508-862-4038 Fax;.'508-790-6230 Property Owner Must Complete and Sign This Section Zf Using A Builder . 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 33. l� Y 4 Addxess of fob) **P001 fences and alarms axe 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. Signa Owner acute of Applick ic t Print Name Print Name , Date QYORMS;0IVNERPERMISSIOITOOLS 612012 ` 1�t Massachusetts-Department of Public Safety 1 .Board of Building Regulations and Standards • Construction Supervisor Specialty License: C5 SL-09 9138 .rAMEs r CURLEY , 2S7 FCLL R ROAD Centerville MA ON32' 1 SExpiration 01/28l2016 Commissioner Office of Consumer Affairs&Business Regulation License or registration valid for individul use only rOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration 124310 Type: Office of Consumer Affairs and Business Regulation ,Expiration 6/17204T. Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 James Curley • James Curley ti 287 Fuller Rd. Centerville,MA 02632 Undersecretary t valid without signa re 'Rie Camrriainvealt&ofmassachusetts y Departrtrerrt ofIndraftialAccidents Of ire ofInvestkadons 600 Washingtoyt Street Bosfon,MA.OZIII rvtu iunirss:govIdia Workers' CQmpensationlsl=mnc$Affidavit Builders/ContractvisMectricianslPlumber's "cant Information Please Print Legibly Name(SosineiWOrganizationr h&-%idm0: Address: G ty/Stat�eiZip: :.1 Y "one A_ �q®f Are you an employer? 7te the appropriate b os: Type of project(required); I.❑ I am a employer with 4. ❑I ant a general contractor and I 6. [-]New Construction � loyeescfulla,&orpalt_time)_* havehiredthe sub contractors 2. I am a sole proprietor orpartner- listed on the attached sheet 7. ❑Remodeling ship anal have mo employees These sub-contractors have 8. ❑Demolition , w,&,g forme in any capacity. `+ employees and have workers' g_ Buildrng addifiian [No workers'comp.in t ance comp.insurance.$ required] 5.❑ We are a cotporatio aand its. 10.0 Etectricai repairs or additions I❑ I am.a bomemmer doing all work officers havO exercised(heir 1L❑Plumbing repairs or additions myself[No workers'ram. right of esmmptiomper MGL 12-0 Roof repairs insurance required.]t, e.152,§1(4),andwe have no employees.[No workers' I3❑Other comp.insurance regnired.j !AnytppUcmt that dmcksboat lumst4lsafillovtthesectioubeloashowingihefrwodrewcompeuserioapaliepinfnraa6M THameowners wbo submit this affidavit in&cstiog they m doing altar*anddren bim outside contracrory ,submit anew affidavit mdirn�such- TCoatmcton that cbea this box must atlldMauadditions]sheet showing thensmeafHiesvb- Cossmdstatetrhetherncnotshaseecdekshwe ' employees.Ifthe sub-cont mctors bme mWIoym%they n=pmvide their worken'camp.policynumber. I ain arz eusplayer th at is pro iidtng ivorkets'conipe seen insrtrarrce for my engdoyees Belats,is Else policy attd job site information. , Insurance Comparryhlame; Policy#or Self-ins.Inc.4- • Expiratiostl7ate: Job Site;Address: Z ' Citylstate zip: `•Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as regniredunder Section 25A of MGL c. 152 can lead io the imposition of criminal penalties of a fine up to$1.500.00 and/or one yeariurprisonmenk 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 a so ge verification.. �) I do hm certify rur r t a pit zttr analfies ofpe fury that the inform dion pro itfaiI bone' hue ayd correct Si ttme: Date Phone#: 1 O zeirti Ilse Cary. Do not sprite in i&is urea,to be cansplated by city or town official ' City or Town; PermiffAcense If IssuingAatbozity(circle one): 1.Board of Health 2.Building Department 3.Citylrown Clerk 4.EIectrical Inspector 5.Plumbiul•Inspector 6.Other Contict Person: Phone#: 6 . Town of Barnstable Building o� hereh a�sr.r.Carrost Untl P swnNrw Permit 163 Post 'CeWt;dFsi fi inS;caao...,l.tyTT.E le n4hS.�osa pf t�eOi tc.c t.��csi:o su.1 nr/.��a sH-in-ba�cl',s ae,B:,i FsereoR��nmeus„.m M,�twTM•hai�red eSedfir t..,qrse�xu?:�e::�ct yrh.�t 8q�u p>'p,,rl`dromx.,v.e§`•�sd,h..fr:P a��l lal�nN s.,o�:l Mt.�'�buh e`s�tD.jb'�?c,;e�c'u.�R�e i�te'�a d�:n;u,e.ndt,�"cdo'��.nays�yJ.F-.oina ba alinnds''t.he-�ic's to fCi oi.a x,rn:d-h�`aMsFas u3�wb se:t;re a bnem K,»aepd`5P.- et . '�,«.,,: a. a` ., ..:s...; ..,., ..' ..a:p „yiti`a .,,, ,�... € .�'.a�t -a,., .,.'k g a,,,art ...a6..-,a. ,.. ,p :a";»a-s.,k,..s..,S .w,aW. ::p. .;a drk'. ;:`. ✓r: ... .,.., t. 'a,#'.' Permit No. B-17-4380 Applicant Name: James Curley Approvals Date Issued: 12/21/2017 Current Use: Structure Permit Type: -Building-Siding/Windows/Roof/Doors Expiration Dater 06/21/2018 Foundation: Location: 33 BAY=LANE,CENTERVILLE ' Map/Lot 186 068 Zoning District: RD-1 Sheathing:' Owner on Record: MEANY, PHILIP E 1R&DANIELS,HELENE- Contractor Name r,DAMES P CURLfY Framing: 1 Address: 3417 NORTH ALBEMARLE STREET ` ConLractor.License CSSL-099138 2 . ARLINGTON,VA 22207 " sPrjet 50.00 E Chimney: Description: Strip and re-roof approximately 13 square of asphalt shmgl,es. Permit`Fee: $35.00 Insulation: Project Review Rey fee Paid $35.00 j q: ' 7 final: )` Date 12/21/2017 t Plumbing/Gas. Rough Plumbing: . .` Building Official Final Plumbing: a This.permit shall be deemed abandoned and invalid unless the work autWi' e`8� this permit is commenced within sl rn8nths affter.issuance. Rough Gas: All work authorized by this permit shall conform to the approved applicationt�ind the,approved construction documents for which this permit has been granted. .' �, �'.. Final Gas: All construction,alterations and changes of use of any building and structures shall=be in compliance withthe local zorng bey Laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for�public nspecti''n for the entire duration of the work until the completion of the same. P � ".4 r � ' Electrical � 1 The Certificate of Occupancy will not be issued until all applicable signatures b e B thuilding and,`Fir'eOfficls ae ae`providedr-onk.this permit. Service: Minimum of Five Call Inspections Required for All Construction Work j � '; 1.Foundation or Footing a, �, Rough:. r,;; .. .,sx,. ,.. . 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 Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). fire Department #r Building plans are to be available on site Final: `°� All Permit Cards are the property of the APPLICANT—ISSUED RECIPIENT Town of Barnstable RE�cE�PT eartt�'nBt�, KAM 200 Main Street, Hyannis MA 02601 508-862-4038 •639. , - a Application for Building Permit Application No: TB-17-4380 Date Recieved: 12/20/2017 Job Location: 33 BAY LANE,CENTERVILLE Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: JAMES P CURLEY State Lic. No: CSSL-099138 Address: Centerville, MA 02632 Applicant Phone: (608)790-4508 (Home)Owner's Name: MEANY,PHILIP E JR& DANIELS, Phone: (703)534-6713 HELENE C (Home)Owner's Address: 3417 NORTH ALBEMARLE STREET, ARLINGTON,VA 22207 Work Description: Strip and re-roof approximately 13 square of asphalt shingles. i >0 Total Value Of Work To Be Performed: $5,750.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation'Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. - ,.... . I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: James Curley 12/20/2017 (508)790-4508 Applicant Date Telephone No. Estimated Construction.Costs/Permit Fees Total Project Cost : $5,750.00 Date Paid Amount Paid Check#or CC#� Pay Type Total Permit Fee: $35.00 12/20/2017 $35.00 X�3XX}XXX XXXX- Credit Card 5483 1............................................................................ Total Permit Fee Paid: $35.00 y �. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ermit# Health Division ��y �J/��V ate Issued Conservation Division LS Application Fee ®� Tax Collector C� Permit Fee Treasurer , f � V Planning Dept. EXISTING PTIC SYSTEM Date Definitive Plan Approved by Planning Board LIMITED TO #OF BEDROOMS Historic-OKH Preservation/Hyannis Project Street Address Village 4�— T��GIGL� , /, Owner 41 ,a /y6i914/K �. Address 4&L11J,nQ /clf 4,w T. = TelephoneE �"O� 7 lvS7 7D3 S loy/3 ul � J lv�O` J " Permit Request /4T40FIV x4ow Square feet: 1st floor: existing /-37s proposed /�7S 2nd floor: existing 4W proposed Total new Zoning District Flood Plain No Groundwater Overlay �o Project Valuation /Sam. -- Construction Type �ll4D1� �/��? Cd%u�u✓s,��,QcT2� 4 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Ur"� Two Family ❑ Multi-Family(#units) Age of Existing Structure JrZ C153 Historic House: ❑Yes 2Jo On Old King's Highway: ❑Yes A-No Basement Type: Wf�ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) yaoyE Basement Unfinished Area(sq.ft) �37� Number of Baths: Full: existing new o Half: existing D new O NumMr of Bedrooms: existing new Total Room Count(not including baths): existing new O First Floor Room Count Heat Type and Fuel: was ❑Oil ❑ Electric ❑Other Central Air: 2"Yes ❑No Fireplaces: Existing New ® Existing wood/coal stove: Cl Yes U o Detached garage:❑existing ❑new size Pool: Cl existing ❑new size Barn:❑existing ❑new size Attached garage:existing ❑new size Shed:❑existing ❑new size . Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ 4L Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use gbh -3 BUILDER INFORMATION Name A�/G//a C &42&K a p- Telephone Number �77�57T r �3S Address 6wall- e&�,Z icense# - aw Home Improvement Contractor# - — � �� Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ✓ � SIGNATURE DATE L7Jr FOR OFFICIAL USE ONLY ell PERP4IT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION C FRAME I INSULATION FIREPLACE m a" X ELECTRICAL: ROUGH FINAL i fJ PLUMBING: ROUGH na FINAL t r' GAS: ROUGH _ FINAL 03 FINAL BUILDING �." • � m car., '' DATE'CLOSED OUT ASSOCIATION PLAN NO. 1 , A2 a Town of Barnstable y o� Regulatory Services • Thomas F.Geiler,Director + sAsivs'rABUL • 039. Building Division prED � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE Z O e JOB LOCATION:. number street village . ffq-7a3 535� G 7i3 7a_3 r/o 7050 name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as s_pervisor. 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 requir ignature of meowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger.will be required to comply with the State Building Code Section 127.0 Construction Control. - HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1=Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed- , Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt The Commonwealth of Massachusetts Department of Industrial Accidents f == Office of Investigations 600 Washington Street, 7`h Floor je Boston,Mass. 02111 t Workers'Compensation Insurance Affidavit Building/Plumbin /Electrical Contractors AU I, it 0 OliS r lia&S .,ice gas ? name: address: city state: zip: phone# work site location(full address): ❑ I am a homeowner performing all work myself, Project Type: ❑New Construction[]Remodel ❑ I am a sole proprietor and have no one working to any capacity. ❑Building Addition tr i:4[7:.�..a`��F�`".�'�S_':Ca: !>wr�-:. i,1.i`�-,�.S�x4�+ru"��'`'—'-+`+dLL+i�a.�4•-�. � .. .+r_,t-..... ...e , �;.0 .....�... .li.`.... �=:%n .. . ..��:€.... I ❑ I am an employer providing workers' compensation for my employees working on this job. company name- address: city' phone#: ' insurance co. oollcy# ,® I am a sole proprietor,general contractor,or omeowner ircle one) and have hired the contractors listed below who have the following workers' compensation polices: Company name: i' t address' city: phone#• insurance co. policV# f.Y• _ _- .� ,,_:, ,'Yft ... «,. tt'r ^d''-dS�e4.'+'"�•,` 8's5r:°3t ."_,':.. `..:.+.,N"?.p''s'm.'°+.i'"'+. :C; ik«!" company name: , address: ; city: phone#: insurance co. polio Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 3100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certifyunder h ains an f perjury that the information provided above is true and � dccorrec Sigma a Date---- ate Print name «�' ,0,/ ' d U• Phone# [check nly do not write in this area to be completed by city or town official : permit/license# ❑Building Department _ . ❑Licensing Board mmediate response is required. ClSelectmen's Office ' ❑Health Department P on: phone#; - ❑Other03) - Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire,express or implied,oral or written. An employer is defined as an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants r Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law" or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitflicense number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. .. �jt The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7'h Floor Boston,Ma. 02111 fax#: (617)727-7749 phone #: (617) 727-4900 ext. 406 F Town of Barnstable `R oF'•"IE Tp�� .' • Regulatory Services i HnnxsMas Thomas F.Geller,Director Mass. • f6 ,� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 ' Fax: 508-790-6230 Office: 508-862-4038 Permit no: Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to°structures which are adj acent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: C'�i3/�cI�7 �CV,U1,s 'Estimated Cost 1�d40� Address bf Work: Owner7s Name:— Date of Application: I hereby certify that:" y Registration is not required for the following reason(s) ..y. []Work excluded by law ❑Job Under$1,000 ` ❑B dung not owner-occupied er pulling own permit Notice is hereby given that: EALING WITH OWNERS PULLING THEIR OWN PERNIIT OR D ROVEMENT WORK GO NOT HAVE CONTRACTORS FOR APPLICABLE HOME IMP ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDERMGL c.142A. SIGNED UNDERPENALTIES OF PERMY I hereby apply for a permit as the agent of the owner: - Contractor Name Registration No. Date Date wner's Na • Q:fortns:homeaffidav • ,� � ' `.' E. E. DN I NOTE TO WU II „ E 7 1.Window and do, UP wide and B'-2'tan. e, E: . E - 2.Window supDne EX. BEDROOM EX. LIVING ROOM' Placing Deer with - • 3.Window supplie ————— _ _ 4.Window supplie • Bless i3 required E. - NEW DOSE _NEW POS15 ^r . AS RE9'D. AS READ. E. _ - EX. ory BREEZEWAY • E. EX F.D. a - E DN E. r. . E. EX. HA-LL - E. EX. E. — 'GAR.AGE . . - NEW PLUMBING BLKHD. - AB V.AS REA'D. - -NEW PLUMBING ' CHASE AS RE9'D. EX. BEDROOM — _ 1 KITCH % BRKFST. E, REMOVE IX. • j1 . CBN T. E X. I , B A T H - 2 2068 EX.ELEC METER - - - DN ON 3R ix E. E. ASPLE AR/�IL I - CLG.BRK.- VAULTED NSW : . r r t^ r F A'M I L Y p /ZEiLIUL/G•�.Q�/NETS r ,A SEA r DN r 'R 010 M r �HDWD. r r I _ BEADED r L r r Y r _J w I ' - .Y�99BC� M. F sxu T �wr muaaa r -- IW-0-READ. ' CLEARANCE FROM 8' B'ARCMR'L v ON — SEPRCTANKTO POET.Tm £=. ADDMON 16-7 LJ I MAIN FLOOR PLAN ��a V4-7 a — 1/8t� = 11-011 11 E NOTE TO WI jj 1 R. - - tl S 1.WY1pow aq 0� E„ wMF mw r•Y WI ..,EX. BEDROOM EX'. LIVING ROOM' ,.� - ,. r►(//,'d,L.trrA� r. .,d _ DN _„ O.Wind w Supplh NEW POSH a!/1riG� w@W POST AS RE0'D. F - E X. ON. -- .BREEZEWAY ' 12R —— IXFP. - ' E. CN E.' F. EX. . HALL E. EX. NEW FAI "a K*fD. E. _ _ G A R'A G E . _ SWO. NEW FYR.�M6 ARV.Al — CNASE AS REO'D. E i 1 EX. 'BEDROOM - E 10 ROACM a• E BATH . IX EIEC Aki6t L, Fix _ IDN E. - E. E I _ AM � A/° • - > � .i -- � �A�i�u�TS S f'tricditO 1► I ., F A M ILYON ` 1 ,x we 1 1 R O 10 M �Ov 1 1 I � 9D. ZEU:13 I L' - (V as.l 1 l 1 1 �, • I .� �.� , _ s7oFw� SwewAiv. _ _ ' faar&M. ' MEARANCEFW S rARCHYR'L EPM PAW M FCBf.1w. ADDRION�i — _ s r MAIN FLOOR PLAN K i rc,� w 2�tio vR�`raiv _o� 1/8" - 1'-01F TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map " Parcel Permit# Health Division Id, Date Issued Conservation Division 7/ZOO Application Fee , d Tax Collector �� D Permit Fee Treasurer -�Z�-Q`� �. a'ftICE I L Ivd OO �dI�LIA Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address 3 3 43A`/ L' J 6 Village n 65;Nme U I u-C Owner f 41 Ll Y0 E• Gu G}1�(� Tz- Address 3 r 7 P6 �Le �i iz ST• t J�Nrc� Telephone SO k• -77,F• GS 7y c40pe) 70 3 S54 G 7/3 Permit Request WAFT `(Z P o r 6Aj AJ10-w 92-0®,or- Do 24<4.c2-s Square feet: 1st floor: existing 98�3 proposed ':/: 69 2nd floor: existing W proposed We Total new -- -' Zoning District Flood Plain NU Groundwater Overlay do Project Valuation Construction Type Wcaeo `-c4me. &)106#05' 1 Lot Size 3 I lame Grandfathered: ❑Yes ❑No If yes, attach supporting do' umentd c Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) C"a Age of Existing Structure 953, Historic House: ❑Yes Bi o On Old King's HigUS 'y: ❑Y s Colo Basement Type: -a w TrFull ❑Crawl ❑Walkout O Other Basement Finished Area(sq.ft.) N ou G Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new ID Half:existing No/-AeF new tiou z- Number of Bedrooms: existing new Total Room Count(not including baths):existing 7 new �' First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric 216her Central Air: ❑Yes UdNo Fireplaces: Existing 1 New 0 Existing wood/coal stove: ❑Yes ®,No Detached garag> xisting ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:l4 existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Jff No If yes,site plan review# Current Use Proposed Use S+;"-t:7 BUILDER INFORMATIONrI- �1� 1fflU � AiN 56 e 7 7�G S7Name � Telephone Number &_:r Address License# OZ 3'117 Al. / ��/L1�1/I_G�' ST Home Improvement Contractor# i-2 Za7 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO boAt- P SIGNATURE DATE S L d 7� i FOR OFFICIAL USE ONLY y PERMIT NO. ' 7 DATE ISSUED y• . t MAP/PARCEL.N0.-s : ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION _ FRAME CGT- CL3rtp� INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH ' t : FINAL GAS: ROUGH :-: FINAL FINAL BUILDING ti ` DATE'CLOSED OUT r ASSOCIATION.PLAN NO. ' n 66; � �pFIME 1py, r: Town of Barnstable Regulatory Services BMW ASS. Thomas F.Geiler,Director 1639. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. t. Date L AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: ;F00 oG 444G� Estimated Cost ��• Address of Work: Owner's Name: Date of Application:_ 3&KLo7� I hereby certify that: Registration is not required for the following reason(s): r ❑Work excluded by law ❑Job Under$1,000 ❑B 'lding not owner-occupied y. wner pulling own permit Notice is hereby given that: . OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No Date Vner's Na Q:forms:homeaffidav "" `E� The Commonwealth of Massachusetts -- = Department of Industrial Accidents '- Office otlnsestigations . - ' 600 Washington Street -_ Boston,Mass. 02111 �-- Workers' Com ensation Insurance Affidavit 7 name: P�/L//� E if�Al Y t�iL location: S. xA`! Gffit/� city C*W70eo(4c e-, - phone# 77,FG S 7el" ® I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one workin in an ca acity %///%%%/%��%%%%/%%%%%/%/%%%%%%%%%%%%%�%%%%%%��/�%%�//G%/�%%%%%/%/ ❑ I am an employer providing workers' compensation for my employees working on this job. .. ........: cum aIIv name ::::::: 'y > ' `"` < ? <`% j% t%'`"! atl c Dhone j#j€ :::::.......... `institanc . O ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comngnv n m ;•:::;: : . addr cif .::::::::::.:.................................................................................................... . ...............................................::::::::::::... ahsnran h c an n address '"IIOII IIIsuran �. Failrn a to secare coverage a,required mtder Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Sue np to 51,500.00 and/or one years'imprisonment as wen as dvII penalties in the form of a STOP WORK ORDER and a Sue of 5100.00 a day against me. I mrderstand to copy of this statement msy be forwarded to the Office of Investigations of the DIA for coverage verlilcation I do hereby c p aloes of perjury that the information provided above is true and correct Signature Date. -`> Z 11 1� Print name Phone# 3 A 771fF ws7 PZ- 713 of vial use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office _ ❑Health Department contact person: phone#; � ❑Other Oeyked 9195 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, orSany.two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased'employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. -However the owner of a . dwelling-house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or f6newal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are requiredto obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the peimi cense number which will be used as a reference number. The affidavits may be retuned tr+ the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. ;. 'The Dep"ent's address;telephone and fax number: 1 The Commonwealth Of Massachusetts Department of In Accidents Office of Investlgatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 RESIDENTIAL BUILDING PERMIT FEES .' APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 - FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE . square feet x$64/sq.foot= b x.0031= l plus from below(if applicable) ACCESSORY STRUCTURE>12.0 sq.ft� >120 sf-500 sf S 35.00 >500 sf-750 sf 50.00 >150 sf- 1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Sane as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (der) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 - Relocation/Moving $150.00 (plus above if applicable) Permit Fee 50 projcost Town of Barnstable yP�p(r THE 04, Regulatory Services Thomas F.Geiler,Director * BARNSTABLE, 9 MASS. q,A 1639• IN Building Division rEn � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION . Please Print DATE: 64 7 a ti JOB LOCATION:. -33 6AY LANE CElvri-otL number street village "HOMEOWNER': PHi( ( 77 S7e-( 7a3 5-3Yj; 7/3 name home phone# work phone# CURRENT MAILING ADDRESS: 3 ct(rT ti ' A ce3elu l4ec"Uorwo-I 641T 2Z 00 7 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility-for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum ins on procedures and requirements and that he/she will comply with said procedures and re itir ments. figure of meowne Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger.will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt l /I�a1 C/L SN,uces othP��'"�� -- --- - -- 51 -- -- l'�rS Npi J i--- --- IJ4 —�a✓suerI n n � aA CIO14 ab a £� 2ooF aN _ 1 - AfOs Cur /Nr, rFf—'U Ikliu E7G5 �,L/.c_c J?i/5=ir✓ ......... 2fAG� .wcc - ... e7.JTL ...._.�. .---•.. IIZ.�. (�4i!cJcr>6: Couc2EU BY /9ff/.ts E1�5. I \� I ila ij `ham I. &W ve7: c N�J UIiN/�occic�' i u, J7/v5 N ` M Q W � ' EiCisri� Zoo<v,•. � a <—�✓iS�jDOcd rip - le�E i'72 E Vu5� F N„-,utY> fJDDiNE• IJOR'•L/E'S i Y I .. .. LA 'Ile 7 A'ep ,v-zd fZdorL � lJ.4 eiK E?L S xJ' caoeam r citalopram HBr W'. '�:6 G 450 �� iHE The Town of Barnstable BARNSTABLE. Department of Health Safety and Environmental Services 7 MASS. 0 ,639. �0 plFOMA�a Building Division 367 Main Street, Hyannis, MA 02601 14 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: �, t�'1F�W Map/Parcel: 00 " Project Address: '3J 3 R' Pv� C! Builder: The following items were noted on reviewing: o eS ,W 1 V\')e?"C? p y iC'' Des \CA S a tss � L►^J D 6 VJ Reviewed by: Date: J ' �1 . c 'L, :; LI � I q:buildinglorms:review - w F V LIST OF DRAWINGS z - • C. COVER w - _ 1. LOWER FLOOR PLAN W 2. MAIN FLOOR PLAN Z 3. - UPPER FLOOR PLAN 4. FRONT&LEFT SIDE ELEVATIONS- - REAR&RIGHT SIDE ELEVATIONS w _ - 6. MAIN FLOOR FRAMING PLAN M OEJEJEJ - _ 7. ROOF FRAMING PLAN 1-=i - - - �ODD�0 8. MAIN FLOOR ELECTRICAL PLAN W D� �� 97 UPPER F,LOOR ELECTRICAL PLANEll Z. M U _th -CTOPi . `0U;RE:p:"ENTS ARE N. v 'JGfTi�rF i I1 �_ _ t1 i Ir 1 _•?a1 1 %iLL T t'GGL€Z F•.id Uf?C r C I riE enAO DE EC"i G`iS FOR T`HE GLC HOUSE IOU MUST PLAN CGRDINGLY AND HAVE YOUR I RICIAN TAKE OUT E APPROPRIATE Pcrif%f;ITAT.THE F` BL DEPA TMENT. 1 AUG 2003 99 SMOKE DE RS Q.Zb a 3- RNSTA BUILDING DEPT. Thomes French Archltect. 6723 Whittier Ave. S u i t e 4 0 2 EXTERIOR VIEWS McLean, VA22101 Tale. 703 734 0084 RENDERINGS ONLY; REFER TO PLANS&ELEVATIONS FOR ACTUAL DETAILS Fu. 703 734 1964 L w r►...1 61 ra r-� a E X. U N F 1 N I S H E D B A S E WE N T - , . W n - _ aaaaw.am. I a� 1 1 AUG 2003 U N FIN IS H ED 1 I STORAGE , I ' I I I . French - Archltect- . 6723 Whittier A v e. S u i t e 4 0 2 McLean, VA 2210l LOWER FLOOR PLAN Tele. 703 734 0064 Fez. 703 734 1964 Ins- . .. - en,veyM,..r.a�o.o..m,me.nw amaimi,mm+p..e - ..��aam - rl.mwm.eac.m..m.a...d wm.eamP . - r..a.ma.i...o.nmwwm•N+m. nn.lwm �W.I I NOTE TO WINDOW SUPPLIER: . CIO � a ... -EX..'BEDROOM � � EX. LIVING ROOM �. BREEZEWAY Z c EX. HALL EX:GARAGE cm— E X. BEDROOM c _ I., 'E X: —�I EX.. a0 KITCHENI BRKFST: ao I . •• BATH � I arcam _ - 2 L - R O IO M 1 AUG 20M 2161�1 I L I Thomas .. fir. - .. .. Freneh " - - - - - 6723 Whittier Ave. MAIN FLOOR PLAN . . SD McLean. 402 n, VA 22101 Tale. 703 734 0084 . 1/8c= 1'_O" .. Fax. 703 734 1964 L J - W ab� V . - 6 evba,wvmu rabm dme ansuwaeaa.w.l,neu wemaoiwlwm - - .. - aem,tranrm,�e mtl�tl.Y,.aiea,....w tlm mcwaYaaamamm w . NOTE TO WMOOW SUPPLIER. ' � wYea.mmo...ry n.m`9�o.mtlm.tl.enbm,mm„YYab,,..Y.n,b.my �1 _ - .. .,• SwbEo�ngpvb WtlYnvpwdslor.4!..bdm m,V�WMNbabbox. •woY napmWwbr BEDROOM w..btivr.a. w . BEDROOM -- in M o � z FX r - Fran French Arehltectm Al - 6723 Whittler A v a. UPPER FLOOR PLAN suite 402 McLean, VA 22101 7 _ - Tale. 703 34 0084 Fax. 703734 1964 . ww � YIYl _ w LEFT SIDE ELEVATION vs° = l'-on NA®111iffifflm ® a�wevuoa - _ 1 AUG 2003 Thomas F r e nth Arehltect K - 6723 Whittler Ave. - S u t t a 4 0 2 FRONT ELEVATION McLean, VA 22101 - Tale. 703 734 0064 Fax. 703 7341964 _ - W a 11HEMMI ®71 FH Rl 0 H W c . U _ W - RIGHT SIDE ELEVATION EEL a. - _ Thorne, . French Archltect. - - 6723 Whittier Ave. REAR ELEVATION salt, 402 McLean, VA 22101 p Tele. 703 734 0064 Fan. 703 734 1964 L J _ W - V AZw r-- AM, ._ }I Rya 1_J. rsevuw \ • a W ✓✓ i I I I .I 1 AUG 2003 HOF S - I I L—————� p? MIC HELE s9sy♦ - STRUCTURAL OeTERIA I I I �. o- TUDOR taws(rsFl - - uv[ o¢no roT,u I I _______; r_ I I III i .. aU 4774 STRUCTURAL - .r1ooa.alsrs ROD _ ----J C/STEa� i - F011 Tale sETTILEMAnBLE .] 1 I I r_�— - - � �( . Acanorat mnsew: I I - ►P/OVAL EN i a+•w wwuwcmasn a.aonxxsTs sa�uesur.�crowao - L______J' - `►r -@� %lam - Thomea French AmhltectK 6723 Whittier Ave. MAIN FLOOR FRAMING 'LAN Se McLean, 402 VA 22101 p Tele. 703 734 0094 F-Oa Fax. 7037341964 L ' A Z W 5 ~ W � � e g I Z M Z rl,Y�� l I I m ,.A ♦d qS TUDOR m . - STRUCTURAL CRITERIA _ U No.34774 a STRUCTURAL - LOMs(FSF) �uve orAo rota. aA-FaAFTERs a is roowmovuv� . roa.—AT S w ♦ 9 C'/STEP`G� ceaixo.roisrs ao sronno a .. r AA►_70NAL a -cei—cuu DBMI ws7a 1. Thomea Freneh Archltectn 7 6723 WhlWar Ave. McLean, 22101 ROOF FRAMING PLAN Suite 4U2 Tel.. 703 34 0084 1/8n- 1'_0 Fax. 7037341964 L J V E � w t Z M z r ao I 't 1 AUG 2003 Thomas -X French Architect 6723 Whittier Ave. MAIN FLOOR ELECTRICAL PLAN 6s McLean. `U2 VA 22101 Tale. 703 734 0084 - 1/8" - F-On Fax. 7037341964 W . `. - �. .�owruWn - � wruameicromrun .. I .I pp wnsma�ow.n I I �/�n000 T w�rtsnna M -- M W Thomas - - Franeh ArchitectK 6723 Whiffler Ave. UPPER FLOOR ELECTRICAL PLAN McLan, VA 22101 pp Tele. 703 734 0064 - .. Fax 7037341964 L J f" _ • .. ' _ F 1�4.. -]off—y 1 .. - _ � � �.//� -- • .. p�� 1 . POW 41� - �Llf6C/aoD eode7r, 5- -,,/G,aw �y x n rs,.. - • 9'7I�" ._71b x-114 - :. y ldivDoras -bUafscGf/arr �. _: `. sr.,�crs .. p c 3; - � I � i9 �� ------------ :d—Eoss�.u� ---------------- L ft--H1 l��kK �Iz„ March 9, 2004 Mr. Jack Fitzgerald Building Inspector Town of Barnstable 200 Main St. Hyannis, MA 02601 RE: 33 Bay Lane, Centerville. Building Permit Dear Mr. Fitzgerald, You may recall that in order to complete my application, I was asked to have a survey completed that showed the existing house and my proposed addition. Yankee Survey was very busy this winter/fall, but finally completed the work. A copy is attached for my file. The remaining required information, a report on the LVL beams is being completed by Shepley and I will send it as soon as it is finished. If there is anything else needed I"maybe reached at my office @ 703.883.1425. Thanks for all your help/advice on this application. Since hilip E. eany Jr. s Philip E'. Meany Jr. 3417. N. Albemarle St. Arlington,VA 22207 April 23, 2004 RE: 33 Bay Lane, Centerville Building Permit Mr. Jack Fitzgerald ` - Town Of Barnstable Building Inspector 200 Main Street Hyannis, MA 02601 Dear Mr. Fitzgerald, As per my voicemail to you, I am enclosing the'information from Paul Carter of Shepley on the VERSA-LAM beams,this is the information that Michele Tudor told Paul to provide after she and you discussed the information needed to complete my permit application. In addition I have enclosed three (3)new sets of plans,signed by Michele, which incorporate the 4 ft increase in depth for the new addition(family room). This size is already incorporated in the survey that I sent to you on March 9, 2004. I think this completes.the information needed to finalize my application for a permit. If there is any additional information please call me @ 703.883.1425. . Thanks for all your help on this application. Sincerel Philip E. Meany J . 9 KITCHEN / MASTER SUITE RENOVATIONS 33 BAY LN. CENTERVILLE,MA 02632 DATE:03/04/19 HARDWOOD FLOOR TO MATCH EXISTING ///////////// TING TOP,MAIN // / TI R A1AIN E%I TI T R MAIN J i DP 4f— i A N .................. co C ............ ./ 7 51 ALIGN / DN BROOM CLOSET �� i II II �s II II j BUILT-IN GANTRY ER Cx II II 2'.3° LL.12X. II / II GC"T32xeo tzaaa ALIGN ?V j 0 ' / IINOISIAIG II � p I Q•' � �_ / � I� o biw OR I z II 3iGIVISNUS 30 U-0i i S6X7_S__<: _ _ _., _. -� .-.. ,---..... � - - _ 30•SINK-e.. -.�'^m:. _ - �...-.u:t+c=�' -. - - _ RAINHEAD DN M_ 5'-1" r27l 2'-10" 4'-8" 1'-9" 3'-3" i HARDWOOD FLOOR NEW TILE FLOOR NEW STAIR W/MTL. TO MATCH EXISTING W/ELEC.MAT HANDRAIL,BOTH SIDES, TBD PER CLIENT TREAD TO MATCH FIN. H.W.FLOOR u is i i i SCHEMATIC PLAN: FL01 OPT. E Al 1/4 - 1 -0 PRIVATE RESIDENCE } 33 BAY LANE CENTERVILLE, MA 02632 a.. y 03/10/20 NEW EXTERIOR WALL ASSEMBLY: r -NATURAL CEDAR SHINGLE TO t MATCH EXISTING EXPOSURE& SPECIES -HENRY BLUESKIN VP100 OR EQ. i VAPOR PERMEABLE SELF-ADHERED BUILDING WRAP -5/8"CDX PLYWOOD EXT. ! ' f SHEATHING, OR EQ. 5"105/8' ' -2X4 WOOD STUD FRAME WALL @ 16" O.C., I N FI LL CAVITIES W/CLOSED CELL SPRAY FOAM PER ENERGY LINE OF BREEZEWAY SLAB BELOW / - I / `CODE(R-21 MIN.) _ 5/8"GWB INT. SHEATHING W/FIN. % LINE OF 1X TRIM SOFFIT ABOVE PLASTER COAT;PTD. - _ _...... B.O.SOFFIT @ 83"A.F.S. w > :. . ....... .. .... NEW LAUNDRY STORAGE CABINET, i o EXISTING EXTERIOR- � / PAINT GRADE PER INTERIOR }� a STACKED UE SPEED WEEN / 'GC TO VERIFY CLIENT LAUNDRY _ KITCHEN/LIVING ROOM j ' EXISTING EXTERIOR GARAGE WALL ELEVATIONS AI+C��Re6 AIR{✓�FIX7� ..�s. k. .. SPEEN � SF7003WG i EQUIPMENT SELECTIONS FOR WALL, SHINGLE CLAD, i i SHINGLE CLAD, NO CAVITY a / DIMENSIONAL REQUIREMENTS INSPECT FOR INSULATION _ INSULATION PRESENT EXISTING SHINGLE CLAD EXTERIOR -PRIOR-TO CABINETRY FABRICATION' ' PRESENCE DURING j WALL PLANE TO BE STRIPPED AND- ( \ SELECTIVE DEMOLITION OF i NEW 5/8"GWB INT. SHEATHING W/ E \ SHINGLE CLADDINGj BEAD BOARD CLAD FINISH CEILING PLASTER COAT INSTALLEDEXISTING SHINGLE CLAD EXTERIOR / - U.O. CEILING @ 95-1/4"A.F.S. J PH30XBD WALL PLANES TO BE STRIPPED AND r-o r-o i05/8• NEW 5/8"GWB INT. SHEATHING W/ REMOVE EXISTING ENTRY DOOR, / CLR. / j '-PLASTER COAT INSTALLED, d CASE AND TRIM NEW CASED /1 l INSULATION CAVITIES(FROM J OPENING PER MAIN HOUSE /m �. �4 STANDARD -3i4^ GARAGE SIDE)W/CLOSED CELL 14-3/4" ' SPRAY FOAM INSUL.TO R-21 MIN. i LINE OF 1X TRIM SOFFIT ABOVE NEW THERMATRU(OR EQ.) ..... NEW WINE STORAGE CABINET,•PAINT z I B.O.SOFFIT @ 83"A:F.S. EXTERIOR GARAGE ENTRY DOOR GRADE PER INTERIOR ELEVATION / ' FIBERGLASS 30X80, 2X4 FRAME i DEPTH, RIGHT HAND INSWING, 20 ` ; N LINE OF BREEZEWAY SLAB BELOW MIN. FIRE RATING, MODEL SSF8120, I j N TRIM PER HOUSE STANDARD, - j REVIEW PANEL STYLE W/CLIENT j /NEW EXTERIOR WALL ASSEMBLY PRIOR TO ORDERING, PTD. OC-65 / : / � - _ NEW SIMPSON(OR EQ-) NEW EXTERIOR STEP / EXTERIOR DOOR i -3/4" BLUESTONE TILE,-CLAD RISER N MAHOGANY 32X80,2X4 FRAME - &TREAD / DEPTH, RIGHT HAND INSWING, i -MODIFIED MORTAR BED MODEL 37010 W/WATERBARRI ER, - REIN. CONC. SLAB TO NEC. W/12"SIDELIGHT, TRIM PER THICKNESS TO ATTAIN LEVEL/EVEN i HOUSE STANDARD, REVIEW r / RISER HEIGHT _ - PANEL STYLE W/CLIENT PRIOR TO ORDERING, PTD. OC-65 T -N w / / REMOVE AND REPLACE EXISTIN G / / i J / STAIR FINISH W/NEW 3/4" / N / BLUESTONE TILE PER OWNER N SELECTION Y A01 2 FLOOR PLAN: PROPOSED LAUNDRY _ - - ,� FLOOR PLAN: EXISTING BREEZEWAY __ � _ A ( y ` I I %. —.1 — i I � l ,. �■-�� .. � �I �V J }. � '11 �( � J .� 1� el — � Y44� tt ti r .. _. _ ' • 11 1. t �f� fl ' -LOCUS a 4 • ' .. � V �As �ry� 4 A.M. -186 PAR. 69-1 *�l it It POND 4 B.R.B. �,• L, POoA ¢� CENTER VILIE HARBOR • 23�•V F \ �. `� `J � . LOCUS AP • . yy PLAN REF L C.C. 8884 A M. 185 PAR. 8 �J f� DEED REF C# 120805 A. E 4, �o rJ ASSESSORS MAP 186-68 Ar, ZONING. "RD-1. " °0 A.M. 186 PAR. 68 �+ SETBACKS: 20-10-10` 50q L C- LOT E3 AREA=14,243f SF 11 Nr •�� - • -�, �t PLAN OF' LAND .. t L�1` LOCATED AT 33 BAY LANE , DER. L�.� q.�� . . . f GARAGE 15 A $�$ CENTER VILLE MA. ''PROPOSED gE� 6 C �� ADDITION t4• L LA PREPARED FOR. .,.; ...., lo,� s 1�C1925 A g�D PHILIP MEANY JR. .............. g05 ............... 1 gE� ,,AA SCALE. 1;'=20', oe 9 .....HOUSE.... .� FEBRUARY 22, :2 04 ..... #33 REV STER �` .................. A.M 186 PAR. 67 J. s ► o_ .................. �� .. . d � �OYLE REV.' ............ _ r e REV , � eZ-'G4-B4t moo_ o� YANKEE SURVEY CONSULTANTS F UNIT 1, 40 INDUSTRY ROAD P. 0. BOX 265 .A.M- 185 PAR. 9 � MARSTONS MILLS, MASS. 02648 R R.B TEL• 428-0055 FAX 420-5553 CB/DH (FND) (FND) J# 53577 CM