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0143 BEECH LEAF ISLAND ROAD
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',;1 � .' .' .n ,. i ,.� � r W �{ t ,, x �. ..il.$'. i< a Y., ..a * yr. .F ! p' f• ''� .'7.- A eR 1r� �t � f } F A a• s , a� q •S Y' x Y - uu , a l a r t a :Y � 1• i� �S' �•i r „ rt of a<:' :,•>4' rat' � a 't { s m 9a rr.' ( I fa._ } a• ,R t .. m.. ,.i •.r �: ,_ ... ,} I r.. (, .. •,ra,. ,. ,., th' .,;, ,. ,._ rrk S k '��` e a } 1 • ff ?•' yy ��, a �•�;' S''R' f, p �Sl xi' � s" I. 5u`� �I. •a. c ' � 3,' k � l..�a .}„` !•f �'.�' M r ��,_: P� • r' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map l �7 Parcel co Application# �- Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee 7Z 5- Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis �. EMAE-L Project Street Address 1 4 3 U L'+ L4� �. fz0ft Village c ���✓J�lit� Owner a�i S 1'�f�D Address SRL Telephone u i(o I Permit Request 1-syZ O MT�DuF Srr.(iaxof� 6 r1ffSf sq PASoogH-r Square feet: 1 st floor: existing proposed 2nd floor: existing proposed $FTotal new Zoning District Flood Plain Groundwater Overlay Project Valuation 23i V® Construction Type G' Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes No On Old King's Highway: ❑Yes Ill No nd Basement Type: A Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Soo Basement Unfinished Area (sq.ft) g V Number of Baths: Full: existing new ® Half: existing new O Number of Bedrooms: J0 If existing 6)new9 Total Room Count (not including baths): existing Z4 new l First Floor Room Count Heat Type and Fuel: as ❑ Oil ❑ Electric ❑ Other Central Air:Aes ❑ No Fireplaces: Existing G New Existing wood/coal stove: ❑Yes ANo 4)0t9Uff9d-g-aTN7. ❑ existing ❑ new size—Pool: ❑ existing ❑ new size — Rxisting ❑ new size_ A existing ❑ new size _Shed: ❑ existing ❑ new size Other:=i Zoning Bo f Appeals Authorization ❑ Appeal # Recorded ❑ ;,, e� Commercial ❑Yes I No If yes, site plan review# en Current Use R- fg34,V Proposed Use r APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name^ br Z / Telephone Number 65�0'a) 3 6 Address SCURP9F, AV6< License# Home Improvement Contractor# 77 75Z Email t� (@ 'I LC t � kr�S c G Worker's Compensation # U 3 -Z,rk-3 3 1 3 3 3— ( 5- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO DUtMP5/ X SIGNATURE DATE -7 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE t OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I . HANNEY + PO Box 816 ,? RININGTON Marstons Mills,MA 02648 Tel 508.428.7147 info@thecapecodcarpenters.com Fax 508.428.7167 RENOVATIONS•ADDITIONS•CUSTOM HOMES TheCapeCodCarpentersxom May 16,2016 .ESTIMATE Site: 143 Beech Leaf Island Road,Centerville; Betsy &Ward Delaney; Betsy: 847404-1156;Ward 617-320- 1616; betsydelaney0l acomcast.net; warddelaneyamail.com Renovation of basement 1. Provide plans and detailed frame plan for Town of Barnstable ..................................... Paid 2. File permits (building/electrical/plumbing/health)with Town of Barnstable in accordance with MA State Building code 780 CMR, including inspections and plan reviews 3. Supply dumpster for construction waste removal .....................................:..:.......... $ 500.00 4. Inspect and tie off existing electrical as needed to begin renovation ............................... $ 250.00 5. Construct new rough frame as per plans and floor plans in accordance with MA State Building Code 780 CMR including walls, ceiling strapping, soffits, HVAC closet and two egress doors .......... $ 3,950.00 6. Install EVR system with venting ................................. 7. Install new rough electric w • 1 - 15A arc fault circuit r • 2—single pole toggle switch installed(4 lights throughout room) • 4—wire customer provided ceiling light fixture • 12— 15A duplex receptacle installed • 1 —smoke/CO combo installed • 1 —single pole toggle switch installed • 1 —TV jack installed • 1 —GFI plug for ERV system Electrical ALLOWANCE............ $ 2,200.00 8. Install batt insulation with vapor barrier on exterior walls, ceiling and/or floors as described; spray foam all wiring penetrations and windows as needed; install proper vapor retarder as required by MA State Building Code 780 CMR $ 2,475.00 ....................................................................... 9. Install new gypsum wallboard on all new construction'ceiling and walls in preparation for plaster(living space side only)................. $ 2,900.00 10. Tape, corner bead, and plaster new gypsum wallboard and any repair spots; blend into,existing plastered walls and ceiling topainter-ready ..... ........... 11. Install new customer.supplied pre-fnnished click-together,"floating flooring, covering approx. 975 square feet including waste with customer supplied underlayment and transitions as needed (we will supply a list materialsneeded)... . .......................................... .................................... $ 2,435.00 RANNEX+RIMIMOTON CUSTOM 13UMDERS 1 Proud Member of National Association of Home Builders-!Home Builders Association of Massachusetts•Home Builders&Remodelers Association of Cape Cod•Better Business Bureau ; mmoh' 1'�ANNEY + BoX81s irRIMNOTION Marstons Mills,MA`02648 Tel 508.428 7l-47 Info@thecapecodcarpenters.com Fax 508.428.7167 RENOVATIONS•ADDITIONS•CUSTOM HOMES TheCapeCodCarpenters.com 12.Install one 6-panel solid NWonite interior door and two 6-panel exterior doors including standard brushed nickel hardware;install door him on both sides to match existing as closely as possible;install 5"standard speedbase baseboard;all trim to be pine (material allowances included-interior door&hardware exterior door&hardware$300/ea x 2. _$825.00 total allowance) .............................. $ 2,250.00 13.Install finish electric,including outlet&switch covers, smoke&CO detectors covers and customer supplied lighting fixtures ._.............................................................................. $ 300.00 Please note,plumbing or heating is not included in this estimate and is to be determined TOTAL LABOR & MATERIALS $23.910.00 +painting option if chosen Option: Sand,fill,caulk and prime all new construction area walls,ceiling and trim in preparation for finish painting; finish paint,2 coats,all walls,ceiling and trim,using flat white for ceiling, semi-gloss white and satin finish on walls, color to be determined.Paint of additional areas beyond the scope of construction to be determined: Prep&painting work billed @$45/hour+materials initial if option chosen Payment Schedule: I><utal depq"slit requested to schedule work S.5 OOO.UU Due upon receipt of permit $ 5,000.00 Due upon completion of rough frame $1,500.00 Due upon hanging of wallboard $ 5,000.00 Due upon completion $ 1,410.00 Please note-our standard eomract: • This estimate is valid for 30 days • No additional work is included in this estimate ualess.desonbed in writing. Deposits and payments are not refundable unless Otherwise noted. • Contractor is not responsible for any damage to lawn'orpiantings around demolition area. • CmttracWis not responsible for any damage to interior 5imishings that may aced to be moved to complete work • All construction wade and replaced items(including cabinets,windows,doors&appliances)will be considered disposable unless other indicated by property owner. • property Owner is responsible for all costs associated with hazardous materials.lead,mercury storm water pollution discharge or costa associated with American Disabilities Act requirements ifnecessery. Any repmr,moving car installation of alert system for security or&e/smoke is Poe responsibility ofthe properly owner. • Customer is to supply an paint if any 1s being used(wess otherwise specified) Properly Owner agrees that Ratmey&R-Stan.Custom Builders may display a small sign on the pop"during the duration ofthe work and one mouth after completion. ' Pmperiy Owuteris tespondble fbr any.and all engineering costs and site plan ifteel ary unless otherwise noted.Ccuservation,Zoning;and/or Fhstadrwl costs necessary in association with obtaWng any necessary peimite unless otlieiwise toted. • All hone improvement contractors and subconhadors shall be registered by the Director and any inquiries about a contraetor or subcontractor relating to a registration should by directed to:Director,Acne ImprovementContraclor RegiWelitm One Ashhurton:Plam Rm 1301,Boston,MA02100 The property owner has three-day cancellation rights of this contract under M.G.L.a 93,48;MG.L e.140D,10 or MG.L.c;255D,14 as applicable,Aft 3 days all deposit and special order payments we MD. rdlmdabie. All warranties and property owner's rights are underthe provi dons of 790 CMR 110.6 and M.G.L.c.142A • Any alteration or deviation from above specification involving extra costs will became an extra charge over and above the estimate at 475.00per homphts materials.Ircost of materials and aheady described labor costa changes,this estimate may increase no more to 15%without writtgt notice. • It Is the obligation ofthe home imP—Curent 0antraclortoobtWin any end all necessary conatruction-reflued permits;intheevest that the property owneraearrea their own eOnshncicm law permits or deals with untegnstered comracm they wm be exAoded 8+om thrgoamnw omd provisions ofMO.I..c.142A.Wok will begin no law man six months&con the issuance of any necessary permits and will be completed no later man two pears from the issuance ornecessery permits. • i+mppty Owner's fat:to make payments for work duty.petformed may result in a Gen against the homeowner's property.Owner is responsible fbr any legal fees and court costs Raaney&Rimington may:him to collect the monies due on this estimate.The contredur and the property owner hereby mutually agree in advance that in the event the contractor bag a dispute concerning this estimate,the connector may submit such dispute to a private arbitration service which has been approved by the secretary of the office of cousuv er affairs and business regulations M.G:L.0..142A and the consumer shall be enquired to submit to such uubilretion as provided in • DO NOT SIGN THIS CONTRACT IF YOU HAVE NOT READ Tf OR IF THERE ARE ANY BLANK SPACES r Z,5 5116116 for Ranney&Rimington Custom Builders Date P perty Own Da e Home Improvement Contractor Registration#144752 RANMW+RDMGTON:cmox larjv.l=s 2 Proud Member of;'Uetlonal Assoclafion of Home Suilders•Home Benders Aasacletlon Of Messachuseus•Hoare Builders&Remodetem Aasodedon of.Cape Cod•Better Business Bureau f Aligt1L18x 1VG-1 O/1"G/4V 13 1U:3"L:d% AM PAUL ' -L/UUL t`SX 5®rver CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDmYm T14249f IFICATE 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. HIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERM AUTHORIZED REPRESENTATIVE Due E ER71FICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to he terms and conditions of the policy,certain.polloies may require and endorsement A statement on this certificate does not confer rights to he certificate holder In lieu of such endorsemen s. PRODUCER CONTACT NAMEt ROGERS&GRAY INS AGCY PHONE FAX 434 RTE 134 (NCI No,Ext): (A/C,No): SOUTH DENNIS,MA 02660 ADDRESS: 23TSP INSURER(S)AFFORDING COVERAGE NAIL# INSURED INSURER A: HARTFORD UNDERWRITERS INSURANCE COMPANY RIMINGTON,PATRICK&RANNEY,ALEX DBA RANNEY& INSURER B: RIMINGTON CUSTOM BUILDING INSURERC: INSURER D: PO BOX 816 NSURER E: MARSTONS MILLS,MA 02648 tNSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER; TwINTS 811MMA-77141 RISEN OF INIURM DiMSELOW HAVEBEENHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDIC-ATED.NOTWrtHSTANDINO ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE!$SUM OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADONIS DD B POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L p POLICY NUMBER (WDMYYYY) (MMUTDIYYYY) LIMITS GENERAL LIABILITY A AMAGE TO RENTED CH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY D $ CLAIMS MADE OCCUR. PREMISES(Ea ocewrence) 0 EXP Any orte person) $ PERSONAL&ADV INJURY $ GEHL AGGREGATE LIMIT APPLIES PER: ENERAI AGGREGATE $ POLICY PROJECT❑LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea:accideit) ALL OWNED AUTOS BODILY INJURY $ SCHEOULE AUTOS (Per person) HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS Per aoe)dent) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAR []OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE ..r.. $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY Y/N US-2ES31333.15 08MM2015 OW06/2016 tsy;1TS ANY PROPERITOR/PARTNER/EXECUTNE ®N/A OFFICERIMEMBER EXCLUDED? E.L EACH ACCIDENT $ 100000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yea,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 50%000 DESCRIPTION OF OPERATIONSi(.00ATIONSNEHICLES/RESTRMONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CEIRTERCAT 3 ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE, THE INSUREDS MA WORKERS COMPENSATION POLICY AND ITS LIMITED OTHER STATES ENDORSEMENT AUTHORIZES THE PAYMENT OF BENHFM FOR CLAIMS MADE BY THE INSURED'S MA EMPLOYEES IN STATES OTHER THAN MA, NO AUTHORIZATION IS GIVEN TO PAY CLAIMS FOR 99MTS IN STATES OTHER THAN MA IP THE INSURED HIRES.OR HAS HMED;EMPLOYEES OUTSIDE OF MA.THIS POLICY DOES NOT PROVIDE COVERAGE FOR ANY STATE OTHER THAN MA. NO PARTNERS ARE COVERED BY THE WORKERS:COMPENSATION POLICY. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY RRDVISI_ AUTHORIZED REPRESENTATIVE *•'. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 19 2010 ACORD CO reserved. PATM M41 MYOUNG A .�R1X CERTIFICATE OF LIABILITY INSURANCE �8` 115 M1 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 tNSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate bolder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this.certificate does not confer rights to the certificate holder In lieu of such endorsems s. PRODUCER CONTACT Rogers&Gray insurance Agency,Inc. PNONE 434 Rte 134 o NC No: 67 816-2156 South Dennis,MA 02660 ADDRESS: INSURE S AFFORDING COVERAGE NAIC 0 INSURER A:Main Street America Assurance Co. INSURED INSURER B: Patrick Rimington&Alex Ranney INSURER C: Custom Carpentry P.O.Box 816 WSURERD` Marston Mills,MA 02648 INSUME: INSURER F: COVERAGES CERTIFICATE iIUMBER: 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 RE QUIR RM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED ©R MAY PER[AIN,"CIIE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCii POLICES-t IRJIITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. RLT R TYPE OF INSURANCE POILICNEFF MW UMBER Y L�1'r5 A X cownscIIAL GENERAL uABILITY EACH OCCURRENCE $ 1,000,00 CLA S-MADE I-K OCCUR MIRO?60� 08121/2015 08/21/2016 PREpgISES Ea oaurtance $ 500,00 MED EXP(Any one person) S 10,00 PERSONAL&AOV INJURY $ 1,000,00 GEWL AGGREGATE LIMIT APPLIES PER GENERAL AGGRErATE $ 2,000, POLICY JET LOC PRODUCTS-COMPIOPAGG s 2,000,00 O ER-w S AUTOMOBILE LIABILITY come two SINGLE ON $ ANY AUTO BODILY INJURY F-Person) $ ALL OWNED SCHEDULED BODILY INJURY(Peramweno S AUTOS AUTOS. HIRED AUTOS ��NED - P1�er PEFri`I DAMAOE $ s UMBRELLA LRAS OCCUR EACH OCCURRENCE $ EXCESSUAB G,AWS-WDE AGGREGATE $ f� RETENTION $ WORKERS COMPENSATION P A�rEOTH- ANO EMPLOYERS'UA13 UWEIR ANY PROPRIETORIPARTNER/EXECUTNE YIN E,L:EACHACCIDENT $ RIM OFFICEEMSER EXCLUDED, N 1A (Mandetmy In N)I E.L.DISEASE-'EA EMPLOY $ reyas,desafne under DESCRIPTION OF OPERATIONS belay E t'p1$EASE-POLICYIIAAIT $ DEscRwnoNoPoPmmNsiwcAnoNsivEHIcLE8(ACORD 1U1,Add9HortaCReatsdeedlRle,mey.6a 8dadoed re mare apace la requked) '"'PLEASE NOTE THE WORKERS COMPENSATION CERTIFICATE WILL POLfAW SblORTLY UNDER SEPARATE Ct3VfR,AS IT i8 BEING ISSUED IMECTLY BY THE INSURANCE COMPANY*" Certificate Holder Is an Additional Insured on General Liability on a primary&rrorncontribulWy basis when required by a written contract or agremwL CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Patrick Rimington&Alen Ranney dba THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Rimington&Ranney Custom Building ACCORDANCE WITH THE POLICY.PROVISIONS. P.O.Box 816 Marstons Milts,MA 02648 AUTHORIZED REPRESENTATIVE ®1988-2014 ACORD°CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD I Massachusetts Department of Public Safety t Board of Building Regulations and Standards License: CS-088595 Constru&jon Supervisor ALEXANDER M RANNEY 239 SCUDDER AVENUE HYANNIS MA 02601 Commissioner 0411672018 Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DIPS Licensing information visit: WWW.MASS.GOV/DPB. ' T , r:��c. rrr�r3lc=zu.crr/l/r r�r j�ri rzr�u,;t°tfl n, Office of Consumer Affatrs&Busi ess Regulation Massachusetts -Department of Public Safety -, OME IMPROVEMENTCONTRACTOR Board of:i3utiding Re.gulatioos and Stan rds egistration: 144752: Type: t cen truftitrat Stipert'sie 17 z xpiration 11t212016 DBA License: CS-088595 =}_ RANNEY&RIMINGTON CUSTOM CfRPENTRY �� ' F. ` AI EXANIDER M ALEXANDER RANNEY 239.SCUDDER AXrErf1 239 SCUDDER AVE � � Hyannis MA 02Gr�ll „ HYANNIS,MA 02601 Undersecretary Expiration commissioner 04/1612016 License or registration valid for individul use only Unrestricted-Build gs of any use group which before the expiration date. If-found return to: contain less than 3 ;U00 cubic feet{991m3)of Office of Consumer Affairs.411A.Business Regulation 10 Park Plaza-Suite 5170 enclosed space. Boston,MA.02116 Failure to pos ess a current edition of the Massachusetts Not valid without signature State-Buildi Code is cause for revocation of this license. For DPS Uc sing information visit: www.Mass.Gov/DPS - The Commonwealth of Massachusetts Department of Industrial Accidents a I Congress Street, Suite 100 Boston,MA 02114-2017 s www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Ranney+ Rimington Custom Builders Address: Box 816 City/State/Zip:Marstons Mills, MA 02648 Phone#: (508) 428-7147 Are you an employer?Check the appropriate box: Type of project(required): 1.a I am a employer with 4 . employees(full and/or part-time).* 7. New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in $.� 't remodeling any capacity.[No workers'comp.insurance required.] 3.❑I am a homeowner doing all work myself[No workers'comp.insurance required.]t 9. El Demolition 4.F�I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions ° 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ repairs re airs These sub-contractors have employees and have workers'comp.insurance.: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[]Other 152,§1(4),and we have no employees.[No workers'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 the policy and job site information. Insurance Company Name: Hartford Underwriters Insurance Company Policy#or Self-ins.Lic.#: UB-2E331333-15 Expiration Date: 8/06/16 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 MGL c. 152, §25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Sianature: Date: '7�2-Z-/I �O Phone#: (508) 428-7147° Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: f t• - 143.-Beech-Leaf Island Rd. Centerville,PD 02632 Oct. 31 , 1995 Mr, Ralph Crossen Building Commissioner Building Department Town of Barnstable Dear Mr. Crossen Dur. in* last July, my wife and I met with you concerning the property adjoining ours owned by Mr. Neil Forster and designated as 147 Beech Leaf Island Road. We expressed concern about the steepness of the slope between the twos`; properties and the use of seven logs(about 15" in diameter and 6 to `7 ft. in length) to retain the fill around the soizth�ae�st;.corh_er:The following week you were most kind to personally Inspect this situation and agree that wall was necessary and the logs should only be a temporary measure. About twelve days ago M. Scott Garland, the builder', was on the site and my wife and I talked with him. He said there were no landscape7 plans and gave us no reassurance that the logs would be removed. He also stated that he planned to start framing about November 1 ._ Since we are leaving for Florida on November 1 , I am writing you to go on record because none of my concerns have been resolved. It was over three months ago that the Conservation Commission had a meeting about this situation which my wife and I attended . I expressed my concern about runoff on my property, as did Mrs. Clark for the wet- lands to the rear of both properties . It was our belief ,that a suitable landscape plan would be forthcoming. Runoff is already occurring on our property from the driveway and I am including pictures taken yesterday to illustrate this concern. They are marked on the back. Also included are pictures of the logs which lie around the right rear_ of the Forster property also known as the southwest corner. Mr . Gatewood has been copied and any help you and he can give us on this matter will be much appreciated. Our interest is in preserving both properties and the environment and coming to a solution which benefits and protects all parties . On November 8th I can bereached by phone at 407-747-1014 and my address is 146 Beacon Lane, Jupiter, FL 33469, Thank you very much in advance for your, consideration. x Cordially yours , cos Robert W. Gatewood Conservation Administrator " John B. Roll , Jr. TOWN OF BARNSTABLE BUILDING DEPT. #a 31 (1995 i �� �P s� l o -- �— F � �d. P. '-LA "J Assessor's office(1st.Floor): Assessor's map and,lot number l �(O 3 rLI0 20 SEPT'c YST�� of tNc ro` �. Conservation ' '� —1, 1118S1'gLLE �`' �• 9N Board of Health(3rd floor): Sewage Permit number I J /� ���f�i� ITH TITL • ` rua 4 Engineering Department(3rd floor): "- GIs ITAL House number` k / SM �a, — TowN REGULATR ' Definitive Flan Approved by Planning Board `— 3 19 � APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2-00 P.M.only I A-1 TOWN OF BARNSTABLE BUILDING INSPECTOR t APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 3 J tP 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �JL ¢� (S� Location ��� �cyC �� ✓�)��f` f C ���J�NX�� O�-d Proposed Use Zoning District re District Name of Owner Address 640 Name of Builder Address Name of Architect lcG-t4 I-v Address Number of Rooms Foundation Exterior ( � Roofing i Floors Interior Heating Plumbing P �� /p�- //�� ,�,, ' �, e Fireplace Z�e � JV4y Ae /6' 6C Approximate Cost �S i Area S ' 0� Diagram of Lot and Building with Dimensions Fee No ell OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name l//a 7 7- Construction Supervisor's License BEECH� LEAF NOMINEE TRUST -4w, No ',�6� Permit For 112 Story Single Family DwellingL_ - Location 143,Beech Leaf Island Road ..;. t Centerville Owner ' Beech ' Leaf Nominee Trust Type of;Construction Frame r. S. D. Lot #:30 # L.C.- Lot #5 Plot 'Lot + , Permit Granted' September 1 , 19 94 I 1 Date of Inspection`e, _ 3 l3 103 Date Completed 19 i 1 w �-y�i � 1 • 1 f r CN•v:S�•- } 1 1 :. 01(017, . 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W Woows 'by All Y P6"h . ., aw e>«,'Aodv, Ay sra.+uc) -•— .:,�.. II .� � � BAYS��E BVILOIN� co�NG ceNTE.I_%i1l_.L-E 1AASS LET 30, FrzoNT El.-EVG-��oN gof 7Mt>o TOWN OF BARNSTABLE PermitNo. ......:......... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ,679• tau+` HYANNIS.MASS.02601 Bond .......x........ CERTIFICATE OF USE AND OCCUPANCY Issued to Beech Leaf Nominee Trust Address 143 Beech Leaf Island Road (Lot #5) Centerville, MA USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. j May 2 95 19................. ........ 4.......................... Building Inspector ; 4 a ti F t. r V;le" 1 d v r� �C' op 5���.•�? ���id/mot' �.�'vfl 1.+00 r��r�ar��r��r.a_...O r 5 _ •s ...` 1 i i �r .y 2ti vz � + " ;`°�`� �'. r 1► o �� �l ,8���� /_ ��t� ki�? � 1. ii.l C'�f'�f'��'•�f'�'il:ir, ;;'ki'-a Ky a� � y`jYPbC..Y c K h ti+ t Aj 24 lcj--� .. "�•:- tip.: . y, a 1 .. � l'xlRlArD 4-t" } w. J SOWN OF BARNSTABLE, MASSACHUSETTS RJR oulLDINU rEKITNIT 3 19 8 DATE 19 94 PERMIT NO. 49 9 APPLICANT • ADDRESS P Box- 95, a (NO.) (STREET) NUMBER OF (CONTR'S LICENSE) j PERMIT TO — STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) -I - 143 bk:!ech Lleri' ZONING.0. lot V15 Road, Centtfrvide AT (LOCATION) DISTRICT RDi '30 (STREET) S.Dlio-)iot BETWEEN AND (CROSS STREET) (CROSS STREET) LOT LOT S!ZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT, IN HEIGHT AND SHALC.CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage #9 4-511 BOND AREA OR VOLUME sq. ft. 145,000 PERMIT s 189.00 ESTIMATED COST $ —FEE (CUBIC/SQUARE FEET) OWNER Beech Lea.' Nominee IrUOL ADDRESS P.O. Boy. 95, CenteniLle, jyA 02632 BUILDING D E By THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE- MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. fr MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ELECTRCAL, FOUNDATIONS OR FOOTINGS. MADE: WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL NSTALPLUMBINGS LATIONAND . I: PRIOR TO COVERING STRUCTURA L C)UiRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS qARD SO IT IS VISIBLE FROM STREET BUILq&G INSPECT ON APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS Al"4 ,vc�e- eA -pu 2 2 OL III, HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT (SAS 2 BOARD OF�H LTH OT ER SITE PLAN REVIEW APPROVAL 0 v WORK SHALL NOT PROCEED UNTILTHE INSPEC-. PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIOULIS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. 23'-2" 2'-3" CEILING TO JOIST 892" UNFINISHED SPACE STAIRS UP 1 Approximately: 480 SF i TO BULKHEAD HEIGHT FLOOR TO BEAM 802' I 26'-6" 2'-3" M i i• N I I 18' i I 3,+ I I I 24' I I _9 I 1 I FURNACE ao r D o E301 LE N M r. NEW LIVING SPACE ( �! f i I Approximately: G98 SF I ". N BREAKER BOX �? N I I I 77 .i...._...... .... 18' 25'-8" j EXISTING BASEMENT GENERAL NOTES: NOTE: 5 CALE. DWG. ^ . Cape, CAD DC,51ojn NEW DASEMENT RENOVATION I=OR • I . SOME OF THE MEASUREMENTS ARE APPROXIMATE THE PLANS SHOWN ARE THE SOLE PROPERTY OF ICONTRACTOR IS TO VERIFY EXISTING CONDITIONS THE DESIGNER AND CANNOT BE COPIED, I /4n AND DIMENSIONS IN THE FIELD PRIOR TO START OF REPRODUCED AND/OR ALTERED, USED FOR PERMIT F WORK. AND/OR FILING WITHOUT THE EXPRESS WRITTEN . O . BOX 8 0 6 E3FT5Y WARD DELANEY 2. ALL WORK SHALL CONFORM TO THE CONSENT OF THE DESIGNER, PATRIGK MASSACHUSETTS STATE BUILDING CODE (LATEST UNDER THE ARCHITECTURAL COPYRIGHTT PROTECTION ON DATE. EDITION) AND ALL OTHER APPLICABLE CODES. ACT OF 1990. 3. ANY DISCREPANCIES, ERRORS AND/OR OMISSIONS 05/08/20 I b MAR5TON5 MILL5 143 15EECH LEA15LAND RO /� D IN THE NOTES, SHALL BE BROUGHT THE ATTENTION Approved OF THE DESIGNER PRIOR TO COMMENEN THE OF pp CONSTRUCTION. PROCEEDING WITH CONSTRUCTION for filing f�EV. 508 2 8 0 7 0 7 4 C E NTERVILLE , MA 0 632 OMISCONSTITUTES REPENTANCE OF THESE DOCUMENTSAND ANY DISCREPANCIES, ERRORS AND SO E RESPONSIBILITTYY 00/00/0000 BUILDN CONTRACTOR OF THE Patrick FLAN Rimington 23'-2" 2'-3" I NAILING SCHEDULE 110 MPH EXPOSURE B WIND ZONE I JOINT DESCRIPTION NO. OF COMMON NAILS NO OF BOX NAILS NAILSPACING ROOF FRAMING: R-21 BATT INSULATION BLOCKING TO RAFTER(OE NAILED} 2-8d 2-10d EACH END ( . .` RIM BOARD TO RAFTER END NAILED) 2-16d 3-16d EACH END WALL FRAMING: CEILING TO JOIST 892" '~' TOP PLATESAT INTERSECTIONS(FACE NAILED) 4 16d 5 16d AT JOINTS UNFINISHED SPACE M STAIRS UP STUD TO STUD(FACE NAILED) 2-16d 2-16d 24"o•c. Approximately: 480 SF I TO BULKHEAD HEADER TO HEADER(FACE NAILED) 16d 16d 16"o.c.ALONG EDGES HEIGHT FLOOR TO BEAM 801" FLOOR FRAMING: JOIST TO SILL,TOP PLATE O R GIRDER(TOE NAILED) 4-8d 4-10d PER JOIST BLOCKING TO JOISTS(TOE NAILED) 2-8d 2-10d EACH END BLOCKING TO SILL OR TOP PLATE(TOE NAILED) 3-16d 4-16d EACH BLOCK 2 '-10" 2'_3„ ' M LEDGER STRIP TO BEAM OR GIRDER FACE NAILED :..`;.;�. r'1. : , '., •: .., .� ;;i'? JOIST 38d o ) 4 16d PER JOIST N JOIS 3-10d PER JOIST PROPOSED LOCATION ERV SYSTEM BAND -16d T PERJOIS 40CFM CEILING RECESSED I BAND JOIST TO SILL OR TOP PLATE(TOE NAILED) 2-16d 3-16d PER FOOT ROOF SHEATHING: ENERGY RECOVERY VENTILATOR 41 2 I wood STRUCTURAL PANELS(PLYWOOD) Bd 10d 6"EDGE/6"FIELD W/FLEXIBLE DUCTS FROM UNIT RAFTERS ORTRUSSESSPACEDUPTO16"o.c. 8d 10d 4"EDGE/4"FIELD TO OUTSIDE VENT HOOD A02 I RAFTERS OR TRUSSES SPACED OVER 16"o.c. 8d 10d 6"EDGE/6"FIELD aI} GABLEEND ALL RAKE OR RAKE TRUSS O OVERHANG 8d 10d 6"EDGE 6"FIELD GABLE END WALL RAKE OR RAKE TRUSS W/STRUCTURAL 8d 10d 6"EDGEJ6"FIELD 18' OUTLOOKERS GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS 8d 10d 4"EDGE/4"FIELD CEILING SHEATING: 2 GYPSUM WALLBOARD 5d COOLERS **** 7"EDGE/10"FIELD WALL SHEATHING; i I I A02 WOOD STRUCTURAL PANELS(PLYWOOD) `'• STUDS SPCED UP TO 24"o.c. 8d 10d 6"EDGE/12"FIELD UNFINISHED MECHANICAL ELD ROOM Approximately: 372 SF I I ;,,:,.. ..• ..:.:. :..... ;: , ... :... . ..,.: ..:.,... v' , t.. .: ,• .•..:::.<..' .`:..':' ,....: •: 1/2"GYPSUM WALLBOARD D PA Sd COOLERS **** 7'EDGE/0"FIELD PANELS ( WOOD STRUCTURAL PANELS(PLYWOOD) I I 6'-11" 1"OR LESS THICKNESS 8d 10d 6"EDGE/12"FIELD GREATER THAN I"THICKNESS 10d 16d 6"EDGE/6"FIELD I 8,_10„ N IECC2012 RESIDENTIAL ENERGY EFFICIENCY DETAILS CLIMATE ZONE 5A (USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION R-21 GATT INSULATION FURNACE TABLE 402.1.1 (MINIMUM PRESCRIPTIVE INSULATION &FENESTRATION REQUIREMENTS) T M � T � FENESTRATION SKYLIGHT CEILING WOOD FRAMED WALL R FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL BOILER N U-FACTOR U-FACTOR R-VALUE VALUE R-VALUE R-VALVE R-VALUE R-VALUE O 6' 0.32 0.55 49 20 or 13+5h 309 15/19 10(2 FT.DEEP) 15/19 N C .. I I :i g.Or insulation sufficient to fill the framing cavity,R-19 minimum. f h.First value is cavity insulation,second is continuous insulation or insulated siding,so"13+5"means R-13 cavity insulation plus R-5 continuous ii. insulation or insulated siding. ifs tructural sheathing covers 40 percent or less of the exterior,continuous Insulation R-value shall be permitted to be reduced by no more than R-3 in the locations where structural sheating is used-to maintain a consistant total sheathing thickness. GAME ROOM fI i Approximately: G95 SF I "' BREAKER BOX +? CV i I I -KF. . I - WATER TREATMENT WITH EXPANDED TANK e.;. (2) 2X4 TOP PLATES . R-21 GATT INSULATION SEPTIC VALVE (2) 2x4 TOP PLATES ,.,. .. ;,. ,.; s' HEADER 1 1 2x4 STUDS @ 16 o.c. (4) 2x4 KING STUDS A02 A02 R-21 BATT INSULATION R-21 BATT INSULATION (4) 2x4 JACK STUDS 2x4 BOTTOM PLATE PROPOSED BASEMENT GAME ROOM- 2x4 BOTTOM PLATE LEGEND NEW 2x4 WALLS ri TYPICAL EXTERIOR WALL FRAME 2 TYPICAL DOOR FRAM A02 A02 NEW DOORS O— EXISTING BEAM AND LALLY COLUMN CUSTOMER SUPPLIED LIGHTING LOCATION GENERAL NOTES: NOTE: 5 CALE: Ca e CAD D e 5 i n N E W BASE M E N T ICE N O V AT I O N E O R • I . SOME OF THE MEASUREMENTS ARE APPROXIMATE THE PLANS SHOWN ARE THE SOLE PROPERTY OF DWG. N O CONTRACTOR IS TO VERIFY EXISTING CONDITIONS THE DESIGNER AND CANNOT BE COPIED, AND DIMENSIONS IN THE FIELD PRIOR TO START OF REPRODUCED AND/OR ALTERED, USED FOR 114 /4 POO . BOX 60G E3ET5Y A D D E IL..A Y WORK. AND/OR FILING WITHOUT THE EXPRESS WRITTEN V V � L.. N E 1 2. ALL WORK SHALL CONFORM TO THE CONSENT OF THE DESIGNER, PATRICK RIMINGTON, V MASSACHUSETTS STATE BUILDING CODE (LATEST UNDER THE ARCHITECTURAL COPYRIGHT PROTECTION DATE: EDITION) AND ALL OTHER APPLICABLE CODES. ACT OF 1990. 3. ANY DISCREPANCIES, ERRORS AND/OR OMISSIONS 05/08/201 G MARSITON5 MILL5 143 BEECH LfAf 15LAND ROAD O THE NOTES, SHALL BE BROUGHT THE ATTENTION OF THE DESIGNER PRIOR TO COMMENEN THE OF Approved AO CONST2 CONSTITUTES ACCEPTANCEN. NG OfTHETH SE ESE DOCUMENTS for filing 506 - 280- 7074 CENTERVILLE , MA 02G32 REV: AND ANY DISCREPANCIES, ERRORS AND/OR 08/OG/2 I OG OM15BUILD5NOG CONTRACTOR T E RESPONSIBILITY OF THE PLAN Patrick — Rimington