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I I , : " � ,v �, �� � ''. �, . - , , �� , � I �- ", ..", , , ��_ , ,:,��_-�� � ".-� ,I , . _ - _ , , � � � �', �� ­ � , " , , - -- - . ;. ­ I ;1�,- "-, I , , �, ,:_, " , , , , , , , , , -, - --­i­i� ,,� ,,,,�,,,�,,,,,.�",,�",;:,r,,�i����i�,, , , " ._�,, ".,211iltls,lt�o,�. - ,� , , , ", ­ "�­ , . �� ,- ��, �, 70"n n .I - ,- ,,, , - , , , ", - , L,�__ , ,� .�,'� .� , ,�� ,"L, ,�,�� ���_t��:�,��-_:,�,:, . ­� ':k"��'�'j-:'2­".'.L�."A ,­' __-T , '_­ � , " ,,� ,, ,''� __ , , .� ,i�L------W 0 w""�1 :�,�_�__'%, _-Liz-1-__�%- , " ---,"',-- , i 1 lei--PhC418:SWJl663 9 CO1.C7NY NVIAT16N tNC 2aJoloftn eouhl a Drive,Pixcs.-Ot, MA ��59 CLUS ' D-CELL FOAM LN,—,S .ELATION SPEC SHE ET f AREA THICKka,66 y 4XAtto=_ 510pas j} IK,lvrlor LOW tJ hiB$r Haa.w it A i W alkaui V AK I AJI R-vg1m a and thic3 ncas measurements are deemed to he aceurnle by like follo Cng insfulters- :MCUMCAL DA A EQR U& I"ACRED TO T"f s FORM -- � « Town fBarnstable_ _ ._ Building own o _ s SAWWs PostThis Card So That�t is Visible From the Street Approved Plans3 Mustabe Retained on Job and this,Ca d Must be Kept '"^ Posted UntH inal Inspection Has Been Made Re p 6 °� Where a Certificate ofRccupancy�s giuired,such Building shall Not be Occupied'until a Final„Inspection has Been made Permit Permit NO. B-19-3703 Applicant Name: ALEXANDER M RANNEY Approvals Date Issued: 11/13/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 05/13/2020 Foundation: Location: 1153 BUMPS RIVER ROAD,CENTERVILLE Map/Lot 188-090 Zoning District: RD-1 Sheathing: Owner on Record: SHNEUR, FELIX&GLUSKINA, IRINATRS Contractor Name ,ALEXANDER M RANNEY Framing: 1 Address: 893 EAST SECOND STREET UNITS r - Contractor License: CS=088595 2 SOUTH BOSTON, MA 02127 4 Est Project Cost: $44,000.00 Chimney: Description: remodel sunroom,convert from screen porch �} Permit Fee: $274.40 Insulation: Fee Paid': $274.40 Project Review Req: Final: Date: 11/13/2019. ���''✓ � y� Plumbing/Gas Rough Plumbing`. __NBuilding Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorised by this permit is commenced within six months after issuance. All work authorized by this permit shall`conform to the approved applicationand.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 bydaws 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. , - -° Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the,Bu.ildmg and Fire Officialsare provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing A & E 2.Sheathing Inspection _ - _. 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). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ApplicatioXNumber...... ......... BARNSTABLF, i o PLU& 1 Permit Fe .................................. ...Other Fee:....................... 1639. Total Fee Paid.... ........... .. ...... TOWN OF BARNSTABLE Permit Approval by....-. ...............On... h / ...... BUILDING PERMIT CU MV........................... .............Parcel...... ....................... APPLICATION Section 1 — Owner's Information and Project Location Project Address 53 (3LAP?5 141/EX- F4 Village -V 6��A2 ZaA� Q Q 77. Owners Name QIAN4< TI+Pq Owners Legal Address SA"K-) ZZ., Xx City State 1AA Pi Zip AOwners Cell# E-mail Pro"6f-P AAA Section 2 —Use of Structure Use Group__R�L_� ❑ Commercial Structure over 35,000 cubic feet El Commercial Strdctdre under 35,000 cubic feet /El,,Single/Two Family Dwelling Section 3 —Type of Permit Fj New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ 'Change of use El Demo/(entire structure),-/. ❑ Finish Basement El Family/Amnesty El Fire Alarm Rebuild El Deck Apartment El Sprinkler System ❑ Addition Retaining wall ❑ Solar X.Renovation 0 Pool 0 Insulation Other—Specify Section 4 = Work Description WMCL v E C0AJV6J-W_ Aflgd!� 5CAZ90 fbt T­4,­A.+.A- 11/1,c P)n i Q Application Number..................................................... Section 5—Detail Cost of Proposed Construction 0O8 Square Footage of Project ,,iO Age of Structure Dig Safe Number # Of Bedrooms Existing r Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA ChecklistkWFCM Checklist ❑ Design Section 6—Project Specifics i Piring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑,Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply El Public, APrivate Sewage Disposal ❑ Municipal. `5k On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: PS I am using a crane ❑ Yeo Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland; coastal bank? Yes ❑ No, Section 8 Zoning Information A Zoning District 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 f 969 Main St RANNEY + Osterville,MA 02655 RIMINGrTON 508.428.7147 info@ ran n eytim i ngton.com RENOVATIONS•ADDITIONS•TRANSFORMATIONS HanneyR31Q ingtotn.com ENOVATION OF StINROQM` �;•...� �`:�, '. ,.�. �� �.�' ;���;, � � '�' '"�" � -�:�' 8. Framing $4,600.00 o Construct new rough frame as per plans and floor plans;including new lower walls for the new window footprint, new left side awning window frame and strapping on the existing rafters for a vaulted ceiling look o Please note:additional framing,if required,is to be determined and is not included in this estimate.Existing header system on top of the front windows is assumed proper and is to remain 9. Material cost for 5 new Harvey windows and 1 ThecmaTru door $5,424.21 o Please note:sizing to be verified prior to ordering windows 10000-1 Vinyl Casement,Unit Size5625 x 59.5.RO 56.75 x 60 Unit 1:U-Factor=0.29.SHGC=0.24,VT=0.44,HII-M-38-02619- ' 00001.Size options=call sizes,New Construction,Hinge Lei, Simulated Meeting Rail=No Unit 2:U-Factor=029,SHGC=0.24,VT=0.44.HII-M-38-02619- t 00001,Size Options=Call Sizes,New Construction,Hinge Right, Simulated Meeting Rail=No Call Width=49,Call Height=5,Frame Width(Inches)=28.5.Frame a4,0 Height(bathes)=59.5 .1 z Double Glazed,Low E.Argon Filled g m s= Base Color=White,Painted Unit=No;None —so.Nrr Standard Fiberglass Mesh Integral I.Fin.Receiver Pocket 4 9/1W,Primed,4 Side Factory Applied Overall Frame Width(Inches)=56.25,Overall Frame Height(Inches)_ 59.5,overall Rough Opening Width(Inches)=56.75,Overall Rough Opening Height(Inches)=60 Cleat Opening Width=17,Clear Opening Height=53.75,Clear Opening Square.Footage=6.35 - E.Star Zone:North-Central_=Yes,E.Star Zone:South=Yes,E.Star Zone-.South-Central--Yes 4 @$1,018.97 s 11000-1 Vinyl Atvnmg.Unit Size 59.5 x 24.5,RO 60 x 25 1 Unit 1:U-Factor=0.29,SHGC=024;VT=0.44,HII-M39-01997- 00001,Size Options=Custom Size,New Construction,Operation t Vented As Viewed From Outside=Vent,Simulated Meeting Rail=No ., Frame Width(Inches)=59.5.Frame Height(Inches)=24.5 t Double Glazed,Low E.Argon Filled Base Color=White,Painted Unit=No,None i Fiberglass Mesh :I — ,SON Integral L Fin,Receiver Pocket wo•W— 4 9/16%Primed,4 Side Factory Applied Overall Frame Width(Itches)=59.5.Overall Frame Height(inches)= 24.5.Overall Rough opening Width(Inches)=60,Ov«att Rough Opening Height(lathes)=25 E.Star Zaae:North-Central=Yes.E.Star Zone:South=Yes,E.Star Zone:South-Central=Yes 1 @$511.60 1 EA 2-8x6.6 RHOS TherrmTru Fuilview ThennaTN Smooth Star S118-LE,No Grilles,Double Bore,Composite Edge,4-5/8"Rot-Proof Jamb Bottom,Bronze W/S,Out§Mng Composite Mill Finish Sill,3 NRP Brushed Nidcd Hinges,No Casing 1 EA 4-9/16"Up To 3'0"Sill Pan Kit #TTSLPAN430 1 @$836.73 ESTIMATE-REVISED, Thayer,10102119,Page 2 969 Main St ANNEY + 0sterville,MA 02655 508.4287147 191'.4'ARININGTON, info@ranneyrimington.com RENOVATIONS•ADDITIONS•TRANSFORMATIONS RanneyRunungtOn.aom ESTIMATE - REVISED Home Improvement Contractor Registration#144752 Date: 10/02/2019 Customer Name: Frank Thayer Site Address: 1153 Bumps River Rd,Centerville Phone: 617-851-8395 Email: fthayer@gmail.com Based on CAD Plans: dated 1010112019 and provided by Cape CAD Design Project Description: Renovate existing footprint of sunroom Al . .,z M111 1. Provide design,floor,and detailed prescriptive frame plan for Town of Barnstable,as needed $400.00 2. File(building/electrical)permit with Town of Barnstable $700.00 o In accordance with MA State Building Code 780 CM9 including inspections and plan review meetings �*sxei .m ;� iTx- ]Y T ` } h' ' .faT'�� eF .. ' ,�f: '"i.�1 �;,*;rx.�ae r..�,.. ;� ,ix.�, 3. Waste removal $550.00 o Supply 15-yard dumpster for construction waste removal(based on 1 dumpster) 4. Supply portable waste facility $250.00 o for workmen use,based on 2 months 5. Workspace preparation $100.00 o Tape and plastic off,as possible,areas of home not under construction to minimize dust 6. Prepare electrical systems $250.00 o Tie off existing electrical as needed to begin renovation inspected by licensed professional 7. Demolition and waste removal $2,400.00 o Build temporary walls if needed for support around the windows o Deconstruct&demo existing sunroom as needed,including drywall,ceiling and strapping,interior walls and old insulation,windows and some window lower framing,back door and interior trim ' o Dispose of construction waste o Please note:existingtloor the to remain ESTIMATE-REVISED, Thayer,10102119,Page 1 • .ANNEY + Osterviiie,MA 0265E 508,42&714', R_MINGTON info@ranneyrimingtomcon ,4O'VAMONS-ADOMONS•TRANSFORMATIONS RannoyRi mii:tyton-con DO NOT SIGN THIS CONTRACT IF YOU HAVE NOT READ IT OR IF THERE ARE ANY BLANK SPACES _10/02/19 Ranney&Rimington Custom Building LLC Date Property Owner Date ESTIMATE-REVISED, Thayer,10102119,Page 7 •� f The Commonwealth of Massachusetts. Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electri¢ians/Plumbers Applicant Information Please Print 1Legibly Name(Business/Organization/Individual): � � Address: City/State/Zip: G9_KA4/8",, Mir Phone#: (5C)o,) y 2® --'7 ( y 7 Are you an employer?Check the appropriate box: Type of project(required): am a em to er with 4• ❑ I am a general contractor and I p Y * have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). 2.❑ I am a sole proprietor or partner listed on the attached sheet. T ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y p h'• = 9. ❑Building addition [No workers'comp.insurance comp.insurance. required.] - 5..❑ 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&Other [n,A WY 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, tContractors 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: k�&Xfl_o C— lbn' Mufuk 3A54 CA t� W Policy#or Self-ins.Lic.#: sc�0 � �uZb ��� �(�� Expiration Date: 0 � I Job Site Address: S (3uvvw y2 12J City/State/Zip: CYA( 4QLrL t �-- Attach a copy of the workers',compensation policy declaration page(showing the policy number and expiration date). . Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year.imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification: I do hereby certify under the pains and penalties of perjury that the information provided abov is true and correct: Si ature: Dater Phone#: V .`[ Ll 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#: PATRRIM-01 A RYSW OO- CERTIFICATE OF LIABILITY INSURANCE DATE(M1201YYI� 91231 019 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: ff the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER wet RogersGra ,Inc. PHONE e :(800)553-1801 FAIL,no:(877)816 2156 So Rte Dennis, mail ers ra com South enn MA 02660 � rog 9 Y- INSU S AFFORDING COVERAGE NAIC#I INSURER A:Main Street America Assurance Company 29939 INSURED INSURER 8.Associated Industries of Mass.Mutual Ins.Co. 33758 Ranney&Rimingiton Custom Building,LLC INSURER C: P.O.Box 816 INSURER D: Marston Mills,MA 02648 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 AODL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITSLTR - A X COMMERCUIL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS MADE ❑X OCCUR MP076069 812,12019 8/21/2020 DAMAGE TO RENTED 500,000 a oaurrN1W MED EXP An one arson 10;000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000'000 POLICY❑X jECOT 0 LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY Per poison) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY �p BODILY INJURY Per accident AUTOS ONLY AL ONNLY PROPE�Rd AMAGE UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION$ B WORKERS COMPENSATION X_ PER OTH- AND EMPLOYERS'LIABILITY A�NFFYIPROPRIETOR/PARTNER/EXECUTNE YIN CC-500-5020799-2019A 8/6/2019 8/6/2020 E.L.EACH ACCIDENT 500,000 (Nand A In NH)EXCLUDED? T N I A E:L DISEASE-EA EMPLOYEE 500,000 if yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional.Remaft Sdiedule,may be aUaehed if more space Is required) Certificate Holder is an Additional Insured on General Liability on a primary 8:non-contributory basis when required by a written contract or agrement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 13E CANCELLED BEFORE Ranney 8 Rimington Custom Building,LLC THE EXPIRATION. DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O.Box 816 Marston Mills,MA 0260 AUTHORRED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD sm Office of Consumer Affairs&Business Regulation Registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: ,9GPE:LLC 0fr"of Consumer Affairs and Business Regutation Re i g ion 1000 Washington Street-SA9 710 --� 11/01/2020 Boston,MA 02118 RANNEY AND' y OSTOM BUILDING,LLC M� ,^ `; a n1i ALEXANDER M.'ik_A. 969 MAIN STREET±>.-.<;' ' Not valid without signature OSTERVILLE,MA 02665 Undersecretary r i r Commonwealth of Massachusetts Division of Professional Licensure Ar Board of Building Regulations and Standards Gonstr ritbfaervisor T�h CS-088595 t Expires:0411612020 `�r i . ALEXANDER-M RANNEY . 239 SCUDDEkAMEN' HYANNIS MA 001 l Commissioner "- M Constructiori'Supervisor ' Unrestricted=Buildings of any use group which colrtain lessthan 55,000:cubic feet(991 cubic meters)of enciosed space. ssess a currenf Cori of the Massachusetts Failure to po on,ofrs fcense StateStiitding-Code is cause Wor(evoca6 For initOMW ion about this uc ovid ' u Can-017)727-3200 orvwt Application Number. ..`........ .............................. Section 9- Construction Supervisor Name2 I Telephone Number ' Address 3`1 S(.u50+k-- A'�� Ci (ANJ, tr l 02b�t ty State w 1 Zip License Number � j S License Type (, _ Expiration Date (Zo Contractors Email . u1�FoC %� � `d��� Cell # 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:Attach a copy of your license. Signature Date l G Section 10-Home Improvement Contractor •� s s Named 10 M C ?Ut WWTelephone Number Address9 0 M )If,- City, ' s 1'%Ukt4_ State Lp,�O-, •Zip Registration Number Expiration Date I'understand my responsibilities under the rules and regulations for Home Improvement Contractors 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 Barnsta ttach a copy of your H I.C.:. Signature Date . c . Section 11 Home Owners License Exemption r Home Owners Name: Telephone Number Cell'or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts'State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date l Print Nameon�� �� Telephone Number ir E-mail permit to: Last undated: 11/15/2018 Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan'Rev"iew(if required) ❑ Fire Department. Conservation" r t. ., ' t" ; 4 F ' For commercial work,please take your plans directly to the fre department for approval Section 13— Owner's Authorization, as Owner of the subject property hereby P authorize -.to—act^ on my behalf, in all matters relative to work authorized*by this building permit application for:' " (Address of j ob) r. Sign tore of Owner date Print.Name ff 11 � i J..f.kAit Last updated:411/15/2018 Bowers, Edwin Leoj�D�1�2�7L From: Bowers, Edwin Sent: Thursday, October 31, 2019 8:57 AM To: alex@ranneyrimington.com' Subject: Permit/Application:TB-19-3669 at 1153 BUMPS RIVER ROAD, CENTERVILLE for Building - Siding/Windows/Roof/Doors This letter is in response to application number B-19-3669. Your application is denied as submitted for the following reasons: 1) Incomplete construction documents as required by Chapter 1 Section R107.1 of the MA amendments to the 2015 IRC (9th edition 780CMR) Scope of work does not match provided contract And, if aggrieved by this notice; to show cause to why you should not be required to do so, you may file a Notice of Appeal (specifying the grounds thereof) with the State Building Appeals Board within forty-five (45) days of the receipt of this notice. Respectfully, Edwin E Bowers --Local_.inspector, - - =-- Edwin.bowers@town.barnstable.ma.us (508) 862-4025 1 - 3667 Application number....... /..7...................... Fee..................................... ............................................ MAK Building Inspectors Initials ........................ Date Issued .................................................. Map/Parcel ..... .... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION,. 'PROPERTY INFORMATION Address of Project: 'NUMBER STREET VIL;L E w Owner's Name: ' P00C` i Phone Number . (0 Email Address: ��I i"rw- M, Cell PhoneNumber Project cost$ 19 k Check one'. Residential'. r:/ Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize l�� 9 BIZ r, 11JZ 3 r y to make application for ab g permit a 't in accordance with 780 CMR Owner.Signature: T Date: w 13a 1 TYPE OF WORK in l Windows no header char e # El' Insulation/Weatherization g r ( g ) Ud Doors(no header change)# Commercial Doors require an inspector's review " Roof(not applying more than 1 layer#of shingles) Construction Debris will be going to `dJN!�PS�Yyi2 CONTRACTOR'S INFORMATION Contractor's name "�06L P6,4 Home Improvement Contractors Registration(if applicable)# LI 7 �— (attach copy) Construction Supervisor's License# ��� _ :-----(attach copy) Email of Contractor — Phone number (�O',)-733 94-3 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER 1 *For Tents Only* Date Tent(s)will be erected . Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of.paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 201bs. or> Yes No , if yes, a gas permit is required. Natural Gas Yes No ,if yes,a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature ��.� _ Date 1 (3 19 All permit applications are subject to a building official's approval prior to issuance. L F r , / 969 Main St ANNE'� + Osterville,MA 02655 ,,A*3IMINGTON 508.4287147 I info@ran neyrimi ngton.com RENOVATIONS•ADDITIONS•TRANSFORMATIONS RomtteyRimington.eom ESTIMATE REVISED` Home Improvement Contractor Registration#144752 Date: 10/02/2019 Customer Name: Frank Thayer Site Address: 1153 Bumps River Rd,Centerville Phone: 617-851-8395 Email: fthayer@gmail.com Based on CAD Plans: dated 1010112019 and provided by Cape CAD Design Project Description: Renovate existing footprint of sunroom 1. Provide design,floor,and detailed prescriptive frame plan for Town of Barnstable,as needed $400.00 2. File(building/electrical)permit with Town of Barnstable $700.00 o In accordance with MA State Building Code 780 CMA including inspections and plan review meetings ; bP PA �TTON.:, 3. Waste removal $550.00 o Supply 15-yard dumpster for construction waste removal(based on 1 dumpster) 4. Supply portable waste facility $250.00 o for workmen use,based on 2 months 5. Workspace preparation $100.00 o Tape and plastic off,as possible,areas of home not under construction to minimize dust 6. Prepare electrical systems $250.00 o Tie off existing electrical as needed to begin renovation inspected by licensed professional 7. Demolition and waste removal $2,400.00 o Build temporary walls if needed for support around the windows o Deconstruct&demo existing sunroom as needed,including drywall,ceiling and strapping,interior walls and old insulation,windows and some window lower framing,back door and interior trim o Dispose of construction waste o Please note:existing floor the to remain ESTIMATE-REVISED, Thayer,10102119,Page 1 ANNEY + Osterville,MA 0265' 508.428.7141 AININGTONinfo@ranneyrimington con 1pyATtONS r ADDITIONS•TRANSFORMATIONS RanneyRiimiingto n com DO NOT SIGN THIS CONTRACT IF YOU HAVE NOT READ IT OR IF THERE ARE ANY BLANK SPACES _10/02/19 Ranney&Rimington Custom Building LLC Date Property Owner Date ESTIMATE-REVISED, Thayer,10102119,Page 7 The Commonwealth of Massachusetts . Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): TdL�- Address: 01 City/State/Zip: G5flVZ�/U4f— MA_ Phone#: So y 2® �� 7 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. ❑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 P h'• [No workers'comp. insurance comp,insurance._ 9. ❑Building addition required.] 5. ❑ 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' UZY 13. Other V w S comp. insurance required.] K *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ?Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: i��dc � ' "'! ' U� �� �l /XAu fU, �1�St `C4 UuC-C-. Sdv S�Za 1�� ��� Expiration Date: Policy#or Self-ins.Lic.#: p_ Job Site Address: ��S� 13U� K "q-- i2J City/State/Zip: C � �1���L—t M Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided abov is true and correct Signature: Date: Phone#: Lo c� Lt�J °'' . .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#: 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 with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-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 permh/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 Commonwealth of Massachusetts Department of Industrial Accidents • office of Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 446 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia PATRRIM-01 TVANRYSWOOD AC®RO' DATE(Mlu ' ; CERTIFICATE OF LIABILITY INSURANCE 912312019 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 pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT ROgersGra ,Inc. PHONE 434 Rte 13� wc,No,E><t:(800)553-1801 �AIc,no:(877)816 2156 South Dennis,MA 02660 MOSS,mail@rogersgray.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Main Street America Assurance Company Compapy 29939 INSURED INSURER B:Associated Industries of Mass.Mutual Ins.Co. 33758 Ranney 8:Rimington Custom Building,LLC INSURER C: P.O.BOX 816 INSURER D: Marstons Mills,MA 02648 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 CLAIMS MADE ❑X OCCUR MP076069 8/21/2019 8/21/2020 DAEMISK RENTED $ SOO,000 MED EXP(Any one emon 10,000 PERSONAL B ADV INJURY 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY a isn LOC PRODUCTS-COMPIOP AGG $ 29000,000 OTHER: COMBINED AUTOMOBILE LIABILITY SINGLE LIMIT ANY AUTO BODILY INJURY Per rson OWNED SCHEDULED AUTEEODpS ONLY AUpT�OSyy D BODILY IN Per aodderd AUT!)S ONLY AUTO ONLY PPeOr ardent AMAGE UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS-MADE AGGREGATE DED I I RETENTION$ $ B WORKERS COMPENSATION X PER OTH AND EMPLOYERS'LIABILITY CC-500-5020799-2019A 8/6/2019 8/6/2020 500,000 ANY PROPRIETORIPARTNEROMCUTNE YIN E.L.EACH ACCIDENT $ aOFFICER/MMXCLUDED? NIA (Man atoEg � 500,000 n E.L.DISEASE-EA EMPLOYEE It es,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additlonai Remarks Schedule,may be attached H more space Is required) Certificate Holder is an Additional Insured on General Liability on a primary&non-contributory basis when required by a written contract or agrement CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEOF, Ranney&Rimington Custom Building,LLC ACCORDANCE WITH THE PO CYR ROVIS ONSCE WILL BE DELIVERED IN P.O.Box 816 Marstons Mills,MA 0264s AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All.rights reserved. The ACORD name and logo are registered marks of ACORD Office of consumer Affalm&Business Regulation Registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: / YPE:LLC Office of Consumer Affairs and Business Regulation Re i 'ties EVIE41loM 11 OW020 1000 Washington Street-Suite 710 =t .- Boston,MA 02118 E RANNEY ANIa�( TOM BUILDING,LLC ALEXANDER M:RA ;t 969 MAIN STREETS.:_, _s% Not valid without signature OSTERVILLE,MA 02655 Undersecretary t , c i I Commonwealth of Massachusetts Division of professional Licensure IF Board of Building Regulations and Standards Constrott supervisor CS-088595 : x x Ecpires 04/16/2020 ALEXANDER Ul 210 SCUDDE VENUE MyANNIS MA 02§01 Commissioner Construction Supervisor Unrestricted-Buildings of any use group !of enc osed Tessthan35,800:cubic't (90 rubic_metei5l 06 uiori of the Massachusetts ` Failure to:possess a current ed State'Budding Code is cause for revocation.ofth!saicense. + For mformatton about'tfiis 19oyldpl Cap(61�727-3200 or v�sd www , A LT'E R:PJ`.�AT I.V E WE H Fate: / TOWA of Barnstable' 200 Main St. w;�y ;.;«.• N s4 Hyannis,MA 02601 ;S J .,M1x1: Re:Pertxii t#� /.' l� �4f�Qy: a r ilillage ' ) kr" ,af ,•Y°iT U/l6 • G'+'Sr�':�M,e� k ^/r,r.. •fit•is,::v,7:a.,�..,u a.l. v"r•�'t. is Sty"„N:. a•',.tf.•:a::S'iy)y','•'>".,}:,., :p>X:�",ii�,"• ..i w5:':":f[,ti.^'S •t y' ,tiL`• rt.�:#S^\3,<'� ':>�S%arc.. i14.'5,i J:jyt�`i ... `•p'fi:�,{':;.),1',�:1i`i:; :ti'f\' •��4 �.. ;.•y;i�•�?�o?t�,>- fuy,t�,, ;.���rl,"b'cN,trn;, F;::• .l:f:�, `=Y�,fa:,�;t:,��c,•i'N' .. •;�. •'�%t`�1 ;��.,:J •�,n�'h,.•a x I,,;: „F�•e.,JA:" ..�?".S;'i��'' 'e•/ •?,•���.�,y\h•f♦,��, 3 . 1t7;4 ai ,.lx;{v. •4Y.``y fl 1,l' •f �.•.' 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",d�,�.�:�?,)t.�.l?��?Dri,�',�:�' , '" d Z�''1�!a'` ,Y.i:>":;�•�'9y2in.J,.l y"J,.n. ela�•.:a•)„};rT siii��?k. L ? Rega yak :y;,:;7:C' P .r^; �> <t. 5.;�iSk, r,, ♦ n"tvj ::f4 °s'�St, ••1;' $a '4v; 7,%%:; ;,• �r?v:;•::�r,J;!1':�iY:Y•} ,Sf�;w° L ¢SY, e�xd.'C..:?.�.,. • .'4y 3¢Y'' y,�yr.'.7':�y�?>rk�'�r..� ��.tt", :;.�.�yr�;o`.:r':Y•r;.tiSt}•:�`.. " y�.7 .�M�' .. .. :tG•,:` •?P+»jib s,Kp� ,,.J •..�'.'•.'r3:C';.;�,;:"W,)" '..':,j: ' r,,• Na: NO ' +? Y��,.F�R):•b'' � �`�h•M�yeCv3�nn`�.M;�r 3 13 �� •Timothy:Cabral, President CR465454 rim. "SS.DICKMONST C-IT.' I, 'FALL•RIY�R.W. 0272.1' I ••'•(508j•5674240 ..j ..ALTF,R�JATIVEW..F.�iTAt'Ef�1ZA+TIONC�GV�tII COlvl•.,`.;;., ;. ' 4,4 tf m Application numbe .............. ... .... ... Date Issued ..5.� .. : .. t .. t Building Inspectors Initials.... MAY 20i ... 3� -T01AWO� BLE[�" TOWN OF BSTABLE EXPEDITED PERMIT APPLICATION.` ROOF/SIDING/'WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of'Project: � ,-� NUMIS STREET, y >vII LAGE Owner's Nama6 �Ty Phone Number /���= /o Email Address: V7 Ct CrIn Cell Phone Number Project cost$_ y Check one _.Residential Commercial 77 OWNER'S AUTHORIZATION eF AAf1l7C(, 7w— As owner of-the above property I hereby authorize L �Q: 1111A to make application for a building permit in accordance with 78 1VIR . ... x Owner Signature: Jt&Q,/, G! c/1w Date. , r TYPE OF,WORK Si Wud'ows no header char a #� g ( g >Tncnlation/weathenzation , © Doors(no,header change)# Commercial Doorsyrequare:an rnspctor'skrevaew Roof(not applying mare than 1 layer of shingles) Construction Debns'will be going,.to CONTRACTOR'S INFORMATION 77777 Contractor's narrie t Tit /N�' oe { Home Improvement Contractors Registration(if applicable)# / � �,3 (attach copy) - P (attach co ,b Construction Su :ervisor.'s License#' l7 py) Email of Contractor Q, � ^rZ� jGLc} ; °:Phone number si'71� J�07a1i�0 t ALL PROPERTIES THAT HA STRUCFURES,:OVER 75 YEARS.OLD QR/F THE SUBIE;CT)PROPERTY IS IN A.HISTORICDISTRICT, YOU MUST OBTAIN HISTORICAPPROVAL BEFDREAIPERMIT,CAN BEISSOED. APPLICATION NUMBER................................................... Y *For Tents Only* �:i 71 Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site.plan with the location.(s)of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval, *WOOD/COAL/PELLET STOVES * Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures;specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APP IC 'S SIGNATURE Signature Date G All permit applications are subject to a building of approval prior to issuance. Town of Barnstable iilllil g „ Post:This Card�So Thatsit is Visible Fromythe Street Approved Fians Must be�Reta�ned��on Job a�d'th�s C�rd�Must b ,K,ept ,� s6 p. Posted Untll'Final Lmspection�Has BeenFM,,ade , � � ;� �� �" . �Whe�e a Certificateof%O.ccw anc =is.:Re u�red,such Buildm���SHall^Not be"Occu red u'nt�l a Firtal:,lns ection�has--been.made _° Permit Permit NO. B-19-1802 Applicant Name: ALTERNATIVE WEATHERIZATION INC. Approvals Date Issued: 05/31/2019 Current Use: Structure Permit Type: Building—Insulation-Residential Expiration Date: 11/30/2019 Foundation: Location: 1153 BUMPS RIVER ROAD,CENTERVILLE o- Maps/Lot 188-090 Zoning District: RD-1 Sheathing: Owner on Record: SHNEUR,FELIX&GLUSKINA,IRINA TRS _` Cont actor Name ALTERNATIVE WEATHERIZATION Framing: 1 INC. Address: 893 EAST SECOND STREET UNIT 5 M 2 �� - -- n#rectar,License: 175683 SOUTH BOSTON, MA 02127 Chimney: Description: Weatherization Est Pr�oJ -ct Cost: $0.00 Permit F, e: $85.00 Insulation: Project Review Req: Fee Paid ` $85.00 Final: Date: 5/31/2019 A Plumbing/Gas Rough Plumbing:, 'r Final Plumbing: F �y Building Official .. .'...�;' . 3 This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterissuance. Rough Gas: All work authorized by this permit shall conform to the approved appl atiohe nd the approved construction documents for whi h this permit has been granted. All construction,alterations and changes of use of any building and structure shall be incompliance with the local zoning by IauW and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open forpublic inspectign for the entire duration of the work until the completion of the same. I " Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and fireOfficials are&provideds1on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: ; 1.Foundation or Footing �., §., J . ' Rough: 2.Sheathing Inspection final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ALTERNATIVE WEATHERiZATION Date: wno f Barnstable � . . - 200 Main St. ry Hyannis,MA 0260132 F Vi11a e y f g Re:Permit# t c ry t 4 ry The insularion%weatherization work at r ,r a a fih'as been completedin.accordance witYr kg a a v r� } ws'{. � !" a k.�,z 1` !u�✓� `� wz.sit ,a.�. sr,` .. �v � `x .*� ni ,�',1rrr•p _ 1 n ! a� a7 x.,�. ,Y+'t G d '"✓y y.!r x s' y` � 1 f f Timothy Cabral, President -CSL-105454 58 DICKINSON STREET I FALL RIVER;MA 02721 I (508)'5674240 I ALTER.,ATIVEWEATHERIZATION@GMAIL CO'M DocuSign Envelope ID:EAFE7567-6FFD-4D64-889F-1 A47DC36951 F Permit authorization -.Mass saveForm Site ID: 3810146 Customer: Jorge Porto' Jorge Porto owner of the property located at (owner's Name,printed) 1153 Bumps River Road Centerville, MA 02632 (Property Street Address) (city) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. DOCUSi9ned by: . . E�CECD53A9C5B1402.,.Owner"s Signature: ' 5/20/2019 1 9:59 AM EDT Date: r w . FOR OFFICE USE ONLY We have assigned the following Mass Save Nome Energy Services Participating Contractor to the above referenced project: Participating Contractor D to . Name: RISE Engineering Phone: 401-784-3700: Email: M Page 1 of 1 Fir O ire use Only Rev.102015 h The Commonwealth of Massachusetts Department of Industrial Accidents 6 I Congress Street,Suite 100 Boston,MA 021I4-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leexibly Name(Business/Organization/Tndividual): ALTERNATIVE WEATHERIZATION, INC. Address: 2 LARK STREET City/State/Zip: FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type of project(required): 1-2 I am a employer with 16 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 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 1[]I am a homeowner doing all work myself[No workers'comp.insurance required.]' 4.❑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. 1 .[:]Roof repairs These sub-contractor's have employees and have-workers'comp.insurance.'* 6.❑We are a corporation and its officers have exercised their right of exemption per MG c. 14.[f✓ Other INSULATION 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. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: LIBERTY MUTUAL INSURANCE Policy#or Self-ins.Lic.#: XWO(19)58867158 Expiration Date q Job Site Address: / ` � & S �C. City/State/Zip !� e— /�T Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration ate). 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u d ain a p ti s f perjury that the information provided above is true and correct Signafore: Date: Phone#:508-567-4240 Official use only. Do not write in this area,to be completed by city or town official City or Town: i Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards f Const` {Si�Ivisor CS-105454 E ires 05f0$f2021 t TIMOTHY CA 58 DICKINSON SIRE FALL RIVER AUA ? + 7 Commissioner Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement.Contractor Registration Type: Corporation Registration: 175683 ALTERNATIVE WEATHERIZATION, INC. Expiration: 05/28/2021 2 LARK ST FALL RIVER,MA 02721 - - YFA �. Update Address and Return Card. SCA 0 20M•05!1 Office of consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:.Corporation before the expiration date. If found return to: Reaistfation 'Expiration Office of Consumer Affairs and Business Regulation k75683;= := 05/28/2021 1000 Washington Stre Suite 710 ALTERNATIVE-WEATHER IZATION,INC. ton,MA 02118 (/ TIMOTHY CABRAL (% 2 LARK ST �/!a.•s( ./(p/i�ssm! FALL RIVER,MA 02721 Undersecretary �Ot Vaulf withou Signature e CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) « 05/24/19 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 'BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Anthony F.Cordeiro Insurance Agency A/�Nn o Ext: 508-677-0407 AIc No): 508-677-0409 171 Pleasant Street E-MAIL Fall River,MA 02721 ADDRESS: HSouza@Cordeirolnsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Liberty Mutual INSURED INSURER B: Ohio Security Alternative Weatherization INSURER C: Ohio Casualty 2 Lark St Fall River,MA 02721 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 ADDL SUBK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN SD WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE O OCCUR PREMISES Ea occurrence $ 300,000 MED EXP(Any oneperson) $ 15,000 A Y Y BKS58867158 06/07/19 06/07/20 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: - GENERAL AGGREGATE $ 2,000,000 ❑ POLICY❑ PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B AUTOS ONLY AUTOS OWNED rx SCHEDULEDYBAS58867158 06/07/19 06/07/20 BODILY INJURY(Per accident) $ XHIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LIAB X OCCUR - EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE Y Y US058867158 06/07/19 06/07/20 AGGREGATE $ 1,000,000 DED RETENTION$' $YtN WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 600,000 C OFFICER/MEMBER EXCLUDED? n� NIA XW058867158 06/07/19 06/07/20 — (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,006 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Action Inc and NGRID,USA,its direct and indirect parents,subsidiaries and affiliatesshall be named as Additional Insured on commercial General Liability and Automobile Liability polcies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE • THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN NGRID USA ACCORDANCE WITH THE POLICY PROVISIONS. 40 Sylvan Road , Waltham,MA 02451 AUTHORIZED REPRESENT F ©198#-2015 ACORD CORPORATION. All rights reserved.j ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ®�� _ Application # ;t o` 105-svi Health Division Date Issued o� < Conservation Division Application Fee S-0 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board �_ ( Historic - OKH _ Preservation / Hyannis. Project Street Address Village Ce lJ 1, Cry - {} Owner �-t�``� Tk7t AA S ftr j�� _Address Telephone 04 _ tuo CAA-^j(ge l0 f-L yo?I c*j Kermit Request �(_ ��� �e 5�,�6 ,1-rJ�-�Zt�I/ C_-e� (a [�1�� `64 �-- N Af_ A •�i✓ 0 F ()AV'_XAA)�614LL% i�ICX&-XfATI l ul�ji/�P,.6 l v✓ �S'1N6 cr✓4AS Al -il' -�-(e Stt`c.�� �jC c�f�(A/ 11f _ �i t�CtLik�Yt.SiI/1/b_ 0 jl /Li+ce�.J x� 1 . /vim S 1 � �Jw r 1 6V d y ZL ;;v Square feet: 1 st floor: existi�ig proposed AD— 2nd,floor: existing proposed _Total new Zoning District "I Flood Plain � Groundwater Overlay Project Valuation�z+ ''Construction Type, Lot Size 0S9 ACIZ£S 7 Grandfathered: ❑'Yes B'No If yes, attach supporting documentation. Dwelling Type: Single Family 2"' Two Family '❑ Multi-Family (# units) Age of Existing Structure a g g �'��__ Historic House: ❑Yes r�No On Old i�ing•,s Highways ❑Yes UrNo Basement Type: BluaI ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) ' _ _ Basement Unfinished Area (sq.ft)_ ~� Number of Baths: Full: existing of-- new � Half: existing rrew Number of Bedrooms: existingV..new • Total Room Count (not including baths): existing T__new First Floor Room Count Heat Type and Fuel: BIGas ❑ Oil ❑ Electric ❑ Other Central Air: 8 Yes -U No Fireplaces: Existing I _New - _ Existing wood/coal stove: ❑Yes ar o Detached garage: ❑ existing ❑ new size__Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size Attached garage: ®e isting El new size'_Shed: C9 e isting ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes LI'No If yes, site plan review # Current Use 7e ,- ,:�, _ Proposed Use r APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 1 —&J��JWLA)b 440A 1 Telephone Number (V\A"9L1W x --- v e Address IM ll)y S IT r` Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO v c4- & S11 NATURE DATE f+ FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED f MAP/PARCEL NO. a _ ADDRESS VILLAGE ti OWNER ;t ry DATE OF INSPECTION: FOUNDATION Ft u. FRAME z11 Ill At1 ; " INSULATION VdoilI FIREPLACE F ELECTRICAL: ROUGH FINAL--- PLUMBING: ROUGH FINAL ` :GAS: r. ROUGH FINAL , '. FINAL BUILDING DATE CLOSED OUT ASSOCIATION,PLAN NO. E The Commonwealth of Massachus&ts Department of fndus&W Accidents Office of 11nvestigations 600 Washington Street Boston, MA OZIII www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/IndtvidnaI): V b 1. '.'h Jr)A( N l� CQt Address: City/State/Zip: oneIn�eS_IZNS►14�(,� 1 Faa an employer? Check the appropriati;?am y a employer with 4. a general contractor and I Type of project(req%OlrCe 7]n loyees(full and/or part-time).* have hired the sub-contractors 6- ❑New constructi a sole proprietor or partner- listed on the attached sheet. 7. �emodeffig and have no employees These sub-contractors have king for me in any capacity. employees and have workers' g' ❑Demolition workers' comp, insurance comp,insurance.$ 9• El Building additi ired] 5. ❑ We are a corporation and its 10.0 Electrical repai a homeowner.doing all work ofcers have exercised their lf 11.❑Plumbing repair [No workers comp, right of ezemptionper MGL ance required]t l c. 152, §1(4), and we have no 12.❑Roof repairs. employees. [No workers' 13.❑ Other comp.insurance required,] _ *Any applicant that checks box#1 must also ED out the section below showing their workers'compensation policy t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a�C'o_nt`-rac�tors_tha.tc sheckc-otliias,bzcoto_nm;huasvt"eattac-heda_a _ad3itiyno. al=shprovdet henw orkers � n Cot- owing-the-name,- w aff davit inndi ca such.,h� . �re `emp he-sub aractors-anl t dseer_or not-comp-policy-numbe. ave I am an employer that is providing workers compensation insurance for my employees. Below is the policy and 'ob site information. j Insurance Company Name: Policy#or Self-ins,Lic.#: Expiration Date: Job Site Address: City/State/Zip: . Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a . fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby fy and pen e of perjury that the information provided above is.true and correct Si ature; Phone#: '{Qi'CC�' G�e7 Date:. 1 Z Ul Official use on::::7 s area to be completed by city or town offzciaL City g Town: PermitlLicense# Issuing AuthoI.Board of Hertment 3, City/Town Clerk 4.Electrical Inspector 5.Plumbing Ins actor6. Other PContact Perso Phone#: s The Commonwealth of Massachusetts .Department of Industrial Accidents Office of Invesdgadons 600 Washington Street Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LedbIv Name(Business/Organization/individual):? e— co �(� --C,ll ✓l �-� ir`'� �� NJ Address: qO /U Lt.F, ?d City/State/Zip: C@A?riZ-i!I C C.� 1�-,.A uZ(32 Phone#: Are you an employer?Check the ropriate box: Type of project(required); 1.�I am a employer with � "4. ❑ I am a general contractor and I employees(full and/or part-time),* have hired the sub-contractors 6• ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. , 7. [g-ge`m odeling - ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9 [No workers'comp,incnranee comp.insurance.# ❑Building addition required,] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their ❑ g repairs or additions 11. Plumbing myself. [No workers'comp., right of exemption per MGL insurance required]t c. 152, §1(4),and we have no 12•❑Roof repairs employees.[No workers' 13.0 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 =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and s affidavit indicating such. 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'compensatio information. n insurance for my employees: Below is the policy and job site _ Insurance Company Name: �(f� , 3-Alls Policy#or Self-ins.Lic.#:_ 7 1 O [70 L.Q Expiration Date: Job Site Address: I t�� DuS F-1 -ez � City/State/Zip: lC 't� L�e Attach a copy of the workers',compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification - I do hereby certi under the pains and penalties.of pert ury that the information provided above is true and correct Si store: Date: l0 "- — Phone M �j�� " �Z co'- 1 A, 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#: 1 ®. DATE(MM/DD/YYYY) ACORO 'CERTIFICATE OF LIABILITY INSURANCE 9i28/.2011 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTA PRODUCER NAME:CT Timothy Lovelette - Marshall K. Lovelette Insurance Agency Inc. PAIC,HONE (508)775-4559 AID No. (soa)��s-4s�� E-MAIL 396 Main Street ADDRESS.timothy@loveletteins.com P.O. BOX 836 INSURERS AFFORDING COVERAGE NAIC# West Yarmouth MA 02673 " INSURERA:Allmerica Financial Benefit 41840 INSURED - INSURERB:AEIC Ins Company0006 R & R CONSTRUCTION INSURER c: CUSTOM HOMES INC INSURER D: 90 NYE ROAD INSURER E CENTERVILLE MA 02632 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1192800857 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. ADDL SUBR POLICY EFF POLICY EXP - ILNSR TR TYPE OF INSURANCE POLICY NUMBER MM/DDIYYYY MMIDD/YYYY LIMITS GENERAL LIABILITY. EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ - CLAIMS-MADE :OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC $ JEC COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY - (Ea accident ANY AUTO BODILY INJURY(Per person) $ 250,000 A ALL OWNED X SCHEDULED WN5167243 /2/2011 /2/2012 BODILY INJURY(Per accident) $ AUTOS AUTOS 500,000 PROPERTY DAMAGE 250,000 X HIRED AUTOS X AUTOS ED Per accident $ Underinsured motorist BI split $ UMBRELLA LIAB- OCCUR EACH OCCURRENCE $ - EXCESS LIAB CLAIMS-MADE AGGREGATE . $ DED RETENTION$ $ B WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY - . ANY PROPRIETOR/PARTNER/EXECUTIVE N/A 'E.L.EACH ACCIDENT $ _ 500,000 OFFICER/MEMBER EXCLUDED CC5003799012011 11/29/2011 11/29/2012 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under CC5003799012010 11/2 9/2010 11/2 9/2 011 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES.(Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER` CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE_ DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS''. The Ugly Duckling Building Company 194 Main Street West Barnstable, .MA 02668 AUTHORIZED REPRESENTATIVE . John McShera/JOHN � " ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD r Restricted to: 00 00- Unrestricted - 1G-1 2 Family Homes, A Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Refer to: WWM•Mass.Gov/DPS ' � Ice-Poonmsauuea,/,!� o�✓�aaaacla . Office of Consumer Affairs&Business Regulation '."e HOME IMPRGVEMENT CONTRACTOR Registratiot a-459157 I - ,> Expiraticas� a?_. Tr# 294778 Type$4' o€ation R R&RCONSTRWCT4WCIM HOMES INC. _ q ROEBRT HARRf5'� ' - 90 NYE RD CENTERVILLE,MA 062' Undersecretary N License or registration-valid for individul use only. k.. before the expirstion':date. If found return to: Office.of.Consumer Affairs and Business Regulation '• 10 Fork Plaza-Suke:5170 Boston"MA 02116 ' • � - Not1va wtthout`sign'atirre • �= Massachusetts- Department of Public Safety ` Board of Building Rcl;ulations and Standards ' Construction.Supervisor License License: CS 60160 Restricted to: 00 ROBERT J HARRIS _- 90 NYE RD , CENTERVILLE, MA 02632 ez- -�-�� ` Expiration: 5/9/2012 Commissioner Tr#: 25590 r f vl o W14 J� ��C4Z ( Cl .�._.. ��� •S C,r �' Cn4 l fob ce Ll L)CA-Ilc_l Ak 4NV 4 �7ME Town of Barnstable Regulatory Services B+aNsznats. +' MAM Thomas F.Geiler,Director Eo► " Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must ,Complete and Sign This Section If Using A Builder as Owner of the subject.propertp hereby authorize to act on my behalf, _ in all matters relative to work authorized by this building pennit. LKO IV CeL, (Address of Job) Pool fences.and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner Signature of Applicant. � PP r Print Name Print Name' Date QYORMS:OWNERPERMISSIONPOOLS r 1` THE T Town of Barnstable Regulatory Services BARNMBLE, Thomas F.Geiler,Director y tKAss. 1639. A g Buildin Division rED MAGI " Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-623 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town stat zip code The current exemption for"homeowners"was extended to include ow r-occu ied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not ossess a license,provided that the owner acts as supervisor. DEFINITION OF HO EOWNER Person(s)who owns a parcel of land on which he/she reside r intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached s ctures accessory to such use and/or farm structures. 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 o a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the ildin ermit. (Section 109.1.1) The undersigned"homeowner"assumes respo sibility for compliance with the State Building Code and other applicable.codes,bylaws,rules and regulati s. The undersigned"homeowner"certifie at he/she understands the Town of Barnstable Building Department minimum inspection p on procedures and quirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Offici Note: e-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building C de Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The ode 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 forn/certification for use in your community. Q:forrns:homeexempt G— V _ Office of Consumer Affairs and2usr ss Re 10 Park Plaza gulahon Boston, ' Suite S 170 Massa .lusetts 0211.6 Home Improvement C"6ntractor Registration Registration:: 169134 " Type: Corporation THE UGLY DUCKLING HOUSE C � 7 Expiration: .5/19/2013 CHRITIANE CALDWELL ,MPANY, , .194 MAIN ST W. BARNSTALBE, MA 02668 � ". ;�-~�� ; .: -------------- Update Address and return.card.Mark r DPS-CAI is 5OM-04/04-G701216 L-.� Address Renewal �.Employm c" Office onsumer A airs �,,�� HOME IMP OVEME ►fsiness egu a on License or registration valid for ind' . NT CONTRACTOR before the expiration date. If found'return toeeonly Registration a169134 Expiration 5/,19/2013 Type: Office of Consumer Affairs and Business'Regulation Corporation 10 Park Plaza-Suite 5170 GLY DUCKLING`HOU.SE COMPANY Boston,MA 02116 CHRITIANE CALOWELL 194 MAIN ST W. BARNSTALBE, Undersecretary Not valid without signature - v. :JOB d V TAYLOR DESIGN ASSOC., INC. SHEET NO. L of —S P.O..Box 1313 Forestdale, MA 02644 CALCULATED BY �� DATE Tel./Fax: (508) 790-4686 CHECKED BY DATE "" � _ ,ems P—w ex> Ef 409CALE / �N QF 1 ` . a ...... ...._.. .................. ---- �t .. .... ..,......... VA- .................... ...... .1" . ... „ .. t..: ... : .......: ..: .l�.:. .� Eq dg.. { ^ ... .... .... ..................... 4, �- ... t..._ . ._...... O �c X tea : . . . .. e,.. .. .... ........ _ 1 ... . .. ..... fa,.a.�s. �.� �.. ..!J L.. .i...� .. ...:... 4. .. t p 6.. thy... 7.3 ............. IOB IMOR DESIGN ASSOC., INC. SHEET No. �- of P.O.. Box 1313 Forestdale, MA 02644 CALCULATED BY �'�� DATE " ��.. t Tel./Fax: (508) 790-4686 CHECKED BY DATE l I ►�E��"L �L{F V SCALE ... �°t�. ��4%elf) . �°'... ...... .... 3 .. .. ..... .. ..... .. :. .. .. � c Saba.-`f ........ c ...... ... '� �� .... ............. �. tc: �.. ' . . ..... .. ... .. , . _ _ t ..... ........ ............... .;........ . 9- :gam. . .`___ .... _. .. .0.. �' .. . . .... . .?e to ._.... .. ,_ram: �} ► .log . TAYLOR DESIGN ASSOC., INC: SHEET NO' 3 of � P.O.;Box 1313 Forestdale, MA 02644 CALCULATED BY DATE a^Z"'{'l 'erg TeL/I~aX: (508) 790-4686 CHECKED BY DATE l 7i9 fb�%0 \1O�J� d9 SCALE TI. C/tc.,a ....... _.. ..., ! t . .. .. . �.: k 1G_ o ...... . .. ... .............Zx. ohs Pam' .., ........... ........ ..: . . f . .. ..... .. `t c-- . ... �--11�- .......... ..: .. ... ... .. ... ....... �-T ........... . sa... .. . .. ......: ... E-- --` �-e- . sm Ft�t Town of Barnstable ?t#1 6 o p� Expires 6 months fro issue date t Regulatory Services Fee KAM 165% b� Thomas F. Geiler,Director i . . Building Division Tom Perry; CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1 ` ��D Property Address S 7 1J�i/�l�s ,V U 1 (/l l COO 3 Residential Value of Work Minimum.fee of$35.00 for work under$6000.00 Owner's Name&.Address �.(i(� c"`� S /✓1= V(2 Contractor's Name r UVtL ,bJC4t/Uk f�Uy Ct). Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) � Zj'J to s C S &O [(QQ 3vorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ,>P RE . ❑ I am the Homeowner Ell have Worker's Compensation Insurance OCT Insurance Company Name Y ,�\ltltal /� . RNS Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction,debris willSbe taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ,.�/Re lacement ind doors - P(�i p W ows/ /sliders. U Valu maximum .( 44)#•f windows *Where required: Issuance of this permit does not exempt compliance with other town department 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 re SIGNATURE: ZAWPFILESTORMS\building permit forms\E)PRESS,doC Zevi.sed 070110 DATE(MM/DD/YYYY) �qCORIJ CERTIFICATE OF LIABILITY INSURANCE 9i28/2011 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this.certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONT PRODUCER NAM EACT Timothy Lovelette Marshall K Lovelette Insurance Agency Inc. PHONE (508)775-4559 FA A IC X No (508)775-4577 396 Main Street EMAIL .timothy@loveletteins.com P.O. BOX 836 INSURERS AFFORDING COVERAGE NAIC# West Yarmouth MA 02673 INSURERA:Allmerica Financial Benefit 41840 INSURED INSURERB:AEIC Ins Company 0006 R & R CONSTRUCTION INSURER C: CUSTOM HOMES INC INSURER D: 90 NYE ROAD INSURER E CENTERVILLE MA 02632 INSURER F COVERAGES CERTIFICATE NUMBER:CL1192800857 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DDIYYYY MM/DDNYYY GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE "OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 17 POLICY PRO- LOC $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident A ANY AUTO BODILY INJURY(Per person) $. 250,000 ALL OWNED X SCHEDULED WN5167243 /2/2011 /2/2012 BODILY INJURY(Per accident) $ 500,000 AUTOS AUTOS NON-OWNED PROPERTY $ X HIRED AUTOS X AUTOS Per DAMAGE cident 250,000 Underinsured motorist BI ILL_ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ _ EXCESS LIAB ..CLAIMS-MADE AGGREGATE.:- $ DED RETENTION$ $ B WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER•EXCLUDED? N NIA WCC5003799012011 11/29/2011.11/29/2012 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under CC5003799012010 lY/29/2010 11/29/2011 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)` CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Ugly Duckling, Building Company ACCORDANCE WITH THE POLICY PROVISIONS. 194 Main Street West Barnstable,, MA 02668 AUTHORIZED REPRESENTATIVE John McShera`/JOHN • ACORD 25(2010/05) ©1.988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. Applicant Information Please Print LeLyibly Name (Business/Organizatiori/Individua]): -� obL.y Address: (`17 Ll Ulil / City/State/Zip:-yJtS/'�4 One #; Are you an employer? Check the appropriate box: I am a employer with 4. am a general contractor and I . Type of project(required): F2.E1 employees(frill and/or part-time).* have hired the sub-contractors 6• ❑New construction I am a sole proprietor or partner- listed on the attached sheet. 7. []Remodeling ship and have no employees These sub-contractors have g, Fj Demolition working for me in any capacity, employees and have workers' [No workers'comp, insurance comp,insurance. 9• ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3,❑ I am a homeowner doing all work s officers have exercised their, 11.[]Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL insurance required.],t c. 152, §1(4), and we have no 12.[]Roof repairs� employees. [No workers' 13.[e Other bj,\,✓ ULV A�Laa comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: /v Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: ✓�4 V�2 1 City%State/Zip:C L- + A Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a.copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cer fy u ie s' d enalti s of perjury that the information provided above is true and correct Signature: Date: Qf' Phone#: r `� rC Official use only. Do:not write in this area,to be completed by city or town official City or Town: Permit/License# - Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: i Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 Boston, Massac usetts 02116 Home Improvement Contractor Registration Registration,' 169134. THE UGLY DUCKLING HOUSE C h Type Corporation i - ` ° Expiration: -5/19/2013 CHRITIANE CALDWELL �tMPANY„ 194 MAIN ST W. BARNSTALBE, MA 02668 � �r r 7 %'Update Address and return,card.Mark n DPS-CAI it 50M-04/04-GIOI216 [� Address D Renewal ETEmployin, Office of Oo mer A airs smeT egu a on License or registration valid for individul use o HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to;. Registration my x�169134 Type: Office of Consumer Affairs and Businand r ess'Regulation Expiration 5l19/2013 > _ Corporation 10 Park Plaza-Suite 5170 T GLY DUCKt ING L-'fSE COMPANY Boston,MA 02116 y i _ t~ = u CHRITIANE CALDWELL�,.r-�_ � ;? 194 MAIN ST W. BARNSTALBE, MR Undersecretary Not valid without signature Restricted to: 00 } 00- Unrestricted 1G-1 2 Family Homes '« . Failure to possess a current edition of the Massachusetts State Building Code ' is cause for revocation of this license. Refer to: WWW.Mass.Gov/DPS - � �1ce-rU000inw�acuea.I.Cl-�,�,craaac`uaaek2 Office of Consumer Affairs&Business Regulation e HOME IMPRO•lEMENT CONTRACTOR Registratiom'-:: 59157 Expiratioon 12 Tr# 294778 Types PptB[ ation I'` R&R GONSTRWtT7 CWftU HOMES INC. ROEBRT HARRCS 90 NYE RD CENTERVILLE,MA-662` Undersecretary ' 4 License or registratiowvalid for individul use only. k before the expiratiorr:date..If found:return to: office.of.Consumer Affairs and ViAiness Regulation 10 Park_Plaza-Suke 5170- Boston;MA 02116 4. y . iVotva =wiftiout signature - t- Massach6setts`- Department of Public SafetN Board of Building Re, lations and Standards Construction Supervisor License License: CS 60160 Restricted to. 00 ROBERT J. HARRIS 90 NYE RD CENTERVILLE, MA:02632 Expiration: 5/912012 (1nunissiuner Tr#: 25590 , oft"E 'own 'of Barnstable Regulatory Services * RAMMAN . • MAes. Thomas F. Geiler,Director 0196 Eo ' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-403 8 Fax: 508-790-6230 �Y Prop a SOwner Must Complete and Sign This Section If Using A Builder Eg� C V as Owner of the subject property hereby,authorize to act on my behalf, in all matters relative to work authorized by this building permit 0eL-4Q(LI (Address of Job) #*Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name ( .� . Print Name Date QTORMS:OWNERPERMISSIONPOOLS. C51f3A �� Town of Barnstable *Permit# Fimires 6 months from issue date Regulatory Services Fee »tares. ; Thomas F.Geiler,Director Building Division . .-PRESS PERMIT -Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 4 www.town.bamstable.ma.us Office: 509-862-4038 TOWN OF94RNS EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address j S 3 6 M n1 Ever 2 6_?Z v [I Residential -Value of Work 74 S 0 Minimum fee of$35.00 for work under$6000.00 Ow-ner's Name&Address Ne n(v PPr'P; 5 [I -0 oyMY1f fttirz-- l enl -mi/P D 26,?1 Contractor's Name IzIn P� f��( Telephone Number Sc3 r-- 76U Z2clS Home Improvement Contractor License#(if applicable) i Y 3 U f 3 Construction Supervisor's License#(if applicable) q`5 3 X [AWorkman's Compensation'Insurance Check one: LI I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name CAIJ Workman's Comp.Policy# o 2 Z�,:f7— &t' U Copy of T..n.3::r:.::S.e C-c-mnl.'r...-ce Certificate.R'.0 t$:.e. an --h ....—.t. vyv- v ..•r. .. ua. - ••yn• Permit Request(check box) [� Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to r4r"cv>� t'4 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side _ #of doors Lj Replacement W indo-ws/doorsi3hders. U-Value (ma i nurii.33)it of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A COPY of the Rome Improvement Contractors License&Constrnedon Supervisoes License is required. SIGNATURE: �/vL� C:\UoersLde:o' �ppiaialLocahNli rosoMi-Ilirdowd,TemporarJ Internet Filee Cm-teni3Outloo;;=Vg7_AA E)TRE;S.dor Revised 072110 77re C�»�nroiarvei�lli`of�ossacliuse�rs Deparrtmenr of Indirsrrial Accrde�rts - 09ice of Investigations 600 Washington st,•eer Boston:,MA 02111 n*wv mam.gav/din Workers'`Compensation Insurance 1MiIavit: BmYders/ContraclursMUctricianstwumbers Anl'licant Information Please hint I.e�biy. game(Busroess/Organirdtiaatiaa Address:. Cit3rfStatel'Zp: ,�, 6 26f Piori�_#' Sc� - �6v-2'7 a L. Are you an employer?Check the appropriate boa: ?ypr of project(r e9mii'edj 1_M.Lama employer with 4- Q I am a general contractor and I employees(full andlar part-time). d' Nev c�nst+t>tctron s , have hired the sub-camlractors 2 ❑ tam a sole proprietor or par6oer--. d"ate the atta£hed sheet 7• ©Remodeling s and haven I '.'These salt-contractors have �P �OYM &<Q Demohtian woridng forme in any capaaty employees and have workers' 9, Buitdin additi [No trors'comp.insurance cow':insurant �' d On 5 EJ We are a-cotporationand its 10 Q Etect:ical repairs or additions 3.❑ I am a homeowner doing a vjoik officers have exercised their 11-Q Plumbing repairs or additions myself[No worbers'Comp. right of exempfon per 1�2GL 12.Q Roofrepairs. rnsntsiic abed j l e,152a§1(4) andwe have no employees.[No wor}aets' 13.Q Other comp:insurance required j c�,appfiisirt tmit'cGetls btiif'#1" at�u fill trill 'se[niDu tleloty stot""atag�'Fmeir art�rFtEsrs'�uou poliij ittidiiiiatitin. 1 Rotneo�ners srmo sublet this affida�dt itaiicama�tmey ate doing aB sra¢t mad men mire amerce camtracrors mast sabmu a new afftdarit tnduatiog slum. +Contrattors Pont smack this boat�t attached an additional s�ei smowittg tee tutu of the�-canuacUots and stale wlict�s ar not those entitiesLav2 etapleyees. If tee sabtantractots mare etupinpees,they ttntst,ptovide,tmeir w6rkets'comp,policg tttnaber_ I.aai an employes.that is proiRdirtg nrotrlcers'conrparisafion-insrecatice for a+y enrployees�'Belr»c fs thepotic�!arul job silo information. hmmance Company Name: c/1� Policy#or Self ms.Lc #: _ _/i._ Z.4.ti Expiratiot Jofs Site tlt 0,:: :—(Ce1ir �� CityiStatel p � �, '��7/C� �!'stL �z Attach-.*copy of':tlie workers'coffipenstttfon p olicy de 'cation page(sisoving'tl a polio ntumbeP'aad ezpiratioa 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 crnil penalties in the form of a STOP WORK ORDER and a Sue of'np id$250 00`a'da}�against the Viola'tof. ]We aalvised`iftaf a ccipY oFthis statenieriC nyay l forwa3r ed to tote Oflice of Investigations of the DIA for insurance coverage verification_ I do-hereby certefy under the pains an�dponabies of pesjnry that the information pm ded above is true and corsect,. S¢natwe: � — Date �`l ej�/i Phone# �d e- _ .. Offidal uae only Do not write in this area,to be,completed by city or town offidal City or`To": Permit/License# Issuiag`Arithority'(cir*c1e oiie : I.Board of Health- 2:Bnilding.Department 3.Cityfrown.Clerk 4.Electrical<Inspector S.Plumbfng.Inspector. .6.Other Contact Person: Phone#• ' 9 ,�' Town of Barnstable - MO�a Regulatory Services Thomas F.Geller,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Offir_e: 508-862.-4038 Fix: 508-790-69.30 Property Owner Must Complete and Sign This Section `If Using A Builder ` ,as Owner of the subject property Llcicuy cLUu1V11LC !1 C Cr 41 nS ` -Fj n f C f//t�'�Prk hp1 1 'to act on lily uciidiil in all matters relative to work authorized by this building permit application for: U,ej Ppc a C� u �1�1�4 (Address of Job) Signature of ner Date , eY\ P � � Print Name . If Property Owner is applying for permit,please complete the iio■:acviiT■c■ iiccn,c iacu■pt.0 F;,.:■■via.the reverse side. C:\Users\decolliklAppDa a\Local\Mierosoft\Windows\Temporary Intemet Files\Content.Outlook\DDV87AAZ\EXPRESS.doe Revised 072110 R • r �lasachw�CT Deliajrtmcnt of Puhl c silt ch B<rtrd of Buildin�1 Rcw� pnstrucfion.Superyisor g�t}n, and Stantl:� tl,, License: pecialty'Licens6 CS SL 99351 Restricted to: RF TIMOTHY KEATING 54 LOWER BROOK ROAD d SOUTH YARMOUTH, MA 02664 ('ununi.<si ncr Expiration: 5/11/2012 Tr#: 99351 t Otrke'v fiOME If CensU�1e Affairs& , Re - MPRp Brfsin`efi f� o Expiration VEE053 CONTRACTOR gulat;on ` License 6t1a/ZOl or registry .. ING 2 TYPe before the a t10n valid -- CONST DBq a Office XPiration d for indivldul z = of Cons ate'. If fo Liu only 4I MOTMY KEATINGt y v r Boston, aza uSuit 517E and Bua Hess ge o• Y i SO• YARD BROOKRp A 02116 gulation UTH MA 42664 !' + ilndersecret ary Not valid without signature J . CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) ' 21l2O11 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 _n enn)TlnueL INSURED, the CCFCV.es, ^::^t - 2 .�.^.-x:,, :` g:e�CCi+T�._IN 12, _. the terns and conditions of the policy, certain policies may require an endorsement Aestatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Schlegel 6 Schlegel Insurance Brokers Inc NAME: PHONE (A/C,No,Ext): (A/C,Nog 34 MAIN STREET E-MAIL CUSTOMER ID#: West Yarmouth, MA 02673 INSURED INSURER(S)AFFORDING COVERAGE NAILp - INSURER A COLONY INSURANCE Timothy Keating Dba Keating Construction INSURER B CNA ......vim vivvn s�aa ,INSURER C: - _ - INSURER D: South Yarmouth, MA 02664 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER-REVISION NUiutaEo. 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 I - LTR ( TYPE OF INSURANCE O IC EFF MM/DDIYY POL C EXP INSR WVD POLICY NUMBER (MMlDD/YYYY) ( YY) LIMITS A --- GL3594908 _ 103�1,0�11 '03�ZO�12 EACH OCCURRENCE 1$1,000,000 X COMMERCIAL GENERAL.LIABILITY l I -DAMAGE'TO_RENTEI ---- ----- PREMISES(Ea occurrence) I S 100,000 CLAIMS-MADE C�OCCUR i I MED EXP(Any one person) $5,00 0 PERSONAL&ADV INJURY i s l i 000,000 _ I I i.2.000 n00 IGEN'L AGGREGATE LIMIT APPLIES PER: ! �PRODUCTS-COMP/OP AGG $2,OOO,OOO PRO- ! - I POLICY I JECT LOC I I$ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I ANY AUTO (Ea accident) 5 ' � � I BODILY INJURY(Per person) Is SCHEDULED AUTOS - I BODILY INJURY(Per aceitlenq $ - PROPERTY DAMAGE HIRED AUTOS �- - - (Per accident) I $ . NON-OWNED AUTOS I Is UMBRELLA LIAR _OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE - AGGREGATE $ i DEDUCTIBLE I ' RETENTION 5 I R FINORX $ERS COMPENSATION n.�n��.en Aftt1 EMPLOYERS'LIABILITY I — �• �.SS��i 'X ic . j YIN I i^ TORY LIMITS I ER ANY PROPRIETORIPARTNERIEXECUTIVE I' - OFFICER/MEMBER EXCLUDED? NIA - E.L.EACH ACCIDENT $ 100,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-FA EMPLOYEE 5 100,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 50Q,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) TIMOTHY KEATING HAS ELECTED NOT TO BE COVERED ON HIS WORKERS COMPENSATION CERTIFICATE HOLDER ti CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE - ! O 4088-2000 A ORD C PORATION. All�jal.ke ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD f TO OUS.� ! 3 4' 19'-8" CEILING: 63' - 218 - - - - - - - - - - - - - - I Barnstable Bldg. ept. CO Approved by: Permit I I 2_g PHONE JACK 4'-11" 15'-4" I ELECTRICAL LEGEND LEGEND N D - i C C DUPLEX OUTLET _ TO BE REMOVED CEILING LIGHT EXHSTH N G _ I /yA THESE PLANS HAVE BEEN DRAWN ACCORDING TO HIGH QUALITY STANDARDS AND DRAWING NUMBER: C a e CAD RO PO S E D - I SEASON ROOM PRACTICES AND ARE U ACCURATE GUIDE LC BUILDING CONSTRUCTION AND HAVE SCALE: BEEN DRAFTED TO BE UTILIZED TO HELP CALCULATE THE COST U THE PROJECT AND B€USED IN CONJUNCTION WITH ANY OTHER REQUIRED DOCUMENTATION NEEDED FOR 1:1 1 FO R• THE PERMIT FILING PROCESS. SOME LOCAL REGULATIONS AND LOCAL BUILDING 1/4 - 1 6j �/'� TH YF F F F CODES REQUIREMENTS VARY,AND AS SUCH MAY REQUIRE CHANGES. THE BUILDING P I 1 1 1 A 1 L R RL.-S I D!.�N C L CONTRACTOR MUST REVISE AND ENSURE WITH HIS CLIENT THAT THE PLANS CONFORM _---- II v TO ALL CURRENT GOVERNMENTAL AND/OR BUILDING CODE REQUIREMENTS. CAPE CAD DESIGN WILL NOT A55UME LIABILITY FOR MI5HAP5 BEFORE,DURING,OF DATE. 1 153 BUMPS RIVER ROAD AFTER THE USE OF THESE PLANS FOR CONSTRUCTION. lk 9'G9 MAIN STREET NOTE: C E NTE RV I LLE M A THIS HOME PLAN HAS BEEN ORIGINALLY DRAWN BY CAPE CAD DESIGN AND 15 ITS EXCLUSIVE 1 O/O 1/2O 1Q J 05TERVI LLE, MA PROPERTY ANY REPRODUCTION 15 STRICTLY FORBIDDEN UNDER COPYRIGHT LAWS AND 9 - SUBJECTS THE OFFENDER TO LEGAL ACTION. 508-280-7074 SOME TOWNS MAY REQUIRE ADDITIONAL ENGINEERING SPECIFICATIONS AND PLANS. Designer: Patrick Rmington I TONGUE AND GROOVE ON VAULTED CEILING NEW FLOATING FLOORING NEW PINE WINDOW, DOOR, TO AU5E . AND BASEBOARD TRIM T-4" 19'-8" - T- NEW DUCTLESS SYSTEM CEILING: 89 - - 2 8 - - - - - - - 1/ NEW WINDOW 001 I 2'_8" PHONE JACK - - I - - - - - - - - - - - -� 25'-8" ` / \ / NEW SIDING ON SUNROOM NE W WINDOW ELECTRICAL LEGEND_ NEW DOOR NEW WINDOWS DUPLEX OUTLET LEGEND CEILING LIGHT 0 NEW PROP05ED FRAME PLAN TO BE PREPARED WITH PERMIT PACKAGE P -10POSELu THE5E PLAN5 HAVE BEEN DRAWN ACCORDING TO HIGH QUALITY STANDARDS AND DRAWING NUMBER: PROP 05 E D 4 5 EA5 0 N ROOM PRACTICE5 AND ARE AN ACCURATE GUIDE TO BUILDING CONSTRUCTION AND HAVE SCALE: I Cape, CAD BEEN DRAFTED TO BE ON ZED TO HELP CALCULATE THE COST EN THE PROJECT AND " ' BE USED IN CONJUNCTION WITH ANY OTHER REQUIRED DOCUMENTATION NEEDED FOR _ FO R. THE PERMIT FILING PROCESS. SOME LOCAL REGULATION5 AND LOCAL BUILDING 1 4 - 1 CODE5 REQUIREMENTS VARY,AND AS SUCH MAY REQUIRE CHANGES. THE BUILDING De,51 n T I 1 AYE R RE5 I D E N C E CONTRACTOR MUST REVISE AND ENSURE WITH N CLIENT THAT THE PLANS CONFORM ----- TO ALL CURRENT GOVERNMENTAL AND/OR BUILDING CODE REQUIREMENTS. CAPE CAD DE51GN WILL NOT A55UME LIABILITY FOR MISHAPS BEFORE,DURING,OR 1 153 B U M P5 RIVER ROAD AFTER THE USE OF THESE PLANS FOR CONSTRUCTION. DATE 9'69 MAIN STREET NOTE. 1 0 01 /2019 THIS HOME PLAN HAS BEEN ORIGINALLY DRAWN BY CAPE CAD DESIGN AND IS ITS EXCLUSIVE 05TERVILLE, MA C E N T E RV ILLE M A PROPERTY ANY REPRODUCTION I5 STRICTLY FORBIDDEN UNDER COPYRIGHT LAWS AND / 9 51JBJECT5 THE OFFENDER TO LEGAL ACTION, 508-280-7074 SOME TOWNS MAY REQUIRE ADDITIONAL ENGINEERING SPECIFICATIONS AND PLAN5. De5ecgner: Patrick Remington 20-0- O (BEE-Ft'FRAMING PLAN) � V9 A o O 1orF ING wi o is o EXISTING I Q o_ SCREEN PORC14 I 3'-4' (NO CI4ANGES) 4 c E ' I '"�❑I PROPOSED °' V V / U REF. EXISTING B (DING FIRST FLOOR (� PROPOSED I ( (ND CI IANGES) (WOOD) Ef -- ---------- I PROPOSED o BAS � o v LIVING ROOM N EXISTING ( ) 2-GAR GARAGE r .•;«, Us clumirm cam mom o EXISTING ' PORW LU W BO4��N� N 2a-O' 6-o° 3a-O' N D W ON�'�X I6�-e RE-USE EXISTING o CONTINUOUS RIDGE RE-USE EXISTING CO LAR�TIF3 NEW me HUNG 20_0` 2 3/4a . 1�3/4` FROM ES 0 46- 1-0° 9'-0° 9'-01 1',- W Q RAFTERS 00 oc. RAFTERs 4e oc. SATM MBOKLASS PER CODE 101.01 \ Z NEW 2xawwr ) NM Za&S(SFT LONG) AT EVERY 2 5/4 x ATTIC SPACE AT EVERY 2 It 3/4'EXISTING It 3/4'IMSTING BRA AT 43° 7. .'6 I 1 RAFTS AT NEW 2X8 LEWNG CENTE REUSE EXISTING r----------1 (��{l W . W/ 2 STRAPPINIa 2RAFTEOffi IO��'O.G. X WNE�EXISTING Cf]LING -- Aug�NEED��� EIGHT �. � .o ..- j Z CEILW.G TO GE \ - 2-P.T.2ulaS i EXISTING Q EXISTING L { ° U W LIVING BROOM W 0 (W/P.T 4x4 TO \.2Xtft 0 W coS�q i. ALL WINDOWS ARE TO BE REF'LAG'=D tq�flITHANDERSEN 400 SERIES ,3'-0° +/- �'�Cs ) ! i WINDOWS SIZED TO MATCH THE r=XI }--q {��o�yINGS (SEE SCHEDULE) Lo ~I e+ l o 14'-0' a 'R cI 4'X 12'FLOOR JOISTS®4S'o.G i�'1 st POCKET i 3/4'X 8 W 4°AIR SPACE :' n' - I ` - _ 944EET 2 OF IN EMSTING WALLS Mp�� T i Q GERs TYP. '7 P.FLASH TYPICAL TMP 1 r 1 EXISTING CONC.SLAB � I �1 DECK FRAMING PLAN 28'-0° ! ! SCALE: 1/4" PROPOSED CROSS SECTION �, nss SCALE: I/! - I'-O° PRAWN BY:TF DATE: 10/O° E _ y 20-0' 56'-cp 7'_4' It,-bi 37'-2' CO A EXISTING t to co o_ EXISTINGE / \SCREEN EN PORCH v (NO CHANGES) EXISTING o XISTING KITCHEN Q DINING � W e REF. EXISTINGtip Q r.-.....__ _.-:.. , ...._,._,.. .,.,.,_.._ __.__.::. FIRST FLOOR b (NO CHANGES) N TO U EXISTING o � - n EXISTING LIVING ROOM c 2-CAR GARAGE g EXISTING ° PORCH A a EXISTING CONDITIONS FLOOR PLAN w Ll SCALE: 1/4' - I'-0' O 20'-0' 6'-O' 30'-O' w^, 20-0. 66'-0° 1L (14 1 m 1 a/4'X 11 3/4' 43 CONTINLIOU3 RIDGE I°COLLA&T� �o O LU Jot > QC � L1L 1! 2'x 8 I/2'CMUW.JOISTS 0 24'O.C. 1, I - N LU 37 Z X EXIKI7C44EN LIVINGTING ROOM LU lL_ l4'-0' t4'-o' Ln N 4'X le FLOOR-05TS a 4a'-O.C. JOIST POCKET 13/4'x e w 4'AIR SPACE _ IN on PALLS o T7P SWEET 1 OF 2 m c i� mas m 6 Caw SLAB 2b'-O' EXISTING CROSS SECTION JOB: 1153 BR DRAWN BY-TFR DATE, 10/05/11 33'-c• 20-0' 2S'-6' . 10'-0' IQ Q co Lo 'W ± q EXISTING I — fA711 fM 1 L SAK W G a WREEN PORCH I 3'4' 3 3 Q - (NO CHANGES) I b ILL. C"i t< C REF. m ❑ U DINING EXISTING LA_ - - -- (MOOD) FIRST FLOOR PROPOSED (NO CHANGES) KITCHEN O e F— cam- Q Ild cwoOD) 141_D. (L( - WTILING eEE �F I 3 ---- --------------� o p tl PROPOSED 4 3 EXISTING IVI 2-CAR GARAGE - Rr�uroestllc macs=wx T' 1 FISTING I u 1 W ' A Q PROPOSED FIRST �FLOOR PLAN LC/11.Q.V4r �p4 � . W Lx cy zs'-w sc-o t9 Re-um EXISTING - Q O W 1 8/4'x 8 8/4' - camNuoue uvw 1/2p'�8r- Z Re-LRW Mo�s�t G ICOxLLAR TIES IHRBpi��'Dp@B�HUNNGG 20'-0' - �/� RAFTERS�x4D'0.4. RAFTERS S 4N O.C. -O' 9'-0' 9'-O' I' V/ BATTS FIBERGLASS PER CODE I&V � r W LU J z .2 B' x ATW 2 z% ^/, -� m STi4w II '�S A 2 Ci _ ON NEW G4uNG LU RE-USE DGSTMG r--------.---- ob� ` (n K '4► MET grapA& nip. LINE 0/mflS'TING COLING A8iHtIGR I- \--- ---- -----L--- t r x a �1LMGe To Bye U s °_°_ jl�� Y `� z J EXISTING 4 EXISTING I`: `p' LU `_ / 'il NOTES: LU U �fi .C�3iCij a LIVING ROOM OOM `W P.T.T.�TO 1 O gqp�TL�Ig �y rip. 1. ALL WINDOWS ARE TO BE REPLACED WITH ANDERSEN 406 SERIES ('() 3'-0' +/- .I '�Br-2e(S16 fYJOT) I"I WINDOWS SIZED TO MATCH THE EXISTING OPENINGS (SEE SCHEDULE) Lo 14'-0' Ixl � p I41 _ n Al'X 12'FLOOR JOISTS VW O.G I"1 lye JOIST POCKET 1 S/4•x S w 4•Al SPACE L? ( I - M oOsnNG vuLLs P.T.2x10 IJIDGHt TYP. 1 SHEET 2 OF 2 FLASH TYPICAL - 3. EXNSTNG GONG.64 A - . F� DECK FRAMING PLAN 2b o' SCALE: I/4° * 1'-0° L' �1 PROPOSED GROSS SECTION /"1 SCALE: 1/4° - 1'-0' .106: 1153 BR DRAWN BY:TFR DATE: 10/05/11 y w 21'-0' - _7-4• tv >� A A(ISTINGv�• ' Q DECK r co Q O O 3 EXISTING Lo c SCREEN PORCA.1 ( l (NO C4IANGES) EXISTING o EXISTING V J KITCI4EN S PINING � W ryl=REF.uP EXISTING V - FIRST FLOOR ENO GNANGES) TO 3 � EXISTING � EXISTING LIVING ROOM 'v 2-GAR GARAGE r EXISTING PORCH A EXISTING CONDITIONS FLOOR PLAN w SCALE, 1/4' - I'-O' O 20'-O' G'-0' 30'-O' w^, . 1 m � N CQAI1914-M 9 R DOGE11 U () D COLLAR T� nQ� W ►�0� ?b"•t/i I.L. vLU LU L Z ATTIC SPACE. X 8,1&CMI JOISTS• O.C. n/ LU -� Z x EXISTING EMSTING LIV - LU W LL 14-0' - 14'-0' L0 hl 00 ♦'X 14'ILGOIt J018Tb 1 4S'O.C. f RI JOIVroxilm WAT 1 9/4'X S w 4' I TSPACE 0 4 LLS SKEET 1 OF 2 e', r 9XISTM6 COW.SLAB ' 2S'-O' E X A EXISTING GRO55 SECTION SGALE 1/4' I'-O° JOB: 1153 BR DRAWN SY:TFR - DATE: 10/06/11 26'-0" �- u � 41 56 D tftlI „, : - ecru I , 20'-0" 28'-6" PROPOSED DEC_ K _ (SEE "FIll FRAMING PLAN) co N N A � � A2 RINSE p STATION NOTE: START DECK AT �t EDGE OF EXISTING WINDOW O CASING AS PER OWNER vL MEMO— LOFT ANDERSEN SLIDER 4'-0" —� J o L — — _ "NARROWLINE SERIES Ll NEW CATHEDRAL CEILING BREAK o EXISTING I �Q- - - - - - - - - - - - - - - - o SCREEN PORCI-1 I ,� I u II II II (NO Ga4ANGE5 ) I o J o Q PROPOSED - RAF. I DINING EXISTING U I I PROPOSED (woOD) FIRST FLOOR I w KITCHEN (NO CHANGES 0 CASED Q j R UP OPENING (WOOD) �- a �_ l4 0 2 Or _ Lu I�- O to N N W NEW OPENING FLUSH 8 WITH CATHEDRAL CEILING Q N �/ 2 (SEE SECTION "A") [Y ( � _I Lu m UP > J :: QLL J r+ - - - - - DN : TO BASEMENT - PROPOSED o Y LIVING ROOM EXISTING (WOOD) — N 2-GAR GARAGE = — — — — — — — — — — — NEW CATHEDRAL CEILING BREAK — — — — EXISTING PORGY-1 ;n EXISTING ROOF / \ SHINGLES/PLY / \ A (NO WORK A2 PROPOSED FIRST FLOOR AN NEW R T L I L 2X10 @ EVERY EXISTING RAFTER SCALE: 114n 1'-011 2X4 @ IV' O.G. I 1X3 @ 16" O.G. SHEETROGK 20'-0" 6'-o" 30'-0" ' (� 26'-0" 56'-0" N - RE-USE EXISTING / 1 3/4" X 8 3/4" — — — — — — — — - -7" CONTINUOUS RIDGE RE-USE EXISTING O z /COLLAR TIES \ RE-U5E EXISTING NEW 2X8 HUNG 20'-0" i \ 2 3/4" X 11 3/4" FROM EXISTING�i 1�_0�� q'-0u q1_0" 11_01 \ RAFTERS @ 48 O.G. RAFTERS @ 48 O.C. BATTS FIBERGLASS PER CODE 10' 0l' w NEW 2X10'5(8FT LONG)\ NEW 2X10'5(8FT LONG) — --� AT EVERY 2 3/4° X \ ATTIC SPADE AT EVERY 2 3/4" X � — 11 3/4" EXISTING 2 11 3/4" EXISTING RAFTERS AT 48" �� k�OS RAFTERS AT 48" ON CENTER W/ fi ON CENTER 2X4 BRACING T�o -BETWEEN EXISTING NEW 2X8 CEILING NC, RE-USE EXISTINGI- — — — — — — — — — — - RAFTERS @ 16" O.C. JOISTS @ 48" O.C. J 2 3/4n X 11 3/4n RUNNING OPPOSITE / W/ 1X3 STRAPPING YP. RAFTERS @ 48" O.C. - — — — — — —— -I WITH 1X3 5TRAPPIN ��- - - - - - - - — - - - - - - - - R — � - - - -LONE OF EXISTING CEILING EXTEND INTERIO— LL - - - - - - - -A }-- x FOR SHEET-ROCK AS NEEDED FOR NE HEIGHT WITH CLIPS 2'-0" CEILINGS TO BE FLUSH i (2)-P.T. '2x10'5 i - (2)-P.T. 2x10'5 I z EXISTING EXISTING I`• _ ' ` ' ` ' � � J o KITCHEN LIVING ROOM NOTES U N I (2)-P.T. 2x10'5 I I LL (CATHEDRAL CEILING) (CATHEDRAL CEILING o 12 P.T. 4x4 To o l r. ALL WINDOW -W S ARE TO BE REPLACED ITH ANDERSEN 400 SERIES 12 SONNA TUBE � BF-28 (BIG FOOT) I WINDOWS SIZED TO MATCH THE EXISTING OPENINGS SEE SCHEDULE . . o A 14 0 14 0 I ° p 'It `4 N ICI � - ICI p 4" X 12" FLOOR JOISTS @ 48' O.G. 4" JOIST POCKET 1 3/4" X 8 1/2" 4" AIR SPACEt' IN EXISTING WALLS CROSS MEMBER BETWEEN TOP OF w: W/ HANGRS TYP. WALL AND BOTTOM is I I 2x10 I SHEET 2 OF 2 OF UNDERLAYMENT P.T. LEDGER TYP. I RF p I FLASH TYPICAL xvz f '�'�`, h titer• _'•: EXISTING CONC. SLAB6_ DECK FRAI"f I NG PLAN 281-011 SCALE: 1/4" 1'-0" A Pi�OPOS�D CROSS SECTION JOB: 1153 BR SCALE i/4 DRANN BY: TFIR REVISED:- 1.1/02/l l _ DA TE: In/n;,/l,