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0946 CRAIGVILLE BEACH ROAD (14)
p: .L • u�. ' Scam 74 a " I1t. M 'a' J rr# t p, o i , f r I • �'.r.L_ - -- ,r .�,r .f .� _ �� - KODAMATIC FILM r) Map Jf7 2.2 6 Parcel Permit#d (e�S House# P Date Issuecl P A Board of Health(3rd floor)(8:15 -9:30/1:00- 4.30) Fee, Conservation Office(4th floor)(8:30- 9:30/1:00-2:00), t C S� " �� 1-16-0 ✓av�,� SEPTIC SYST UST BE Flagg-Dept.(1st floor/School Admin. Bldg.) INSTALLED IANCE 1e %n Approved by Planning Board 19 W1 ENVIR®NNI • 1 E AND TOWN OF BARNSTABLE, TOWN S Building Permit Application �00'O� • Project Street Address i Ck (C l . Village ,C. ZI Ce k �- f / , Owner ij. cN tic J c/C a Two r Q �ee.u-?s Address Sri mr e. Telephone 7 7 k- (, q 6 r Permit Request /o , Id Q S u ho a d ac i ,Lo-i7 U n /� ' U l� v✓ S'tHc{G /�+ �7, (ova �cr,� 9 � y First Floor square feet Second Floor square feet Construction Type w ap d 6,1,e— d .'54 i44 04 Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size ? t"o �r d o Gak,,p &Grandfathered ❑Yes )E,No Dwelling Type: Single Family §�J Two Family ❑ Multi-Family(#units) Age of Existing Structure 113 s Historic House ❑Yes No On Old King's Highway ❑Yes N No Basement Type: ❑Full Crawl ❑Walkout ❑Other > . Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New d Half: Existing New p No. of Bedrooms: Existing New Total Room Count(not including baths): Existing_ New > First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil W Electric ❑Other Central Air ❑Yes X No Fireplaces: Existing A-t� New �— Existing wood/coal stove ❑Yes 2�No Garage: ❑Detached(size) -- Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# -7 — v P 0 7 — o 1 Recorded❑ Commercial ❑Yes 5kNo If yes, site plan review# Current Use_ f!yh T Vah — Pic ivic. Proposed Use S4ti f-o okfl Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBT S RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PER DENIED FOR THE FOLLOWING REASON(S) /� FOR OFFICIAL USE ONLY r = PERMIT NO. s DATE ISSUED 'MAP/PARCEL NO. r ADDRESS VILLAGE r " OWNER DATE OF INSPECTION: FOUNDATION , a. -n FRAME o� INSULATION _ r FIREPLACE ELECTRICAL: , ROUGH FINAL . PLUMBING: ROUGH `� F FINAL 4 .. GAS: :i TROUGH FINAL o , FINAL BUILDING: ► - 3 DATE CLOSED OUT-`� ASSOCIATION PLAN NO.` i,: t t , wiv v �TMe ►o Department of Health Safety and Environmental Services Building Division ASS Muss 367 Main Street,Hyannis MA 02601 - . 1639. ,0�' Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print C/ DATE: /JOB LOCATION: t)x/ % ' `J� fff/// number/ �i � s et f village /HOMEOWNER": FiedP`/cX SZ;/-,fS -6—De- 6y,6,f— jai• ell W/-), name J home phone# work phone# CURRENT MAILING ADDRESS: /T 16E& Sr14 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building'Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildiM permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned-" omeowner"certifies that he/she understands the Town of Barnstable Building Department minimum' , procedures and requirements and that he/she will comply with said procedures and requiremen . Signatur omeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:F0RMS:EXET1PT The ToWit- of Barnstable 9� & ,0�' Department of Health Safety and Environmental Services ArEo,� Building Division 367 Main Street, Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissio-. For office use only i Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. ,'�ype of Work: 13iC9 Addl16vi Suh /r'°`z'i Est. Cost 4,j-60 Address of Work: A✓N I� ��� e/-a/4 G/Ile-- 1�e_ac� 'Afwner's Name ate of Permit Application:—#7Z -q I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied _Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGZAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR _ avnar%c :i7n..,o The Commonwealth of Massachusetts - Department of Industrial Accidents ONCE 01117Y ffff,1 ions 600 Washington Street Boston Mass. 02111 Workers' Compensation Insurance Affidavit Xname: f cation: v'� city e 00 / 1\5 I am a homeowner performing all work myself. ❑ I am a sole pr rietor and have no one working in any capacity ❑ I am an emplover providing workers' compensation for my employees working on this job. com anv name:. address: city phone#: insurance cp. olicv# / / ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: address: city _ one#: in' co. ns companv name: address: phone#: citv- insurance co.. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or one years'imprisonment as well as vil penalties in the form of a STOP WORK ORDER and a tine of$100.00 a day against me. I understand that a copy of this statement may be fo ded to the Office of Investigations of the DIA for coverage verification. I do hereby certify an ies of perjury that the information provided above is tr a and c rrecd rs r Signature.— .—DateV 17 _ . Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if or: response is required ❑Selectmen's Office ❑Health Department contact person• phone#; ❑Other (revised 9/95 PJA) 1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire,express or implied,oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the.occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. 17 City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned t_ the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Imlesugallons 600 Washington Street Boston;Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 Steeves Residence Renovations Craigville Beach Road Centerville, Massachusetts Issued for: Final Design Date: May 25, 1997 Owner: Ted & Janice Steeves 98 High Street Ashland, Massachusetts 01721 t 508.881.4015 110 General Contractor: Ron Silvia et ' 619 Main Street 3 X5 �,•.• ' _ -., Centerville,. Massachusetts 02632 t 508.775.1442 Prepared By: .. David Steeves 22 Rosemary Street #3 Jamaica Plain, Massachusetts 02130 t 617.522.5596 email DSteevea®Erols.Com Sht. No. / \Q CraWlle Beach Road Cent.eMle,MA Date: May 25, 1997 a p o 0 0 O O poi � LOCATION OF LINEN CLOSET BE VERIFIED BY OWN R) BUILT—IN BOOKCASE (BY OWNER) BUILT—IN BASE I I CAB. & SHELVING UNIT ABOVE (BY OWNER) � II � II SALVAGE EXIST. \ SC V�GN DWR§,TOCLOSE OP'NG WINDOW RELOCATED EXIST. WINDOW %0 0 38 I EXISTING FRAMING I iO TO REMAIN, TYP. EXIST. BRICK STOOP (BELOW) TO REMAIN OI REMOVE EXIST, WD, STEP I � ROUGH OP'NG O RELOCATED EXIST. FRONT & I � TO EXISTING 4x4 FRAMING w � - SCREEN DOORS II I I � A7 A� II W W 8'—O"w x 8'-8"h A I i SPECIFIED BY LASS OWNER) II ' 0 c� ANDERSEN PERMA—SHIELD I NARROLINE DOUBLE—HUNG Ird. EXTENSION OF ECKEXIST. , WINDOWS: #20310 COL 'N W/ STYLE WD. �XT q OR EQUAL SPECIFIED COLUMN W/CAPITAL &FIBERGLASS (� OWNER) — I I �Y OWNER), TYP.10 w 0 (OR SIM.) CAPITAL & BASE I IF I "' iV ——— CONT. POST TO STAIR TR QS &LANDING �--- RIDGE BEAM TO BE 5/�4.x 4 NOM. Q E P.T. WOOD DECKING �f� _�1 � EQ. � Sht, No. ji—k- All EQ, D rt r�EQ. Crawile Beach Road FLOOR PLAN __ .._____ �, __-- -_ Centerville.MA SCALD; 1 4 1' E Date: May 25, 1997 sY. �— �5�--• C:\CAPE\PG.AN—A1 05/26/97 n I HoJ 0 0 0 0 1 I EG 2x8 No.1 GRADE WD, LEDGER W� 3-1/2' LAG BOLTS (2) ® 1'--4 O.C. & WITHIN 8. FROM EA. END TO EXISTING PERIMETER FLOOR JOIST, TYP.— LINE OF EXISTING PERIMETER FLOOR JOIST, TYP. I ' 2xB No.1 GRADE WD. LEDGER W( b 3-1//Y LAG BOLTS SR�) a 1'-4 O.C. I & WITHIN Cr FROM to END TO TO EXISTING PERIMETER FLOOR JOIST, TYP. 2x8 No. 1 GRADE WD. JOIST FRAMING 2x8 No. 1 GRADE WD. JOIST FRAMING ® I DOUBLE P.T. 2x8 FRAMING 1'-4' O.C. (PROVIDE D e PERIMETER, TYP. BRIDGING AS REO-D.), TYP. I I J - 4 2x8 P.T. WD. STAIR LANDING ' JOISTS ® 1'-4" O.C. 4 I a 200 P.T. WD, STAIR LANDING W JOISTS r— ' PROVIDE FLASHING CAP FOR T.O. POST • I � I , 202 P.T. WD.,STAIR STRINGER, L _ TYPICAL d w 8' DEPTH CONC. PAD W/ WIRE MESH REINF. ® 1/Z ABOVE GGRADE TYP. CONC. FOOTING BOTTOM ® 4'-6'wBLOW GRADE. TYP. 1 L__J L__J L_ J }� 4x4 P.T. WD. POST, '10 1 6 EQ. `r EQ. TYPICAL Sht. No. A 2 0 RIMETERROUGHH PE ?H BOLT(2) • ' FOUNDATION FLOOR FRAMING PLAN Tg POST, TYP. Cralgvi�le Beach Road Centerville,MA SCALE: 1 4 = 11=- Date: May 25, 1997 C:\CAPE%\PLAN-A2 .05/26/4 CONT. RIDGE VENT ------------------------ 2x8 NAILER ON ROOF SHEATHING FOR 'SHED' ROOF RAFTER FRAMING (NOTE: CHAMFER TOP EDGE TO RECENE 'SHED' ROOF SHEATHING) ' Nil I I I 2x8 CONSTRUCTIQN GRADE 'SHED' ROOF RAFTERS ® 1'-4 O.C., TYPICAL Abe IZ I I I E)GSTIN00 C FRAMING SISTERED TO I I (SEE MICRO LAM SECTION DETAIL) E:�-L- EXTERIOR WALL BELOW, TYPICAL 2x8 CONSTRUCTTQN LOCATION GRADE ROOF RAFTERS ® 1'=4 O.C., TYPICAL OF OPE��iiAABBLE INSULATED GLAV SKYLIGHT (FRAMiD WITHIN Sht. No.. T'-4 RAFTER SPAACCING, TYPICAL CraWile Beach Road ROOF FRAMING PLAN Cer>tsMlle,MA SCALE: 1 4 1' Date: Mgy 25, 1997 C:\CAP FI AN A3 WOP/97 El O ' O O I tj n c: ' O O \ / I . II RUPLEX OUTLET IN CAB, ® 3'-0" A.F.F. Di I - 2 SWITCHES CONTROL: 1) CEIL. F)A)N (VARIABLE SP((EE)D), D ) 2OY SWRCHABLEONE ERECEPT'ACLES `� AND�POLE LIGHTS,TCHES CONTROL: 2) INTERIOR RIOR VESTIBUlLEPLIGHT, AND 3) ONE SIDE Of SWlTCHABLE RECEPTACLE II / Ofall- \ BOX FAN JUNCTION IL----- II III----- r RELOCATED BASEBOARD ELEC. HEATER, ON SEPARATE CIRCUIT I (VERIFY LOCATION) I � L� Sht. No. A 1 TO POLE LIGHT CraWlle Beach Road ELECTRICAL SCHEMATIC PLAN CenterAlle,MA Date: May 25, 1997 C.\CAPE\PLAN-A4 05/26/97 L� CONT. 1XA PTD. WD FASCIA CONT. RIDGE VENT ® NEW k UNDER CANOPY) EXIST ROOF CONT. PT4. WD. MOULDINQ TRIM TO MATCH CEDAR SHINGLE SIDING (No.1 GRADE) - NO FINISH EXISTING (UNDER CANOPY W/ 4 EXPOSURE, TYPICAL RAKE TRIM TO MATCH EXIST. (CUT TO MEET SLOPED SIDING) CEDAR SHINGLE SIDING (No.1 GRADE) - NO FINISH CONT. 1x4 PTD. WD FASCIA UNDER SOFFIT) W/ a EXPOSURE, TYPICAL PTD. IND. 1x RAKE FASCIA COPED SAVE MOULDING RETURN (TO MATCH EXISTING) FM ❑ a 1EM1 0 �IOVEW EDGE OUTSIDE CORNER • 2" MOULDED TRIM.DOOR CASING (SPECIFIED BY OWNER) 1" SQUARE INSIDE CORNER BOARD 10 PTD. WD CORNER TO BUTT SIDING BOARDS FRONT ELEVATION SCALE: 1/47 Sht. No. q 7 Crawlle Beach Road Centerville,MA Date: May 25, 1997 C:\CAP.E\PLAN—A5 05/26/97 G CONT. RIDGE VENT ® NEW & ix6 PTD. WD FASCIA EXIST ROOF CEDAR SHINGLE SIDING (No.1 GRADE) — NO FINISH W/ a EXPOSURE, TYPICAL CONT. 1x4 PTD. WD FASCIA CONT. PTD. WD. MOULDING TRIM TO MATCH FMI T- .1 1 FM LLLI— EXISTING L L LL LLL LL CEMENT BOARD —J SKIRT, TYP. RELOCATED EXIST. WINDOW CONC. PAD FOR EXIST. BRICK STOOP (BELOW) STAIR STRINGERS TO REMAIN 1x PTO. WD. FASCIA FOR STOOP 'WOVEN' SHINGLE EDGE o AND STAIR STRINGERS OUTSIDE CORNER V SQUARE INSIDE CORNER BOARD TO BUTT SIDING (BEYOND) LATTICE UNDER STOOP (VERTICAL) snt. No. AL SIDE ELEVATION SCALE: 1 4 = 1'-0" Craigvllle Beach Road Centerville,MA Date: May 25, 1997 C:\CAPE\PIAN-A6 05/26/97 0 CONT. RIDGE VENT- LVL RI E BEAM (ML —1/B"x 11-7V, VERIFY SIZE W/ STL. w ANCHOR TO POST EA. END 4x4 WD. POST ' 2x8 ROOF RAFTER VENTILATION CHANNEL & fr Alo FIBERGLASS BATE INSULATION FINISHED WALL OPENING OPERABLE SKYLIGHT LOCATION (SEE ROOF FRAMING PLAN) \ LVL HFjtpER ® EXI FRO / WALL (2) ML 1-3x9-1/T. / VERIFY SIZE / �Z / / / EXIST. 4x4 FAMING TO REMAIN r----- / ` - � f i sm am I I I I I I I I I I q I I A9 0 0 0 i FOIL BACKED 3-1/Y FIBERGLASS i LJ L-1 BATT INSULATION i 1 x3 NAILER 1/2" EXTERIOR GRADE PLYWOOD --^� BUILDING SECTION SCALE: 1/47 -7 Sht. No. G,a"lle Beach Road Centerville,MA { pate: May 2-5, 1997 0:\CAPE\PLAN-Ap 05/20/97 1 d 2x8 ROOF RAFTER 'VERGE' RAFTER FOR RAKE OVERHANG (NAILED , MATCH TO RIGHT TO SHEATHING) ix6 PTD. WD. RAKE FASCIA 1x RAKE TRIM & MOULDING 4x4 P.T. POST 5/8" PLYWOOD CORNER POST TO HAVE' ROOF SHEATHING Ix WSOFWONTROUe2) SIDE BOLTS, (2) RD. WD. RAKE 3-1/T BATT INSULATIONCEDAR SHINGLE SIDING 1/Y GWB 2x4 WALL FRAMING W/ 5/8" PLYWOOD SHEATHING 3-1/f BATT INSUL LAYERED 3/B" & 1/4' PLYWOOD SHEATHING SCREW FASTENED TO TAPERED FURRING 1x PTD. SOFFIT, TYP. 2x4 NAILER T ASTE� �J TAP ED FURRING ON tx3 P.T. NAILER ry R VPL OODSHEATHING 1 T EXT. GRADE SAVE MOULDING TO PLYWOOD ���iiiCCC///S� WRAP CORNER (BEYOND) WINDOW HEADER WINDOW CASING T2.A BLOCKING BETWEEN TA PERED FURRING RUNNERS r e" 1 x PTD. WD SOFFIT, MOULDING & TRIM Sht. No. Ag SECTION DETAIL MATCH TO LEFT _ - _-- Craigville Beach Road $CALE;- 1" = V—Q" Centerville,MA Date: May 25, 1997 C:\CAPE\RETAILI 05/26/9 i DOUBLE 2x8 P.T. BEAM W/ FLUSH THROUGH 20 STUD WALL FRAMING BOLT CONNECTION TO 4x4 POST 3/4 GALV. CARRIAGE BOLT W/ WASHERS 5/8' PLYWOOD SHEATHING DRILLED FLUSH FOR SHEATHING ���� CEDAR SHINGLE SIDING (4" EXPOSURE, TYP,) 3/4r PIINE FLOORING FINISHED TO (PIECED AROUND 2x BLOCK SPACER W/ SILICONE CAULKING WATCH TING 2x P.T. BLOCK SPACER W/ SLOPED TOP (PREDRILLED 5/B' EXTERIOR GRA E PLYWOOD SUBFLOOR, FOR LAG BOLTS), 18' O.C., LAGGED TO SHEATHING GLLUUE TO JOISTS W CONSTRUCTION GRADE ADHESNE, AND SC EW FASTEN ® 1Y O.C. 2x10 P.T. WD. HEADER JOIST (TYP. FOR ALL 4 SIDES _ OF STOOP LANDING LAG BOLTS 5/4x4 P.T. OPEN DECKING 2x8 P.T. DECK JOIST W/ JOIST HANGERS FINISH GRADE 90 LB. FELT GASKET ON FLASHING ® LAG BOLTS TO BELOW TO EXTEND OF SIDING SPACER �� �� N 2x4 NAILER TO FASTEN TOP OF CEMENT BOARD CEMENT BOARD W/ SMOOTH CEMENTITIOUS SKIM COAT, L=J SCREW FASTEN TO NAILER h 2x6 BACKER ® VERTICAL JOINTS, EXTEND 2'-0' BELOW GRADE, SILICONE SEALANT ® TOP GALV. STL. WD. COLUMN ANCHOR EMBEDDED IN CONC. FOUNDATION POST CONC. FOUNDATION POST W/ VERT. REBAR TIE TO FOOTING �I SECTION DETAIL CONC. FOOTING W/ (4) #4 REBAR IN SQUARE GRID PATTERN SCALE: 1" = Snt. No. Cm*Wlle Beach Road Centerville.MA Date: May 25, 1997 c:�cnPE\oEra�2 05/2s/s7 Co/Yf� RItirj VENT. LVL RIDGE BEAM (ML 3-1/8"01-7/87, VERIFY SIZE) W/ STL ANCHOR TO POST EA END NOTE: T.O. BEAM 1 1/4 BELOW T.O. ROOF RAFTER FOR VENTILATION 2x8 No. 1 GRADE RAFTER (TO MATCH .� EXISTING SLOPE) 1"f VENTILATION CHANNEL ALONG ROOF SHEATHING 5/8" PLYWOOD ROOF SHEATHING OPERABLE INSUL GLASS SKYLIGHT 2 Y{I/ PLEATED SHADE (OWNER TO VERIFY SIZE & TYP O INSTALL AND FLASH TO MANUF. SPECI I TIONS NOTCH T.O. ROOF RAFTER ® ABOVE & BELOW SKYLIGHT FOR VENTILATION, TYPICAL 8" BATT INSULATION BLOCKING (ALLOW SPACE FOR VENTILATION CHANNEL) 5/8" PLYWOOD SHEATHING 2x8 HEADER W/ TOP FLUSH MTO. JUNCTION BOX O SLOPED TO ABUT SHEATHING CENTER OF ROOM FOR CEIL,. FAN EAVE TRIM AND MOULDING DETAILS _ 2x4 COLLAR TIE W/ TO MATCH EXISTING 3-11Z BATT INSUL 1/2' GINS FINISH 0 SKYLIGHT OPENING 1/2" GWB CEILW/ 1 PRIME & 2 FINISH COATS PAINT (COLOR BY OWNER) CONT. MTL DRIP EDGE (2) 2x8 W/ 1/2" PLYWOOD WINDOW & PTD. WD. FASCIA DOOR HEADER, TYPICAL TO MATCH EXISTING PTD. ix WD. SOFFIT W/ CONT. SOFFIT VENT PTO. WD. MOULDING SECTION DETAIL. TO MATCH EXISTING P M. WD. 1X FRIEZE BOARD_ - - SCALE: 1" = 1'—� snt No. A I�p . 0 MATCH EXISTING VERIFY W/ OWNER) G Wile Beach.Road Centerville,MA Date: May 25, 1997 C:\CAP�\Dq.A4L3 05/26/97 2x8 RAFTER CEIL. LIGHT FIXTURE (SELECTED BY OWNER) DOUBLE 2x6 HEADER, BEYOND ' DECORATIVE TONGUE & GROOVE PTO. WD. CEILING /--MTL. DRIP EDGE & MOULDING UNDER CANOPY / TO MATCH EXISTING 1x PAINTED WD. SOFFIT, FASCIA &'TRIM of CEDAR SHINGLE SIDING 1x PAINTED WD, TRIM 5/8" PLYWOOD SHEATHING (2) 2x8 & 1/7 PLYWOOD BOOR HEADER FLASHING UNDER DOOR SILL & SIDING AND WRAPPED OVER LEDGER. LAG BOLTS W/ WASHERS 2x8 P.T. DECK JOIST FRAMING ix PAINTED WD. RISER tx4 P.T. WOOD TREADS 2x12 P.T. STAIR STRINGER 1/2" EXT. GRADE PLYWOOD STAIR STRINGER HANGER TYP FOR DSTTOOP IST, 3/4' GAL W . HOLLOW SPACERS ffLLED W SILICONE CAULK 2x8 LEDGER NAILED NAILER TO SHEATHING L__-.-___—J Sht No. All SECTION DETAIL Cralgvllle Beach Road SCALE: 1" t 1'-0" Centerville,MA Date: May 25, 1997 C;\CAPE\DETAIL4 05/26/97 BUILT-UP SLEEPER FOR RAFTERS P W RAFTER DECORATIVE TONGUE & GROOVE PTD. WD. CEILING CEIL. MTD. LIGHT FIXTURE (VERIFY W/ OWNER) 2x4 CEIL JOIST ----BLOCKING FOR SOFFIT/FASCIA FACE OF FRAMING SHEATHING CL COL Ix PTO, WD. FASCIA & SOFFIT, AND r _, MOULDING, PROVIDE BLOCKING AS REG-D. ———————— —————— ——— ———————— f CEDAR SHINGLE SIDING ON PRIMED k PAINTED ix BOARD Vm MOULDING TO MATCH EXISTING, TYPICAL tz6 TRIM 1x4 TRIM WALL BEYOND I COLUMN (IN FOREGROUND) SECTION DETAIL FACE OF SHEATHING ' c Sht. No. A 12 SCALE: 1" o '��_0" 4'-C' FACE OF V SHEATHING C•dte••tll8 Beach Road Centerville,MA Date: May 25, 1997 Q:\CAPE\DETAIL§ 05/26/97 op /3. Fourvl�/�7-idxJ 1.2 A /2 �� C eryJ{rvT /,3X x 8 .. ess �� cz q 2 e- TPelz raj y IL bOLt o),l Frov[ T" C, P�_Co t?. .TOISTS ca X t) I O L ' SPr cI c I 64wsy Eti I-IS rC� h0L1S� ,�, 1174�"d e?4-7d Sloe,ced r,,r Gov L - a2 ' S c r-e-e 4,1 p a a o S C. POOp Ali . s � �ti� ^�����'� Plh��y/ass y Pn, .t Dm Or t . - DIP G 'v �1`,k� - �fdv .UsPo 6c/,2 y e . -w v?�P G'dI�! — ��.� �" a D�wh S�ooa7—. �/, a y k J. Assessor's office(1st Floor):Assessor's map and lot number 1� / p a 1) U 6 ,,��alN ,n, SE C+SYSTEM MUST 8 Board of Health(3rd floor): PC., "� --'" �5�,�►L(,ED IN COMPLI� Sewage'Permit,number ���8 (�9 II ' WITH 1 • TITLE 5 BABISTOBLL i Engi Bering Department(3rd floor):(, � �'i"ITRONMEI� AL CC) rb 9 Hous number ll 711VIN REGULATP ,sue i �i t�'�' 'EO MAY{r. Definitive Plan Approved by Planning Board 19 �i,,~ D APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only A P Y R 0 Y E erveltlon Comm "Ou TOWN , OF BARN r t BUILDING INSPE Date APPLICATION FOR PERMIT TO C JJ JJJJ�/ TYPE OF CONSTRUCTION 19—�— TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: n / Location /� �IGI Proposed Use RU hGh S yet Zoning District Pr-e-c1 0 c r 7 Fire District Name of Owner pf-e4 x<�rc -G-e t.e.S Address Name of Builder Sa k7l e__ Address v`r-0— f Name of Architect Address / Number of Rooms f Foundation C-et"-e i rg� /C� Exterior S� t Lr . -L -5CA'-e f k7 Roofing IC/ie 6/ S Floors I �a R G� Interior l�� e/i V Heating— Plumbing ' e-- Fireplace Na -e--. Approximate Cost S,200, Area Diagram of Lot and Building with Dimensions Fee � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardi t ove construction. Name Construction Sup rervisor's License STEEVES, FREDERICK Y .f, } 1 No 3,316 T�` Permit For ADD PORCH Single Family Dwellin i�� Z Locati n Craigville Beaq Centerville Owner 'Frederick Steeves ; Type of Construction Frame r Plot Lot Permit Granted August 25,, 19 89 Date of Inspection 19 - ? Date Completed 19 '12 z ra ' tv r �+ in t _ Assessor's office(1st Floor): p Assessor's map and lot number f) {) h o INI ��'yp�{,r yoF THE To` Board of Health(3rd floor): ��`` Nv �- ," J ' '_ e�Q� � ♦� Sewage Permit number 111ABa57LDLL S Engineering Department(3rd floor): v ^,L rnsa Ho number �N" Yr1 �% •-. °o 1e30._\®�' Defi�tive Plan Approved by Planning Board 19 ��rav 6. APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M.only U" TOWN OF BARNST E � � ��` `� BUILDING INSPEtCT0- APPLICATION FOR PERMIT TO * ' '"L - "' 17 —7-74�_ TYPE OF CONSTRUCTION r -(I 0t^CX - Slt rt11,04- CQ_ 19 d TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location &G r� � �' / i q U l�l� .t��ic !� t�) o�G� �>=C� t c, t,�t -- Proposed Use.. .J C k-ee n e Zoning District 0l'-e C f h l G/ '`Fire District -Name of Owner �hc 2 l� ��-e✓�S Address y c v Name of Builder J< r' Address S-ct vh-e_. IF 01 Name of Architect Address f/ Y� `3. ��I Number of Rooms ; Foundation �-e�•��ti aC Exterior - 11,� ;Roofing Zkor� 74 � Floors 1 V t je- �6 0 H d, Interior ki O/�V to/H-e Heating 4107-7�_ Plumbing ✓a�� � Fireplace A4;,-7 C--- - Approximate Cost s Q D �- _. Area / Diagram of Lot and Building with Dimensions Fee ;L a OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License - �/� STEEVES, FREDERICK A=226-_008 -20N ~ a4-olv i? o No 32.167 Permit For ADD PORCH Sin jgle Family Dwelling `7 O Location Crai ville Beach . Centerville Owner Frederick Steeves Type of Construction Frame Plot Lot Permit Granted August 25, 19 89 Date of Inspection 19 Date Completed 19 /bT /ash"�►l� � n ' , PERMIT COMPLETED I!�/ p/ BE Assessor's map and lot number Y a �YSTW ���`:.?��.6-.....��- INSTALLED IN COMPLIAi i. ... .... Q THETO�♦ np � . Y_ d� o„ €wage Permit number/�t).,.1.?Rrr�... WITH TITLE 5 � ,. ' ENVIRONMENTAL-CODE `'�WCaH9T11DLE. •,- House number TOWN R E#°_3 90} 1,a° TI & S rb a 'Fp MP-I a' TOWN OF BARNSTABLE� o r NS"6PBLE'CONSERVA 110J 1 C(➢I!!'missioN BUILDING INSPECTOR* x APPLICATION. FOR PERMIT TO .....r.y ...`Q.��: ...E !C1.KS�il ?./.......... ��-: ..... y..........................`... ... TYPE OF CONSTRUCTION ....... `x... ........ ! �►,.�........... /vP�ofccflsl4.....� ............ ......... ..........19.... .5 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:. Location .............0 i'[.(+�.! !04..�1"fr....f....;.....:�.....:: i.. .. 1/�1 ...... :C1.G. ........ ...Cl.h. ..r.:......................... j Proposed Use ............ f!I.!1., ?6� ..J..j?.:• ......................�.(......reP..�,�.�4�� ............:................ � / a Zoning District ......................Fire District . Name of Owner .....F�::`dd:Z.��I.�k....Q.`...... Address ......:�.�...6....�. . . Name of Builder .................. .,.....:...........................Address Name of Architect ............... dt+'!:f r-......... ................Address .........................�1 - .................................. Number of Rooms .....................Al. ..................................Foundation .............................................................................. . Vr Exterior .............................................. .....................................Roofing .................................................................................... Floors ...............................................'................................:.....Interior .................................................................................... Heating ........................................ ....................................Plumbing ..........................................:....................................... Fireplace .......................................................................:..........Approximate. Cost ................. ......................... Definitive Plan Approved by Planning Board ___--------_------_-----------19_______. Area ...!y..7.......... . .. ...,,...... Diagram of Lot and Building-with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH (4P . \ r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Tj Name ...... 4vz4'1%,t .. ....1:41L, .......... i Construction Supervisor's License .... .:;lArn-1 1........ l } y STEEVES, FREDERICK J. r `25257 - C' BUILD DECK..,.._ , ' No Permit for - Single Family. Dwe,llinc -.e i Location�1........... Centerville - �'� • -� _--f-� g. � ............................4............................ .............. Owner' ,Frederick J Stev , ';••,••,•, Type of Construction' .. ....ZKAA le..................... Plat ..• t •.•.• ............ Lot •.•......• ' June 29 't., r 8 Permit Granted .......................:....:....•......19 3 Date of Inspection .......................... ......19 41, Date Completed .....................................n19 a + t �• K NX. 6/Zy/8 Assessor's map and lot number , f� , ._ .� �,�Sewa a Permit number/ !?.:. - % . hM4 . ........... ? tHETo�~� li 1 BA"STABLE, i " House number :............................................... 9�O 1639. a �0 RFD MPY a' • -t TOWN OF BARN�STABLE BUILDING INSPECTOR . - O r APPLICATION FOR PERMIT TO ' . ....... TYPE OF CONSTRUCTION ...... ............ .... t 4 ... ........ ........... ...................................19.... .% TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: / Location .............".1................................. '......................... U,/A,l�1 1��.....��P�ir.� .......f.:.G1.!'J �.............................. Proposed Use ......................................... .............................................. ............ .... ..:..: ......................f./.....///%:...................... Zoning District ........... -'- ;"' .....t... .. .'..' Fire District ,..........................°..... . .... ..................... Name of Owner ..................................................:.....:::...:.:..Address ........ .... .... ... .::............... ..:................................. . .. , Nameof Builder ....................................................................Address ...................................:.................................................3 Nameof Architect ...................:..............................................Address ...............................::... .:.:........:................................. Number of Rooms .....Foundation ............................................................. ...................................:........................................... Exterior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing ..................................................... Fireplace .......................................Approximate. Cost a� ........................`3..........�............... Definitive Plan Approved by Planning Board ---------------------.-------19_______. Area �!:...?'........ / '` Diagram of Lot and Building with Dimensions Fee f �+ SUBJECT TO APPROVAL OF BOARD OF HEALTH r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .....`il,r. .(!�;� :1 ...!<�. ... � .. ..... _ ......... Construction Supervisor's License ....!... { j'! r/. :�....... STEEVES, FREDERICK J. A=226-8-2 i No Permit for ..Build Deck....................... SinglSingle Family Dwelling e............................................................. Location ... Beach -Z;z6P-m1K6(. ...................................... Centerville ........................................................... n�- c Owner ...Frederick J. Steeves ............................................................... Type of Construction .....Zrame....................... ................................................................................ Plot ............................ Lot ................................. June 29, 83 Permit Granted ............I...........................19 I Date of Inspection ....................................19 Date Completed ......................................19 a(o -oaf ,moo FRIEDLINE& CARTER ADJUSTMENT, INC. 436 Main Street, P. (). Box 338 Hyannis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 TO: - +Building Commissioner or Inspector of Buildings (, ) Board of Health or Board of Selectmen O Fire Department TOWN OF Barnstable TOWN HALL Hyannis, MA i •r)` I RE: Insured: � r { STEEVES, Frederick J. Property Address: /Craigville Beach Lane Centerville, MA Policy Number: 0773316 Type of Loss: Fire Date of Loss: 7/24/2004 File#: 100119 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. R.A. BRULE Adjuster 8/20/2004 OF THE Tp� Y Town of Barnstable BAMSPABLE, 9q, MASS. Regulatory Services Thomas F. Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If.Using A Builder v » 00►"" as ^yj_'j`'�'eJr of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address o Job). ig�/ae of Owner Date Sfiee►�� J , Print Name - Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revise020108 BIKE T Town of Barnstable Regulatory Services ; snxlvsrnszE, ; Thomas F.Geiler,Director a 9. A Building Division �ArED MA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us 'Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# t work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FOkMS\homeexempt.DOC TOWN OF BARNSTABLE:BUILDING PERMIT APPLICATION.- C6 � [ - Map ' G� Parcel .V -:Application # , Health Division -- Date Issued Conservation Division , M;Application F Planning Dept: .Permit Fee Date Definitive'Plan Approved by Planning Board Historic OKH Preservation/Hyannis Project Street Address ! Cd?/4-/,aV/1- E 6c%( S cOwner_— d-e�c d Ja ire . Sfie e ✓es Address N4 . Telephone .:.'i 08 - �s/ =S/6/�� — C'�/�. � : / y (Permit-_Request 7-0 "TQa d o w)1 4- o ye Ct de c �6�-e�/eP_ �s e.,r�s�ec� w •� � 7`w© �e��"eX��s� o�. ��X �a �%e o 0L-191 h 4 l d cc i(' (&)cc s s Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total ew Zoning District Flood Plain Groundwater Overlay _ v VPrO Valuat .3 oo® - �" ion CoPistruction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attac pportirg domentation. Dwelling Type: Single Family , 0 Two Family ❑ Multi-Family(# units) ; Age of Existing Structure Historic House: ❑Yes No On Old King` High%: L 'es ❑ No ,� CD 0, Basement Type: ❑ Full ❑ Crawl ❑Walkout r Basement Finished Area (sq.ft.) Basement Unfit d Area(sq.ft) Number of Baths: Full: e 'sting new 91f: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing ne First Floor Roo t Coun. ,':. Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other a Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/ ` I stove Y(; ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ e g ❑!§w Aze_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: t'•' N *n Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name red e�i �� ���✓�S Telephone_-Number,:5-o00 v,_I - _r Address License# Home Improvement Contractor# Worker's Compensation # -VALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE`` DATE f FOR OFFICIAL USE ONLY i i APPLICATION# DATE_ISSUED MAP/PARCEL NO. x t ADDRESS VILLAGE F , f OWNER ` DATE OF INSPECTION: R i FOUNDATION FRAME :f INSULATION I f Y FIREPLACE ELECTRICAL: ROUGH FINAL j f' 1 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ?t � ASSOCIATION PLAN NO. 3. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 7T= Map., Parcel'' "Applicatidh # Health Division 'Date Issued Conservation Division -;Application F9'el Planning.Dept. Permit Fee Date Definitive'Plan Approved by Planning Board Historic - OKH Preservation Hyannis q4 Project Street Address tikw C, P, a V/I- r-,I�r/-I IV19:W Village 7-�W V1 1^ Owner Address ,r- T1_/i. Telephone _S7j- Permit,Request 0 l eii a 0 1,,J n t r C 1-7,7 6 V C u �C/ tl� it n L4 e, 07tq C Is T f K 47(7_s Square feet: 1 st floor: existing—proposed 2nd floor: existing—proposed Total new Zoning District Flood Plain n,4"l r-Grbundwater Overlay f; Project Valuation 0013 Cohstruction Type I Lot Size ' Grandfathered: LJ Yes" "'D No If yes, attach',supporti documentation. Dwelling Type: Single Family .:LJ Two Family L1 Multi-Family(# units) A h Age of Existing Structure HistoricHouse:�,Lll Yes UlNo On Old King s' H, way: LJ Yes Q No Basement Type: LJ Full Q Crawl LJ Walkout -U Otheii A _T1 V Cr Basement Basement Finished Area(sq.ft.) aA it U ntQ!%T ed Area (sq.ft) W a new Number of Baths: Full: existing pew. -I-, �?Ifi existing PT'-4-- Number of Bedrooms: existing —new IY Total Room Count (not including baths): existing new' uk First.Floor Room Count Heat Type and Fuel: L3 Gas Ll Oil Ll Electric L3 Other Central Air: LJ Yes U No Fireplaces: Existing New Existing wood/Q,*oal stoveviLj Yes Q No Detached garage: LJ existing Ll new size—Pool: Ll existing LJ new size _ Barn: U existling U new 'size Attached garage: C3 existing Ll new size —Shed: Ll existing Ll new size Other: cv Zoning Board of Appeals Authorization D Appeal # Recorded LJ it Commercial L]Yes U No If yes, site plan review# Current Use Proposed Use, APPLICANT INFORMATION (BUILDER OR HOMEOWER N Name -S Tc=,c Ve Telephone Number Address License R Home Improvement'Contractor# ..Worker's Compensation # -�IALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Z' SIGNATURE DATE Y V q, FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ,per The Comrnonwealtic of Massachusetts Department of Industrial ticcidents, Office of Investigations 600 FVashineon Street , .8ost011) MA 02111 www.mass.gov/dia Workers' Compensation Insnrance Affidavit: Builders/Contractors/Electricians/Plumberg Applicant In.formatioh Please Print Legibly ame�(>3�usinrss/Organizationgndividual): Ye t^/G/� ��ee✓Q r ' Address:--'` �" - - • City/Sfate/Zip: �o y, ✓I�/� �'/h Phone.#: `// l S.T -�i 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 1 6. 0 New construction . employees (full and/or part.timt).* have hired the sub-contractors 2.El am a'sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have, g• 0 Demolition working for me in any capacity. employees and have workers' 9 ]3uilding addition [No workers'.comp.•insvrance COMP insurance. required 1 5. �] We are a corporation and its 10.0-Electrical repairs or additions G 3 I.am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MG1� 12.❑Roof repairs insurance required.]t jr— 152, §1(4), and we have no employees: [No workers' 13.Flo'ther cones.insurance required-] *Any applicant that checks box#1 must also fiU out the section below showing their work='eompmr4on policy information. t Homeowner;who subndt this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tr—ontractors flat check this box must attached an additional sheet showing the name of the sub-contradors and state whothcr or not those entities have employees. 1f the sub-contractors have employees,they must providh their workers'camp.policy number. . I am an employer that 1s providing workers'compensation insurance for my employees. Below is the polity and job sife information. Insurance Company,Name: Policy#or Self-ins.Lic.#:. Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to sc=c 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 lb for" urancc coverage verification. I do hereby certi er ns•and penalties of perjury that the information provided above is true and correct. 5i afore: ,i Date: _ Offecial use only. Do not write in this area, tb be completed by city or town offciaC City or Town: Perrnit/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. Instructiolls Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for theircroployees: 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 • ents and who resides therein, or the occupant of the owner of a dwelling house having not more than three apartm construction or repair work on such dwelling house dwelling house of another who employs persons to do maintenance, 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 ohapter 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 compliznce Rzth the insurance requirements'of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by chec}dag the boxes that apply to your situation and, if necessary, supply sub-contractors)name(s), address(cs) 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 data 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 a ropriate Zinc. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant That must submit multiple permit/license applications in any given year,need only submit onp affidavit indicating current policy information(if necessary) and under"Job Site Address" the applicant should write"all locations is (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.Whcro a home owner or citizen is obtaining a license or permit not related io any business or commercial venture (Le.a dog license or-permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to than you in advance fox 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 C6mmonwc th of Massachusetts Departzntmt of Iudustd4 Acciblits Office of IAtvestiga�twas 600 Washington Street Baton, MA 02111 Tcl. # 617-727-490..0 ext 4.0fi or 1-M-MASSAFE Fax# 617-727-7749 Revised 11-22.06 vrww_.mas4.gov/dia gov/dia �0(f. Town of Barnstable ~` Regulatory Services �ELAR LE'�; Thomas F. Geiler, Director Building Division Tom perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.to)vn.ba rnsta ble.ma.us Office: 508-862-403 8 Fax: 509-790-6230 Property Owner Must Conn plete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License ExemptlOn Form on th'e reverse side. Town of Barnstable IHE Regulatory Services Thomas F. Geiler, Director BARNsrABI E, MASS' i639. Building Division, Ajfp Fyn Tom Perry,Building Commissioner 200 Main Street, Hyannis., MA 02601 www.town.barnstable.ma.us Fax: 508-790-6230 Office: 508-862-4038 H071 E_0_WI\TR WCENSE-EXE112PTION Please Print /1 / /_ LQ� /ee—V/ //`� OJ B-LO.CATION_;—, �� 1 ' v 1 1,e, /j Kl/I c street village number ----- - rfIf name CFI:OMEO-WNER": me �/'/e work hone# name (p p home phone# p CENT MtA :I_NG_ADDRESS h W city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOAIEOVJNER Person(s) who owns a parcel of land on'which he/she resides or intends to reside, on which there is, or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such homeowner shall submit to the Building Official on.a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules.and regulations, The unde signed " meowner"certifies that he/she understands the Town of Barnstable Building Department s ec ;on procedures and requirements and that he/she will comply with said procedures and re-5.3x e 'tSi - a ;0- Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Constriction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 1o9.1,1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work, that such Homeowner shall act as supervisor," Many homeowners who use this exemption a're unaware that they are assuming the responsibilities ore supervisor(sec 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 ultirriat0y 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 hdshe 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 forrn/certification for use in your community. 0 i 7VOINHJ, A,09, A,9,V pG' I �.O Ow � HS N-. .l DAIYHVd s# ,VSH ~ ' .V (Qz DY),zs s=e,77,y Ci - � I'.�a r - r •�. ti vo leo t Pam;• / �, F1.qlTNW Tr Town of Barnstable Regulatory Services . ♦ 4 BARN L$; Thomas F_ Geiler,Director 1639. mac' a Building Division Toni Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: S08-790-6230 Property ProP e Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject property hereby authorize to act on my behalf, m all matters relative to work authorized by this building permit application for. (Address of Job) .Signature of Owner Date Print Name If Property Owner is applying for permit pleas e Homeowners License Exemption Form o the reverse sid �� Q:FORMS:O WNERPERMISSION Town of Barnstable. P�o4 S�try Regulatory Services &kRNs-rAB Thomas F. Geiler,Director WAS& tbsi;�. . . Building Division rEn µay Tom Perry,Building Commissioner 200 Maiti.Street, Hyannis,MA.02601 vc ww.town.barnstable.mams Office: 508-862-4038 Fax: 508-790-6230 HOrdEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: /yb number street village ._ .__<•xoMEowNER": � r�c% �S,`�eii�s �-��g �/ —�/�/�' --- name home phone# work;.phone# CURRENT MAILING ADDRESS: Gve city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow hQmr-owners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "horrieowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersi d"hom owner"certifies that.hr-Abe understands the Town of Barnstable Building Department mium C nim n ocedures and requirements and that he/she will comply with said procedures and requirem _ Signati,iref o owner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that: "Any homeowner performing work for which a building perrnit is required shall be exempt from the provisions. of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner cngages 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 helshe understands the responsibilities of a Supervisor. On the last page of this issue is a.form currently used by several towns.You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt ' , 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-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability.Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth'of Massachusetts ° Department of Industrial Accidents. Office of Investigations ° 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax # 617-727-7749 www.mass.gov/dia The Commonwealth ofMassdchusetts 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 Lellibly Name (Business/Organization/Individual): ��G�Gfi(�C(-( Jam. Srt;l/�5 Address: c'( C.Irlq-i6V/Z- /j1-wil t?d City/State/Zip: cev re(-Ji M 19. Phone M 8- YJ_ Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a.general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ® Remodeling ship and have no employees These sub-contractors have 8. © Demolition workingfor me in an capacity. employees and have workers' y p y• 9. ❑ Building addition [No workers' comp. insurance comp. insurance.T 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' 13.0 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 affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify de a ains and penalties of perjury that the information provided above is true and correct. Si nature: / Date: Phone#: 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#: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION b - poi ' �y-, Map o� Parcel,: Application #,� /N 3� Health Division `-Date Issued -777 Conservation Division �k�` ism vomit Ad s ' ,:ApplicationF;W � 6 PlanningDept: ..:Permit Fee` 1110' � Date Definitive;Plan Approved by Planning Board �q�2Sc 09 V i Historic - OKH Preservation/Hyannis w-± Project Street Address C f?41 G U 6 /9 H RQ( i Village C�wrGA V1 r, Owner d-errGk -�• r e.� �2zV g ` Address cT P. IP6/Y Sr, 9,511ti17 �a - Telephone Permit Request Tar a�dwh a ,herd v�� eXe�K 1 h N-.� rr ore 'n-o//�cg� 14C.P as �xrsT)-12 Svc � �/ �►-e �ooT FxT�sion u W'�s y x 2-C) - /4 r AC) ct 3 Ce;i � _l�n over- S P 7rQ CMS rrl-tc -0- Ohs eX I S T/N6 q S d- a�wt S s.� �(�c�{vS �P'Sy �oa�� •. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuations dy•` Construction Type Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. _T Dwelling Type: Single Family _ 0 Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old K s Highwm: 4s ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other '"" o► Basement Finished Area(sq.ft.): Basement Unfinished Area (s .ft) 0" rO° Number of Baths: Full: existing new Half: existing mew _ w y. Number of Bedrooms: existing _new ,%o M Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas '❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑,new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Proposed Use- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ' -� Telephone Number_ • �_ ��� Address y� ch-W �Vb &44 0-J. License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE � -- 1 � -- off' r � .r. FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ►�11�3�096� INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH t FINAL FINAL BUILDING roIS �o F DATE CLOSED OUT ASSOCIATION PLAN NO. S(6 or,1HE Ow 'Town of Barnstable *Permit# yp Expires 6 months rom ' e date Y y Regulatory Services Fee " BARNSTABLE, - 9c� 639. ,� Thomas F. Geiler, Director prFp�y�a ]Building-Division blG 1) 1/0 Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 026.,01 www.town.barnstable.,ma.us — Office: 508-862-4038 Fax: 5°08-790-6230 EXPRESS.PERMIT APPLICATION - RESIDEN Not Valid without Red X-Press'Impr'nf Map/parcel Number PropetTy Adddress . � ❑ Residential Value of Work . "WO 00 . Minimum.fee of$35.00 for work under$6000.00 kv,Owner's Name &Address 1 "\ " cl' f Contractor's Name ►lF �9 ) Telephone Number ° Home Improvement Contractor License#_(if applicable) Construction Supervisor's License#(if applicable) { ,� e PEt°C O fl FA A ❑Workman's Compensation Insurance Cheese: _ SEP '_-,I <2010 O'l am a sole proprietor ❑ I am the Homeowner . TQSI N OF BARNSTABL E. ❑ I have Worker's Compensation Insurance, Insurance Company Name Workman's Comp: Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(hurricane nailed) (stripptng old shingles) All construction debris will be taken to—A * � ❑ Re-roof(hurricane nailed) (not stripping: Going over existing layers of roof) ❑ Re-side # of doors ❑ Replacement Windows/doors/sliders: U-Value (maximum .35)# of windows "Where required: Issuance of this permit-does.not exempt compliance with other town department regulations;i.e Historic,Conservation;etc. ***Note: Property Owner must sign Property Owner Letter of Permission.. A copy of the Home Improvement Contractors License & Construction Supervisors License is required SIGNATURE: Q:\WPFILES\FORMS\building permit formsEXPRESS.doC Revised 072110 r I V39Z. P.O. Box 311 508-367-1679 Centerville, MA 02632 Fax: 508-790-1856. PROPOS U�B T�TE�D TO: PHONE: DATE: Ike- / JOB NAME JOB#: CITY,STATE nd ZIP CO JOB LOCATIO . Wet, v 6 v v R ARCHITECT: DATE OF PLANS: JOB PHONE: c� We hereby submit speci is 'ons and estimates for: F11 P � V(� clot . ). IVC 3PrOP05C hereby to furnish material and labor- complete in accordance with the:above specifications, for the sum of: Payment to be made as follows: dollars($ � ) All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized manner according to standard practices. Any alteration or deviation from above specifi- - cations involving extra costs will be executed only upon written orders,and will become Signature an extra charge over and above the estimate. All agreements contingent upon strikes., 4Troposalmay be accidents or delays beyond our control. Owner to carry fire,tornado arid other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance.r. withdrawn by us if not accepted within days: arreptance of, propont.'-The above prices, specifications :and conditions are satisfactory and are hereby accepted. You are authorized Signature:_ to do the work as specif_ Payrn nt be made as outlined above. Date of Acceptance: l� tiJ Signature: The Carrlrrroirrweallh of-Afassachusefts -- Department oflndffstrialAccidents r Office Of. Investigations 600 Washington S/reel Boston, ALI 0211-1 y� JPrtna.rrtrrss.got�,i'rlia 'Workers' Compensation Insurance Affida-vit: BuiIrlers/Contl-actors/E.lectric znslPl:umbprs Apphcant Information 1/ Please Print Le 'blN, Nartle (Bat<sinesv)Orgauization�'Individriai): A:dd.ress: I l "�(.- C city/state/zip- Phone #: ( Are you an employer? Check the appropriate boa: T e of.project ct . uit.e yP e r p J . ( eq d) 1..❑ I am a employer with 4. 0 I am a general contractor and I- yees(full and/or part-time).* have hired the sub-contractors 6. .Ne'w constniction 1211 am a sole proprietor or partner- listed oil the attached sheet- +T ❑Remodeling ship and have no employees These sub-contractors have 8. EJ.Demolition, ti rork-ing .for.me in iny,cap:acity. employyees and have workers' I 9. Building addition [No workers' comp.insltrtnce comp. insurance, required.] . ❑ We are a corporation and its 10.[]Electrical repairs or additions officers have exercised their 3.❑ :I am a.homeoti�^n;e� doing all work. 11..0 Plumbing repairs or additions myself. [No workers'comp. right of exemption per'NML 12.0 Roof repairs insurance required.] r c- 152, §1(4),and.we have no employees. [No Worlrers' 11.0'Other compAnsurance required.] _ •Any appticamt that checks box#1:must also fill out the section below'showing their workers'compensation policy in€ormation. Homeovrmers who submit this at'f&vit indicating they are doing sl'i wad and then hire airtside contractors must submit.a rtew affidavit indicating suclL rCantractnrs that check this box must sttachad an sdditional:sheet shaming the name of the sub-cmtractozs and stare whether or not those entities have employees. If the sub-c.ontractors:hsve employees,.theymust provide their workers'comp.policy number. 1 t1JJ1�7J�J1tp.laler tltrri is pror�rclirJg rtror hers'conJlreaisrtfiaJt iiJSJxrarr.ee for Jay eivJplv��ees. Below is Me palicy hnd jail site infoYma tort Insurance Company Nance: Policy#-or Self-ins.Lic.#: Expiration.Date: Job Site Address: City/Stateizip: Attach a copy of.the wDrkers' compensationpolic} declaration page t(shoeidng.the policy number and espiraatian date). Failure to secure coverage as required under Section 25A of NfGL c_ 152 can lead to the imposition of clrL inal penalties of a fine up to$1.,500.00 and/or one-year imprisonment,as well as civil penalties in the*forni of a STOP WORK°ORDER and a fine of up to$250.0-0 a day against the violator. Be advised that a cop),of this statement may be forwarded to the Officeof Investigations of the DIA far insurance coverage venica#ion. 1 do]te eby certify I'll prri andpt'nalfi'as of jTe nry'fltattlte iatforrnarrtirrtt prm�rled abotry cs trat.a z^t/Jt�r7 corpr�e)ct Si a.ture.: Date: 6( Phone#: 1 officialJ1se.ou�y. Do not 11ritv hi_fitis area,to be coinple ed by,city or totarit o�Ma City or Town: Permit[License# Issuing Authority(ch-cle one): 1. Board of Health 2.Building Department 3 C`.ity�Town.Clerk 4,Electrical li spector 5. Plumbing Jnspector 6. Other Contact Person: Phone#: 6 t5�::'cr;tiutt:ti Deli;unnrnt-(it`Pub fic sillth Bo u-d"ot $u lt.in,g Regulatiiins and:Stand;w s Construction' Supervisorecialty License "License: CS SL 99382 . �'- Renstricted.to: RF,WS HECTOR SANCHEZ -2868TRAWBERRY HILL ROAD CENTERVILLE, MA 02632 Expiration: 9/14/2011 ('rn�in.isciuner ' "` Tr#: 99382 x 1 Board of Building Regulations and Standards HOME IMPRO'VEMENT CONTRACTOR Registration:;145356 Expiration 1l1r2/2011 Tr# 283768 EMMANUEL CONSTRUCTION HECTOR SANCHEZ 286.STRAWBERRY HILL�RD C NTERVILLE,MA`02632 Administrator License or registration valid for individul:use only before the expiration date. 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REPLACEMENT OF DECAYED DECKING&RAILING SYSTEM 3.ADDED WOOD BRACING FOR STRUCTURAL STABILITY REAR BUILDING ELEVATION W/ SCALE: 1/8--1'-0' EXISTING PHOTO NOV. 2008 1 PROPOSED LIMIT OF Z.WK 2 PROPOSED SCOPE OF WORK: tf 1: REMOVE&PROPERLY DISPOSE OF DECAYED EXISTING WOOD RAILING SYSTEM,WOOD DECKING AND WOOD JOISTS. (EXISTING 4x4 WOOD POSTS,CONCRETE FOOTINGS,AND MAIN STRUCTURAL CARRYING BEAMS TO REMAIN INTACT). PROJECT: 2: NEW PRESSURE-TREATED WOOD JOIST FRAMING MEMBERS(9'-0"L.,REPLACING THE 8'-0"L. " . REAR DECK REPAIR MEMBERS)TO BE INSTALLED. - BRED A � IDS 3: NEW 1x4 MAHOGANY DECKING TO BE INSTALLED. - - COTTAGE #50 e��`a��'S rF L�Cj � Ds 4: NEW RAILING SYSTEM TO BE INSTALLED. 946 CRAIGVILLE BEACH ROAD Qe �N auaC AUG.10.2009 No20225 �' RaAsbm 5: NEW 4x4 PRESSURE-TREATED WOOD BRACING MEMBERS ADDED FOR LATERAL& Cj ENTERVI LLE, MA JAMAiCA LAIN, LOAD-BEARING STRUCTURAL SUPPORT. MA DESCRIPTION OF PROJECT: '�n�oFensp THIS PROJECT CONSISTS OF THE REPAIR OF AN EXISTING 8'x2O'REAR DECK. AS THE EXISTING DECK WAS OVER 25-YEARS OLD,THE FLOOR DECKING AS WELL AS THE JOIST FRAMING(ALL NON-PRESSURE-TREATED LUMBER),HAD SIGNIFICANTLY DECAYED AS TO POSE AN UNSAFE CONDITION. THE SCOPE OF WORK INCLUDES REPLACING THOSE PORTIONS OF THE DECK IN DISREPAIR. THE EXISTING SUPPORT POSTS AND CONCRETE FOOTINGS SHOW ALMOST NO SIGN OF WEAR OR SETTLEMENT,AND IT IS THE ARCHITECT'S ASSESSMENT THAT THE EXISTING FOOTINGS ARE SUFFICIENT TO CONTINUE TO SUPPPORT THE DECK. THE PROPOSED WORK DOES NOT INCLUDE REPLACING THESE FOOTINGS,OR POSTS AS IT IS NON-ESSENTIAL TO THE REPAIR OF THE DECK OWNER' 4 AND THIS HAS THE ADDED BENEFIT OF MINIMIZING ANY DISRUPTION TO THE EXISTING SOIL OR PROJECT ARCHITECT: TERRAIN. FREDERICK & JANICE STEEVES DAVID STEEVES PROJECT COVER PAGE THE ORIGINAL DECK HAD BEEN DESIGNED WITH APPROXIMATELY A 2'-11"CANTILEVER AT THE _ 98 HIGH STREET 22 ROSEMARY ST., #3 OUTERMOST EDGE. 4x4 PT FRONT ANGLED BRACES ARE PROPOSED TO REDUCE THIS CANTILER TO ASHLAND MA 01721 APPROXIMATELY 1'-3"AND ARE BACK-BRACED BY OPPOSING 4x4 BRACES TO A LEDGER BOARD ON JAMAICA PLAIN, MA 02130 THE MAIN HOUSE. THE PROPOSED REPAIR INCLUDES THE LENGTHENING OF THE 8'-0"JOISTS WITH 9'-0"JOISTS TO IMPROVE THE FUNCTIONALITY OF THE DECK WHILE NOT INTRUDING OVER THE WETLAND OR REVETMENT AREAS APPROXIMATE TO THE DECK OVERHANG. AO■00 Project 3'-6" DECK REPAIR 946 Ctaigville B'2ach Rd. Centerville,MA 1 0 A2.02 EXIST.,COTTAGE PO 6"R x 12"T STAIR DN. Owner r, Frederick&Janice Sleeves - Zilu 98 High St. Ashland,MA 01721 0 ih REPLACED DECK NEW 1" MAHOGANY 1 ❑ DECKING o ❑ Architect A2.01 RAILING POSTS BELOW, Devl oM d Steeves ARCHITECT TYP. 2x6 CONT. TOP RAIL rn rn LJ u u ❑ LJ LJ � PROPOSED DECK PLAN SCALE: 1/4~=r-0• 20'-0„ r II 1 2 RED AR (2)2x6 BEAM ® B.O. o 0.20225 3'-6" STAIR STRINGER JA AICA PLAIN, O MA G -_-------- EXIST: -- OF MPSSP 1 L4 COTTAGE - " ------- ------ 2x12 STAIR STRINGERS, D DS ------ TYP. 4z4 POST DN; TYP. 4x4 P.T. REAR BRACE, __—__—_ seed Deb: AUG.10,2009 TYP. Reibbin r I N" Dab Dssalplbn o � I II II � i I � II II II o (2)2x6 BEAM, EXIST. II II I 2x6 LEDGER, ® HOUSE LJ o •� EXISTING FOOTINGS & CD �n 'n� n• POSTS TO REMAIN, TYP. `r , r 2)2x6 BEAM, EXIST. ( I II cv II 1° C�� j� FC3 I 2 PROPOSED DECK FRAMING PLAN SCALE: 1/4"=1'-0' LJ LJ ❑ j 4'-0" DECK PLAN FRAMING PLAN (2)2x6 BEAM, RE—USED 4x4 P.T. FRONT ANGLED SUPPORT, TYP RAILING POSTS ABOVE, TYP. 2x8 JOISTS ® 16" O.C., TYP. D Al.01 Project DECK REPAIR EXIST. SLIDER TO REAR 946 Craigvilie Beach Rd. DECK Centerville,MA EXIST. COTTAGE 1 A2.02 Cwner Frederick&Janice Steeves 98 High St. Ashland,MA 01721 EXISTING HOUSE ArrhItect DSA David Steel's ARCHITECT EE CONT. TOP HANDRAIL 0 3'-0" HGT. GUARDRAIL o ` —Ell fl FIRST FLOOR R FIRST FLOOR ELEVA ON 0'-0" 2x8 FRONT FASCIA ELEVATION 0'-0" i I � NEW FRONT SEAM EXISTING 4x6 BEAM '" ti= o) . NEW ANGLED SUPPORT GRADE HOUSE (FRONT) NEW 4x4 ANGLED . ELEVATION —3'-8't FRONT—BRACE I I I I EXISTING 4x4 POST GRADE @FRONT EDGE OF I ' I i L DECK — ---- ----------I— --------- ---- F_ -------------- ————————————————————————— Ds EXISTING FOOTING cream er. Ds LATERAL SUPPORT BRACE, EXIST BLOCK FOUNDATION TAP. EXIST ee Date: AUG.to,zoos (BEYOND) NEW STEEL POST ANCHOR W/ EXIST. DECK FOOTINGS STEEL SLEEVE & LAG SCREW Rsrlsbna: TO REMAIN ATTACH. TO CONC. FOOTING N' Data Do>opb 1 A2.02 PROPOSED DECK REAR ELEVATION SCALE: 1/4"=1'-0" 2 PROPOSED SIDE ELEVATION SCALE: 1/4"=1'-0" 1 Dm ,TMb: ED ARCy Q�ra\JO,"3TFFREA�'J� ELEVATION SIDE RELEVATION Q� N IA No.20225 w JALWCA PLAIN, y MA f_ dewi'B Nwn4x. q��Of MPSSP ML.01 Project DECK REPAIR 946 Craigville Beach Rd. Centerville,MA Owner Frederick 8 Janice Steeves 98 High St. Ashland,MA 01721 Architect EXISTING HOUSE osA D..Id Sleeves ARCHITECT 1x4 MAHOGANY DECKING NEW 2x8 PT WOOD JOISTS, 16" O.C., TYP CONT. TOP HANDRAIL 5 l O� N N .20225 9 -0 JAM ICA PLAIN, MA 4' 10" 1 —3 OF MPS' D—ey DS CI»cted By. DS FIRST FLOOR m"d o.": AUG.TD,2M ELEVATION 0'-0" _ I ReWbm ( No Deb Dsvlptlon = I NEW 4x4 BACK—BRACE NEW 4x6 BEAM I EXIST.CRAWL o `� EXISTING 4x6 BEAM SPACE I rn I I � NEW 4x4 ANGLED �,\\ \;\\ \\\ \\ FRONT—BRACE \ /\ \ �caaEl�r �a�°r.. POST/ EXISTING 4x4 0 E ST G \\\i\ LAG BOLT, TYP. DmwNp TGb: DECK SECTION EXISTING HOUSE FOUNDATION EXISTING F00 NG WALL Dre N N—i. 1 PROPOSED SECTION SCALE: 1/2"=1'-0" A2.02