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HomeMy WebLinkAbout0021 FIVE CORNERS ROAD r � r I ► �'• � b a . . : yy'�+, ., � �t �j: � e�?� t3:�4� 31.: ! r S E,pwggi..,. �y'p�y�Sfl,►w ,D.�a.a:,,f.. fik�k�t1`..,'-:4�af�, 7l�.; .t, si a:lt.tr,TP_� ,�::l;.ga,.a.�i1.�3,::.-x� S:�CS-v`�sli�t;�4r"i�'��t*Ix.g t�41���' ,..su a w '� ,ACTIVE ' op +lF�k,�t�ta " 5 I { 4 6 R r. o o . - : < ° m , d 4. 0 } n e b n ° ° ° o_ -.. .._-.. _._ -_ : ..-.�..._.;___.�__..�,..:a`�.........r..-_....-�.-...w:-..,�.r,•,•M;,..._-Y..,r,.,:._Y.--�,.v.",�• CSd?ccr F.^" :.44:�PY,:_�er _ + ���jt. t QMee Application number.. ..... ...................... .......... Qy w Date Issued................., . .!. R � ®19 2639. N,66- Building Inspectors Initials..... ............................ Map/Parcel......... . ....(�S;S........................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 2- 1 �l J� ✓ o rn e-c- 2�. NUMBER STREET VILLAGE Owner's Name: Phone Number Email Address: �� /„ d � Cell Phone Number 5'DF-7-1(0-73� Project cast.$ 419VO — Check one Residential V Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: S e r �-f(Q C'�r. �-� Date: TYPE OF WORK ❑ Siding C�.l Windows (no header change)# Z- ❑ Insulation/Weatherization ❑ 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 C(1 as4e-Ir?a4a e"YmA - M�' - % �� 1Z Z CONTRACTOR'S INFORMATION Contractor's name f�r�Gn `74���so✓� - So e�� Aj � Frls l rvial� r f'n J0W S Home Improvement Contractors Registration(if applicable)# 17 3 2-q_5 (attach copy) Construction Supervisor's License# bj 5`7 0 attach copy) pY) Email of Contractor $Liee� C bcn Phone number 1/01- Z Z R -`�ROLE ALL PROPERTIES THAT HAVE STRUCTURES VER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS 91V A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER *For Tents OnI, Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No of yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location (s) of each,tent i If food is being served at your event please obtain a Health Department approval between the hours Of 8:00am-9:30 am or 3:30 pm-4:30p►m Commercial events may require Fire Department approva ,I *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel TYp e Testing Lab , Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION k Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rides and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures; specific inspections and documentation required by 780 CMR and the Town of Barnstable. Date Signature PLICANT9S SIGNATURE Signature Date ,5- R —lq All permit applications are subject to a building official's approval prior to issuance. . i ,I Re enewal Agreement Document and n Payment Terms " "'der$en' dba:Renewal B ,"dersen of Southern New England Y . Sl Robert &Christina Kennedy Legal Name:Southern New England Windows,LLC. 21 Five Corners Rd Rl#36079, MA#173245,CT#0634555,Lead Firm#1237 Centerville.,MA 02632 wixoow ae r.aciMerrr- 10 Reservoir Rd I Smithfield,RI 02917 - - - H:(508)428-3237 Phone:866-563=2235 1 Fax:401-633-6602 I sales@renewalsne.com C:5087767316 Buyer(s) Name: Robert &Christina.Kennedy Contract Date: 04/22/19 Bu er s) Street Address: MA 02632 y ( 2T Five.Corners Rd, Centerville , i• Primary Telephone Number:_(508)428-3237. Secondary Telephone Number: 50 67316 877 Primary Email:'rekennedy3@yerizon.net Secondary Email: Buyers)hereby jointly and.severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New'England("Contractor"),'in'accordance with the terms and conditions described in this Agreement. . Document and Payment Terms,anydocutrients listed in the Table of Contents,and any other.document attached to this Agreement Document, the terms of which are all agreed to by the parties and incorpporated herein by reference(collectively,this "Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed.all work under this Agreement. i ). • $4,940 By signing this Agreement,you acknowledge that the Balance Due-,and.the Amount Total Job Amount: Financed must be made by personal check;bank check,credit:card,or cash: Deposit Received: $1,646 Balance Due: Estimated Start: Estimated Completion: Amount Financed: $0 6 to.8 weeks : ; 6 to 8 weeks Method of Payment: _Cash/Check We schedule installations based on the date:of the signed contract and secondarily on • the date in which we complete the technical measurements.The installation date that' . we are providing at this time is only an estimate.We will communicate an official date and time'at a later date. Rain and extreme weather are the most common causes for delay Notes:. Depo paid CC bal paid fax centerville Buyer(s)agrees and understands'that this Agreement constitutes:the entire understandings between the parties and that there are no.verbal understandings changing or modifying any of the terms of this Agreement.'No alterations to or deviations from this Agreement will.be valid without the signed,.written consent of both the Buyer(s) and Contractor.Buyer(s)hereby acknowledges that Buyers) 1)has;lead this Agreement, understands the terms of this Agreement;and has received a completed,signed,and dated copy of this Agreement,including ; the,two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT: OF 04/25/2019 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEETHE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Southern New England Windows,LLC dbai Renewal By Ander en of Southern New.Englmd Buyer(s) Signature of Sales Person!'" , Signature Signature Cory Scanlon r;1' Robert Kennedy, Christina,Kennedy t Print Name of.Sales Persoti. Print Name: Print Name }. UPDATED:.'04/22/19 4. - Page'2 / 11 R r - Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement-Contractor Registration Type: Supplement Card Registration: 173245 SOUTHERN NEW ENGLAND WINDOWS, LLC= = Expiration: 09/18/2020 10 RESERVOIR ROAD _ SMITHFIELD,RI 02917 - SCA 1 20M-05/17 Update Address and Return Card. J� TC/J7/!2/.'/LCUPO.GI�C G'�2i-i!GC�G1Cl�ii Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Reaistiation.. Expiration Office of Consumer Affairs and Business Regulation 113246'-__ 09/18/2020 1000 Washington Street-Suite 710 SOUTHERN NEW-ENGLAND WINDOWS,LLC Boston,MA 0211 BRIAN DENNISON ,Q 10 RESERVOIR ROAD y SMITHFIELD,RI 02917 Undersecretary vv without signature Y - Commonwealth of Massachusetts r Division of Professional Licensure Board of Building Regulations and Standards Constr�cffbi `Sa ,pervisol' CS-095707 p Epp i res: 09/08/2020 BRIAN D DENNISON g : 8 BLACKWELLt DRIVE .*,,,-.. RIVE , CHARLTON MA.4130? . ICjComrrdssioner The Commonwealth"ofMassachusetts Department of Industrial Accidents I Congress Stree4 Suite 100 Boston,AL4 02114--2017 www rnassgov/dia yForkers'Compeasation Insurance Affidavit:Builders/Contractors/ElectriciansMambers. TO BE FILED WITH THE PERNUTTLYG AUTHORITY. Applies at Information Please Print Legibly Name(Business/Organization/lndividual): (A`f h e12/ �Q �t ��/n d,LJr) l Address: U er UDl r 01 City/State/Zip:S M,-H1A e1J(R! Dig /7 Phone#:_ 40 C/ ffo v Are you an employer?Cheek the appropriate box: Type of project(required): 1 am a employer with ��emplayees(full and/or part-time).' ..7. �New construction 29 am a sole proprietor or partrursWp and have'no employees working for me in any capacity.[No workers'co kwrawe 8: Remodeling c rap.� required] 3.01 am a homeowner doing all work myself[No workers'comp.insurance required.]t 9. ❑Demolition 4.❑1 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 1 C.Q Electrical repairs or additions Proprietors with no employees. 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12.0 Plumbing repairs or additions 13.❑Roof repairs �These sub-contractors have employees and have woricers'comp.insurance.: p' 6.0 We are a corporation and its officers have a cercised their right of exemption per MGL a 14.( her yv/it/�r✓ 152,§1(4),and we have no employees.[No workers'comp.insurance requited.] 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. tContractors that chock this box must attached an additional sheet showing the name of the sub-contactors and state whether or not tlwse entities have employees. Ifthe sub-contracM have employees,they must provide their workers'comp.policy number. I ant an eiTloyer that is pravong workers'compensation insurance for my err►,ployeea Below Is the policy and job site infornmdfo& Q Insurance Company Name: ( Q/(�°(� GO . wfT. Policy#or Self-ins.Lic.#: (�A,-3/S c2 QpT— Expiration Date: LO Job Site Address: 2-1' �►V e C6.rn e f-S City/State/Zip: 1 ,� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expirat on date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,S00.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$2S0.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifii:ation. I do hereby ce under the p ' penalties of perjury that the information provided above is true and correct Sigrintforp., M. � Date: 1? ne#: 4 n 1 Ofcial use only. Do not write in this area,to be completed by city or town o,fxiaL City or Town: Permit(License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/town Clerk t Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• IAA ,D CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 12/28/2018 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). PRODUCER CONTACT- CoBiz Insurance, Inc.-CO NAME: PHONE 1401 Lawrence St., Ste. 1200 t. 303-988-0446 ac No:363-988-0804 Denver CO 80202 ADDRESS: COMail@cobizinsurance.com INSURE S AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance Company 31325 SouINSURED ESLERCOOt INSURERS:Firemens Insurance Company of WA,D.C. 21784 dba Renewal New England Windows,SoutLLChern INSURERC:Homeland Insurance Company of New York 34452 dba Renewal by Andersen of Southern New England 10 Reservior Rd INSURERD: Smithfield RI 02917 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:787175890 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. INSLTRR TYPE OF INSURANCE ADDL SU R . POLICY EFF POLICY EXP POLICY NUMBER MM/DD/YYYY MMIODIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CPA3158728 1/1/2019 1/l/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE a OCCUR PREMISES a occurrence $300,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY❑JET LOC - PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY CPA3158728 1/1/2019 1/l/2020 COMBINED SINGLE LIMIT a accident $1 000 0 0 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ $ A X UMBRELLA LIAR X OCCUR CPA3158728 1/1/2019 1/1I2020 EACH OCCURRENCE $15,000,000 EXCESS LUIB CLAIMS MADE AGGREGATE $Is,000,000 TOED I X I RETENTION$ $ B WORKERS COMPENSATION WCAM5872924 1/1/2019 1l1/2020 PER OTH AND EMPLOYERS'LIABILITY Y/N X STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? a N/A E.L.EACH ACCIDENT $1,000,00o (Mandatory in If yes,describe under E.L.DISEASE-EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,006,000 C Pollution Liability 7930073340000 1/1/2019 Ill/2020 Each Occurrence $2,000,000 Claims-Made Policy AggregaOe $2,000,000 Retroactive Date 08120/2013 Deductible $25,000 I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) i I i i 1 I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FOR INFORMATIONAL PURPOSES ONLY AUTHORIZED REPRESENTATIVE i ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD i Town of Barnstable *Permit#-e I F x Tres 6 months from issue date Regulatory Service o� &r Afk1 snxxsznsi.E, MASS. A Richard V.Scali,Director MAY 1 O �� q5 1639 Building Division pp Paul Roma,Building Commissio�O��'�N OF BARNS lhi,l.. 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-7910-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL. ONLY Not Valid without Red X-Press Imprint Map/parcel Number / ,[ // Property Address 2 l Fi'V e (orn Co-n 'l /�tl r'/( � a lLf o� d Residential Value of Work$ C, Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address k e n 2 c7 .l ��,V e �iD P`dle.PIS s/�j`� ��r'1 re../` V r9l�l Q 'T Contractor's Name,# r WeQ ` r4eA..4to le hone Number S'®2 7 7'G . 7 ® C) Home Improvement Contractor License#(if applicable) /8 3-� -2 0Q_. EmailCp/►j�y Wco, gj,4'0o Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one:. ❑ I am a sole proprietor UE1/am the Homeowner I have Worker's Compensation Insurance ��,� Insurance Company Name �p pro/e C ( I,1]1 Workman's Comp.Policy# , 0 0 "- �0 / SO /?/ —,2 O/'6 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 60g,t--Dee Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *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. . c of a Home Improvement Contractors License&Construction Supervisors License is e ui SIGNATURE: j4 I C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.OUtlook\L7U69LF2\EXPRESS(2).doc 01/25/17 • �C�i� �LLZ?'P/��ZGJYiLl1t%f'Z2��2. h — = Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement-Contractor Registration f' —tea ; l Type: Supplement card ARMEN SAFARYAN '3 "" _ Registration:, 183202 67 Eviration: 09/13/2017 Sea St Apt A4 Hyannis MA 02601 ``` ' - a `; SCA 1 e: 20M-05/11 Update Address and return card.Mark reason for change. - _. _.._._...._._ _.._._. __.... .. _I-1:..w.JJ-�......_I�..n.....�._.....1�1-1:.�_�1..._..�....a._I"7..._..a.f.�:.Yh.."_'.-.... - —1 - Office of Consumer Affair;&Business Regulation —, HOME IMPROVEMENT CONTRACTOR �a TYPE:Supplement Card Registration Expira to r 1 M202 09/13/2017 ARMEN SAFARYA&- DB/A COREYAND COREY EVGENY SUSHKO � 67 Sea St Apt A4 Hyannis,MA 02601 Undersecretary Massachusetts Department of Public Safety Board of Building Regulations and Standards ` License: CSSL-106102 Construction Supervisor Specialty ARMEN SAFARYAN 67 SEA STREET APT A4; s " HYANNIS MA 02601 Commissioner Expiration: 10/02/2020 1 3�1 COREY F �( � rf�. - "The Roofers" 1672 FALMOUTH RD #117, CENTERVILLE, MA 02632 P 0 Q R,E, 1-600 -7=75-02 WHRTE SRUING March 30,2017 RODERT KENNEDY 21 FIVE CORNERS RD EM: rekennedy3@erizon.net CENTERVILLE,ILIA Tel: 508-776-7316 COREY & COREY hereby proposes to perform the following services in a neat and professional manner and in;accordance with the manufacturer's specifications and local building codes. Remove and Haul Away All of the Old Sidewall Shingles from the Face of the Front Dormer,to the heft -Up the Gable Wall Over the Peak and Down the Other Side to the Ground,from there-Past the Chimney to the Front Corner at the Deck. Re Nail All Plywood as needed. Supply and Install MAIBEC WHITE CEDAR PRE-IDIPPED SQUARED AND RE-CUT SHINGLES @ at Average of 5" Exposure with Galvanized Staples and/or Stainless Steel Ring Shank Nails. Supply and Install TYPAR SYNTHETIC UNDERLAYMENT PAPER Supply and Install ALUMINUM WINDOW & DOOR FLASHING. Clean and Remove Debris from work area after job is completed. ONE COAT TWO COATS TOTAL INVESTMENT v------e---- $ 6950.00 $ 8400.00 Including the Next Section to the Left to the Fence in the Rear. ONE COAT TWO COATS TOTAL INVESTMENT ------------- $ 995.0.00 S 119750.00 COREY & COREY "The Roofers" POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing,Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of$ 40.00 per Hour. PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORD SCHEDULE: All Roof Work is Normally Scheduled for Completion Within 60 Days of Acceptance and Receipt of Deposit providing the Materials are Available. Please Make Checks Payable to: ARMEN SAFAYAN COREY & COREY Warranties the Shingles and Labor for 5 years. COREY & COREY Carries Workman's Compensation and Public Liability Insurance on the above work DATE OF ACCEPTANCE: ACCEPTED BY: SUBMITTED BY: ROBERT KENNEDY CHARLES CO(� �ONSUJLTANT HOMEOWNER COREY & COREY f The Commonwealth of Massachusetts Department of Industrkd Accidents Offlce ofdnvesd9atdons 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Lemlly Name Business/ '( Organization/Individual): !'ii7 �I? _>��� ��l'�� �/_''�� C.Ca- cY c o,- Address ' City/State/Zip: Phone#: S O 77 G 9 0 y Ar-a y�bn an employer?Check the appropriate bor. Type of project(required)- i. I am a employerwith 4. ❑I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction ;I 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Q Remodeling ship and have no employees These sub-contractors have g, Q Demolition working'for mein any capacity, employees and have workers' [No workers'comp.insurance comp.insurance 9• (]Building addition x required.] 5. Q We are a corporation and its 10.E]Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their 11. Plumbing re❑ g pairs or additions myself:[No workers'comp. right of exemption per MGL 12.Q Roof repairs insurance required.]t c.152,§1(4),and we have no employees.[No workers' 13.❑Other COMP.insurance required] `Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeawaers who submit this affidavit indicating they are doing all work and then him outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached as additional sheet showing the name of the subcontractors and state whether or not those entities have employees. if the subcontractors have employees,they must pmvide their workers'comp.policy number. lam an employer that is providing workers'compensation Insurance for my employees. Below is the policy andlob site information. / /� ,! Insurance Company Name: ,r'�e/ e' e d•'t'? Policy#or Self-ins.Li..#: J ei o -,S t}1�`� y �� ,b Expiration Date Job Site Address: / ,'u e Cep f si p City/State/Zip'�E? �e r V o` � Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Imo' 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 ofupto$250.00adayagamstApyi0lator. Be advised that a copy of this statement maybe forwarded to the Offrce of Investi ations of the DIA far/ ' e coveraLre verification. I do hereby cert rdr t �ai�r a "` ° s rjury that the information provided above is true and correct Si acute: Al Date: 0 ,3 • � 7•• Phone# ® � . Dclal use only. Do not write In this area,ib be completed by city or town official City or Town: Permit/Liceuse# 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#: •� A'41C EO DATE(MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 9/16/2016 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). PRODUCER CONTACT ASh1e NAME: y Pa].Va Southeastern Insurance Agency, Inc. PHONE (508)997-6061 FAX (508)990-2731 439 State Rd. ac No: E-MAIL P a aiva@southeasternins.com SS: P.O. Box 79398 ADDR _ INSURERS t1 AFFORDING COVERAGE NAIC North Dartmouth MA 02747 INSURED INSURER AArbella Protection Insurance 41360 INSURER B AEIC Armen Safaryan, DBA: Corey and Corey ttistrRERc: 67 Sea Street Unit A4 INSURER D: Hyannis MA 02601 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:2016-17 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 UBR LTR TYPE OF INSURANCE POLICY NUMBER PO DCY EFF MPIIOII/LIDD DQ' LIMITS X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A CLAIMS-MADE F$ OCCUR DAMAGE TO RENTED PREMISES occurrence) S 100,000 9520046441 9/18/2016 9/18/2017 MED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMITAPPUES PER: x POLICY OJECT F]LOC GENERAL AGGREGATE is 2,000,000 OTHER PRODUCTS-COMPIOPAGG S 2,000,000 Employee Benefits S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO - Ea accident) S — ALL OWNED SCHEDULED BODILY INJURY(Per person) S AUTOS AUTOS BODILY INJURY(Per S HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE S Peramdent n S UMBRELLA LfAB OCCUR EXCESS LIAB EACH OCCURRENCE' S CLAIMS-MADE AGGREGATE $ DED RETENTIONS ----------------- WORKERS COMPENSATION S AND EMPLOYERS'LIABILITY STATUTE OTH- ANY PROPRIETORIPARTNERUMCUTIVE YIN ER _- OFFICERIMEMBER EXCLUDED? NIA EL EACH ACCIDENT S 1 000 000 B IMandatoryin NMIUnder WCC-500-5015091-2016A 9/18/2016 9 1812017 Dyes, IPTIONunder / E.L.DISEASE-EA EMPLOYE S 1 000 000 DESCRIPTION OF OPERATIONS belrnv - EL-DISEASE-POLICY LIMIT S 1.000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Adddonal Remarks Schedule,maybe attached if more space is required) i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL, BEFORE Display Purpose Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ashley Paiva/AMP ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INSD25 nnlanl i Coyle, Brenda From: Dabkowski, Cindy Sent: Thursday, November 17, 2011 11:55 AM To: Coyle, Brenda Subject: RE: Amnesty Program No, I have not-A brochure was mailed to him along with my business card -on 10/7/11. -----Original Message---- From: Coyle, Brenda Sent: Monday,October 17,.2011 9:32 AM To: Dabkowski,Cindy Subject: Amnesty Program Hi Cindy, On September 30th we referred Robert Kennedy of 21 Five Corners Road Centerville, to you have you heard from Mr. - Kennedy regarding going into the Amnesty Program?I am just following up. Thank you in advance. Brenda Coyle 1 Assessor's office Ust floor): Assessor's map:and lot number ..°�`T E TO��p M Board of Health (3rd floor): a �r��~ Sewage` Permit number^....HI. .�"D...••. • ST • Z 9AWSTAMfi. i Engineering Department (3rd floor) _js rasa House number oo �a}9. _ CFO YaY Definitive Plan ,Approved by Planning Board ------------------- APPLICATIONS PROCESSED 8:30-9:30 A.M. -and 1:00-2:00 P.M. only TOWN-. ,OF BARNSTABLE BVILDIHG INSPECTORI APPLICATION FOR PERMIT TO J OX 4 .... ... � . .. .. 00.o.. ...� � TYPE OF CONSTRUCTION ....... ... ,. � ......... ............:... .....�....... ....... /�lZ� TO THE INSPECTOR OF BUILDINGS: The, undersigned hereby applies for a permit according to the following infkrotian: Location �"... .. .. ..: ...«6.�lz.. o�s...... ......� . . ..... ......T... Proposed Use'.....�� �I LJ• f'L/. '::....:.............................. ................. .... .......... ........ ..r. Zoning District e � � ���/;'.!���`��..�/ ��A:4.�. ....................................... _................... .........Fire District . ....� /G(/1 Name of Owner .... ....... ... ... . !!�/V�... ... ...................Address /. .. .. .1/ .. :�. .. ...... ...... f dres . . ...Name of Builder :.... s ..V 1w / 1.. / !��'. � 1..... Name of Architect .. Address ........................................ ............................................ Number -of.'Rooms ......... . .........................................:...........Foundation j -ior � ... . �/��.. ........ ...................Roofing .... .. ... ... .................................. Exte : �o ii Floors. �...��.....�.��.... ...1.��... ..... ..:.........................Interior .. .:. . . .. . .. ... ................... • Heating ..�L. .... ..Plumbing ..:. . ............... p. i ...!!�.C/ . ........................: ....Approximate Cost .. �G.v: • Fire lace r••..................................... 3 ✓—Y Area ... ... ... . Diagram of Lot and Building with Dimensions Fee f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all,the Rules'and Regulations of-the Tow of Bar sto le regar g he abo construction. 7 '• Name ........ ...................... C7D 9C�S S Construction Supervi s•License ... (......... WYNNE, ED F • - f 'No 32-2.4.. Build Addition , ..... Permit for .......... Single .Family Dwelling .....;...y .. .. ............................................ y r r = 'r '-'} i " �• , :-Lot 4B, 21 Five'Corners Road Location a r Cente �,.rville " ...�. ...... ................................ ................ a �' Ed Winne ...i........ � - r• ,r"� ; .� , �� �` _ � - 1 c - _ Type of Construction :Frame...............4........... n �..•........... ........... . ...........�.. ........ ..... ........ , .r'• •� 4 Y9 qh i S.! w •• - R plot . *.. .. .-'........... Lot.. �" ............. � � � � ♦<• 1 t 1 i q Permit Granted ....March 21 , . 19 89 Date of-Irisp6dion ............................ .19. ' Date%, ple: . ...... .. `...19 • �!F`'' .. • _ tr - x �i .ram t _ 's _ "' i)1 "t k .,. - r r L r •r s,l,. 1 •; w 4 /•1 it e �' . _ r `ram�� 4 :.��,r / ._ r � •. wt - �,. - �• �r r� ° _ s i I i LT 4A 117.28' Lo r aA 1 45� in I N �LO N 0 d 9.4 5.3 FCIU N D14T1 DtJ ® _ DI) MENS�Ot.LS N ( NOT "TO sO41 N i =Ji.D 8 � N• N A F L o-r 4I3 47,9t:,1 S,F, R. • a��^`rsi fCISZER��JQ�' AL lk�� . r TL = -7 29.-7 ss3. 12 t �V/Yx, lj/�A5 FI-115"-s1�0111 41'�o I I III 4 I ,,. I $ / �� } � .. J ,, . to ' ---- ---- 3 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# �_ 5 ' (�' � Health Division --190 1 VAP1g Date Issued Conservation Division. c Z-7 Zbo I Fee ��33 YU �7/6) Tax Collector Treasurer Planning Dept. - SI11TEC SytfEIF9 MUST BE lN TALLC�9fi9 Date Definitive Plan Approved by Planning Board �-ab COMPLIANCE _ m r �°� TITLE 5 Historic-OKH Preservation/Hyannis 'A L CODE AN�D F Project Street Address t- l je ,)r .Village (q 0 V I -Go.71- s Owner U3e. Address 62 Lthc:a�� =" �� �►be'�- Telephone S� 8 �� ? ? JA � Permit Request 2'' X ��' , N Q vlll-ouN J o<: c/a C1 Jf:-,) A 2 Z 2001 ±� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total ne gv����?��"'"t.7.7�i�Y+.9=��'_ Valuation %�G Zoning District Flood Plain Groundwategr—MPFYy. j Construction Type Lot Size I AC Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ('f Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New' Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial Cl Yes Ao If yes, site plan review# Current Use eS' ..� Proposed Use BUILDER INFORMATION Name f2l Telephone Number S'0 , Address License# 0 S 0 t� '2� � ? b Home Improvement Contractor# F< P Worker's Compensation# e)g wec cg f 7 6I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE \-A DATE � � FOR OFFICIAL USE ONLY PERMIT NO. - i DATE ISSUED f ! MAP/PARCEL NO. t - ADDRESS ' VILLAGE OWNER DATE OF INSPECTIi: ± FOUNDATION FRAME INSULATION - r FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL -- , GAS: ROUGH - FINAL j s FINAL BUILDING r r: n - ; DATE CLOSED OUT ASSOCIATION PLAN NO;--, i STORAGE LOFT [LD' .wi6;rK �f 1 S1b.PtRGE LOFT •r - 'k c'owtM�l4ih M� •• 8 f . �{.� The Town of Barnstable IL Regulatory Services Eo �r a Thomas F. Geiler,Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis.MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date 0 l AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least'one but not more than four dwelling units:or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. r Type of Work: e� / Q r �'�C Estimated Cost Address of Work: � t F( V_e_ Owner's Name: D e f�el� e` Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law OJob 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 PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. �l OR Date Owner's Name g1orms:Affidav ....... r Department of In cc: n Once 01IMPVS110811ODS _ 600 Washington Street - Boston,Mass. 02111 Workers' Com ensation Insurance fridavit / tied ocation: 2-- a e#SAP 77 e/3 I am a homeowner performing all work myself~ I am a sole netor and have no one working is any cavicitv workers ensatioa for fay employees working on this job. lover :..::.:::::::w.::..v,•a:.,..}}}:.:{: »:<::::;?;:<}:.}:;•:.;:..?':::.}::.:.::;::;,.:::::::.::.::.:::: y:::::.:::::w..}..;:.::.:.. as � . .:..::.:...: aln +:+4•xiv?iiiil�:•:Gi;'`4;;:}}ii:{:•i:}:: �:?:'�... v ::r.}:•::4:^ii:}}ii:ii:::�i:::}}?�i:�i::i}i:>ii:i';;v:}}:{• ::::: �::'::'.... w:::.}}}:•x•:ti•}:!}:{.}�.v{.J}:. .....r...::. ..r:. .. ..................::v.v:v::::.v::.v::w;:...::::::v:.}:•<<iiw::...............::{.v 4�. .;:...;^::•:Y.ta^r^+n.y..;n..v..i`y�r'}i4'{}'^?:: .. .. ............. ................ ............ ,.............xn... ......w.x}+ ... ..}kaw..r....:;,{.{:N:::•i w:..:.:•:":'r:.".:V•:.;.. :•?•::::::::•: :::.:...:::::::?•::v::i:{aiii;:4:•::?{{j:}:•:}:::i:!r;};;;.;.v?:{.;;?.k:::;}}}}}::{-i}{;:.;.;;-:.:.•::v::••:•.+:;.:;;?{:!:;.;::..... .... :..:::..;..; ......... .............................. ... ....................................::.:..................:::........,,w......n..,.....n... ...♦ ..,...,,v.At:n{vw , ..:y:.♦.:�.:..n.. :rys..xr.n..�}... .....:.................... ............................................ .................................... ........ n.... .v::::::v::::::: .v..r:.v.+. .Mfi}C.};::nw.;.:,.. wvvvv;{{:'•:}:••; ..n..........rn. .................. ....r....................:n.......v..•::•�::•. ............ .. 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' Faimte to secure coverage as requ>sed order 3ecdon 2SA of MGL 1S2 as lead to the otarhaioai penalties otsr 8aa ap to dust.00 andr am ymns imprisonment as wen as dvII pmiltln to the torts ota STOP WORK ORDER and a Doe of 5100.00 a day a;eia�t m� I m�d� d ffixt copy of this statenent my be forwarded to the Once of Iavestigatlons of tha DIA for o� that the in ornration provided above it t5�and eoffe d. I do hereby Iy he p ' p � fPali+r!' f S�eatorc �. Date _ � ofndal use only do not write in this am to be completed by city or town omdal sndyllewe tt ❑Bu UbLg Departtneat city or town: Board a�g Office ❑cheekif iamtedb"response is required ❑Heslth Depar""" contact person: Phone (myan 9/95 PIN �• • ' 1 - • - . • loop ••p . .. • •1 . . 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Il 1 1 •• 1 1 1 .1 1 •• 1 •Itll• 1- .11 1 p /111�• �.•J I 1 1 • 111 till 1 • • •�• • .1 11 • • poll • is • •.� 1 •Y-U fell 1 • •I11 Y. • 1 S1: • 11 • 1 • • ✓•Ill . it/ 1 • • • • i11 • 1 11 11 :111 11 - � i• • 1 _ — - -� I / -• .1 a 111 111111 • 1 - i• • •. 11 • IINI�• 1 1 1• i11 11 11 •11.1111 tit 111111 1 a 1 / •I 11 • 1 l/ 1 • :.fll 1111A 1 •�l•1 11 I 1 i i• • 1VIL • •Y•1• •Il • • • to 1 • 11 I .Il • • ���j���jj��j�j/�j���jj��/�jjjj��jj�jjj�jjj�jj�jjjj/������� 1 � • p1/ll/l / / h • 1•1 1 o Y• 11 111 •11 1 1 11 11 1 1 1 , (ftwil1 muk 11 11 1 11 � • 1 1 1 1 I t . 1 / l l 1 • ' I l 1 1 • I ' I " The Town of Barnstable er►exsrwer.>r s� 9q, r659. �e� Regulatory Services Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-62=0 HOMEOWNER LICENSE EXEMPTION Please Print DATE: �g � 10B LOCATION: 1014 number&Lo s t G village ..HOMEOWNER•': 1 V ^�7 ( • e / / home phone# work phone# • CURRENT MAILING ADDRESS: � rt 7` / -`I a641� . aty/ton w state rip code The current exemption for"homeowners"was extended to include owner-occu ied dwellinss'of six units or less and to allow homeowners to engage an individual for hire who does not ossess a license, rovided that the owner acts as supervisor. p p 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 Dep me t minimum inspection procedures and requirements and that he/she will comply with said p e ur and r q ' e 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 pan of the permit application.that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMMN I�j7 Zef�/� ' . The Town of Barnstable M $ Regulatory Services - 4''°TEc ;y►�0 Thomas F. Geiler, Director ` Building Divisi on Peter F. IYUNIatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 508.862.4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW - ' SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair.modernization.conversion, improvement.removal,demolition.or construction of an addition_to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors.with certain exceptions,along with other, requirements. Type of Work: a Estimated Cost Address of Work: Owner's Name: Date of Application: i I hereby certify that: Registration is not required for the following reason(s):� MWork excluded by law []Job Under$1,000 , ❑Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED. CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL.-c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name. Registration No. OR Date Owners Name --"'7- ,--�_ The Commonwealth of Massachusetts -- -= Department of Industrial Accidents ��--°- 01�ce oflovestigatioos . 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: Rebf#4 E t K".Y= location: ;--( Citv phone# I am a homeowner performing all.work myself. I am a sole proprietor and have no one worlds in ac�ty %/////////%%/////%%////01,61;M/�0/000 % ❑ I am an employer providing workers' compensation for my employees working on this•job.:::::.::::: .:::::::.::::::::::::::::::::::::::::: comosiv nam — ':"4':j;:;:?t�::?ii ii:is ii::??:v iii?ji`i}:>.4J`isis�:}ii:'Si:'i::;::.i:}:ti:��Y':;:;::;:;:.:::iSGi'vY.ij::;:C•:;::}:i;i }ii:�iiiJ:+:�SCi s�i'i'r`i:}!yiis�::ii: -::}is:::::+._:Y:Y::j:`{.�:.:':^ Y::':::>'iiii::':;iii;:i:;ii:>.!.:is?>.i:!:v:::?:;?{:..........f$i.:.............:j{::L c' MM>ah n XtX. "i; .................... ' ........ il3uraice i . . �1 ❑ 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: comany riam aes ;•:.•...:...:•...::::•:.,::::<•.:.�:•:.,:::;:::::.�::::::.�:::;•::•:•;:•:;•:>:•::•:;•::;zs;::;>:>:�»:?•;s;:�>s:�:�>:•s:�t:�>:;�;::;.:4t�:;•::s>:�:�:�»i:<�>:�>:�:<zr:->i:�:�>:�s»:bhOtl ...�•,. :lnsnra�r ...................... :. '3RIe'a''•'i::........i.`;::;:{:;;:i:::%;:;is:%_:; :::::::ii:;:::;;;:y<::::t;;::%::?z'::::....:..... no :•:::::.::_._::::•::•:>:-::a:•:••.:•::.:::::.,....:..:•::.:-:.::::::•:•:::._....:•::::._::•:::::•::•:.�:::,•.-.:::::•:••:::-::::::::: i adslr h :::::...........................v::::::.. :........ :....:..........:................................... .-.....:;;': :...,:....................:.::.::..:.:.. ..:... ................. runrance.ca. . Failure to secure coverage as required wider-Section 25A of MGL 152 can lead to the imposition of criminal penalties of aline up to_$1,S00.00 and/or one years'imprisonment as well as dvll penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby c fy p and penalties of perjury that the information provided above is trru and correct Signature Date 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# rIBuRding Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office (]Health Department contact person: phone#; — ❑Other Oevind 9195 PJA) Information and Instructions , Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their emplovees. 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. 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 pen.nit/license number which will be used as a reference number. The affidavits may be returned in- the Department by mail or FAX unless-other armligements 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 Unce of InvesugauOus 600 Washington Street Boston,Ma. 02111. fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409..or. 375. Table JL=b(eat Prescriptive Packages for Oss aad Two-Family Readmdd BmddbW Aa+md with Foeoi Fuels b A=um GIa>zng Gh=g Ceiling Wall Floor Baaemen3 Slab liearing/Cooug Area'C/•) U•vclue= R-value'. R*value R-vdud Wau miarea Pad<aae R,yahta+ R.valoor 5101 to 6500 Heatle;Deg:ss DaW Q 12:'• . 0.40 3E 1 13 19 1 10 6 Normal R 12% 0.52 30 19 19 1 10 6 No:zl 030 38 13 19 to. 6 95 AFUE wf w T IS/. 036. 3E 13 23 WA No U 15% &46 38. 19 19 10' 6 Normal v 1 S'/. 0.44 38 13 25 WA WA 95 AFUE W 15% 032 30 19 19 10 6 85 AFUE X 13% 032 38 13 23 7WA N/A Normal Y 18% 0.42 311 19 25 WA wA Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18% 0J0 30' 19 19 10 6 90 AF EJE 1. ADDRESS OF PROPERTY: 2 Wt 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3aD 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q-AA-See chart above): V NOTE: OTHER MORE INVOLVED METHODS-OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FORTIES INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a e Footnotes to Table J5.2.1 b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to .1%0 of,the total glazing area may be excluded from the U-value requirement. For example.3 ft'of decorative glass may be excluded from a building design with 300 f of glazing area. After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a: U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-:8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation.plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned.space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall.For example,an R.19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. W-f requirements apply to wood-fratne or mass(concrete,masonrylog)wall constructiozL%but do not apply to metal-frame construction. 'The floor rCquirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or carages).FIoors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mcr: the same. R-value.requirement as above-grade walls. Windows and sliding glass doors of conditioned be.,ements must be included with the other glazing. Basement doors must meet the door U-vaIue requirement d-scribed in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;4,or S. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J51.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels. X-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested and documented by the manufacturer.in accordance with.the NFRC test procedure or taken from the door U-value in Table 11.5.3b. If a door contains glass and an aggregate U-value raring for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(Le,may have a U-value greater than 035). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component: Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). 43 of t"e roy, The Town of Barnstable w BARNSTABLE, *� 9�A 6'3; ���° Regulatory Services Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main Street,Hyannis MA 02601 . ce: 508-862-4038 Fax: 508-790-6230 - HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION:_- f—� T�( vP Cotne-c number street village //�- "HOMEOwNER": L — Z Z 6 — 6 �� name home phone# work phone# CURRENT MAILING ADDRESS: 2- city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an.individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use 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 Dep ent minimum ins c ' n procedur s and requirements and that he/she will comply with said ur s and m - i of Homeo ner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations,for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part.of the permit . application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXE1vIPTN • � v` '' • - � ,'i; ,��S�c"r ,.t' a ;.,fir, r I71� I 1 .+ f - ..•;:�- •+w✓�s�.*I a ,�� ' rid - � ..� y '6 M t � r" r O � O r r 4 I w �aCj��._ THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^�C(, I DATA h.r. .� Ai s fy' y 4 i A y p J� Yr11 fi�'f y !1 X j y, T f {.., 4,r .. i.: :r 5 f F t 41 ' - ,ly hi �.•� ;ix *day ¢...�� p �•„... r I •� s ` 4r f �xS.�bakf x .v k Y• yk� � s � t q a: y Ilk 1:1 .. 'r• +'�'ro_+•."'wA''V,`t., a'� - Y`,� ` 7; * 13,•u..plaf. ox{ r.;�.,. \\r� f - A t` 5 "3: y} 4 � 'dY }' ��r'u "� r •may.. '!�ew '�"�, �•��Cy' �. �,'•W k .ram' + °- ( .c, , �a,o aL T fa � '�_,s• 41 Xili -" �., vd'iq�?-' s:� .( iroinf •t� +zr'' '.�"i -'. ft ! '+��-�''1 r. !t,et-�.��"t.,s-* '�=k..x -. _..:. -- -- _ .-- --� - AIT P5 ,,.., jk.�.,r' q s k �. ASK- •i, 4-.).'f- '=L.,y, .yy,�� ? •`Y.nk `:GyL �3 3 i OF 't 1 3 , K '�P ar J Fl"•S,° p., yb '�'r'!'W� , 'RAI All: - s - IV W7 -Mil� 5 MR n'= 4 , f r r x 'f rfi�•�` r� i ;z c aer..�ar }{J •y '7 MI'm i ati, } , . 4 t a i ! +a' i 3 f 3 F f• � ♦ K Y} R168 091 . LOC 0041 FIVE CORNERS ROAD CTY 07 TDS 300 Co KEY 1 94221 --.__MAILING ADDRESS------_- PCA 1301 PCs 00 YR 00 PARENT 0 WYNNE, EDWARD C MAP AREA 38AC - JV MTG 0000 58 HIGH ST SPI SP2 SP3 UT I. UT2 5. 60 SO FT S GLASTONBURY CT 06073 AYB EYB OBS CONST 0000 LAND 112900 IMP OTHER -----LEGAL DESCRIPTION---- TRUE MKT 112900 REA CLASSIFIED WAND - 1 112, 900 ASD LOD 112900 ASD IMP 'ASD OTH #DL LOT 4 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL FIVE CORNERS RD CENT TAX EXEMPT #RR 0545 0530 RESI DENT'L 57100 112900 10900 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE 00/00 PRICE ORB 2926/2 AFEI LAST ACTIVITY 00/00/00 PCR Y Assessor's offioe (1st floor): ' 0*THETO Assessors map and lot number ......................... ................ �� �♦ Board of Health (3rd floor): Sewage Permit number ...�............... . ..... i BAHdSTADLE, : Engineering Department (3rd floor): ,J� o NAG& 0 House number p' 0 16 0 MIN APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE--, BUILDING U HG INSPECTOR APPLICATION FOR PERMIT TO ....�.�.....���". {�................ ................ ..pt.� TYPE OF CONSTRUCTION ......- `�-.-... ......>--......198.6- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: j Location ko m ........1..0 'l�}a�, .f lC...... , 4 Proposed Use .........: � ..©�..9Q f....:..""" ............. .................. ZoningDistrict ..............R.0....... ......................Fire District ....................................................... :.................... Name of Owner .. � °!. �.L1,9�(0<1. ..............Address ... ttq. ...5 �a(.: .!f1ti tc..:I,3`• -,.U)141-060 .......... . Name of Builder !. !U .C. ....11 .�. .�.�. -r C�.......Address Nameof Architect ..,:,.......Address ........................................................I...........I............... Number of Rooms Foundat'io�` / ...................................................................... Exterior ..........: .. .............................................Roofing .....(.,., CC� 1\..... `: .... ............................ Floors .................. !QDb...................................................Interior ..... L Heating <� :�1....�-lt! :..... a. .C.! ''��........Plumbing , ;C, Fireplace ...........2..' ...............................................................Approximate Cost ' a. �� . ................................. Definitive Plan Approved by Planning Board --------------------------------19-------- • Area .. ............... Diagram of Lot and Building with Dimensions Fee � ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r x J sr J f L) d; 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 .... . ! !,. ..., ,.►!J.. ✓�1.. ........ � .: Construction Supervisor's License .................................... I WYNNE, EDWARD C. // =7- No ...29.781... Permit for ......Build Additip Single Family Dwelling ............... Location ...9 Five Corners Road ................................................ Centerville ............................................................................... Owner . .Edward C. Wynne ........... Type of Construction Frame �. ............................................................................... i t Plot ............................ Lot ................................ Permit Granted .....Au uat..1.3...............19 86 Date of Inspection ...................................19 .Date Completed ......................................19 7 �2 31 � s JO �y oV o SEPTIC E��TE� ��gST �� AssessoP's,offio� (1st floor): f jt4COMPLIANC NET Assessor's;ma and lot_number �® of o t # .mot • p @�PITII TITLE 5 Board of. Health (3rd floor): TAL��� Sewage Permit number :.... ..... .4V..( .a.. ;� ����®I � 14 :>J BaaasTance, a �E��L ' Engineering Department (3rd.floor): •S. �, +o MAOa House numbera �`J o tb}q. \00� ............................................... APPLICATIONS PROCESSED. 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF : BARNSTABLE BPI LDING INSPE.CTOR /�'/ / ��////77 n�yJ r" APPLICATION FOR PERMIT TO .fYl.�G G.. �IvV... .. . . r//!C, TYPE OF CONSTRUCTION .......(IYQD ?...... 7?� ........... • • ............................ ...... TO THE INSPECTOR OF BUILDINGS: _ The undersigned hereby applies for a•permit according to the following information: { ` Location ...: :.. . .. � . .. :..... .. .................... .......�........ /5 v4�.:... ProposedUse ........D.t'4.. .......��fL.(L./...............:.......................................................................................... Zoning District ............./ r ...........................................Fire District ' ` D "' /j�................................. ..... 1...!... Name of Owner.zAA .....144 � .............Address ` }r ......................................... Name of. Builder ...Address Name of Architect ..................................................................Address ` ......................J..../........................... Number of Rooms ........:I . .... � C�(C.. ... ...................................Foundation .......( !..:: ,`. ................................... lz Exterior ..��- ....................................................Roofing Floors ......................................................................................Interior Fleating Plumbing ........ ...................................... ................. w v Fireplace ...� .......Approximate Cost .......1 ©®®� �.............. ..................................... Definitive Plan Approved by Planning Board ______________________ _ Diagram of Lot and Building with Dimensions Fee .... .... ........� v.................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 • 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. ' � �•�� l � `lrL�d1 D/ Name ..... Construction Supervisor's License .................................... _ _ WYNNE, EDWARD ✓2 i. j. b ti 29717..... Permit for ....MQ.VF....................... ,. .:...Single..Family.DW..j.j7.ng..................... I• , Location ........LotJtl......... „Uve...C.orner.s..Road ! ..................... .................................. �l i Owner .....Edward..Wy.nne................................... Type of Construction .........Frame r - ' ................................ ................................................. . .......... Plot ....:....................... Lot ................................ Permit Granted Ju y„31....... ..:-19 86 t Date of Inspection .............................:......19 I✓Date Completed .............�I- C r i � C/ • As'sessor's offioe (1st floor): Assessor's map and lot number ..A ......... .. °FtNErc Board of Health (3rd floor): Sewage Permit number ...... ..-:....t.. o. ... i BaaasTsnLE. : Engineering Department (3rd floor): Cy fj� o rasa House number / ? o .b}q. \0 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF .,BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .J/ (� f� ! �f .......... � �� © /„ TYPE OF CONSTRUCTION .......4) Q !.7.,� .......... '"... ?.....19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............. ............../...... n,� �L ProposedUse ........E�.CIF!......................�i�................:.....................................................:............................................... .......... ................................................Fire District .......... Zoning District .... /..�.� .!�-..:.�..-'!.:�.1...!.................................... Nameof Owner ..,4. ..... ...........................................Address ................Gf.... ................................ L ..............4 . Name of Builder Address ................................................. ............................... ............................................................ Name of Architect ..........Address (AA,........... P......I....... .... ........................ • Number of Rooms ......... ....................................................Foundation .... u................................. Exterior .�a(!11�t.!5� <.!.....�.....................................................Roofing ..�1"` ...a .� ...... ........... ............. ......... Floors ......................................................................................Interior ............................ ......... , ........... r Heating ....%./...f.h................................................................Plumbing ......... Y[. '.f..,............�......................... Fireplace .. .••-`. .......................................................................Approximate Cost 'Definitive Plan Approved by Planning Board --------------------------------19-------- . Area • Diagram of Lot andJBuilding with Dimensions ee F / .w ......�/ . ........... ...... ......... 01 SUBJECT TO APPROVAL OF BOARD OF HEALTH �'�� ti P i E V � r t � V 1' j 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. �• j`�(�-��p . \ .�` �/ ' " � S. 0 Name ... f���r .. �11.�f 1�!L. G/0��� Construction Supervisor's License .................................... WYNNE, EDWARD A=167-29 RI ve A No ..... Permit for ....Mo.v.e......................... ......SiKlgle...Zamily..Dwelling................... Location ...LQ.t..Jt.I.v.....9...Five...Carnars--RGad .....................C.P-ntex.vi 1J-e........................ ......... Owner ............Edward..W.yxxne............................ Type of Construction Frame.............................. ............................................................................... Plot ............................ Lot ................................ Permit Granted ...... ......... .......19 86 Date of .Inspection ....................................19 Date Completed ..................................(....19 "—)Xzb dYN,.n y n W :p t TsT4 x .^ ^v »rr .. 4 .•;tYr .x `z'h r. .ram r IiX Assessor's office (1st floor): OFTNETC Assessor's map and lot number ......................v................... Board of Health (3rd floor): p fO Sewage Permit number ..!�.��'...�� . . .: :. ' Z DAUS AXLE, i Engineering Department (3rd floor): ai ( �/,� moo t6 9, �+ House number s, 3 `e Definitive Plan Approved by Planning Board _______________________________19______ , APPLICATIONS PROCESSED 8:30 9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 6 �[ d. .... /1 ,��../C.// �� t TYPE OF CONSTRUCTION .... � 0� � 1.-- /��.zc.✓. ...2 ....19.__. q TO THE INSPECTOR OF BUILDINGS: The undersigned hereby for a permit according to the following information: Location ...7........ =--(...........�v ......C..... D.0 .................................. Proposed Use .....7.��`":.�l�/��� ��/ .» .....,...... ........................................................................... .................... .. Zoning District ........................................................................Fire Distract ..,.....-.. y .......... Name of Owner :................. r...................Address ..... /..... Name of of Builder *`�.... �� !�!A�d'dress Name of Architect ..................................................................Address Numberof Rooms ......... ........................................................Foundation ..... ........................................................................ Exlerio• . �1, ... / , ..................................Roofing .... .. .. .... / 0`V Interior ..,�� . Floors �.......... ..... ............:................................. o .�. Heating ..j..... ............................................................Plumbing .... �........................ Fireplace ....�!�.�...................................................................Approximate Cost .....,..1/.,��o .- ............................. 2 Area ................................ Diagram of Lot and Building with Dimensions Fee t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS r� I hereby agree to conform to all the Rules and Regulations of the Tow of Barnsto le regarding the above construction. Name%... ..V.—.... :........................................................... Construction Supervisor's License 0... . � ......... WYNNE, ED No .3.2.7.2.4... Permit for .... _ld...add.iti.on ` Sinqle Family..pW.e j.i. ,q,........ Location .....Lot...4.B 21...F.i.ve...Cornexs Road .................. entery 1,j.p................................ Owner ....Ea...w.Ynne........................ ................. Type of Construction ....FraMe......................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ..March 21 , 19 89 Date of Inspection ....................................19 Date Completed ......................................19 V . The Town of Barnstaple Sz�B Regulatory Services � Director 059. �►�`��� Thomas F. Geller, . Building Division Peter F. Dim/ atteo, Building Commissioner 367 Main Street.Hyannis MA 02601 Fax: 508-790-6230 Office: 508-362-4038 HOMONYM LICENSE EXEMMON . Please Print it DATE: �^ (/ S � �. vl I 2 r � r�P village . JOB LOCATION: stmt ' 3 number 7 "HOMEOWNER": home Phone work phone'# name J CURRENT MAILING ADDRESS: saute rip code city/tows. to inc i The current exemption for"homeowners"was extended include Owne!-occupied dwelling's of six;units or less ed that and to allow homeowners to engage an individual for hire who does not possess a license.nro�i� d the owner acts as sunervtsor. DEFINMON OFHOMEOWM s who owns a parcel of land on which he/she resides Or fiends to reside•on which there is:or is Person( ) accessory to such use and/or intended to be,a one or two-family dwelling•attached or detached st period shall not be considered farm structures. A person who constructs more than one home intwo-yearicial�a form acceptable to the a homeowner. Such"homeowner"shall submit to the Building Building Official.that he/she shall be res onsible for all'such work erformed under the bilildin� eemit. (Section 109.1.1) v Cod and The undersigned"homeowner'assumes responsibility for compliance with the State Building other applicable codes,bylaws,rules and regulations• understands the Town of Barnstable Building The undersigned"homeowner certifies that he/she and that he/she will comply with said artment minimtun inspection procedures and requirementsi r e es and req ' ents. Signature of Homeowner. Approval of Building Official g 35,000 cubic feet nrtrolger will be required to comply No te: Three-family dwellings containin Co with the State Building Code Section 127.0 Construction HOMEOWNER'S E=MMON work for which a building permit is required shall be exempt from the The Code states that: "Any homeowner perform ia8 etvisors):provided that if the homeowner engaees a provisions of this section(Section 109.1.1-Licensing of cAnsaucatm sup the responsibilities of a supervisor(see persou(s)for hire to do such work.that such Homeowner shall act as supervisor.assuming reap .section 2.15) This lack of awareness often results in Many homeowners who use this exemption are unaware that they an ,rest the Appendix Q.Rules&Regulations for Licensing Construction Supervisors case.our Board cannot proceed ao persons- Ia this responsible. serious problems.particularly when the homeowner hires unlicensed p as supervisor is ultimately reap ail of the permit unlicensed person as it-would with a licensed Supervisor. bis IU homeowner rronbilities.many communities require.as a of this issue is a To ensure that the homeowner is fully aware rs his/her responsibilities. of a supervisor. On the last Pconiiiiumny. application.that the homeowner certify that he/she understands the responsibilities form currently used by severs!towns. You may care t aatead and adopt such a forrNcertification for use in y DESIGN DATA ' or M� STRUCTURE S11JG(-� �hlntt Lf t1=1 DESIGN X 110 G PD 9874 0 0 a z SEPTIC TANK G/dL-T31.IK' fG15TCaE�p LEACHING RATES SIDE AREA Z�S GPD/SF t►pos - - - -- -- SOTTOM.AREAL.DGPD/SF LEACHING FACILITY 1 \ - 1� !o Cbxc F� L.P. WHIZ 5-rc�hll= 3oo'f �Fzoti( n« / od s, ? u•n-a %A4= 1Z-1,,,5, ;FSo-r. &,2-E t" u ? 5 4- (r79 k 1 o) r 3 I ! \ r 4 may\ \ -0J.nIw PLAN REFERENCE v � \ ` \ s y9q _- I � � 1 Z _ P� r� r�� f br_c•� \,� (��-r�o�nt � cl � lo' \ 1 1 Q"J SZ .60 Zs. --D ' F'YJ �m.tnril,WHO co R •6'19.c, ASSESSORS LOT NO. Iloi �do-r nc PC1_. EFFECTIVE-27E�rM 1`SST'RI-ICTED I I 1 NOTE, 91 tJ f. !X1 m c•t p �oZS�hhov = tN� aiS.c r \. \ .' :p'"�LL ;t7 D! �- l:ALL MATERIALS AND CONSTRUCTION METHODS 96G TO CONFORM WITH COMM OF MASS. TITLE ENVIRONMENTAL CODE (� -_O •7c.�' iz• \ `',•.- �R / / .�� `,NE to Z.. LOTS �•ILi L•{p 7_ GeE �X �2 �11-1cT� P-y d'y � 1=.flV\/�•C>T�G.�1�1I�1hIC-_ 1 f L -r t4 P,� F= II �- J 0 ` 14 -r0W1`l WdfPst' 7\Vd1L tiu�1= nil • SO 50 a� �� y.., � I T � (I Ep\ F M��9 as y N UUN TO W to �.\AT ER 1 3�20flzG�a c 2 ti T�� _C� ----- - -'•- - --•=------- �ROP PLAN. P CIS SCALE-I"=No' TEST PIT NO. \ TEST PIT NO. Z \e 1A�ESZ 0�R\rIC� W A ELEV. ELEV. 5?-. SOIL OBSERVATION PITS. 1--SUSS - 55.5 q .S �� . c�u psot�. Lptat.ti DATE OF TEST 1c I ti Z 1�3BCo 50 Z� 1sSot`- ;• ENGINEER T 1 lU t_I h1 loco Q� �o )C LAI L•P B.O.H AGENT-�' • ��n �1 W�Z SCONE EXCAVATOR e- L_&t.A T>1- PERC RATE INT.P.NO.—ATS.S)=T-�-_7•MIN./IN. s.s sd�n L_o-r 51 F R- la s:s' '7' ELLIS & THULIN, INC. jz E�crr. A41.8 LAND SURVEYORS AND .CIVIL ENGINEERS t.10 �ih.ZEFz EAST SANDWICH, MASS. i y0 IZS l.,o.�sc.-T PRoQos�a 'r ' SCALE Vlt>a: I"-1o' \j :I _s SECTION 1THRU SEPTIC SYSTEM i L-r 4A 117 2a" Lo r zA E3 in In • 36.45' cv 7.0 N .4 4.0 N n 9.4 SUN wmow N NOT Tp sc�41 E N i 1!i N J LAAA N LOT -4$ of "' w� N y 47,961 s.F, • � " b:'z9�b' a fCISSE�``�JQ s' al LhN� TL '719. `— SS3. 12 i "`_ Fi V E Co,,,,,ElZS �pA�Tj zKE . .�ti : The Town of Barnstable M,►ss $ Regulatory Services 1 65 9. ►•0 Thomas F. Geiler, Director ED MAC Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. r 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. Cost 0 Type of Work: Estimated / Address of Work: Owner's Name: Date of Application:�t t 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 " ffOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Contractor Name Registration No. Date Dace Owner's Name 9 :forms:Affidav:rev-070601 i i RESIDENTIAL BUILDING PERMIT FEES . APPLICATION FEE New Buildings,Additions $50.00 e Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE wORKSHEET NEW LIVING SPACE s e fe 6sq of= x.0031= PIS NO ow a cable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq. >120 sf-500 sf >500 sf-750 sf >150 sf- 1000 sf 75.00 / >1000 sf-1500.sf. >1500 sf-Same as new building permit: 'P UQ square feet x$96/sq.foot= 1l- , ado x.0031= _ STAND ALONE PERMITS Open Porch x$30.00= (number) Deck (der) x$30.00= ��F � ✓ Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) �j —� Permit Fee projcost i 2 a 122� / G C—� Table J=b( praeripttre Paeka6a for One wW TwaFamil!Rsaidmdai Soildlap Heated will Ftunl Ftteh MAXIMUM Mum Glaung Glaung Ceiling Wall Floor BteraDeat Slab 'n °Ot'°g Area'('/o) U-value' R value R vaiue� Rrvaltt� Wall mm �a Package _ livalna' 83.vaios' 5101 to 6500 Heating De6eee Dam Q 12". 0.40 38 13 19 10 6 Normal 032 30 1.9 19 10 6 Normal S 12.". 0.50 38 13 19 to- 6 8S AFUE T 15% 036 38 13 2S WA Wt Normal U 15% 0.46 38 19 19 10 6 Normal v 15'/. 0A4 38 13 25 WA WA 85 AF1XE W IS% 032 30 19 19 10 6 85 AFUE X 18% 032 38 13 2S WA WA Normal Y 19% 0.42 38 19 25 WA WA Normal Z i s% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2 i f1 V e Geii" s 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q4=4980303a Footnotes to to Table J5.2.1 b: ` Glazing area is the ratio of the area of the glazing assemblies.(including sliding-glass doors, skylights. and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area. expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft'of decorative glass may be excluded from a building design with 300 ft of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-;lass U-values cannot be used. ' The g ceilin R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity " insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding,structural sheathing,and interior drywall.For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or Garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must R-value requirement as above- a walls. Windows and sliding glass doors of conditioned -t the same . mc_ 1 br.,ements must he meluded'.with'ti other glazing. Basement doors must meet the door U-value requirement d_scribed,in Note b. _ 'The R-value requirements are for tialri:aied slabs:Add an additional R 2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5Z.1a NOTES: a)GIazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors.in the building envelope must have a U-value no greater than 035.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC•test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 035). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 .. Ilk i t I i / I 4M.,MA I JI• 11 1•111� 1 J •.Ir NIr111 1 ••Ilr. n ■ t1 1 r111• •1 • •111 • 1 r.•-. •III U'r• vl\ \11 UI 11 � � 11•III_ 1 11 •• . ?4YZ@�V:Yn;NSZoD� . 1 - lu — 1 .•nnr. •1•- — • • •'1 :111 \ •1 ••/.MI.1 ' JI Illlr Y•1 \1 1 1 I �1 ' 1 • 11 \ ••'11 ••\r.•.1 �•1111•—11 `✓.11•II r\ •'�. 1•• 11 1 I I , .. .� .,,..., .:� , .�t� ..•....._:'['u .'�'.ay;cxo '� ,++t .�'�oria�c%�:v�'y%'2�',�,��,,2J:�aii�4i �j';'.F�r,.�itc�� �.fw�'a,Y" �R;-:.,w. ��:,, ,...§a.. , �"x'"��:. �esr..... ....,`tijJt:;:x< J:w:,�c«:k;'., \•r`:�::>:�r�i��:.:::;;r�.« ... � c;:�"''�' e-.�.. ,,,a�m•.ge., awry, o . e vitit• .tE'J.•Y,:� .:�.... y i��:�vin.:..: �y:o�9.^*>;`':;o%%.'o�5-�A...R2;.' •.:•.bY �Y�.R..�. :��:: �:�:Y�??hF�:n<: ..:a!, '::yr..eR-2K'�. C..•\:��.,>M. ? ka:: ,�oDt?%A2'3.J.�.'. y^;'q,:2.�.._.-. 'cQ{aY:;:••o,::;:o.`t6y.:y.:'.`.;..;R +:.., :.. c .c,2uta z::tiJ...p `:�:Y•JY !i9 `1'vi.,'),,�:�::; a do not wrft in tWs am to he aunpleted by c" ; ' ' _ • 11 _ 1 �b 1. II g .7. 1 city or town: ULkmdng BOArd O • ■ ; Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers* compensation forth.;:: emplove-..s. As quoted from the "law",an employee is defined as every person in the service of another under anv cczzr of hire, e:cpress 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 representstives of a deceased employer, or the rec.-n-e: 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 ofthe dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds C.- building appurtenant thereto shall not because of such employment be domed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewa., 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,nemtherthe commonwealth nor any of its political subdivisions shall enter into any ca [tract for the performance of public work uffii acceptable evidence of compliance with the insurance:requires of this chapter have been presented to the c=ac"`7- authority. - Applicants Please fill in the wort=' compensation aff d our avit completely,by checlang the.box that applies to y and supplying company names,address and phone numbers along with a c=ffu=of insmaace as all affidavits maybe submitted to the Department of Industrial Accidets for cemffrnution ofinsumantx coverage. Also be sure to sign and date the affidavit. The affidavit should be retained to the city artownthat the application for the Pernik or iicinse is the"law"or if ou being requested,not the Departtamt of Industrial Accidents- Should yga have nay gaestioms g arCrCpiredtoobtainawmims'compensation policy,Please call the Deparnneat atthe mrmber listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Depamtatent has Provided a space at the bottom of the affidavit for you to fiIl out in the event the Office of hmstigationshas to contact you regarding the applicant. PL�se be sore to fill in the p=.nitilicease mimbet which will be used as a referace n>�er. The affiavits d may be reammea to the Department by mail or FAX unless other anaag :ncnts have be=made. The Office of Investigations would like to thank you in advance for you cooperation and should you have nay questions. please do not hesitate to give us a caEL The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Dllice of Inveogations 600 Washington street Boston,Ma. 02111. fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 i 0 .. .Propose.d Addition o.f Upper Deck Robert E. Kennedy. Owner (508) 771=8187 and enlargement of ExfstJng ;Deck at -� 3Z 1 D 2`1 Five Corners Rd , ; Centerville yz� ✓' IY � z y Proposed`Pooh; 1 tpeCmit applied fo'r) CATF 1 , SHED : D . INV. TED �-19.0 O (� \ \ PDOL tr p EFPEl{' \ r-eNce Ile FV.SrM/0 Proposed.$' x 24 Deck 1 So m - F a y r J I 1 f� VA P- - ' 5• The Town of Barnstable s 97 'Am �0� Regulatory Services 'QED Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 i Fax: 508-790-6230. Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the`reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. 1 Type of Work: i"p() �' Estimated Cost Address of Work: Y�e J-'1'�' k): `�v Owner's Name: M J Date of Application: q I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby pply for a permit as the a t of the owner: Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav The Commonwealth of Massachuse= Department of Industrial Accidents 011lcgVUB restigotloas _-- 600 Washington Street Boston,Mass 02111 Workers' Com ensation Insurance davit ///%/�/M,r1l//00//171711111,%�,. name' , location �1 r'" k if city �� 1 vhone# ❑ I am a homcowner performing all wank myseM ❑ I am a sole a=mmie=and bave no one in anv carracity I am an employer providing Wumcaz vJuWcnsa=a for my employees wading on this job. .......! ,..:::.xv::.:v:.::::•}}::r:•..•a:.4 xG...vwrvr.::.y.:n4.4}•r.,}... vnw.v::...::•:.v.::. .. .}:.}. .......::..i.... ... :}::(:ti{PxC�ti~:}:;:;:;:;:j�:S$yi}<i:;:f::yii$iris•':;::�';$:?ti;:i$ii}�'r'ii$:}?:?:j:.j:?i::(�:�:�i}r:v::ii$:���i":•::�::r:�j:.:`:t••'vi::••':::'4?i•i�`•:!!:.'� ::v ....................:: ..... .. w:w:::: .. ..:. :.-. �" ..........n,:.v:v}•::.},::.:h•v::.v.v: w::::.{-.{v-.v:.:v:::::v:::••}:v;}:�{:{:'•i:{::�i:•.�.{::::.:::::::::•::::�.i-:'::?:.:.....' �::::::•. .. .................... ..:x.,.;r�., ....... ..n... .x,4,h}}�}}riVx\U.x t::v4xx' :v{{$$:tw.w:::::.:,• .. ......... v..MSO:•iL:xv:•:. :.....<:%?•}};r.:::t..:•x{:..•:.r+•::4}}i}:4}i:{{{4i'::.:::{:::..::..::i::::.:}iii:�i:{•?:•:.�i}:•i?�? •i:?f<:>: ....,... ..:.r.................. ........ ........:.:{. ,;:•:. .......,..... xr... .nti..•...-.•.::.:.....:.t ............................... .................. ...:.:-: : .v.. .... ..}....,.{)i.:::$.2:}:J:4x:{{:?¢T:•x•i}}}:?•}:4}:{4:ti•}}:•}•}}:v:... r:::::::.v:v:::::•::..;.................:..v v.:_:v:vv.vrv::.: .. 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Fsikcn to sacum cawerage as tequzz trades Seediam 2SA ofMM 152 tm bnd to the impodti—of-situ'penaltln of a Am up to SUM00 snit one yam,inqzrisonment as wen as dTII peaaltirs in the form of a STOP WORK ORDER and a ttaa of Sr00.00 a day against me. I undratsnd that s copy of this statement may be forwarded to the Oise of Iavesttpd m of tide DIA for corerap teriiladon. I do herrhy certify the paact and penalties of pefrwy that the information provided above it urs: corr'' q 29,g Date prim TIFIMP o1IIclal use only do not write in this area to be completed by city or town oftftlal dt7 or town: peradocense o ❑$ufldin;Departm' ❑Ilcensm=Board ❑checiclf innnedlate response is required ❑Seleccnen's OIDcu ❑Health Deparmau contact person: phone th. ❑Other I �� � � � • �_ � � • • �• • • .� ••r• �•••1• • • • �• • •/// • • I / / • • �• • •/•1• �• • • • .+• ow • • • •• •1 •. as.• • I• •M • • 0 !fee 1 • / • •• • 1•• /• ••• • _•• • .1• ••• •1• • !M••1/ H • • • •. b• • •+•111 • ••w•/ • •mow••_• • • • Iw _•►••1• • Y.•.� •• .• _ _ • 1 1 I I / I r • I 1 • I • •U 1 1 1 .15 • / •11 / 11 1 1 • / r • 1 • • :j. 1 /1 YI 1/111 • 1 1 • 1 • • - • • 1 - / r / / 1 1 • 1 glosses•1• •• 1••.•: '1• ••/ • '1 •1• • 1 w•11 /1/•• .•• • V•1./• w _• H• �.••wHw • UI w• .••I-/ • . m _ • • w• .�•• • •I ••► •• .1 .•• • M of •• 1• 11••.•••r/ .••• !••• 1• V•11•••.•• • IY.I•I w • •• �r ,11 • • 1 •111 I///•• •�w •Ills avo goo • •r1/qtl�• /• •• , •.• •1•�.•/ •1 IINU UI••Y ..« •�.•/•, 1.1 ♦•ill••••o r1M •11 •i o lillsq.:/•r Y• 1 N V 1 • 11 r 1• •1 ••1 • •1 .. 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T-IB '�'/��c4vfCL 'B1►s�. M OKRA z'`* a +^ 4 0 �. cL J PLO .1 71 14002 • �T FbRMCD:ka'fM1Y •c � �4 •. DRA 2 coNTtado►15 MA �b^Rs► [77 4°� R co b Rik,% SHEET N0, T to ANC 71& COMPOSE f S CON TRR�1CT1ON BUILDING SECTION a1 _ SCALD Kk 1 �- � -Z a n • � f� 11 Y'�J 4 ..y 1 fet= s 77? tOT 6",Oocac 3 723�6 • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 1 b7 PS-5 Permit# Health Division t9o'` CX LGU � Date Issued -- Conservation Division D a6ig"t ` Fee_ e \w Tax Collectors Treasurer `aS ' ®off 6��3�T'.L�m�� �(. . LI�A/ C � Bf'i�yE Planning Dept. ENS IRC- :.'.'� C DE AND Date Definitive Plan Approved by Planning Board T Historic-OKH Preservation/Hyannis Project Street Address . 2 Five (761-ur5 74 � Village Cm'9'I✓ jzj Owner )Q10had r < i n e y AddressVE S Telephone --LL l Permit Request Tb r Square feet: 1st floor: existing proposed ZOO 2nd floor: existing proposed Total new.-2-4 0 Valuation Zoning District Flood Plain Groundwater Overlay Construction Type 6106 b FRA-Oyle� Lot Size It Z &1W Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes lYS<oo On Old King's Highway: ❑Yes 3(No Basement Type: V Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) � �—�—f Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing 3 new y Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas N'Oil ❑ Electric ❑Other Central Air: ❑Yes If< Fireplaces: Existing I New Existing wood/coal stove: ❑Yes 9No Detached garage:)Pexisting ❑new size_�9Pool:eexisting ❑new size Barn:❑existing ❑new size Shed:)d existing ❑new size 0 e'/L Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes WNo If yes, site plan review# Current Use Proposed Use w/O�e4i6a( *&,ftb1A BUILDER INFORMATION Name Telephone Number _! °�Yl A Address Ell✓ !v��,,� License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TOA�LYISTQ�C( SIGNATURE DATE �-- r ' a. FOR OFFICIAL USE ONLY PERMIT NO. i DATE ISSUED . ' l t .. f .. - MAP/PARCEL NO. ADDRESS VILLAGE L,' j OWNER ii s } f DATE OF INSPECTION: FOUNDATION FRAME C) ut)ylav 1t1�, �c`tvrp D� �aim �y�'f s INSULATION T 6 y a„ FIREPLACE '" ELECTRICAL: ROUGH- < 3 FINAL PLUMBING: ROUGH - FINAL `' GAS: ROUGH FINAL -" FINAL BUILDING # w DATE CLOSED OUT ! ASSOCIATION PLAN NO. f , j t IL,-- D - 101F 9011 Cape Cod Offices: 574 Main St., Hyannis, MA 02601 508.775.9604 Fax 508.77-1.8137 - 3o 6t) rz- 7 7 �/.3 7 wJ i TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION Map f g arcel Permit# Health Division e Date Issued ���� Conservation Division / ., -Sr ���®� - Fee �a Tax Collector 710 Treasurer -r�c�c�� 5�< 'llZeol I���`�ALL�� �VjY1TH��L�`�r� Planning Dept <S'� ' ,®�,7r`��,�f FiNVIRONM �9� AL iRO N�la, gGtME RING Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address C (V� r ��S r X 0 T .Village Owners e Address Telephone SbeP 77( -P 3 7 Permit Request 0 �L4AZ V 941, gS >�- e Q Square feet: 1st floor: existing hw proposed 2nd floor: existing � proposed Total new ValuatiohQ 4 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes �I`No On Old King's Highway: ❑Yes WNo Basement Type: Z4 Full ❑Crawl V'Walkout ❑Other Basement Finished Area(sq.ft.) ��`'� Basement Unfinished Area(sq.ft) Number of Baths: Full: existing Z new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas 1XrOil ❑ Electric ❑Other Central Air: ❑Yes IRNo 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# Current Use Proposed Use BUILDER INFORMATION,—` 7 7 Name -� �— � Ktivie Telephone (umber F� /37 Address St t License#WWaIA4A L�Q Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO5 - Al SIGNATURE DATE /1 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ? MAP/PARCEL•NO. } ' • ADDRESS, ^VILLAGE. - OWNER I1 _ ; DATE OF INSPECTION: R FOUNDATION FRAME„ ' r - INSULATION . tr FIREPLACE s ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL — GAS: ROUGH FINAL FINAL BUILDINGOtt Y DATE CLOSED OUT RM C ASSOCIATION PLAN NO. 4 p 574 Main St., Hyannis, MA 02601 1019 TU D a C 0 Jack Fitzgerald Building Inspector, Town of Barnstable �' `�. \�\ f. .,\ - j. f _---__-� �__ _ _________ _ __ --\ .__..--�-r -. -�--------_._.._ WIN D Cape Cod Offices: 574 Main St.,. Hyannis, MA 02601 508.775.9604,._Fax 508.771.8137 To Jack Fitzgerald Building Inspector,.Town of Barnstable Dec.8 2003 Dear Jack, Enclosed is a plan of the addition.at 21 Five Corners'Rd. It should be fairly accurate to within a few inches (1 J 4" =1') Also I enclose the photos of the concrete work enlarged for better definition. I had put the project on.hold for over a year due to a large federal tax bill. The decision to exchange my retarded`so'n's bedroom with my proposed painting studio over the garage was decided after I gat married in August. The new arrangement gives hire more room and.also puts a little breathing space between J.P. and any new bride. Tha_ you or,your h 1p Bob Kennedy a ___-__-_---_� =_ -- �____-- -- -I _ / � o� ��� I 2' l nc s �� � �v� �c� �' � �� � � � i ��� � S , � E � _ _. _ (�, - { 2 � ��,����n��� I ��� S �-�. ��� ��� 1 _ �: 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 01'5 IV`i'Ip Parcel Permit# He Division="=� / �� Date Issued Conservation Division Fee eo Tax Collector= = or ��-� SEPTIC SYSTEM MST OF ,Treasurer_sPic"41m :::--,qfO "�Z INSIALLED IN C 0PAPa.IA�;F��"� �d ✓ WITH TITLE 5 Planning Dept. ENVIRONMENTAL GODxF-�s Date Definitive Plan Approved by Planning Board TOWN REGUL4T[C) 'S Historic-OKH Preservation/Hyannis Project Street Address F,ye, G oy �l Village Ce 1 er V '-e , Owner R. !yAt [-,- I Ne-0 q Address Telephone 501 LW 3 Q-3 2 Permit Request Pt&.-VV417 &Ro.51,NAN,,,F ­f. Lot 114-- Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Uff 'A' O Valuation Zoning District Flood Plain Groundwater Overlay Construction Type WiVb PR r Lot Size 41, 2 61 S,F . Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family-(#units) Age of Existing Structure JD —6Q 0 S Historic House: ❑Yes )d No On Old King's Highway: ❑Yes 5d No Basement Type: )d Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1170 i Number of-Baths: Full: existing `01 new Half: existing new `2- Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas )d Oil ❑ Electric ❑Other Central Air: ❑Yes )W No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes No Detached garage:❑existing A new size 7 K�3 Pool: existing ❑new size 9K46 Barn:❑existing ❑new size Ir Attached garage:❑existing ❑new size Shed:,k existing ❑new size fl ?S i)- Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# �- Current Use Proposed Use BUILDER INFORMATION Name �h��rt���eNi1�L'�� b. u" � Telephone Number '(2-& -32-3 7 Address 2I_fy✓e C-Iers - License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE i A • FOR OFFICIAL USE ONLY, ^ ' PERMIT NO. DATE ISSUED MAP/PARCEL NO: ADDRESS VILLAGE M r DATE OF INSPECTION: FOUNDATION :} FRAME INSULATION FIREPLACE s" ELECTRICAL: ROUGH' FINAL PLUMBING: ROUGH FINAL a; GAS: ROUGH FINAL i.� +� FINAL BUILDING G - DATE CLOSED OUT ASSOCIATION PLAN NOC'- y r^ `i DENOTES WOOD STAKE SET 32433' I J G SHED o EXIST. NOTE: OUT BUILDINGS AND DWELLING �! z POOL IN THIS AREA ARE J � NOT SHOWN. LOT 4B 47,962 t SIF °° GRAVEL DRIVE J N 00 78.0' DECK A� 16 2016 325.00' TowtA OF BARNS-TAg`E DCE #10-218 KETCH PLAN OF a PREPARED FOR: off 508-362-4541 fax 508 362-9880 21 FIVE CORNERS ROAD, i ROBERT ] l®TN 0. MASS DANIEL CENTERVILLE, MASS. ° A. '� down cope engineering, inc. OJALA _ t No.40980_ Cl VIL ENGINEERS `p , 01'Fss\o LAND SURVEYORS ' �^,-1'vD SUR\V�0 SCALE 1 = 30 DATE MAY 2, 2016 ' 939 Main Street YARMOUTHPORT, MASS. ............ DESIGN DATA* STRUCTURE �'1 n,t oberY E.Kennedy Kennedy Gallery t)i M� DESIGN FLQtN,� 574 Matn.St. Co PTJ ?7? annis-MA:02 J- • o =l �,'3t� Y J^ -, 9674 e ,o SEP - oc� r� c `iota1C: � � _ � •� I a 1 O� � T!G TA NK .� (� �• ' �'` '`` � J I'Z fCtStER�� Qaw ; LEACHCNG RATES, SIDE AREA.2. GPD/SF h4L.L►HOSJ BOTTOM AREA_I•DGPD/S:F .-— 1 LEACHING FACILITY +. .P. _'STf-l`1 E-7 I � _ ` .. ' - TO �� \J E � 1. � � • �r-,-- Wiz-- :t=; • ,. O ` i- PLAN REFERENCE, 1: EP4 ` 5 p F3r�N n� 1 Atir� 1ti l '." .--•: NS '','/ t=i I I �, ' L� >_r- 'Fr t Q v. . ASSESSORS LOT NO. it 1'W_aF? >.cNV �rJNEN.1--6fQST�ucTED �1 ,C� "� J p tO -vi K ,, l= EG`t'tV itri..{� T NOTEt Q ( �3o?L�fJ1h:F ( Fi i t t haG S. J. { � i .ALL MATERIALSANb CONS7E3UC710N METHODS i .. p LL �I .TO CONFORM WITH COMM. OF MASS, TITLE w I ENVIRONMENTAL CODE '`"p '1G�' ` : l!; Gp1�? 1. - LETS /5�aP E t., c-r ice.✓ r=.r��LLan C �titi tti tti 1 -; . /9 ----�. �. �.. N y -row t N wt�-r�a• ri�L,g t� -�:'R,c_' . 5: Q Q � t!1 _ nC . PLAN..::., T TEST .PIT N0',. 1_ TEST PtT NO. 2aJ�`ra"FZ �3R /l.0 W 1=x� t' "., TOWN �E BARNS'FABLE .. � TOP A I SOIL OBSERVATION.PITS. - �ND,' DATE O F TEST LS_t t�1!` Z�5 9E3%o ENGINEER �,c_,�� B.O.H.AGENTT i.h' rat x i-1 t r EXCAVATOR G . L.d►�d.'� 1• 1 i✓oo Gam. SCE 1 - ��...-.• PE C RATE . . N' R" 1N T P 0: ATSS�T.- Z=fySIN./IN': 10 8:s. i P s.. ► ELLIS & THULIN, 1Z Win, 441 e, LAND SURVEYORS AND .CIVIL ENGINEERS EAST SANDWICH, MASS, i - •.. tz.5 >�o .s a.-'c Wiz.._ - � �Rd F�G� GL`� SECTION 7HRU .SEPTIC SYSTEM:. 2- -Plan For New Construction Feb. 19,2002 Of ConnectingRoom Between 2" x 10" Joist Hangers Existing House and Garage 21 Five Corners Rd. Centerville Owner Robert E. Kennedy phone:508. 428. 3237 cell508.776.1867 t is < � - I !,. '. _ ��� \`•� G _ - l 11 ' / I t. ! i 1 I ' 6 5 - 4 Base I I • Plan i Framing ; ; . . i - oJse � 8 wide. Foundatio _ with #4 Rebar v I I k f : 10" concrete , tubes 4' deep �.,. U Double 2"x10" 2" x 1011 16" O.C. 1 ♦ 1 � 1 3 8" wide Foundation 2 3 —ExistingNew .Gaga a 24' 21811 Door s r 1 st Floor Plan r-- New Stairs to 2nd Floor 3' Door (Over Garage) New Deck a is Plan For New Construction Feb. 19,2002 -- of Connecting Room Between 2" x 10" Joist Hangers - Existing House and Garage • 21 Five Corners Rd. Centerville • Owner Robert E. Kennedy phone-508. 428. 3237 cell508.776.1867 - a • deg- 1' 4» Base Framing Plan s» 1 wide Foundatio with #4 Rebar - yN`�t�j -10" concrete \ tubes 4' deep ouble - D 2"x10" . 2" x 10" 16" O.C. co \ �e 8" wide Foundation .Existing (New) Garage --------------------24------------------------ 2' 8" Door, 1 st Floor Plan r--- New Stairs to 2nd Floor 3' Door (Over.Garage) New Deck Proposed enlargement of Existing Deck at -._- 21 Five Corners . Rd . , Centerville . Robert E. Kennedy Owner , l (508) 771 -8137 3Rtr� Y t : - Proposed: Addition (Side View) Lzj !i t r1�:=lAjj .. f i 1 .2"x 10" 16 O.C._ f 2"x 10 16" O.C. e W : H With Joist angers each end , ))) 6 "x 6" Post 9 - . : : C'X/SyiNCy �C Ll� S . l yD SIG N DATA. .•; OF ,y STRUCTURE�1fyGt_+= =�tn� y��•Ir-t c DESIGN FLOW tom, �zlvl / 1�1n r c n � ,� X II OGP:D D o 33o cs _ v 4 a N T yZ� ✓ � d 9874� SEPTIC TANK c_3SG 100v GdC_,7 1,4I� E R LEACHING RATES SIDE AREA Z• GPO/SF 11 � GiSSC sQ G R S 1 _ �.La�� BOTTOM AREA 1.OGPD/SF TY , LEACHING ACILI F L.P, \.c.J /zj f(-/ 11 t l ' \ ,�t r _L�'. ?_x'R- yc -� = 1 ZL�S, Q r - ' -o -- -=- ,� ` �.� \ ,� \o � i � � � // j C `� t l?�x ?_.S' + ��1� k l,o� =-3�3 r p•r� .Z2 S I S�l 9 �_ • / g �� PLAN REFERENCE= - / - \,y O � SZ \\ , �• L^ J U 0,zS r_p PI3oR WHEN GONST►zLIcTED � - . EFFECTIVE.. ASSESSORS tJ \ \ 0 .So w b+=�r t y NOTE: M 'PELF-1- i aQ P.:TP_.Z... : 39.E \ _ .IV ALL MATERIALS AND CONSTRUCTION METHODS - \ -TO CONFORM WITH COMM. OF MASS. i ITLE'ri. DBGK . .�Q ; ,.•,,.•,...• i / / lQ\�,� ENVIRONMENTAL CODE Soqu ' \ r / �, / �j1►oPE Gp�_?y �) 1I � Z. LOTS �d . `ILL ' �[. 1 Sp' \ I _- f1�11 1�'.T� FS�I' 1✓.b .1 •P T� .�5�11�t 1c, 1 d AC_ i.. CDT uuN TC�W klJa.'1'ER 7 n � N .299 --�� � Cis � PLAN - . ._ .:: Przo>? w d_L_1G.w,a`y .....,,•�:•;.: :.:•... SCALE I"_�(.O' RO I� V r A ( TEST PIT NO. \ TEST PIT NO. Z tiI/LTi✓2 �ERVIc'� �1 :. SS i ELEV, s3' •R ELEV. SZ.y I ToP A -•a �Ydh1K � •}.. lam, � � so.3 RISE o.. SOIL OBSERVATION PITS. P-S"75S 55.5 so. 11 s�i�solL.' . Lo.r>�_ .a �-I .S �- �, �$ � DATE OF TEST _Ic j 1, ENGINEER ej I I _'T NLJ t_-_I K I _ I oco 1 SO Z, B.O.H.AGENT'`` cac_. So y EXCAVATOR G . L A-N/,(� 1• rIG' f X /Z �0 t'--1 NA PERC RATE IN T.P. NO. ATS.SFT.-_GZMINJIN. - p l—c�-�- U, F ivy F qs POIz: E.D�r...IA.GCb�G.�SYhINE- �� ELLIS & THULIN, INC. A-I 1•6 LAND SURVEYORS AND .CIVIL ENGINEERS No �dA�r�R- EAST SANDWICH, MASS. • N o ;1s A.-c Er-i scALE ,R: I"=lo' yt c? :�:=s' SECTION tTHRU SEPTIC SYSTEM PLAN FOR NEW 2 CAR GARAGE �� 21 Five Corners Rd. Centerville I — Submitted by Robert E. Kennedy, Owner 3Z�—1 • 3 1 Phone - 2 - 27 - - o e 508 4 8 3 3 cell 508 776 1867 � , 1 N � ._. l ` _ \ Id — �� (D Existing ti O Z Q ' C, C 4' Picket Fence 1• Q a � \ .-- _ — � U)LL .X m .... ,a.-,_a „ � - Dc-"c.�c. �y�••`'`�i��'• \ 9.s�•y9 ' ` I •, �7 � . She na ' . '` '�iYL�'`'/ � � CA NSCy Ek D 8' - �. iItit c.•'•�, 3 � . ` tJST R_U C TED 20yy0 P F-�✓�-TE; E bhpC - J(o POOL F j V 1 I DECK ,'`�. ` a v tom J/ti ti .��; `` �•, - _ Existing o ry--4 d ,•wA� t..• . �- • 5�� v� 3/3 Z_ t�— �` ll - _ 4 Picket Fence � "•`; • �� � • F Robert E.Kennedy Gallery y �. . lQ �� 574 Main St. �— Hyannis, MA 02601 Plan For New Construction of Connecting Room Between , . Existing House. and Garage 21 Five Corners Rd. Centerville �� , Submitted b Robert E. Kennedy, Owner 3 Phone 508 - 42$ -3237 cell 508 - 776 -1867 . o a 4V� ' 000y 1Al . � / . .. .:J 1d m Existing •� ' y C,� 4 Picket Fence - i Shedl 00 SZ ` SHtD 8' `. y PT. POOL J r-ENCE ' � ,_ ��� O ��T?S�f./`.O� L G�..i l►'tG �.S.C� .00 v GA ` O a_n t..Existing .c�j: VYA� ,��`•► 3�3Z � 4444�--4---------- _ 4' Picket Fence • s. , ;►— ',/ �� /LA1 , , Robert E.Kennedy T �� -9 Kennedy Gallery �_ w Ip �� 574 Main St. r/ - Hyannis, MA 02601 .. �(A(,Q''IaL ESitAGB Mir letel .h S I" , PN•NCL .NSli T �a i c.w.Meg. r FLAUGE GOI M TV / C WUTS TYO"L. - P!'1<F•IrBRK/�TCD �p lAMJBL STiuRNeereW N 8 ' Y % .. d-AW STEEL—. •—�• 3"J ,T�L�{a1. W1.17 a - �.. �fi sT�n. L TG.� �u1.. GC)iLNEIL - NITL•No1PAShIFRS. _ t COW"MNEI F - ♦ TAIfC l JWC 3-�+FLAW..f DOLT I Be. i�.dEl.CLIP • r • ' f WWM.NO 1: �o ti fag O iAW.4L a Ni �NMM fORFM�lM6L ._ .NY1�UNGQ e Z rL U_p 1. _j FCAW• I Q•IQd.i•cwAsu�ll/a'S / G� MYL LINER. ' -- < ,... L• i NO lC - �`y,� _. - ' gg i R LA4 Y EL GREUAN P.FGTss♦AJGt.,� C9RFGiAN p � - T` OG AGO"' eop'u R T 9o'EL. i�ZY EL CORFJER 2 OGTkGON TAi2 iz OPAL GORN R L�J,6W„g= '•► •tA1.�•rt[c1 •�F1tNGE D9L -- h TZiAC�b4C.-RACE �� B'NUTs.7YouAL.__ Gd.LY. ANEL L MJoT'�t.sFAlrc I,,s APPICOXNNYATtL1f �. PAWL / FJI17r- '� Q d \ Ts• W a O ./ vINr1 tLN(:Nt 5-76�FLANGE : ' MT5 9=.IYY. VINYL LINEQ 'C3A . ,_ FAMiG►aao ILLER SIZES C>AL , Q , L.zr EL Coa►ER_e. rwrs C C !T i::•' - --OJ A.coilAL eyucr /' r..vLta=!. 1-%4'Y 12&A. CALK \1 �•,' .•.- •SEESECTU3✓Ul.+WGRMISPOR Tr+�►UeuNc LOCdT1ON�OTHER 9TEM5 INe"rEr. FtECTANCaLE '40-F-1 , L-AZY EL_ Cori-4 R a Z G R to MN OT"L C f. sa�v sTML. 1-4� .I�o.Jc�f�eca �o � , i�.IWcewc vec�c sec yTaLi�.TNeJ i>fAFIEL Aul►q��1�IrY ceL.•M..;�d" ►bse uo, i„'p+J comaq 5, =-a 1-�ir+.ae�T�r •;-: :_�.., '•..,_ + S- s `�fiALJ[.E . lN�r�1 vcA&W) :. r TWA t UVI4 �M7araJNORHa n N}ALt•LNT��►pM ov • �- NU1+5, r � - .3 s _ ---- BOLTS d"WmTs *T' •` - « 'TYPICAL. GRRIM.E L501I5 �a6 met �urnelt 1 {� L2[A 6ALY •�•Y RYJfif COLTS pp CP. S.+/��•b jLA►, aY1�tt C ' Rx�•r•L. — M11liL.TYPKAL 1l LMILtiL CQLI S E IDJIS'EAGF1 A+XL.TT-. ECLTS N�Ib / �LeLCPI►MiL tTSVR LPaW , • .:.. ifitJEL EIJD,-fPPIUL ;_ �P1GJrLFi.3MLt0.. �>• q0� L CO OVAL P CORN o '>►� 11 r tl pqr�....�. a m E CORNER- ,"g�1 N STAIR ER n — .n.eti uuEle NWOMI/ Q•Ip.M. MUMe.ct.u. fflNSrAUATIDN MOM _ ww � �'1. id C1VlINJA VoJ•i IJ•L•I[ , PG�TC'��Ib�~ Z • COMPONENT NOTES . TYC•IUL --` ♦ !/LLaR•NNiwM•yrty.L - TD66L.E LWAC CALY i. . L THE BASIC OESMiM Of THE POOL 6 PREDiCAT®ON A TYPICAL INSTALLATION OEING iN SMS 'i•a a Pr<•1CL.t.fa. PIli,NGL.• �•sew � > NOT CONTAINING ORGANIC CLAYS,PEAT,HUMUS SOLL OR HIGHLY UWANSTVE SOBS. 170b OwfM. . . • �. L ALL GAUGE Siffi S CORN®FROM MATERLAL ODNFORMIING 70 ASTM A-525 A WITH A G236 CrILVM02Fa COATING. I INSTALL AN C THICK COM METE CDU.M AT THE BASE OF THE OVER-SOCAVATION AREA,- •'1 t AROUND THE FIRL Peto+Etet OF THE POOL 2�t-aJ,Ptu 2r«n N.M ILL '' ? _ , ' ' � A.• < 2 ALL St!$AKiB LPMINTL STIFF AT MANE WA=ARE MADE/ION � � _ Q Q , �+ r A •� • � A r � MATERCCWIAL.COMi�O O MGTO AST"k5n WITH AM ASTM GMS GMVM M 1. 1ACIML WIN CUM EARTH"M OF ROD. AND OEBRis,,VWA M DM LAYERS NOT . •iY• .;.•• ',+4F` - kDL MING Ir EACH LATER SMALL K FUDDLED AND NU r.CARLJTRLT TRAMPED Elll�OtATF WIDE. 1 FILL POOL WITH WATER OURDR:OAC)MUNG.WATER LEJEL SNALL MIT O M FROM MOML :s•' �- .n ,/� •' �') SalMMbP4�elrs I - 1 ALL ODL.TS AND THREADED COMMMEFNTS ARE MANUFACTUM FROM LtVEI lY MORE THAT ONE FOOT. L NMATEIUAL FORM W TO AST"A-]07.WAS AS63WI„AND ARE nK PLATED c` FASTENING WA91F[IS ARE STANDARD nW PULTEa . [Fwwio+' Paf7�C+t 2-0* �.A t70NCRETE WAULMIAT OR FIf191E0 GRADE SHALL SLOPE AWAY FROM DOPING AT A ROPE 2 jrQ 7X Z-0•�6 V. l WAAWAT Oe01191IILL OE r,DDD Ps OONPRL�ivE STRO GW CONCRETE, Nor LUG THAT sm ill.FM I=. OVAL �: KIDNEY. � TYPICAL WALL STI ff , 5C.O.LE: C e c raMIRUMI or DesMaM S.THIS POOL HAS NOT DEEM OeMIED FOR A SUhCIwIE UDAWr_ ' A l D- A 2- a/ER a xGh,fp.,-Lo1 l _._ TYF�caL V1hlt.t. SEGTtOIY M ARA If31 su►L�: !% -I' �" � R3 6 c,RADE STYE AROIMD MM MQ USE MW SAWUL To UMIT SQLMMI3NT ft=pRBRM I - i' OF RET/1ONED SM TO 9D UL PER CU.M OR U3S ( SGJ►LE: I 2'�T - , - a Proposed Addition of Upper Deck ' 5 AIL and enlargement of Existing Deckat i - , 21 Five. Corners Rd . , Centerville 2"x 10" 16' 0 C. ost .Robert E. Kennedy Owner 508 771 -8137 _ E _ r Q t i 40 depth Q f ? 7 9„ i �. Proposed. Addition e(Sid i t ' ( concrete Footings- Ell w1 ?. ; i .. , I .2"x 10" 16" Q.C. - �s Hangers each 2"x 10" 16" Q.C. - With Joist' H nge h end 6" Post ' 7, 811 7f 8„ 81 V x 24' Addition to Lower Deck - 6TEpi Plow* 0'? 6" 0 With Joistl Han e s each 9 end. e VU 40" depth. L_ with concrete Footings _' ' h co � DMIL Proposed Addition of Upper Deck q , and enlargement of .Existing Deckat t 21 Five Corners Rd . , Centervil.IeO.C. pr t 6 X 6„:Post Robert E. Kennedy Owner (508) 771 -8137 Y � c i i; _ i cWMnt�� de r� 40 d - , " F i t { i _ fu- Proposed, Addition (Side I } � crete Footi con i I _ I _ ngs " O.0 2"x 10" 16 . _ "x 10" 16" O.C. With.Joist Hangers each end l -F-L&IT14T. r6 X 6 Post I, $, : - .8 x 24' Addition _ to Lower Deck - - - T P Downs.-_ F • I 2."X 0 , 6,� 7z _ with Joist Hangers eac-h end. . G 1Z4Dr /.._ 9 0 _. 4 „ depth .. l / with concrete Footings 7. PLAN FOR GARAGE ADDITION WITH 2nd FLOOR BEDROOM & BATH ,21 Five Corners Rd. Centerville t! R.5r PL00P, PLktl owner; Robert E.Kennedy first floor footprint _ home: 508 428 3237 same as second floor work: 508 771 8137 cell: 508 776 6504 window Convert existing bedroom (#2) into studio/office space and add new bedroom #2 and bath over garage. — 2$' � C2 car garage d- ad ytia Existing House (Red) New Addition (blue) Olt,- <119" Fo �Xl SMOKF. T)FTEOTORS O.K. '_E BUILDING UEPT. NEW SMOKE DETECTOR REQUIREMENTS ARE NOW LAW. EVEN THE ADDITION OF A NEW BEDROOM WILL TRIGGER AN UPGRADE OF THE SMOKE DETECTORS !�C-� FOR THE WHOLE HOUSE. YOU MUST PLAN ACCORDINGLY AND HAVE YOUR j ELECJTPIC; AKE OUT THE APPROPRIATE PEi:;i'\f IT/,1 i IE FIRE Di:PARTMENT. O jI 1 PLAN FOR GARAGE ADDITION WITH 2nd FLOOR BEDROOM & BATH 21 Five Corners Rd. Centerville Second Floor Plan owner- Robert E.Kennedy home: 508 428 3237 first floor footprint This area is over 2 car garage work: 508 771 8137 same as second floor cell: 508 776 6504 window � window _ Convert existing bedroom (#2) into studio/office space ~T and add new bedroom #2 and bath over garage. 28' I ; c XJ a New bedroom # 2 c aea �e loec° / �o . / J bath # 2 , ad � laundry area closet - 3 new storage closet lees C t _ window window ear Existing House (Red) G�oSe� New Addition (blue) le�\���n� oo� NEW SMOKE DETECTOR ARE NOW LAW. EVEN THE NEW BEDROOM WILL TRIG-.- UPGRADE OF THE SMOKE FOR THE WHOLE HOUSE. YUJ of PLAN ACCORDINGLY AIND l if- = s O :-� ELECTRICIAN TAKE OUT TI lE APFROPy 13 E �C-1 oJe� PERMIT AT THE FIRE DEPARTMENT. ce �9 tag ca'�rea 0 i` PLAN FOR GARAGE ADDITION WITH 2nd FLOOR BEDROOM & BATH 21 Five Corners Rd. Centerville Second Floor Plan owner; Robert E.Kennedy first floor footprint This area is over 2 car garage home. 508 428 3237 same as second floor work: 508 771 8137 / cell- 508 776 6504 window window Convert existing bedroom (#2) into studio/office space -- - -�- and add new bedroom #2 and bath over garage. �a\CON � � 28' _ 1 7 ex f � xJ New bedroom # 2 r' c� �� -`` �`�� d`ol tie add 6�°° e y�/ a10e°o0 no ,. y � � bath # 2 X. rea X laundry area closet new storage closet l • O \ window window \ 'r Existing House (Red) see New Addition (blue) t°°� / lop K.g1 `e�\\°°t .zC-� Ira °Je �a\ ca'�rea O `�,r