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Home My WebLink About0019 GREAT HILL DRIVE � 9Y . �� .r �dll� . . � � . . .� . . �. .. r ,, � . � �: E. . � o P D � h � � .. �i ,. i� o ` S i� o j. _I �. i. � � � �4 .. . � � J �. ., � I � � 1 ' i! a � e � o a a F � ,, a,_,. _ _ __M .,.�' C � Hi 173 �°%g Sx}e . , Town of BarnstableBuilding t raM LP. Post This Card So:That-it is Visible From the Street-Approved Plans Must:be Retained on 1ob:and this.Card Must be Kept Posted Until Final Inspection Has Been Made `' i634 m Where a Certificategof C+ccupancy is Recluired,.such Building shall Not be Occupied until a Final Inspection has been ade. Permit Permit No. B-20-2203 Applicant Name: Holly Tracy Approvals Date Issued: 08/19/2020 Current Use: Structure Permit Type: Building-Tent Expiration Date: 02/19/2021 Foundation: C Location: 19 GREAT HILL DRIVE,CENTERVILLE Map/Lot: 173-079 Zoning District: RF Sheathing: Owner on Record: T.RACY, BRADFORD W&HOLLY W Contractor Name �4 Framing: 1 Address: 19 GREAT HILL DRIVE Contractor License: •s 2 WEST BARNSTABLE, MA 02668 "' Est. Project'Cost: $4;000.00 Chimney: Description: We are hosting a small backyard wedding and are using a tent-the Permit Fee: $ 25.00 s f Insulation: tent will be on the property for just a few days. ¢ Fee Paid:{ $ 25.00 Project Review Req: EXIT AND NO SMOKING SIGNS REQUIRED ., Date: �¢ 8/19/2020 Final Plumbing/Gas Rough Plumbing: . Building.Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. , All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. . Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. - r Electrical The Certificate of Occupancy will not be issued until all applicable signtures by the BuLilding and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:! Service: 1.Foundation or Footing 2.Sheathing Inspection RF Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed ^ 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department „ All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Town of BarnstableBuflding r t Post,This:Card So That,it.,is',VisibleFrom;the,.Street3,A Srovetl Plans Must be.;RetaineEon �Job and this Card Mustbe:Kept, . �„gs pp a Posted Until_.F�naLlnspect�onHas;Been Mader ,..' - " i6l¢ °� .. ..y Permt Where a Certificate:of Occupancy„is Requsred;such Building shall�Notbe Occupied�:untsl a Final Inspectson,�has been�made Permit No. B-20-1743 Applicant Name: Dave Manning Approvals Date Issued: 07/20/2020 Current Use: Structure Permit Type: Building-Deck Expiration Date: 01/20/2021 Foundation: SocuvS 8 7 Z�jJ28 Location: 19 GREAT HILL DRIVE,CENTERVILLE Map/Lot: 173-079 Zoning District: RF Sheathing: 7777 Owner on Record: TRACY,BRADFORD W&HOLLY W Contractor'-Name , Framing: 1 Address: 19 GREAT HILL DRIVE Contractor License: ; 2 A_ WEST BARNSTABLE, MA 02668 — �-� Est Project Cost: $30,000.00 Chimney: Permit Fee: - Description: Remove and Replace existing deck,'adding roof over de.&' r $ 110.00 screens. Insulation: Fee Paid. $ 110.00 Date 7/20/2020 Final: Project Review Req: APPROVED AS PER CONSTRUCTION D&UMENTS IN,,REAR OF BUILDING. � rr Plumbing/Gas Rough Plumbing: \Building Official t Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withi�l six months afterjssuance. All work authorized by this permit shall conform to the approved application and the pproved construction documents-for�which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoningby-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for+ 6blic mspectio?for the entire duration of the Final Gas work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by'xhe Building anctfire Officials are provided on this.permit. Electrical Minimum of Five Call Inspections Required for All Construction Work::. Service: 1.Foundation or Footing 0. { 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue finis is instal d— 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final' 5.Prior to Covering.Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1 73 Parcel 77 Application #—Q6 q 3�13 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address r i �✓f��E Village WesT (,;Qnn S7.a.41C (39667 Owner 12 as 70-AC.1 Address I G nec.-r �Jf Telephone Permit Request C'X.! C2i' i 36 r TRD, r. o'e- cl Me Ce P0.5,S/ Ve 2!!9;4 Glleot "C r T _G Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation gO Construction Type Lot Size '�3:��y Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kip Highway: ❑Yes ❑ No w c Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Arei(6q.ft) 73 n Number of Baths: Full: existing new Half: existing u� anewY' 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 M//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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ..Name L'r t�-./a LL5 Telephone Number Zo�,-- Address 07 License #� oqq Home Improvement Contractor# `i—/ -7 cl Email ZA,C C.- r ,r'-/ or er's Compensation # y-- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Ee. F FOR OFFICIAL USE ONLY APPLICATION# • F DATE,ISSUED MAP'/PARCEL NO. r ADDRESS VILLAGE OWNER F ' N DATE OF INSPECTION: FOUNDATION -7214)j•q FRAME INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUIMING, 6h5AA� - RATE-CLOSED OUT A°SSOCIATION PLAN NO. ine c;ommonweaan oJmassacnuseus UFDepartment of Indust id Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/din Workers' Compensation Insurance Affidavit: Builders/Contractor_s/Electricians/Plumbers Applicant Information Please Print Leeibly Name(Business/Orgmzadon/tndividual): Address: 9)_7 GQA Nr �ti L City/State/Zip: S Phone#:Are you an employer?Check the appropria box: Type of project(required): L am a employer with 4. D I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6.'D New construction 2.❑ I am a sole proprietor or partner- fisted on the attached sheet 7. ❑Remodeling ship and have no employees' These sub -'tOm have 8. ❑Demolition working for me in any capacity, employees and have workers' co insurance J -9• ElBuilding addition [No workers comp.insurance comp. required..] 5. D We are a corporation and its loll Electrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing all work � 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12•D Roof repairs insurance mqL�red.]t c..152,§1(4),and we have no employees.[No workers' 13.1 Other comp•insurance required.] *Any.applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such. TContractnrs that check this box must attached an additional sheet showing the name of the sub-conhact ors and slat-whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is provuHng workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. Expiration Date: /(� ' r Job Site Address: �I �.��I sr T`4(d City/State 4:Lam, ,U'S CAA�� c. Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK-ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby�ertify'u the pains and penalties of pm jwy that the information provided above and correct Signature:/ Date: Phone# Official use only. Do not write in this area,to be completed by city or town official City or Town: PermiULicense# Issuing Authority(circle one): 1.Board of Health-2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other ` Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requuires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." ' An employer is defined as"an individual,partnership,association,corporation or other Iegal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of.a.deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced.acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into auy contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-instirartce license number on the appropriate lime.' City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple pennit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fat►mre permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. Tha Co=onw'ealth of Massachusetts DepartEamt of Industrial AoUdents Office,of kvestigations 600 washingtan st=t. ' Boston,MA 02111 U.#f 17-727-4900 ext 406 or 1-877-NM AFD Revised 4-24-07. Fax#617-727-7749. wwwmus gmddia Client#:40463 2WALLSCO ACORDIM CERTIFICATE OF LIABILITY INSURANCE DAI h /18/)D/Y 061812014 4 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 NAME: Dowling &O'Neil CC.N,Exu:508 775-1620 �aC NO: 5087781218 Insurance Agency - E-MAIL ADDRESS: 973 lyannough Rd., PO BOX 1990 INSURER(S)AFFORDING COVERAGE NAICB Hyannis, MA 02601 INSURERA: National Grange Mutual Insuranc INSURED INSURER B:Associated Employers Insurance Troy Walls dba Walls Construction INSURER C: - & Remodeling INSURER D 87 Cranberry Lane - INSURER E: '- South Yarmouth, MA 02664-1007 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY r,ERTAIN, THE INSURANCE AFFORDED BY THE r,OLICIES 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 SUHR POLICY EII POLICY FXP LIR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/Du/YYYY) (MM/LID/YYYY) LIMITS A GENERAL LIAdILIIY MPK1492X 9/14/2013 09114/201 EACH 11G(';IIRRIN(';I $t 000 000 X COMMERCIAL GENERAL LIABILITY DAMA;E 7�RENTED PR IMI:;Iti In nrr.urrn.nr.r $500 000 (';I AIM:;:MADI- n OCf;I1K - _ MF)IXP(Any nnr.pnr.nn)_. -$1.0,000 PL—KSONAI R ANV IN.IIJRY $1 000 000 GENERAL AGGREGATE $2,000,000 GI-NI AGGKI-CiAII-1IMIIAPPIII;iPIR: PKOI)Ilf;IS-(;OMPIOPAGG s2,000,000 f OLICY PR!)- LOC $. A AU I OMOHILE LIAHILI I Y M 1 K1492X 9/17/2013 09/17/201 1.OM Uidto)SINGI I I IMI I 1 000 000 ANY AUTO - BODILY INJURY(Pui puroulQ $ ALL OWNED SCHEDULED - - AlJ Ib:i X AIJ I01; 1-10I111 Y IN.IIJHY(Pcr nrriAnnl) $ Nf)N-OWNFI) PROPIR I DAM AGI X HIRED AUTOS X All 10.^, Ibl muuiduld $ UMUKtLLA LI Ali - r - - OCCUR IAf;H Of;!';IIRRINf;I $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED- I RETENTION $ B WORKERSCOMPENSATION WCC50050095872013A 11/05/2013 11/05/201 X. 16tiY AlMlli OTH AND EMP,yL6YERS'LIAHILI I Y YIN - - ANY PHflPI:II IOR�INARINIR/rxI(,wnVl _ •' E.L.EACH ACCIDENT $500 000 OFFICER/MEMBER-EXCLUDED? =ram Y NIA ,i I.1.I)1`aIAiI-IA IMPIOYI I $500 000 (MantlntprY In NH),. �i y If - UI:iGR11N-N0N UI 6P,4-KAI ION: hnlnwp - E.L.DISEASE-POLICY LIMIT $500,000 - 13ESCHIP 1 ION OI OPERA I IONS/LOCA I IONS I VEHICLES(Attach ACORLI 101,Additional Ramarka Schadula,II more zpaca Ir.raqulrad) - Troy A.Walls is excluded under the workers compensation policy. Insurance coverage is limited to the terms, conditions,-exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered, waived,or extended the coverage provided by the policy provisions.. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AU I HORIZED HEPRESEN I A I WE 1988.2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S132406/M134405 EAM Town of Barnstable Regulatory Services RMWSTABI E 9. Richard V.Scali,Director i63 � `0�' 1°rf A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize" :,/ to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) ""'Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. 4�7 ,5gllafore o er: n A cant —Print Name Print Nafiie Date Q:FORMS:OWNERPERMISS IONPOOLS Town of Barnstable Regulatory Services P�oFTHE roiy,` Richard V.Scali,Director Building Division t BAMSTA TX Tom Perry,Building Commissioner Mass 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us i Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 uu DRAWING NOT VA 909 y IN SIGN AT Jk ET DONALD sq� DO ALD P. SCHLACHTER - PHOTOCOPIE NATUWJSEAL MA PROF. ENGINEER No. 42832 UffARMPqA8LR U CHTER 37 FIELDSTONE DRIVE,SOMERVILLE,NJ 08876 CIVIL coo908-231-1725 voice 908-231-0451 fax NO. 42832 Q 0�� Eg/STE�� '► SS�ONA L ENS' 36' F- ` 32'-5' 3._7. ° A—FRAME .DETAIL DECK SUPPORT DETAIL �- SHORT BRACE 1 1, 4• "... _ A-FRAME- . o BRACE s 1RB 3 r6 ' 18' 10' PANEL / PANEL- . �" • S' LONGBRACE�-. s a 4• _ STAKE _ • �, .HORIZONTAL 6. BRACE ti �4' N❑TE: MANDATORY ROPE AND -1) DEPTH. AND SHAPE--OF POOL MEET 'MINIMUM REQUIREMENTS.. - - FLOAT 12 INCHES FROM SLOPE OF MA -STATE BIUL'DING CODE 8TH; EDITION.- - - • OPE CHANGE � . , �. 2) A MEANS,OF EGRESS FOR BOTH THE DEEP END AND THE - " SHALLOW END OF ,THE 'POOL MUST BE PROVIDED" IN ,. e _ FINISHED 3,_ - 3 ..ACCORDANCE' WITH. - -L ACCORDA ANSI/APSP/ICCS 5. 4- 3 6. PANEL ) ELECTRICAL BONDING AND GROUNDING MUST BE PROVIDED IN.. • FINISHED • • . DEPTH HEIGHT '_ DEPTH 8 ACCORDANCE WITH MA STATE- BUILDING CODE 8TH EDITION. 4) ALL A-FRAME BRACES ARE TO BE MOUNDED .WITH A MINIMUM OF (1) CUBIC FOOT OF CONCRETE, OR .A 6;. 5 2' SAND OR - POURED C❑NTINUOUS CONCRETE PERIMETER COLLAR. • .. --VERM]CULITE r _ • 5) 'N❑ DIVING'. LABELS. TO�BE INSTALLED AROUND PERIMETER ., 4' 6.. 14 12' • - OF THE POOL. t 6) ENTRAPMENT PR❑TECTI❑N MUST- BE PROVIDED "IN-ACCORDANCE WITH MA STATE= BUILDING CODE 8TH EDITION. INTERNATIONAL SHIMMING POOLS NOTES.AN SWIMMING POOLS ARE DANGEROUS WHEN USED IMPROPERLY. ,� ' r A ' T ^ ❑❑ `NEVER DIVE IN THE SHALLOW END OF ANY PEEL. CONSULT WITH THE DIVING BOARD AND SLIDE POOL PERIMETER 108' 1 I\VI I K ALE ANDRIA, VA)22314THE<703-838-0083NPRIOR or TO INSTALLINL AND SPA GDIVINGNALS BOARDSI11 AND/OR SLIDES WER AVENUE POOL AREA: 648 SgFt THIS POOL TO ENSURE"THE POOL MEETS THE EQUIPMENT MANUFACTURERS MINIMUM STANDARDS FOR VOLUME. 27,500 APPROX. GAL. 18' X =36' .RECTANGLE WITH ALLOWABLE INSTALLATION (IF THEIR PRODUCT(S) ON THIS POOL. INTERNATIONAL SWIMMING POOLS IS 1 - NOT RESPONSIBLE FOR THE POOL'S INTERIOR DETAIL, RATHER THE LINER MANUFAC7URER MUST ENSURE 18' STEEL STEP SYSTEM THE INTERIOR MEETS A.P-S.P. AND A.N.S. I. STANDARDS. IT.IS THE RESPONSIBILITY OF POOL BUILDERS, - TOWN OFFICIALS AND POOL OWNERS TO FOLLOW ALL SAFETY GUIDELINES OF THE A.P.S.P. LOCAL DATE: OS/22I14 SCALE:NONE ORDINANCES, AND EQUIPMENT'MANUFACTURERS. - - s DRAWN BY: P.T. ACADREF:SHR71836D 4000 Commercial Series Standard Gate *Meets BOCA Requirements - Model 4220 for Height and Spacing for 2 Rail- Flat Top. Pool Codes. Heights: 48 1/2"* & 54"* Length: 8'Sections - . Model,4 0 Pool 3 Rail- Flat Top - s Height: 54"* Length: 8' Sections ,_ _ ''" - `'` • U-Frame Construction—No Bracing required O tional Arched Gate Model 4230 3 Rail- Flat Top Heights:. 4811, 54", 60" & ». ' tit" - = n : 8 Sections f 72 Le low - 48" & 54" LIFETIME WARRANTY IN STOCK AAMA 2604 Powder Coating Model 4131 X. AAMA 2605 Upgrade 3 Rail-with Finials ' a Heights: 48", 60" & 72" REGIS 4000 Series Length: 8' Sections Posts: 21/2" x 21/2" x .065" Wall - 8' Centers rt` g U-Frame Construction—No Bracing mquired. Gate Post: 21./2" x 21/2"w%Inserts = .190".wall Post Caps: 21/2" Flat Standard Rails: 11/4'.'w x 11/2" h x .070"(top) x .110"(side) Model 4233 Ring Pkg Pickets: 3/4" x 3/4" x .053"Wall 3 Rail-Flat Top with Picket Spacing. 3.963. Between Pickets Alternate Finials Panels: Screwless Fastener System. Swiv l Heights: 48"> 54"* " ounts 60 &72 el Brackets Length: 8' Sections Model 4132 , 3 Rail-with Alternate Finials Sear p 1 k Heights: 48", 60" & 72" Standard Quad Triad T Length: 8' Sections Optional Post Caps Standard Sections Rack 8"in 8' Flat (Std) Ball (optional) Touch-up Colors Y A FEATURES &BENEFITS r F-6063-T6i Posts&Rails;6063-T52:Pickets. 1 B-Higher Quality Aluminum...A Great Value. F-Custom Blended Super Durable Polyester T.GIC Powder Coating. B-Verified AAMA 2604-02 Compliance. F-Verified AAMA 2604-02 Compliance: B-.Premium Architectural Grade Durability: F-Custom Colors Available. B- Unlimited Color Choices. ALUMINUM FENCING F-Hidden Double E-ClipPicket Fastener. (Patent Pendin� -oA ED B-No Unsightly Screws! ly`f° TOYGN• F-Spear,Quad or Triad Finials. i • wig B-Decorative Choices. ewwiuw�nwaia 4000 Series F-5 Fence Models,4 Heights,2 Colors. ■ l I B-Variety of Choices...Meets Your Needs: . 4p4�Yk,y,r DSI has received verification as an F-Racking-Sections Rack 8"in 8'. B-.Flexibility for Uneven Terrain American Architectural.Manufacturing F-Assembled Sections. Association AAMA 2604-02 coating B Saves Time...for Easier Installation. applicator. Our powder F-Secure Facto ;coatings are �' n'Packaging. custom blended from a Super Durable B-Eliminate Freight Damage. F-.Lifetime Warranty. � Polyester,TGIC (Triglycidyhsocyanurate) g_Peace of Mind..:Lasts for Decades. resin base to meet AMNIA 2604-02 F-Matching Gates with Hardware. specifications. The Regis 4000 powder Heavy Duty Aluminum Post Stiffeners. 4000 SERIES �R�� coating process passed and exceeds all. B Esthetically Pleasing...Easy to Adjust... tests required to be AAMA 2604-02 Can Be Securely Locked n _ �x verified. : �' COMMERCIAL . 1 � �4 � "l' .� Fence Stacker Unit Storage System =v Slide out each individual section as needed. The remaining sections stay secure and protected. , Custom. Gates Available Each section is individually wrapped for protection E. during shipment. Every Fence-Stacker Unit is a } fully enclosed six-sided container. 4 x '4 Win. 94 y r'� �x F t x iw .,fin Use the safest, Use... r y FAr . Zwl MIT 1 1 1 t -•4s" r vs- ow*' `.•+ fix..` ;. • Magnetically triggered latchin W • Key lockable safety (Top Pull&vertical Pully47 E, ' �l • Adjusts horizontally and vertialiy Patented "Lost Motion" Technology ;' . �{ • Quick and easy to install 1. e ( $ _ -tg KEY LOCKABLE t Ink a N3 Features Benefits. Amfjust •!Patented magneto self-latching No mechanical jamming during closure: ar. o VERTICAL ern.`t>er. �„ > .: Meets international barrier/safety codes Unprecedented reliability&safety �li,°eiPio s! a g; •Quality molded polymers&stainless sfeel No rusting, binding orataining 4s. j Key lockable(Top Pull&Vertical Pull) Added"safety and peace of=mind : � Quality Assurance I50 9001 manufacturer limited Lifetime Warranty u �F En ineered for ease of installation Reduced installation time(costs) Latches even m the"locked"positron Exceptional safety&reliability •'Won t disengage from shaking&pulling Can t be forced open j �~ YM . Unprecedented adjustabhty Easy=to install and maintain ;Tested to 400,000 cycles Proven to last the test of time' r HORIZON AL . � Magnetic triggering r: = tic, means no d s L,tR,FJF:,L i �! r resistance f 6 " j f y � to closure! �07�) Aw0ld "h�3"6. 3Austmim 1 .: a fk; METAL GATE WOOD GATE VINYL GATE CHAINLINK GATE ' � ® "Top Pull"model "Top Pull"model "Vertical Pull"model "Tap Pull"model USA.; (800+)old b 0$88EUROPE +31 (0)30 280 7Q50 -AUSTRALIA.e 1800 500,203 ww ddteclglobal come } a SafetyGateLatches � JAM - TOP PULL .A MAGNA•LATCH®Safety Gate Latches are a model revolutionary breakthrough in latching securityf for gates around swimming pools,homes and Ker r f 0 child safety areas. *� a Powered by super-strong Permanent Magnets, w : which never lose power,these quality latches incur no mechanical interference to closure and so offer unprecedented reliability, safety and child resistance. VERTICAL PULL model The popular"Top Pull"model is designed y X ("PET LATCH"model) especially for swimming pool gates but can be installed to any gate where child safety is ) important. The shorter"Vertical Pull"model is ' s recommended for gates at least 5' (1.5m)tall. n T+ This model is also known as the "Pet Latch,"as . it can provide security for pet safety gates. All latches adapt readily to most new or existing SIDE PULL model a � , gates and any gate material. Two models are key-lockable to provide a degree of added safety. , . The "Series 2"latches can be adjusted vertically i and horizontally to ensure safe,reliable latchingy (' at any time during or after installation. .7 Vertical adjustment is quick and easy because the latch body slides up and down dovetail-style MAGNA•LATCH has been tested to more than is`" tracks for easier,sturdier installation. w 400,000 cycles.Most ; Horizontal adjustment is achieved by adjusting a swimming pool barrier g li screw within the"Striker Body"so that the codes require gates to be striker can be adjusted across gaps ranging from self-closing and self-latching. The latch has 3/8"—F/16" (9-37mm). been designed and independently tested to The"Series 2"models provide extra impact meet strict international safety codes. resistance and durability on larger gates and also x� against heavy pedestrian traffic. ® The"Round Post Adaptor The kit includes adaptor z Kit"is an optional kit for brackets and shims to fit most p , mounting Magna-Latch common chainlink and railing Pet Security "Top Pull"or"Vertical d post diameters. r Pull"latches to gates and Z " Gate Lath fences with round posts. 3, MAGNA•LATCH is Code: ;. MB2RPAKA also suitable for house ° N r :Mand garden gates where pet security and pet l t access control are `� i" .�� KV important. "� s Prevents pets from escaping and keeps 3 , ' Post diameters: 1/a'"-2"(48-51mm),2/s"(60mm),2/s"(73mm) them safe from unwanted intruders 0 Gate diameters:13/s"(35mm),15/8"(41mm),17/8° 2"(48-51mm) , USA (8�00•)7�16 0888�"�EUROPE_�+31�(0)30 280 7050 AUSTRALIA 1800 500 203 �� wwwr ddtechglobai com r � , __ , !�� e �OV�AAVSafety ateties. ' t. 77 m Quick & easy installation PIP trials...Fits all materials...t t t Strong,stylish lish TOP PULL extrusion with sturdy r screw-in fixing a model -h o Quick-Slide , (dovetail) t Tap r r € G mounting view f d bracket ek i . �• Gate g Fence home Post Ideal for Child Safety Areas .SAFETY NOTE, 1 INSTALLATION REQUIREMENTS gAftifi6itallation,inform the , ( (Top Pull&Vertical Pull models) gate owner that it is their For swimming pool and other child safety " ht+ s responsibility to inspect and h v G A gates,most Barrier Codes and Standards s� �� adjust any gate latdies and specify the following requirements: - Rhmges to'compensate for ., it st p g : round movement and t . : •The pool gate must open outward, other faders,so thotahet away from the pool;so the latch must -�, r ygate continues to self doseF and self latch be installed to the outside of the gate effectidel Y , •The latch release knob is to be mounted at least 60"(1500mm)above finished M r, 2" GATE GAP SPACER ground—or at a height specified by your r For North America only. Low r mou ting The Ma na•Latch"comes standard with local barrier/fencing codes t., g dove WIN`cket 3 '-� a gate gap variance of 3/8"to 11/1C. ° s •The fence height should be a minimum , „ with ide fixing leg' For larger gaps of 1 /2—2"an optional t 48"(1200mm)above finished ground for a ded. length. .fib spacar is available.Install the spacer behind s —or at a height specified by your local �. the Striker Mounting Plate to ensure proper t t latch installation and operation. barrier/fencing codes Always confirm any such requirements with the appropriate 2"GATE GAP SPACER I ,yam , . , local pool or safety authorities in your area,as regulations x may vary from region to region.Always install the latch in accordance with local fence barrier regulations. o g a ? Tl — o e k Striker Mounting Plate Adjustable striker offers`honzontal adlustmerit of °s /lfi (9=31mm)and vertualaadjustment fore' (ode:MESPACER "TP,"of l i i (38mm)and'for VPR of 3/4 ( ) en t t Stm a Alin ; r r" � tVRTICALM V Hors Ag ntal AIV lv \Striker adjusts from the tZ front to provide greater convenience. At +HO ONTAL a ek �� ; Vertical Pull model ! a r .r "-.•^^'ems*'.``',,."°`... ".'w* -ate'• a , rUSA� (8_0 0)7z16#088.8�"FUROPE• +31 y0w,)3�0 2,«8.F0 w705�0a R �A.sU STRwAL'.°IaA-�•18n00Y""50,�*, 03 o'�b tom _ , Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston Massachusetts 02116 2 6 Home Improvement Contractor Registration Registration: 105179 Type: DBA f�fl t 1 Expiration: 7/16/2014 Tr# 226638 WALLS CONSTRUCTION & REMODELING',k A�- -t t;� Troy Wails _� - ----------- . 87 CRANBERRY LANES -------- --------- - SOUTH YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. SCA 1 ea 20M-05/17 Address C1 Renewal Employment Lost Card (-�//CP. i(10-!/177L11.71,CUCCI.I.�fL O��LJ�C!('�L6dC�li1. Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Tepis'rion. gation: 105179 Type: Office of Consumer Affairs and Business Regulation xirat 7/16/2014 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 WALLS CONSTRUCTION.&AREMODELING 1 Troy Walls 87CRANBERRY LANE i — SOUTH YARMOUTH,MA 02664 Undersecretary — of vali out signatu -- Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-044847 tcr, TROY A WALLS '- 87 CRANBERRY.LN QI S YARMOUTH MA 026 fj,.�,,.. �l .e� � Expiration Commissioner 07/05/2015 f 611312014 Rectangular Ray-MaxxGdd Series Solar Pod Coders-Rectangular Solar Pod Comers-Select Pool Cover Shape-Pad Covers-Pool Deals Celebir"ating Tieirixears M A Big Thanks 1 To Ail Ot Our �� t Custornersl Keyword or Item # �� Nome Order Customer My Measuring Page Tracking Service Account Forms Our PCOdUGfS r»Pool Deals»Pool Cove Select Pool Cover Shape Rectangular Solar Pool Covers a Rectangular Ray-Maxx Gold Series Solar Pool Covers All Products Rectangular Ray-Maxx Gold Series Solar Pool Covers Accessories The very best cover for quality&heat retention!Offered Chemicals in 12&16 Gauge.Go for the Gold! Cleaning Covers This Product Usually Leaves Warehouse In 3-7 Equipment Business Day(s) Floats&Toys ; '�J �v� Which Solar Cover Is Best ou For You? Liners Parts I r k i I I r To Compare Our Solar Covers-Click Herel Pool Kits -- options Solar _ Thickness 12 Gauge(Thick)Round Bubble • •'• cover size 18'x 36'Rectangular • ' Drain Option Without Drain system Wind No Wind Weights ` Protection { Warranty I Customer Will Register Warranty With Manufacturer 1SignapiorllwnrY Item# GLD121015 R�s '.I"vi", off Ik Price: ;134.99 atwponw.S r1+t ripfdtoywlrernaill Quantity i • Buy now I More Info Ask Questions Related Tell Friend Reviews Price Guarantee Send to friend Pool Owners Love Ust Ray-Maxi-Gold Series Solar Pool Cover.Available in 12&16 Gauge. This Solar Pool Coverwlll simply outperform cheaper imitations.Still made In the USA,&a great valuel 13928 6 Our Gold series coversutilize a gold reflective space age underside material.Thisreflective technology was first used by NASA,then in emergency blankets,and now this reflective mating technology hae made Ifs.way to the pool industry.You can loam more about reflective coating technology here. People Like Us On Thisunique gold space age material reflectsup to 97%of the heat badtkn to the pool.Thksheat Is lost when using a cover without this reflective material. ! Facebook! All Ray-Maxx-coversam now available with the Easy Draining Solar Cover-Option.Thlsoption extendathe Ilfe of the cover end makesthe cover much eaderto Use. Cl"To Like Us On Facabook: This Solar Cover Is manufactured using a unique extrusion technique,not used In most other Pool Covers of far less quality.A Solar cover that is extnlded will Like 13k alwaysouflast the more conventional Solar Cover sold by many of our competitors Before you buy a Solar Cover,ask if it is made of extruded material,like this one here.You will not be sorry you didl 12 gauge Solar Covers are backed by a 7 year warranty.16 gauge covers am backed by a 10 year warranty. This cover is blue on the tap,and gold on the bottom. - 1 tr- 1 a Like Share Be the first of your friends to Illie this. S+� Pin It Variants of this product are available with the following item 4: G101210,GLD1220,G1D12100,GLD12201,GLD321.01,GID32202,GLD12103,G1D12203,GLD12104,GLD12205,G1D12105,GLD12206,GLD12107,GLD12207,G1D12108,GLD12209,GLD12109,G1.13122010, GLD121011:GID122011,GLD121012,GLD122o13,(31121013,GLD122014,11 111011,GLD122015,GLD121016,GLD122011,GLD721017,GLD122018,11121111,GLD122o19,GLD121020,GLD122o21, GLD 12102.1 GLD122022,G1D121023,GLD122023,GLD121024,GL.D122025,GLD121025,GLD122026,GLD1.2106,GLD12208,G1.13121009,GLD1220110,GLD1210111,G1131220211,GLD1210311,GLD1220311, GLD1210411,GLD1220511,GID1210511,G1.01220611,GLD1210711,GLD1220711,GLD1210811,GLD1220911,GLD1230911,GLD12201011,GLD12101111,GLD12201111,GLD12101211,G1D12201311, GL012101311,GLD12201411,GLD12101511,GLD12201511,GLD12101611,GLD12201711,GLD12101711,GID12201811,GLD12101911,GLD12201911,GID12102011,GLD12202111,GLD12102111, GLD12202211.GLD12102311,GLD12202311,GLD12102411,GLD12202511,GLD12102511,GID12202611,G1D121010,GLD122012,GLD1230013,GLD1220113,GLD1210113,GLD1220213,GLD1210313, GLD1220313,GLD1230413,GLD1220513,GLD1210513,GLD1220613,GLD1210713,GLD1220713,GLD1230813,GLD1220913,GLD1210913,GLD12201013,GLD12101113,GLD12201113,GLD12101213, GID12201313,GLD12101313,GLI312201413,GLD12101513,GLD12201513,GLD12101613,GLD12201713,GLD12101713,GLD12201813,GID12301913,GID12201913,GLD12102013,GLD12202113, GLD32102113,GLD12202213,GLD12102313,GLD12202313,GLD12102413,GLD12202513,GLD12102513,GLD12202613,GLD1210613,GLD1220813,GL.D1210D913,GLD122013013,GLD121011113, GLD122D21113,GLD121031113,G1.0122031113,GID121041113,GLD122051113,GLD121051113,GLD122061113,GLD121071113,GLD122071113,GLD121081113,GLD122091113,GLD121091113, (31D1220101113,GLD1210311113,GLD1220111113,GLD1210121113,GLD1220131113,GLD1210131113,GLD1220141113,GLD1210151113,GLD1220151113,GLD1210161113,GLD1220171113, GLD1210171113,GLD3220181113,GLD1210191113,GLD1220191113,GLD1210201113,GLD1220211113,GLD1210211113,GLD1220223113,GLD1230231113,GLD1220231113,GLD1230241113, GLD1220251113,GID1210251113,GLD1220261113 http:/Aw.w.pooldeals.corrVcatalog/Rectangular-Ray-Ma)*Gold-Series-Solar-Pod-Covers-p-23817.htrri 112 nae t H- 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION gUILDI � A li Map � 73 Parcel0�� N �p_ cation Health Division MAR OF Date Issued �l1lg6 Conservation DivisionAAJ TO 1 2 1OApplication Fe Planning Dept. OF�'' I?err it Fee 3V51 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner �0467/7) / A Address Telephone Permit Request Ma SpleR 13g6 R e h',0 T� Re,dlace &I f h 7�le 54aa/o_,f, 6 J , a�u/ d �o Bgl4 j'i e✓;i a e v kawle /f dace AWY Front t7i-ey wi tI r', Pr�GJ Square feet: 1 st floor: existing Am0proposed 2nd floor: existing ZAT proposed 0 Total new Zoning District Flood Plain Groundwater Overlay Project Valuation&0 000 Construction Type k 00 Lot Size ga 5 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes *No On Old King's Highway: ❑Yes . (No Basement Type: ❑ Full ACrawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 6/Q9 0 Number of Baths: Full: existing -3 new �_ Half: existing new Number of Bedrooms: 5 existing _new Total Room Count (not including baths): existing C/ 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:Aexisting ❑ new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ANo If yes, site plan review# Current Use Re h7`-j q� Proposed Use .Saul-,e, APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name l AV-6 1 471nir► COI'!Sfr-!/G�jOl�l Telephone Number Address F /� License # A 01 � � _l,1/)X1214!41!�1/.�/a' N Home Improvement Contractor# G Email dtn 6 011-q47) G4ynC491. 17,d- Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /�% d 22m p_4ers DATE SIGNATURE 1 3 `+ FOR OFFICIAL USE ONLY ' APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER . DATE OF INSPECTION: FOUNDATION FRAME INSULATION ARC J Obl 'O AW FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDINGT s DATE CLOSED OUT �7 ASSOCIATION PLAN NO. (. ... it ® B ose Cascade ;�i Double 1-3/4" x 9-1/4" VERSA-LAM® 2.0 3100 SP Floor BeaM1FB1-1 Dry 11 span I No cantilevers'1 0/12 slope March 1, 2016 11:14:17 BC CALC®Design Report Build 4516 File Name: BC CALCS.bcc" Job Name: Tracy . Description:floor beam above demo wall Address: Great Hill Drive Specifier: City, State, Zip:West Barnstable, MA 02668 ` Designer: Customer:' Tracy Company:' Dave Manning Construction Code reports: ESR-1040 Misc: i i l i i ! i 1 i i l l t I ► i l # i i ( a ! F � f I f f i i i ! t -� i ' i I � , i BO 06-00-00 61 Total Horizontal Product Length=.0"0-00 Reaction Summary(Down/Uplift) (lbs Bearing Live Dead Snow Wind Roof Live BO, 3-1/2" 1,080/0 1,426/0 2,037/0. B1, 3-1/2" 1,080/0 999/0 1,216/0 Live Dead Snow Wind Roof Live .Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 second fir load Unf.Area(ib/ft^2) L 00-00-00. 06-00-00 30 110 12-00-00 ;r 2 roof load Unf.Area(lb/ft"2) L 00-00-00 06-00-00 15 30 12-00-00 3 Reaction from Desi... Conc. Pt. (Ibs) L 00-11-00 00-11-00 569 1,093 n/a Controls Summary Value %Allowable Duration Case Location Pos. Moment 3,756 ft-Ibs 24.6% 115% 3 02-09-13 End Shear 2,599 Ibs 36.7% 115% 3 01-00-12 Total Load Defl. U999(0.046") n/a . n/a 3 02-11-04 Live Load Defl. U999(0.029") n/a n/a 6 02-11-04 Max Defl. 0.046" n/a n/a .3 02-11-04 Span/Depth 7.2 n%a n/a 0 00-00-00 " %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Wall/Plate 3-1/2"x 3-1/2" 3,764 Ibs 72.3%- 41% Spruce Pine Fir B1 Wall/Plate 3-1/2"x 3-1/2"' .2,721 Ibs 52.3% 29.6% Spruce Pine Fir Notes Design meets Code minimum(U240)Total.load deflection criteria. Design meets Code minimum(U360) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Fastener Manufacturer:Simpson Strong-Tie, Inc. Page 1 of 2 ®Boise Cascade Double 1-3/4" x 9-1/4" VERSA-LAM® 2.0 3100 SP floor"B6&rh\FBI-1 r Dry 1 span No cantilevers 1 0/12 slope March 1,2016 11:14:17 BC CALC®Design Report ; Build 4516 File Name: BC CALCS.bcc Job Name: Tracy Description:floor beam above demo wall' Address: Great Hill Drive Specifier: City, State, Zip:West Barnstable, MA 02668 Designer: Customer: Tracy - Company: Dave Manning Construction Code reports: ESR-1040 Misc: Connection Diagram Disclosure jb d — Completeness and accuracy of input must be verified by anyone who would rely on a output as evidence of suitability for • • • particular application.Output here based C on building code-accepted design properties and analysis methods. • • • Installation of Boise Cascade engineered wood products must be in accordance with } current Installation Guide and applicable e building codes.To obtain Installation Guide a minimum- 1-1/2"c-6-1/4" r or ask questions,please call (800)232-0788 before installation. b minimum=4" d=24" e minimum = 1" BC CALC®,BC FRAMER®,AJSTM' ALLJOISTO,BC RIM BOARD-,$CI®, BOISE GLULAMTm SIMPLE FRAMING Calculated Side Load=480.0 Ib/ft SYSTEM®,VERSA-LAM®,VERSA-RIM Connection design assumes point load is top-loaded. For connection design of side-loaded PLUS®,VERSA-RIM®,VERSA-STRAND®,VERSA-STUD®are point loads, please consult a technical representative or,professional of Record. trademarks of Boise Cascade Wood Install Screws with screw heads in the loaded ply. Products L.L.C. Connectors are: SDS 1/4 x 3-1/2 ' of r rq��• Town of Barnstable Regulatory Services F F ' E R1T:RTCTlRf4 F =.. .p MA.° �► Rf-hardQ.SC2I Director. Building Division Tom Perry,$m Caa�ssianer 200 Main Sfreet,Hy=ds,MA 02601 W W.inWnI)arnstable_ma.as Office: 509-862-4038 4 . . Fag:. 508=790-6230 Proper 3r Owner Must Complete'and Sign This Section- -If Using A Builder tl T�" �/ 'as OW r of the sub'ect roe , . . J �tp Prix , bereby2zdiori7p llP (�;217 57 cl G/lo/) to act on mybehalf, ' in all matters MhtiYe W work ZUrJ10 zed bythis budding p=:dt$pplication for. r (Addiess of job) y 'Tool fences and alarms'are the responsibi]ityof t�Ze applicant.Pools are not to be filled or u*g'wd before fence is installed and all final ' inspections•are pedo=ed`and accepted. 4 b Signanu� of Owner igaatIIre of AppTirant { M . rt ' G hint Name, M1 Print Name 1 Date : k i Town of Barnstable Reg-datory Services sutE r Richard V.Srar6 Director Draldmg bivisian E Tom Perry,Building Commieeiener 20D Math Sixes H -,MA 02601 yaams $QEDW yrgtp n-harncfabI6�_� ' Office: 509-862-4038 Fay 508-790-6230 3101MWNM LUM SE E3XhR=N . P1r�sePrint I}ATE: r JOB LOCA1101,1: ' nnmbcz s - b®epbone# sv073CPH =f C XMR=MA]LnIG ADDRESS: eity!(�en s� up code The cusent exempl5ort for`9omeownere was extended to iaclU&owner occ�ied d�aelImKs of sk Zmits or Less and to allow llouieovrners to engage an individual for hfiewho does notpossess a license,provided that the owner acts as suuuervisor_ { DT'MMON OR HOMFAW14M p=on(s)who owns a parcel of land on which helshe resides or intends to reside,do which there is,or is mtendsd to be,a one or two- family dwelling,. welling, attached or detached stmcta es accessary to such use and/or farm stmctraes. A person who cons[mcts mom than one home i-m a.ttivo-year period shall mtbe conddcred.ahameowner gush"homeowner",shall mLmitto the Building Official an a form acceptable to the Bu iffin Official,thathrlshe shall be reponsiible for all such wodc p=farmed umderthe bmIdmg paffiit (Section 109.L1) ~ The undersigned`homeowner'a aunts responsabffify for comphance wittithe State Building Coda and outer applicable codes, bylaws,rules and rtgula-tio 's_ - Ibetmdersigned`$omeownet"certt�esthatbelshe,md n } `theToofBaansablcBznZdmgDeparEmmt mspecEan procedures andrecluae nts anclflm±helshe will comply wi$i said procedxues mail recjtthe =ifs_ • 5ip�a�ac af$nmcozrarr '. ' Appmy-A nfBm7d-mg0f5d2l Note. Three family dwellings co min c 35,000 cubic feet or larger wM be rmT*c d to comply wi E the Siam Bufldiag Code Sedian Y27.0 CansErvcfron GaniivL , • $on�oWl�a►s uarr - The Code g-fairs that; 'Any homeowner performing work for which a buiZdiag permit is required shall be exempt from the provisions of this sermon (Section l.09_LI-Li ce ismg of cousiracdion Snp_erviso s);provided that if the homeowner engages a person(;)for hire to do such work,thaf such.Homeowner shalt act as supereisor." Maury homeowners who use this enemptioa are umaware.that they are SSSZIng the responsIhrTib'.es of a Sup ervisor (see Appendix Q,Roles&Regulations for Lip-P.nsi g Construction.Supervisors;Section 2.15) This Lark of awareness o$cn results in serious problems,parkpladlywhen the homeowner hires unlicensed persons. In this case,our$oard cannot proceed against the umiicensed person as it would with a li—sed Supervisor- The homeowner aciiag as Sutpex nsor is ultimately responsible. To ensure tlxat the homeowner is folly aware of his/her responsffiM 3es,many communities requse,as part of the permit application, that the homeowner certify thathelsh5 umdexstands the responsibffities of a Suigerdsor. On the kd page: th - Yon m care t amend and adopt such a fo r micer�fron for use in ue is a form carretz$ wised bp.st:QeraI Was may P of this iss y your cammuaiiy. Q-I�,pFII�F.•pRt�r��rt,,g pa�tfc�.s1EXPH.ESS.doc Ravised 06U 13 REScheck Software Version 4.6.1 Compliance Certificate Project Tracy Residence Energy Code: 2012 IECC Location: West Barnstable, Massachusetts Construction Type: Single-family b Project Type: Addition Climate Zone: 5 (6137 HDD) Permit Date: , Permit Number: Construction Site: Owner/Agent: Designer/Contractor: Great Hill Rd. Tracy Dave Manning - West Barnstable, MA 'Great Hill Rd. Dave Manning Construction West Barnstable, MA 101 Cypress Point Cummaquid, MA 02637 r 508 294 1999 - DMCO24@comcast.net Compliance: 0.0%Better Than Code Maximum ILIA: 36 Your ILIA: 36 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies i Ceiling 1: Flat Ceiling or Scissor Truss 25 49.0 0.0 0.026 1 Comment:flat ceiling Ceiling 2: Cathedral Ceiling 31 30.0 0.0 0.034 1 Comment:sloped Ceiling 3: Cathedral Ceiling 23 30.0 0.0 0.034 1 Comment: sloped Wall 1:Wood Frame, 16" o.c. 76 .21.0 0.0 0.057 4 Comment:wall 1 Window: C 145 L:Vinyl/Fiberglass Frame, Double Pane with Low-E 9 0.300 3 Comment:W2 Wall 2:Wood Frame, 16"D.C. 57 21.0 0.0 0.057 3 Comment: wall 2 Window: C 145 R:Vinyl/Fiberglass Frame, Double Pane with Low-E 9 0.300 3 Comment:W1 Wall 3: Wood Frame, 16"D.C. , 109 21.0 0.0 0.057 4 Comment:front gable Window: CTC2:Vinyl/Fiberglass Frame, Double Pane with Low-E 5 0.270 1 - Comment: W3 Door: 3068 w/sidelites: Glass 36 0^350 13 Comment: Front Entry Floor 1:All-Wood joist/Truss, Over Unconditioned Space 72 30.0 0.0 0.033 2 Comment:gross area over crawl Project Title:Tracy Residence Report date: 03/03/16 Data filename:C:\PlansWer X7 jobs\Manning\Tracy\Front Entry\Final\energy\res checkkk Page 1 of 9 Compliance Statement. The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in REScheck Version 4.6.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date • t a 4 Project Title:Tracy Residence Report date: 03/03/16 Data filename: C:\Plans\Ver X7 jobs\Manning\Tracy\Front Entry\Final\energy\res check.rck Page 2 of 9 REScheck Software Version 4.6.1 Inspection Checklist Energy Code: 2012 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. section Plans Verified Field Verified # Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions & Req.ID 103.1, ;Construction drawings and ❑Complies 103.2 :documentation demonstrate ❑Does Not [PR1]1 energy code compliance for the building envelope. ❑Not Observable ; ❑Not Applicable { 103.1, ;Construction drawings and ❑Complies ; 103.2, 'documentation demonstrate ❑Does Not 403.7 'energy code compliance for [PR3]1 ;lighting and mechanical systems. ❑Not Observable Systems serving multiple []Not Applicable ;dwelling units must demonstrate ;compliance with the IECC :Commercial Provisions. 302.1, Heating and cooling equipment is; Heating: Heating: ;❑Complies 403.6 sized per ACCA Manual S based Btu/hr Btu/hr ;❑Does Not [PR2]2 on loads calculated perACCA Manual J or other methods Cooling: Cooling: :❑Not Observable ; approved by the code official. 1 Btu/hr Btu/hr ❑Not Applicable Additional Comments/Assumptions: . 1 High Impact(Tier l) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title:Tracy Residence Report date: 03/03/16 Data filename: CAPlans\Ver X7 jobs\Manning\Tracy\Front Entry\Final\energy\res check.rck Page 3 of 9. 2012 IECC Foundation Inspection Complies? Comments/Assumptions 303.2.1 A protective covering is installed to 1❑Complies [FO11]2 protect exposed exterior insulation :❑Does Not and extends a minimum of 6 in. below ❑Not Observable grade. , ❑Not Applicable 403.8 Snow-and ice-melting system controls;❑Complies [FO12)2 installed. ;❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: ' 1 lHigh Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) ' Project Title:Tracy Residence. Report date: 03/03/16 Data,filename: CAPlans\Ver X7 jobs\Manning\Tracy\Front Entry\Final\energy\res check.rck Page 4 of 9 section Plans Verified Field Verified. # Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions &Req.ID 402.1.1, GlazingU-factor(area-weighted U- U- ;, Complies ;See the Envelope Assemblies 402.3.1, .average). ❑Does Not ;table for values. 402.3. , 402.3.6, I❑Not Observable ; � 402.5 ; ;❑Not Applicable ; [FR2]1 303.1.3 ;U-factors of fenestration products ❑Complies [FR4]1 ;are determined in accordance ❑Does Not ;with the NFRC test procedure or ;taken from the default table. ❑Not Observable []Not Applicable 402.4.1.1 ;Air barrier and thermal barrier ❑Complies ; [FR23]1 I installed per manufacturer's JE]Does Not j instructions. I ❑Not Observable ' ❑Not Applicable 402.4.3 Fenestration that is not site built [ Complies [FR20]1 :is listed and labeled as meeting ❑Does Not AAMA/WDMA/CSA 101/l.S.2/A440 'or has infiltration rates per NFRC ❑Not Observable 1400 that do not exceed code ❑Not Applicable limits. 402.4.4 IC-rated recessed lighting fixturesi ❑Complies [FR16]2 sealed at housing/interior finish ❑Does Not and labeled to indicate <_2.0 cfm leakage at 75 Pa. ❑Not Observable ; , ❑Not Applicable 403.2.1 ;Supply ducts in attics are 1 R- R- ❑Complies j [FR12]1 :insulated to>_R-8.All other ducts R_ R_ CDoes Not I.l in unconditioned spaces or . Not Observable e able ' :outside the building envelope are, ' insulated to >_R-6. ; ;❑Not Applicable 403.2.2 All joints and seams of air ducts, ❑Complies [FR13]1 :air handlers, and filter boxes are ❑Does Not ;sealed. ❑Not Observable ❑Not Applicable 403.2.3 Building cavities are not used as: ❑Complies [FR15]3 ducts or plenums. ❑Does Not 14 ❑Not Observable ❑Not Applicable 403.3 HVAC piping conveying fluids R- R- ;❑Complies [FR17]2 above 105°F or chilled fluids 1 TIDoes Not below 55°F are insulated to>R- " ;❑Not Observable 3. ; ❑Not Applicable 403.3.1 ;Protection of insulation on HVAC ❑Complies [FR24]1 'piping. ❑Does Not • ❑Not Observable IONot Applicable 403.4.2 Hot water pipes are insulated to R- I R- ;❑Complies ; [FR18]2 zR-3. I ;❑Does Not , ; ;❑Not Observable . ❑Not Applicable 403.5 Automatic or gravity dampers are F ❑Complies [FR19]2 installed on all outdoor air. ❑Does Not intakes and exhausts. I ❑Not Observable ' o- ❑Not Applicable ' Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Tracy.Residence Report date: 03/03/16 -Data filename: C:\Plans\Ver X7 jobs\Manning\Tracy\Front Entry\Final\energy\res check.rck Page 5 of 9 F L k 1 JHigh Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title:Tracy Residence Report date: 03/03/16 Data filename: C:\PlansWer X7 jobs\Manning\Tracy\Front Entry\Final\energy\res check.rck Page 6 of 9 Section Plans Verified Field Verified # Insulation Inspection Value Value Complies? Comments/Assumptions & Req.ID 303.1 All installed insulation is labeled ❑Complies [IN13]z or the installed R-values ❑Does Not provided. ❑Not Observable ❑Not Applicable 402.1.1, Floor insulation R-value. R- R- ElComplies ;See the Envelope assemblies 402.2. 1 'table for values. 6 Wood Wood ❑Does Not [IN1]1 ❑ ❑ ❑ Steel ❑ Steel UNot Observable ❑Not Applicable' 303.2, - ;Floor.insulation installed per ❑Complies j 402.2.7 :manufacturer's instructions,and ❑Does Not [IN2]1 in substantial contact with the ;underside of the subfloor. ❑Not Observable ❑Not Applicable ` 402.1.1, ;Wall insulation R-value. If this is a;, R- R- ;❑Complies ;See the Envelope assemblies 402.2.5, �mass wall with at least 1/2 of the _ ❑ Wood ❑ Wood ;❑Does Not ;table for values. 402.2.6 ;wall insulation on the wall [IN3]1 ;exterior,the exterior insulation ❑ Mass ❑ Mass ;❑Not Observable ; requirement applies(FR10). I❑ Steel 1❑ Steel ❑Not Applicable j 1 303.2 Wall insulation is installed per ❑Complies [IN4]1 :manufacturer's instructions. ❑Does Not ❑Not Observable , ❑Not Applicable Additional Comments/Assumptions: 1" High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title:Tracy Residence L Report date: 03/03/16 Data filename: C:\Plans\Ver X7 jobs\Manning\Tracy\Front Entry\Final\energy\res check.rck Page 7 of 9•-• Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions &Req.ID 402.1.1, ;Ceiling insulation R-value. R- ; R- ' ;❑Complies ` See the Envelope Assemblies 402.2.1, ! ;❑ Wood j❑ Wood p E❑Does Not :table for values. 402.2.2, ❑ Steel ❑ Steel 402.2.6 ❑Not Observable hh [FI1]1 : ; ;[]Not Applicable E 303.1.1.1, ;Ceiling insulation installed per ❑Complies 303.2 ;manufacturer's instructions. ❑Does Not - [FI2]1 ;Blown insulation marked every 300 ft2. ❑Not Observable ; ❑Not Applicable 402.2.3 Vented attics with air permeable ❑Complies [FI22]z insulation include baffle adjacent ❑Does Not to soffit and eave vents that extends over insulation. []Not Observable ; ❑Not Applicable 402.2.4 ;Attic access hatch and door ; R R- :❑Complies [FI3]1 !insulation >_R-value of the !❑Does Not :adjacent assembly. ❑Not Observable ❑Not Applicable 402.4.1.2 Blower door test.@ 50 Pa. <=5 ACH.50 ACH 50 = ❑Complies [FI17]1 each in Climate Zones 1-2,and ❑Does Not <=3 ach in Climate Zones 3-8. ❑Not Observable ' ❑Not Applicable 403.2.2 ;Duct tightness test result of<=4 ; cfm/100 ; cfm/100 ;❑Complies [FI4]1 cfm/100 ft2 across the system o`r : ft2 ! ftz :❑Does Not <=3 cfm/100 ft2 without air ; ❑Not Observable handler @ 25 Pa. For rough-in ; :tests,verification may need to ; ; F;❑Not Applicable ; !occur during Framing Inspection. ! ! 403.2.2.1 ;Air handler leakage designated :. ❑Complies , ' [F124]1 "by manufacturer at<=2%of []Does Not :design air flow. ❑Not Observable .: []Not Applicable 403.1.1 Programmable thermostats - ❑Complies [FI9]2 installed on forced air furnaces. ❑Does Not F ❑Not Observable ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies [FI10]2 on heat pumps. ❑Does Not ❑Not Observable ' ,z ❑Not Applicable 403.4.1 Circulating service hot water ❑Complies [FI11]z systems have automatic or []Does Not accessible manual controls.. ❑Not Observable ❑Not Applicable 403.5.1 All mechanical ventilation system ❑Complies t [F125]2 fans not part of tested and listed []Does Not HVAC equipment meet efficacy and air flow limits. ❑Not Observable ❑Not Applicable ; 404.1 75%of lamps in permanent ❑Complies [F16]1 :fixtures or 75%of permanent ❑Does Not !fixtures have high efficacy lamps. Does not apply to low-voltage ❑Not Observable-1 I lighting. ❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title:Tracy Residence Report date: 03/03/16 Data filename: C:\Plans\Ver X7 jobs\Manning\Tracy\Front.Entry\Final\energy\res check.rck Page 8 of 9 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID 404.1.1 1 Fuel gas lighting systems have ❑Complies LFI2313 no continuous pilot light. ❑Does Not ❑Not Observable []Not Applicable 401.3 JCompliance certificate posted. ❑Complies [FI7]2 ❑Does Not ❑Not Observable ❑Not Applicable 303.3 Manufacturer manuals for ❑Complies [FI18]3 mechanical and water heating ❑Does Not systems have been provided: []Not Observable ❑Not Applicable Additional Comments/Assumptions: { 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title:Tracy Residence Report date: 03/03/16 Data filename: C:\Plans\Ver X7 jobs\Manning\Tracy\Front Entry\Final\energy\res check.rck Page 9 of 9 Nf2012 IECC [energy Efficiency Certificate Above-Grade Wall zi.00 Below-Grade Wall. , 0.00 Floor 30.00 p Ceiling / Roof 30.00 Ductwork(unconditioned spaces): Window 0.30 Door 0.35 Heating System: Cooling System: Water Heater: Name: Date: Comments � I f �i3oiseCascade Single 1-3/4" x 9-1/2" VERSA-LAM®2.0 3100 SP Roof Beam\RB1-1 BC CALL®Design Report Dry 13 spans No'cantilevers 1 0/12 slope March 1, 2016 11:14:17 Build 4516 File Name: BC CALCS.bcc Job Name: Tracy Description: Ridge Beam Address: Great Hill Drive Specifier: City, State, Zip:West Barnstable, MA 02668 Designer: Customer: Tracy Company:' ..Dave Manning Construction Code reports: ESR-1040 . Misc: �0 12 { i ! i i I ► ! I ( ! # ( -t 'I i 1'- { I { 1 f t I ! 1 I. } 1 I ( .I i I � 1 h # I BO 05-02-12 B1 07-11-00 B2 04-03-00 63 Total Horizontal Product Length=17-04-12 Reaction Summary(Down/Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live BO, 5-1/2" 150/0 337/0 B 1, 5-1/2" 597/0 .1,137/0 B2, 3-1/2" 569/0 ,1,093/0 B3, 3-1/2" 94/0 245/0 . Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Roof Load Unf.Area(lb/ft"2) L 00-00-00 17-04-12 15 30 05-01-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 814 ft-Ibs 10.1% 115% 12 09-01-13 Neg. Moment -1,098 ft-Ibs 13.7% 115% 13, 05-02-12 Neg. Moment -1,098 ft-Ibs 13.7% 115% 13 05-02-12 End Shear 195 Ibs 5.4% 115% 10 01-03-00 Cont. Shear 713 Ibs 19.6% ° 115% 12 12-02-08 Total Load Defl. U999(0.028") " 'n/a n/a 12 09-01-13 Live Load Defl. U999(0.019") n/a n/a 17 09-01-13 Total Neg. Defl. U999(-0.003") n/a n/a 13 14-06-01 Max Defl. 0.028" n/a n/a 12 E 09-01-13 Span/Depth 10 n/a n/a 0• 00-00-00 %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Post 5-1/2"x 1-3/4" 487 lbs 7% 6.7% Spruce Pine Fir ' B1 Post 5-1/2"x 1-3/4" 1,734 Ibs 24.8% 24% Spruce Pine fir B2 Post 3-1/2"x 1-3/4" 1,662 Ibs 37.4%" 36.2% Spruce Pine Fir B3 Post 3-1/2"x 1-3/4" 339 Ibs 7.6% 7.4% Spruce Pine Fir Cautions For roof members with slope(1/4)/12'or less final design must ensure that ponding instability will not occur. For roof members with slope(1/2)/12 or less final design must account for Rain-on-Snow surcharge load: Notes ` :.Page 1 of 2 All ,. 4.. .: ®Boise cascade Single 1-3/4" x 9-1/2"VERSA-LAM® 2.0 3100 SP Roof Beam1RB1-1 Dry 3 spans No'cantilevers 0/12 slope a - March 1, 2016 11:14:17 BC CALC®Design Report Build 4516 File Name: BC CALCS.bcc Job Name.: Tracy Description: Ridge Beam Address: Great Hill Drive Specifier: City, State, Zip:West Barnstable, MA 02668 Designer: Customer: Tracy Company: Dave Manning Construction Code reports: ESR-1040 Misc: Design meets Code minimum (U180)Total load deflection criteria. Disclosure Design meets Code minimum(U240) Live load deflection criteria. Completeness and accuracy of input must Design meets arbitrary(1") Maximum total load deflection criteria. be verified by anyone who would rely on Calculations assume Member is Fully Braced.° output as evidence of suitability for Design based on Dry Service Condition. particular application.Output here based on building code-accepted design Deflections less than 1/8"were ignored in the results. properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call (800)232-0788 before installation. BC CALC®,BC FRAMER®,AJS rm, ALUOISTO,BC RIM BOARD rm,BCI®, BOISE GLULAM-,SIMPLE FRAMING SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, VERSA-STRAND®,VERSA-STUD®are trademarks of Boise Cascade Wood Products L.L.C. • �:,•~ CAI C\j � I LO _ � N � N � (J ` V O� 9 X„9-,Z o� ----------- ii1✓ T1.. / -1 C0 9G/€G ZCIO Z G/€ / Z ,®9 k19 9-1 j9 G/G G 5,C „9-J,X„o-X w 5 �� LO „Z i k k o � f7l M - , c x , N C-0 flo lSho er f/ ow a�J al J co X 0 M la ee e C-0 c z� T;�� CIO / iy -ei� r Rightfax N2-1 7/28/2015 5:59:32 AM PAGE 2/002 Fax Server .. DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE T IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE ACONTRACT 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 and endorsement. A statement on this certificate does not confer rights to he certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: PASSARO,LEVERONE&. PHONE FAX 239 ROUTE 28 (A/C,No,Ext): (A/C,No): PO BOX 160 E-MAIL DENNISPORT,MA 02639 ADDRESS: 28W7W INSURER(S)AFFORDING COVERAGE NAIL# INSURED INSURER A: HARTFORD UNDERWRITERS INSURANCE COMPANY DAVE MANNING CONSTRUCTION INC INSURER B: INSURER C: INSURER D: PO BOX 217 INSURER E: CUMMAQLIID.MA 02637 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: IFY 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 - ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MMIDDIYYYY) (MNADD\YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED is CLAIMS MADE OCCUR: PREMISES(Ea occurrence) IVIED EXP(Any one person) is PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PROJECT LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE Is RETENTION $ Is A WORKER'S COMPENSATION AND X I WC STATUTORY OTHER EMPLOYER'S LIABILITY YIN UB-6B122957-15 07/20/2015 07/20/2016 "UMITS I ANYPROPERITOR/PARTNER/EXECUTIVE OFFICERMIEMBER EXCLUDED? � N/A E.L.EACH ACCIDENT is 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE I$ 1,000,00() It yes,describe under E.L.DISEASE-POLICY LIMIT '$ DESCRIPTION OF OPERATIONS below i 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE,BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED. '00 MAIN STREET BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISION6.' AUTHORIZED REPRESENTATIVE HYANNIS,MA 02601 ............. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPC+fflAgli'JI�}A1ffldfitsreserved.� t .The Corizrriorrivealth of-Vassachusetts . .. _ .. De,, z tine'rrt of Industrial Accidents Of ce of InswstigadMIS + 600 Washington Street y . .Boston,CIA 02111 `z v }:4winit lasmgovIdi[r Workers' Cumpensatian Insurance Affidavit:BmldersiCantractars+'EIect cianslPlumhers Applicant Information Please Print LegibIy 1V ae(IISinemlOFg3IIQ' donlin i na) Con_-�frzloLiolz Address: t, v Oe,5 C, Po inlgox _ C1tylstate ap-G,/ O phone is Are you an employer?Checltthe appropriate box: Type of project(required), I am a employer urith 3 11 4 ❑I am a general contractor and I 6. n New construction employees(full and/or part-time)-* have hired the sub con ractors 2.❑ I am a sole proprietor orpartner- Tilted on the attached sheet. 7. P,Remodeling These lab-contrac#ors have ' ship and have no.employees. $. �I7emolitiort working for me in any capacity employees and have workers' LNo wodmrs' comp_insurance comp.insurance. �.. Building addition required-] $. 0 We are a corporation and its 10,0 Electrical repairs or additions 3111 am.a homeoumer doing all work officers have exercised,their 11.0 Plumbingrepairs or additions mys elf- o workers' right of exemption per l_1�iGL � comp- 12.[:1 Roof regairs ' iw=ceregaired_]i c.1,52,§l(4h and we have no employees.[go workers' 13.0 Other comp-insurance required.] #Amy appEEcamt that checksbos OR nntst also fiII outthe section.belawshwriag ihea wor3iere campmumfloupolicy infoanafoL liomemmers who submit dbis af5dnix indicating they an=_doing all wad and then hoe au ude contractors nmst snbntit a new affidavit indicate sadL FC'antractotsthat checkihas box must attached an addifianal sheet dhoniagthe mine of the sub-cant xaors and state whalher.arnat those entities have emplayees I€the sub-contractmslure employees,they=Lst pmvide their worken'comp.policy number. I am arc errtpl��rr fltert rrs prmatlntg workers'cantperrsrrh'orr irireirarice,�or rrt,}*enrpIoy�ees $eIaav is the policy arrd jab site it farraaiion. Insurance Company Name: M" Policy#or Self-ins.lic.#: V Q— .lo B 2a T.s 7— f, _ Expiration Date: 7I B Job SiteAddr s: 7 Cl/"Z City/StatdZip: ��14��11/Y'1SfC1O/e IV ©9A) Attach a copy of the workers'compensationpolicy declaration page(showing the policy number and respiration Fate). Failure to secure eorerage as,required under 5ectioa 2.5A of MGL c 15'2 can lead to the imposition of criminal penahi s of a fine up to$1,500,00 andfar one-yearimprisonn-t—f as well as civil penalties.ia the form of a STOP WORK ORDERand a fine of up to MO-00 a day against the violator. Be adirised that a copy of this statement maybe forwarded to th$Office of InvesEigatiom of the DIA for insurance coverage s cation- I da hereby C-Mify ait er the peurts and penaltrxs ofpet uo djattlie irrf bnrtatiorr.provided aboi a.is bur arrd carrect. F .i i Sit�ature: Q / Date: Phone�11 U (p O,Qfcfal use anly. Da riot aunts to tkis.area,to be.ctrrnpieted by rite ortotrn o f j5'czaL City orTimm: J Perrmtffkenise# Issuing Authority*(cirde one): 1.Board of Health 2.Building Depai-iment 4.cityirown C1e k 4.Electrical Inspecto€ S.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions ' Massachusetts General Laws chapter 152 requires all employees to provide workers'compensation for their employees. pto this statute,an employee is defined as"_.every person in the service of another under any conduct of hire, express or inPlied,oral or wiittem" An employer is defined as"an mdiviffiA partnership,association,corporation or other legal eathy,or any two or moll: of the foregoing engaged-in a Joint enterprise,and including the Iegal 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 dweIlnzg house havmg 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 notbecanse of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applic a. t who has not produced acceptable evidence of compliance with the i ismrance.coverage required_" Additionally,MM chapter 152,§25C(7)stains"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublie wont until acceptable evidence of its with the h gran ce._ regrll menfs of this chapter have been presented to the contracting ait ozity." = A-pplicants , Please fill out the workers'compensation affidavit completely,by checking!he boxes that apply to your situation and,if necessary,supply sob-contactor(s)name(s), addresses)and phone ntnaber(s) along with their ceriifrcate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)withno employees other than the members or parfneas,are not required to carry workers' compensation insurance. Iran LLC or LLP does have employees, a policy is required.. De advised that this of idaYit maybe submitfisd to the Deparment 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 fur the permit or license is being requested,not the D ep ailment of Inch,-trial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number an the appropriate line. City or Town Officials T - Please be sure that the affidavit is complete and primed Ieg�bly. 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 score to fill in the permidliceuse number which will be used as a reference number- In addition,an applicant that must submit mvliiple permifJUcense applications in any given year,need only submit one affidavit indicafrag current p olicy information.(if necessary)and under"Job Site Address"the applicant sho-nJd W[1te"all Io cat_lions ia (city or mwn)_"A copy of the-affidavit thathas been officially stamped or matted byihe city or town may be provided to the applicant as proofffiat a valid affidavit is on file for future permits or licenses Anew affidavitmust be filled out each year. Whem a home owner or citizen is obtaining a license or permit not related to any business or,commercial venture (Le. a dog license or permit to burn leaves etc.)said person is NOT reqried to complete this affidavit The Office of Investigations would at,to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give in a cal The Department's address,telephone and fax number. -Thy CG.=QaWeati11 of MassachLmsj_-tts Degarfmtit of hidnsldal Aooiden 0:ffir<e 4f avesdgatio--� Fo4 TWasb.?nom st-ex--t Boston,MA Q2111 `f,-L 14 617'127-4900(�-xt 406 or 1•977-hAS F Fay 617` 27-7749 Revise14-24-07 w mas, go�fdia I f C��ieammonusecc��o�CtirddacfzcadeG�d Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: <11'0318 Type: Office of Consumer Affairs and Business Regulation ' 10 Park Plaza-Suite 5170 ,=Expiration: .1 0,16 DBA �r Boston,MA 02116 1 AVID,;W MANNINCj'- T ON -VAVID. MANNING 1 ,0,1 CYPRESS PT. UMIti1tiQUID, MA 02637 Undersecretary Not valid without signature Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-001728 Construction Supervisor l E'A" "I4 DAVID W MANNINS PO BOX 217/101CY CUMMAQUID M9 0 'fa Expiration: Commissioner 09/06/2017 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Maps ` 173 Parcel Q 7 p Zat L n #yl . lJ Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address e -f d4e,zb Village Owner Address Telephone Permit 7uest oqe f. a vot o Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District _ Flood Plain Groundwater Overlay :Project Valuation 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 ❑ 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 � N Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: _ pc Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ NO Commercial ❑Yes ❑ No If yes, site plan review# : Current Use Proposed Use r a APPLICANT INFORMATION - -(BUILDER OR HOMEOWNER) Name art, 114a/1/1rh 4 ."s6/ 4, �4/lTelephone Number Address 1= ©• BOA a 17 License # C �� 17AD tltn m aa a/ /Ul © A6.3 7 Home Improvement Contractor# uo Email 4/mC Q� GOmiGgOF: ae2f Worker's Compensation # 613 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO s t-;T Go SIGNATURE DATE 3��T �G� J FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ' . MAP/PARCEL NO. ADDRESS VILLAGE OWNER r 1. DATE OF INSPECTION: ; FOUNDATION- FRAME 3 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' F PLUMBING: ROUGH FINAL ' GAS: ROUGH } FINAL FINAL BUILDING D'RCLOSED OUT; AStAfiION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents w Office of Investigations ' 1 Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information �'A Please Print Legibly Name(Business/Organization/Individual): D"�e No nh//ijg C,Orj s'frCj of Q� Address:_1 D/C 0,26 S S PO%rl r Jo© gO,C dg/, City/State/Zip: t1 O� Phone#: 31p I j Are you an employer?Chec the appropriate box: Type of project(required): 1.[N I am a employer with�_ . 4• ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6• ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. KRemodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' insurance.I 9• ❑Building addition comp.[No workers' comp, insurance required.] . 5• ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l l.❑Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13:❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information.Insurance Company Name: low rid r Z .s n U a gee ah Policy#or Self-ins. Lic.#:: 6p 8 I J-4 9,S- 7 VS.. 00 Expiration Date: �/�0/g 0141 Job Site Address: n 1 [/ 1164� �ill/l U1'%✓e -City/State/Zip: � LSQI'/1 STaO!e tog d Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si ature: i Date: 3A.O/ nn Phone#: 15 � 6r}-'"•��I� Official use only. Do not write.in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): - 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other `. Contact Person: Phone#: a � DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE T. `l'IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFPCATE 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 and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: PASSARO LEVERONE&BUCKL PHONE FAX 239 RT 28 (A/C,No,Ext): (A/C,No): PO BOX 160 E-MAIL DENNISPORT,MA 02639 ADDRESS: 28W7W INSURER(S)AFFORDING COVERAGE NAIC A INSURED INSURER A: HARTFORD UNDERWRITERS INSURANCE COMPANY DAVE MANNING CONSTRUCTION INC INSURER B: INSURER C: INSURER D: PO BOX 217 INSURER E: CUMMAQUID,MA 02637 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MM\DD\YYYY) (MIADD\YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR. PREMISES(Ea occurrence) ED EXP(Any one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ ENERALAGGREGATE $ POLICY PROJECT LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB 'El CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY Y/N UB-6B122957-13 07/20/2013 07/20/2014 LIMITS ANY P ROPE RITOR/PARTNER/EXECUTIVE Y WA E.L.EACH ACCID NT 1 t OFFICER/MEMBER EXCLUDED? a _$Rz 1,O 00 (Mandatory in NH) E.L.DISEASE�EMPLOYEESr$; 1,000300 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-'�,"VPOLICY LIMIT ,,•$ 1,000;000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS , THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER-AFFECTING WORKERS COMP COVERAGE. CERTIFICATE HOLDER CANCELLATION u t I-s TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 200 MAIN ST BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIOyS'.•7; AUTHORIZED REPRESENTATIVE HYANNIS,MA 02601 ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORNfS1 A JhF` 1�Vf S-reserved. THE tn, Town of Barnstable �. : Regulatory Services ar Ass $ Thomas F.Geiler,Director 16gq ��r�u►+'' Building.Pivision Tom Perry,Building.Commissioner 200 Main Street,Hyannis,MA 02601 fvww.town.barnstable.ma.us Office: 508-862-403 8 Fax: .508-790-6230 Property Owner Must -Complete and Sign This Section •If Using A Builder Igo :T . • • - • • ' // as Owner of the subject property hereby authorize Gf 1 C0 f�' i'OA act on my behalf, in all hatters relative to work authorized by this building permit (Address of Job) *Pool fences and alarms are the xesponsibility of the applicant. Pools are not to be filled of utilized before fence is installed and all final inspections are perfortned and accepted. tyre of Owner Signature of Applicant Print AW Name Print Name . - 2. — t Date QTORM&OWNERPERNSSIONPOOIS 6/2012 Town of Barnstable _ Regulatory Services Thomas F.Geiler,Director - ad.+es. Bnilding Division Alec A Tom Perry,Building Commissioner 200 Maim Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER name home phone# work phone# CURRENT MAILNG ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she.shall be responsible for all such work performed under the building permit (Section 109.1.1) , The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimurn inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner < Approval of Building Official Note: Three-family dwellings`containing 35,000 cubic feet or larger will be required to comply with the State Building Code.Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt fi-om the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor, Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q; . Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt f Massachusetts -Department of Public Safety Board of Building Regulations and Standards Constructil.ln SuperN isor License: CS-001728J j DA VED W MA" `G PO BOX 217/101 EYP F CUMMAQUID MA 07�63u7 j " W \ Expiration Commissioner 09/06/2015 ` J Office ofConsumerAirs&�i sin egu�� License or,"registration valid:for mdividul use only -HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration -rA 10318 Type:. 'Office of Consumer Affairs and Business Regulation `; Expiration 1D/1=712014 DBA 1Q Park Plaza-Suite 5170 Boston,MA 02116 DM„ W MANNIN, --t N- RUQTIQN DAVID MANNING;l\ -.101 CYPRESS PT.�� CUMMAQUID`,MA:02637 y Undersecretary Not valid without signature s. a r .. q C enfefi/' { 6'-0 7/16°' '-6 9/16" X-0"x 4'-8" LO M V Z-4- x, " -� r 8'-7►' M TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0 Application J wvJ I � Health Division Date Issued Z Conservation Division Application Feex Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board U Historic - OKH Preservation/ Hyannis Project Street Address a i Village Cd-ti 7-1�v/L L F Owner 1"�r r G Address Telephone { e L Permit Request o ,Tn . - 02 ke a1'i'n 6 WGI �o S ged ron rI . ,0G1 1 n i S Ih C� F 1o© f a n /I-� �i C {�i Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ' �'� Construction Type Lot Size I �64e.6, Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Ty�i: Single Family U. Two Family ❑ Multi-Family (# units) v i lfi t 9$�'�.,� Age of Existing Structure FloVe%lrg Historic House: ❑Yes §(No On Old King's Highway: ❑Yes ❑ No Basement Type: .Full ❑C"' ❑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 _Dnew Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: jGas ❑ 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:A existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: • Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ J 0-J Commercial ❑Yes lj�No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) �O D — 9— )�n�� Name 4?4/1 in `6 rUG f4 Telephone Number Address C8 C "S /51L. &,0. �1 License # C 5 / 7 V 1 ® Home Improvement Contractor# Worker's Compensation # G � �, /f l A ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S t y 60 SIGNATURE DATE ` y FOR OFFICIAL USE ONLY r APPLICATION# DATE ISSUED s MAR/PARCEL NO. ADDRESS VILLAGE OWNER " DATE OF INSPECTION: f1 s. FOUNDATION;; = " FRAME _ 1210 p ' INSULATION !-- FIREPLACE ELECTRICAL: ROUGH FINAL 4 PLUMBING: ROUGH FINAL H,GAS:;, 63Y ,_ ROUGH r'y r i_F FINAL t'F,INAL BUILDING'• _ DATE CLOSED OUT ASSOCIATION PLAN NO. f The Commonwealth of.Massaehusetts Department of Industrial Acciden(s 1 _ Office of Investigations 600 Washington Street Boston, MA 02111 y wwmmass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electl-icians/Plumbers _Applicant Information L Please Print Legibly Name (Business/Organization/Individual): ,Vare Address- 1,0 / Cy r 013 4 9l / City/State/Zip: G "UMA. ,Op6 Phone #: �j�g `g Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with �-- 4. E I am a general contractor and I VSL eiriployees(full and/or part-time). * have hired the sub-contractors„ 6. ❑New construction 2.❑ I am a sole proprietor-or partner- listed on the attached sheet. 7. [(�( Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity, employees and have workers' 9 Building addition [No workers' comp. insurance comp, insurance.$ required.] 5. We area corporation and its 10:❑ Electrical repairs or additions 3.❑ I am a homeowner,doing all work officers have exercised their l LE] Plumbing repairs or additions Myself. [No workers' comp. right of exemption per MGL 12.[] Roof repairs_ insurance required.] t c. 152, §1(4.), and we have no employees. [No workers' 13.❑ Other comp.insurance required.) *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and tbcn hire outside contractors must submit a now affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers.'comp,policy number, f am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information f" Insurance Company Name: e O el 0 Policy# or Self-ins, Lic. #: G L � �t(7 Expiration Date: west 4'rif1714 Job Site Address: 1 C�i�P��lfjl` Y�l�-e City/State/Zip:_ Attach a cop),of the workers compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against.the violator. Be, advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ldo hereby certify under the pains and penalties ofperjury that the uyformation provided above is true and correct. Si nature; 'U 4 Date` Phone#: Official use only. Da not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing.Authority (circle one): 1. Board of Health 2.Building'Departmetit 3. City/Town Clerk 4. Electrical Inspector S, Plumbing Inspector 6. Other, g Contact Person: Phone#: . f 09/29/2010 14:44 5083982224 PL&B INS PAGE 01 Policy Number: Date Entered". 9/29/2010 DATE(MMIDDNY'fY) A a� CERTIFICATE OF LIABILITY INSURANCE 9/29/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS L DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND.EXTEND OR ALTER THE COVERAGE AFFORDED (S THE POLICIES S CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED ATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. : If the certrflcalte ho{d iB�rtAei�p�policies may require an endommerrt. Ag etawnent on If CertlflC9te do"not Confer righb to the d condNlons of the policy.der In lieu of such endorsemant(s). -00 TACT NWQ PRODUCER PASSARO, I.L�VSItCI1� b T3VC(Q.EY IRS AGGY I3rC P HONE (508)398-2223 Few r(508)398-2224 239 ROOTS 28 E-MAIL P.O. BOX 160 >;OMlB.DLA' DINNISPORT r H;L 02639 INSURER 9 AFFOR04HO COVERAGE HAIC A e15-777 imBTEPs WORLD INSURANCE C04PANY N+euRlD DAVID W. MRMING CONSTRUCTION' INC ACE At�RICAtr 1146i7RANCIt OOI�AN! INSURER e INSURER C, 101 CYPRESS POINT INSURERo: P O BOX 217 e+suRER E: CUMMAQUID, MA 02637 INSURERF:�$ ANERICAN XN19URMCR CCWANY COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT TAE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUMEMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WrrH 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. LIQ POLICYEFF POUCYEZP �„Ry TYPE OF INSURANCE POLICY NUMBER 1 000 000 00 -' OEWRAL LIABIUTf EALH"OCCURRENCE E r r A P1213GISS /20/2010 /20/2011 ° S3TDFq. TED =X00,000 COMMERCIAL GENERAL uABILRY 5 000 MEO EXP A one Bon i r CLAIMS MADE ®OCCUR PERSONAL&ADV INJURY f1 1000,000 GENERAL AGGREGATE l2,000,000 PRODUCTS•COMPIOP AG6 31,000,000 G£N'L AGGREGATE LIMIT APPLIES PER: S POLICY PRO. LOG COMBINED SINGLE UNIT : AUTOMOBILE UANUTY ,. (Ee eodderd) ANY AUTO BODILY INJURY(Pef PeBan) S ALL OWNED AUTOS - BODILY INJURY(Per mX4MQ S SC►EDULEDAUTOS PROPERTY DAMAGE t - (Per ealdwa) HIRE°AUTOS 9 NOWOWNED AUTOS S EACH OCCURRENCE : UMB116LLA LIAB OCCUP EXCESS LIAO CMMS•MADE AGGREGATE S "_ i DEDUCTIBLE - It R NTION - WC�3TAIU RO OTH- WORKMCOaPENSATION 1 00,000 AND HMPLOY!R3 UABLUY YIN E.L.EACH ACCIDENT _ . i r ANY PROPRIETORMARTNMEXECUTWE� 2O 2010 /20/2011 1.000.000 B OFFICEWMEMBEREXCLUDED7 L-J NJA C4580446A / / EL.DISEASE-EAEMPLOYE' f (MarAI*WrV I&NN) - 1.000.000 jr ye deledto vildef E.L.DISEASE-POLICY LIP f DESC ON 0 PERA S �, T��mNq�y I�U1fa�h G oR0101.AAlRlaul MnN1><e SgNOoW."ON"e U«rWUeO CERTIFICATE HOLDER CANCELLATION --p—RWW—A—NV OF THE ABOVE OFSCRI rD POLl CIES BE CA LED BEFORE THE EXPIRATION DATE THEREOF,NOTICE HALL 86 DEUVERED W Tow OF &vwSTASJrN Hamm DEPARTHM AUTHORIMDREW-SENTATME 367 HAW STREET _ RATIrMIB, VA 02601 ®188B4609 ACORD CORPORATION. All rights reserved. ACORD 26(20091091 The ACORD name and logo are registered marks of ACORD Produced uelnp Fefrtre Boss Ppte eolb►ae.W�vcFmrnrpoaa.cem;IrnpreeeWe PubllshUM D00108-187t r + BARNSrABLE. MASS 1 : Town of Barnstable �fD MA'S A • Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I L912 Aori- G Trte , as Owner of the subject property hereby authorize 29IZ2 11d j2n6 j44�e pa- :S7 YyG f"i W to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signa o Own r Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 Massachusetts- Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License License: CS 1728 _ Restricted to: 00 DAVID W MANNING PO BOX 217/101 CYPRESS PT; CUMMAQUID, MA 02637 Expiration: 9/6/2011 Commissioner Tr#: 2508 Office�f Coum airs iuess egu hones License or registration valid for individul use only . HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: W Registration: 110318 Type: Office of Consumer Affairs and Business Regulation Expiration: 1f1�,2012 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 D W MANNIN%-?-_ RUCTION DAVID MANNING 101 CYPRESS PT. CUMMAQUID,MA 02637�� Undersecretary Not valid without sigipfure Town of Barnstable *Permit,42L 0 Expires 6 r oaths from issue date Regulatory Services Fee BAWWAOLK Thomas F.Geiler,Director i6s Building Division ED µpf (�� •�I Z2�6 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY . 7 Not Valid without Red X-Press Imprint Map/parcel Number Property Address �� {rL,i4-� A l/ /..y i a ; I ��✓�� V� r ❑Residential Value of Work" ) Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number_ Home Improvement Contractor License#(if applicable) ❑Workman's Compensation Insurance Check one: °APR PERMIT ❑ I am a sole proprietor E.]'I am the Homeowner ❑ I have Worker's Compensation Insurance AUG 2 0 2008 Insurance Company Name_ TOWN OF BARNSTABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on rile. Permit Request(check box) EJ/Re-roof,(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping.. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders:U-Value. (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. . A copy of the Home Improvement Contractors License is required. SIGNATURE eFc)� ;Gl QZ' I��S uUiiZ 6i `rt Q:Forms:buildingpermits/express Revised 123107 l # The Comrnorrwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street ,Boston, AL4 02111 - www.mass.govIdia Workers' Compensation lnsurance Affidavit: Builders/Contractors/EIectricians[Plumb ers Applicant Information Please Print Letritbly_ Name (Businesstorganiz.eEon/fndividual): CicD �G pl-1/e', a,E,nt%%�I�wA0 I City/State/Zip: - Phone.#: "T I�RO ' a04?a Are you an employex? Check the appropriate boy: Type of project(required): 4- ❑ 1 am a general contractor and l 1.❑ i am a employer with 6. ❑New consttuction, employees (full and/or part time).* have lured the mb-contractors 2❑ I am a'sole proprietor or partner- listcd on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition [No workers' camp- msurancc cmp.insurance.t 5. [] We arc a corporation and its L0:❑Electrical repairs or additic rttgurccL] officers have exercised their 11.❑Plumbing repairs or additic 3. VVI am a homeowner doing all work nrysel£ [No workers' comp. right of exemption per MGL 12_ZP Dof repairs incrnance requird_]t c_ 152, §1(4), and we have no ' employees. [No workers' 13.0 Other camp,in�cr,Legnired] *Any applicant that ehrsla box#1 trust also fM out the section beiow sbowing their woi as'cotnparretioat pofiry infortrgtiacz t Hnmcownen who submit this affidavit indicating they arc doing all work and thrn hire outside contra ors nntst submit anew affiaavitindicating such. XContractnrs that cbocti this box moat atizamd an additional sheet showing the name of the sub-coutr�and state whcflicr or not those entities have canploycat. If the sub-contract=have employces,.they must pmvidt thew.workers'comp.policy number_ I am cut employer that is praviding workers'compensation irtsurance for my emptoyem $elatv is the policy and job site information. lanna_uc:Company Nam Policy#or Self-ins.Lic.#: Expiration Date: rob sites Address: City/StatclZip: Attach a copy of the workers' compensation policy declaration page(showing the policy un_mber and expiration dab Failure to secure-coverage as required tmder Section 25A of MGL c. 152 can lead to the imposition of criffanal penalties of lino tip to$1,500.00 and/or one-year imprisonmLnt, as well as eivil penalties is tlhe form of a STOP WORK ORDER and a of up to$250.00 a day against the violator. Bo advised that a copy of this sta-tr=rit may be forwarded to the Office of Investigations of the MA for rinsuranre coverage yciificat ign I do hereby certify render the pains-and penahYes of perjury tha#the information pravided 9above is true and correct Si c: Date: /' Phone# �C>8— (4a� r ;2o O O �1 use only. Do not write in this'area, to be complzted by city or town offici¢L J City or Town: Permit/License# Issuing Authority(circle one): I..Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspectar 6. Other Town of Barnstable of the rti o Regulatory Services saxxs-rwst.�, Thomas F.Geiler, Director MASS,. Building Division PrE0 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 vur m.to-A,n.barnstabIa-ma.us Office: 508-862-4038 Fax: 5.08-790-6230 HOMEOWNER LICENSE EXEMPTION G Please Print DATE: JOB LOCATION: ! Cf/uLa� /�"lY/ ADIy(/e I, ✓' "'llag✓g e l! Lo number street vi �ok name home phone# work phone# CURRENT MAILING ADDRESS: r q f4 V Pam! 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 Persons) 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 ro r all such work performed under the building?penrst. (Section 109.1.1) ility for compliance with the State Building Code and other The undersigned"homeowner"assumes responsib applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and uirements. ignaturc 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. ITOMEOwit'ERIS EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be cxcmpt from the provisions of this section(Section 1-09.1.1 Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowna shag}act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a superosor(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 ultiniatcly responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities rcgviro,as part of the permit application, that the homeowner certify that hdshe understands the rrsponsibilitics of a Supervisor. On the last page of this issue is a form currently used by scvcral towns. You may care t amend and adopt such a forr/certification for use in your community. ,> t °FTHEt, 'Town of Barnstable r Regulatory Services BARNSrAUSI Thomas F. Geiler,Director ass. AT�b Building Division Tom ferry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A wilder Z , as Owner of the subject property hereby authorize to act on my behalf, in altmattets relative to work authorized by this building permit application for: (Address of job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- 173 Parcel Application# � Health Division Conservation Division Permit# --1 Tax Collector Date Issued b Treasurer Application Fee Planning Dept, Permit Fee i 1 62— Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address/-^, r /4/V/ 12o.40 Village ry: C SL•�1y t l�-� Owner Ar '74"411 /4GV Address Telephone Permit Request &Md L, La c AfC` 6 �eT� Square feet: 1 st floor:existing proposed A-114 2nd floor:existing (o proposed Total new A- Zoning District AWMood Plain Groundwater Overlay Miv Project Valuation Construction Type lao0d frelovLe Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ® Two Family ❑ Multi-Family(#units) Age of Existing Structure C -1 Y �'/�� Historic House: ❑Yes &N o` On Old King's Highway: ❑Yes U-No Basement Type: ❑Full O''Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) N Basement Unfinished Area(sq.ft) d Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new _ et!2 Total Room Count(not including baths):existing new 4�9 First Floor Room Count 77 Heat Type and Fuel: ZGas I ❑Oil ❑Electric ❑Other Central Air: ❑Yes 0 No Fireplaces: Existing New 0 Existing wood/coal)stove: ❑Yes ❑No N Detached garage:O existing ❑new size Pool:❑existing.. ❑new size Barn:❑exiting ❑Qw see Attached garage:Blexisting ❑new size Shed:❑existing ❑new size Other: g -n a _ .Zoning Board of Appeals Authorization-O-Appeal# Recorded❑- WAowl ere Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use c-' BUILDER INFORMATION Name Pao . f��1"��" Telephone Number kl 3 C,,Y- 7v 7,)- Address y�� AA � ,t;ol�✓� License# �S� 7S3 oT_ r Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �' 1'�^' cl f, I/a 7 s` SIGNATURE 1Z U J I A DATE 9 ~ FOR OFFICIAL USE ONLY r 1 PERMIT NO. DATE ISSUED t' MAP/PARCEL NO. .,. f n ADDRESS VILLAGE j OWNER DATE OF INSPECTION: FOUNDATION FRAME 5 L I►6-1 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I nc VV/lLp LVl�IYGWL/.n V� llt N•OJ w.V/4wa GLw , .Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.,gov/dia ' `Porkers' Compensation Iai<surance Affidavit: Builders/Contractors/]Electricians/Plumbers Applicant Information Please Print Le_zibly Name(Business/Organization/Individual): . PctJ i • I�it�. ' Address: ` (,o. - e 0; g City/State/Zip: Phone:#: :l k• 3 6 Y.- 7 Y 7 J- Are you in employer? Check the'appropriate box: 'type of project(required):. . E 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part time). * have hired the stab-contractors 6..❑New construction . 2.;] I am&'sole proprietor or partner- listed on the'attached sheet. 7. Remodeling ship md.have no employees These sub-contractors have g, []Demolition , working for me in any capacity, employees and have workers' 9 ..❑Blrilding addition [No workers' comp.insurance comp.insurance.$' . • required.] 5, We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing.all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13:7 Other comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavitindieating such. $Contractors that check this box must attached an additional sheet showing the name of the'sub-contractors and state whether ornot those entities have employees: If the sub-contractors have employees,they must provide their workers'comp.polidynumber. I am an employer.that is providing workers'compensation insurance for my employees. Below is.the po1'icy and jab site information. Insurance Company Name: Policy#or Self-ins.Lic,#: Expiration Date: lob Site Address: City/State/Zip: Attach a•copy of the workers' compensation policy declaration page•(showing the policy number and expiration date). Failure.to secure coverage as required tinder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of - Investigations of the MA-for insurance coverage verification. I do hereby cert fy.un r�th`e pains and penalties of perjury that the information provided above is true and correct Signature' Date: �? . Phone#: 5,0 �!` 7 5'7 - Official use only.. Do not write,in this area, to be completed by city or town offfciaL City or Town: Permit/License# Issuing Authority(circle one); :1.Board of Realth 2,Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6,Other Contact Person: Phone#: Information and. Ins'ttuctions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a-deceased employer, or the TecP;tTPr nr tr�te�of an individual,partnersl&, 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 suchemploymentbe deemed to be an employer." MCTL chapter 152, §25C(6) also states that"every state or.local en licensing agency shall withhold the issuance or renewal,of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant-who has not:produced,acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,-§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until-acceptable evidence of compliance with the insurance requirements of this chapter have been presented•to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)of Limited Liability Partnerships(LLP)with no employees other.than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. B.e advised that this affidavit may be submitted to the Department of Industrial Accidents for ccnfumation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or.license'is being requested,not the Department of Industrial Accidents., Should you have any questions regarding the law.or'-if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should-enter their self-insurance license number on the sppropriate'line. City or Town Officials. Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact'you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant. that must submit multiple permit/license applications'n any given year,need only submit onq affidavit indicating current policy•information(if necessary)and under"Job Site Address"the applicant should write"all•locations'in (city-or town)."A-copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on e for future permits or licenses, A new affidavit must be filled out each fil year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves-etc.)said person is NOT required to.complete this affidavit. The Office of Investigations would like to thank you in advance for your co operation and should you have any questions•�- 'please do not hesitate to give us a call. The Department's address,telephone-and fax number; e,,Commmwo4th ofMaAsaf, -tts Dgpax==.t of ladastdal AQci.d.=ts' face¢f -vest g o 600 WashingtC6 Street B040n,MA U111 Te,1.#617-7-27-490.4 ext 406 or 1-o77•MASSAFE Fax 617-727-7749. Revised I1-22.06 www.Mass•govJdia . I THE, Town of Barnstable Regulatory Services �B"MSTA LE'� Thomas F.Geiler,Director �A 1639• A Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 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. II ��d�� Type of Work: KIT(IVA) pm n j e L Estimated Cost Address of Work: �� r e 6 4- ( I 0",.D 1 .1-1 -If 5 4.414 t e Owner's Name: Date of Application: � ! V I hereby certify that: Registration is not required for the following reason(s): E]Work excluded by law ❑Job Under$1,000 OBuilding 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 WORD DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby`appl oi"a+permit as a agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav �op,HE, , Town of Barnstable Regulatory Services �8 Thomas F.Geiler,Director iOlfD MAC"' Building Division Tom Perry; Building Commissioner 200 Main Street; Hyannis,MA 02601 www.town,b arnstabl e.maus Office: 508-862-403 8 Fax: 5 0 8-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize Vew L 'Fpj i-e r to act on my behalf, is a1 matters relative to work authorized bythis building permit application for; . (Address of Job) cr - 2F -� � S' e of owner Date Print Name ` Q r ORM S:O"N._R P ERMIS S ION r t3e.,,ytat fer aWl SN1 3wfls Construction Supervisor License License: C8 50753 Expiration.: 2'24;�Z:,r?.,,,� Trxr 948, r AUIE. M FOWLER 446 SAY LANE S €ff��ee rqs-.:ire_;: Ilibm d of Refiietgaz 1€��efll�t{.fable. aed 4S.e:a�i ±1s 7AE IMPROVEMENT CONTRACT03 Registration: $35365 Expiration: 7/14/2007 Type:: DFA •i�i. _ Fl_)kJtur L E R t4 3,4'r` LANE -_IENTERVILUE, : . �xt[ati t]ii.ru[crr cy 00 yiGv\j ISLaNA .I 001 re�,� Cam-. y -1 r Uniformly Loaded Floor Beam(AISC 9th Ed ASD I Ver:7.01.10 By:Joe Madera,Shepley Wood Products on:04-24-2007: 11:38:38 AM Project:Tracy-Location: 19 Great Hill Rd Barnstable Summary: A992-50 W8x28 x 18.0 FT Section Adequate By:50.4% Controlling Factor: Moment of Inertia Deflections: Dead Load: DLD= 0.17 IN Live Load: LLD= 0.40 IN=U542 Total Load: TLD= 0.57 IN=U378 Reactions(Each End): Live Load: LL-Rxn= 4320 LB Dead Load: DL-Rxn= 1872 LB Total Load: TL-Rxn= 6192 LB Bearing Length Required(Beam only,support capacity not checked): BL= 0.86 IN Beam Data: Span: L= 18.0 FT Unbraced Lenqth-Top of Beam: Lu= 0.0 FT Live Load Deflect. Criteria: L/ 360 Total Load Deflect.Criteria: U 240 Floor Loadinq: Floor Live Load-Side One: LL1= 40.0 PSF Floor Dead Load-Side One: DL1= 15.0 PSF Tributary Width-Side One: TW1= 7.0 FT Floor Live Load-Side Two: LL2= 40.0 PSF Floor Dead Load-Side Two: DL2= 15.0 PSF Tributary Width-Side Two: TW2= 5.0 FT Wall Load: WALL= 0 PLF Beam Loadinq: Beam Total Live Load: wL= 480 PLF Beam Self Weiqht: BSW= 28 PLF Beam Total Dead Load: wD= 208 PLF Total Maximum Load: wT= 688 PLF Properties for:W8x28/A992-50 Yield Stress: Fy= 50 KSI Modulus of Elasticity: E= 29000 KSI Depth: d= 8.06 IN Web Thickness: tw= 0.29 IN Flanqe Width: bf= 6.54 IN Flanqe Thickness: tf= 0.47 IN Distance to Web Toe of Fillet: k= 0.86 IN Moment of Inertia About X-X Axis: Ix= 98.00 IN4 Section Modulus About X-X Axis: Sx= 24.30 IN3 Radius of Gyration of Compression Flanqe+ 1/3 of Web: rt= 1.79 IN Design Properties per AISC Steel Construction Manual: Flanqe Bucklinq Ratio: FBR= 7.03 Allowable Flanqe Buckling Ratio: AFBR= 9.19 Web Bucklinq Ratio: - WBR= 28.28 Allowable Web Bucklinq Ratio: AWBR= 90.51 Controllinq Unbraced Lenqth: Lb= 0.0 FT Limitinq Unbraced Lenqth for Fb=.66*Fy: Lc= 5.86 FT Allowable Bendinq Stress: Fb= 33.0 KSI Web Heiqht to Thickness Ratio: h/tw= 25.02 Limitinq Web Heiqht to Thickness Ratio for Fv=.4*Fy: h/tw-Limit= 53.74 Allowable Shear Stress: Fv= 20.0 KSI ` Design Requirements Comparison: Controllinq Moment: M= 27864 FT-LB Nominal Moment Strength: Mr- 66825 FT-LB Controllinq Shear: V= 6192 LB Nominal Shear Strength: Vr= 45942 LB Moment of Inertia(Deflection): Ireq= 65.15 IN4 1= 98.00 IN4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1`A`� Parcel —19 1 Permit# Health Division 7 733 IP/ Date Issued I2-1 F)IO Y Conservation Divisions 1�< 7 Abf* -5—iW � A/7 Application Fee &0 Tax Collector Permit Fee ��o 3 Treasurer SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address e cl)e-A �\ � '�`> 0 e__ Village Owner 1 C Address io\ Gye-prV % A `Qyf Telephone Permit Request A-Z -e .l9 } Square feet: 1st floor: existing proposed 2nd floor: existing proposed _ Total newer Zoning District Flood Plain Groundwater Overlay Project Valuation 3®..('50 0 Construction Type �—V re,P,_ Lot Size . S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure \ Historic House: ❑Yes )(No On Old King's Highway: ❑Yes )(No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ( Basement Unfinished Area(sq.ft) Number of Baths: Full: existing Q new C> Half: existing new Number of Bedrooms: existing C5 new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other A Central Air: ❑Yes gNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing `Anew size Pool: ❑existing O new size Barn:❑existing ❑new size S 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# a Current Use > K�� M Proposed Use �0 0. BUILDER INFORMATION Name Aa1Q!_UtTelephone Number � (D to Address License# b 3 S® P_tA el _ O ,-M_ Home Improvement Contractor# Worker's Compensation# S q (o D CIA ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SS�A�j 1r./-}�.t, SIGNATURE DATE d'14 r FOR OFFICIAL USE ONLY PERMIT NO. ` DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE + OWNER DATE OF INSPECTION: FOUNDATION l3 1 FRAME INSULATION FIREPLACE ELECTRICAL: ,ROUGH FINAL PLUMBING: ROUGH ► FINAL > � GAS: ROUGH 0 FINAL. FINAL BUILDING rlt 71 DATE CLOSED OUT 0 ASSOCIATION PLAN NO% r The Commonwealth of Massachusetts Department of Industrial Accidents DfBce aflQyeSLfff2 leas 600 Washington Street - -Boston,llfass. 02111 Workers' Com-ensation InsurancMIA"e Affidavit lm *01 pfflzffi�K MEMO 01 nam ' location �-•� ( � one CC U a `� ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one worly in ca aci�p K111 %%/////%%/ %// i% ///%/r////////g/o/%n/%t///////////his b% �%/�%°X'din wo ::;. .:n : ?vto er rovr g : fi,;.•?.ranem a n?.} :.:� .,. ,{ ..r�?Li... ..,. •..r:....::::. .. ...a:. , ... .{tr:::ry .,;;........:t..::•. x•:r:::;.;{•.;?•}}::}:n.: +.•}'•:f•:::...; :.}:+•::.... yn'^ .4..::.i....:::.v.:. ::.nv:•:... •r. .•.+.. ,,,. ., , ..::• •..:. v..r :,.{::••....•v:•.,:v, .. r:.. ;,•:vy' ;.;{y::. ,,{/.� `iht;??K{{+i::•r•.4,...n. .f ••?K•:f•:;:.}.:.:h{},,:?:•??.WL:{?h:'•. 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Iumderstimd that a one years'imprisonment as we],as clvn penalties in the form of a STOP WORK ORDER surd copy of thi+statement may be for�rarded to the Office of InvesdIations of the DIA for coverage veriscatiom I do hereby under the p ' enaUi of perjury that the information pr°vtded abov ' tru,and correct --Date : Signature / i^ <7 Print name omcialuse only do not write in this area to be completed by city or town official perndtaicense# oBunding Deptrbnezt city or town: OIAceming Bow 0saeetmeWs Oice ❑ dbeckif immediate response is required ❑Healtb Department "` ❑Other __ phone#; contact person: (r,I 9195 PIA) r Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the , anP "law" loyee is defined as every person in the service of another under any contract em 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 maybe submitted to the Department of Industrial Accidents for confirmation of mi sm-ance 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 ypu have any questions regarding the"law"or if you are required to obtaiii.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 pornut/license number which will be used as a reference number. The affidavits may be rebamed'tr the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would Like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Investigations 600 Washington Street Boston, Ma, 02111 - fax if: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 r RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WOR OHEET NEW LIMG'SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTEP,ATIONS/RENOVATTONS OF EMSTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.1� . >120 sf-500 sf $35.00 ' >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building perm't: x,0031= 0,a=square feet x$96/sq foot= STAND ALONE PERMITS x$30.00= Open Porch (number) x$30.00= Deck (number) _ _x$25.00= Fireplace/Chimney (number) . jn round Swimming Pool $60.00 Above Ground Swimming Pool • $25.00 $150.00 Relocation(Moving lM b (plus above if applicable) Permit Fee - 1 PpFTMETow� Town of Barnstable Regulatory Services 9H MASS.LE'$ Thomas F.Geller,Director 0h;�cR'0 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, , as Owner of the subject property hereby authorize V-" - � �\� to act on my behalf,. in all matters :relative to work authorized by this building permit application for: (Address of Job) ; Signature of Own Date Print Name } Q:F0RMS:0WNEUER1v0SI N BOAR®OF W(41$6D'IN(O R G&A RI'ONS License NSTRUCTION S•UPE�RVIl', is OR Nurnberg.C,§\ 035.©37 r Kit. Tr.no 13079 &� 6 Ez r Re DEAN F STANLE .Y 4 � ; 359 CAPTAIN LIJA• CENTERVILLE, MA 06 Atl`ministraYbr i r eat ��aac�u.�aelld Board of Building Regulations and Standards HOME I301n\v pEMENT CONTRACTOR License or registration valid for individul use only Re ist before the expiration date. If found return to: .,332149 Board of Building Regulations and Standards. /2006 One Ashburton Place Rm 1301 idual Boston,Ma.02108 DEAN F.STANL - r DEAN STANLEY 359 CAPT.LIJAH CENTERVILLE,MA 02632 �" "`� k Administrator Not valid withou signatur OFTNE Toy, Town of Barnstable Regulatory Services 3 BARMAszz, Thomas F.Geiler,Director Mass. p`b 1619. g .• Buildin Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. 11 Estimated Cos Type of Work: t �aH�`ttZvC RSA 4 Address of Work: �� v �Pr� \� ��\ '�A Owner's Name: Date of Application: Co O I hereby certify that: Registration is not required for the following reason(s): OWork 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 UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of a owner: Date Contractor Name Registration No. OR04 Date Owner's Name Q:forms:homeaffidav is 1 G N - � �• ors, ,,- ``/p - OJ •� ej � TO 10 � K 1-� L 0 LO 16 N '• NSEAs RVA -14 j Aar a a 45 R\ coo (0 f 43 moo . too �`�=�" N _.� ° fir,?� •' �/ 6-10 lip TZ {f �d�-n fie.r= _... �_ _ _ __ -• M t•, Afi+; ('0; { „� ` GERTIFIEp--- __ I<sr�s-SETi3AcKS _.. PLOT PLAN �Rf=A7 ELDRE AA f1i BRUGE IV 1? F T Slt A` y� j� 1 N 4p SUtNFy� JD A i1�i�-S T W J ,W ASSO SCALE' /'!.. qv " DATE'/o . 3eq/E GEE 1 fE 1IVG C ./ ��nr��F� CERTIFY THAT THE.- E819, CLIENT Fbvv �7, TEREO REGISTERED 83 SHOWN ON THIS PLAN..19 •.LO,.CATEp CIVIL JOS N0. _ ON THE ENGINEER S1J VZYOR CONFORMS ZON H TED AND, DR.BY +'4•/II. 0 LAWS • �"' OF ARNSTABLE MA8� 712 MAIN STREET CILSys � '3•E• + , ,`�`• H Y 4 N t S M A S,S. f,% /a 3° .-�( ..._.�-.. i. i e0.� Tf FBARNSTABLE BUILDING PERMIT APPLICATION Map 73 Parcel �� Permit# y s Health Division �M '� �h 9-'- 3� Date Issued /d O.. Conservation Division y� ��D � f'1°e� ' Feel h Tax Collector Lti IC — 1,JL— I�© �� y� Fe t �b 0O a APB _ � �- 1 � Treasurer LSYSTEM T og,,IOR SEPTIC S US BE Planning Dept. INBTAI�LED N CO�PLKNCE V=TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address �,C� C`41 e A-� `kAX i^ V _ (/ Village , -C,"X SA�,\� * Owner R:& U "K P Nc i-& Address \0�, Telephone - c Permit Request Square feet: 1 st floor: existingk-lkC.y proposed 'iao 2nd floor: existing(,�kri) proposed C> Total new yEU Valuation Zoning District Flood Plain Groundwater Overlay Construction Type VJop M�Z Lot Size i� (:,S Grandfathered: ❑Yes Ao If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure iJ rS Historic House: ❑Yes ,'No On Old King's Highway: ❑Yes A No Basement Type: O Full 2fCrawl ❑Walkout ❑Other ) Basement Finished Area(sq.ft.) C> Basement Unfinished Area(sq.ft) r Number of Baths: Full: existing Q_ new Half: existing \ new r Number of Bedrooms: existing_ new p` ,. w Total Room Count(not including baths): existing � new First Floor Room Count T u.sa Heat Type and Fuel: 0 Gas 0 Oil ❑ Electric ❑Other 'Uentral Air: ❑Yes &No Fireplaces: Existing \ New j�) Existing wood/coal stove: ❑Yes 16 No } iDetached garage:,❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:&existing ❑new size Shed:o'existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes J26o If yes, site plan review# i Current Use S�rA p Proposed Use L. �c _Q_ fly -- e� _ BUILDER INFORMATION Name �e. Telepho a Number' SSG 34(,On " Address License# K.- 6 Home Improvement Contractor# Worker's Compensation# /�, — A ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO R�"-,kv\AA -P SIGNATURE DATE Q0 fc1 FOR OFFICIAL USE ONLY " PERMIT NO' ' DATE ISSUED MAP/,PARCEL NO. ' ! `ADDRESS ' - VILLAGE OWNER- DATE OF INSPECTION: FOUNDATION r ^) - O 7 94d 4 FRAME ✓Z D _U. nn INSULATION N< FIREPLACE ELECTRICAL: f : ROUGH FINAL , PLUMBING: ROUGH r FINAL • GAS: ROUGH N 0 FINAL - FINAL BUILDING a.r DATE CLOSED OUT ' in -' ASSOCIATION PLAN NO. W -, ser M r t • t RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE - New Buildings,Additions $50.00 - Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE wORKSHEET NEW LIVING SPACE s ' dC�C) x.0031= square feet x$96/sq.foot= — plus from below(if applicable) ALTERATIONS/RENOVATTONS OF EXISTING SPACE --square feet x$64/sq.foot= x.0031=' plus from below(if applicable) ACCESSORY STRUCTURE>120 sq. >120 sf-500 sf $35.00 >500 sf-756 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch _x$30.00= (der) a 0 Deck x$30.00= (der) FireplacelChimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit F projcost The Commonwealth of Massachusetts Department of Industrial Accidents "-� — O1rICC Of/OYCSll�B�lOdS . u. 600 Washington Street Boston,Mass. .02111 �'' .. workers' Compensation Insurance Affidavit rii rliarir riirii tier%��/�%%%%%%%�/O%%%%%%%��%%/% �� /• :atina 1 hone# a • — — . j I am a homeowner performing all work myself Lolam a sole riet or and have no one workin in achy �� % l///r�/%/ % // %%%////%%%/%%%%///%//////%/G%%/%//%%%%/%//////%//%/%%%%%///%////%%%/////%%/%/%%////////%///////%% em`1 er rovidin workers' co ens lion for my employees woridng on this job. ,-:.v::::::.};n:{::}:•iW?:•7�:?:;;i:'i;•?}:•}:•4i:•{.;{r..v:::::: v:rv.r:}:{i•?Y+{+•}: ::::::::.v::::::::{::iX::.:{•.�Y:�-:'Y?{.,•.�.. 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D��i�..1f:.:... ... ' •:;{:.,.r:i:}il}::+v:}x.:}:{•}:4}}}.w:::::::v}:•::t{r.¢:<Xr•}%{•::Y:;}:•:{iijt{.:;{:{;:.;:{�.{•}:{:?:.,t.;.:t?v,•..:::::::::.:::�:.r.:vt;:. ........... :..::r.:Cv}::Y1{?.{. Faflnre to secure coverage as required minder'Section A of MGL 152 can lead to the impositLon of cdmh al penalties of a Sue to S1;S00.00 and/or or years'imprisonment ai wen as civg penalties in the form of a STOP WORK ORDER and a nne of$100.00 a day against me. I understmd that a copy of this statement may be forwarded to the Omce of Investigations of the DIA for coverage veriSeatlon. I do hereby c fy the p e ald o_,perjury that the information provided above is trap an correct Signature _ Date '2 _ Print name Phone it S 0 — y ofndal use only do not write in this area to be completed by city or town official city or town- permit/llcense# ❑Building Department ❑licensing Board ❑checkifimmediste response is required ❑se Office . [JHealth a'a lth Department contact person: phone#; 'i ❑Others_ orned 9195 PJA) Information and'Instructions' Instructions sachusetts General Laws chapter 152 section 25 requires all employers to provide workers compensation for their lovees. As quoted from the 'law" an employee is defined as every person in the service of another under any coact ire, express or implied, oral or written. ?mployer is defined as an individual; partnership, association, corporation or other legal entity, or any two or more of Foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or tee of an individual, partnership, association or other legal entity, employing-employees. However the owner of.a :lling house having not more than three apartments and who resides therein; or the occupant of the dwelling house,of they who employs persons to do maintenance construction or repair work on such dwelling house or on the.grounds or ding appurtenant thereto shall not because-of such employment be deemed to bean employer. rL chapter 152 section 25 also states that every state or local licensing agency shall withhold the,issuance or renewal L license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has produced acceptable evidence:of compliance with the insurance coverage required. Additionally,.neither the unonwealth nor any of its political subdivisions shall eater into any contract for the performance of public work until eptable.evidence of compliance with the insurance requirements of this chapter have been presented to the contracting hority. plicants .ase fill in the workers' compensationaffidavit completely,by checking the box that applies:to your situation and ?plying.companynames, address.and phone numbers along-with a•certificate of ksu ance°as all affidavits may be 3mitted to the Department.of Industrial Accidents for confirmation of insurance coverage: Also be sure to sign and. re the affidavit. The affidavit should be returned to the city or town that the.applior the permit or license is cation f ing requested, not the Department of Industrial Accidents. Should you have any questions regarding the'law'or if you required to obtain a workers' compensation policy,.please call the Department at the number listed below. ty or.Towns rase be-sure that the affidavit is complete and printed legibly. The Department.has provided a space at the bottom of the adavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please - sure to fill in the peiniit/liceose number which will be used as a reference number. The affidavits may be returned to Department by mail or FAX unless-othez`ariangements ie Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. ease do not hesitate to give us a call. he Departnient's address,telephone and fax number: . . . The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Investluatlous 600 Washington Street Boston,Ma. 02111. fax#: (617) 7274749 phone#: (617) 727-4900 ext. 406, 409..or.. 375. q The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-403 8 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: y d Nc Estimated Cost 1 Address of Work: t0�. ��e�` ��. i�r�c9� • WCt-VEA A\A If- Owner's Name: 't,t4o L` Date of Application:�� 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 apply for a permit as the agent of the owner: l Date Contractor Name Registration No. OR g1onw Affidav :rev-122001 �- HONE INPROVENENT CONTRACTOR Registration- 1321A9 i .—IX i—atioo:"-11/28/2002 TYPe Individual i DEAN F. STANLEY 1 DEAN STANLEY �LD71�o� W CAPT. LIJAH RD I ADMINISTRATOR CENTERVILLE NA 02632 �i op fie -Vzusea,�/ a��,aaoac/auv� BOARD OF BUILDING REGULATIONS � icemse: -ONSTRUCTION SUPERVISOR Numbei-Q5 035037 E pu s d I jO04 T no: 19956 Restr'-t DEAN F STANLEYY Ex" jz1� 359 CAPTAIN LIJAtd RDA= CENTERVILLE, MA Q2632"'r "`� ` Administrator h TE PERMIT RECORDS : ADD CHANGE DELETE PRINT FEES HELP END GE RECORDS IN PERMIT TABLE 'AMATION------------------------------------------------------------03/21/05- .IT NO. 64145 PARCEL ID 173 079 19 GREAT HILL DRIVE :IT TYPE BADDI 'RIPTION bedroom,bath �PECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR N 12/10/2004 CGI LAUD ?D 10/10/2002 A JFIT ,M 12/04/2002 A JFIT ISU 12/16/2002 A JFIT ENTER Y IF ALL ARE CORRECT OR N TO REENTER OF THE INSPECTION. CONTROL-I FOR LISTING UPDATE PERMIT RECORDS: ADD CHANGE DELETE PRINT FEES HELP END CHANGE RECORDS IN PERMIT TABLE PENTAMATION------------------------------------------------------------03/21/05- PERMIT NO. 64145 PARCEL ID 173 079 19 GREAT HILL DRIVE PERMIT TYPE BADDI DESCRIPTION bedroom,bath INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR BFIN 12/10/2004 CGI LAUJ BFOD 10/10/2002 A JFIT BFRM 12/04/2002 A JFIT BINSU 12/16/2002 A JFIT ENTER Y IF ALL ARE CORRECT OR N TO REENTER CODE OF THE INSPECTION. CONTROL-I FOR LISTING r, �i TOWN OF BARNSTABLE DEPARTMENT OF HEALTH SAFETY AND ENVIRONMENTAL SERVICES BUILDING DIVISION STOP WORK . ^�IS"STRUCTURE AND/OR PREMISES HAS BEEN - INSPECTED AND THE FOLLOWING VIOLATIONS OF THE BUILDING CODE AND/OR ZONING ORDINANCE HAVE BEEN FOUND: . _ 1)- -- 78a CMe s1JOJ JCiO Rth� 2) 3) 4) YOUARE HEREBY NOTIFIED THAT NO ADDITIONAL WORK SHALL BE UNDERTA)MN UPON THESE PREMISES,OR TILE PREMISES OCCUPIED UNTILTHE ABOVE VIOLATIONS ARE CORRECTED. ANY PERSON REMOVING THIS NOTICE WITHOUT PROPER AUTHORIZATION SHALL BE LIABLE TO A FINE OF NOT LESS THAN FIFTY,NOR MORE THAN ONE HUNDRED DOLLARS. Address )9 G2£4T H}� DP - Date - y B� (ding Commis onur �.t .;t �6"�'' •t 3.ie'1 :YJ� y � �'�''�/ f�"Y - M t '� 4 9 fit. r � e'r�f/1-'-"!ar'.F.,•.f,. �4 't"�j rl�.r '''�Yr-.•�/ •Y/ � ,� +r � .j �•..:' ri 3.;vw y.„ r� � c vt Vlti- Zh,/f�'.� \ s i •Yu5 r 7 "sire, ei �.«?' L-w- it{� s <A Mst ►-.'✓� -Z! y�'r/ii sue,�: t.t �� - f�. `+C > � +• A-'l Y ;r y J fA ��,an�✓��,�ICr 4.� _`o sty\�°'>� Sl si S�' � a.a�.rv'r �i t�::jss ..f,l 7 r ��_�«s.s i � � t f.� s' rv3t•:f: i �. ^• y R -*fit ��,., .rW�__„„,ayl1/�.-,�,u,aR �.--._. ,.- i' �F �i+' :. z {�IIYd aW iutkul a "t TOWN OF BARNSTABLE Permit No. -- Building Inspector VAUSTM Cash ------------------------ rua — ' OCCUPANCY PERMIT Bond ___---__-_.- �i�_ Issued to 1 Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health jj A �� / { , l k, Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. - c Building Inspector y - FROM TOWN OF BARNSTABLE BUILDING DEPARTMENT. t Mr. Francis Zr. Clerk 367 MAIN _STREET HYANNIS, MA 02W1 ,. �, �. Phone: 775-1120 SUBJECT: _ FOLD HERE - _ - * • - 4 DATE MESSAGE Work haq bem_cgRZeted'�tu?der Permit 2M# .R{Gr�enbri Please release Bond. +1'�e rr�-k-,w;•.r.wr:::S�ye F..,�,r..Yy.aF<,,.r,a-.M.�sr•p.-t.,�.-.a..,nx 3�•..xc er3.....,kxa..a.,� .. .. SIGNED. _ ..DATE REPLY SIGNED 77 Ne7-Rml .RECIPIENT: RETAIN WHITE COPY,RETURN PINKCOPY PRINTED IN U-.S.A., SENDER: SNAP OUT YELLOW COPY ONLY:SEND WHITE AND PINK COPIES WITH CARBON INTACT. 'D G ''C_ ¢3, co . w � a N 0 v� N � k44fs"' 4s 3q l�o TIN 43 too a � a r= M c.0✓ CERTIFIED PLOT FLAN irgLi?T -AT*IV i -+ - ELD E IN SCALE_ !'=—4, DATE_�'o��30A€ RN3i2/E 2 EE ING C •l CLIENT I CERTIFY THAT THE `_0l1lv2f710 ✓ EdjSTERE. REGISTERED 8� SHOWN ON THIS PLAN IS LOCATED t CIVIL LAND : JO®'hi0, ON THE GROUND AS INDICATED AN.D ; > " ENGINEER SURVEYOR , CONFORMS TO -THE ZONING LAWS OF '' ARNSTABLE , MAS I. Y : ks . 712 MAIN STREET' ' . .. k HYAN,RI8 NEET_LOF ,K ®ATE ` REG. oil LAND SURVEYOR I Assessor's map and:lot number ...L.....y.'Cc7rL• oFTHE Sewage Permit number .......... .�........ AT . r SEPTIC SYSTEM MUST aaBencE, House number ........ .,�. .. . ... ./ INSTALLED IN COM;F LI y 9on ST i NAG& p 039. WITH TITLE 5 0 YPY a' TOWN OF BA�RN �� gt - R � t BUILDING INSPECTOR APPLICATION FOR PERMIT TO .. TYPE OV CONSTRUCTION ...................... lf! (t 't'':� ��Vtl ..1.. .......19.1e TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a perm' according to the foil wing information: / J Location ..................................... .0 . ..I .,...�1 C ...... l. .....Dlr.f............ . ProposedUse .............................:! . ........... :. ................. Zoning District ................../ "' Fire District �. Name of Owner ..............t� /t1�r....�� .Address .................... .. .. :.... ...1 ........................... Nameof Builder ....................................................................Address ...........................................:........................................ Name of Architect .....:....... ..............................Address .................... ....................... ......................................................... Number of Rooms .......Foundation .......... ...� .. (�!��: �. Exterior ............ �/ :........./... ��l C.f f...�'�....:Roofing .................... y� ( ....... ./..T ....... el Floors ................. ............:..............'.�(/. . ......................... .....................Interior .............................. ... .. .� . ..f�.G �.... ` C Heating , �!✓l/f ....... :... 5............Plumbing ............................ .....�.....� ...................�. ........ ......... pp-- . /9 Fireplace .............:...............................Approximate Cost ...................�...k... ......®..�?.:............ Definitive Plan Approved by Planning Board ------.11� ____________19___D____ Area ../Z. 7. 7 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH _7 L q Z Lit I r I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of jBarnstregard' gs the above construction. Name ............ .. . . .. ... .................. Construction Supervisor's License...... '.......... GREMRIER CORP. •F r � 'No 2.72.5.Q.. Build One Stony Permit for Single Family Dwelling Location ..fit 2, 19 Great Hill Dd:m., Centerville r _ Owner ..........................Greenbrier Colpa... ..........:.......... Type of Construction ,x - _F'mire............................. Plot ............................ Lot ............................ 'Permit Granted November.:20.............19 84 Date of Inspection ................ ...................19 Date Completed 19,P - , . . �� -• / / 1,� � - ex- Assessor's map and lot inumber .... .....�... ......... C7 roe♦ 1 THE k' Sew`.age Permit number` BAHd9TADLE, i House number ...:..... .. rasa 5....:.' ......................... 9 1639. 0 MAY Ar TOWN OF BARNSTABLE BUILDING • INS,PECTOR APPLICATION FOR PERMIT TO ....:-.................... C /� /, �� Dyz�` .... ...... .... ................. -.....� ................ TYPE OF CONSTRUCTION ................................ ........A..../. `'r ......................./................... ....................................... ......19......... TO THE INSPECTOR OF BUILDINGS: r The undersigned hereby applies for a permit according to the following information: Location .....................................t ... )..I .......... ..C. /j'c''r ... � r � e............_... "efl 't'-1 ProposedUse .............................. (.a o1, ........... i �!?:..::1.................................................................... ..................... c FiC District C O Zoning District .................. .................................'........ ................. .............................................-. Name of Owner ............ . .; .. /tU=f,..YA ...Address .................... ..Q.. ...................................... Nameof Builder ....:...............................................................Address .................................................................................... Nameof Architect ...................... ._................................Address .................................................................:... Number of Rooms ..................... .........................................Foundation .......... ....'�n/ (!!. /�� . Exterior ............1!LCr......... .`�., ( -/f...( ....IRoofing .................. .iL�� .....�...�� ....... Floors ... .. .......u�..................Interior .............................. .. ......... .A.t.A.................... Heating ......................`!.........................X.... .........J.............Plumbing r......�?....... ................... � Fireplace ..................................................................................Approximate. Cost ................ �!..� .. ..4� Definitive Plan Approved by Planning Board -------404. _____________19 _Y Area ..........I#.,�.r....... Diagram of Lot and Building with Dimens __ ions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH / { �. Aj y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....... ......................... ... . ....................... Construction Supervisor's License ......(............�� GREENBRIER CORP. A=174-2 6 27250 Build One Story No ................. Permit for .................................... Single Family Dwelling .................... .......................................................... Location Lot...2, 19...Great ..H.i.1l..Drive.......... . . ... ........... .. . .... ........... Centerville ................................................................................ Owner .....Greenbrier ier Corp. ............... ............................................. Type of Construction .....Frame.......................... .. ........ ................................................................................ qplot ............................ Lot ................................ Permit Granted ..111omexabex-20,............19 84' Date of Inspection ....................................19 Date Completed ......................................19 POP- TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. _ - DATE ' JOB LOCATION Number Street address Section of town "HOMEOWNER" 7 Name Home phone Work phone PRESENT MAILING ADDRESS r ej AA City town 3 G.4 State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- . dividual 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 re- side, on which there is, or is intended to be, a one to six 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 acgept'Able to the Building Official, that he/she shall be responsible for all such work erformed under the building ermit. (Section 109. 1. 1) The undersigned '!homeowner" assumes ;,responsibility for compliance with the gt?t Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will omp y with said procedures and requirements. HOMEOWNER'S SIGNATURE C101 APPROVAL OF BUILDIN 0 CIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a persons) for hire to do such work, that such Home wner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, . Section 2. 15) . This .lack of awarenes often results in 'serious problems, particularly when the Home. Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The. Home "dwner� actin as supervisor is ultimately.. responsible. To ensure that the dome Owner is fully aware of his/her responsibilities,.. r.i� �� . communities require, as part of the permit application,pp ion, that the Ho`me Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. 7a -9/0 2 S8 Assessor's office(1st.Floor): 4 Sep e �4 Assessor's map and lot number /•z-UtiC, ��SZw�c SYSTE,i h� THE t0`` Board of Health(3rd floor): S&h3 A L��it,(+®�5 0 Sewage'Permit number �`�'/ m�p i 111P1/S¢�®i-ni T'�'�. • Dsa19T►n Engineering Department(3rd floor): � ]' r,us House number r N1 °EmJ? r Definitive Plan Approved by Planning Board 19 ° r ?+ APPLICATIONS PROCESSED 8:30-9.30 A.M.and 1:00-2:00 P.M.only, TOWN OF . BA.RNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 65^4 0 / , " ),o eA0;e TYPE OF CONSTRUCTION tZ2n� /f TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 6�c ` Dr o A 9 Proposed Use ��J 2 a 0 IV\ Ak Zoning District J ` Fire District bd r✓` �G 1'-''-- Name of Owner U (-dv ga> W rt?R Address 1147 9 1?_o*5r /A//l 6 Name of Builder 5, /T Address Name of Architect S V_ ICI Address Number of Rooms Foundation Exterior 45 DA-fL t,6K. IV 610-S Roofing ,if d`-5�2 4,y"/ Floors (. A- Interior 4 / Heating Plumbing Fireplace Approximate Cost 6-LO4 Area ':)a Diagram of Lot and Building with Dimensions- Fee 0 - ?�nA( 3( ()O� 0? C( l/`I Jt. �jeG�C �JeV' � S S V✓v,�G�� o sJ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barn a garding the above construction. Name c.J Construction Supervisor's License —'/ TRACY, BRADFOR.D W. i r NO 36098 permit For REMODEL & ADD DORMER '. Single Family Dwelling _ 19 Great Hill Drive Location - 1e j Owner. Brgdford W. Tracy , t, Type of Construction Frame Plot Lot AuF ust 1 Permit Granted g 6.., 19 93 Date of-Inspection Date Completed 19 ell z F � Engineering Dept. Ord floor) Map -73 Parcel 0.7 9 ��1' Permit# House# � �� r)L Date Issued �� f Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee Conservation O ffice 4th floor 8:30-9:30/100- 2:00 1 �109i2 �� ( )( ) AV Planning Dept. (1st floor/School Admin. Bldg.) � �` � Definitive Plan Approved by Planning Board 19 t �R .... o Na+ TOWN OF BARNSTABLE q & Building Permit Application Project Street Address \� Gre4` +T C° L., '�'Z) Village lAe i � Owner P " C" Address Telephone Permit Request Q C e 1 First Floor square feet Second TIoor square feet Construction Type W L,O Ot rC J\A ry\-k- Estimated Project Cost $ "'(�'?�- ®p p Zoning District k 11� Flood Plain Water Protection Lot Size \- R C!�L.Q Grandfathered ❑Yes ❑No Dwelling Type: Single Family �, Two Family ❑ Multi-Family(#units) Age of Existing Structure \ 'A Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full aCrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) S:� jc� Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing &�L — New c'> Half: Existing p New 0 No. of Bedrooms: Existing tJ New (D Total Room Count(not including baths): Existing New First Floor Room Count r[ Heat Type and Fuel: `W Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes No Fireplaces: Existing New �_ Existing wood/coal stove ❑Yes 'QNo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) 1W Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 'allo If yes, site plan review# Current Use Proposed Use Builder Information Name P-A,-k Telephone Number `6 ( G; Address License# ('3 S O `1 aiQ&I t Home Improvement Contractor# 6 A\/A n,� .a� �.Z��, ,� Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO TN A NA SIGNATURE DATE z.0 eM ►J e `�,\�l°1`t _BUILDING PERMIT DENIED FOR THE F LOWING REASON(S) FOR OFFICIAL USE ONLY ^ PERMIT NO. � yV ' DATE ISSUED MAP/PARCEL NO. ADDRESS ' VILLAGE - ' OWNER DATE OF INSPECTION:` Q FOUNDATION FRAME v INSULATION FIREPLACE ' ELECTRICAL: ROUGH ^ FINAL PLUMBING: ROUGH FINAL GAS: 'L ROUGH FINAL FINAL BUILDING 1 �^ DATE CLOSED OUT ' « ASSOCIATION PLAN NO. rran4L�nSr.�t .• .r�'+r Mro� �`"�r^r"r+Y"�=- .+'a'�..:.3,s" _r.: �.�•':... ";s � .. f : _ ,_ � - .. � - . •� u -Ile T i I(n,J7' L i E\)A nc,.t - 74 Ay,D�`t'1CN - PLA N,h Hd SZP)7P"7v -.:�: p�,v,. '.,�...'„ �.ly.h4. �. .-.�. �.:'c� i at '.:.y, Y .C' ..� ♦..... -•r -Rt'. :1 °v: :.;{ K"J Y! S yt:.} ��, a \ 4a S • :ip Lr i 1r- � LA a , ,ram .. ., : •..p r 1A27.f]CJ— .. - � - __ i2�bur F }fir .. pe.:� , .. 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'( \ f 7 ,. - I' 1 P.� 1 la Fr.E6tE ;� a u, "OL�1Ti�` �' f I% ;a, 9" I.; 1:.;, aa<f,'NDa _v a T ,' 1 Z is��nnx II , j 1 G• -! ,,I Y �`: < . i Ili -I _ f �' MATC.rI 117 ,,. .oi .�; J0., .L`� 1 �. S�§ _ '.,j�C`S III,G LC s �S4T71J ,� 11 If - iI , I ;, r .., 1 f s.} il r. 1 .:•4 l '.�I n i 1: :, 7oO,rt • ar y-,ce - 'fAv: ;:.T �dx6..'.a S L Fy..-� 5 : '. � -I L _ /a Z y, , � SI.Dtf - y -i _ .I:` /� .i /, 9 -�r_r. ! av'•c [ ..C/..' ,z, tom.. �,_ {-Rt n,Y<GG.vF' v'ia.I I 4 d':N L!t Y .__L__ii'f-1° 9C..el•._iLA3-�.: S's-.n_ I .*'3_� -_ __ - -_ / qLC-:REDO {v. NC -- — —- -' ---- -- r- —- — ax.o't�.a t , ' Y n,r'..L�AiL:u>//dkF. a: _ - ...- c2, a�i.c i.w/111 ... LU -.. :; /_� - ._..p. _. _..T '.: 1 ' .: ..CAO�7 - av G'f 1,.3IL 1}V.TR.,.0 t.; JDC f 'k - �. r'�. _ / 1. ,:,'CUNT . TL ,� 4 ^o -.,- ''i I �.`_.-' - - tC'>5t-.vt-- __ I SLO[/ i I f ^.,. v VAAAP ,j,. s. -. y : i .,• i_ •.4-G'N/LN f;CG�Y ti -,j !.':: " _ F'.: : e _J'. i L[r,I 8 HtAT'N w.li. I. I EELora 'GRA '�ri"� -, -- K „ �� I; DAMP Ffocc rEttrJ -- --- - - - - -- -- -1 - -- - - _. �' 1 /1Lwb4-� 7L G S Z Tf OTNf� PG DOG SOULE.' ` ,c' 4 : a976 _� , ..:* : .., n :. . :. _ _ _. _. _ _ .: - C:4 6rkDa .^ , .. - -- -' --- --- --" - -- G s., :. S .-U Y P`v AA v.x . ,.' .',' - 1 - -- - - — x i , v[ 3 — -� - I -- - r {(` H d L '�rG'SH-kG DQ_ .- — - - _ -- - `I r .r 4N IdZn(c�3rt=fl Da — --' '-'_ .- + .'y, a ___ _ _.- _... .. _ 1. c .f t Tp 606 X 1 11 v 'C•K �tF«cE-Cve.� -r -- --- -- --- --- � z 'x '."' ,,5 , 11 3avavv aD _nab I _ _ F N�' Cd� � — - '�` .._�. a — - .. .. -. _ 'ri"� 1�1, . s 44 t o �� L� 0 � f v T s � ¢3, SbS N ( ( 1/ CIOL l N ;a N v U;1 �\� 1 t3 �o ,4s 01 1� 43 too On 5 o ,t utly 5 I 2d• w Pr- / - I / re ��'C'?T\� �L O T rLAN_ ' EI.DRE H E'EN IN SCALE' P'7- q0 ' DATE'/o 3o,/g GEE I EE ING C LIM EOISTERED REGISTERED CLIENT__.___, I CERTIFY THAT THE F"vvti.��7,v,✓SHOWN ON THIS PLAN 9 LOCATED _. CIVIL LAND JOd N0.83 2D9 1 LOCAT ON THE GROUND AS INDICATED ANp ". ENGINEER SURVEYOR DR.BYs A -4-/'?. CONFORMS TO THE ZONING LAWS 712 MAIN STREET _• CILSYS 2`3.E. )OFdARNSTAdLE , MA , r The Commonwealth of Massachusetts Department of Industrial Accidents g 1 tl` _ Office ollnvesUgal/ons 1'1 \- '•iiw i _ 600 11 ashin;;ton Street Boston, Afa.v& 02111 Workers' Compensation Insurance Affidavit �nlica�nt�Intormatton• c Please PR(NT lebibly name location N cit �-e it e U>\\� J -� 2 9- 2 _1 _-IPhone# I am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. om an name: e-A oddrec • t cit �.. \ Q�v� tCy��\`e �S a�� 3 Phone#• -L\,`Is 3 incur•tnce co. &A�o r( policy# oe-x�S: 12 C` 2N--bee 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: comp•ttv nime: address: -- city. phone#• incurince co policv N '_ _ ._.. :4..T:::•+� ?�-,u-.'-- _ - �'•:. • ...-._.�..-4�,-....rr--r:e4�.-?n,(S7!-*,T.nw yapf.:p'-1 ,-�C•« r .p.ra, �e'.�.-•----e- company name iddresc- city• phone#- titcurince co pohcg t! .....__.�.. .....-.._........�.�..... �+�.+..^r- �r a.«p+fS� ice►!.: ;.s:n: Atiach additional shcef if necessary,;••', ,�_4-r failure to secure coverage as required under Section 25A of AIGL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a cope of this statement may be forwarded to the Ofricc of investigations of the DIA for coverage verification. I do hereh cert •tinder the tr td pet hies of perjure•that the information provided above is true and correct. Sicnature Date a - Print name l� - R_q Phone# _,�A(o F official use oniv do not write in this area to be completed by city or town official city or town: permit/license# r113uilding Department [31,icensing Board check if immediate response is required [3Scicctmcn•s Office C311calth Department contact person: phone#; rlOther ire%,sed 1'05 w.a) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law an empinree is defined as every person in the service of another'under any contract of hire, express or implied. oral or written. An etnp/nt•er is defined as an individual, partnership, association. corporation or other legal entity. or any two or more c 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 d%aclling house of another who employs persons to do maintenance , construction or repair work on such dwelling houst 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 even, state or local licensing agency shall �vitl�l�uld tl�1 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 in coverage required. 1P P . . wealth nor any of its political subdivisions shall enter into any contract for the dditionally neither the common p , A . . performance of public "cork until acceptable evidence of compliance with the insurance requirements of this chapter ha, 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 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. 7. ' '. .. ....-,. .. .. ':' a " ..:.. ,•,... .. ,. ��.�.. 1._0':�'• 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. PleaE be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned tc the Department by mail or FAX unless other arrangements have been made. Tile 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 Office of Investigations =3 600 Washington Street _ Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 37 °F1He rqy, The Town of Barnstable • snaivsrnsLe. 9� 1639.KAS& 10� Department of Health Safety and Environmental Services ''Fo " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only j 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: C A @ Est.Cost `1"j Address of Work: Ck Q V 2 A Owner's Name �o C Date of Permit Application: 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 apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR \1�- Date Owner's Name V' 7 AA a , .. {I. II I! '/�{,. �.r, (.At1<Qy Lrt'C"'% , � Cs., L T4E. JC1C-1 VE•.,T 13 { I 7Y//'�//� - ��a.7• I` �Gi v RAT'I\v}I!Al"C7 ALL Irt in� nJ Mnf _ I I d / 9'' U. r Pal 1,I. Frc•tE2 C A I' Iv3 ac.nAt. YKcg77 ..�v'Q/k.•d_ -�I Y ,i f '.7!� �b� ---_-' non jE1 7{)' el '' ,, ^ �, I, rr � ♦� rarCN • )oar/ v /', �� i /. 9 .� �.e1 e_r --'! ..... d.4 r e•.t'C/. L � sae ti r C4AP. a,.l.T.rl. r� ALL REDO fr, ro4 COW NAtt =/E_kF• - - G2.It,)� CITT ra Pr S{us Iry Tx,u.4'r>rDC.f . I 1, ' .(,(-7.1T. Tl♦r. `"") ..� ,.. i � .. I � ��__. I•S LO Crf VAMP. rec6c , i I ' I i Ixv rr4 .enf .FILL" 69ADr�r1Q� [/.• Vn�/4Atl a//b�xf" 1_� j6''cr. iry SHEATI+raL. rr F tc LAE T.' R,r flt oG 6 tJ -- - ' - - - w✓.pt v.-. DOCQwfDUI.0 -- _ twj1__==.-. - ' 'G f.Tc.N cnc r,t. r ' C x— - -- - - ---- ' --- -- 1 - - -'- ------De- - - --•-- _'_. _ _ .._ ..- -- - - - 41" r, �-} c ---,— - - — ---- ---- - - ----- '1 4G Y �Z, t3.k�, 1 ' ^>t�"�"� .'•', ,•=' .v'�tt r, a'!' � .w t •!3•.ten""`'+'�r�: T3Y�`4 �.;;f..•'•-;•. - .t.b,•�IG�•D^',��'•y �-,la'��:i..-'�:-'mil, c 2.p'1S.' 1�. � 'Ry�•`'7' f�"t*,fv r(� Y rrg{t Y ,- f "` «r'��'"•'K 'V�''.�•'(�t+»r1"' ', x'+�`��,yt-•� ?� 4°'t `� t' a t' �'v 7(� .• � °�� , f' — � OI ccNT Fro fly•') ��-->I .., • v u E GtAwt Sv"cE � —! _ •O1 Al T CAP .pIf Muxr (roYrr�,4ocL�. ! 1 d ! �' fb . (j __IMF a j 1 I i �Ytc;.d _ GMIN arri. •en.neJ - O .__ --_ /j Q 11 ONNl.6t� D!� ! �• i 1 Ia. ---------- CA.. x -''' Mw;o../o L81fueL_ [__[}� 01 -. :7rr1. � i ! � E d•'c f...•�cv co.t.. 1 s i _ , a � vu. � � 1 1 I __lid_tn�e. Z o �•. • err — _� , � �' j 1 i-. _- ...._ •� —i £"Cpwf. ! m Acw AArAL•R At e.neJ —hw 3u G47 rc ooc 4r.+ocwy Col. 1 O ® `d •Harry r Not o ER r%r p RAM i I. ^�q' ^„cwrour{oVe.t .it] ILL -L-T NJ ELFvn-•;rN - - - �F. L- • �3 1 i W-M,'-�`i.t r _ w i... t .�y s ' .`.' °• - < . '� r.x.� �.. - .... . ... _y%'.., .{t� a.. . ,.:•Y s , uw� ,....�.�.. 3UFar:.r.�'*•��' '�:.�'.�• -.. f ..'y AS:/L i:.K.. t•t.ifs: �;h, ..-.. '�i� .- ._'if�}''�• ....- _. � <. NS. .Yv� �'flh Y V- 1 — 1 _ I :r r- rr rT - • - .7.E ,7 :, i . I _ _iur�'cl LLt VA"n•'.1X.Ac ,c�y: �•, ..con _,.y' — S) ' - ,�J ter.•t rr.� �•,�1�,'E-_7r N./�N _'CP Ili 4F9V �. +-ti.. ._ r.y,:r-•'''�i.-••-s�ti+- -tr. r-rt. � � .s r -...i+,x '..r-...r'.w,-..•�„��.: ,,..�,...�r--...n.-�'.,. �F�HEI o� The Town of Barnstable �ARNSTARLE, sj Department of Health,Safety and Environmental Services 7 MASS. rEoA Building Division 367 Main Street,Hyannis,MA 02601 Office A 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of InspectionT Location (0, c• _.l j Qy�+ Permit Number Owner Builder i { One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: t :�! fV tit 2. �l, 1 f\C� L L(J L"1 C?h)11 ci C'!" U f?A r -+6 Uv' Y71 Vs o Please call: 508-862-4038 for re-inspection: Inspected by 0 AA 1- �.� v Date ��' i The Town of Barnstable O� BAE Services MASS. �, Department of Health Safety and Environmental i639• �0 plFDMA�a Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice 4 Type of Inspection I FA T-) Location q 17)r- Permit Number (o 4 i 4 S Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: n Ca L< _ r� k t c A, Q. I t G, V—_ Please call: 508-862-4038 for re-inspection. Inspected byo Date -/16 9 —U + 294:80' PROP. VENT WITH CHARCOAL FILTER ` II AND BUGSCREEN (FINAL PLACEMENT BY II CONTRACTOR WITH HOMEOWNER. CONSULTATION) BENCHMARK —— GRADE AT CDR 00 I' OF BARN EL = 70.6` \ cp I LO-I 2 I h. S . . 43,565I {IZE S / I OHWI / ^ \ EXIST. BARN l9 I 1 I I � I� I r r PA VED r { L� � EXISTING DRIVE LI 0 9 GARAGE / 6 1 n 3 24' / ` W. PINE \F 1 15.6 / I \2 "J �W II / l — PLA GS I�. 1,. DECK I I r r 1 _ m 1 - _ r IS I EX s•-.. . 1 _ 1 1 ST 1 1 SAS .O �___ I _ _. _ - � II. Q. If - r APPR O 1 r 1000. _ � PROP II � 1 f O O _ 1 i. GAL PC ..: / 1� FRUIT m O /69 O TH 4s EL. BULKHEAD EXISTING II 12" CHERRY �. pyrELLING TOP FNDN. I I { EL= 68.14' II VIDE THRUST BLOCK I II \\ `' S \\ DECK \;\ T v \ 4 11 ter..: .... . .. SMALL SPIKE.._ t i 1A OF,I, N OF M,18 81O DA a NI�LA. ti ,. N EL c D A i � OJALA A I CIVIL OJALA p y, No.40980 A. "oc GI TEFL. \� •p Oe�' 1Z ss10 L ENS' a s / / N R V DATE DANIEL A. OJALA,. P.E., P.L.S 1 r roll ridge vent @ all ridges 1 3/4"x 9 1/2"LVL ridge board create access hole,24 44"min., Asphalt roof shingles(match align bottom of access hole with edstlng) GAF shinglemate GENERAL NOTES —— crawl space dust cover "GDX PI 1.ALL DETAILS,SECTIONS 1/2 y 1U-27" AND NOTES RBI_ Zx10 16"O.G. exsting wall FBI-t SHOWN ON DRAWI1,165 ARE q'FG Insul.ud Prop-R /removed etwve 4'-51/2 5-81/2" TYPICAL Vent-or equal baffles I #5 re-rod dowels ——— —— ——————— AND SHALL APPLY TO nr Wind block 12"OG vertical SIMILAR le,°G SITUATIONS ELSEWHERE R49 Simpson#H2.5 hurricane ties OTHER- Vented drip edge iv— I I I W15E NOTED. P 9e 2.THE CONTRACTOR SHALL match edstlng bench I I Q I Gras i spa I I VERIFY ALL DIMENSIONS AND Q o it ENTRY m I ( I I �. CONDITIONS AT SITE PRIOR c - 112 x b Bev Cedar n 0'-10"chapel o TO COMMENCEMENT OF n g o sidin I set anchor butts In 3'from I Typar House Wrap ceiling 'r' this face this wall and 36" CONSTRUCTION. W b 1/2°COX PLY �2 I I I I 0c,Max all—'IS 14x3-Ni- 'tot 2„ m 3.BLOCK OVERALL o J R2i F O.G L_———— CARRYING BEAMS,BEARING p I R21 Glass insui wall line MLLS,AT ALL STAIRWAYS,8 Y4"T&6 glue and nail WHEREVER ELSE NEEDED o W03 FOR FIRE STOP OR NAILING m 2x10 Joist 16"O.G. I I COVERED PORCH I I I unexcavat I - 2xb P.T.sill with sill cathedral calling ;� I I I 4.PROVIDE 51MP50N ttH2.5 I I I �"Iotxer TOW 1" HURRICANE TIES @ ALL III II R30 II II and 356/8�cchor m I — in m I RAFTERS PLATE bolts @ I __ E—) L————————— CONNECTIONS AND AT ALL = :. Bituminous damp proof TRUSS LOCALS 10'-2" coating in "5.CONTRACTOR TO VERIFY 8"poured concrete 10 2 ALL ENGINEERED LUMBER foundation on 16'k10" nFOL NDATION PLAN VATHRE45AI TTHTHEIR D continuous APPLIGATON n looti FLOOR PLAN Scale;v4"=,'-0 RESPECTIVE 47bnd el yed 9 )ng(min. MANUFACTURERAND Scale,1/4"=1'-0' SUPPLIER Conc.dust cover.3000 psi, 'Note:Set TOW In field to AA CR055 5ECTION A M. Fst-t 2-1 3/4"x 9 1/2"LVL accorrttrtodate smooth transition A7 at flbermeshpeas over tone 6 mil. from new finished floor to existing Scale:1/4"=1'0y on compact gravel& WINDOW SCHEDULE Unless otherwise indicated,refer perimeter spacer. NUMBER LABEL Q7Y FLOOR R/O DESCRIPTION HEADER TOP AT U-FACTOR SHGG to section A/At for all structural YV01 G145 1 1 24 5/8X53 3/8" SNGL GASEMENT-HR 2X&X27 5/8" 3 82•• 0.3 0.29 conditions&notes WD2 C145 1 1 24518"X533/B" 5NGLGASEMENT-Hl 2XbX275/5" 3 82' 0.3 0.2q Project Description YVD3 CTG2 1 1 481/2%M 7/5" FD(ED GLASS-GT 2XbX51 1/2 3 123" 0.2T 0.31 W04 OVL2030 1 2 361/2'7Q41/2" FIXEDGLA55-AT 2XbX3911T 3 3311116" 0.3 0.3 RB1- New Front Entry and Covered Porch Zx10 match entry area plate height 1x5PVCT&G V groove Align witli existing freeze board I I I I _ III Ii It � II Ef b —I-� P� or wn soar in —�{— 2"blue stone - — 1"rrortar bead concrete slab m 7'stone veneer ®® 106" CR055 SECTION Left Side Elevation Front Elevation Right Side Elevation Plans That work DRAIKNO5 PROVIDED BY: PROJECT DE50RIPTION: 23 Jill's Path r �- o d Dave Manning Construction Proposed Renovations 8r Addition w W.Yarmouth,MA r tit P.O.Box 21"I Brad & Holly Tracy 0 A- 1 (508)3g4-28g4 m 101 Cypress Point 1 q Great Hill Drive Cummaquid,MA 0263-1 West Barnstable MA 02bbb . II 294.80' II PROP. VENT WITH CHARCOAL FILTER r CAND ONTRACTOR WITH (FINAL HOMED NER ENT BY CONSULTATION) BENCHMARK _ I I GRADE AT CDR If OF BARN I 0 I EL = 70.6' \ N 43,565 SF I \ I I / EXIST. OHWI�tES / BARN \ I I PAVED. TING 10 69 GARAGE DRIVE / ___ __ W 3 PNE \\�F 1 / _ W—W -- / V, x i r 68 `W— I I rri 1 W I z � II D / —— D GS DECK / PLA I EXIST. III i ST SAS O ----i APPR O III II PROP::1:000:O GAL.PC: / 10 FIREPIT' 1 N II m 0 S / 69 O TH ACOR BULKHEAD'• - EXISTING O 12" CHERRY \ EL = 67:.4'" _ DWELLING II S \ r{, TOP L J FND1 _ I1 \ 1 BUILDING J DE THRUST BLOCK D E PT. r, II -s '; II MAR 21 II .. 2016 k A 11 DEC x TOWN OF BARNSTABLE 11 am -ss �r 11 SMALL SPIKE _ 6c 4 1 H OF MgSS9C �IH OF Mgss9 DANIELA. 9G.OJA DANIEL c� ` o LA CIVIL A' OJALA a No,40980 _I 12_/_Lo't �SSlp LEYL I 9 peg DATE DANIEL A. OJALA, P.E., P.L.S "s y We Poor 400, 6*'� �" _ r "a� - - r • - - .. fit. .. �i5.4anyprt? 11 _ t n . Foundation Certification : n� . W.. Barnstable V .. Prepared For :- Brad Trac Assessor's Map: 173 Lot: 79 Baxter, Nye & Holmgren ,- Inc. Community Panel,Number: 250001 0015 C (8-19-85) Registered Professional F.i.r.m. Map Zones: Zone C Engineers and Land Surveyors Plan Reference: Lot 2 Plan Book 383 Page 39 812. Main St. � ^ Deed Reference: Deed Book 6,219 Page 342 Os#erville,- MA 0265.b,;. Phone (508) 428-9131 Fax — (508)-428-3750 Owner: Brad Tracy Job Number. '2002-035� Cgie 1-% = 40,E Date ' 4�20-2005 S µ M - . 1 % a WWQ PLAN BOOK 383 rn N/F BRASSARD' 00 04 z m Cl ^ N � . O o S 83'39'00"N � 294 s to po p EXISTING FOUNDATION ap LOCATED: 4-19-05 ,.. (o ND ,.FND,, rT, LOT 2 z PLAN BOOK 383 PAGE 39 TOTAL PARCEL AREA W.z Q �✓°W \ 43,565+/- SQ. FT. 1.00+/- ACRES W ri d M 0-4 G w 1n ,.+ M 317.70' N 82.3 " qq �4'1 j PLAN BOOLOT 83`PAGE 39 C) N/F REED REAL ESTATE TRUST I CB/DH FND r vv I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING FOUNDATION SHOWN HEREON IS IS LOCATED IN RELATION TO THE MONUMENTS SHOWN AND IS NOT LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA. �oM OBI THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. JOHN REGISTERED OFESSION LAND SURVEYOR N BAXTER, NYE & HOLMGREN, INC. DATE o4 60 -as 0 I I : . . I I I - - . . .1 I . . I . I I -�.�,1,7t,i", -��,,, - ,- . . I I... ,"L .- . ." - —,.,,F.:-----:o . . . . .-.11-1.1-1-,"i" ili,;,�,�,.��F��,-1'41::,�.",�;,',ii,�,��'�,'�I , ��-,�,--,:5;4�` ..,�� ,. , ; :,-1, :,-,r," .;,, ,,;---,�. , . 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V� ' ` / � �. � � (^, V � III MI T. 4`I •, �k f� .,, _'�� lad; l»11' r, LEGEND rn lltri•_ _ '- r'�I• ® ® = DRAINAGE CATCH BASIN C = UTILITY _POLE/GUY WIRE �•Y ' ? +. © ELECTRIC METER = GAS METER LIGHT POLE r Al . ._ r ✓i:,� WETLAND FLAG LINE •�:��• � •• . _ CONTOURS TREE/SHRUB LINE rti O = TREES •s. LOCUS MAP SCALE: 1" = 2000' rn M w t� Q 1'' I N/F BRASSARD o> �o CLEARED BRUSH S 83 39'00•• E to -k $ M lv 294.81' 40 o rn m '. O � I O p'� ) Y 'n O 0 I2 m to CLEARED BRUSH \ ZQ LAWN \ '� N Q. PROJECT BENCHMARK ASSUMED 1. LOT 1 LAWN ~ '� N CFNDH to ® / / �' TBM = STAKE do TACK SET 0 ELEV. 103.84' ?1 PARCEL AREA EL.=105.38' / CONCRETE BOUND FOUND 0 ELEV.=105.38' N/F TOWN OF BARNSTABLE 43,565+/- SO. FT. �. 108 -_ __ --_-` •o- / / CONSERVATION 1.00+/- ACRES \.� \�� \ UP #2 OVERLAY ZONING DISTRICT AP AQUIFER PROTECTION t GARAGE ' 1 / / W �� • '�� FRONT YARD = 30' SIDE YARD = 15' REAR YARD = 15' \\\�` 1 PAVED DRIVEWAYto / o ^ \ 'F.F.E 105.19' o MOWED BRUSH ��\ \,� ` �� A�SESSOR SCUS PMAP 173ERTY IS SHOWARCEL 79 Z TREES/SHRUBS ?G�•`? �� \� \ �. 9.3 LAWN 1n•i,4 I LOCUS DEED: DEED BOOK 6219 PAGE 342 WETLAND OFFSET :'i`�•:� �k WOOD DECK WOOD FRAMES 0 LANDSCAPED ,1l �o r- _ � DUELLING gRtC lc4• r.� PLAN REFERENCES: �'_.(: ` �c �� •`\\ �; AREA !� W - ,o+s -_ \\\\� LOT 2 PLAN BOOK 383 PAGE 39 • BRICK PATI❑ `\ \\ W r f COMMUNITY PANEL NUMBER 2500011 0015 C (8-19-85) � \\� ' a ` 1"` ` a J 1"�"� THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE C. THIS AREA TO BE REPLANTED ` x1041 IN CONSULTATION WITH MOWED BRUSH �-,_ ' \4�`�` \\ vwi ¢ w I� AN AREA OF MINIMAL FLOODING. COMMISSION STAFF :3= "� �\ � � Ca w �i i TREES/SHRUBS Nd \ o: „ 1 � `\ W CLEARED BRUSH 10� 9'�E}j LAWN J Ir I I i r' --- - -- - w 6, 114` - ;w ,. �r 144 -`--___-- > A LOCATION OF UNDERGROUND UTiLI1fIES ARE APPROXIMATE AND } 4 SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE i.i` WIDE PATH . r d 1., .E UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. TL q N0 OF • ; Y: ^ f 3 '; x r THIS PLAN IS BASED ON AVAILABLE RECORD INFORMATION AND LAW __ 1 w PLANS AND AN ON THE GROUND FIELD SURVEY BY THIS FIRM 1p4 STK SET ON 4/26/02. _ EL.=103.84' •� C n • \ M (�CL O N 82 38'30 W 317.70, Tp .� '' LAWN o J PROPERTY OWNERS: / = 282.70' - IMIT pF �0 � cp o BRAD TRACY • \ io3` ._�RK� —�.• o �! 19 GREAT HILL DRIVE THIS AREA TO PLANTED ' IN CONSULTA dW WITH • W. BARNSTABLE MA, 02668 h COMMISSION STAFF TEST FIT 35.00 oUP WLF #12 .. • -�- 7 �'� 19 Great Hill Drive 44 WLF #7 .111 W. Barnstable, Massachusetts STK SET O` \ " 9 j - % 1 1 ''" tid• ` PREPARED FOR I O.� WLF #13 to2 Brad Tracy _ o WLF #8 L`�:.6 o � lOj.r, HW#4 WETLANDS FLAGS PER Z -� TITLE i FILE # SE 3-3933 \ 0 ` . ■ LF #14 N Proposed House Additions WLF #11 ` '� a ' �• VLF #15 VLF #10 i�.. ,,.,,_• 4, V �cS` 1{lLti HW#3 IDE INTERMITTENT _ \ P�fo�� DA=R, NYE & HOLMGREN, INC - , 1C .�i � _ DITCH - VLF #9 - > r_ � Registered Professional —• H 4 s Engineers and Land Surveyors - J A�`s• s9' i�'� T PHE q`ti 812 Main StreetOsterville Massachusetts 02655 If n,7 HW#z N� R�30 00' i Ail �' Phone- 508 428-9131 � Fax - 508 428-3750 � 0 6 CB/DH No.30213 CID"I - l�'()J ` a FND �o�9`c�ISTE`� ``� < o ev Q m A FSS/ONAL j� 20 0 20 40 �' _ N/F REED REAL ESTATE TRUST �,� Z ,��. �e �► Z SCALE IN FEET Co P Y ti 9 6� SCALE:1"=20' DATE: 05/14/02_ ��°• ,Z2 j Q; REV. DATE: REMARKS e 1• 712102 ADDITIONAL WET FLAGS ' Col 2• `�8 14 02 REPLANTING NOTES D.E.P. File # SE 3m3982 � DRAWING NUMBER - H: 2002-035 surve worksht 2002-035ws3.C ''V( 2002-035