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Home My WebLink About0346 HOLLY POINT ROAD •F ,=4, r u �i g ,r o � a w_,�. YG _a.... :��f ��` � ..�0� �----- TOWN OF BARNSTABLE BUILDING.PERMIT APPLICATION Map Parcel 0-7A Application # ` Health Division Date Issued 44J4 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis EMai� S sp-rT Project Street Address a 1 Village Owner M lr�n T-d,,kA- -L_ Address _;�o t ya ►Z.oAO Telephone 50 f LOA a N Permit Request e_ 0\1 � \Z -na`ti y\ e LAJ 1 OL Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 600<00Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family C 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 $v1LJ)e1V Total Room Count (not including baths): existing new First Floor Room Cou�Sh t-pT Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other T MAR 18 ?®� Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/ q tove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing A❑'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 7r e_A bmem 0 Telephone Number 60 9. 7 7 b _ S T 9 9 Address- 4 License # C S 4 5^1 11 �1__Ab1hY`N01Lt_: �hehrC -. MIR oa b-L- Home Improvement Contractor# Email CCU LL C D. C_n mC_ s"'�. JlNe:r Worker's Compensation # w CC9DO90- L ��S�15 A ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO '16uy7A L= SIGNATURE I DATE 3- 1 FOR OFFICIAL USE ONLY i 4 '.: APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER `at i DATE OF INSPECTION: 1 FOUNDATION i FRAME INSULATION FIREPLACE i . {# ELECTRICAL: ROUGH FINAL ` (, PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i i DATE CLOSED OUT I � '. ASSOCIATION PLAN NO. T'lie Comrr:ortwealth of-Massachusetts DeFar�n&rt of r4dustrial Accider s Office oflinf`estigations r 600 Washuigion,.itreet ' Bastvnl MA 02II1 w k4`FV41?rr1A.S��Toir�drli � `' . 'tarkers' Campensaf on Insurance Affidavit.Builders/Co_ntractursJEIectiicians/Plumhers Applicant Inf n-nation Please,Print f:eaibly Name(Bxls IIm stOrganizationfIndt�dnal� Address: ® ;" City1Sta-&ZIpC -SC! t Are}eau an employer?Checkthe appropriate bow: Type of project{required}_ ��/ 4. I am a general contractor and I L LJ I am a employes urtT7. � ❑ 6. ❑New consiiuctian , employees(full andfor part-time)* have/hired the sub-contractors Fisted on the attached sheet: I ❑R.emodelin-g 2.El I am a sole propaietor;or partner- � .., slop and have no employees. These soh-contractors.have l7emolition' waling fax me in any capacity employees and have woikers' [No workers' comp.insurance comp-imsurantf--t 9. ❑Building addition: " r d- 5. ❑ re We a a corporation and its 10�_❑Electrical repairs or additions�e j 3-❑ I am.a homem mer doing all work officers have exercised their I L E]Plumb ngrepairs or additions myself o workrss' right of exemption per MGL c e.152 §1{4kandwehaveno, inel /' rranre required-]i to o workers' 13_ Other � `pC_\L_ ' employees- comp-insurance required.] •tYny vpBc 9—mt cherla box rl must also fill outthe sectioahelowshmsiag di&workexe compensation poEcy infbn=daa_ Homeowners who submit rhis offiida<u=ffz&tiag they are doing zU wool and;then hire outside contractorsmnst submit a new affidavit mdksting MCIL ZC'antcactors tbst deck This boar must attached sn additi ost sheet showhg the mmne of the sub-cantmctc�a mud state whether or not those entities:have employees.Ifthe sub-contaiictwshave employees,they must prm ide their wurken'.mmp.policy mrmber_ I arrt art erliplpy�r heat is prat�dirtg markers'cotrrperrsafivtr iitszirance for m}*enrpiay�ees Retoty is tJte poticy and job site. it fornzatha. t Insurance Company N": �SSo C°�'F��C�. �( inn\'\1 a'I Policy or Self-ins.Iic_ F—KpirationDate: Job sitr:Address. `-i �`\®\\ter �'r�' 1 �'� CifyfStateE�p:1-fZe,n_p JL, 1M�• Attach a copy of the workers'compensationpolFcy declaration page(showing the policy number and respiration date). Failwe to secure coverage as required under Se-ction25A of MM c- 1.572 can lead to the imposition of criminal penald s of a line up to$1,54D00 and'or one-ye.ari npnsonmmf as well as civil peaelties,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 he forwarded to the Office of Ittvestrgations of the DIA,for insurance coverage veriftcation I do hereby certrfy (alder tFra pains s a.f per 1my th tthe infbrmation prodded abM a is true acid correct �itmatnre. 'Date_ , .i 1O Phone So 0 j"acial use only. Do stot write in this area,to be ca mpTeted by city or town ofi at City or Town.: PerndtfLlcense# Issuing Authoritg(circle one): 1.Board of Health 2.Budding Department 3,iitp Town Clerk d:Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Maw#: Information and Instructions Massarhasetia General Laws chapter 152 requites all employers to provide workers'compensation for their employees. > prrrs,Uaatto this Vie,an mp&yae is defned as."-.every person in the service of another under any contract ofhire, express or iriplied,oral or wiitm " An e77ipIaye7 is defined as"an individnaL partnership,association,corporation or other legal entity,or any two ormom of the foregoing engaged irL a Joint enterprise,and including tho Iegal representatives of a deceased employer,or the receiver or trustee of an mdividaal,partnership,association or other legal entity,employing employers. However the owner of a.dweIHog house having not more than t1iree apartments and who resides therein,or the occapant offfie- dwelling house of another who employs persons to do mairtberiance,construction or repair work on such dwelling house or oi:L 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 lieeasmg agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for auy applicant who has not prodnced.accepta-ble evidence of compliance with the insnrance_coverage required." Additionally,MGL chapter 152, §25C(7)states-Neither- the,commonwealth nor any of its political subdivisions shall ent,-r m,D any contrast for the performance ofpubho work-until ac=tab15 evidence of cop ancewith the inc,TraT,ce. requm ernes of this chapter have Ibsen presented to the contract i Lg anthoaty." ' h Applicants Please fill ou± the workers'compensation affidavit completely,by cherki ig e boxrs t apply to your situation and,if necessary,supply soh-contractor(s)name(s), addresses)and phone nanber(s) along with their certificafe(s) of ;,cr mince. Limited Liability Companies(LLC)or Limited Liability Partrierships(LLP)with no employees other than the members or partners,are not regim ed to cant'wormers' compensation insuuarice. If an LLC or LLP does have employees,a policy is required Be advised that this afddayit maybe submitted to the Department of Industrial Accidents for confirmation of in snrance coverage. Also be sure to sign and date the affidavit The affidavit should be retrnned to the city or town that the application for the permit or license is being requested,not the Department of Indn st ri aI Accidents. -Should you have any gaesdons rega<din.g the law or if you arm required to obtain a workers' compensation policy,please call the Deparfment at the nuimber listed below. Self-insured companies should enter their self-in suraxice license number on the appropriate line. City or Town Officials r _ Please be some that the;affidavit is complete and printed legibly. The Department has provided a,space of the bottom of the affidavit for you to isl1 out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the pen it crose nrnnber which will be used as a reference umber. In addition, an applicant that must submit multiple pennithcanse applications many given year,need only submit one affidavit indiraiing content policy ins rnation(if necessary)and under"Job Site A&Lrnss"the applicant should r;Lite"all in n (may or town)-"A copy of theaffidavit that has been officially stamped or marked by the city or town may b'e provided to the applicant as proof that a valid affidavit is on file far f±=permits or licenses- A new affidavit must be filled out each W Year. here a hom owner of citizen is obtaining a license or permit not related to any business or commercial venture (Le. a dog license orpermit to bwn leaves etc.)said person is NOT re:grared to complete this affidavit The Office of InvestigEdions would Ea.to thank you in advance for your cooporation and should you have any questions, please do not liesit ate to give us a=1 The Depa ctia mfs address,telephone and fax number. -fie C�G.nm2C�nwf-,atiIr of Massa chusettg , Deparbneatc&ISd ia1AQCZeats (�ite�of�tvegfrg�tio� �Q�T�ashi�.gtQn � • , . Bosto-us MA 0�11F ` f,-L 1617' -4 ext 4-06 or I--a MA-S AFR Fax 9 617-727 7M Revised 4-24-0T z.uias,-gQgfdia �zHerOwti Townyof Barnstable ` Regulatory Services �BAPNM MMASS.BiE'� Richard V.,Scali,Director �ATF1 39. 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 I, ,as Ower of the subject property � c . hereby authorize e Zo to act on my behalf, „ in all matters relative to work authorized by this building permit applicationIfor. ` ( dress 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. t. Signature of Owner Signature.of Applicant Print Name Print Name _ r 0 Date Q:F0RMS:0VJ4ERPERIMSI0NP00LS Town of Barnstable Regulatory Services P4oFme roty� Richard V.Scali,Director Building Division * RdRxccrARTR « Tom perry,Building Commissioner F$ 16 tied 200 Main Street; Hyannis,MA 02601 www.town.barnstable.ma_us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: iOB LOCATION. number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRES S: --------------— ---- --- _--- - —. --- 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 OR 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 e edhomeowner. Such"homeowner"shall submit to the Building home in a two-year period skill not be c�isrl ar - S 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,RuIes&Regulations for Licensing Construction Supervisors,Section 215) This Iack 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 formlcertification for use in your community. Q.-\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 ' ilii=t massacnuserts -Liepartment of F'UbIIC 5atety Board of Building Regulations and Standards Construction Supervisor License: CS-051311 THEODORE S POMEROY- PO BOX 102 Sagamore Beach MA Expiration , Commissioner 02/15/2017 Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991m)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPS ✓�e (Oa�rr�rroie[rleal��o�C�/��ardtcr.�uGn� _.".....�.,---�-- _. .._...,.. Office of Consumer Affairs&Busidess Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: .egistration: 150297 Type: Office of Consumer Affairs and Business Regulation xpiration: 10 Park Plaza-Suite 5170 _-3/23/20:18- Ltd Liability Corpor Boston,MA 02116 COASTAL CUSTOM WOODUVORKS;LLC THEODORE POMEF:OY��C� 2 OCEAN PINES DR SAGAMORE BEACH, MA 02562 Undersecretary Not valid without signature COASTAL CUSTOM WOODWORKS, LLC �—i a U� T O G cl 1 � 80 r W W _ MqR ®FAT a� a`az o 'u4l�t� STAbI��R.EQ to ot1 CeNYE12 I.Z _ So N "IV Ft� � .�. Wo T � ► co o z Af IOXb CD I -POUT- Some,-r be COASTAL CUSTOM WOODWORKS, LLC Client#:20662 2COASTALCU ACORDn., CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDfYYYY) 12/01/2015 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 8r O'Neil Insurance Ag PHONE 508 775-1620 Fax 5087781218 973 lyannough Rd, PO Box 1990 -Ma�°'Ext: A/c,No ADDRESS: Hyannis,MA 02601 5O8 Hyannis, 0 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:National Grange Mutual Insuranc INSURED Coastal Custom Woodworks,LLC INSURER B:Associated Employers Insurance P.O. Box 102 INSURER C Sagamore Beach,MA 02562 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. LTR TYPE OF INSURANCE N RADDLSUBR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY MP052143 3/22/2015 03122/2016 EACH OCCURRENCE s2,000,000 X COMMERCIAL GENERAL LIABILITY PREM 3ESO R occurrence $500,000 CLAIMS-MADE �OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - - PRODUCTS-COMP/OP AGG $4,000,000 POLICY PRO- LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED tid P BODILY INJURY(Per accident) $ AUTOS AUTOS ) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ -:4EXCESS LIAB HCLAIMS-MADE - AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY WCC50050114952015A 11/13/2015 11/13/201 X WC STATU- OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500 000 OFFICER/MEMBER EXCLUDED? � N f A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE s500,000 If yes,describe under ' DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS f VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) - 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 Attn: Bldg.Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S161668/M161667 LS1 Commonwealth of Massachusetts, 3f s S eet eta i Permit d, p 232 Parcel 232024- )(-PRESS PER OT ' Date: . 03/04/2015 MAR 11 ZOOS Perri it 9 C>1- I Estimated Job Cost: $ 24,41o.UF®WN OF BARNSTABLE p tFee $ 85.00 Plans Submitted: YES. NO Plans Reviewed: S O Business.)_.icense'4. 1292 Applicant`License# 1292 BusinessJ[nformation: Property Owner;l'Job Location Information Name:, Rusty's Inc Name.: Jim Fowler Street: 222 Mid-Tech Drive Street: 346 Holly Point oae CityfTown West Yarmouth, MA 02673 City/Town Centerville, MA 02632 Telephone 508-775-1303 Telephone; 508-737-1814 Photo I.D. required/Copy of Photo. ;D. attached: YFS NO . Staff 106fia! 161/M-I-unrestricted license 1-2/M-2-restricted to dwellings 3-stories or less and commercial upjo 0 000 so. ft. /2-stories or less Residential: 14,family: Multi=family - Condo/'Townhouses- Other.— Commercial: Office -Retail. Industrial Educational Fire Dept. Approval Institutional_ Other. Square Footage: under 10,000 sq. ft over;10.000.so ft: N " ber of Stoniest Sheet metal*ork tea be.completed: New Work. Renovation: HryVAC Metal Watershed Roofing; Kitchen Exhaust,System.. Metal Chiimney/Vents` Air Balancing ,Provide detailed description of work`to be done:` Installation of.hvac utilizing existing equipment INSURAWE COVERAGE: I have a current liability insurance policy or its equivalentwhich meets the requirements of`M.G:L.,Ch. 112 Yes No ❑ If you have checked YgL ndicate the type of coverage by checking.the appropriate.box below: F A liability insurance policy Other type:of indemnity El Road El OWNER'S INSURANCE WAJVER:.I am aware.`that.the licensee.daes.not have the insurance coverage required by Chapter t12 of the Massachusetts General Laws,and that my signature on this,permit application MIX0 this requirement. Check One Oni Owner Agent Signature of;Owner or.Owner's Agent By.checkir►g-this bok[],l tierefoy certify that all of the details and ittformat(on I have submitted(ouentered)regarding this'applicatiori'are true and accurate to the best ot'my knowledge 6nd�that all sheet metal'Virork and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the.Massachusetts Building Code and Chapter 142 of the General Laws. bract inspection required prior to Insulation Installation:YES, No Date. Comments Date Comments. Type of License: 3y _ []Master retie. �� Ma'ster-Restricted , 7 aityfrown �Journeyperson 1. Signature of Licensee zerrrsit#: - / 'ElJoumeyperson Restricted License Number 1292 =es Chock at d2l nspectpr;$ignature of OermitApprovai Ike Cgtrtmm AfMassachus ` Dep elf. nd ustddAcWmd Offlce jj�'jytvesdga xs, �OD 3 'asltangt�n 3Yreet . Bosim;MA 02111 a�aslw<e�sass g / , Workers' Compensation hmiuran.ce Affidavit. Buflders/Contract6,ts/Electiictms/]?,Iumbers A D2licant Information Please Print Leg221y Name!Bus Worgamizattonllnd vidwt):. Rusty's Inc. -Address: 222 Mid-Tech..D.rive City/State/Zip: West Yarmouth, MA 02673 Phone:# (508)775 1303 Are on as emipleyer?:Check the appropriate box Type 0f project(required) ' 1.. I am a employer with . 4: Q I ani a general contractor(and I to ees full and/or art`tinre * have hired the sub-contractors -Q.Nea+.construction 2;❑ I am a sole p'ropn for or,patrb=t listed on ffivattached sheet 7. Q Remodeling ship:and.have no employees 'These sub-contractors have 8. Q Demolition working for me irs gay capacity. employees,and have workers' [No ers'comp. re comp.,innsurance, �.. 9. Briildmg addition. (Q required.] 5. Q We area corporation and its IO.Q Bl�trlcal repairs or additions :3.❑ I am a homeowner doing ill work officers have exercised their _1.0 Plumbing repairs or additions idyselt [No workers'"conm. right of exemption per MGL 12.0 Roof repairs ice id.) . c. 152,§1(4),and we have no employees. [No workers' 13.0 Other comp.insurance req6ired.1 f*4ny app3ic�t that checks box 01=st also fig'ouf the section below showing fir worlrexs'compensation policy iafor�naYion. t.Homeowners who submit this aTdavitindicwing they ate doing 4 work and't1=hire outside contractors must submit a new affidavit indicating such. contractors that check this box,mast attached an additional shoat sbowing the name of the sub-contractors and stale whether or not those an have employees. If the sub-=tractm have employees,t1my antastpmvide then workers,comp.policy mmmibe 1. an employer that is providiirY workers'cons ensat n insurance or m e to ees Below is the o ' • g . � .:. ., , . f �' , p y P �`and job site information. Insm*mr-eCorcapzityNa=-.:.AAercbantS h4litual Insurance Cnmpan,_T� :- Policy#or Self-ins.Lic..# WC49099225 ExpjiationDats: 01/01/2016 Job Site Address: cNty/S`tatD1zip Attach a copy of tree woilters':co eits_ on polaey.declaration page'(showingthe policy nucmber and expiration date). Failure;.w secure coverage as required under Section 25A ofMGL c. 152.can lead to the i oposition of ciiminalpenalties of a face_tip to$1,500.00 and/or one-year impr som eut,as well as civil penalties in the:form:df a STOP WORK ORDER and a flu of up,to S250.00 a.day against the violator. Be advised:that a copy of tlais.statement may;be.forwarded to the Ofrtce of luvestizations of the DIA for.insurance coverage verification. 140 hereby certify sander thg pains-and p allW-o, ped that the,information provided above is true aural correct Si lure: a` - _ 14 Date:. 3/`f/l Phone_# 508)775-1303 x' UhElal we only. ZDo not wrUe to this.area,to g coiV4tted:by city or-town officiaL ; 5 C10;6r Town:•: Permit/License# Issuing authority(circle one): 3.ward of health z.wilding I9.epartment 3,Ciity/Town Clerk 4.Electrical Inspector 5.:1i"liz bing Inspector 6.:Other ?Contact Person: plroae#: ACORO® DATE(MM/DD/YYYY) ` OO CERTIFICATE OF LIABILITY INSURANCE 3/10/2015 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 Lora FitzGerald NAME: Southeastern Insurance Agency, Inc. PHOAICNENo_ (508)997-6061 A/C No:(5011)990-2731 439 State Rd. E-MAIL ADDRESS:1fitz@southeasternins.com P.O. BOX 79398 INSURERS AFFORDING COVERAGE NAIL# North Dartmouth MA 02747 INSURER AMerchants Insurance Group INSURED INSURER B Arbella Indemnity Insurance 10017 Rusty's Inc. , DBA: RPH Equipment Leasing Inc. INSURER CMerchants Mutual Insurance Com 23329 222 Mid Tech Drive INSURER Westchester Surplus Lines Ins INSURER E: West Yarmouth MA 02673 INSURERF: COVERAGES CERTIFICATE NUMBER:2016 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 ADDLSUBR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE T RENTED PREMISES 000 PREMISES Ea occurrence $ r A CLAIMS-MADE FX1 OCCUR aMP9154162 /8/2014 4/8/2015 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED 1020013668 /5/2015 /5/2016 AUTOS X AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X AUTOS NON-OWNED P OacEcRd ntDAMAGE $ Included Underinsured motorist BI split $ X UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ 3 r 000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 3,000,000 DED I X I RETENTION$ 10,OOC CUP9146693 /8/2014 4/8/2015 $ (' WORKERS COMPENSATION X WC STATU- R OTH- ER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) CA9099225 /1/2015 1/1/2016 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 D Pollution Liability G27152818001 /27/2014 /27/2015 Lima of Insurance $2,000,000 Deductible $15,0 0 0 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02 601 AUTHORIZED REPRESENTATIVE An Lora FitzGerald/LHL KrC�. 8 ACORD 25(2010/05) ©19884010 ACORD CORPORATION. All rights reserved. INSn2s;tgninnatni Tho annon namo and Innn 2ro rcniefororl morlre of Annizr1 4 / \ �Esr AS�SACH�USEwTTS DRIVER'S r. :, LICERIS SusA '— $$ 4d NUMBER --- i _ a3 NONE S6O74664 . _ .2-9{ 18 04 , a t29�; s KETTLEDRUM E SANDWICH,MA'0.2537.170f A � s DD 05-20-2013 Ra�oa-snos VW _ MMON_1IiL l�TH O` a ', C1 1 �, 1, .�i ryi"St 7N �,f� � - 3R� F 3t 4 »s+,Ci hff °aY VIM `{ ' � I SSUE7'HEdFOALLmW�,fil tIEt'R. SE M. (� y� Y�r-pv ��1.1fL "�ryi -ate"+.* pY ,+,i e '"]`f' ` `5..p=-iI �WN .. {� AKA TT}L E . L ca "��i�r�``: .:Yc `W {: cGX �C �� 2 c✓N x�A1NLti �1 fst V x °. ,OMMQNWi4LTHQ 11'. tSSACHUETFSs • • 2=4121***.i Lei1 ; '`,��a � rt€7ig ,tt''' +.'P'�,''x'' {' ° METAlL WORKEjRS x ,, iSrSUES TtiE AM LKOWI,NG rLiI,CENfSE °# hF ;ASAgUSIxaNE'SS ` IM x11R1s1=L J xrRODERI olil �s 222' 4 -TEiGHTA )fit . t a,.vtyctt,ri e t A'r: 4�S'S u' ��'•�ih',i. ��u+��'d 4M l� r Gr �i� �,� err:S'�3 � 1 t'Ka�i - Town ofBarnstable, Regulatory'Services x Thomas F.Geiler,Director: Building Dis° i , a Tom Peray,.Building Commissioner 200 Main Street,Hyannis,MA 02661, .town.bart stable.imaAls Office: 509-862-4038 Fax: $08-790-6230 Property er Must Complete. and S .This echo. :. f Using der � Jim Fowler, ,as Owner of the subject property it hereby.authorize; }3uSty'S Inc. to'a on ffiy behalf in,all matters 0- ative.;ta-work authdrized;bp this building pertnit, 346 Holly Point Road Centerville, MA 02632 , ( iaress of Job) Foalfences and alarms aft.'the res ® ibility of the app cant. pools are not to;be filled before fence is installed and porals are mot to be utihzed until ill.final inspections are performed and acceptipd:. attire of er. Sipmature of.Applicant vim.. kcrt y 1—e _ � �1 t t. '� , (AC Print Natne> Print Name 03/04/2015 Date QTORM&OWNERPEI2hMSIONPOOLS. l r Page 1 Residential Heat Loss and Heat Gain Calculation 3/5/2015 In accordance with ACCA Manual J Report Prepared By: Rusty's Inc. For: Jim Fowler 346 Holly Point Rd 2nd floor Centerville, MA Design Conditions: sandwich . Indoor: Outdoor: Summer temperature: 70 Summer temperature: 90 Winter temperature: 72 Winter temperature: 0 Relative humidity: 50 Summer grains of moisture: 100 Daily temperature range:Medium Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Ceilings 5,113 0 5,113 8,870 Walls 2,074 0 2,074 6,327 Windows 4,725 0 4,725 4,617 Floors 847 0 847 3,871 Infiltration 411 571 982 2,957 Skylights 0 0 0 0 Glassdoors 0 0 0 0 Doors 0 0 0 0 Misc 4,000 0 4,000 0 Fireplaces 0 0 0 0 People 1,200 920 2,120 0 Duct 0 0 0 0 Whole House 18,370 1,491 19,861 26,642. ( 1.5 tons ) 7 HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd. 888 736-1101 Load calculations are estimates only,actual loads may vary due to weather and construction differences. f i 1 Page 1 Residential Heat Loss and Heat Gain Calculation 3/5/2015 In accordance with ACCA Manual J Report Prepared By: Rusty's Inc. For: Jim Fowler, 1st floor 346 holly point Centerville, MA Design Conditions: sandwich Indoor: Outdoor: Summer temperature: 70 Summer temperature: 90 Winter temperature: 72 Winter temperature: 0 Relative humidity: 50 Summer grains of moisture: 100 Daily temperature range:Medium Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Floors 0 0 0 23,688 Ceilings 12,482 0 12,482 20,579 Infiltration 1,289 1,793 3,082 6,960 Walls 2,200 0 2,200 6,711 Glassdoors 6,930 0 6,930 5,705 Windows 4,560 0 4,560 4,673 Fireplaces 0 0 0 4,640 Doors 351 0 351 1,071 Skylights 0 0 0 0 Misc 6,000 0 6,000 0 People 1,800 1,380 3,180 0 Duct 0 0 0 0 Whole House 35,612 3,173 38,785 74,027 ( 3tons ) HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd. 888 736-1101 Load calculations are estimates only,actual loads may vary due to weather and construction differences. IL Sob TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION J Map 9 3 9 Parcel Application # cD0 'f cv � Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee y�-Y t� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address L�G l�o/�ti ® g „ Q' Ol Village C&4119J_O9 We Owner De-6 yr -- M Fowjtr Address J ge, Telephone S6$ ?3 7 / /L`f r Permit Request 1'e_ dej / Gt.6 -9 4Z,4 S 10 eA F► r`r4 F&6r &,-?d 6 F h 645 Square feet: 1 st floor: existing�D-proposed _2nd floor: existing proposed 00b Total new /9 oa Zoning District Flood Plain Groundwater Overlay �? Project Valuation 6 D'®v Construction Type uj6od -ArdmP Lot Size 96, Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 04 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ® No On Old King's Highway: ❑Yes V No Basement Type: R Full ❑ Crawl A Walkout ❑ Other �� _a 1 Basement Finished Areas ft. q9 D Basement Unfinished Areas Number of Baths: Full: existingZ new 3 Half: existing b newt -/ Number of Bedrooms: 3 existing Onew C _?,� �-OYOI) Total Room Count (not including baths): existing s new f �61, de t Floor Room Count y 3=J Heat Type and Fuel: (0 Gas ❑ Oil ❑ Electric ❑Other =y Central Air: ®Yes ❑ No Fireplaces: Existing 1 New Existing wood/coal stove: ❑Yes 4 No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: 0 existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes g No If yes, site plan review # Current Use le a d edtwa4 Proposed Use n!1 p 6rrbnc),41 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name KclwA &QQe ee RPhoU[tK.bn� �� Telephone Number 50$ 77,d IR 3d Address /�jam/Loc��a�' ✓�i License # O 1f g o'z0 ('64 MA o 26 3 57 Home Improvement Contractor# /S 3 44 U i Email th Pam f>S a.o l.cater Worker's Compensation # WcC- S6/109 7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO G�uw�pS�ec SIGNATURE DATE 5 C �/ •g i FOR OFFICIAL USE ONLY APPLICATION# f DATE.ISSUED MAP'/PARCEL NO. ' ADDRESS VILLAGE OWNER F� { r �1 DATE OF INSPECTION: r j FOUNDATION CS).$.P.SQ1. 91301111JIZ FRAME 3 3�/S INSULATION ,3h(- �IS t FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t e GAS: ROUGH FINAL 2��i o 0! FINAL BUILDING od�)��o�1��,�llt��fisars.�s r/1. y /3F/�I ,-�� ccr � -mwn�r- I�z72fira►�c� �•tL�s u%o� /`�/�'� QATE•CLOSED OUT f ASSOCIATION PLAN NO. The Canzzaa v&M of1V1`assachasefts Dquwhawt of 1'a:dus&id Accidm& Office GOMMfigadom ' 600 Washington Street Bost=4 3M 17211I wwmmasxgvv1dia '"corkers' Cumpensatian Insurance Affidavit achu-stEl6ctician-Mumbers clan- umb Applicant Infarm:Ltion please Piet Name(H 'fn &Iaao: K-►-Ac e f A,apes-lee Reno Address: City/StatelZip_ a4o.d' k))6, -0_q6 3 Phone 4: :09 7 76 E-3 36 Are you an employer?Check the appropriate.baz T of• ro'ect r 4. I am s EOntraCtoi and� �� p � �' e� 1.❑ I am a employer with. � l 6. ❑New coon employem(fall and/or part-time)-* have hired.the sub.-contactors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. ?- [ &R=tndChMg AV and have no employees These sub-confracturs have $_ ❑Demolificm woddng for me in any capacity- employees and have workers' 9- ❑Building addition. [No workers'romp_insurance cam-tnsurane,&I required-] 5.�] VIc area corporation and ifs 14 E]Electrical repairs or additions 3-❑ I am a homeowner doing all work v`officers have exercised their 11_.0 Plumbing repairs ar adritions myself[No workers'comp. right of exemption per MGL 12-0 Roof repairs inoraarerequired-]i c.152,§1(4h and we have no employees.[No walkers' 13❑ 7ther comp-insurance required-] iAuyzmgfficm3tfstcheer box#lmnstalso 'cimpensatipapoUcyiufonny6oa l Hameommemvcho submit this'RMda4Iit iadirating they are doing all work and t m hhe outside contractors amst solama a new afdavk indicating su L ZC=tractars thTt rb this box mast attached in additional sheet sha wh3 g the name of the lair-coos and stare whether or=those ennties lug employees.Ifthe sub-nanzaams bare employees,they mug piuvide dLeir workers'comp.policy number- Z am an empivyer that is prav&& workers-compensadan insririmce for way eauployees. Below is flte paucy and job site a�„�Qrtnrrfiar[. AA Imuanm Company Nam: /��Sl�[�Yt�Po1 .CrsyT fdt.��S .L •� S Policy a or Self-izrs_I ic.; cc 0/J 0 9,7 Expiration Date: 12/1 S .rob sit,AAdiess: 3 96 /16 Pe,y,o- Rel city/ststel4: ("e"3(eryUe II/4 Aftsch 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 MCIL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 andlor one-year ia4xisogment,as well as civil penalties in the faun of a STUP WORK ORDER and a fine . of up to S250.00 a day against the-,iolator- Be adidsed that a copy of this stateme A may be faded to the Office of Iuvestigations of the DIA for imurance coverage verification I do hereby cardr)t,under the pains andpenaML-s oy' that the information prm-x&d abm a is true and carrect - Date: Phone Ik 0 S 7 7 i Z 3 3 D,,lcial use oatlV. Da tat write in this area,to be c-ampleted by city or.town o fftciaL City or TGwu: PermitUcense# Laing Authority(circle one): 1.Board of Health 2.Building Department 3.City fo4en Clerk 46 Electrical Inspector 5.Plumbing Inspector ta.Other ' Contact Person: Phflue t� 6 . . } - t AAAN.41`AAM s , ter Town of Barnstable Regulatory Services Richard Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us , Office: 5.08-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, -1-41 TO"Sk r� , as Owner of.the:subject property hereby authorize K-LP oe-�e J&d 041116 x C to act on my behalf, in all matters relative to work authorized by.this building permit application for: , Dl (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. ' e QAWPFILESIFORMSIbuilding permit formslsmokecarbondetectors.doc. Revised 050412 Town ol 13arnstabie Regulatory, Services Richard V.Scali, Director Building Division `* > xsr�►sr , *` Tom Perry,Building Commissioner KAM 16 9. �w� 200 Main Street, Hyannis,MA 02601 paY www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 " HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 3 y� V n �.- --- _��- le number. street village "HOMEOWNER": 0 7/ dame home phone# work phone# ' CURRENT MAILING ADDRESS: 1/P 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 resid es 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 J, Note: ,Three-family dwellings containing'35;000 cubk feet or larger will be required.to comply with the : State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION 'red building' ermit is re m The Code states that:. An homeowner performing work for which.a bu g'p q Y . exempt from the provisions of this section Section 109.1.1--Licensing of construction Supervisors); shall be ex ( g P P 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. /e oorr�,00ziuecr�G/a��C��/�c�Jc�p/rrl�rtr l,�een�e'or re istration valid for mdrvidul 0 only OfBce'.of;Consumer Affairs&Business I$e ulation g g _ OME IMPROVEMENT CONTRACTORbefore the expiration date. If found return to: egistration. 153440 Type: O#fice;of Consumer Affairs and Business Regulation xpiration: 12/1/2014 DBA; - E 10 Park Plaza Suite 5170 Boston,MA 02116 MICFtAEL AUPPERLEE RENOVATIONS MIC,HAEL AUPPERLEE 166;.SANDALWOOD DR:,,. �— C3T.UIT, MA 02635 xlndersecrefarg Not valid without:signa re U , Massachusetts Department of Public Safety. i Board of Building Regulations and Standards ; Construction Supenisor 1 & 2 Family License: CSFA-049205 MICHAELJAUPr�ERLEE 169 SANDALWOOD D Cotuit MA 02635-7 i Expiration Commisssio'nne''r` 07/14/2016 CONSTRUCTION. Certificate of Completio ## # # Supervisor License ...N's T U E e f Recipient Al w. m # 0. 0t Course: Course 41 Credits BuildUna Code. & Continuing Education CS-2904 2 CEU Lead Palnt - EPA RRP C:S-290 a 2 CEU Make Safety Your Blueprint for uccess C --2390 3 CEU Ener -' a Stretch Code Ak ICS-2903 3 CEU Business .Practices CS-2902 2 CULT Total CEU Credit Hours..:............ .:................ 12 CEUs 9/20/2013 � s csordina�tor - GSf Instibite 2aA #e P.O. Box 2078 9 e-thuen, VIA 0184400 "'This educatiwal offering is recognized by the Massachusetts Board of Building Regiulatlons and y I Standards as satisfying 12 hours of credt few a Nlassar-husetts CanstrucWrt Supetrvasar Lkensee," • s a Ma;ssachusWts Construction Supervisor Corfinuing Education Provider Generated by REScheck-Web Software C�J( Compliance Certificate r . f , Project Fowler 6 Energy Code: 2012 IECC ,„� Location: Centerville (Barnstable), Construction Type: Single-family Project Type: Addition Climate Zone: 5 (6137 HDD) J Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 346 Holly Point Road Kenneth Sadlerjr. Centerville, Massachusetts KSA design P.O. Box 1149 Hyannis, Massachusetts 02601 508.790.39221 Compliance: 0.5%Better Than Code Maximum ILIA: 185 Your UA: 184 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 av . - - �- - mDlr.•p t�L'•l Ceiling: Flat or Scissor Truss 1,025 38.0 0.0 0.030 31 Ceiling: Cathedral 106 30:0 )0.0 0.034 4 Wall:Wood Frame, 16in.D.C. 286 21.0 0.0 0.057 13 Window:Wood Frame, 2 Pane w/Low-E 55 0.290 16 Wall:Wood Frame, 16in.o.c. 222 21.0 0.0 0.057 12 Window:Wood Frame, 2 Pane w/Low-E 13 0.290 4 Wall:Wood Frame, 16in.o.c. 334 21.0 0.0 0.057 13 Window:Wood Frame, 2 Pane w/Low-E 1108 0.290 31 Wall:Wood Frame, 16in.o.c. 222 21.0 0.0 0.057 12 Window:Wood Frame, 2 Pane w/Low-E 10 - 0.290 3 Floor:All-Wood joist/Truss Over Uncond. Space 1,362 30.0 0.0 0.033 45 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 5.5.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. 1 , ' Name-Title Signature Date Project Notes: .. Project Title: Fowler Report date: 08/18/14 Data filename: Pagel of 9 .,. p A ' y t i e " L TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel A . nµ#0f i Health Division f �'Q e IsssuuedRiel 4110 t Conservation Division Applicatiohjj e Planning Dept. �� Permit Fee t 6 3�3 y 'f Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis 01 Project Street Address 3�� IAIIy Village G�j(/7e7ZF/r�� 29 Owner eyyoo4r: AIM Address 4-"��f aN MA Telephone Permit Request �6/�1�� ltiLdrfavr / T L ' �l IN At6l, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation U Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family e 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: f existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ' ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name yv' Telephone Number Address Iq�Q ✓�C/l�d(,{ C(� License # kHome Improvement Contractor# 7 7 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ACAL SIGNATURE DATE FOR OFFICIAL USE ONLY f APPLICATION# DATE ISSUED I MAP/PARCEL NO. x r ADDRESS VILLAGE OWNER p r a DATE OF INSPECTION: FOUNDATION,. FRAME t E INSULATION T FIREPLACE 1 _ ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL F:. FINAL BUILDING 7 ° 113 K DATE CLOSED OUT x ASSOCIATION PLAN NO. s = The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,lllA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organi tion/Individual): � Address: City/State/Zip: Phone#: 9"fffS '36 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 4. I am a general contractor.and I 6. ❑New construction 91nployees (full with part-time).* have hired the sub-contractors 2.[ I am a sole proprietor or partner- wed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition. workingfor me in an capacity. employees and have workers' Y P t3'• 9.. �Building addition [No workers'comp. insurance comp. insurance.$ required.] 5.. We are a corporation and its .1.0.❑Electrical repairs or additions 3.0 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.[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 dffidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: -Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50.0.00 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 dayagainst the violatot. 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 c Vy under the pains andpenaldes ofperjury that the information provided above is true and correct Si a e: Date: Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5..Plumbing Inspector 6.Other Contact Person: w. Phone#: I Information and .Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant-to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more ..' of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing'employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the house of another who employs persons to s to do maintenance construction or repair work on.such dwelling house` dwelling h P P � � i or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be"an employer. MGL chapter.152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter..have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking-the boxes that apply to your-situation'and, if. necessary,supply sub-contractors)name(s),address(es)and phone numbers)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 cant'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 entertheir self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitgicense number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in. (city.or. ' town)."A copy of the-affidavit that has.been officially stamped or marked by the city or town may be provided to the' . applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out ea6 year. Where a home owner or citizen is obtaining a license or permit not related to any business or.comm'ercial 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 lice to thank you in advance for your cooperation and should you have any questions; please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents ' Office of Investigations 600 Washington Street Boston, MA 02111 Tel,#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia Town of Barnstable ti Regulatory Services * sARNSTABLS, + . Bass. Thomas F.Geiler,Director i639' � Aran„max d 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 /;�v��s�Vi� as Owner of the subject property hereby authorize r/ U to act on my behalf, in all matters relative to work authotszed by this building permit J;& d� (Addless 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. Signature of Ownet Signature of Applicant Print Name Print Name Date Q:F0RMS:0WNERPERMISSI0NPD0LS 62012 Town of Barnstable Regulatory Services } Thomas F. Geiler,Director MASS.p�{, 16.59. a Building Division �fD MA'l Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:.508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# 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. i Q:forms:homeexempt -------- - -- f c > f D c % W � Or o. wtn n c M +'- e v t 7 N > N. 4 p o o..�eNa d z o LU.y ` p m .g w O a � o;r. aa p rn U _ Massachusetts -Department of public.Safety Board of Building Re ulati 5 ons s and;Standaids Cfmtrir� un S}rr�,� rrnrl�;. , License: 6SFA-062822 r DANUL C WO& 196 SCUDDER BA,Y IR CENTER VIOLE DIA �0263Z N Commissioner Expiration 03/28/2014 IA4 r, a aII i L,cllri�Ci 79 � /jl�C f,�1NlC/� G .s<,o� .sc.o�ao, fu�Nao,N { N/41l Lb 1 i s r?�!L!•l G f , [/N 6AP16 1 7 P T l G RSA -- —� 5 _ +_-------- Uerry t \j ------------ � tti?�:nrFrC 1.��115 4 Sj�JC j tYrAL d r a iUb L�1ly t'i'�',n`YVs �'- A)pf- re� Cen-+&l bdroor Parcel Detail. Page 1 of 2 AM 01. yi5%3'! r -_..... .„:. Logged In As: Parcel Detail Monday, March ,4/2013 / Parcel Lookup � ` �Y9n Parcel Info p� . _ _ - - — �— Parcel ID 232-024 Developer LOT 22 Lot Location 346 HOLLY POINT ROAD Pri Frontage Sec Sec Road VINE STREET Frontage 240 Village CENTERVILLE ) Fire District F Town sewer exists at this address fNO _ Road Index[0731 � Asbuilt'Septic Scan: Interactive 232024 1 Mappj Owner owner KWASNICK, PAUL TR Co-owner VINE STREET REALTY TRUST I✓ Streetl 11010 WALTHAM ST, D534 Street2 city ILEXINGTON - �, State JMA j -zip 024211 - Country J . Land Info Acres�0.47 `Use jSmgle Ferri MDL-01 ' zoning FRD-1ry —� Nghbd j0114 Topography Level -I Road(Paved _i Utilities[Public r,Gas,Septic Location IE a/Pond Front,Excel View -Construction Info Building 1 of 1- Year _.__.. f Roof Ext j Built 11976 struct[Gable/Hip J wan IWood Shingle waTEAsruE> Living11 Roof iAsph/F GlslCmp AC C ral Area Cover: Type i *a Style Ranch In D Bed 5 Bedrooms �) F �' Wall wall Rooms _ Bath Int ;Ip Model Residential Floor Hardwood Rooms3 Fully - Heat Total; Grade Average Plus Type Hot Air Rooms 11 Rooms Stories!1 Sto Heat Found- , - ry Fuel!Gas ation'Poured Conc. Gross 4541 Area ...__.._._,_.____.._V._� .. Permit History - - .....------ - - .. _: -._ http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=16552 3/4/2013 Parcel Detail Page 2 of 2 Visit History Date Who Purpose 11/19/2012 12:00:00 AM Nancy Finch`,. Meas%Listed-Interior.Access 2/17/2012 12:00:00 AM Denise Radley In Office Review 10/20/2011 12:00:00 AM Denise Radley In Office Review 2/1/2010 12:00:00 AM Paul Talbot Cyclical Inspection 8/24/2009 12:00:00 AM Michele Arigo Change of Address 3/4/2008 12:00:00 AM Nancy Finch Abatement Review 5/12/2006 12:00:00 AM Erin Whittemore In Office Review f. 10/24/2000 12:00:00 AM Paul Talbot Meas/Listed-Interior Access Sales History Line Sale Date Owner Book/Page Sale Price..,, 1 12/30/1992 KWASNICK, PAUL TR C128877 $325,000 2 4/10/1978 KWASNICK, SELMA C73693 $0 Assessment History__ Save# Year Building Value XF Value OB`Value Land Value Total Parcel Value 1 2013 $130,100 $74,100 $12,800 $557,500 $774,500 2 2012 $132,300 $75800 $7,900 - $634,000 $850,000 3 2011 $187,700 $25,300 $0 $634,000 $847,000 4 2010 $187,600 $25,300 $0 $634,000 $846,900 5 2009 $177,300 $24,700 -$0 $753,700 $955,700 6 2008 $212,500 $24,700 $0 $785,400 $1,022,600 8 2007 $211,300 $24,700 $0 $785,400 $1,021,400 9 2006 $204,700 $24,700 .$0 $732,100 .$961,500 10 2005 $187,100 $24,400 $0 $609,700 $821,200 11 2004 $151,300 $24,400 $0 $466,300 $642,000 12 2003 $154,200 $24,400 $0 $184,500 $363,100 13 2062 $154,200 - $24,400 $0 ` $184,500 $363,100 14. 2001 $154,200 $24,4010 $0 $184,500 $363,100 15` 2000 $114,400 $20,000 $0 $110,700 $245,100 16, 1999"' $114,400 •$20000 $0 $110,700 $245,100 17 1998 $114,400 $20,000. $0 $110,700 $245,100 18 1997 $178,600 $0 $0 : $110,700 $289,300 19 1996 $i78,600 $0 $0 $110,700 $289,300 20 1995 $189,100 " $0 $0 $110,700 $299,800 21 1994 $165,906 .$0 $0 $99,600 $265,500 22 1993 $165,900' $0 $0 $99,600 $265,500 23- 1992 `; $188,300 " 3 ' ' $0 $0 $110,700 - $299,000 24 1991 $198,800 .$0 $0 $162,300 $361,100 25 1990 $198,800 $0 $0 $162,300 $361,100 26. 1989 $247,800 $0 $0 $162,300 $410,100 27 1988 $166,800 $0 $0 $76,700 : $243,600 28 1987 �$153,500 $0 $0 $76,700 $230,200 29 1986 $153,500 $0 $0 $76,700 $230,200 r� _ Photos. http://issgl2/intranet/propddta/ParcelDetail.aspx?ID=16552 3/4/2013 f =pogo a�,Q:�ye.Q p gg s E a j OF F'$`;[lJk:ipl ' [0 cO�ivEa ry 1 Q - ( tom' � / � 33 l�'' � � _�--e�a:.°«2° C 7 L 3.�0 Fd Y• � f,II � - Qa o r BL UILDING DEPT. DATE. ^� NRE DEPARTMENT DATE o b0f)?PICldArur l ARE REQUIRED FOR PERN,IM14' ° _1 I al. 0 0 J Pemave f'ircplace and pa+ch}o ma+ch CZ + F— • ------ J-- --------- i w+ch floor abate _._.. -.. ..._ .er.T y;J' J I 1" � �1 9'-b" 12 Trewds e 9• - y, e m 4X4X1/B U Iwr sYeela J ' on 90"x T"poured eanereYe -___ ' fao+'inq w/%•4 rebwr e w � � Z W Q IN PP5 I ._. • Q � .. m # ° '�'^ { • U -75 Q Q c n Y W m 0. n3 m L- U) � 1 2 %4'O"nano+Ubeo/pigfaa}o 2 B / tL U o poured aoncre+e column fao+mq w/4-•4 �� Q " er}'�cwl rebwr I.5"m n-%"mwz embedment L ° �.. and oilmpsono GP�lololGolumn bwse. v - °p 1 �A�FOUNDATION PLAN _ � S. W.H.+a be removed �,_�. G I O._4.. G I.O•_4., b I O•_4" � I O'-9" � ...............................- New walls a'n=°v. \ \ Ir rh'is plan dwnce wi+h ` 6 ° n{�J•� Q 'n/' +he ln+erna}tonal R-widen}Iwl Gode 2009 e ., f C C A 4� a' All Flesur¢men+z/rJlmensions are+o ' -° L _ �oaa pac � � be si+e verlfled by General Gan}roc+or o m a'm v v N E f f f w++Ime of aons+rUG+ton U z n �' ) � C a LA� tu (N OF Mks i� sqc I DANIEL �'G DRAWING TYPE: F. F 1 Foundation Plan CROTEAU CWIL ' NO.46253 SHEET NUMBER: TER�o�� • Fssi0 L ENG A ( O O c I €_" 0 d a �ot;L� maa Q z ° m� oau c� pp p f I-N V V P Q m\ U r �p < o s q s u a � E p < < 0 -% 1,` W 0 p r O c p L r J N s R 14) -------------------- u I p � �> 1 o +a, L Thermarrum h 2 OCo 0 C Andersen®FWG/o0100 1' I Q ®�' _I I I d I .\ I ieITGH�N. �� Install I/2"Plywood on eat re In+erior wall ---------- .Q.` Q +a ar¢ate In+erior shearwalt.Install before drywall. _ !a" d Iln d 1 2"Held nnilln j W _____ ________________________________._ e e a 1 Q C Y' .._-._.. .. 1 Ge'An Lne 77� � I 1 _ e e e- .. w/transom w n ow P --- '' I ;: " - Ins+all I/2"Plywood on en+ve inter or wall j Z • :/mx mim- E m mim + !a"ed a na I n and I 2"field na 1 n 11 before drywall. 1 L 0' z mxm ` q. I iv 1 I�ep�OoM % o zxm 9 9 W a • a m o e +oc +e'n+er' shearwa Z N ty 3o - I 9 xCo Pas+}a solid bearinq beldw .... -..-...... i �. ::, �- __-— Note j - � •� � W �� ins+all con+nuous h mpsonm Goi 1 - -f m o I g x�Post fo solid bear nq below 'a _ - garage oor header 1 �- J U 0 Z U m 1 Geilinq Lln Q ; ° f O W o f _ Ins+all 1/2 Plywood on en+re n+er wall - - W 0 U a a f or +o crew+e inter or shearwall.na+all before drywall. O ----------------- !o'edge nal nq and 12'Feld nwlnq. of -__ 1P.r.oeak frame-------------- rame ar x I q �'�'/rrexo deakinq d m in 1 I O a „ d I R-emo.e 1 0 ______ __________ ___. -________-_-______________- --------- ---Use j - Use PrescriPtlIe R-esld¢ntial Wood - d' • :' """"'-'--' """"' Oeck Gans+runt on Guide fJG Ado-00 p ;.'. - h+ePs and ra Iings to grade ° .• 4' Q -' e 20091n+erns+lanal �\ " - \ ': 11 1 0 �esedent wl Gode,+o 60.1 p—bFLOOD PLAN N:Pre:All ex d harware+o b¢ra+ed y v P.` a I \ for ex+¢rlor ex s¢ure and taa+ `rn \a U Pos P�T�con This Plan was designed in acGardawe wi+h P m 5 = edit i-and+he r B G al�esiden+ial Go de O e,"P- 0_ o x Massachuse++s i- )=A ,m 51.00 B+h edi+'mn. Po`°.a°..y.3o m a`• afl- S�10F Window Pro+eb+ion+o conform wi+h %O 1.2.1.2 Pro+eG+Ion of o,—ings. y.W fit, E � L Q `v DANIEL °= o m <x -' 3 n Walh+ob¢removed Tv ins o d d N P. w � ;\ <�` m'm �m c'm ezisYinq watts J.mac �.E > > C CRO t EAU °' W N N O CIVIL NO. 46253 < ,0 u E v d < All Mesuremen+s/Oimens'mns are+o +l 0 be site verlfled by General Gon+rab+or t•+ GIST �� b s;% I/2^ 4•-2" b B'-m" b~ 5'-l0^ b !o'-I^ o` a++ime of cons+ruc+ion DRAWING TYPE: �SS�ONAL ECG Os hmokeve+earor Firs+Floor Plan �w ��i% 1 O:_7•, 4:_2.. 1 O'-1 O I/2" %'-B%/B" Co'-.9'!/B'• q•-%%/B'• 2 q,_1 1.. SHEET NUMBER: g W- n • � ` O O tL 7oao`�m��.o5 1 1'-B" I o'-o" ralmpsa m HTT 4 e+he Q ,_ i sS 2:2 9 Install 4 2%4 s wall _ two Lakeside Fran+ m „ i E^ e beam b¢arin (# .1 and r - - nq yP corners of wddlYlan r�impsanm HTT 4e the 1!o"x l 1/4"Versa-s+rand®O.B 7 o btg�'q � two Lakeside Front o 0 _ � corners of wddi+ion - - - - - - - - _ - - _ - - r — � d n`m mOOa cl eial;d blacking a dot wall "solid blacking a dorm wall, v a n II .14 II ms I � Ploor bracing a 9'-O"o. I!n"P�'GI90 2.0 Jois+s e 1 to"o.a. III. for panel canner+Ions 1 G"r�G190 2.0 Jols#s® I Ca"o.L. -�_- - 11 � it ------------------------------------ i! % lJL. �iimpsa"I ITT-4 1 rn e I!o o !ool;d blacking a mid span d L 0 L IL 0 P I I� Floor bracinqe 9'-O"a.a. -Q O _ I I� for panel canner}ions CQ %-1!a"% I %/4"Ver a-Lamm beams I II I II J � ..�- I I �1 I I I 0impsanm r�A"J.5la/1!o � C r I I I I I I 1!a"P�GI90 2.0 Joists e l fa"a.c. � ��\ 6` II I I I I I I ' F = I I holed blocking®dorm walls � \•, II I I I I I I -'r' "Id•• � II Q _ _ _ - C _ I. Ins+all 4-2 x 9's In wall I G"x I i/9"Versa-s}randm O.e ' I I und¢r beam be_arinq(+YP.) - •• G ./ F L- I Fp-AI`iE Q �I This plan was d¢zigned In aaaordance with I i mod;+n}earnad+penal�es;den+sal Gode 2009 V pQ� Q O J All rlezuremen+s 1 rJimensions are#o r�impzanm P�'P5/B-�e+he g;m PAPS/b-fie+ be sito verified by general Gon+roc+or two Lakeside front o h at time of lonstrUction corners of addl+Ion - himpson H 2.5 hurricane+i¢s e 1!.A"o.c. - -- - nyy earners of addiY�on n Ps +w Lakeside Fran# Q N o � rOimpson H 2.5 hurter .e ties e 1 0"o.e. j � - �.- rtl Q w �=o m • 2 x I O�aF#ers e 1!a"a.a. _ _ I I _ _- � � •� 0 W U`Jn 3� ' loaf bracing a 4'-O"A.a. I ^ for panel con e No z # m J i y o f ZO W U w ' I 2 xB� fYers¢ 1!A"o 2 x0 R-afters� 1!o"o a �ooF bracing a 4'-O"o.a. 0. knF a N x p li i� p n n n n n Far panel aonnec+;onz L• U raf#ers}o remain- _ - \ / O �Impson H 2.5 purr +lez e l CA"o ^Y„� [LME J m ! I d I I 2 xe R-afters e l G"o.a. 2 NB R-wf#ers e l!A'•o.a 2 x l 0 oaf}ers e l!.A"a.L. Cxis#inq r F+erz+o re 2%B wafters e 1 0"o.L. 2%1 0 R-af#ers e 1 I I \ I L'n¢of 2 xCo sleeper a++ached 'w a v o� - _ - I %-1 4"x I %/4"Versa 11-11 Lam b \ \ J UOxN raimp so®��conne ct m® I 'o.a. 2 xla R-afters e In_ - �I I :�I':- himpson H 2.5 hurricane 0 PL - tii Q+\, _ _ _ _ _ __ � T 'arm remain It- II _-_ _ _ _ _ _ _ _ _ _ __ _ _ __ _ _ _ __ _ _ _ _2xla Laddr�af# se l�"oc I�'�H��ASs9 �vaW o�n >,E �' s A- L II II eels DANIEL a1 ° 2 N!o R-af+ers® I!A"o.c. 2 z!o R-afters e 1!o"o.c. P. �ilmpsanm��connectors e 1 G"o.c. _ - 11f{IIIF CROTEAU Line of 2 xCA sleeper attached CIVIL N '. existing Frammq w/% I/Z"x I/9" _ I II P No. 46253 h DRAWING TYPE: him s o hDh bar .m 2%1 R-af+ers a 1 "o a himpson H 2.5 hurricane+iese I�o"o.a. a eaond Floor Frame A�-II�L *� 2 x�Ladder oaf#ers e I fo"o.L. �� p-oof Frame _�_�__%I IIII II NAB. P PLAN SHEET NUMBER: 2%v Ladder oaf+ers e I v"A.a G GOOF F�f�ME A2O f LL .O� 5c3��'o� !* z m u n o nu uc^o�uon 19'-2 %/9" 2'-% 1/2" 9'-2 7/B" 1!0'-!0%/9" %'-10" d 7 uc sy,@��•„ry b b b b C s E d m P P P Q L a0 d e m 0 A ®9 d � i d i cj s d p Q Q Q IL � 0 c 0 a < Ol C � of o ; ---------- 0 0 L I o I I I I 4LU J P�EPR-OOM 2 roITTING AR-rA MA,�TeR-Pr-oP00ry u------ < I O S I y I I 0 � I a 1 I I I 0 I I � � Andersenm AW 2 5 1-%(9"MUII) a 0 7'-9 9/B"%2'-4 7FFTI /B" I 5 n a_ z Eo I _-____ - ® ® Q - O x j e Z _ J.------------------ _ m v+ v I GLahOT # ,� K N o 3 0 ._______-_ ___. m -- ----- - O =yEf 0 - I � 1 0 � �/ d o I j m —1 - - P '-7 tu y ------------------------------------- --- --- ----------- ------------------------ - ----------- -------------- __ ______ ______ _ _ ______ __-_ __ -_--_-_ ---__-_ _____________ ____ 0. UN f __________ _____1__ ___________ ___________ _______ _ __ _ ___._________________ _ I K m o it uj � Ua hEGONV FLOOF-PLAN _-__ _____________„ Th''s plan was d¢signed in moor l—o wi+h ------------------------ -- ---------- ----------- +he In+ernaYional(=widen+ial Gade 2009 A`m`ov o P Cdi+Ion and+he 7 BO GMp s 1.00 Bth edWion. s \ \ W'mdow pro+ea+Ion to conform wl+h �%O I.2.1.2 Protebtion of openings• �a n�f u m � � � m9 m m ..................................._ Wells to beremoved nmmo q=5 6 J' f S O n - O r - 0 C%isYinq wells a o 0 o r.3 0 �' a• a•>L New walsl omaH`ns N N E O s e O s o s x Os hmoke pe+eo+or e m`o"E Z Q .c N N q" �NOF M > > c ASS9c' 3a in- 9L L tLI a` DANIEL 4'_0,• bt2,_9,, b q._p.. - �C P. ll(l%. CROTEAU -A DRAWING TYPE: U CIVIL N heaond Floor Plan ,._��. B,_p•. 5�_�., B�_p�, y�_�•� "B,_p,� 7'-!0" N0. 46253 �' 0� G/STER \ate SHEET NUMBER: ��`r�ONAI ti�G • W " oa O`Ea�`oo d u0U"�iE ir�c m ° . ul � W d b`3�oo 2°cow a d E 0 0 L � W dubber Membrane F—f L 0 I/2"Fiberbowrd %/4"X 1 4"Versp-Lpmm bepms I/2"APA rp+ed sheer+hinq 12 O _1 Fpf+arse 1 to'b.c. I.sr— ro�mpsanm��connec+Ors e I tw"a.�. � LY.. .. m_r Arch.Asphpl+shingles S 'Q - Ex stag frpmmq+a reman Q W � 1 x_PVG+rim boards �" 4 x�a Gedinq.lois+s e 1!p"a.c. f 1^, _ =_ C L 0 7 IGYNENEm closed-Dell 1/2"APA—4-1 full-height"shop+hinq I. ..:,:-` + p 1/2"vrYr pll nsulp+ion 7/in. W p) .::- ....- > V -Al - 2-1 %/4"X9 I/2"Versp-Lpm®bepms C hlmpsanm N 2.9+les e 1 Co"o.c. �ilmPson®IUT 4 1 O hanger a bath ends I 2 '01� � � ` Lu I!o y�L v 1GYNENEm Nosed-Doll nsulp+ion F-7 (Q.. J Existing frominq+a remain - Ezis+inq frominq+o remain ry NI W F- `. �— w N U 3 O ,� •�"• 0 W t6"O 3. Exis+lag framing+o remain a#- m Q I o f V Q U m s v -7 O W p. a— w J ®a �+ u- J K �O � um d ac .,b Qm y N f C C 6 <00°i30 01 Q. 6• �mo�=E N Tn n �rAMIL)IL-7�I�G�eGTioN,.�„ z a � �Gale: OFA/qs9 Jam° W m m m o "DANIEL s O,fG �` oL oL J +' V CROTEAU N��n DRAWING TYPE: CIVIL I'tt:)Uilclinq heG+ion"A" No. 46253 fr. O�ICaS o,NA` SHEET NUMBER: A400 la S m TEa�o��.ib Q z o ��urq Jy Gon+inuous ridge vent - � < � � ° a hlmpsone��eonnec+ors e I Co"o.c. � Architectural asphalt shingles(+yp.l 1 Sk Fel+paper(typ.) 2 x 4 Gollar ties e I!o"o.c. 1/2"a VX plywood sheathing(typ.) C x 1 0 wafters e l �X/ 2 ^I. 5� z E S o e I Proper vents !o" %o.c. � Ice and Water shield 2"R.igid foam insula+Ion e l&"o.c. 2 x 1 0 oaf+ers e l Co"o.g. ¢ iY himpsan H 2.S hurricane ties e I&"o.c. F.G.Insula+Ion F%e, - Q :' 2%I O Geillnq joints a I Co"o.c. Aluminum gu++ars+o drywalls — % O _% I x_11y6+rim boards 2/2 xB Haadars(typ.)' r) 1' X on {L A_ ^� G +inuous soffit vent(+yp.) I/2"Vrywall(tyP.)— \�� C 2 p• Whi+a cedar shingles e S"t.w.(+yp.) w„` TrvekTM housewrap(+yp.) f w ,,,remove axis+Inq raof:�.,:j C � 0 � 1/2"APA rated"full-height"ahea+hlnq(+yp.l } 1U' S L P- Q 2 x'fo Wall stud e 1 eo"o.c.(tyf,.) 0 G m C _ } 1 2 Z Insula+Ion F-2 1 (+ypJ I G Arahi+ec+ural asphalt shingles l+ypJ �- Q %/4"APA r a+ed+.lg.sAflaor I Sa Fel+ (t 1 4iimpson H 2.S hurricane+ias e I!a"o.c. glued and nailed.. LU 1/2"GrIX plywood sheathing<+ypJ aiimp. no pjpS/B-% 2 xG oaf+ers e l!o"o.g. O U rl n Ice and Water shield Ilo'p�'GI90.2 OJo s+so 1!o"oc ........... .. .....I!o"1�G190 2.0 Jais+s e I!o"a.G....... ..... ........... ................ ........ -.......... ....... -- ... ..... ...........- - ...... ... *'mpsan N 2.ei hurricane ties e 1<o"o.c. elimpsonm_'iTA 2 1 s+raps a%2"o.c. -- ":"""............... Ins+all himpson®L�iTA I le, rap s+ ' (+; '•••::..................••••.•••..•:.:::,.,,,.'.....•. Install him b L41TA 1 8 stra ties connecting+he ba+tam wall eam pso^® p +hru+hesubfloor+o+he solid blocking below. White eadar shingles a S"1-.w.(typ.) +lea eannae+lnq+he bo++om wall beam hlmpson®1'�Glo pas+caps ry •" TyvekTM housewrap(+yp.) +hru+ha subfloor+o the solid blocking below. Z o m Iv J 6 P.T.loxlo Posts �I w0 2 W rem y=v �1' " EzisY�nq Framing to-.in Z Jy 3� J K m U 3 0 E O V 4 V m 4 I -.Azakm fJegking z w hi on®H 4 e+e on asm Q f n 3 mps TT h yfmps s ZM LU5 2!o e 1 Co"o.c. p. N two Lakeside front - -F.T� 2.x0 Joists e I!o'b.c. garners of addi+Ian \�' W kn O D X� iL iL U Existing Framing+a remain Existing Framing to remain - ylmpsonm ZMasm LUh 2 e,e 1 Df J m Q d %::':: . I:: F I 12"m x 4'O"hano+ubem/p�lgfao}s%!o poured g 6w 4 e column foo+ing w/4-a 4 " er+Ical rebar I.S"m -%"max embedment Q I ii ii I v n ;; a and 0impsanm G1�1& Golumn base. - - lii it avoa�� — \ � AtT C C Q o ow��Nn� a m m ms L Q O V i E a O Q R 7 d L j IV OF DANIEL }� i�UiLrJiNG�eGrloN"1�" CROTEAU CIVIL DRAWINGTYPE: No. 46253 p�uildiny GJeGd ion"per" ��.r'pFG►STEM \�4, r� FSS/ONAL �G SHEET NUMBER: A40 [ Vo�tm F r L" I'l 14 C E -I 0 i1L � W 0 El -- IN" x of "It �- � I I I z ----------------------------------------------------------J--------------------------------------------------------------------------------------- v O w � d -- �A�FONT ELEyATION � O hcale: 1/4"- 1'-O" t ry n Z m J •� � W 3� •--- Cn J 2' "0 3 0 V m JD FE] Ifl < Z y V I J n Q p Z 1-' J W O c W O o- K m o IT- 000 --- r[1'' oo� r- - -CEO - - _ - m`'or c c — oo" o d I I I rom`o Lu L I I i �n • L-------------------------------------------------------------- J 1�G��1GNT aLE IATIoN DRAWING TYPE: haale: 1/4"- 1'-o" Elevai'ians f}, SHEET NUMBER: cau ��W�T a � Q a^Ny EUV `yo fi • Q �o 0{ E TH p L h p � O -14 c 0 t � O 0 7 _ nL � C, L,______________________________J Q f, p LEFT ELOVhTI&IN W F- O m J N W Q I z u O .L_ C, W ll 'n Z 111 V @ 3 O 3 a '. a-- m a s° n F V Q ® ® L- •� W J O• n6 a_ ® Q w 0 J� ®a LL J J K Rlmn ��LL L Jill d E-El- �71 Fp1l o-1- -ppl IDIE v HHHHHHNHHHHHHE l„� d' Q •p C C ��I ®m m9 m 0a -N mt OOyE O R l maJ 7 Ln 000 0 �nt�r� otaQo� > > c moo wj Lam p 7-1- ITT I IL :; ---- - I D Elevations TYPE: � —- I I I I I I I I u \�EA�(=ELEYMTION I I I I I nsoo �jcnle: I/'T I'- 11 L------------------------------___________1_____-__-__L_ L_-_-___-___-_______-_-___________--- ---- SHEET NUM6ER: �5o r /l / v ..i _ VTR HIV d IL Q < G Y `----- VI R`! ,• _ ' `` U CY, jig c _ z N JILr W CO CID - i1 kZ _ In CL ' - -- - - - �� lllhl - - - - - _ _ 1 . , 3 J r• a�0� `.1 1 r o i Vc i Z 1 d B v 1219 i r 1 * P1•�WAY 1 p pVED D =N, -MAR 18 2 1 r B MP' , . --- • \ - TOWN.O_F BA�R.NSTA F..�J QL"E o- ; t C -' � w 2 _ cam, < r-, _ \ , o G '--- S C' ro ` , 04� ----- - ------ X - _ • - 1 'J < ' --------------- ``�� _- '' . -� < . t_ lr•G t': iR •fl�' '�� ` a 4� ♦ - _ --- + Z I Ile { EI a - i - CL - h� _ • s ' BAXTER NYE ENGINEERING & 1 Stir* !^ A-• • ` SURVEYING �- G ` LA" e .` Registered Professional Engineers and Land Surveyors _ G IN 1� �� G s •� - „ . \ - G _ - 'A MAIN 3R 4 .,� ' �: , , , �1 ., / p P 78 North Street 3rd Floor w "�L _ _ G ,C Hyannis, Massachusetts 02601 G • {\\ °ti w _ w 4- wA �•- _ ... + Phone - (508) 771-7502 _� ••. Fax - (508) 771-7622 µ, TER MAIN - YtIK •• 1 / w - - • •• M www.boxter-nye.com HO t - _ _ I! TO ,�WATFd , _ - - _ �lY _ _ _ ` O 1 1 I yAQA 7 `_ --'t r E. .Q 1�• • • •,• v (40 �► W ROA '�� _ \ I - _ - . ' +�':;.. STAMP STAMP �- _` •� ' 37.8 38.6 70 WZ7 .// / L DR1`hWAY a i WF 16 r -! - _ ', Pt, OF,W `r. S'q S 9n \ \ 1 ~•- • �r �y o� yG \ 38.5 � � �r � SHANE M. � o \ �� , m 1» . K o BRENMFR L 01. \) I \ / i , l a,;," N� •• • 1 21 No.3021A y c N0.�.`; !17 Q. lo X 40.6 \ , p !` F q� r `. ' i r N i . A ENG �Na ' \P� , AL MIS MAP SCALE. N.T.S. LANDSCAPEAREA r r / r E r m (W/ADDITIONAL 1 4 OF�Jgss LANDSCAPE TIMBERS \. :f� ! /� // w �r a1.2\ , NOT SH0 *1) \ , / �� , YINE 0 SME" EPHEN c` CONSULTANT WF 15 r 1 (� � A u _ r r FE'1JGNIARK MAG W& SET IN PAVFIIEi1T �� i ,' 36.3 x 'S t No.30?16 EL • 41.62 (NOYM) , 39.1 , I LEGEND / ABBREVIATIONS F `s � i 1 I ,► \ n, \ i i/ ilk p 4 r SSG( I • r r r \ONAL EN CONSULTANT \ -a = UTILITY POLE �//// (3 ' AL GUY POLE o CATCH BASIN ,,-rr. •m v1 1 I w = WATER GATE %W-W 1 4�, ��• r t �I ,� m = ELECTRIC BOX y 7 }� 38. ! 3�; g = GAS METER PREPARED FOR : R I 1 _ \ An MAP 232 PARCELS 02 d_.�n2 <'• 1 ' µ I ��" `\ y x 37 �# iLAL 1ap.� IN = WATER LINE Raymond M. Kwasnick, TI'lls �� 0 994�r S.F. I V -- -\ Vine Street Realty Trust i ' 0 r 1 r i TOTAL _ i ,K✓� -s' ->�----�- o�+ --a+�-- = ovERHEAD WIRES OR = TREE LINE C/o coulston & Storrs 3 1.�4t ,�;� � �� gym/ � � ��l, � � �_�_ �I�CK • 38.4 °-�'A"0N 400 Atlantic Avenue r % ti � � 1 1 , , T.O.F. = TOP OF FOUNDATION BOl�tOn MA 02110 '13.02St S.F'. 1 CONCRETE -- - \1 \y Ar r.A ;1 '; �� ,I N EOP = EDGE OF PAVEMENT OR � , 47, _ A_ GARAGE ' I j(, L 4' A \ / G.F.E. 43.76 1, 11 11 s ,'I iALL WF 4 _. i �IiJWL. 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POOL PER NNE3P 111P OCKM 1. ti - 1 1 SET NEi0-M 1 1 2012 %'FRILLED W Mil F001S' Z-4 0 3 ' iq �, h 11 91E 6 WIM A RIRORW MW FBI OW WOCIOINf 1. 21012 1o1MY 1' `� o 1 1 WNM OF W E 9'M FOR 9'EEES wwR I E 1M69ICINSM ODML M ---------- - - r31.3• ' 11 I SPEFS ACr.FERLO M6 1 CIIt10 A 4 (32 } - 1 AL SiTE 6 WAIN!A SOITE MFYOYFD 211E 1 MW WM 11371111E FADE MI If I \ v AREA T� /2 l METAL Y SIZE 6 OW A ZX OF MVWM lbw 70 A 94RIM MW(B�iIN5W • ,` �' `I \ ,� 11 ` � , .- . ' 8 r 396 SHEET TITLE t WF 6 WF LS 1NE OOIl1RA O 9WL OONTACT W SAFE(AT 1-�-M-SAFES AND UIRM tMPANE'S 10UrAll 1\ EDGE OF i -- ;_--', 2.. �/ CDO AND FR L 1L4 wow ATN LEAST UIl nm 00MM INN LBO N M MPAOODI W p ■ 72 MM FM 10 INE START OF Se tic Repair Plan � APFROMMA� C" SAND wY MU. wr WF LIE LMW 10 NWE SI M MUM AND NK WN IE 000 LLASFD ON nE X \ BE--- _ LOC 701 OF SkPX ' / AWALwE URN IE100RAS IDLED MU Ml. WED THE COIRiA =AOM 10 BEFU.LY R ESPO GI E FOR _ NA' AL CES THEN TINT OCID ff(1NE COIAiOK.UIS FM I E 10 LOW SO \ - ' / n NO LIMN WRIMCW AND UNRAFS DIACILY. F MD OOwMROw6 OFrERS nW FLAN ff M=K TiE v �_FENrrr� (Mfl1111.M SiAL N DTFY THE DOW ASID TELY Fat POSSRRE 1I11 R X X ,4 -44- - ------ ------- / / AL 901AHCE N0101100 FUOY FLOG NITS KW QOI WN01ISBIYED E11011110E OF UNRAES 10 SHEET NO X Z� ------_ .- "- .. DEIELK A WN OF USE OM]w110 M UAA M MKWK LACII= DOM1Ml THE UACr LDL'1U1 MAP 232 N/ARCEL 075 X __ - // '�` INK AMMO WRE OF L1141900M N D iNITIRIwM N 6 aE M Yw UM ff aae ffiis�n o1c1e1ww wr SPOI SUSAN FALKSON BE M3XMR1r. o WF 7 , •E)OS1I1G SEPTIC S157EY Ii01MN110N a1fAILED FROM SEPTIC SYSIEII I6PEt'lION REPORT DATE : 7 31 13 / ---.� 39.2. AL �I�QZ Ell' AVE'S 0. SPARS OF CAF"K U09FIRSM LTG. DA70 3-M-13 ON FiLE AT ROA PL o 1 0 0 10 % r r , �.� ' VW UMBt SL7t1EE MM1 ON D ROM IS PUN F SIlE1CN C-13174 OW 4/19/)/ a MAP 232/PARCEL 074 AM SM W3/Siur-W LWW LFr Till MICE L>I W RHD sLAtY Y SCALE IN FEET � N/F • CM Sf11MCE 9i0RN 6 A COIAN1fON OF W-SW IMIROIICS R D LOOMED OV T16 SCALE : 1'*- 10' I? JOSEPH FALKSON OFFw7 AND MA1MW l� SNE1CNi SIQ1a1 C ON W14 2013 DRAWN/DESIGN B Y: WV CHECKED B m p 108 NO: 2013-4= CADD FILE: 2013-02