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Home My WebLink About0075 HORNBEAM LANE ItifIftIitfIttIItitttIItittttt r`R � WHET Town of Barnstable *Permit# :W"r7� _IV I U Ex�T�res 6 months om issue date Building Department Fee EMMSTABLE, ; Brian-Florence,QBg t;� . 1' Building Commiss oner W 00 rfn 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us' 'NOV 3 0 2017 Office: 508-862-4038 fo Fax: 508-790-6230 �� 0 � SA(�rV TA8LE EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY r__ Not Valid without Red X-Press Imprint Map/parcel Number ((J , Property Address A P (, n 13.00 XResidential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address C e C°C't� ' W,7 L4uj" Contractor's Name v " b C Telephone Number. 7 7�i Home Improvement Contractor License#(if applicable) .Email: d -4 ` ^C) (' Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# A Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) J ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to �.t1S ��1 c. ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ]Re-side eplacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *Where required; Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of th Home Improvement Contractors License&Construction Supervisors License is requ' ed. SIGNATURE: QAWPHLESTORNISTXPRESS2017 77se Corm oyriveakh a,f Massa diuseffs Deparaffmt a,f rndastxia1Accidads - Office o,f1MV%dgati&= - ' 600 Warshinglon Street _---- Bast ni 4 02111 nYtuvmamgvv1dia Warlmrs' CasmpensatianInmrance Affidavit:Builder-./CnntractursMecricians/Plumbers AppHcant Information Please Print Name�n��aairati4n�arF�idnal� � �e � �► C f . . Address ® � Ucr cityfstatel 4�J -Avig Are you an employer?Chedithe appropriate b= ' T of project r t I_ I am a em 1 f 4 ❑I am a general contactor and I Type F. ] t om = employees(fish dfor parwime * -save bixed.the sub-contmcf m -- ❑New construction Z.❑ I am a sale proprietor orpartner- T.isted cathe attached sheet: 7_,0 Remodeling ship and have no.employees These sub-contmdors have S-,❑Dema]itibn { w g forme in employees and havewodwri' o t3`- 9. ❑Building addition [No u7xb--m' comp insurance comp_susuranmi requ 5. ❑ We are a cosporatifln and its 14❑Electdral repairs or ad�tions 3.❑ I ama homiomner doing aft work officers have esrscised their I❑Plumbing repairs or additions myseli[Na wozlaers'tromp- rigbt of exemption per MGL 17 El Rflaf repairs insumncerequired,]i c.152,§lt4} and we have no ars f�� q employees_[No vmaness , 13.❑�Otlier J cow_insumace required_] A.,,yappEi®t�stcher sbaaTl slsafino�thesectioabeTowsTinsdagt �r cedc�p��,fi�,•pa epin£oamsue� # meoara�who sabot[big affidasiE n rTmog theysxadnia�sgwa�sad theahae autsid�tnntrsctrrzsmnst submitanemaffid t mdi[stinn sadL fCasstmciurstbztebec7cihizbmcmastgttsrhe�saadei�amalsheeishmrmgthen�eoftbes�►-c�c4tsmmdst�ewhethe<armt['hnsee�lias� amp3vyees.Ifthesnbtaa1ractncshace empIoF zs,they mustpmuide their srarken'comp,pang mmnbeL -Tam an employer fast is pro tRdirrg workers'conrperrsrt!`,iarr hmirance or rrry'empzc yzes Below is itrtgpoiicy and job Sao irrjorxrafion In ceComparryName: Prkly. 'Parley-�g,ar self-ins_ILC-.,"L Mlkko 50 S � �piEati�uDate: � 470 Job Site Addm= 5 Or Citylstaw,—c Aft2ch a copy of the workers°compensatioapolicy declaration page(showing the policy number and expa-ation date). Failure to secure coverage as req*edunder Section 25A.of MGL a 157 eau lead to the imposifm of criminal penalties of a fine up to$L50a tea andror ane yearimprison as well as ci0 penalties in the farm of a STOP WORK DRDERand a fine of up to$250-QO a dap against the violator. Be adiised that a copy of this statement may be forwarded to the Office of Investigations of the DJA for" u mce-coverage veriffcatiaa .I tea hongby a t}rg d 's ajpaluly,first trig hz ortsur#i uprot=kW above is bars and correct -Sionatnze: Date-- phone ik t3f j`rcial uss c�ariy. Da tint r�rita in ff�.trrea,trr_be crrtrrpleted by cite�trtan�n a,�j`rciat . CRT or Town: Permiff iceuse;g Lnuin An&ority(circle flue).: 1.Board of Health 2.Buff Department 3.CRpTown Clerk 4.Electrical 1 asgector S.Plumbing Imspector 6.Other C'onbct Person: Phone#: Information and ustrac:�olas M3ssacbrsse#ts Geb=-al Laws chaptca M req=s all employers m provide va iCc&compensation far their employees_ ParSaEXtto this sty,an employee is defined as."_every personm the service of another under any contract ofliae, empress or mplied,oral or vziftrmf An znP&yer is defined as"an incliyiduaI,par[nersb�,association,corporation or other gal entity,or ray two or more of the foregoing eagagMd is aJoiDt Vie,and mclndmg the legal represenfafivm of a deceased employer,or the receiver or t wtee of an mdividail,partLrshrp,association or other legal entity,emploYmg emPloyees.. However the owner of a dymIIing horse having not more than t see apartments and-who resides therein,or the occupant ofthe- dwelling Tionse of mDfhmr who m3ploys passers to do make,construrtron or repair work on such dwelimg house or on the grotmds or bmdi n app6r 1heretn ffi notbecanse of sash employmeutbe deemedto be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhaId$ze issuance or renewal of a$cease or permit to operate a business or to construe buildings is the coma mwealth for any applicantwho has not produced acceptable evidence of c6m.P ante With.the in.'snrance roveJrage regain ed" AddrldonaIly,MGZ chapter 152,§25C()statr aldeif�r fhe commgnwealth nor airy ofifs political subchvisians shall ent]_-r into any contract for the pm-kanmce ofpublic woik urdd acceptable evidence of compliancewith the mismmmce. regzm�eaat�of this chapt er.bave been presented to the Mntr�aehoi ity AppHcaufs � . Please fM out the warkm7 compensation affidavit completely;by checldng e boxes that apply to your situation and,if UtCeSSEMY,SapPIY s)nmne(s),address(es)and phone m=ber(s) along wiL their certfficafe(s)of msmance Limited Liability Companies(ILQ or Lba tedLiabslity-Padn=.ships(LLP)Wdhno employees other.thm the members or partners,are not required to cagy workers'compensation in organ m If an LLC or LLP does have employees,&policy is rc*rh1ed. Be advised thattbis affidayttmaybe submitted to the Department of Industrial Accidents for conf a aiion of insmaace coverage Also be sure to sign and datthe aidavitt. The affidavit should beretomed to the city or town that the application for thepennit or license is being regneste-i,not&n Department of . Triams trial 2l�ts. 9iouldyou have aay questions rega7mg the Iaw or ifyon&re din obtain a workers' compensation policy,please call the Depart ent at the mmmbez listed below Self-mscaed companies should enter their self-fi2mn�ce license n�mber m the appropriate line. City or Town Officials . t - Please be so¢-e that the affidavit is(complete and printedlegilIy. The Deparimeotim provided a space at the boftam of the affidavit for you to fill out in the eves the Office ofinvesfia ons has to comact you regarding the applicant- Please,be sure to fill in the pebnitllicense mrnber which will be used as a reference mmmber. In addition,an applicant at must submit maubiple pemutllicrose aPPHzz ims in any giveayear,need only submit one affidavit indicating car ant th policy infbrnation(if m=cs saiy)and under"Job fife Q_d ass"the applicant should write"all locatlicns in ( 'or town):'A copy of the•affidavit that has been officially stamped or madred by the city or town maybe provided to the applicant as proofthat a valid affidavit is on file for future emit;or Incenses Anew affidavit must be tiIled out each year.Where,ahome owner or citizen is obtaining alicense or pewitnotrelatedto airybusiness or commercialyent are (i_e_ a dog license orpemik to bum leaves etc.)said person is NOT rcquircd to conrple this affidavit The of ofInvestiga ions wouldfiketo thank youmadvance for your cooperation and shouldyou:have any questions, please do not hesitate to.give us a caM The Depar�eut's address,telephone and fax xM er_ The CUB Wmjft of MassaclLusdts - D epaitamtcif 1udmtdal AoDident� `• Rt us Ya o�111 -Tf,-I.4 617- -4909 ext 4-06 car 1-4M 1 L SAFF- Fax9 617 727 7749 lZevisea 4 24-07 ,� m e gI� oFTHE r Town of.Barnstable ti Building Department �sus"LJ9. 'Mass Brian Florence,CB0 Building 16;9. ,�� Commissioner PTED M1d h • gomm one ' 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must - Complete'and Signs This.Section i If Using.A Builder : I CR as Owner of the subject l property hereby authorize* C to act ion my behalf, in aU mattets relative to wotk authorized by this.building permit application for: ( F o GOIJ. er (Address of Job) ,**Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is ' stalled and all final. inspections are performed and accept Signatute bf Owner Signatute of 4pliciat Print Name Print Name Date Q:FORMS:OWNERPERMLSSIONPOOLS - Rev:10/17 I 1 V yr u yi "cai uoLcaivav �oFTHe r�� Building Departinent e� Brian Florence CBO * snxt+srear.E, « Building Commissioner Mess. $ 200 Main Street, Hyannis,MA 02601 .q s639 ��59 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.dwelliags 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. " , , . .' : , I, ,, DEFINITION OF HOMEOWNER Y . r 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 t 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 personas it wotild;with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. i• AC01RL> CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYY1) 12/12/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Go" CT Atlantic Insurance Group Agency Inc NAME: Berkley Assigned Risk Services 530 Adams St ac.No.Ea:(800)634-4589 FAX No.): (866)215-8118 ADDREss: PolicyServices@berkieyrisk.com Milton MA 02186 INSURERS AFFORDING COVERAGE NAIC 11 INSURER A: Acadia Insurance CO 31325 INSURED Daniel Joyce - INSURER B: DANIEL JOYCE CONSTRUCTION INSURER a PO BOX 117 INSURER D: INSURER E: West Hyannisport MA 02672 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 LTR TYPE OF INSURANCE 1 ADDLI INSR WVD SUBH POLICY NUMBER POLICY EFF POLICY EXP MM/DD/YYYY MWDD/YYYY LIMITS GENERAL LIABILITY AUTOMOBILE LIABILITY $ WORKERS COMPENSATION WC STATU- ❑OTH- AND EMPLOYERS'LIABILITY YIN X TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVEEl E.I.EACH ACCIDENT $ 100000.00 A OFFICE/MEMBER EXCLUDED? N/A MAARP300574 12/1/2016 12/1/2017 (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 100000.00 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000.00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Election Category Election Status Name Issue State: All Entities/Insureds: Sole Proprietor Exclude Daniel Joyce MA Daniel Joyce • r 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 AUTHORIZED REPRESENTATIVE A ""-r ACORD 25(2010/05) BRAC3139 JI Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-102512 Construction Supervisor q DANIEL J JOYCE,JR PO BOX 117 WEST HYANNISPORT MA 02672 }'' Expiration: Commissioner 12/13/2018 Office of Consumer Affairs&Busmess'Regulntion License or registration valid for individul use only �- ��-HOME 1MPROUEMENT CONTRACTOR before the expiration date. If found return to: •Registration: '158158 Type: Office of Consumer Affairs and Business Regulation Expiration;_:12hZl2017 DBA 10 Park Plaza-Suite 5170 _y- Boston,MA 02116 DANIEL JOYCE CONSTRUCTION DANIEL.JOYCE � .. . ` ////;C 14 DOLPHIN°LN. -- HYANNIS,MA 02601 '...Undersecretary Not slid vithy ut si i nature Town of Barnstable * - 1 b e Permit kZA6,_ � Regulatory Services fee 6mo�t omissuedate J � HARNSTABLE. MAS& Richard V.Scali,Director i639 Building Division r Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us , Officer 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address ! -/� s �� P � Residential Value of Work �Yi Uo® Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address - 1 ., r—r cco l� `�C1�� ` t1 !( - �� CnX C'ru Contractor's Name, Telephone Number O 0334 Home Improvement Contractor License#(if applicable) < Email: e&f1 . >OXCC(MC-Q&04-4e� Construction Supervisor's License#(if applicable) y ❑Workman's Compensation Insurance , Check one: ❑ I am a sole proprietor ❑ I am the Homeowner o I have Worker's Comp nsation 1ntTce e la�a�'w�' PE �] [i Insurance Company Name l� SEPoq ,016 Workman's Comp.Policy# WO OF M 'STABLF Copy of Insurance Compliance Certificate must accompan each permit. �7 *l Permit Req' st(ch`eck box) /�q� � t/ ' e roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to /"� ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side - ❑ Replacement Windows/doors/sliders.U-Value ' (maximum.32)#of windows #of doors:, F ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. '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 Ho ;eImpr9vement Contractors License&Construction Supervisors License is equlied SIGNATURE: w f Q:IWPFILES\FORMS\building permitforms\EXP S.doc s 06/20/16 t 37m Commarnveakh of Massac7rrue ft Depvtment of In4=, Zd Acrdenft Offwe,of L;pm�atiow. 400 Waskgtan Mrod _ Boston,MA t121"�F - • fdEv��.�ta��dia '"Tiurkers' Cumpensa{ an 7nsn�-ance Affidav-- -ctur&Mect cians(Phunbers AppIkantlufm-matiou _ Please Print .N=e(H Ad&esr P O Loy 17 •Are you an employer?.Qre ap opriate bar=. I.vi am a employes wit 4 h. ❑'I am a bs T f project(req�ell}" general confiactor and T * . have hiredihe sob-contmctas 6 e . brew oo ors mployees(fia]I andfor part�time�. 2.❑ I am a sole proprietor orgartner- listed onthe aftached sheet. 7. ❑Rernodeliqg slip and have.no eoiplayees ; ` Mese stab--cantractors have $ ❑Demoli6ou f warlziag farms in any capacity_ employees and have wo&zrs' JNo wodne&comp.insurance comp.InSU an I' . . 9..❑Building addition r -I 5. ❑ We are a•coapomfifln and its 16_❑Electrical repairs or additions 3_❑ I am a homeowner do V all warn officers have exercised their 1L❑Plumbing repairs or additions myself[No workers'oomg- riot of exemption per M.(M� , 13.❑Roof repaim I andwehaveno -. insurance required-]1' c.M § {�' 13_❑'Q�1PC employees.[No workers' ' G comp-insurance required_] '�txp t+pp�ics B�atcleftbos R mast 9m Mo ithe swlioabeiawshaydag du*vades'cm eRMIfiaUPQ]9cgiz5=X ran_ amenaiaea sabmgtti�iss�dasjFiae g8neyaxedai¢gs]E�a�sa�Breal�aartsidecvafm�+*ramctsnhmitanemaTkIz&mdi�agsacIL ICaxm ffis1 cbecktids 6mx xaast attached as sddili-al sheet ahoudag tbensme of the amd stale whether ar Hirt t me addesbzm eaaplmn.If the a tib�e I=e emptaytas,Bzepmustpm-ide tb&wmkETe camp.paliq w er I am a:rr $etodv•is ilispaECY armiab Sac irt�arraa'fiors n Insuran&Compa ay Name: Policy or Self-im I.rc_;g, A ® Expiration Date: ffeJob Site Address= Cityl5taf eF.rp: Bch a-copy of the warker a policy declaration page(showing the policy mz<mber and expiration date). Fa&m to sec=coverage as required.under Section 25A of MGI.m 157 can lead to the imposition of crraaimal penalties of a fine up to$1,Saa 00 and/br oiie-ylicimpfisosmenk as well as;ivfl penalties in the fo=of a STOP W&K�ORDERand a fine of up-to$250-00 a dap against the violator. Be advised that a copy off state�t saagbe forwarded to the 'Office of Immstegations of the DIA,for isurmpee coverage v edficatiam rIa fiex-�iry and perralts o. Prx}�that fFra irfarraxafivrrprmd abat�a i:�frog rd c arrest' PeAL a, Of f Cid axe only. Da not refs in Bib area,to he Tmpleted by stay artowu a,�rceat Cttf or Town: Per�iiet rue� Issuing An9mrity(cane true): L Board of Healtfi I.Buffilmg Department 3.CitpTowa Clerk 4.Elec&ical Inspector S.Phmbimg Inspector b.Other Contact Person: Phone#- 6 ormation and Instructions ,C=rZ Laws ffiaptrr M regones an=ploy=tD provide worker'sensation for p �this ,an nnpkayee is dafined aa¢_ev�ypersdn in ffie service of another under a¢y cozdxar afhirr., " f' esPss or imps oral or writtCnf Auz emplvym_is dcfiaed as"an.indiividnal,partnershjp, association,caiporation or other legal eddy,or any two or mole of the foregoing engaged in.a Joint enure,and the legal rues of a deceased employer,or the receiver or tmstee of as individual,partnership,association ar ofherlegal entity,=ployiMg�P1DYeea_ However the owner of a.dwelling house haymgnot mare than three apadmeois and who resides ffiere in,or the occupant of fire - dweIT$g house of another who employs pens=to do maintenance,c ,nsftuct;on or repair wo&on such dweIling bouse or on the grounds or building app -ffi=to sball mt becanse of sock employment be deed t o be an employ" MM chapter 152,§25C(6)also states tlwt¢evmystate or local I=ndoag agencyshaII wif hOId the issuance or renewal of a Ertense or permit to operate a bUSiMess or to cons-tract buuldin.gs is the coramoaFYealth for any applicantwho has notproduced acceptable evideace of cumpluaace•e n the ia:mranca coverage regQired_" Additionally,MC=L chapter 152,§25C(7)sines-Teither the calth nor igy of its political snbdrv%sions shall enter into any contract far the peifounaace ofpuiblio wow umfil aocieptablm evideace of compliance with e msvzance. requa-emects of-this chapter bane been pre . ted in the con tarts ig ai i 103*. 1 APPlicants Please fill o-o± the worloms'compensation affidavit completely,by cb=ldag the boXes'ihaf apply to Yoe s f and,if necessary,supply s)name(s), addxr~ss(es):and phone numbers) along with their ceriffir.ate(s) of insLuance. Limited Liability Campmnes(I.LC)or LimitedUabilityPartnembips(LIP)wrthno emPlnyees other fhan the members or partners,are not regaired to cagy wozkess' c.omopensatiaa insnrnce- If an LLC or LLP does have employees,apolicyisrMpfi-ed. Be advised tbat this affidagltmaybesalumitindto the;DeparhnemtofIudastrial Accidents for confnmation ofmn=coveragE Also besure to sign and datEiffie aidavit. The affidavit shoulld be mtome�d to me city or town that the application for the permit or license is being request,not the Department of ; Fn cf rial Accidents. Shouldyon have any questions regarding the law or ifyon air regniredtn obtain a wo�Cte compensation policy,please cal[the Departm eat at the number lisfsd below: Self-insured caanpanies should eoi r their self ins mace license number as the appropriate line. City or Town.Of ddak Please be sore that fire affidavit is complete and printed legibly. The Department has provided a space at the botEom of the affidavit for you to fill out in the event the Office oflnvesiigaiions has to 6ort�yam=garding the applicant- Please;be sure to f ll in the pen�iYlicenser min er which will be used as a reference nmaber. In addition,an applicant that must submit multple perm;f ffice se applife3tlons is my given year,need only submit one affidavit indicating en a policy infomation(if necessary)nd unldeS=J ob S AddTeSS"the applicant should v riiir"all locations in C�or_ town)_'A copy of the:-affidavit.that has beer officially stmnped or maimed by tare city or town may be provided in the - • applicant as-prooYtImt a valid affidavit is on file for fat m peumits or licenses A nFW affidav3tmonst be filed oiut each year. Whe=a Home owner or citizen,is obfai ping a license or pemit not r@zfL-d to any.business or c.omrnercial ve e (i.o-a dog license or peonit to bran leaves etc-)said person is NOT rexpmcd to complete this affidavit: The Office of Investigations would l�to ff=k you m advnce for your cooperation and Shou7ld your have any questions, Please;do not hesitafz to pipe us a call The I3eparimenf's aiddressy telephone and fax number: �a of rset�-. Depaitnmt of Eidugdal Acciden-ta (M=of Xave&#ff afio= ; 6 Woman St-Wt Kevised 424-07 f t ff �� c �WE'�'�. Town of-Barnstable Regulatory Services IMENSMAMM rKABL Richard V.S=14 Director Y Building Division. t - PaW Roma,Bunging Commissioner 200 Main Street,Hyannis,MA 02601 www.town.ba'rnstabie.ma us Office: 508-862-4038 Fax: 508-790- 6230 Property Owner Must Complete and Sign This Section Jf Using A Builder - Q- -L- Owner of the subject property `J L.,. hereby authorize �6 to act on my behalf, in all matters relative to work authorized b this building,M etmit a yp pphcatton for: (Address of Job) t , **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. C • tore-of Owner Signature of Appli t 'Irl+ PrintName Print Name N Date r; ` a . QTORMS:OWNERPERMISSIONPOOLS 1, 0 � 1 Town of Bar�nstab e ZI.- Regulatory Services dF Richard V.Scali,-Director Building Division snansrAMIX II Paul Roma,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 y village "HOMEOWNER": - name home phone# t work phone# CURRENT MAILING ADDRESS: city/town ( state zip code The current exemption for"homeowners"was extended to include;owner-occuRied 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 oi'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 resVonsible for all such work performed under the building permit. (Section 109.1.1) j 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)forge to do such work,that such Homeowner shall-Iiis 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, hat the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form,currently used by several towns. You may care to amend and adopt such°form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 Massachusetts -Department of Public Safety Board of Building Regulations and Standards r_._... -- License: CS-102512 r F.S Daniel J Joyce,Jr.,'` t PO Box 117 West-HyannisportMA'02672 -�•�� ""�� Expiration Commissioner 12/13/2016 t &/je�a�nurnaqrtuetil/1b a1P/l/`ccvarcc1?tcjeClt 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: . Office of Consumer Affairs and Business Regulation Registration 158158 Type: Expiration- 12/17/2017 DBA 10 Park Plaza-Suite 5170 Ex p Boston,MA 02116 DANIEL JOYCE CONSTRUCTION DANIEL JOYCE 14 DOLPHIN LN. HYANNIS,MA 02601 Undersecretary Not alid it ut si nature DATE(MM/DONYYY) . CERTIFICATE OF LIABILITY INSURANCE 3,212016 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 - Berkley Assigned Risk Services Atlantic Insurance Group Agency Inc NAME: 530 Adams St A/c.No.EA:(800)634-4589 lac,No.): (866)215$118 ADDRESS: PolicyServices@berkleyrisk.com Milton MA 02186 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Acadia Insurance Co 31325 INSURED Daniel Joyce INSURERB: DANIEL JOYCE CONSTRUCTION INSURER C: PO BOX 117 INSURER D: INSURER E: West Hyannlsport MA 02672 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY,THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE A L SUBRI POLICY NUMBER POLICY P LIMITS LTR INSR WVD MM/DD/YYYV MM/DD/YYYY) GENERAL LIABILITY AUTOMOBILE LIABILITY $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N X TORY LIMITS ❑'ER ANY PROPRIETOR/PARTNER/EXECUTIVE E E.L EACH ACCIDENT $ 100000.00 A OFFICE/MEMBER EXCLUDED? - N/A MAARP300574 12/1/2015 12/1/2016 (Mandatory in NH)if yes,describe under - E.L.DISEASE-EA EMPLOYEE $ 100000.00 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000.00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 1o1,Additional Remarks Schedule,if more space is required) Election Categoy Election Status Name Issue State: All Entities/insureds: Sole Proprietor Exclude Daniel Joyce MA Daniel Joyce 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 AUTHORIZED REPRESENTATIVE ACORD 25(2010/05) BRAC3139 ;TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map j i b Parcel ( 3AIRNSTA LE Application # J 0 Health Division 4,t Date Issued 1 i Vq L J Conservation Division - Application Feg S Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board `` l 3 Historic OKH _ Preservation / Hyannis Project Street Address `7S /-1aXw,56-I"r Z_AIVV& ^ Village ( >et adz to-o/c-z� / 9 - Owner�ie AA C..dC-��/ Address 7 Y Telephone f - 7 Permit Request _x1_A//2-,-Z v2' "tllPaA-/iaN vb� can Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning DistrictC''f,3VCA&6 Flood Plain Groundwater Overlay Project Valuation 430)Q-C,yConstruction Type ka&09 Lot Size , a , ;L S'-- Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0"'- Two Family ❑ Multi-Family (# units) Age of Existing Structure /?// Historic House: 2 Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: mull 2116rawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) - � Basement Unfinished Area (sq.ft) 0 U Number of Baths: Full: existing____ new Half: existing new Number of Bedrooms: existing 0 new Total Room Count (not including baths): existing 10 new © First Floor Room Count 7 Heat Type and Fuel: dGas ❑ Oil ❑ Electric ❑ Other !`7 Central Air: Yes ❑ No Fireplaces: Existing,3New Existing wood/coal stove: ❑Yes &No �JI o I Detached garage: dexisting ❑ new size Pool: Id existing ❑ new size _ BarnAllexisting ❑ new size_ Attached garage: 0 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 15�l/le J0yam% Telephone Number FV 033 Address. P U Qb /1`7 License #- /0.25-/2- C s L yy HYA,,i#tJ IdDA� Home Improvement Contractor# �✓��c�1S Email dfin ( i o yetr CO s n e Worker's Compensation # -a0-D4;73 z- ®S ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S SIGNATURE ALW DATE k. r FOR OFFICIAL USE ONLY _APPLICATION# f DATE ISSUED MAP/PARCEL NO. ADDP'ESS VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION FRAME .g (. 06 3123 11(, INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL S FINAL BUILDING t DATE CLOSED OUT F ASSOCIATION PLAN NO. AC R CERTIFICATEINSURANCE'' ' DATE(MM/DDMYI� OF LIABILITY 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: Lori McLaughlin - e ATLANTIC INSURANCE GROUP AGENCY INC PHONE F _ No E : (617)698-2200 - A/C No): ` ADDRESS: 530 ADAMS ST. lori@atlanticquotes.com INSURERS AFFORDING COVERAGE NAIC# MILTON MA 02186 INSURER A: ACADIA INS CO INSURED 31325 INSURER B JOYCE DANIEL INSURERC: - DBA DANIEL JOYCE CONSTRUCTION INSURERD: PO BOX 117 INSURER E WEST HYANNISPORT MA 02672 INSURERF: COVERAGES CERTIFICATE NUMBER: 8035 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER LTR TYPE OF INSURANCE WVD POLICY NUMBER MM/DDMM/DD LIMITS POLICY EFF POLICY EXP COMMERCIAL GENERAL LIABILITY , EACH OCCURRENCE $ • CLAIMS-MADE ElOCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL 6 ADV INJURY a NEN'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE $ POLICY❑ PRO- JECT M LOC PRODUCTS-COMP/OP AGG $ OTHER: AUTOMOBILELUIBILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ H $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X SPER TATUTE EOTH- R AND EMPLOYERS'LIABILITY Y I N ANYPROPRIETOR/PARTNER/EX ..TIVE E.L.EACH ACCIDENT $ 100,000 A OFFICERIMEMBEREXCLUDED? I N/A N/A N/A WC202000255205 12/01/2014 12/01/2015 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If as,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification.Search tool at www.mass.govAwd/workers-wmpensationAnvestigations/. Sole proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MICHAEL & PATRICIA CICCOTTI ACCORDANCE WITH THE POLICY PROVISIONS. 75 HORNBEAM LANE AUTHORIZED REPRESENTATIVE `TH CENTERVILLE MA 02632 `� G aR✓),,,Daniel M.Cr y,CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD To,,y Town of Barnstable o� Regulatory Services t � MAE& Richard V.ScaI4 Director Building Division Tom Perry,Building Commissioner 200 Main Street Hya mis,MA 02601 www.townb arnstablema.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section if I sirtg A?;-gilder , F.1. _ I, the ��s! l7 . l�c Gcv'J�/ k ,as Owner of the subject property hereby authorize 0,4oy G. d C to act on my behalf,, in all.matters relative to work authorized bythis building permit application for (Address of Job) `Pool fences and alarms are the responsibility of the applicant. Pools, are not to be filled or utd zed before fence is installed aad all final inspections.are performed and accepted. ignature of Owner T Signature of Ap ant 'Print Name Print Name 4 :k p..Date,-. Q:F0RMS:0WNERPERMISSI0NP00L5 Town of Barnstable Regulatory Seraiees roYy� Richard V.Scali Director Building Division t RLAR7f�f;4RrY s Tom Perry,Building Commissioner MASS p Lrry9' a� 200 Main Stree4 Hyannis;MA 0260116 1 www.towa_barnsfable.ma_ns Office_ 508-862-4038 Fax: 508-790-6230 -' ECOMEOWNM rac224SE EXE1V=ON �- (,, .Phase Print DATE: (�6 JOB LOCATIObL- nnmbcc s(nct village �oMEowl : fa name - ho phonc# z3c phonc# CURRENT MAn.NCT ADDRESS: a� -_r-•- _ city/town sll� up code The current exemption for"homeowners"was extended to clnde owner-o ied dwelling of six units or less and to allow homeowners to engage an individual for hire who does not 'ossess a lic e,provided that the,owner acts as supervisor_ DE ON OF MEOwNER Person(s)who owns a parcel of land on which he/she reside or' ds to reside,oa which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory su use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeo r. Such"hommwnei"shall submit to the Binding Official on a form acceptable to the Building Official,that he/she shall be Ile for all such work parfbimed under the build' ermit (Section 109.1.1) The uadersiga ed`.`homeowner"assumes responsib' for Rance with the State Building Code and other applicable codes, bylaws,rules and regulations. - The undersigned"homeow=C cmfr4ts th he/she unda the Town ofBam.sfable Building Department minimum inspection p es d re l d e Will comply wi said procedures and requirements. Sign "®fHomcowncr Approval of BuDding Official Note: Three-family dwellings containin c 35,000 cub feet or larger wM be required to comply with the'Sta4�But rdiug Code Section 127.0 Construction ControL ' HOME= 'S E%F11�ff'•LTON The Code states that: "Any homeowner perfo work for which a building permit is required shall be exempt from the provisions of this section(Section 109.11-Livens of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Ha eowner shall act as supervisor." Many homeowners who use this exemption are nna a that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Co coon Sipervisors,JSection 2.15) This lack of awareness often results in serious problems,particularly when the homeown r hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed personas it would with a He ed Supervisor_ The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his er responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she dersfands 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/cerf>firatioa for use in . your community. . Q:IwPFMESTORNMnffiding permitfonas'1F3PRESS.doc Revised 061313 4 Massachusetts-Department of Public Safety Board of Building Regu;ations and Standards ' O�U SI_l 11 ULl1Vl1 JZS}1C'S i'3oUF License: CS402512 r Daniel J Joyce,Jr PO Box 117 MAC . west Hyannisport ''•IV pro%`• Expiration. 12/13/2016 commissioner �e r wi-vaaauveall1 cl� Jjlrc. �aciu�eff License registration valid for mdiyidul use on `=Office of Consumer Affairs&Busmegs Regulation before the exPiration date. If found return to 02Mpog "WoME IMPROVEMENT CONTRACTOR Obi c of Consumer Affairs and Business Regulation. y lteg-stration 158158 Type ' 10 Park Plaza-Suite 5170 `4 cpiratton 1yi7/2015 DBA Boston,MA 02116. DANIEL JOYCE CONSTRUCTIO DANIEL JOYCE ' r 14 DOLPHIN.LN_ �� -- — HYANNIS,MA 02601 Undersecretary Not valid:wit t signature ;. The Commorrivealth of-Massachusetts Deparhment n,f rndustrial A.cciderrts r� fIf-ce ofrmvw'ffgada= . 600 Maslainglon,street .Boston,41A 02M tvrvinmasmgovldin terk-ers' Cumpensaf on Insuraucerffidavit:Budlder-JCuntractitrsMec r cianslPIunzbers Applicant Inf4rimatign Please,Print I.eQiTil Namur.U3usmess�Y3rgan ionllnd r]naI}: �! �r e Y� Address: � d�C� � � ( Clty/StateMp .C./ r%AAt re 76U, an employer?Cfiec the appropriate box: ' Type of project(required).: r PJ�/ 4_ I am a general contractor and I I lama a ernplayer with 0 e 6. 0 New consfructi� employees(full,and/or part-time)-* have lvredtfce sub-contractors 2.0 I am a sole propzietor ar partner listed on the attached sheet �. {Ftmodeling shop and have no employees. These sub-coufractors have g_.0 Demolition Warldng for a in any capacity employees aIIdha�e S�oflCerS' 9. ❑Building additiost. [No Worlrers' comp.insurance comp_insurance_# reTiked] �._❑ We are a corporation and its llh_❑Electrical repairs or additions 3_❑ F am.a homeowner doing all work officers have-exercised their 11_❑Plumbingrepairs or additions myself[No work='camp- Tight of exemption per MGL 17_❑Roof repairs finance required-]i . c.152,§1(4h and we have no employees-[No wo&ers' 110 Other c9mp-insurance required-1 •A.qyappBczmt&stchecksbosKmnst also fill out the sectirmb9 wshuTdagtheirworkezecompensafiaapaHUinfibrnmd a. 1 Hdmemnerswho submit dais afidavu uAcatiag tiwy aredaing mUwoak and&whim outside coot uctasmnst submit anew afdaidt ink sack Z03ntrsrtnrs that rhxti This box m=attach m smiliaaal sheet showing thenmne of fhe sub-conTmims and state whether at mot tbase entities have , emplayeas.If thesab-c=txctmshzveemplgy�fheymmstprvt-detheir umtkers'comp.palicynmber_ I ant au emp r that is pravr dirW markets'compewdiall insuranca for m}J enrptoyves $etoov is i ftepoucy andiab sus in�ormatiora Irfsttrance Company Name: Policy *or Self-ins.Lie—, � 5 Fop`RatioaIJate_ Job Site.tlddtz D n b�� C City/Stafel : / (rb lie Attach a copy of the work-ere compensationpolicy declaration page(showing the policy number and expiration.date). Fail=to secure coverage as regttired.uudar Section 25A of MGL c- I572 can lead to the imposition of criminal penalties of a fine up to,$U-0D 00 andlor one-year imprisonment as w&l as cif penalties.iu fine fora 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 DIA for insurance coverage yedfication- Ida hereby carp;fly tFtR ' s a psrta�r'es o.�fgsr�uyy that the iry�ormadwr pmi&ddahm%is tars mind crrrre e bate: � 7 A it�atur _ Phone 7 7a )-3.6. 03�� t3,�aL gas trrt£�. ,Da not o-vrtta ir'!fFtrs area,to be arrnpTetesd bg�'artofr-tt affrciat City or T'owu.• Pere mitUcense;9 hming Anthar€ty(tm cle one): L Board of He9th I Building Department 3.CitylTown Qerk 4.Electrical Inspector S.Plumbing Lmpector 6.Other Contact Person: Phone At: Taformation and lastructions DTassachuzsefis C,,nmal Laws cTlapt=152 requires all employers'to provide wormers'compensation for f ='employees- Pmsaantto this staft±,-,an enpIayee is defined as�;every person in Elie service of another um-der any court act ofire,, express or mmTliecL oral or written..' Auz enplayer is de tined as"an mdixvidllaI,partnership,associafion,corparafion or other legal entry,or any two or more of the foregoing engaged in a Joint entecprzse,and incInding the Legal repmsmdafives of a deceased employer,or the receiver or tmstee of an iadiviamL pa ta=sh-p,associafion or other Iegal entity,employing eu.1ope-es. However fhe owner of a dwelling house having not more than three apartments and who resides therein,or f c;occupant of the - dw-elling house of another who employs persons to do mainff-rtan m,construction or repair work on such dwelling house or on.the grou nds or build'mg app�n t fhereto sh aR not bmause of such employment be deemed to be as employer." MI UL chapter 152,§25C(6)also sues thzt"every sb,-ta or local licensing agency shall withhold fIie issuance or renewal of a license or permit to operate a business or to construct buildings is the commonwealth for any applicantvPho has not produced acceptable evidence ofcompHanr�with the fncu-ance.coveragerequired.' Additionally,MCIL chapter 152,§25C(7)stAts'bother the,commonwealth nor a'ny ofits political subdivisions shall enter into any contract for the perfomtance ofpublic work until areptable evidence of compliance vrith the in s ra„ce:. requirements of this chapter have lbeen presented to the contracting 211thorzty." - AppTicants - Phase El oil tote workers'compensation affidavit completely,by checlong the boxes that apply to your sifnation and,if necessary,supply sob-contractors)name(s), address(es)and phone numbers) along-with their certificate(s)of binma„ce. Limited Liability Companies(LLC) or Limited Liability-Parfneisbips(LLP)vfi i no employees other than the members or partners,are not required to carry wor3rers' coinpensafion irr.sr ce. If an LLC or LLP does have employees,a.policy is ru quu-ed. B e advised that this affidavit may be,submited to the Department of Industrial Accidents for conformation of msvrao.ce coverage. Also be sure to sigx¢and date the affidavit The affidavit should be-r-et a mmed to the city or town that the application for the permit or license is being regaesttd,not the Depm meaf of hadnstri l Accidents. Should you have any questions rega-ding$ie law or if you are regai-ed to obtain a workers' compensation policy,please call the Department at the number lisixd below Self-insintd companies should enter their self-in.s,=r,5 license number on the appropIiatE line. City or Town Ofacials Please be sore tliat the affidavit is complete and printed legibly. Tha Department has provided a space at the bottom of the affidavit:for you to fM out in the event the Office oflnvestigafions has to coafdctyonmgm ding the applicant Pleas e b e sure to fill in the pen�iiYlicense number which will be used as a reference number. In addition,an applicant that must submit multiple p=WHcense applications m any given year,need only submit one affidavit i adicaiin-g current policy bfb ation(if necesssary)and under"Tob Site Addmse the applicant should mite"all locations in (city or town)-"A copy of the-affidavit that has been officially'stamped or mauked by the;city or town may b e provided to the ' applicant as proof thatavalid affidavit is oa file for futre'pemits or licenses_'Anew affidavitinust be:Med out each year.Where a home owner or citizen is obtaining a license or permit not relat--d to any business or commercial ventie (i.e. a dog license or pemuit to burn Ieaves etc.)said person is NOT regimed to completc tins affidavit The of of Invesfigafions would like to thank you is advance for your cooper ion and should you have any questions, please do not hesitate to give us a cal The Drpartnent's address,telephone and fax mT=ber- Department of 1ziEustd l AOCZent% face of Innveg4Eatio,= x TT1.'#617' -4.9 cxt 4-06 cx 1-3�U-MASS AFE_ Fag 617 727 7749 Kevise4-24-47 mae ��r�di3 . ` n w } JOB T IAG. �P11 t A` SHEET NO. OF Q } , TAYLOR DESIGN CALCULATED BY_QV- , DATE C�•��?_1 P - CHECKED BY t� CI ram' ��L.•Jr= `,� dT Jy.,}+ y., � ,. E x .2T t f _ qq sf .. .. _. ti•.. �._dvp... .l,.-o Ar-fJ_ .. l.:Z a_... t A.3GL� �° •, y t , a � f f f _............_ _ .` yea � •�.�G.j .. ®� ; r� f,v .......... „_. ........ . ......., ...� t✓rg 4. o rj _ __ .�. ...... ..._. c x � . Z 6 s �-- ,�1?14 r4) 6 . F ......... F _ r `' r ✓ Iv_� , . 1 f 4 _...,. ............ .__....... . S = ...-....,.,.._.._.......... _.._ ... ._._.,.. s i JOB .SHEET NO. OF_ TflYtOR DESIGN CALCULATED BY— DATE ~� CHECKED BY DATE SCALE .... . ..... l�r ...... __ �/�l-�-c..ter `.Pao-,� � _. ,� .. ®t 4+. ............... Z « Lt 4 :. .. l..E °jt .....�`F cam;. tk. ................ ID : .... .... '! k ... 4 . .... ......... .._... .. Z.CS�56 : . t.t74 Y La Gc ZC5'7J$� 1,t ................. T ....... 34 ............ ... .... .... oar _ a 'Ot . ...... !. V. t . C+ ............ 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K 3.87 I J TOWN OF BARNSTABLE ■ , . ... 201401800 '. * BARxSTMLE, Issue Date: 04/11/14 Per i �p 1639• �� Applicant: DELANEY,JOHN J. rFp Mpl A Permit Number: B 20140803 Proposed Use: SINGLE FAMILY HOME Expiration Date: 10/09/14 Location 75 HORNBEAM LANE Zoning District CRNIPermit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 206065 Permit Fee$ 255.00 Contractor DELANEY,-JOHN J. Village CENTERVILLE App Fee$ 50.00 License Num 125529 Est Construction Cost$ 50,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REMOVE 2 9'ALUM SLIDING DOORS& 1 IT ALUMINUM SLIDING I OOftS CARD MUST BE KEPT POSTED UNTIL FINAL REPLACE WITH WINDOWS&DOOR PER PLAN WORK IN EXST SUN ROOMECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: ANDERSON,GERALD E&MARY E BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 75 HORNBEAM LN CENTERVILLE,MA 02632 INSPECTION HAS BEEN MADE. Application Entered by: TP Building Permit Issued By FIFI THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET ALLEY OR SIDEWALK OR ANY PAR tMREOF,:EITHER ORARILY 0 P ENCROACHMENTS OI•I-PUBLIC PROPERTY;NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY.GRADES AS. L AS DE AND LOCATION OF PUBLIC SEWERS MAY BE-,;: OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS:THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROIviTHE CONDITIONS OF�ANY APPI.ICABILE SUBDIVISION 'RESTRICTIONS r MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). ' 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY.. 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 cs It Gf-Io —�``�!a'1�•�� 3 ,�-- 1 Heating Inspection Approvals Engineering Dept l0 Fire Dept 2 Board of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ©� Application #aol ' W Health Division Date Issued �� Conservation Division Application Fee 1 y Planning Dept. Permit Fee 'BZ Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Addressor !L- Village e!�ig1)2TA Vd ir, . Owner ,� �i4 �� G�az>A" Address k &,C F9c11 Telephone Permit Request 2� oZ- �u �.l�i�ui cc>zrr� , /Q 1 4" IA4 re-meat wa Su A)/WDM - Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new .Zoning District 66Dek0& Flood Plain Groundwater Overlay °Project Valuation ® t9 Construction Type UX=dACt ,,Lot Size 3 ZS' /9-CJ7 S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family R--� Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: *Yes ❑ No On Old Ki g' Highway,: ❑ s �No Basement Type: IItFull a(Crawl ❑Walkout ❑ Other w . p..a O Basement Finished Area (sq.ft.) Basement Unfinished Area'(sq ft) 417p '," Number of Baths: Full: existing new 0 Half: existing o� � pew 1 ug Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count- Heat Type and Fuel: XGas, ❑ Oil , ❑ Electric ❑ Other Central Air: ❑Yes ;�(No: Fireplaces: Existing New Existing wood/coal stove: ❑Yes No Detached garage: ,existing ❑ new size_Pool:U existing ❑ new size — Barn: ❑ existing ❑ new size— Attached garage:X(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 Telephone Number 109" Y7,16 Address (X License# 6S " ®n qq 6 l Home Improvement Contractor# l26'' _26 Email i' Worker's Compensation # CLY&05 (slot -013 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PR JECT WILL BE TAKEN TO 6 ,�VPV {fit: SIGNATURE rj�& 11,4 Al o4 4 4 DATE " FOR OFFICIAL USE ONLY Ao APPLICATION# DATE ISSUED MAP/PARCEL NO. r ADDRESS 1 VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ;r ELECTRICAL: ROUGH FINAL 1F PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DAT&CLOSED OUT AS.S0, 0AlION PLAN NO. The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Invesfigations ' 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organizationllndividual): Address: 24.9 e 4 City/State/Zip• fi& MqB Phone#: SO '4Zd Are you an employer?Check the appropriate bog: • Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction t'ti 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ®'Remodeling' ship and have no employees These sub-contractors have g,, Demolition workingfor me in capacity. employees and have workers' �y aP t3' $ 9. ❑Building addition [No workers'comp. insurance comp.insurance. required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any.applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy (vGS lS 1 I©1 3 11�Z ��I Poli #or Self-ins.Lic.860—toz -'#: �0( E xpiration Date: /Job Site Address:7S i& �l�{�ItL City/State/Zip: CJ U'T /20I L f .lnu&, 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 c . ;fy nderthe pains and penalties ofpedury that the information provided above is true and torrent. Si a e: Date: 3- Z 'ZD Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): . 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in'a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance.or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C()states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work-until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call.the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate 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 submif multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (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: The Commonw, ealth of Massachusetts Department of Industrial Accidents Office,of luvestigations 600 Washington Street. ` Boston,MA 02111 Tel,#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#f 17-727-7749. www.mass.gov/dia r �/l (MM/DD/YYYY)'`� R L> CERTIFICATE ®F LIABILITY INSURANCE 2o14 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 endorsements . PRODUCER DOWLING &O'NEIL INSURANCE AGENCY INC CONTACT - 973 IYANNOUGH RD PHONE FAx PO BOX 1990 A/c No Ext: A/c Nu: E-MAIL HYANNIS, MA02601 ADDRESS: - INSURER(S)AFFORDING COVERAGE NAIC# INSORERA: LM Insurance Corporation 33600 INSURED INSURERB: - - J J DELANEY INC 20 RASCALLY RABBIT ROAD UNIT 2 INSURERc: MARSTON MILLS MA 02648 INSURERD: INSURER E: INSURERF: - COVERAGES CERTIFICATE NUMBER: 19695816 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP - - LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY) (MM/DDfrrYYJ LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED -EREMISES a occ urrenoa $ MED EXP(Anyone person) $ E PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO POLICY ❑ JECT LOC PRODUCTS-COMPlOP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY O E TY DAMAGE $ AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ r—TDED RETENTION $ A WORKERS COMPENSATION WC5-31 S-318101-013 11/2/2013 11/2/2014 i SPER TATUTE ER H AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTNE Y� N/A , E.L.EACH ACCIDENT $ 500000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-FA EMPLOYE $ 500000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L-0ISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) �.,0 Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. - f' This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation cover"age� -- RE: 75 HORNBEAM LANE CENTERVILLE MA CERTIFICATE HOLDER CANCELLATION "7 TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE LDING DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUI BU I MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS MA 02601 AUTHORIZED REPRESENTATIVE 1 LM Insurance Corporation ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD CERT NO.: 19695816 CLIENT CODE: 1315596 Anne Chandler 4/1/2014 11:18:13 AM Page 1 of 1 - - I d� T0'FVwn of Bai*AS'bit :g ReWator9 Services ladu"v seam hdjj=Dreder Bu7ding Division r Tom Perry,44diag commissioner 200 Mann ShUt HY=Ii%MA 02601 ! www:town mmstabte.m us Office: 5084624m Fax: 508-790-6230 e Pro j p rty Owner Must C*plete.and Sign Ibis Section `.' If U____ xsi g A.Builder }} s: /%' as.Owner of the Subject pinpeatp heieby authorize 4 to act on my bel=K fn a natters rdative to VQ*authorized by this b emn t.. P (Addtesa of Job) t, f ?k?Fpool fences and;alarm dare the respoasibili of the ty applicant. Pools are 'a to be filled ox,a zed before peace s'installed and aIl'fnal. pectins s are p 6fonmed an, accepted, of Owp= # { of Date Print Name - Prrat Name /�Tlv � �' Massachusetts.-Department of.Public Safety Board of Building Regulations and Standards. Construction Supcn isor f License: CS-009961 JOHN J DELANY �. F 271 PLUM S 1" i W BARNSTBLEIVIA 02668 i4tn� Expiration Commissioner 04/14/2014 Q - accc/ur�eLt � 11 • - . ��e�pai�Unia�acuecr�o� • Office of Consumer Affairs&Business Regulation ME'IMPRO.VEMENT CONTRAC70R Type. egistration 125529 Indviduai xpi - rat ion 1/15/2016 "• ; JOHN J:DELANEY JOHN .DELANEY �> Y gam- i 271 PLUM ST W.BARNSTABLE,MA 02668 ' Undersecretary r �a Massachusetts Department of.Public Safety Board of Building Regulations and Standards;. i Construction Supers isor. License: CS-009961 I JOHN J DELA)1TY ,:\ t j 271 PLUM STF 7 W BARNSTBLEMA 02668 h j 914— C�4�n� Expiration V Commissioner 04/14/2014. License or.registrat►on valid for iadivtdul use onh before the.ex piration date. If.found return to: X I Office of Consumer Affairs and"Business Regulation 10'Park Plaza-Suite 5170 Boston,MA 021116 �... Not valid with signature E�8 Go —C>8$§gf iy" i _ !lOW1LN DD.1 WLLl pp Li _ �( r rNDroBlD ceNren�eerweeN oN�vi D;iNc�ceruD ncr.rrr -.., eui�r-we o-� CDRNCR W.mt rain II B �4 caenNc��NrnNo ;TWJ C {{ TNidEE SE450N f2M_ jell 99 lu a[wueBireOfBer,°vm. ;^;®�q66 � e�eo '8 menNo Anrrw ____ � eo, �p66 = d3®��Sea$kk99p&Eg'3�� coR'eln4elN d1 as!D i - NeR olc nNn .rq.f,� n - . wi d BINGL6 BND iM.TTP. - e tr oQg�. p Word -j ly tL a~ f rc—rcw II II N W OVpu iL U S t m NOTE $j H b ALL WINDOWS ARE TO BE - MARVIN WINDOWS 4 DOORS _ � �§aaI - GRILLES SIZE<.LAYOUT 4 TO MATCH EXISTING .. a FjAN _ J - — _,_.—._.— 3 zod I ® ® ® 0 _ RIGHT ELEVATION 'x$es / - �Qes ^ 33++ggim�pypy 'epp pppg$ ° w U . - Z ` ^ OU1 id W(n g� t"r w � —rcw F-o U U �9WHl—ROOFAR PP.T—'. - - FF �W �� eiXc�e eno PK ® 7S nn 1. ..ROTRm ® oo �� in 00 ao P�m �FRONT ELEVATION _ (�{ - w , _ —.—.—.—.— _ — LbODYWnRD TRRI 1�—J .00DrGUMC MM rtc b.lwc�o E O ® ® R ® C) �q FMI - r nwrnb mnanrw ernes mermc canes ru/uncalolrrcraee� TLJREE SEeantu R ' <�F�r GlTn!<!I T1G1rbQ'1 TW aL MCTING p�•i3b lS p .. or.rwn news rouxwrai rau. @ § LEFT ELEVATION M° IMI �3�� W U WzC O wNEu� El U ... ......... Free ®� ® �� a WON .bepT4eMD—m 60. - - - _ � m _ (�: \REAR ELEVATION I Tbwn of Barnstable *Permit#— o Expires im dis from issue d �7 Regulatory Services Fee saruvsrne14 +' p� Richard V.Scali,Interim Director - � 0113 Building Division'_ a 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 Not Valid without Red X-Press Imprint Map/parcel Number /�,,�' f I_ 'I ,, Property Address CAA 1'W bL U' Q= • +` �sidential Value of Works 2 A hMTinimum fee of$35.00 for work under$6000.00 Owner's Name&Address kd Contractor's Name CAk j+'t-t_&/ -V_ - Telephone Number Q Home Improvement Contractor License#(if applicable) l� Email: �/� / �/ . . CAN Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance X PRESS PERMIT Check one: ❑ I am a sole proprietor ' ❑ the Homeowner 2013 I have Worker's Compensation Insurance Insurance Company Name U�—Q�/� tMtl1A KI Ma MA Workman's Comp.Policy#�� Copy of Insurance Compliance Certificate must accompany each permit.- Permit Requ (check box) /� _ - B`,� Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to`D�( C�—. ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side , ❑ Replacement Windows/doors/sliders.U-Value (maxanum.35)#of windows A• #of doors: r ❑ Smoke/Carbon onoxide detectors 4 floor plans marked with red Sand inspections required. ` Separate Elec 'cal ire Permits required. '., *Where required: Iss ce of permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: roper Owner must sign Property Owner Letter of Permission. a A c f the Home Improvement Contractors License Construction Supervisors License is re d. •` ,. SIGNATURE- , T:IKEVIN_D\Building C SS RESS.doc Revised 061313 - BARNSTABM —9. Town of Barnstable x Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Periy,rCBO _ 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, 1" 1a�1 N-V 1, :l A/— ,as Owner of the subject property hereby authorize to act on my behalf, ul all matters relative to work authorized by this building.pennit application for: (Address of Job) V-Aa- 6-2_,�3 T 12_z Signature of Owner Date /nil l 0f-.\APj nti Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. . . T:IKEVIN D\Buildmg Changes\MRESS PERMITIEXPRESS.doc , .Revised 061313 t' The Conurtormwalth of Massachusetts DepartmVit of Indrestal Accidents . Office of InVe&dg4id0nS _ 600 Washington Street Boston,CIA 02111 tt�vrt:rttass.goi�dia w ._ Workers' Compensation Insurance Affidavit:Builders/ContractorsMectric ans/Plumbers Applicant Information Please PAW I;eA Name(BunsiuesslOrganizana�Tndividaa : (Tl'�DGL.C-�i�.C_� �,�� -��-f.�S �„11n/�-�=Y(,��' Address: City/State/Zi. �— UZ.�P Phone#' < L�2 Am'ygn an employer?Check the appropriate boa: Type of project(requited): 1_0 I am a employer with -3 4_ ❑ I am a general contractor and I 6_ ❑New construction employes(full and/"part-tip).° have hired the sub-contractors. lied on tie ached sheet: '7_ Remodelin ❑ h ' 2,.❑ I.am a sole proprietor or partner- , ship and have no employees These sub-contractors have 8_�❑Demolition wading for me in any capacity. employees and have workers' 9. ❑Budding addition [Na workm'comp.insurance comp.insumce i 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 l 1.❑Plumbing repairs or additions � o workers' right of exemption per MGL regWm4-j t comp c.152,§1(4),and we have no 12❑6�teof rep�ai"rs ' employees.[No wark�' 13.1J Other �-t� comp.insurance required.] .Aay applicant comp. box#1 mug also fill out the secdou bebw shunning tar vm*ere can ;policy infaroertian_ i ffomeownm vwbo submit Ibis affidffm m&c=9 they are doing all vial nd then hire outside conuac ors ttmst snbsiv a new affrdaw intticamS sdch_ 4Gonuarms that check this box mm attached an additional met simmiag the name of the sab-canon mn;and stye whether at not those ent6tks 1 employees. If the sub-contactors hard employms,ChT must provide fir acukerV comp•polity number- 1 ant an employer that is providing workers'compo aden insurathce for my employee& Below i r the peffey and job,site informadv& Insurance Company Dame: Igl / i Q F ; Policy it or Self ins.Uc_# LO� n, >Lt "1 P 0 ( Expiration Date: Job Site AddreW/kly Ib l a.r^ city/statzip: 0on10 lcZ�3 Z Attach.a copy oteDILA kers'compensation policy declaration page(shoving the policy number and expiration date). Failure to securas required under Section 25A of MGL c, 152 can lead to the imposition of criminal penalties of a fine up to$1.,50r one-year mprieonment,as welt as civil penalties in the form of a.STOP WORK ORDER and a fine of up to$250.0inst a violator. Be advised that a copy of this statement may be�rworded to the Office of Twiestigations ofar i#fumw coverage verification. n.: 1 do hemby ceti Jundl the 1��rp'ena Was of perjury that Me information provided above is tme and correct S' titter Date: l 3 Phone 9- <bI �A d•,l'tdal we 41dy. Dv that write in this area,to be carnphtted byTM+r iV or town of cial City or Town: Permit/License Lss>i ng Authority(circle one): 1.-Board of Health I Building Department 3.Cityfrown Cleric 4.Electrical.bhspeetor 5.'Plumbing inspector 6.Other k Contact Person: Phone#: 1 Massachusetts -Department of Public Safety Board of Building Regulations and Standards. a Construction Supervisiw License: CS-102260 MICHAEL S W'k'6wRr,%1 97 EMERALD LANE' Marstons Mills MA 02648 .•i;,. a1.frlf�. ';�,�1° Expiration Commissioner 11/05/2014 • �t�tru•�ivarrro�cc/!/r f'<?/flitJrsc/iiJr!/ f OffceofConsumerAffairs&Business.Regulation . J OME.IMPROVEMENTCONTRACTOR ' .. egistradon: 162938 xpiration 4/27/2015 Type: DBA:. ! MEAGHER BROTHERS CONSTRUCTION MICHAEL MEAGHER JR:. ' 97 EMERALD LN MARSTONSMILL,MA 02648 Undersecretary "` Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 M )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 License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation I 10 Park Plaza-Suit 170 I Boston,MA 0211 No slid ithout signature I i r ' Rightfax C3-2 1.1/11/2013 B' :55.56' AM'L.:PAGE: " 3/964 F'ak Server ` Ae<?R to CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED As A.MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE k, 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 i4`CONTRACT BETWEEN THE ISSUING tNSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(ios)must be endorsed If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement: A statem¢iit on this,ccrtlficato..does, ` not confer rlghts:to the coil IfIcato holder In lieu of such endorsement(sj• PRODUCER CONTACT. . - :NAlAE; OLDE CAPE CGQ.IN3 AGGY PhoNE. FAac, 296 WINTER ST , Alt.Nn�xt,. AIC N1' HYANNIS,MA 02601 CAI . r Y 17t5Lit'tFRtS):A�tT:Tt)TN6�CY�;liA6E' NAIC# ' .. triSURER A.i 71{E AVE INO6MNITY COM1fPANY O'r AAIE .- . INSUREti" INSURERn';: MEAGHER M(CHAEL DBA- �. tNSURERcs MEAGHER BROTHERS CONSTRUCT OId' 97..EMERALD STREET mlrure tin.. COVERAGES C TE NUMBER REV15 N n R= THIS IS TO CERTIFY THAT THE.POLICtES OF INSURANCE LISTED BELOW HAVE BEEN issuE0 TO THC IN8URED'R+AHED ABOVE FOR THE POLICY PERIOD:.NDICATED. NOTWITHSTANDING ANY REQUIREMENT,;PERM OR CONDITION OF-ANY CONTRACT OR OTHER DOCUMENT;YWiTH RESPECT TO WHICH THIS CERTIFICATE-MAY BE ISSUED OR MAY PERTAIN,TNE' INSURANCE AFFORDED'BY THE POLICIES':DESCRIBE0 HEREIN+ IS: SUBJECT TO ALL THE TERMS. EXCLUSIONS AND I CONDITIONS OF SUCH POLICIES;LIMITS SHOWN MAY'.HAVE BEEN REDUCED 6Y PAIR?CLAIMS:; INSR iAd SUB F!OtJCYEFir ;:POLICY EXP. " .LTR. TYPE OF INSURANCE tNSR 1M1iH0 POI.ICCNUMSER AAIOD MWOO1YYYY * UMTIS, GENERALLIAB1414Y EACH:WCURRENCE 4 CONIMEMAL CENERAL LIA9113TY: 1]AtARGETO RENIEp: ,. �� ` A _ PRFh418ES Esi u i �a�s '. _ ` < WI&MADE OCCUR-. MEO EXR(Any ann Rf h rnf g �— . PERSONAL 6ADV-IW,IURY: S _.-.. ISENER.ALAOGREfiAT'P • C—DrL AGGRiECATE LIMIT APMES FIFR; comp;0P AOG it ... PmtCY... I 9. ,.LOG. §_. QMOBILELtABtUTY - M6SI ECISINII4EiIMIr � •. ANY.W70 - t wl.Y INJURY(F,0r"M*if) 5�^ ALL a,*1 0 - SCFi@Ott13rOr S_ .. - -AUTOS AtiTOS 8DO14.Y.1Ifd.hlRY t `F'Dtk4rsUAnt, HIREOAUMS ww4)w NFb PAr_i�,d At7AGE � S s UMBRELLA LIAR OCCUR EA0.1 DOCURpENCE EXCESS IIAB CLAIMS-MAOfi. - + AGGRE-TE 5�ui .. � ....... ?. .._RETENTION$. WOrtKERSCOh1PENSATION W 84 wC$ ..ftU AND€MPLOYERS'LIABILITY TORY UMTTS ER ANY:PROPRIETORMAATNCWtXrc(JPV NIA €LE1cr+ACCrpriJr $100,000 ' OrvtCrTtMw1veEricxcl.uO�rrr N _ 6KUB , 71-M2014 I dr4it*0"q 14839P84A RO50,Ob0 rty r Iu�Ia • O>isaar�nariOP:oPeanrwN;noiv,. esvDista5r':-Poit;Yr,lVir 5100A00 . DCSCPIPTION OF OPHRATIONS I LO NSCATIO t VEHt=4(Annh AGORA ICI,Adr"OU Rem ebbs SchodUlo,M mole S NO Is.requlro�. MEAGIIER MICHAEL IS COVERED EiY TIRE Wo8q. S'GQMPENSAT1QN POLICY:9MIEKATE HOLDER ` �, y CANCELLATION - tOV+tN OF 9ARNSTAI3LE 0U(LR(NG DEFT SHOULD ANY OF THE.ABOVE DESCRIBED POLICIES BE 2$0 SOUTH.STREET" CANCELLED BEFORE THE EXPIRATION. DATE THEREOF; I y*Y 'IS MA 0260:1 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH TH POLICY.PROVISIONS: AUTHORM REPRE!k34TATNE. µ 7 Ia88.29f0 ACORD CORPORATION.Au rights;resorvotL ACORD 2S(2010t05j Tha ACORO namo and logo are registered marks of ACORD t' t � r Assessor's office(1st Floor): , Assessor's map-and4otnumber 0 ris iTMt SEPTIC SYSTEM MUST y,;Q`'� T'`•w Conservation INSTALLED IN COMPLIA? Board of Health(3rd floor): Sewage Permit number ., ;;7 71 ENVIRONMENTAL CODE -WITH TITLE 5 o.seaa�r&ncE !. '�� Engineering Department(3rd floor): '" � House number 1 / >%� s. Definitive Plan Approved by Planning Board -19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Cau t12yC7`- /7/c2 fF.LoAT 2� �e�m,L re, —Cev%e2v/� .�. TYPE OF CONSTRUCTION — Qe�Al2— RG13 u1L17 CXIcST/A/ tP IeQ t r=/-o�,T TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 7CW0AeV ReAh9 ,L/4A/f-, Proposed Use AA\I ATe. 2e.�RextTio.VRd_. 17tc4L 4CceSSa211 -1'0 a.si r9 -PMv»r f v horn Zoning District I I D- Fire District Cenffc/LU//J, 14j7-e&Vj/1e_ Name of Owner Ge Q-a-t D E. Ayhe a San Address 7S79tn/t9f-&1V .Z WC- Name of Builder Address Name of Architect Address Number of Rooms 1016 Foundation _ Al 44 Exterior AlAa Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost / O Area Diagram of Lot and Building with Dimensions Fee c5® OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable r garding the above co ru io 1 Name Construction Supervisor's License D 9 V ANDERSON, GERALD t �og� No — Permit For CONSTRUCT/ REPLACE PIER Lo` tion 75 Hornbeam Lane g 2M1 IXI P r Owner Gerald Anderson e Type of Con"struction i Plot Lot__ #9 Permit Granted June. 13 19 94 t 1 I Date of Inspection 19 Date Completed�T� ,�� 19 - - r'p Y a 't Assessor's office(1st Floor): SEPTIC SYSTEM, �� moo` c Assessor's map and lot number ©6�� TTNN Conservation lott INSTALLED COMPLIANCE Board of Health(3rd floor): QL0 ^ VITH TITLE 5 • Sewage Permit number - 7J 1\ ENVIROMIN� AR.t� ��® �s�Y etc . �� tf � a; ,r ;,aS vo� ``�d° Engineering Department(3rd floor): ,� ie39. House.number Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE , BUILDING INSPECTOR APPLICATION FOR PERMIT TO000-1 d TYPE OF CONSTRUCTION tiAd 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:+ / / 6 25n 1M 10 Proposed Use Zoning District t"� Fire District 9`�[ ^ 170� Name of Owne,6+ ! � Addres9r��'�/�� K-�/ Name of Build4rt yyAW f��X� Addres � Name of Architec4 AeZL- Addres$ vyg L7 Number of Rooms Foundation saM Exterior ,�O La ✓A Roofing Floors /v Interior aAkv�yf7 �d/ '� _, Heating /w�Zr � Plumbing Fireplace Approximate Co w e7o O ^— Area Diagram of Lot and Building with Dimensions Fee G OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the TownjName egothbovestruction. Construction Supervisor's License f ANDERSON, GERARD r + No 34790 permit For Add Dormer & Bay Windows Single Family Dwelling F Location 79 HnrnhAam �a-ne Centerville Owner Gerard Anderson ". Type of Construction Frame r , Plot Lot -Permit Granted January 10 , f 19 92 Date of Inspection Qat Comped _ 19 = F• i r 1 k f 6 + i 1 �_.fCpt�Etly -- LAWN-¢ G.kct�F.0.1 -- _7)✓RRPL�_ — o�anr __ rs• _- 'gl•��_—= - f �' _ __ I 1 taa�swc+►z�� sru•'�►rnc OK - _7_ maw_-_ ma-<KW. W_ [f TFi T`/1'L--- __._ TYF�' W. FY -7N: c� -- f'IKHP pGm�L ercf9GEfeNW pttit0._..1'tN6 _ 6WDe IOVOC Tb:- -- _: 2-b Ge mwta ,om Dfi+1t — •P� !d eof� b.rae�nfeP.4 GiF. aiGC1�%-��I IR-97% IK4,0 ro¢K•H•HIWW 7 p I �GYv�IiFFNWll2 ttKa?lOAts /ttxf P1 NL <s G•W is /Z•GW DP W!t ��! NNGCM?O MIC�1^ik µ9ktA� 1471{JGI'AFGiP _ G ifN ?r _. 3G TlVl46KVGAt�'YtbtPu1%� D/T_ d ta•J -!'iu�iN/PIi 3iMSalhl4Ci� t-W 1*eo WV'C�v- O �f+to Id r -- — +��t _4T-. __.. VF14PY.t�lAl6kl�iiGf! { L-0 �� Glnp,6mGh"GW.7av 'G•wnP I'JJN7 GboStT :. - .._ - -------— ..— _ p ... _ ;. - _ -ionxi _. LfoAs,'fs PFh TIP, !.!(14. ?fi°.:.6-+ COtf,PIP.-'C 14 Fav i 1w If-or .. filet z'-d' �4-d' Y�•de.•t.-- ' tt �I-- Ire. I ear rcws .mot. I =W � - Iw�tIMGI� ♦vw Wa[V s waa7 tav►Ic I � I ow mofaw _:ATTtG LFw�(. PLAN , - _. hYMEo/t. ppwcagp••rleAi. -. --. _ JY/M�X4.:.-. -:- -- -- ----aTLIG 1{/r o!{{7.T i+/+4io curltac y0�4'Ha oR:. w4*7G lu PM ed'XMWOOOTVWY-►'Fra' SLkb�—%4=I-d ORVAL, P- --_.,-_: V177W DIAAMC}G _ ... ..- .- �e. ice"tf Z7 q/:�:MrOZdtpc f TLL' 74 a IN NCov unAt,4 W NOWD OP�iPX+W71aM 1'orev✓ d KwfM.p�rovtvG DIM..4ae - �' �_� �I'u roN+tR 9/W N WIIVNaf fKtsPI IA. 9L�4Gt� YEN(` Vlfl t vFtt�dJ fPd�LT RJR t DVPcioFzY h? . A'NIAt✓v r nvol"-F;--commg M'f1G 3 tNtatl7o GIL�i ._ blvlOf.cawaMsucG arf�t'r:Ftn91t%- . gwnn7tt f+Md rtv64'Sry� meIGH�IIC4 � I tit(/Q•.IL Fs6t'Gi. ..:. -- .. /wy r•Na.a u�vStR Vf4 M'�t1�r*l� 1 . ,f,4� aTluG•nzo4. � - to Plvt.lv�wl. /R •9 cirrTf. � � y� Gel. i -77 Fbww ��ica-. I NI1W 4U=fbj 5�G'ftd.J .'1'FIR�' NJGTE-fZ i��byRct-�t��s�� -__—b gvF -IW 4"R+�Tt __ .:NiW V6N MOR I��i i -D"i-UYd: �r _ - ._-...- 1111 I �!. Nrw -_roewr� NOW 13 LITE �slntrrres. - I �,� _ -- -— 1 we wuv►mns fmm WFxT .7tor.t'. I�DG;GiG•ZtJ,! �KAI.c� Coptrpo I t t e,AAA � EIH / tY}SYIIS-s�l'f6/.!o Rom.Z(.�fts' . Kj'CGItI/nktu+ ,vliNµL- -�to AMcYf 11.i►f4- .. + _ 1 J n l'f11A1®11d�--.. �P�oFtestowo TOWN OF BARNSTABLE ! OFFICE OF i Bea "M M : BOARD OF HEALTH y AsB. � 1639. `�b 367 MAIN STREET am k. HYANNIS, MASS. 02601 March 29, 1989 Gerald E. Anderson 75 Hornbeam Lane Centerville, Ma 02632 Dear Mr. Anderson: ,....Yo_ur.request for variances .to-install a replacement sewage disposal system at 75 Hornbeam Lane,,Centerville, Ma., listed as parcel 65 on Assessor's map 206, -is not granted. a - The proposed onsite sewage disposal aystem is connected to only one (1) of the two (2) dwellings at this lot. According to Steve Wilson, the designing engineer, the "cottage"located on the lot, is connected to a cesspool located close to the driveway and twenty-eight (28) feet from the edge of the wetlands. Upon site inspection by the Board Members, it was found there were_plumbing pipes leading from the cottage into the ground located closer to the wetlands and set at a -lower elevation than the cesspool. Also, the "lap" pool is not shown on the plan dated February 15, 1989, revised - February 23, 1989. You...may request variances for a replacement onsite sewage disposal system - .^f, : 9u�,C►i%C,;,g sewage dispooai pions designed to also handle effluent from the cottage. Sincerely yours, i rover C. M. Farrish, Chairman qAn Jan Eshbaugh James . Crocker -Sr. BOAWO- F HEALTH WN OF BARNSTABLE TM/bs copy: Edward Jenkins j Joseph DaLuz Assessor's office (1st floor). ' + / Assessor's ma and lot number ..�. ((� rk, SEPTIC SVSTEa9 MUST BE yoF YNE Toy Board of Health (3rd floor): � ., fO Sewage Permit number .... �l. .$ .. p .........:.y�{� p9 �" • �' R //Ca J�+ 6ir6�ri A� t �a;! '� sv,,. ��aa,+�07 .N Z BASan9eTa LE, Engineering Department (aid floor): „ �RIi..6► � &•;`s'>:� Epp 1639. 9� House number ..................................... `��.....:..................... ��i � � �iU�M I I®f�� 'F0 MAI d\ " •Definitive Plan.::Approved by Planning Board --------------------------------19______ . APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only. A P P R C V 4OWN OF ,BARN STABLE . ( to le Co servetlon C0 Plot L D I N G i H S P E C T 0 R d . g �pAPPLICATION FORMIT TO ........l��.l..�f G7... ....�! ,l �ItiA!!�/U�,,� Rem. ...... TYPE.OF CONSTRUCTION 44 .. .:........................� vV !r"'''�'F-� ' V' � TO THE INSPECTOR OF BUILDINGS: The_undersigned hereby applies for a permit according to the following information: ................................ �.. � AVLOMS Proposed Use T.y1. U, 7� :...6; 's, .... �J'1 ..:d..... � ..:... .... Zoning District .........................................................................Fire District .:. . ........... Name of Ownef!. /..:��.1�!�.....�'.!':`1f!`:. !'`� Address .........:. �!.4r.`.. J` ! �k !�'.4„ .`� 6 Nameof Builder .....................................................................Address........�...`..................../.. ...,.............../....../.°�jy.�.........................�. Name of `Archite ................ ............. .. �(/C./....:........'Address/ �/O ...'�J�+' QW r!!"/ 1 40 ................. .. ....�. . Number` of Rooms ....�1.`... ..............................................Foundation N ......:................................. Exterior GpJd:.. ..Co. ..� ��!�� ......................................... . .Roofing ................... ... ..................................... Floors ..G /.... ...............................................Interior 0.................................. OA Heating 4....:Y'!�!"...................................Plumbing .[/�!.,!....4 ` l.:o + ,1 .............................................. ......... Fireplace ..Approximate Cost . .::... � c7©�... .............................................. ,,............... o_ r Area � .. ... .......... ' Diagram of Lot and Building with Dimensions y Fee .............- ............... f , } Fl OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and .Regulations he Tow of B rnstable rega ing he abo construction. Name ... ... . I • ( I X v �f-eA4twrli or's License .. ,� " jr ........ "NDERSON, GERALD A. + No ...322�•3,. Permit for .. il Swimming Pool MP )-i-In Accessor to Dwel ................... ... ...... a ...�............. - M, o Location ....7.5 Hornbeam Lane Centerville. .. }#+ i_ine r , .. .. ..... .... . :. 4r. .... n w - - Gld.A rjA der-s.•.,.... Owner .... on .........era ... Framez'. Type 'of Constructiori ..... . ... 'rr r• ��.. ................ �-�? j~- f'' ................. r ' Plot ............. -'Lot ..:.'..............`:........... { J. ILI Permit Granted ..5e.p.tezb.ex...k:9.,. .19 88 Cate:-of Inspection ............. 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I V/ r BJ rs9'GL. 7'sq'GLI '7V o 1[1 V e'-qV• �L i'-4' Ii'-O' 4'-O• iLL V PHASE 2 A f- A.3 IM NOTE: b c ALL WINDOWS ARE TO BE N 8 MARVIN WINDOWS d DOORS <E� GRILLES SIZE t LAYOUT �m9� TO MATCH EXISTING WALL KEY EXISTING WALLS m C____-7 WALLS To BE Rowvw Q \ 0 PADF'tOSED WALLS - -i m d w z .v {A U p O 19 0 _ S v 9K W O OD Ce : REPLACE - f- � smig 0 =s� o Q w ` - EXISTING °e) e a . PROP.8" � REMOVE SKY g LIGNTB 0 � l gR E STAIRS« yyIr- ---- ---___ m---= - - -- T Fge Egi r�J� I I _ I - MI I II♦♦ - 1 1 11 Jill � 1 ` I 1 ♦ I O tu ATTIC J Z ftj 1 1 I L W Z Q I♦1 ; 3w WIDE oOOR I I. I ALL.OUCT WORK (u 1 ATTIC ACCESS TO BE RELOCATED N - 1 §tu -J o ;. / ; E ROOF �1IV—ZOyC / f ING AS N,EDED IL H a IS AREA cl V 1/ 1 i 1 PHASE 2lot, co 3dt? k � F z WALL KEY o 0 EXISTING WALLS 'I WALLS TO Or RO'70VLD e� O PROPOSED NAIIm m Oi = l 1 r W y 0 I,a : PHASE 2 �� \ L+ RAISE CHIMNEY AS NEEDED •- TxtO RAFTERS ram` BEYOND D-I}fxtl TV LVL VALLEY' TxIT RIDGE BEYOND �'yyly, J'> -,--EXTEND ROOF I ��9iSf d3- zd V fi _________� _ I ypQy REMOVE SKYLIGHTS Ilij, 2-94'XI%' LVL NIB" y!a a � n it ' d 'I �� HEADERS ABOVE FLUSH , y� IB s i� TA�R►�IELy�ii HEADERS V1 II I I I " ZZy- 6 u I T-TxIT VALLEY � rc - I p I 1 I pp II 1 $xl Tx T RIDGE _ - Z 1 - �9 G!F�j ____ ____ __ ______ _____ I- 'll" II I JIOfB O.C. ATTIC V �' r� • - I� I� It 'I D 2xTWo RAFTERS I� n A ION" I' CUT BACK 2x6 16'O.C. IL'O.C. 0 F4P0 CLG,JOISTS FOR CLG SPLAY REPLACE O O PROPOSED ROOF II II j II 11 AS NEEDED CEILING JO BITSI B ING V zrc z £wd7.o I' 4 ALIGN EXISTING 11 T-Txl0 I TI F I - AT STAIRS REMOVED lu/Txl0 16'O.C. -- REMOVE EXISTING -T. V V f„ _ - AT NEW ATTIC SPACE m! -CnL 9 ATTCrWRU OVER•f GARAGE ' Y 2-9%'XI I}• LVL Q w' fig r 9EDKODM DowN P E �c ® BEYOND LA DDRY® c) m BUILT-INS BELOW STAIRBi: A IGROPO8RLOOR LOSET I I o W o EXISTING FRAMING EXISTING VERIFY DIRECTION Vz2 n / SPACE L-vON36 xx o'v D I/T'CONC. FILL 11 EXISTING STL.LALLY COLOR/ FOUNDATION WALL - ,,,z RIGHT ELEVATION. CONC. FOOTING, TYP, it a g 1 A.5 �C� 4� e 3 . SECTION A � s pylll ie PHASE 2 V Z W wz< RAISE CHIMNEY Z Q 1 F AS NEEDED E lu J • - _ - CRICKET D DORMER EX Q m> . EXTEND ISi.ROOF \/ v F'R�PISE w —ocw F—O H - J �'=W w O- I PaDPDscD ROD/ �V . EXTEND EXISTING ' U GARAGE ROOF ' - _ I RO7O1/E EXISTING ' ROOF THRU TO -.U TOP OF WIND, Fj � ATTIC OVER GARAGE - HD HGT.W-W PROPOSED A.5 3-ow 616 7W GL. =L.L -LL LL Ell lillill till Ill il 1111 4111111,11111111 111 11 L1-E1T1 FT11r1F1T1-r1T1 F1T1L1L11-1 j PROPoaeo raorgse. u P .. AWN. 41GMT AWN(�yGHT < i•xgg'GL. i�x9'GL. g FDIN c oo111 1111111 1111111 1 = a z m V FRONT ELEVATION PROPOSED p ELEV ® TOP of WIND. 1id10 oHCD \ HD MOT. 0 PROPOSED �. S-OM 616 m d NINDONIS OVER SINK 7'x4 GL. W z �� W O � i N U) z s � PHASE 2 c m RAISE CNIMNET AS NEEDED PROPOSED DORMER EXTEND IXIST.ROOr _ _ G FM 0 U zrccaz�31.Tc�dro JFRI �4 R° ® ® ® ElEf-11 I ®® �Q - EXISTING GRADE LEFT ELEVATION �$Ills � m r� w U Z W z Q RAISE CNIMNEY AS NEEDED - Q W Q — N R; E . - - - CRICKET - t W J Q pVVc�In Jz NJ lu ® W REPLACE ® U ILIJ-1 Jim GAS" H Ll V ® ® ® z a ¢ ® ® H HERas �� i �U y ® N U oco 00 < � �m EXISTING GRADE REAR ELEVATION a o m . o V- ai z w W O a_a 110 MPH MIND ZONE REQUIREMENT FOR 780 CMR 8th EDITION MA STATE BUILDING CODE o 0 DO Nar BACKFILL WALL STRUFTURAL PIPE COLUMN OR TyT1 UNTIL CONCRETE WAS 3 1/2 CONC. FILLED STL, COL. ATTAINED 7 DAY STRENGTW - N/OAR 8Q IEX EE T KIPS LOADING RIDGE V— AND BOTH TOP t BOTTOM N HE � �,, OF WALL ARE PROPERLY TYPICAL WALL I QI ROLL VLNT SERCURED. TA 6 MIL. POLY VAPOR,BARRIER 1 ' D m Dc!°OARD EXIST CONCR!TE BLAB - I CONCRETE FOOTING '1 FIAYTRVU ORAL SI - D(IST CONCRETE SLAB ) 3'-0'x3'-O°xl'-O° —BABE PLATE �7y�y1 2 FFF%z7 Eea FELT-PAPER Will - 5/6'Cox PLYWOOD ° n _ x H � ,a 4 ° � 5 , A WW�ERZ INGUL n_ d ° e _ ° w�'�� 5�� R-56 INSU ° e d° ° BOTH REEBWAYSA(BT'�'PIC.AL U 51,581,12 21 2d0 RAFrlRS 24 t �1TYPIe AZ RIDGE VENT DETAIL / / j� ° I o 2 TYPICAL STRIP FOOTING /\// SCALE 1-1/2" 1'-0' 3" tt 6£ N I gt . rnzrzza menu r�t�, - COLUM G DETAIL FOOTING �asu �7 SCALE 1-1/2" . 1'-0' $ fro fps I* J 1� RAFTER 1 16" O.C. JOINT DESCRIPTION NUMBER of NUMBER OF NAIL SPACING COMMON NAILS BOX NAILS - . - 2c4 DSL TOP PLATE ROOF FRAMING ij; M2,6• EA. RAFTER N W BLOCKING TO RATER(TOE NAILED) -SO 2-10d EACH CND SIMPSON SP4(20 GA,) - Z RIM BOARD TO RAFTER(END NAILED 2-I6d 9-lid EACH CND WALL FRAMING TOP PLATE WQQTOP PLATES AT INTERSECTIONS(FACE NAILED) 4-i6d D-I6d AT JOINTS STUD TO STUD(FACE NAILED) 7-lid 2-I6d 24,O,C. HEADER TO WEADER(FACE NAILED) 16d 16d 24'O.G,ALONG EDGES - g J FLOOR FRAMING � IL u j HEADER Z UU JOIST TO BILL, TOP PLATE OR GIRDER (TOE NAILED) 4-Sd 4-I0d PER JOIST BLOCKING TO JOIST (TOE NAILED) 2-Sd 2-I0d EACH END FULL WGT,STUD NOR UPLIFT BTRA_P L jr BLOCKING TO SILL OR TOP PLATE(TOE NAILED) -lid 4-Ibd eACFI BLOCK AFTER TO PLATE CONNECTION STUD r ,1y DV. LEDGER STRIP TO BEAM OR GIROER(FACE NAILED) 9-16d 4-16d EACH JOIST �"T SCALE,N.T.B. - W pO1N SILL JOIST ON LEDGER TO BEAM(TOE NAILED) 9-Sd 9-IOd PER JOIST BAND JOIST TO JOIST (END NAILED) S-16d 4-16d PER JOIST - - - U SAND JOIST TO SILL OR TOP PLATE(TOE NAILED) 2-16D 3-I6d PER FOOT V ROOF SHEATHING V WOOD STRUCTURAL PANELS - .. BEAM 4 STRAP RAFTERS 0R TRUSSES SPACED UP TO I6'O.C. Sal 10d b' EDGE/6° F1 ELD . LSTA 1 EA. RAFTER II RAFTERS OR TRUSSES SPACED OVER li'O.C. Sd lod 4° EDGE/b° FIELD 2% _ 12 GA. ANCHORS TYP. GABLE EENDWALL RAKE OR RAKE TRUSS u✓o GABLE OVERWANG Sd IOd b" EDGEW FIELD - END - GABL! lNDWALL RAKE OR RAKE TRUSS w/STRUCTURAL Sd IOd 6' EDGE/6' FIELD DISTANCEUTLOOKERS GABLE ENDWALL RAKE OR RAKE TRUSS u,/ LOOKOUT BLOCKS Sal 10d 4' EDGE/4" FIELD CEILING SHEATHING �= �GYPSUM WALLBOARD 9d COOLERS - T EDG L E/10' FIELD RIDGE BEAM O N WALL .SHEATHING NOTE. . m WOOD STRUCTURAL PANELS _ _ RIDGE STRAPS ARE NOT V S HEADERS REOUIRED WHIN COLLAR TIES OF STUDS SPACED UP TO 24'QL. Sd 10d 6" EDGE/12' FIELD NOMAREINAL Izb OR 2.4 LUMBER SCALE N.T,S. LOCATED 15° AND ' FIBERBOARD PANELS Sd - THIRD OF THE IAMC SPACE AND 9°.lDGE/i' FIELD m Ilj'GYPSUM WALLBOARD Bd COOLERS - N TWE UPPER 7' EDGE/10' FIELD ATTACHED TO RAFTERS USING S)IOd NAILS EACH END FLOOR SHEATHING I E N S 0 p` WOOD STRUCTURAL PANELS I'OR LESS Sd IOd 6' EOGFA' FIELO 'O d to TH I'AN IOd 16d i' EDGE/6' FIELD O = r W O -------------- �__-____-___ a mpg a yggyyy r---------- ---------- `•. I Z Lu 1 w I I I I 114 1 , � STAIR SUILT-IN DOORS _ 2 STAIR BUILT-IN DRAWER polis o 8 Mill N `l II II II II Q �W • - 11 II II - II II II + II II J ^DIE E II II II 11 - � W 4.� ��!! I I I I I I W if uj Plu J. II II II „ II II II II O T W 11 II II II - E Fui O co II - I1 II II it II 11 11 - ' II 11 II II - fl II 11 - II II II II II - II li II II II II 11 II �� 11 I1 � 11 11 II 11 - 11 II II II - II II 11 II II 11 11 it < II II 11 11 " < 4 II II II II yy C V MUD ROOM BENCH/CUSSIES '" � d z 0 TYPICAL LVLlrwLULAM BOLTINGMA'iLING rn MULTI 1 SAW BEAMS _ O z r '�i UF • a fllLC6 D-Y O ROw a�6D NM r fllCl'6 0-4' 2 R"DF Vr DAM D 7111098 > 2 �V=r . iEy¢yII CV7QzZ'j�g�gg � nw- E— va Qff 1 I I U to V s 4's4' P.T. FOST ---- ON CONC. FOOTING YP., T 1- fig+ Sgt . TO REMAINEXISTING S rx ———_ _ 0 =�Z $ $$ MG xx Drg R1.1 POST III EXISTING FRAMING �bl-h . S 1/2'CONC• FILLED DOWN III - go , TO REMAIN �€ � �$ �~ STL. LALLY'*-'*COLUMN I qq - CN C.FOOTIN DP, 4'-T 4' CONC. FOOTING, 7YP, 2x10 FLOOR ---- 2-9Y;XI ' LVL 6 ' III •XI�• LVL Spa ALIGN JOISTS 16'O.C. - - _ NCRC.6LUSH LIGN NDR FLUSH r—— r— FLOORS STEP UP TO POST FLOORS I I I I NEW FLOOR DOWN ————— L III—J L�I�J I P POST - ALIGN I 2x10 FLOOR II POST L ��I FLOORS I JOISTS 16' .C. DOWN r III fN.— __ __ __ _ __ _ _ _ II Q LU 9-2x12—+III III 5-2x12 —�———�J U III III I I i r 2x4 BEARING WALL ONE / Z Z w ALIGN 1 I 24'WY12'O CONTINUOUS �- BRG. WAL N POST W ZQ Q III III FLOORS 1 I STRIP FOOTING IAM-05 BRG. BRG. WALL UP/DOWN O 4 J F I CONTINUOUS BARS. 1 L J r�Ir-i r—III—-i I POST 2xlo FLOOR p— 2 - (�., CUT BACK DOWN JOISTS 16' .C. 2-94"XI}I' LVL � 1-1 W U)Q�w A.5 LU AS NEED DS ;,'--MDR FLUSH �V• uj J L— J ——J 2.10 FLOOR AT STAIRS pOr37• Z I JOISTS 16,O.C. b I/2'Cdac, FILLED _ I =U�_ r � Z STL,LALLY COLUMN _ Q w ON 36'x56'x12'OP, ____ DOWN CONC. TOOTING, TYP, —— J _ ABOVE FLUSNL O gn V 1'-2- O HEADERS II I � r 4'x4'P.T.POST v F U LVL ON 9i's5i•x@'DP. 1 ———, _ � NOR FLUSH CONIC,FOOTING, TYP. 2.1 BEARING WALL ON �/CLG DOWN O NUO D CO NTINUOUS --i, _ _ --- ---� r--------------------� STRIP FOOTING CONTINUOUS BARS.-R5 L ALIGN I I I - j r -- NDR FLUSHHl 10 i i • 0 FLOORS IItL m 1 6 D EXISTING FOUNDATION WALL It I I JOISTS 16'O.C. No L _ k+ i i < yy1! ��. POST REPLACE EXISTING POST CID 7< DOWN FILING JOISTS BEING REMOVED w/2x10 16' D.C. rm � AT NEW ATTIC SPACE - A A A.3 A.3 c o m FOUNDATION PLAN/ m FIRST FLOOR FRAMING PLAN SECOND FLOOR FRAMING PLAN z. w w • o vr3 n TYPICAL LVL/GLULAM BOLTINGMA CAP o z MULTI 1 3/4' WAMS /T s+IRre o-4 s�rarR w P BIN 7 O - - � -eilrem v-r s Raw wvr ounmins�p�oe. Y��y ��a�iff 1 - �y 1 OFEXISTINGR v I I' EXISTING FRAMING // I - /�.____i 1 1 - . /'/'/ i/'i i// / / / / / / / /,/'/ /'/' TO REMAIN STING EXIING i I IFRAM TO REMAN / //'/' —_--___ — it F______� /' III. I CUT BACK EXISTING FRAMING AND SUPPORT ON WALL A.5 r� --- / / / / / / / , / / / / / SEX 5 F R OQ ; g/ _ 1�1_'� �L_ ��L�_��'L�_ '/ I TINE /, A EA 6 / ERG WALL-- ROOF AREAS '/ '/ I I ------------ --- - / 1 TO Be REMOVED / / --------____-..�_f Y IT-�- - �� /'�f ___-_ uj EXISTING ,FRAMING I _ __ I � /i� ill � '/'/'i//'/ / / /,/, //, ,/// /// I 1x10 FTE h= dt I L JG° __________ TO REMAIN I __ __II ♦ III / / / / / /'/�/'/ / /'/ / / / /'/ / / / MATCH EXISTING PITCH'IL / G� �xtilMBI 8K C , /, I1� �. � ✓1J LJ LJ LJ t//,// /,/, / /,/,/ '/// / T R MAI - 1 /i T i. / / /,/,/,/,/,///,/,/,/,/ / . / /,/ / / ; p Ir ROPOSED :ROOF AREA ice/ /,//'/'// . / /'/'/', / /' 1- • I L I I I I N i i / / / // ,'/'/ /'/ W I { ROOF AREA'/'%; ' 1 ' , •,/,//, ,/ /,/,/,/, ,,;,•'/,/// /', Q T Lu /EXISTING ROOF AREA/ I I / CUT BACK EXISTING GARAG! I / / /'/'/ / / / / / / aAp I 1 /�' / // / / '/ / / / / / ROOF ,FRAMING TO NEW I ,/,i/i / / /'/ /�/'/'/ / / / /'/'/'/ �j`� / / '/ /'/'/' ' u- I ��- Yl 8-I A}tl'xll�• LVL VALLEY l- / '/'/'/'/'/'/'/ /'/'/'/'/'/'/ TWAIN I 4 N ILE 1 /// /// /,%,% / /// / / i pE w; '/ /'i, i/'/'i/' '/ /'/' ' '/'/'/'i/'/'/ i///'/'/'/'i g to Z cQ 11 RI E ,/ ,/ _1 _ 1 '� / / / /' / / / / / / / / / / / / / / / / / /,/ / ' '/'/'/ / / / / / / / �R V/ H ISTI G NG !RS % I 1 - / ii,i /,/,/////,/ /' '/ r ri /' /'i /'/'/ / /'/'/'/'/� / /' /'i i/'/ uj J I 1 / // P�20POSE ROOF AR A'/' ' ' ''' ' ' ' V Tt REMAIh I I I 1 9LOP!RI E AS He ED '/' ' '� �✓/ ' ' ' ' '/ EXISTING PITCH Z Ix _ _ __ _ __ _ ( I I 1-1 'xll•' LVL VALLEY ,,,,/ ,, , ,/, I I Y,'%/ /,i/ ' /'/,/ /,/,//'/' '/'/ / /'/'/'/'/'/ /'/'/'/'/ d L W \ L 9 ,'EXISTING ROOF AREA,,/ / I 1 '/ '%/ /',' T I II CU XIS IIGA 4GE ' i/'/'/ / / / / i / / /'/'/' //' I V ' '/ ' ' 'i ' � / /,i / / / / / / / /' ' 'i ' ' ' ' ' '/ ' ' 'RA ING !AV !% TI F I ' / / i/'/ /'/'/'/' ' / /'/'/ I I/ /, / / / / / /'/ ' ''' O U I /, , I /i'/, / / / / / _i ` 4- 14 VA LH T R! AIN I " '/i:, i', ,'i,/,/,///,/,, i,/ / / /,/ i, d I 1�// /'// i i/ / / / /,/,/,/, '/'/ __ _ __ �. -- _- _ _- / / / / : :EXISTING ROOF AREA , • / / I /j. // -'lxl VALL I '/'/ i / /.ii'/'/ ' Yi' �iii U i i/'/'/''// IL 6 F MIN '/ I / / / / /.[IStIN M IN //•I /12x10 RAPT `� I II pI III j,'/'///'/'/'/ /' / I/ 114J fit 1 I -I I 111 / /, /./ / /'/'/,/,/, /,/ /, /,/,/� ` /'///'� / /'//,/,/ '/'/ / / / / / ■ 1,29:IZ PITH `t9in PITCH / / / / E IR /,/ PROPOSI D ROOF`.A1 EA , , , ,/, , , POST DOWN 2x11 RIDGE REMOVE ALL EXISTING DOWN - fig FRAMING IN THIS AREA A:3 ROOF PLAN < . m� ROOF FRAMING PLAN m ADDED ROOF AREA Iq7 SO. FT. *I% OF EXISTING ROOF AREA I m - -- - T REVISIONS: NO DA 1 2- 3-93 REVISED STAIR LOCATION 2 7-12-93 ADD FENCE AT TOP OF SLOPE 5 54 �j3 47 >.42' -0.66-( 2"x6" TOP RAIL u"-1.10 ,;'-j 46 EL. TOP OF NORNWE.w W EX/S77NG POST h h h h h h h h 5/4" TOP RAIL SUPPORT^p I PLAN VIEW p .� 5 4 TOP RAIL SUPPORT ---- LOCUS HOR SCALE 1 --40' L 4'x4 PILINGS �P EXIS77NG GROUND 2'x 8' 5 4 INTERMEDIATE RAIL 3-4" END CAP 5/4'x 6'x a0• ROUND EDGE DECKING EX/STING DOCK EXIS77NG POSTS REFERENCES: 2'x8'x16' STRINGERS � it LE ELEVATION ` E NGVD 0.0 E CEN7ERKLLE HARBOR N 6'x 12'x 6' � TREATED TIMBER HAND DUG INTO r') O od t� O ^ r rM to -.t N N N O CA r to N N O M BANK. N SALT MARSH r7 M N CA 00 f` M) CV N CV N fV CV O I 1 I NANTUCKET SOUND SALT MARSH EL.O.O LOCUS MAP 0 00 0+20 0+40 0460 0+80 7+00 1+20 1+40 1+60 1+80 2+00 2+20 DATUM: NGVD 2"x6" CROSS BRACING SCALE 1:25,000 EXISTING PROFILE ri HOR SCALE 1"=40' GANGWAY CONSTRUCTION �.z VERT. SCALE 1"=40' SAME AS DOCK ,�•y 2"x6" TOP RAIL HAND RAIL BOTH SIDES. 5 4 TOP RAIL SUPPORT EX/577NG GROUND n PROPOSED DOCK PROPOSED FL OAT tC 5 4 INTERMEDIATE RAIL PROJECT L •5 / 4'x 6'x 40' ROUND EDGE DE CKING ELEVATION LARRY D. NICKULOS PLAN OF NG VD 0.0 396 SOUTH ST. " A/NW�E MLi►� -Lp I ' 2'x8'x16' STRINGERS ' : • \ PROPOSED DOCK HYANNIS, MA 02601 � O CO M O r, r, M (0 � N N N o m r� f N o r7 MAP 207 LOT 67-1 " vi N N a0 rz r7 N N CV N N o T I I 4•x a' PILINGS 75 HORNBEAM LANE �u, �u. �. �. . ,>�• �� , �, CENTERVILLE, M A. 0+00 0+20 0+40 0+60 0480 1+00 1+20 1+40 1+60 1+80 2400 2+20 aU. I ( SALT MARSH 4'X 8' FLOAT PROPOSED PROFILE DATUM: NGVD f �- HOR SCALE 1 =40 7.r AVERAGE 50, �.348� UPLAND �\ VERT. SCALE 1"=40' Ex pl� Z 4" x 6 BRACE 9,3, 098� MARSH MLW E M I LY W. HORN _ Q it G / EDGE OF MARSH GRASS �- , U f1 1 1 NGVD ) TO TA AREA 4'x4' PILINGS (3) 225 THIRD WOOD PLACE / \ S.YARMOUTH, MA. 02664 MAID 206, LOT 65 MAP 206 ,LOT 64 ;I 1) ALL LUMBER AND TIMBER USED WILL BE TREATED CCA 2.5 4•x4' PILINGS (2) 2) ALL HARDWARE WILL BE HOT DIPPED GALVANIZED e ECAC TRUST, INC. EXCEPT RAMP HANGERS AND PINS WHICH WILL ' " BE COLD GALVANIZED. I PREPARED FOR: MARSH LINE - SAL T& FRESHWA TER 1311 S 0. MAIN ST. MARSH VEGETATION -8/7191 BY Bsc. � CENTERVILLE, MA. 02632 I SALT MARSH RESTRIC17ON S-438R. MAP 207 LOT 64 j GERALD ANDERSON SECTION VI F W 75 HORNBEAM LANE CENTERVILLE MA.-_ 02632 ^ ' SCALE: •/ / EXISTING GARAGE -� 2 -9 ,qKF ` 100 FEAR FLOOD LIMIT WF .3 ZONE' A-10 EX/577NG POOL ENCE � 4 AREA OF DETAIL \ \ WF 5 0 Gil 1E' +0.1 -�-0.� \ -}--0.7 +0.3 z WF 6 \ \ \ The BSC Group - Norwell Inc. \ TOP OF 77DAL CREEK BANK c� EX/SI1NG DWELL/NG � ' s WF A 7 M-4 1 BORDERING VEGETA TED WETLAND \ \ \ BOTTOM OF 77DAL CREEK BANK c� FLAGGED 817191 BY BSC 13 J +1.2 +0.4 -0.4 \�� 1.1 \.x +-o.7 +0.1 • CUDDER & I � �` \ 293 WASHINGTON STREET SCOTT MORAN S J ANDREW J. & \ - �� 12 \ �� \ \ NORWELL, MA. 02061 ALICE HORN SCUDDER F N E \ _ MARINA DOWNS \ \ I 14 ROSEWOOD DRIVE 1 ,�� 1211 -CRAIGViLLE BEACH RD. \ (617) 659-7981 PITTSFORD, NY. 14534 \ 100 YEAR FLOOD LlM/T� 9 I CENTERVILLE MA. 02632 � � � • MAP 206 LOT 66 ZONE A-10 M_2 s 8 1.8 1.5 1.0 \ +0.0 \ -1.2 -} 1.7 1.0 -} -0.2* �\ ti TOP SLOPE MARSH LINE - SALT & FRESHWATER MARSH IEGETA 77ON -817191 BY BSC. ` 2.0 1.4 0.9 �+-0.7 -2.0 -} -1.2 +0.4 / SAL T MARSH RES7R/C77ON S-4J8R. TOP OF 77DAL \ 1 BOTTOM OF SLOPE ROBERT C MAYHER II cREEK BANK I 340 MAIN ST. BOTTOM OF 77DAL REMOVE EXISTING PILES do WORCESTER, MA. 01600 CREEK BANK .2c N 12 ti 4. 0 1 a .�- � i it EX/S77NG DOCK NEW PILES I 0 1 P c, � `SS/Q, / PROPOSED DOCK 13 0. t -1.5 -1.9 -0.6 ^ Z 1.8 -� L ti � PLACE NEW PILES I MARGARET HAMILTON IN LOCA77ON OF 0'� 10 '� P. DATE c/oTHOMAS HAMILTON EX/ST/NG PILES o ' 19 LAMBOLL STREET CHARLESTON, SC.29401 \ 40-X 10' +1.6 -�-0.4 \ MAP 2 06 LOT 6 6 PROPOSED RAMP ( 1 p CONDITIONS PLAN PROPosED FLoAT (4X 8� EXISTING C O / (W/77/ J NEW P/LES /N L OCA T/ON OF EXIS17NG P/LES) 1 SCALE. 1 - 40 0.6 ' -�--1.7 -}-0.4 p -}-- 0.8 -1.5 -� 1.1 DATUM : N.G.V.D. (ADD 1 .0 FOR MLW DATUM) SCALE: 1 " - 40' _ PRO/- OSED PROL�EC T FEET M H W = 2.Of N GVD I -} 1.8 I o.s }--0.7 }-`1.0 -{--a1 .SOLE - �0 DATE 9-12-91 MLW = -1 .0f NGVD L .� � �+ MSL = 0.7f NGVD DA TUM.- Ng VD 13 COMP DESIGN NWH/DC/MJH TIDE RANGE = 3.0' I CHECK D. CRISPIN }--o.s� +-0.7 -0.9 DRAWN:W.G.BRYANT 1 FIELD: RJ LV I y FILE NO: DWG. NO:3924-01 T JOB NO: 4-0354 ®�