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IA\)C. Gi:A�'I-�=2�►l..l.� residential Value of Work$ 6,Soo• Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address '511A AKV 000 S A R A II 13 LA gt, y - Contractor's Name_ t—�®(rill t•/ip L A e_t5 y Telephone Number 5 b 22 ( -7215 Home Improvement Contractor License#(if applicable) /Z JR 1 /0 Email:—JFD LA<.4� T(?p [7 mA'1L , c-o fin Construction Supervisor's License#(if applicable)' - C �7 a7 3 ❑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# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ,WRe-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to yY1(PtGOM RL, ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Wuidows/doors/sliders.U-Value .(maximum .32)#of windows #of doors: ❑ 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 Home Improvement Contractors License&Construction Supervisors License is r qu ed. SIGNATURE: QAWPFILESIFORMS\building permit forms\EXPRESS.doc 06/20/16 271e Conn omveakh ref Afassadrusetts , Department qf,1ndus&z'd Acddents 600 WashfiWm SVreet Boston,MA 62111 -- tVfVi"iasxgovMa Workers' GQffipensatranlnsurance f*Ia:^±:Bidlders/CantractcirsiElwU clans kmbers Applies#Infarmaiinn Please Prat Iv Naffie Addrem. JLSOlyG-L— 02105' Ciigf t t L 1. '. M Phone: SO Z21 -7 Z/ Are you an employer?:Checkthe appropriate box: Type of project(reguieq_ L❑ I am a employer with. 4 ❑I am a geuesal contractor and I 6. ❑New eons on employees(full anaor pant-lime)-* have hired the sub-contmeors 2.WI am a sale psopzietc r orpartner- listed+m the atta+rhed sheet` I- ❑Remodeling ship and have no employees These mb-cmftactors have S. ❑Demolition waging farms in any capaci4g_ employees and have -ave wad=' 9..❑Budding addition [No wad=&comp ±smance CQmP n,��� required-] 5. ❑ We are a eorporafifln and its IO:❑Electrical repairs orates 3.❑ I am a homeowner doing all Norio officers have exercised th6w 1 L❑Plumbing repairs or additions a warlaees of exemption per MGL € - 12.0 Roofrepairs � `i c.I52, Ir�and we have no ssceixassrer2gIItied.�1 13_❑Otheer employees-[No wormers' consp-insaraesce ngaired #Any a Hcntgat c&cksbox R mast also McuMe sec ioabeiatrsjtahiag 8ieawc&exe compeasabaapermyizrm�= �a�eoamerstrho sab�tt slits sf5dar io catiag they az &k--agora*sndthenhim entside crat xctms—t submit&newaffidsdCmdiemling sacH- fCaatcac0ocs that chechthis box must sa additumal sheet shoa�g thename of the sub c�tacmo¢s�d stye whether ar notthnse entidesl oppluyees.Ifthemfa ran.�tactmhm emplayws,theyaaurpm-ide dt w wndmM'gyp.pahgy- er- lam an s'nipI �sr tlitrtis prauidirrg for?rlrees'roar,pertsrdtatt itesairatecrr for.isc}a eurPta3+ees $etoev is tl�eprrFicy rrrtti je8 site Frzforrixahvrr. ,' Insurance Company Name: w 'Pn-ficy 4'or Self-ins.Ii E3 piratian Bate: Job Sita Address: � Cttg15�- Ad2ch a-mpy of the workers'comzpensation:policf declaration page(showing the policy number and expiration date). FaRnre to serum coverage as required undm Section 25A of MGL m M can lead 10 the imposition of criminal penalises of a fine up to$UOQOD im d for oni-e--ye-a-rimprisoraneid as well as civil penakies in the fora of a STOP WORK ORDEIiand a Eme ` of up to -00 a day against the violator. Be ai&ised flat a copy of this statement may be forwarded to the Office of Itnresdgations of1he DIA,.for insurance coverage verification_ IcTa le�reby cart fy s rmdpmaWes oefperjury thatthe irafaruLaff=pr -i&d abm a is true mid correct Si�atare: Date_ 1 " Z /`7 Phow 07- SU'8 ZZl `12J 5: µ O Edai am wi1jr Do itat carte in cis areg,to 5e cat apTeted by city artown a aL City or'l own: PermitUcense 4 Ling Aathoiity(dt de one): L Board of Health r.Buming Department 3.cAyYrmm Clem 4.Fiecti ical Fnsgector S.Plumbing Inspecter 6.Other Contact Person Phone#: ormat-ion and Instructions A�. Mkssaa�eft GC=Ml Laws M reggaes all cmpIoy="D provide woes'conipeasa m fur fhefr employees- . e service of anotherund� coact ofhiis, Phis statote,an Iayee is defiled as- _every person in$z scow. �y Pmnuant� �P express oriipliecl,Dial orw1hea" An wTTvyer is defmcd as aaa m&vir[aal,pa t=mbrp,assoriafi ,corporation or other legal eddy,or any two or more of fh foregoing=gaged is a joint use,analme �$ie legal rpr=mtt v=of a.deceased employer,or the . receiver or trast ee of as inHvidnal,p ,asso ' or otherlegal=tiy,employmg employees. However the owner of a.dweI]mg house having not more than three artmeads end vvho resides therein,or the:occupant of the . ftmlliag house of another who employs persons tU do ce,con 's ncti on or repair wolk on such dweIIing House or on the grounds 61buildmg a ffieseto notbecause ofsach e�ployme�be deemedto bean e�aployer." pp MGL chapter 352,§255 also S fpc that"every or local licensing agency shall withhold the ism5zr ce or renewal of a license or permit to operate a.basin or to construct b�dings to tine commonwealth for any applicant Who has notprodu•cad acceptable evil ce of compL-mc:e with the 4 nmxance-covexage required_" Addi ionalby MCH;chapter LSZ;`§- V)states¢1�T the commonwealth.nor a'ay ofifs political sobclxvi_sions shall ester m:tD any contract for the p�ance ofpnbI' wolkuotI acceptable evidence of compliencevMh$ie msmance. r��s of th s chapter have lien pre$e d to canfrad�g authority_" q> Applicants Please o ae worlrers'compensation " completely,by Ong th e boxes that apply to your ditlation and,if necess ,supply sub-contrador(s)name(s), es)andphonemmnber(s) alongwiththea cediacate(s) of insraan _ Limited Liability Companfe�s(LLC)orb Liabffity Poi faesships(LIP)withno employees other than the members or are not required to cC3mM=Mx:1y ess'compensation;T,�c:-- If an LLC or LLP does have =Ployees,apo required. Be advised-that day maybe sabinitted to the Department of Industrial Accidents for co insurance coverage. a be sure to sign and date the affidavit The affidavit should be retcmaed tome city or town licaiion th peo it or license is being requmtA not the Department of kdostrial je_=dmtg_ Should you have any c nws the law or ifyou are regna'e;d.to obtain.a Workers' compeusation policy,please call thoDepartmeat erlrsieslbe.Iow: Self-f mmr dcompauiesshouldenter.heir self-mete license number on the ae. City y or Town Of[I als f . . Please be sore that the affidavit is complete and grid Ie gzhly_ Th Department has provi ace of the bottom of the affidav�for you to fIl out mthe event the Office of Inv has to 80ndtactyoareg g e'er r-qnf Please:b e sun a to fill in the pemmhlr,ease number which wM be used as reference number Iz addition,an applicant that must submit multiple peaaWlicenso applitations�i any given year. - only submit one affidavit mdicatiag cuirent policy mfa=atiorl Cif necessary)and nudes"Job Site Address"tie ipplicxm ould wrii�-all loc lions in (cry or. town)_"A copy of fho affidavit that has been officially sbma.ped or madaed by e city or town maybe provided to the ' applicant as proof that a valid affidavit is on file for fufn a peanits or Hce:nses_ affidavit must be f cd oif each year.Where a home owner or citizen is obta>hmg a license or permit not related b y business or commercial Co a dog license or permit to bum leases etc-)said p=o �is NOT reqized to comp tiais affidavit The Of of Juvesfigati s would like to(hank yore is ad�e for your cooped M and vid you.have any questions, please do not hesitate to&a us a call The DeRarfmmfsa ri telephone and faxnumber_ 'fieamntti of �cif ;Ac�idc�ts _ �tce of I4VeAkkti0= ' an ' �r�n,I�fA EJ.1F Fax 617 727 7749 Bruised 4-24-07 - W. €m2gt2gt -- Town-of Barnstable Regulatory Services NAM Richard V.SmI4 Director. - ►`� Building Division. Paul Roma,Building Commissioner 200 Main Street,Hymnis,MA 02601 wwwAowu barnstable.ma.ns . Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit-application for. (A.ddress of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be'filled or utilized before fence is installed and all final . inspections are performed and accepted. Signature of Owner Signature of Applicant SfF�A N c3t�(L.ry�j n L'ACEy Print Name Print Narne -Z3 -i2 i Date Q:FORMS:OWNMPERNMSIONPOOLS i Town of Barnstable r Regulatory Services dF Richard V.Scab,Director Building Division `* aw�ernu. t 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 EXEhflMON Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": „ name home phone# work phone# CURRENT MAILING ADDRESS: r �r city/own state zip code The current exemption for"homeowner%was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for a 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 whic 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 structure accessory to such use and/or farm structures. A person"who constructs more than one home in a two-year period shall not be considere a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she s be re onsble for all such work erformed under the buildin ermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she undeistan the Town of Barnstable Building.Department minimum inspection procedures and requirements and that he/she will comply with s rocedures and requirements. Signature of Homeowner i 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 xemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing,Construction Supervisors,Section 2.15).This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page- this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFII.E3\FORMS\building pem it forms\EXPRESS.doc 06/20/16 �e rpanziircoauaecr,�Gli o��oacjiiu�eCta ` Office of Consumer Affairs&Business Regulation License or•registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: ;; 9816 Type: Office of Consumer Affairs.and Business Regulation �4- l--1--7 Individual lO Park Plaza-SuiteS170 xpiration Boston,MA 02116 EDMUNDV. LACEY'J =;A It �/TII , EDMUND LACY r _ , 137 STURBRIDGE DR 4 Undersecretary OSTERVILLE,MA 02655 �-� ' ndersecretary of valid without signature • Massachusetts Department of Public Safety q Board of Building Regulations and Standards License: CS-075573 ' Construction Supervisor,. ' EDMUND V LACEY-JR 137 STURBRI DGE D OSTERVILLE M/j 02fi IA 4 f�_/►l"'� vim-- Expiration.:Commissioner 09/19/2017 • e Construction Supervisor. Restricted to: use group which contain Unrestricted-Buildings of any of enclosed ' less than 35,000 cubic feet(951 cubic meters) space. us tts usetts Failure to possen of the Massa ss a current cause fo'r'revocation of thi hlicense. State Building Code MASS.GOV/DPS DPS Licensing information visit:yVINW. f' e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION DUILDING Map Z08 Parcel O07 ® P ;Application 51 Health Division MAR 0 72ow Date Issued Conservation Division ®vvlv C)� Application Fee �� ' BAD S7AQLE Planning Dept, Permit Fee Date Definitive Plan Approved by Planning Board3� Historic - OKH _ Preservation/ Hyannis CY( ZJ Project Street Address 7 S � �K 1}-�I�I✓u Village C�&r►Cp-VI G Owner 4rrnA0<OS,41Z4W K(Ze� Address 75- P0�2KC AIC. Telephone Permit Request OetAV a-Nb AePw n 26Ae L w itzY yN r-L00?- F(ZoPf'l OP 1401v5C Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Qv - / Flood Plain Groundwater Overlay Project Valuation ,6 D- Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas. ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No • If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - - (BUILDER OR HOMEOWNER) Name 65MH N,Q �/- LhGE I(Z. Telephone Number '50 8 Z2► -'J2 �� Address /37 5*ru/Z6(ZiQ(re' DIZIyC License# CS 075�3 Home Improvement Contractor# /�-9 8 l 6 Email 60 L*�E y:I (r m A-ti- , C d✓i1 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO X ACo►h aITa Du►T1 PSTIr�� SIGNATURE DATE 2 2e. F FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. e Cramveali�z a, assrac�trrsetts �F�i�'�7llef�f�fr •rJc�t�CCl1�P.f'� - ice 005rPestudfia . 600 WashiuWort&reef Bastan,M4 02111 . wrvmmmm zn;/W,a Warlmrs' Cam pensationlnsurmce Affidavit der-JCaFlfr -e tkrfi-ic-iane� err Ir�farmafMICE- -- - - - Please PHid .Na= NMb&i&a L�DrnuNO t 197 5 rk(2 P;,Q IDGe- jq2t Ve - afy/s u"I(. a MCA- ' Phone S 2ZI -12.1S Are you an employer?CEeckthe appropriate bay I-❑ I am a 1 v ith. 4. ❑I am a geaual eonfoctar and I Type of project(regt�ed}_ * have l�edgm sulr-cons 7- ❑Ides oonsf ding • employees(f�anslfor past-•time_ 2PI am a sale prRprietmr orpastnec- listed ou.the attd hed sheet. ?- ElR— s*and have no employees These sdb-c� have ❑DemalEan Wad-ing Berme in any capacity employees andhave WO&Ere 9_ ❑BuitEng addition, fro wodmm!comp.inmrarnce camp.4„ert T v-# reclnired-I 5. ❑ We are a coaporafiea and ifs I ❑Efedrical repairs or a,d& am officers#rave Wi I ElI am.a homeowner doing all work sed theft_ 1L❑P;IImbragrepaiss or adcEti.aas , €[N8 'oamp,- tight of exemp& per MQ. ❑ � �x�crtras�rer d-]E C.M,§IM gmdwe•l we no employe=[No WO&ess' L3.0{?#leer camp_ins�tecpnred_] •day spgfr�H�st sheds Soz rl test elsa f�a tfie secBoabcIaa�ras�g sf�eswo�cas'mu�=mtjc••pMHCy*a saw araert WhD saw iris�icia�g i g azg{tam;cgssa�t sad�}�xe aatsie east mast 5vh�t aneiv�da8t ID id;=d fCantaciucs �ecT��vsb=martsItsr'k sas33i6�streetsbaoe�agtheas oFlhesus-ca�acl �d e�Le�hsarnottbnseemrti�shs� emp6 yp m If$be ffi-ca�lave mplayan,6egumstpm4idetM& '—•P•PalkF x I am an empLayer t7i�is pran g ivcrkexs'caorperrsrdimi irisrirertcs jvr 'emgla}�ees. �elaty is fTiep cy axd jaFa sits iIIformrriivrt . 'Pohcy 4 or Self-ins.Lis_ �piratiasDafe: Sob Eta Addresm - Aftach a cVy of the w&rkere compensaf xPalicy decTaration page-(showing the policy number and expiration dale). ' Fame to serum coverage as requimduuder Section 25A of MQ.m L5 can lead to vie impos�ifion of rAmiaal penalt"ses of a- fine up to$L,5Oik OU anVor one-yearimprisDrmenk as well as civil peualtues m ffie fona c f a STOP WORK ORDERand a fine of up to$Z x(j 1.D'Q a day ash the violater. 3e advised that a cagy of this sty Rot maybe f warded to the OfEm of ImreskZ;abians of 1he DIA for fi=mce caverap vedflcaficdL X&O Frereby csr€sfp arrdptrsaffiss r $e that infor pr anda abate Es Liar and correct ,I?ate 92 Zia Q Phone 19.7 Opid we anly. Do not write in ids areir,€a be-compLited by city artapvn officrat City or"Foss: PernEftff;renise;9 Issning Auffio-rity(�one): 1.Bw"d Ott Hwl& :.Ddififing Deg= meat s.Brown Orrk 4-Electrical Inspeetna• S.Plumbing Impecti,F Con€a�Person: Phoae#: ...n 1�, 1 aamta ••.a n u •• ■- ••af■1rF .simple..1 J■ le to is- ■ aew • •' -•r .�; ■1. le it - • .■..an w to a _n r•ntar-r • ■le 'n ■_sit n. n !- r_lent' .n �.+. � •:tm�■ :+- • . ��11 ♦ j ■aan�■ _ .n n•■- n n w•wrn•. psi •• _n lea si •u -r a■nt a -n• ••■ • n n - / as- to --•n■- �o_r._ '• )1 - •1.1 �■le:i ■I■A� -11• ■. le/n1� i■- �_ I, �.�•IY.■•i� • ■� r_ �i �!..■• ■•� •l i.' _ - • al n■ nmr_ •_■ n.F•n. •w�_•wrn.7. n •n+ -_ �Int �.mn. ■• n: -{■■ci ••�-� :••• it- • ■� • ■' 1 ■■• m•1 ■.•n• ■• n u ■1-n Ile �- .n:. sit i■LL at■ ^■. wY■- it�! :In n is- • ru.rnl • n- ON -1 to' ■••■." a :n o t ••a• .;nu ■ 1�.F sir It ■m u:nlet:�1 J■r u• a ■r■an u -I-n ..:.■. lea n 1 ■' • ••n ■■ J •sit■ • .11 ...... :n r of tam-nI ■u - le ■. 1 ■■ •�ru . ■ .■ ::uu • u i!rl - 1��n�. u •- J■ inn ••r • • I:nw n.t - Y t" . _I.� •Y•l_ -� i f:/- 1 ■1 ■ • • ■1 ,�1 .•. ■ /� .■:ma to r • . • _ _ ■ ■ :i. - ■ B- ■. 1 ■■ ■ . -■- 1 .1Y 11 �`/. m 1/ rt.Y■ 1 Y • to r tt _ 11' ■! r.!!1.• • ■ �. • .•• • • ■I ■.." :il n ■ ■ •- _ _. 1 ■ is r • NOW. 1 . ■ ■ _ .1 . o■ 1 rya •/1.•r. 1 r■ 1.la ma. .:Iw - In ■■ •1■.■tl aim••11■t IOC .tl • IR 1■ 1■•.: 1•■ Y•7• ■ �■■- sin. .0 r■m ■.r Isi n a�..0 n■_n► . r■•t ••psi. nu■ rw.r• - 9i ii1 • 022119 .n - Ile e1- n n a■ .a sit au artR • ■■ J A tr a.. •mar I ..a■11�■ n u" r■■tt .r/n• .sin••t1 / ■ ON .. . i t11 ON•t on •••aJ�F a7■tle�!■•.:IkP a t ■■■ 1 ►•.It■ it" • w1 i ..Ir to- .• ...1 J•a • (• •r n Yn■.1■a■ .11• ■ END a ■ •t ;■■ u1 a.• r.■ glen at:. Q n nnp�• -r t 'a n i+F mr ••to •• ann •• �. •n� ■a_n n" u�ru I+ • a-1 n� .■ m• �■to �■ ■. .=n ••■. � rnnu:;■w.ia sit n n a■ - .■■ a arm_ •.•- .gym • •�.� _ •• �.• t �■ / ■ n. m i■.. •1 u . •.na nl�• u u ON.yr.1 man . ■n n. •ii■tl ■• •■ .tn■ a ala . n .l .■■ r••- . • ■f. ■t _ ■ - t■ ■ ■- J. - ■r■ ■- : ■■..• a• ■ ." -••■■r:a .• r- 1 • n•'■ ■■•1 ■1 _ta 1 a...... • �1 a�•lilr • .+a u ■■ w �.■■R yt•a ■ •1 a: _n / ■..a w � i��. n- • ■ a r :1 - �■nl �. u ••.:m on»�r r_ •■ •• 1 • .: r.1 n �:rr e m wl ■■- nul� t.tom. I r - 1• •! �• balm■■•.■■ ■■■ ■ �'.■ ■■- 1 • • 1 -• 1 � i■ r- ' K . n - to_I 1■- .t■■/_•1 w•)n[I �! :.•• ■ 11l1li• -J. • a�■ •. J ■■ ••nun • n _■n•. 1 ■• •m n 71 Ile n u- •:1■t a Qnr • n•.+■_•nu1 .: n ►■sir ••. -__• •■n; n _u• v.a • . 1 - n 7 n n I�nm 1 am - Norse r ••■ 1 1 I r��• : - - :•a unu•.� . _.a u.a .n ..• .sit a sin 1 nl �■.. 1 n■ r.•n let �■ t■.t n ■ `•ran ■■ t nle •­•51 le a WwOPRIM • to •■O- ■•■ ■�•'^ _• :n■ ■n a.a s r tiu ■u :-.•�. i .n a r:nlc •■ . ••t■- ON .1 rnn■►r u n.n. " . r• or wl si ■I• n. • a I •- t u i■- as• ■•:n. si •• n J ■ n•. t r r 0- u7 nun - a.+m R u .�1 -. a" . i■a.• 1 sin .- 71�. • 1 -.. -. :m ��•� - ••tt - a•'1� r MI■/r'■ •r D:r■a/a ►ifa� .1 r a•11 1 1• :n�■ [• -t1 I a Ytl r. • rlltl■n� w_ 'am 1 n 1 rna �m t r a all � w■■■■ ►■ 1■ w•sin mil' u■ ■■• t r � ■• a 1 • ..�■•:la sit •••■ ■ .• t• tt-.■ ■t t■ ■ .11 r n •■t r•••% to•1■ .lea ■1■ / •/• 1 .■■' ••i�••n �•- �wa-t mart :•n :._w rr•a m _n a r.• nnn.w a ■ • - .r - r ■ ■ ..,tistill 1 ■ s■ 7r./ ►J -- Town of Barnstable Regulatory Services Ilk jN �s` ` Richard V.Scali,Director. - �$ ¢ 16�� Building Division. • /,7 Paul Roma,Building Commissioner 200 Main Street,Hymmis,MA 02601 wwwAown.barnstable.maus Office: 508-862-4038 Fax: 50&790-6230 ' Property Owner M4* s1r r Complete and Sign This Section If Using•A Builder I, ?2V4N S ,as Owner of the-subjectproperty hereby authorize E b LACE y to act on my behalf in all matters relative to work authorized by this bulding pemsit application for: . �� lni�Q-iL. �1f1:, C.L=N Ics(L-1f1 LLZ% (Address of Job) *.*Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Slk�t�►+ 3uRr�5 �o LprcEy A Print Name Print Name Date Q:FORMS:OWNMUU?N SS10NP00IS Vhe tpamvi�xa�rxulecr�C�a�C�ac�icaeG�6 � Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Wxlegistration: �9816 Type: Office of Consumer Affairs and Business Regulation piration: E2k1 -; - Individual 10 Park Plaza-Suite 5170 Ir� Boston,MA 02116 EDMUND V. LACEY`J _ �- EDMUND LACYJR. r` 137 STURBRIDGE DR^f,•. .,,:, OSTERVILLE,MA 02655 -�� Undersecretary Obtid without signature Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-075573 Construction Supervisor EDMUND V LACEY`JR 137 STURBRIDGE D OSTERVILLE M/j 0 _ Expiration: Commissioner 09/19/2017 � Construction Supervisor Restricted to: use group which contain Unrestricted-Buildings of any less than 36,000 cubic feet(9F 1 cubic meters)of enclosed space. tt assac Fa ilure to possess a current edition of the Mof this lsetts icense.. State Building Code is cause for revocation DPS Licensing information visit:yyWW.MASS.GOVIDPS Commompeakh ofAfassrack=etts paaf�ent a,�'1�" strial�cr,�defrrs 600 Waskingion Street- Bostan,MA 02111 ' fVPi�43.7iidSS.�V��il1 Wiurlm &s CunxpeniaEian usurance Afgdavit g, dEn/CcIIf --Lc 4rsMOctricLInS PInm ere ApwHeant InfmmiatTan Please PFmtt E v .Name Phoneme Sad ZZI -7z� Are you an employer?:eheckthe appropriate borm Type of project(required�: C j I am a gneral con�ctm and I L❑ I-am a emplayt?sv.'itlz e 6. ❑New � employees(fallandforpart�l=)-* lxavelsired•the sdb camtmctors i. RPmode" 2.FI am a sale gropFietar arprarbaer- Tis�d oatlle attached sheen . � �$. sb£,p and bane as employees . These�co�ctan have 9 Demolition wadi-ing far Sae iII any capacity_ camp-Res aadbaL�e Sgo�lCPSS' 9_-❑B,uildiag addition INo ty-or3eess'camP_insurz�e camp_msmaa°e l 5- ❑ W_e,are a corpoTatimand its 1Ik0 Electrical repairs or addsts-ass recah officershaveexercisedth& IL❑Piumbingrepairsoradcliicra 3_❑ I am a homeowner doing all work i =yS&f[Na warTMES'oamp- rigbL of eMM03P540n per MGL MO Roofrgmirs M5Ur =e 1 ed`�I C. , §1(4k andwe have no 13_❑Other ' employees_[No w0d0e& Corp-in�mquired_) ;Any W icsat9mt cbeftb.4=#1 most aLsa fiIlo�rtthe sec�ioabeioa shmdaS�eaA'°�ess'compeasatia�peIicpi�nrmsao� �smees•Who sab¢nit Otis�Sd�efic�"ir�g fey uedaie�sg�ca�sadtfieabiee nutsideca�samst suTo-atit anemaffid�t'm�i�np sncFL ZCaatmctvatbzt clams this b—WE mmt sttarhed saadrIiti®sl sheet shoR'iag dmmmne of the sub-cuot7,ctom snd stye Whether armatfmse a b.n e employees.Iftbesub-aatxctoshmempIoyw-%dLy=L%tFa 2d the'a W0dU!G'WM.p-PGRUnUMbM lam an employer that is prouiduy Ivvrkets'cvarpenscdion itrsriranw fvr Rcy'eQrp&t}w s $ei'vav is f7tepaliry tmd joh site r informrrfian - - Insuraace CompanyNatne: Policy 4 or Self-ins_Lim HqiratianDate-- Job Siife Address: CifylStafieJ.tp: Attach a-copy of the workers'corupensationpolicy declaration page(showing the policy number and expiration(Tate)- Fa&=to secure coverage as rejuired under S=tibn 25A of MEL a_15'can Iead to the iIMpasitioa of criminal penalises of a fine up to$L50D OD andfor sae-yeirinpuisoum=d,as w&as riVil peualt'es a ihe foss of a STOP WORK ORDER and a flme of upto$250_00 a clap ag-aimst the violdar_--Be adsised thd a copy of this statement maybe furwarrled to the Of five of lmvesdp ions of fie DFA for insurance coverage verkkafi= I dv kerteiry carlifjr ' s andp8rla>is ofped� that the informatrarn prat.-bW ahm a is trans and correct S ienahxra Date- t Z /-7 PbMM ik- 'ZZ)-17J 5 0 aL uss arrdy: �Do arat write i n Ms area€v be arrripTeted by cityortvtrn a,�a£ City or Town: Perwitfieense;g Laing Audwrety(mrle one): L Board of$eat r.Bw VmgDeparhmeat 3. osea tsk d:FlectrcaLIusger#or S.PI> biag Itos C.other contact person: PhoMz 9: -- - 6 y , 1, Legend Parcels "Town Boundary . - Railroad Tracks Build ngs IA It Painted Lines 208009, t 2 $ $ ! \ Parking Lots {413 6� a ` ` Paved Unpaved Driveways Paved .. "�,U ...._. Unpaved' r " +• \ \ . Roads \ \ 0 Bridges Unpaved Roads a Streams T Marsh ` F-t Water Bodies., ..$. -] Z k x m S 52 " W - = gi Sk � r v +� w s f X � 5 4 W G y r � Map printed on: 12/28/2016 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic TOWn Of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026o1 O 21 42 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map ,. 508-862-4624 reflect current conditions,and may contain such as building locations. - Approx.Scale: 1 inch= 21 feet 0' cartographic errors or omissions. gis@town.barnstable.ma.us TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map tZd$ Parcel-0 0 7 . Application PP , Health Division Date Issue Conservation Division Application Fee Planning Dept.. Permit Fee Date Definitive Plan Approved by Planning BoardSSv� y Historic - OKH — Preservation/ Hyannis // p� t Z_Z �- �(P PW P�ai7rc� Q Z ai 4� Project Street Address _7 S ?A 2lL A\IeNtA Village C_&?41 E-w«-L t Owner !�&At�tARN!j Address ? QfF2K ��r✓ Telephone Permit Request (ZMO✓C- IrvnWAoP_ AND lr✓S't01rLL STkuaci(AAL 96AM, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District. kD- I Flood Plain Groundwater Overlay Project Valuation r Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement UnbfinL shdi�Ar�ea(s�q�)- Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new DEC 2 8 2016 Total Room Count (not including baths): existing new TOU' NOrEt Floor?RQorn-fount Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed:❑existing ❑ new size _ Other: Zoning Board of Appeals.Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name r*"FVfl V, ga Telephone Number 60? 221- 'l2 5 Address r31 SV4tZ6Z10&�' Vr2lvc' License # CS - 075573 0STe2 V1LL6 , r^ 02655� Home Improvement Contractor# l298/� Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO P sTtn2- SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ' Ile Comnroyriveah*ofMamadiusetts Deparhme nt of ludusbial Acciden& ` OJT"Of L"Wfiffladom 600 WashhWon Street , Boston,AL4 02111 Warlmrs' CampensafiauInsm-auceAffid;ivit BnildersiContracfnrsJEl ciansJPhrmhers Applicant Tnf(ir matFQII ` Please Print llY Name NWO �, c/k�e"I are. ° Address_ (2 6(L(0&d D Z tVt~� f Citylstatel Are you an employer?Check the appropriate'bom ' Type of.project(required}_ 1.❑ I am a employer with. 4. ❑I am a general contractor and T 6..[:]New oanstruct.i nxi employees(:Full andl`orpart-time)-* have hired the stab&-ccmtracEors 2. I am a sale propaietc r argartner- listed cathe attached sheet 7. ElRemodeling ship and have no employees . . - These sub-confractam have. 8.,Q Demolition -woricing forme in any capacity_ eqF 1 Oyees and have wodcers' $ , , . . 9. El Building addition SLpd=rs'comp-fitsumce comp.in surartrp regnired] 5- ❑ We area corporation and its :10-❑Electrical repairs Cr adds 3.❑ I am a homeoummr doing all work officers have exam-sed their I❑Plumbing repairs ar additions of eg og er 11iQ.' myst=l�.[No woikers' _ - fl� �h F _. 12.E]Roo repairs insur=erequtre&]t C.152,§1(4)andwe have no employees.Wo worker$' 13.❑'Other comp.ice -) ;A,y R"kxx Hest cbeclmbax K mast also Mcmtthe sediaabelowshav tug thekwaskere coin easatinapaT�yinfarxxwd _ �ameoaiu4rs who submit this sffidatii indEcrtir, they axe daiog s4 wc*sad duEm hEm outside cautisctotsamst sabmit a new affidavit indi—tino Sud ICanlractarstbst cbeclrthis baz must sttsrhed sa additional sheet shawingthenuaeat'the s�avrtrzctx;aad stafewhether ornetthnse eatitieshne em3pla3'eas.Ifthemb-camt}uturshweemptayee%they=rtpmt•d&their wmkers'comp.p6licy m I arrt an elrtpi�ayer tleatispra�Rdirrg tve?rkers'canzpensrn�or�insriranc�,fvr m}*entptnyom Betoov is thapoNcy ixnd job sde in,formafian Insuxance CompanyName- Poficy"fl or Self-im lic-,� FxpirationDate: Jots Eta Address: citplstateIrp: Attach a copy of the workers'compensatidnpolicy declaration page(showing the policy number and expiration date). Fare to secure coverage as reg6redunder Section 25A of MGL c.15 can lead to the imposition of rr•imi cal penalties of a fine up to$UOD OQ a'adlor one-year imprisoameut,as well as cif penalties in the form of a STOP WORK ORDER and a tine of up to 4_00 a day against theviolator. Be a&wed that a copy of this statement shay,be hnmded fn the Office of InvesEgations.of the DIA.for ihsimce coverage verification. Taro hereby cetth n) tTr ' s andpwaWes a.f pn ujy that the irr,jbrrsm6w prm�d abate is hays and carrect -S�iMsture: Date Z- - 6 Phone� �O 4 2=U -']?J' Ooldd use anly Dv not writs in dies area,to be.rarnpieted by city ortotcn vfjrstal. CRT or Town: 5 PercrfMikense� IiSlUng A.utlsordy(rode one): L Board of$calth I Bn Tding Departmmt 3.CUV Town Clerk 4 Electrical Inspector S.Plumb rg Inspector 6.Other Contact Person: Phone#: ormation and Instruct- Ions MassachIIse is Cre'neaal Laws chzptrr 152 regmles all empIoyers'to provide�wor$eas'con�e�sation for$ieir employees. Puxsaantto this stafaiu,an�Ivyse is defned as¢_.everypersonin file ervice of another male'any contract off express or inpliecl,oral or v attm_" An�Ivyer is defined as'an individual,part amrsbip,assoedadion, m- an or other legal en ,or any two or more 1 er • of the ffiregoing engaged is a joint else,and mc3nding the legal e�atives of a deceased emp oy. ,or the rece or tras�of an individual,P ari3aership,association or other egal entity,employing employees. However the ' owner o dwelling houLse baying not more ffiaa three apartments who resides therein,or the octet of the - dwelling ho a of modier who employs persons to do maint�z ,caastur�fi on or repair work on such dwellinguse home, or on the gro or building appmte:nm3t thereto shaII not b of such employment be deemed to be an employer" MGL chapter 152, C(6)also sites that"every state or to lick agency shall withhold$ire issuance ar renewal of a license o ermit to operate a business or to co ct buildings in the commonwealth for any applicantwb.o has note duced acceptable evidence of c6 plianee with the insurance eovexagerequired_" Additionally,MCA chapter 2.§25CM states fiTeither the nor airy ofits political subdivisions shall enter into any contract for the erformance ofpubIic Wcnk acceptable:evidence of compliancevAih the msorance. require ends of this chapter been presemfed t13 the aniho ty." - Applicants Please fill o:�It the wozlrers'comp affidavit compl y;by dnecIdag the boxes tat apply to your sitnation and,if nerc=ajL amply sub-contzador(s)nam (es) phone numbers) along with tip cerdfrcEt*)of Tr,cttrance. Limited Liability Comp anies or Liability-Partamships(LLP)withno e�loye-m oilier than the members or partners,are not to cauy orkeas' ensation ius��ce Wan LLC or LLP does have employees,a policy is requited- D e advised that davit maybe submrt�d to the Depa ment of Indns'trial Accidents for confiimaiion of lIISCII�Co coverage_ o be sure to sign and date the affidavit The affidavit should be'ret=(—_d to ffie,city or town that the application for e pE�it or license is being requester not the Department of Ladn is A c i denfis_ Should you have any gn esiions the law or ifyou are rega ired to obtain a workers' compensation policy,please call the,Department at erUst dbelow. Self-ias<aed companies should ends their s elf-msm7;a ce license number an the appropriate a City or Town Of . Please be slue that the affidavit is complete and legibly \acz rhacat has provided a space at the bottom of the affidavit for you to fill out in the event the ce of Invesas to coact you regarding the applicant Please be sure to fillip the permit/Iicense mmmber "ch will be, fere�ce number In addition,an applicant that must stibnit rauli�Ie pe�itllicense appli in nay givonly submit one affidavit indicating coseut policyinl�3rmatian(ifnecessary)andunder.`fob Situ Atit�ress"tnt ould write"aII Iacaticns in (may or town)"A copy offine•affidavit that has bey o ciallp sfampe� by th city ar town may b e providedto the applicant as pwoftbat a valid affidavit is on file for fatia tmises A affidavit must be filled oi±each year.�irh=a hmne owner or citizen is ob " ' a license or permit not related io anyQbn r;T,e ee or commercial v6a f (i.e. a dog license orpennit to bum,Ieaves etc.)t person is NOTre:qUiredto completei3nis affidavit The Office of Inver gHf M would Ike to. you in advance for your cooperation and should you have any qam-tions, please do not hesitate to give us a caM The Deparimenfs address,telephone and fax ea: 'h _,E of M&_Sac�i s ' De cifdza Adepts ' �.ve�tig�tioA� - �QQ�ashingtan� MA EIIF Revised 4-24-D7 m2sg�d Town of Barnstable Regulatory Services MAJ& t Richard V.Scali,Director. Building Division Paul Roma,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 h If Using`A Builder. - I 5MAri4 8zU R ti S as Owner of the subject property hereby authorized L��� to act on my bebA ` in all matters relative to worm authorized by this building permit application for. 75 PA-04Z AyC-W4 t _ R (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final . W ' are erformaed and accepted. ner, Signature of Applicant + e , 5, �uRNS L�Dr� � °t�� � � it Print Name Print Name Date QTORMS:OWNERPERMISSIONPOOIS -- Town of Barnstable Regulatory Services Richard V.Scab, Director t' Building Division • RARNSTAIKM Paul Roma,Building CommissionKAM er 3 ��� 200 Main Street, Hyannis,MA 02?1 www.town.barnstable.ma. Office: 508-862-4038 Fax: 508-790-6230 5 , HOMEOWNER LICENSE ON Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home ph e# work phone# CURRENT MAILING:ADDRESS: cityhown state zip code The current exemption for"homeowners"was extended to chide owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who oes not possess a license,provided that the owner acts as supervisor. DEFINITION O H OWNER Person(s)who owns a parcel of land on which he/she resi es or ds to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached ctures ac ssory to such use and/or farm structures. A person who constructs more than one home in a two-ye period shall be,considered a homeowner. Such "homeowner"shall submit to the Building Official on a orm acceptable a Building Official,that he/she shall be res onsible for all such work performed under the buil ' Der (Section 1.1) The undersigned"homeowner"assumes responsibility r compliance with the State wilding Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she un erstands the Town of Barnstable B ' g Department minimum inspection procedures and requirements and he/she will comply with said proced s and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 5,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction C ntrol. HO OWNER'S EXENNIPTION The Code states that: "Any homeo er 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 pprson(s)for hire to do such work,that such Homeowner shall act as supervisor." _. Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,RuIes&Regulations for Licensing Construction Supervisors,Section 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 SnpervIsor 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. . 1 From SARAH BURNS rahreid2323C msn.com Subject No Subject Date Today at 3:41 PM To edlaceyjr@gmail.com =4• (*",K l 4" 4,4:, it 4-AL, b- it �'- i ti.i'';�'.. Wit-' ^�`= _ ti '• �e*n*rr• r �•rTnrT n n r. C!,r/'".iN'—'F� p.'T.rr.I:.'••^�'r'.�•'„'\9._'aar _ � iS.i::4lJWJ'� 'V*�`JV���9 •9 c�J J• ��ie epo�rn�raoaacue�o�C�aoaac>/ccaeC�Office of Consumer Affairs&Business Regulation Lic°ense or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: :,129816 Type: Office of Consumer Affairs and Business Regulation ' xpiration: _ 10 Park Plaza-Suite 5170 _1 82017 Individual, Boston,MA 02116 EDMUND V. LACEYJ ` EDMUND LACY JR. f ' 137 STURBRIDGE DR _ OSTERVILLE,MA 02655 " - Undersecretary i of valid without signature Massachusetts Dep artment of Public Safety Board of Building Regulations and Standards License: CS-675573 Construction Supervisor r y EDMUND V LACEY JR 137 STURBRIDGE D OSTERVILLE M4 02 'z Commissioner Expiration: 09/19/2017 Shea, Sally To: edlaceyjr@gmail.com, Subject: Permit/Application:TB-16-3762 at 75 PARK AVENUE, CENTERVILLE for Building - Alteration INTERIOR Work Only- Residential Hey Ed can you show me the floor plan for the wall being removed'. Which room? Thanks Sally Shea Town of Barnstable Assistant Zoning Admin/Lead Permit Tech. 508-862-4031 -t` rF Town of Barnstable *Permit# OFtNE 1i'��: Expires 6 months r sue date �� ITRegulatory Services Fee' rinxivsrnatr;,'° � 1 1014 Richard V.Scali Director oAB LE Building Division . 6r r�z3J/Y� 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 )� -,-f- Not Valid without Red X-Press Imprint Map/parcel Number. Property Address_? /4- A4on Residential Value of Work$ 3 / i Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address - ��l�G Contractor's Name /—011lreeee Telephone NumbeJOY 3 17 3 Y15w Home Improvement Contractor License#(if applicable)- Construction Supervisor's License#(if applicable) 42 7 S/ 57 3 ❑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# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side Replacement Windows/doors/sliders.U-Value, (maximum.35)#of windows #of doors: ❑ 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 pf the Home Improv t C ntra tors License&Construction Supervisors License is re d. SIGNATURE: QAWPFILES\FORMS\building permit formsukRESS.doc Revised 061313 y i` . SHE ley, Town of]Barnstable Regulatory Services BARNSTBM MASS. Richard V.Scali,Director ATE i639. ♦�o a. Building►�a. Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize rVpi to act on my behalf, m 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 utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name ' Print Name Date Q:FORMS:O WNERPERMISSIOI\TPOOLS Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division BARNSTABLF Tom Perry,Building Commissioner � AIA-1-IL 1639. 200 Main Street, Hyannis,MA 02601 ArEO eta www.town.barnstable.ma.us Office: 50 8-862-4038 Fax: 508-790-6230 HOMEOWNER LICE SE EXEMPTION Please rint DATE: JOB LOCAT40N number street village "HON,1E0 I - ­:_ , --- name home phon work phone# CURRENT MAIL 'ADDRESS: city/town state zip code The current exemption fo "homeowners"was extended to dude owner-occupied dwelling of Six units or less and to allow name e IN _ADDRFSS-- f home current o home-ownerstoerigageanin ividual for hire who does not osscss a license,pLcLvid dthat the owner acts as supervisor. DEFIN TON OF HOMEOWNER Person(s)who owns a parcel of' 'd oa which he/she res! es or intends to reside,oil which there is,or is intended to be, a one of two- 'ached or detaS ( structures acctsso family dwelling, attached d '�s5 to such use and/or farm structures. A person who constructs more than one home in a two-year period shall considered.a hom owner. Such"homeowner" shall submit to the.Building Official on a form I -for all such work Derformed under the building permit. (Section acceptable to the Building Official,tha he/she be wonsible, 109.1.1) The undersigned."homeowner"assumes reap ibility or compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she i . rstadds the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will co ply 'th said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 5,000 cubic feet or larger ' be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowneK,performing work for which a boil ing permit is required shall be exempt from the provisions of this section(Section 109._tU-Licensing of construction Supervis s); provided that if the homeowner engages a person(s)for hire to do such work,thit such Homeowner shall act as super-visor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing ing Construction Supervisors,Section 2.1s) This lack of awareness often results in serious problems, particularly when the.)i 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. e To ensure that the homeowner is fully awaof his/her responsibilities, many communities require,as part of the k, permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. QAWPFELES\FORYiS\bui1ding permit fomis\E)TRESS,doc Revised 061313 i The Commonwealth.of Massachusetts Department of IndustrialAccidents Office of Investigations kip 600 Washington Street Boston,,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AP61icant Information Please Print Le ib Name(Business/Organization/individual): a Address:-- e 1S l �L City/State/Zip: ,5'l/ , eIN hone Are you an employer?Check the appropriat^box: Type of project(required): �. I am a general contractor and I 1.El I am a employer with * have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). i 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 working for me in any capacity. employees and have workers' 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 j officers have exercised their 11:❑'Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t j c. 152, §1(4),and we have no - IdU,1'5- employees. [No workers' 13.❑Othera//& j comp.insurance required.] *Any applicant that checks box#1 must also fill out the seFtion 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' ! mpensation insurance for my employees. Below is thepolicy and job site information. f Insurance Company Name: C .. 4 .Q /h /I r2 e i / J {T Policy#or Self-ins.Lic.#: yl/e�' `i 9 Expiration Date: i Job Site Address: 7 ���1� �� City/State/Zip ze`iIil//�C-� 'Attach a copy of the workers'compensatio>l policy declaration page.(showing the policy number and expiration date). Failure to secure coverage as required under S ction 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 wellas civil penalties in the forth of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that copy.of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage ve 'fication. I do hereby certify r e pai n en o e:jury th tie ' cation provided abov is tr and correct Si ature: Date: j Phone#: D �� Official use only. Do not write in this areaa 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#: i j r The Commonwealth ofmassachusetts Department of IndushW Accidents Office oflnveWpaol s 600 Washi Wiv Strut Boston,MA 02111 Workers' Compensation Insurance Affidavit:Buiideerrs/Co A Iicant Information ntractorslEiectriciansMiambers PIease Print Name(Business/Orgatuzahoyi i Mdaal): 'bi Address- �`i 911i City/State/Zip: Are you an employer?Check the appropriate box: 1•❑ I am a employer with T of project employees(full and/or * 4. ❑ I am a g'�l factor and I Type P lect(required): 2X I am a sole pwpri� Pat time). have hired die sub-cofactors 6• ❑New constt�on ship and have no employ listed On the attached sheet.1 7. ❑Remodeling working for me in any These sum have 8. ❑Demolition [No workers h'- workers'COMP-ice. 3.❑ Ir u homeowner ] �P insurance 5. ❑ hav�and its O ❑Building addition m e doing all work Officers right of h actc�their ❑Electrical repairs or additions • yins�o��J t cODnp• c_152,§1��MGL I 1.Q Plumbing repairs or additions ( 1 have no employees.[No wo*as, 12 Q Roof repairs awicM UM 6aoc dt comp•insurance required.] 13-❑Other H0Uft-",� *o Sit oat the actm that ifus at6aavit indcg,�,q,Wtio°6cl°°v ar�r. box�nac mg as aro&and min hm mftW. ,ate sic '�bcd an aditonal Shea aae name of doe _boric a ttew am an employer that is provr g workers' •O01pIP. icy k rnrarion: mp�sation irrsur�cejorery to .Yee Below is i6epolicy and job site �ComPanY Name: - olicy#or Self-ins_Lic.#: Job Site Address: Expiration Date- ttach a copy of the workers'coin �Y/StatelZi�j�� y//T�_ F 'Iure to PensaIlion policy declaration t; secure coverage as reed under Page(Showing the policy number and expiration date). o u to S 1,500.00 and/or one-year imprisonment,on 25A of MGL c-152 can lead to the imposaion of P to$250.00 a day against the vio as well as civil penalties in the form of a STOP WORK penalties of a estigations of the DIA for• Be advised that a copy of this statement ORR ORDER and a fine mince coverage verification. �Y be forwarded to the Office of j o hereby raider the Si e. p f Penalties of perjury that the information provided above is free and correct tht" Phwie#: S Date: icial use only. Do not write pt this��to be confleted ity or Town• by dly or town official rig Authority(circle one): Pe mitfUcense# • Board of$ealth 2.Building Depa�ent 3.city/Town Cle'k .Other 4.Electrical - Lnspeetor &Plumbing Inspector _ ontact Person: • j t - i Ofac a =:L� (!:Q17. t�ll.•Y.'iilC-�/tllJ.�:p�a��f�a•�����/ J OffiYY 2nd � �:. �?171 .1 SBA. 1A Park Plsra- �g Baste 6 3 l IDAF1 MA al k1•1 , KEWM-H FAIRHAVEfl,L A 02718 uwammury Notv�tleoatsi�aa� } W-4 Startler :ars,avc}sar�SeF�-,t swr ds } FAIRRAV3 ,Y � ss3c yes Fxpiratio , oln�rmis w } ! f' - ! :J • t i i i l(v,jrrmolitnrallli ryC'•Z' rJ.lnr�rrJr//J Mice of Consumer Affairs&Business Regulation.g License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 14t3688 T Office of Consumer Affairs and Business Regulation ` e YP 10 Park Plaza-Suite 5170 Expiration: 10/18 015 i Supplement.,ard Boston,MA 02116 LOWE'S HOMES CENTERS INC ROBERT ABBOTT 136 TURNPIKE RD.SUITE 100 SOUTHBOROUGH,MA 01772 Undersecretary- Notvalidwigout signature j j j j i I _ I I I ; I i 1; i i i i i I , 0 w . vy C (e(91 aAj2(CA-6, VLC7v Jo 1� — 8m2go169 RR Dortrsl*®2813.All rights reserved.—0667 rxu'Ju'°s r'i7 rya CONTRACT# 0 M fi w�tr Ll 1 3Qa ,}�4 k1, i 4 �/A� r tin r( t t _ �> r E t. i u a }fir > S . 11NASSACHUSETTS SERVICES SOLUTIONSilo, ALtEDSALEStCONTRACT NUMBER 5 , C STOMER ) - LOWESAUTHORIZED REPRESENTATIVE ^�'^� „l .,» e. .___.... ADDRESS/-N 1 STORE NO STREET ADDRE7SS 1?3 i ,�'{j t .fLJ9n1. il'/ t..-+ ZIP Y ....., ..._ __.. .. STATE J zlp CITY / ,- F aTr � sT67�_ f >;'_.+" �"�:t J V s ��� fj' '.� ^. :`' • n 7 rc TELEPHONE £ � ti TELEPHONE LO LCC REG LOWE S HOME CENTERS LLC S MA HIC NO 148688 DATE e l FEIN 56-0748358 �v i.J ''uole for the merchandrse and sernces punted below ThIs becomes an1;agreement.Lpon seliereto'Jshall�rtie refeirgdttpi�herem aski�Is QConVactd9 me-5pti call comtted a es p is Thisis onty a q dowmen4 the Terms and Conditions induded'vnth this doaiment and any other addend`aa and attachmen PLEASE READ ALL TERMS A iflons DRIONS ON THE REVERSE SIDEOFTHIS PAGE'JAuND FOL40WING P GES BEEEO,.F,. IG`N NGc SJ kk .,<... "'? STATE ZIP 7. ,. CITY INSTALLATION STREET ADDRESS Fil rW� NOTICE TO CUSTOMER—PRICE CALCULATIONS:In order to properly perform the installation of certain Goods,the Contract Price may include more Goods than actually will be installed based on the measured square footage of the Project Area.As a result,the parties agree that the lump-sum Price stated in this Contract is calculated upon both the value of estimated Goods required to fulfill the Contact(including waste),which may exceed the actual square footage of the Project Area,and the labor which may be estimated based on the amount of Goods required to fulfill the Contract(including waste). By signing this Contract below,Customer acknowledges receipt of this notice and agrees and understands that the Price includes these costs which may, not be refunded once the Installation Services are performed. j fw'.. j Contract Total {� Are permits required for this installation?:[} Yes I ]No "applicable tax included ,, NOTICE TO CUSTOMER: Federal law ofthis pamuires pwe's to provide you hlet hlet before work beganh the pamplet informing Customer offe Rightthe potential risk of the lead hazard exposure , this Contract,customer acknowledges having received a copy P P g from renovation activity to be performed in Customer's dwelling unit. g you will be given a quote and a change order NOTE:If rotted wood is discovered during installation additional charges willpp�y_ must be completed and signed by the customer for any additional charges. - - Customer must initial. 'Any work c material not specified is not included in this contract.Any changes or additions will be at an additional charge for the material and labor. ere PHOTO RELEASE:Customer grants to Lowe's and Lowe's employees and independent contactors the right to take photographs of the all rig ses le and Installation Services will be performed and all work performed at the Premises related to this Contract,and irrevocably grants to Lowe's all right,title and interest in and to the photographs for use in all markets and media,worldwide,in perpetuity.Customer authorizes Lowe's to copyright,use,and publish the photographs in print and/or electronically,and agrees that Lowe's may use such photographs for any lawful purpose,including, �e513udin[Customer C ut not stomerrtoted to,initial o the left]. advertising,publicity,illustration,training and Web content.ey initialing here,Customer agrees to the foregoing. [ Work is to commence upon reasonable availability of Contractor and/or any special order or customer made Go[fill f Isn date]..)which is anticipated to be. /�._ ,? -- / ..� [fill in date].Estimated completion date is /1. ssence.A statement of any contingencies that would materially change said estimated substantial Said estimated substantial completion date is not of completion date is as follows: (if applicable,insert a statement of such contingencies). IF THE CONTRACT TOTAL IS$1,000.00 OR LESS Customer must pay in full. COMPLETE THIS SECTION ONLY WHEN THE CONTRACT TOTAL EXCEEDS$1,000.00: �]Customer to Pay in Full; OR [ ]Customer to use the following payment schedule: (1)Deposit $ to be paid upon signing contract.Deposit should be 1/3 the total contact price;and (2)Payment of$ to be paid anytime after this Contract is signed and before commencement of installation,I/We authorize Lowe's to do one of the following(check appropriate box below): [ ],Charge my/our credit card for the amount of the payment indicated above anytime after the date this Contact is signed; or ( ]Deposit my/our check for the amount of the payment indicated above anytime after the date this Contact is signed;and (3)Final payment of$100.00 to be paid upon completion of the installation and both parties'satisfaction. NOTICE REGARDING ARBITRATION AGREEMENT FOR CLAIMS COVERED BY M G.L.c.142A LOWE'S AND OWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT LOWE S HAS A DISPUTE CONCERNING THIS CONTRACT,THAT LOWE'S MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THEARBITRATION EXECUT- IVE TO SUCH ARBITRRATION OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE OWNER SHALL BE REQUIRED TO So AS PROVIDED IN_M.G-Lse;]_4,A Date: By: J Cam- Lowe'sk<ome Centers LLC Date: �`c'' °`' Owner Signature IES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE RESOLUTIO THE SIGNATURES OF THE PART N INITIATED BY SIGNAOWE'STURES PURSUANT TO M.G.L.c.142A.THE OWNER MAY BE PERMITTED TO INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THE SECTION ABOVE IS NOT SEPARATELY SIGNED BY THE PARTIES. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AND UNTIL YOU HAVE READ THE TERMS AND CONDITIONS CONTAINED ON THE REVERSE SIDE OF THIS PAGE AND.THE FOLLOWING PAGES OF THIS CONTRACT. BY SIGNING BELOW,YOU ARE ACKNOWLEDGING THAT YOU HAVE READ,UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE OF THIS PAGE AND THE FOLLOWING PAGES OF THIS OPY OF THIS CONTRACT AT THE TIME OF SI�A URE. CONTRACT.YOU ARE ENTITLED TO A C WITNESS OUR HAND(S)AND SEAL(S)BELOW THIS DAY OF L/) C,' E ' Lowe's Home Centers,LLC Co owner or Witness Lowe's Aulhonzed Repre`s'emative , Owner to filled Customer's enotice ot Customer acknowledges receipt of a true copy of this contract which completely in prior hus business dayer the date See the attached of cancellation t 1 Addendum Contract No: Date �.lo...2�, I.s./ /V i /!J!! -c3.^ 141NAIII. . ✓ Ve� s p P ;�,;:� �;r G•l` 4 6` P_ �l r(� � / � 1,U 6,1://'�<;/I 6-P i i')1 " �•, _ f � r ^yr � } / iv 4f� /f /�Ui'/.tf i �..% ! f'd7 �ll:c•� 5, br1 ���• $ !'-' 1:' ,4afi'`�friC � Pi �rt, V 1a PSE: Customer: `; � raig Stout ' O project Specialist-Exteriors c9� (pomcmancueal�i o�C ¢r/euaefla Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: istration: 168027 Type: Office of Consumer Affairs and Business Regulation piration: 12f7/2016 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 KENNETH KENDALL KENNETH KENDALL 5 WELDEN PL. FAIRHAVEN,MA 02719 Undersecretary _ Not valid with signature �i:s:;'i7t$OZa Se '�`3fr j A ar!G btanftrds Liter SE: CS-075153 t [ _c e s R713231W.F3 F'fAcE Expir n 01n�5 a! fl 5 1 s ♦ Y� . i The Commonwealth of Massachusetts Department of Indw&W Accidents Off1Ce of Investigadons , 600 Washington SYreet Boston,MA 02111 Workers' Compensaiion Insurance A�da�,�;Bnild�A licant Information rs/Contractors/Electricians/Piambers ��, / NaIIle(Business/organizationlindividual): PIease Print 'bl=�7�� � 19�9e�`�7 Address: e�'' City/StatelZip: . hone#: � C4_ � Are you an employer?Check the appropriate box: 1 ❑ I am a employer with I am a 4. Type of project(required). employees( -- ❑ general contractor and I 2 1 am a sole full and/or Vie)* have hired the sub-contractors 6• ❑New construction IuP s Proprietor or Pier- listed on the attached sheet t 7. ❑Remodeling and have no employees 'these sn working for me in any capacity. workers'ceb- actors have g ❑Demolition [No workers'comp,insurance 5. ❑ We Prafion and 9. ❑Building addition required] �a CmPo on and its 3 ❑ 1 am a homeowner do. °�C�have exercised their 10•❑Electrical repairs or additions rnySelE[No workers- work right § ( �p�MGL I 1.❑Plumbing repays or additions insnrance required.)t P• a 15 14 -and we have no 12_ repairs - employees.[No workers' Roof ;AnyaMi�that also 51!out the comp.&MMce�k'j 13.0 Other amftllftown-s who sabmit this Mus'g�avit itdca g;may below showing g �i`7' ma0ion t�tectc IItis box mast aorta C t�oing an work and �ontragoa-wt subtaft a mw indicating such, additional sheet'.."'^.uK a�daVli and ram an e►w Toyer that is ro ' moots alai� '00O1P t�dity mfamatioa infonnatiou P 'fig workers compensation insurance or Ins pant Name: f my evV yees: Below i s the policy and job site Insurance Com Policy#or Self-ins-Lic.#: EJ Job Site Address: Piration Date: Attach a copy of the workers'com City/State/Zip: Failure to d n der S policy declaration page(showing the policy number and secure coverage�required under Section 25A of MGL c. 152 can lead to the' ezpu-ah°n date). fine up to S 1,500.00 and/or one-Year imprisonment,as well as civil �sition of criminal penalties tea Of up to$250.00 a day against the viol Be advised that a penalties m the form of a STOP WORK ORDER and a fine Investigations of the DIA for m�taance coverageCOPY of this statement may be forwarded to the office of verification. I do her � �y c under the parrs and penalties o fP�1ury that the information provided&bone is true and correct Si ainre: f Phone M 5' Date- �S Official use only. Do not write'n this area,to be conVk(,,d by city or town official City or Town: Issuing Authority (eircle Permit/License# L Board of Health2.Building De a b.Other g P rtment 3.City/Town Clerk 4•Electrical Inspector 5.Plumbing Inspector ^ Contact Person: ---- -- —— — --- Mae#; i -� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION C) Map Parcel Application ✓ Health Division Date Issued y'Zg e Ax- Conservation Division Application Fee ' Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Stre` ddress L kiaj Village. Owner Address Telephone .Permit.Request 0! hk.• tu � 6 CA,cvr s Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new 7-oning District Flood Plain Groundwater Overlay Project Valuation Construction Typ�L �Q Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes 0 No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor I 'oom Count 00 Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove ❑Ye's ❑ No u r;7 Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑•new size _ Barn: ❑ existing O:newtl-;�size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: `Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ e� Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use •APPLICANT INFORMATION UILDER OR HOMEOWNER) Name6we d 1,tlo�/ Telephone Number Q p Address ` U &q 6r License # Home Improvement Contractor# Email Worker's Compensation ## ALL CONSTRUCTION DEBRIS RESULTING FROM THIS P OJECT VIVILL BE TAKEN TO SIGNATURE DATE c � FOR OFFICIAL USE ONLY :r ,APPLICATION# ' DATE ISSUED f' MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' ` PLUMBING: ROUGH FINAL f t GAS: ROUGH FINAL -FINAL BUILDING DE>CLOSED OUT ASAQ0WION PLAN NO. { F Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supenisur s License: CS-100988 HENRY C CASSUO 8 SHED Row W E S'T Y nRmo U'1•EC I�W�'I 7� Expiration Commissioner 11/11/2015 f t S , t , l ,f j� ' �(`,'('�il'�ilf.;1�1•(l=r'c(.(��1' �' ,� [ (.Cl:,J:1C1'•Clf.lf �Jt'''��) - ;, 6 t_11 l i�: l�L C.'Urltil.lR14r i�f1`lirti �trlil 13usines h .`;l.l(L1ti()ki 10 .pal A\, l)•l LlLll �llll� ��rl ��' «. 130 1i)1"1, M'ISSUI1UMIS 02.1 16 11011le fillhf'Qve'lllem Contractor Regis(1'i1hor I ' SkI clt1011. I 535l.1 l Ivpe: (:ovocrrrltioll Expo E tion: l 2/l a/2 '1 1 I O J lbj l dll INC gUpdalrr`ttllllr�s InIJ.r�auru \:ur11. 11'lurlc rcatiuu lul Thangr. 1..,J AiNrusS l.._I RUIIOW1ll 11 Elliolo.ylll/llll '_l I 1.1111 l.il l'll iir r r �i'r.tr !< ry t (l�;,•ri Pltcli�i'l) �' � - •� l •,�����ni,•,'.\Ilulr.l .1, lluslilcg.� Rev'Ul,Ili(ju L iccllw of rq-wrilliull villill Jllr Illdil'lllll) list oidy _ l ntr rrlr'r<t.i\'I::IVII:N I- CON [. AC TOk hQlinc Ole cspiruliun rl9tc. 1C Ibuull ltauru tu; f !h.,.,,�;li;,u,„i Iti'.icui7 l•yJ.)�: l)(licculCunsumcrAflilirsunllLfusiucssltct;ululiuu . l� F'I IV lu l':l'h llhr,;l-Suitt:5170 _w .i��lia il`Jl� l InIIL'1\t l'I t'lllll ZY '1 Pill 11'IIhUAI i II II Die Corrzr otavealth ufM ssuehrlsetts y� Depc7rtrrrent Ujf lrriixcstrral accidents I, Ojjuice of Investtggttons , 600 Washingion Street C+.•. Boston, MA 02111 WWW-fig liul';.tus, Col-U- ellls"tiou fusllYance �ilrtvlxtl'S1 tY1�dCY�/Cl1JL��r�llC�� y_ r /I��c��!�uit�i<�>usl�.yYuxxzA�ers� M�t.fr':Y1Yt �9Y.t'i➢Y'r)I.YiktY�t1�� 1C'`lel4se Pri"t �'�;,!il� 1.Iluiwua;ill)t'�r{116�b16a41(1/1=t_1G1lYlt.tilii��. ��` p=:l,_ --� I Phone #: f,_ }ua Stu ctltl,tuye'rY Check tale appropriAte box: - 77.' ED pro (required): .till 't<.Itt1,40yor viC11. ~•` � `t El 1 ll]7 d gelleral Contractor MCI 1 tit l ,yc:�:v 0, 111 Ijlcvc)e , urt-ri.lna have hind the sub contractors w consu-rrct'- proprietor ur parp:tQr- listed on the artacbcd sheet. nocicliipb itlp at,d have nQ employers These Sub-contractors have ,vo1f,als for 1110 iaa aay capacity. employees and have workers' 8. E] Uernol.ltlon i iN'1) volkc:'rS' c0111p. LQSL1ranca comp, insurance., 9. 0 Building additio(1 (l we arc a corporation and its '.I0.❑ Electrical repairs or additions honicownesr dou' 19 all work officers have exercised their el,),,.[] Pltunbixig F'epairs or udditions �'cclf. [No workers' comp. right ofexempfion,perMGL I u:;urartcr; t C(.jUU'cd.] .t c. 152, §1(4),and we have no 12,El Roof repairs t� l till,a 110111cowllcr acting " F9 J zm to ees. o workers' 13.12.Other a a i� ;n"Ll i:()1W'actQC (refer to # 4) P Y [�`l ._ �..,T� _..-.__._..._.._..--_ comp, lnsur'ance required,] Applic.utt,bar CIICC cs twx WJ Rln:/t als<) tltl out the 3CC600 below Showing ncctr W06m,compCmudolijwlicy 4 onnuaou. ' tiouwuwuc,l who subrnit cttix attidltvit illciictg g chcy arc doing atl wol-};arld lhm hire uur�idC contractors Must subunit a acw atl!i ivir iUdilca(ing:loch. •�,,,,u"u.:t„ty dtwl chc'k[111.] boxUrL1.Y(4tttt.i;hCt1�Ln LLddidOtlul sheet 9ttu A'rlg the than of the mb-t:OAtllit;t0[�t1'Qd 4MCC%Vhc(hCr ur tint U703o cutitica t).vc �Iq,lirvcca I(u,�sou-cutltraCturs have Cmpluycca, that'cllust pruvidC thCir Wurkr,-3'comp,policy utunbcr. j( /;,nr urn CJYff�lUy'cf that r9 prtr►vu'lrrgr workers'earnperrsatiUn irt;ufunce for my empltryees. Vtnlow 1Y 41se policy ".rid job Sitc :nJurYrr�lfUlt, I c Collipwly Name: -Scir-lily. L(c. 4: C'/ i/!.,'l/" / - % ..�-' /� Ayt ' � Expiration Date: '`6 f ! G� Ht Il a L:UPY of clue wuckcr3' co►nlpetrxutiorrt policy declaration page(shovriag the polity utxmber and expirutiolt(lute). •4uvcra9C LLS rcgLdred under Section 25A of IviGL e. 152 can lead to the unpasitiotl of ct-411 ajal penalties of a Iinc ul!t, �I. 00.1)t) and/or 01le•-year irrlprisorimerit, as well as civil pcnaltiCa iu the farm-of a STOP WO11.K OR-DL,R arid a tine Of up ro SLJO.UU allay al;ainat the violator. Bc adviscd that a copy of this statement may be forwarded to the Office of In�'cstt,�l4�ns of Lhc DIA for WJLl[•c`ri1C:C WVe[*Ri e Verification. t�u ncrcby cerlr �rrrA(eY tlS c7brru'pGtralties of perjury that the information provided abUrr• is trrae andcorrrcr:f 1 Clijt�rul urc unly. Do riot write in t/rta( area„ to be completed by city or town official T---- -- <iry or i•uwu: PernlitJl�icease# 6NIJrg Aultlority (circle onto): E..tta„rol of W411h 2, Building Depurtrneut 3. CityfTolvrr Clerk 4. Electrical Impector 5. Plu lkitbirig 11Y.1pector- b.Other _ — ( unturr l'Cr3lifii: , CAPECOD-27 CVANGELDER ACORN® CERTIFICATE OF LIABILITY INSURANCE DATE FYYYY) 41112011/2014 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). CNTACT PRODUCER �. NAME: Cape Cod Commercial _ ROgers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 A/C No Ext: A/C,No):(877)816-2156 South Dennis,MA 02660 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Peerless Insurance Company INSURED INSURER B:COMMERCE INSURANCE COMPANY Cape Cod Insulation Inc INSURER C:Evanston Insurance Company 18 Reardon Circle INSURERD:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth,MA 02664 INSURER E: INSURER F: - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 LICY EXP LTR TYPE OF INSURANCE N DL VD POLICY NUMBER MM/DDIYCY YYYr04/0112015 LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE a OCCUR CBP8263063 04/01/2014 PREMISES Ea occurrence $ 100,00 MED EXP(Any one person). $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 X POLICY❑JEC LOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident B ANY AUTO 14MMBCKVMK 04/01/2014 04/01/2015 BODILY INJURY(Per person) $ ALL OWNED Lx (Per accident))SCHEDULED AUTOS BODILY INJURY(Pident $ 1,000,00 X NON-OWNED PROPERTYDAMAGE $ HIRED AUTOSAUTOS (Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 C EXCESS LIAB CLAIMS-MADE RIO XONJ453512 04/01/2014 04/01/2015 AGGREGATE $ DED I X I RETENTION$ 10,000 Aggregate $ 1,000,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE I I ER D ANY PROPRIETOR/PARTNER/EXECUTIVE YIN CA00525904 06/30/2013 06/30/2014 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? N❑ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,00 If yes,describe under - - - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) - Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EVIDENCE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 6U �4;;� ©1988-2014 ACORD CORPORATION. All rights reserved., ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Hidusing Assistance Corporation Cape Cod ROME.OWNER 1 RESIDENT WEATHERIZATION WORK PERMIT&FUEL RELEASE- PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. Elizabeth Stevens I hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation (herein after referred'as "Agency") on the property located at; 75 Park Avenue Centerville MA The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping &caulking of windows and doors,-insulation of attics, sidewalls&basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows. In consideration of the weatherization work to be done at my home I agree to the following: 1. 1 give permission to the"Agency''its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5)years after the weatherization work is completed. have read the provisions of this Nreem ntt as listed and freely give my consent. Home Owner: (Signature) f- Date: 3/6/2014 Agent: (signature)) �-�- Date: 3/6/2014 _ �....�..— HAC approved Weatherization Company : &r(2 Adam T Incorporated All Cape Energy Alteniative Weatherization Building Performance Contracting LLC Cape Cod Irrsulatio Cape Save Frontier Energy Solutions : Lohr Home Improvement Resolution Energy Town of Barnstable 1q 0 v of ermit# Expires 6 mon hs from' .e date Regulatory Services Fee MANSTABM 9 16 96 ,0� Thomas F. Geiler,Director TFD MA'l p 10 I9�l Building Division . V Tom Perry,CBO, Building Commissioner 200:Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Officer 508-862-4038 Fax: 508-790-6230 EXPRESS PEP-NUT APPLICATION - RESIDENTIAL ONLY Not Valid without.Red X-Press Imprint Map/parcel Number g Property Address f .Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owners Name&Address "CA. V-e Contractor's Name �� Telephone Number -VX- 7-L C�,; Home Improvement Contractor License#(if applicable) \4j, Construction Supervisor's License#(if applicable). C3 0 jaft 'T YWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor JUN 12 2012 ❑ I am the Homeowner I have Worker's Compensation Insurance �.�� BARNTA�LE, Insurance Company Name (�y fir;j ® Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) . Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be to w El Re-roof(hurricane nailed)(not stri PPi g.'Going over existing layers of roof); ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows 'Where required: Issuance of this permit does not exempt compliance with other town;department regulations,i.e.Historic,Conservation,etc. ***Note: Property0wner must sign Pryperty Owner Letter of Permission. A copy of th H e mpr ement Contractors License& Construction Supervisors License is required: SIGNATURE: :\WPFILES\FORMS\buildin Q erinit forms\EXPRESS.doc gP Revised 051811 The.Commonnwakh of Massachasetts . Departwent of Industrial Accidetr s Office of Inv 411i tions 600 Washington,Street Boston,MA 02111 Workers' Compensation Insurance Affidavit Bmlders/ContractarstElectric ansfPlumbers ApilliMUt Information Please Print 'b Name(BusinmUtganizaoanQndiui;deal): �. Address: t� City/State/Zip: g� Phone#: e'er` �K `3 G Are you an employer?Check the appropriate boa: Type of project(required): I.d9I am a employer with 4. ❑ I am a general contractor and I employees(foil and/or part-ttme)_ * have hired.the sub-co�ctars 6- ❑New construction 2-❑ I am a sole proprietor or paruier- listed on the attached sheet_ 7- ❑Remodeling These sub-contractors have ship and have no employees 8. ❑Demolition . working far me in any capacity. employees and have wodcers' [No workers'comp.insurance comp.msuraa e—1 9. ❑Budding addition 5. ❑ We are a corporation and its, 16.0 Electrical repairs or addition.s 3.❑ I ama homeowner doing allwoik officers have exercised their ILL]Plumbing repairs or additions myself [No werktrs'camp. right of exemption per MGL 12.❑Roof repairs. insurance required-]E .. c.152,§1(4X and we have no ampJam.[No o workers' 13.0 Other camp inMUMMM mquired.j '�Y applicaoar that checks box#1 mast also fill out the section below showing then workers'com�pen-flu ,policy k&rmstiaa Aanoeow�s wbo submit this dEd nit indicating they are doing an wmk and rhea hue outside com m mrs MM submit anew affidavit indicating so li lContracmrs that cbKk this bout must attacbed sn addiiinnal sheet showing the same of the mb-co�s:and state whether ornot tense entities bsse` employees. if the sub<mmactors bave employees,they moist pmvide their workers'comp.policy number- -Taman erspktyw that is pmtdding workers'coagmmaTlian.insurance for my eirg7loyem Below is Ste policy and job site: information. Insurance Company Name: Policy#or Self ins.Lic.#: cc Expiration Date: �10 — j—ap \`)L Job Site Address: ? A!NY` h V e City/StatetZip: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$1,50D.00 and/or one-year mi 4 isoninent,as well as civil penalties in The form of.a STOP WORK ORDER and a fine ofup to$250-00 a day against the violator. Be advised that a copy of this statenumt may be forwarded to the Office of Investigations of the DIA forimMmFe,coverage verif Cation.. I do hemby c cinder the n an pena of perjury that the information,provided above is true aid correct S, tore: mate: J �ro� Phone#_. 8 - : [,►,facial use only. Do not writs in this arrew,to be completed by city or town oo4ciat City or Torn: PermitUcense# l cuing Autfiarity(circle one): 1.Board of Health 2.Buffing Department 3.City/Town Clerk 4.,Electrical Inspector 5.Plumbing Inspector 6.Other: contact Person: . Phan#: 6 BARNSTAaLE. '"'9 `Town of Barnstable 9A i6;q. ,0� t ' Regulatory Services Thomas F.Geiler,Director Buildings Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.Ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as -Owner of the subject property hereby authorize \ to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) a `moo Signature of Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. i Q:\WPHLESTORMSUilding permit forms\EXPRESS.doC Revised 051811 1 �tHE Town of Barnstable r a Regulatory Services a r saarr Thomas F. Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 026,01 . www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICE E EXEMPTION Please rint DATE: JOB LOCATION: number '� street village "HOMEOWNER": name hom hone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was exte ed�n include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who es not Nssess a license,provided that the owner acts as supervisor. DEFINTI I6 OF HOMEOWNER Persons)who owns a parcel of land on which he/ he resides or tends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures ccessory to such a and/or farm structures. A person who constructs more than one home in a two-year period shall not be considerr a homeowner. Su "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/sheall be res onsible for 1 such work Derformed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes resp nsibility for compliance with th State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies tha he/she understands the Town of Barnst le Building Department minimum inspection procedures and requirements and that he/s will comply with said procedures and re q ' ements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings ontaining 35,000 cubic feet or larger will be required to comp with the State Building-Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any omeowner performing work for which a building permit is requ ed shall be exempt from the provisions of this section (S ction 109.1.1-Licensing of construction Supervisors); provided th 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� upervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 051811 ATE y�^t ISSUE D THIS CERTIFICATE IS LSSIIED AS A ILIATTER OF IIv'FORNL4TION ONLY AND COI�'FERS NO RIGHTS IIPON THE CERTIFICATE.HOLDER.THUS f_'EitTIFTQ+iTE DOES NOT AFFIRIIIATPJELX OR NEGATI�'ELI AMEND,E.l'TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOR'.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTR.aiCT BETSVEEN THE LSSIIENG L\SIIRER(S},AUTHdRPLED 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 NORTHWOOD ESHBAUGH INSURANCE AGENCY NAME: PHONE FAX INC (A/C,No,Eut): (A/C,No): 540 MAIN STREET E-MAIL HYANNIS,MA 02601 ADDRESS: PRODUCER CUSTOMER ID#: INSURED INSURER(S)AFFORDING COVERAGE NAIC# DEAN F STANLEY BUILDING CONTRACTOR INC INSURER A TRAVELERS PROPERTY CASU.UTY 359 CAPT LIJAHS ROAD CONIPANY OF AItiIERICA CENTERVILLE,NIA 02632 INSURER B INSURER C INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER; REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE.BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOT%`ITH.STANDING ANY REQUIREhEN:,TERDI OR CONDITION OF ANY CONTRACT OR OTHER DOCUI IENT WITH RESPECT TO VRUCH THIS CERTIFICATE KkY BE ISSUED OR IviAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED BEREiN IS SUBIECT TO ALL THE TFR1 S,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.Llli UTS SHO'NrN IvLAY HAVE BEEN REDUCED BY PAID CLAWS. INSR TYPE OF INSURANCE A-DDL S1UBR POLICY IN-IIAIBER POLICY EFF POLICY EAT LIMITS LTR INSR. Wt D 01 WDDrYYY1) (N1M/DD'YYYZ) GENERAL LLIBILITY EACH OCCUxPEIdCE - S DAIvLALGE TO RED-= $ O CO1v, .CIAL GEITEP--.L LL4BiZTTY PEE1vIISES(E^ :occurrence; . - - MED.E�ENSE(Any one 0 CL_JNLSIvUAT'F OCCUR. person 0 FERSUNALR.-"DV. S ?IIURY D CENERALAGGREGATE S GEITL AC13REGATE LIh4T APPLIES PER: PRC,LUCTS-COMP/OF' S 0 POLICY D PROJECT 0 LOCI AGO AUTOMOBILE LLABILITY F COI fBIRED SINGLE S. LIt.1T (Ea accident) BODILY INj Y S D ANY AUTO (Per Person) PLL OVlBiEi JJTOS BODILY PISUP.Y S (Per Accidenfi PROPERTY DAY,4GE S 0 scHEDUL.ED Auros (Per accident) 0 HIRED AUTOS S 0 7dOI-7-01N1d.EJ AUTOS 0 EACH OCCURRENCE S 0 UTABRELLALLaE 0 OCCUR - 0 EXCESS LLdB 0 CLAIMS-IvL-:DF AGGREGATE S 0 DEDUCTIBLE S D RETErrrioN S WORIO RS'COMPENSATION WC A AND EMPLOYERS LIABILITY NIA SIATU VIRY YIN LIIv= ANY PROPP=0RJPARnTE_R! - E.L.EACHACCIDENT .S1OO,000 E,��.CUTIVE OFFICEFJYffil F=R.• _Y NIA - 43.69POS1 10;05;2011/ 10/05/2012 EXCLUDED? - - (ibLAN'DATORYLNI M_ _ - - - -.L.'DISEASE—EACH $?OO CUO . ... ..1v1nLOYEE. If yes,descrit+e�mder DESCRIPTION OF E.L.DISEASE-POLICY SI 00.000 OPERATIONS below LLMiT DESCRIPTION OF OPERATTONS/LOCSTIONS..IVEHICLES(.Attach A•^_ORD 1.01,Additional Remarlu Schedule;ifmore space is required) THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WOP=RS CO?,e COV7-R4GR LEItTIFiA HQLDERNGET LATIOi TOWN OF BARNSTABLE BUILDING DEPT 2OO IVLr1II\I STREET SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE VilLL BE DELIVERED IN HYANNIS,MA 02601 ACCORDANCE WITH THE POLICY PROVISIONS. . AUHOM D RFPRFSFNCAMT - . -- I `lwlrhM1 l:.-U Tr-iAl P-e . License or registration valid for individul use only Office of Consumer Affairs&Business Regulation I g . HOME IMPROVEMENT CONTRACTOR I before the expiration date. If found return to: Registration 132149 Type: Office of Consumer Affairs and Business Regulation Expirat!o /2012- Individual 10 Park Plaza-Suite 5170 - ! Boston,MA 02116 j DEAN F.,STANLEY I • ��� cif � _ � ! 1 DEAN STANLEY 359 CAPT. LIJAH RD l._ CENTERVILLE, MA 02632 Undersecretary Not valid without signature Massachusetts -De i Board of Buildin partment of Public 5 Reg Safety Cun.ttructiun ns and Stand � License: Superii•sor ands ens e. CS-035 037 rDEAN FST A1i3ENRSCTE ✓ r rs o,. - E MA �02632 _ Comi`rfit� . ►nissioner Expiration �+ 01/19/2014 .J Town of Barnstable Permit# v Expires 6 months from issue date Regulatory Services FeeBAMSTAMI as� Thomas F.Geiler,Director a o 'A i639 01 MAr Building Division. Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 . �PRESS PERMIT www.town.barnstable.ma.us Office: 508-862-4038 F� �Q'_$-1904,6�30 EXPRESS PERMIT APPLICATION RESIDENTIAL ONVY Not Valid without Red X--Press Im Y %aVVIN OF BARNprinf STAB(_F Map/parcel Number .10 8 007 Property Address 7 Residential Value of Work S Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address MA, -M14 s! ✓�lJ Contractor's Name Telephone Number i Home Improvement Contractor License#(if applicable) l Q L g z 7. Construction Supervisor's License#(if applicable) ` 6CM 6 ❑Workman's Compensation Insurance ` -PR Check one: PL I am a sole.proprietor` I am the Homeowner JU.N z 2010 ❑ I have Worker's Compensation Insurance TO W/V O �T Insurance Company Name ABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ., ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side } #of doors. Replacement Windows/doors/sliders.U-Valup i, (max;mum.44)#of windows=� *Where required:Issuance of this permit does not exempt compliance with other town department regulations,Le:Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is r ed. SIGNATURE: �l _ C:\Users\decoll' ppD \Local\Microsoft\Windows\_Temporary Internet Files\Content.Outlook\4STGU5QO\EXPRESS.doc Revised 09 80 I ti 7be ColFt mon eailh of Massadiuseth Depart ant of Industrial Accidenft - -- ',,ice of Invemigalions 600 Washington SMret - Boston,.AL4 02111 www ntass.goWdia Workers'Compensation Insurance Affidavit-Beiders/Contracus ilectnctan bars Applicant;Information Please Print Legibly. Name(BaasinessfOrgan zation&&vidaal): �� 5 I�• I -C y r vS t Address: 5 Vk,+-iIJ 57 City/State/Zip: d7-L-4 phone# ;� L02 — 2`^t 6 f Aire you an employer?Cbeclsthe appropriate box- Type am an enteral contract"and 1 . . Type of project(� - 4_ 1.El I am a employer with 0 g 6. New construction ,(, employees(fixlt an&or part-Qime)* have hired the sub 2.�I I am a sole proprietor or partner- listed on the attached sheet . ode�g 1,�-ship and have no employees 'These sub-contractors have- g ODemohtion working for me in any capacity. and have wod=s' 9. ❑Building addition JNo workers.' comp.insurance comp-Msurauce.Z required-] 5. We are a corporation and its ME]Electrical repairs or additions 3.0 1 am a homemmer doing all work officers have exercised their I LF. Plumbing repairs or additiorn right.ofetemptionper MGL myself [No workm' 12:❑Roofrepaias. , we have no insurance required.]b c.152 �14( )'and employees_[No ors' 13.E Other comp_insurance required.] *Any app tuna that checks box#1 must also fill out the secdaabelm showing their waikera'compensation policy infaffmatim T Honeowims who sabmit this affdZm iudicaing they are doing all wcmh and dm hke outside a o=Kwn ianst submit a mew affedacit indicadag mclt FCoatractoss fiat cbeck this bow test attached am additiomal sheet dooming the name of the mb-cmitractors and state w1ae&ar or not ttmse en6 ins have employees: Uthe sob-c ntmam hue employs,the3'maestpmvide tfi&wwkus'camp.policy mmibm lam an enpdnyer that ispmvift workers'cos gmusa&n insurance for my eagA oyeaas. Below is thepolicy a"job ssftte informatimt Iminance Company tame: Policy#or Self--ins.Lic.#: FPapirantion Dias: Job SiteAddrew: City/State/Zip: Attach a copy of the workers'compensation policy dedaratiou page(showing the policy uumbea and-,expiration date). Failure to secure coverage as required under Section 25A,of MGL c. 152 can lead to the imposition of criminal.petnallties 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 OAR and a fine of up to$250M a day against the violator. Be advised that a copy of this statemmut may be forwarded to the Office of Investigations of the DLA for insurance ace coverage verification. I rin hereby cerh y under tkaa psi' a rF penaa ss of_pea zuy Jhat the inforrna&n pro ded above is hate and correct Bi Date: - !U 1 CJ phone# T77 _2��9 O al rasa only. Do not wr&in this area,to be compWed by city or town df ckI City or Town:_ Permit/License 9 Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Imspeetor S.Plumbing Inspector -f.Other Contact Person: Phoaae#m License or re . . before registration valid for individul the expiration Board date. :If found return to only ofBuilding:Re o: •� One Ashburton gulations and Standar Boston,Ala.02108ace Rm 1301 ds . • Nof v �, alid without Sign2ture.7.� ✓ 1 re.111arwrealt/z'.a�./f/laoaac uaelZa� Board of Building Regulations and Standards ugHOME IMPROVEMENT CONTRACTOR Registration 102827 \l Exptrabon 7/2/2010 Tr# 271928 t ;Type DBA FELLOWS'.BUILDING&�IOME:IMPROVEMENT James Fellows 5 Main Street ' Mashpee,MA 02649 Administrator • 1VLLss Ichusett's- bepurtmerrt of Board o B �, uil(lin11 R Public Silt-" e,ulatiins.0 Construction Supervisor Lic 1'Standards . ense License: CS 40858 r Res tricted.,to: :00 , DAMES D .FELLOWS. 5 MAIN ST.. MASHPEE,`MA 02649 Expiration: 9/30/2011: C ommissioncr' . -- , Tr# �p �WAJ3 o. r "'^ Town of Barnstable fD MAr A Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I,�YIG/4 /EVEN S ,as Owner of the subject property hereby authorize Rj U' L b/?,-3 C to act on my behalf, in all matters relative to work authorized by this building permit application for: • (Address of Job) Ile Signature of Owner Date Print Name H Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\4STGU5QO\EXPRESS.doc Revised 090809 l ; Assessor's Office.(1st floor)�Map Lot , 7 , - Permit# �75 Conservation Office(4th floor) Date IssuedS Board of Health(3rd floor)(8:30-9:30/-1:00- 2:00) Fee to :U tl engineering Dept. (3rd floor) House#1 2S �t y Planning Dept.(1st floor/School Admin. Bldg.) , e tive Ian Approved by Planning Board 19 A i TOWN OF. BARNSTABLE Building Permit Application reet Address Village /.Owner Address Telephone Permit Request %Total 1 Story Area(include 1 story;garages&decks) / DO square feet Total 2 Story Area(total of 1st&2nd stories) square feet ./Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Z" Dwelling Type: Single Family (/ Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other �'�r�l �-C�uhGjy CST z;vc,) Builder Information Name I&yy 4s 1441a,y- Telephone Number ./ Address_7 GAL n 77z� .�2 -,License# - Home Improvement Contractor# ;.,,Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO IGNATURE _ DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. #9875 ' DATE ISSUED August 23, 1995 MAP/PARCEL NO. 208.007 ADDRESS 75 Park Avenue VILLAGE Centerville, MA 02632 OWNER Marcia A. Stevens DATE OF INSPECTION: FOUNDATION FRAME i INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 7 t GAS: - ROUGH FINAL , FINAL BUILDING 1 • DATE CLOSED OUT ASSOCIATION PLAN NO. } _- --�- - CO oa CO ANC C o� ��� y E¢ s olA 1 �! 75 f ' PARS t CAP ibEw c-w w/ STOQ u6 vdan�Y2 m-_/'nt3os/-QJ3 WA L�_ X Wh r m_ tj 7 Cat` - 4 k.4 ��ST BUILDING DFPY t w • 4'..d_C- Cj-,,cx_) M t�U\NN QV BMI i r 3�oN , jlLr (X --- L w J1.! 0 ' W t O� x f�L'—' cOv,7, 1.�An s`-��5(.\t\ c? "Cv t0 S ITC- r LCKl6-1 c t Li rr Mhn 2 "c6 'PT.-• as s t� �: , s) ____ _ ��c►rr ( s c --- u 3 Zk-il _p , ,ks:c�._ I ��`1C.l L \bU - 2. tK _. AL 5 C)t�1 0 t—CJ C_�`{ a yT - Z<lo NIP __ --- - y . _ , 21`O1n, CANE l=l0-L� v Y CEO rFit ci — -- — ! '3/4" rJ tT cv s T c��c �v tt✓z t��z�c�cl=.'t -- � i r fail,` -N W Gu S tw � i t L C3 ETA tt_ f5 t, .Cl t `� MA__4 t v o 7 E - INT 4i ------ _ f r" (= u�T tc��► 1_L (=LLB//`TlO N C Design to _-._. g), 110 A wuuuzae to wooa:constructlan in High,Wlnd-Areas. 6k Wind Zone diance WC-Guide to Wqo&�I!o FpLI.cAN-r TO COM.PT-M & SUBMIT WIT-W 0 Massachusetts Cheekhst fwt Co ."PERNIT �AILICA-T­10kl A wC.Giiiih, id.R?ood .10" inpfl 4111d z0fle A A- MP ftstruc'11011 in H19k Wind,4reqs:110 mpl,. Zone (780 CAM 5301.2,1 Yirtf ES 1' %5301-2.1.1) . 1 1. n Mind - a -f Massac (;41''dc, to 1100(1 s ACe (780 CM 53011,211) h C, qs fol 4, yl;,ass athIng -Aspect Ratio,deten U115 0i ............ t-� - and 11 and'16paton Qf wall she cil..5.-� U:i118*1`r.af66:`0 ........ ......... . a, From Tables I G and Bulldillig H complian('e. Y ­i� Z Sheathing,and Nall-Sp Nto .............. b. Woo� d tructural thickn6qs of 7/161%and beinstalled as follows: murn 61 Pr �d farg eding bu�c.h�� a insWjd&�vfth'strength axis parar Wb T. f 9) 110 Mph liefto studs, .......... 1.1 SCOPC .......... .. ....... ................... ......... All h r 'and' Wd .............. ...... ............ be nal 'lo4raming. .e Headersp ............................ .... n s, Iii, On$1 0 shall be edio bott� member of the.double IIE9 ............... ...... ........... Siff Plate's ............ s�dt9,6 nsirbetjon ' a -rab ............. FUff Height 6� ............... top plate� ppening b(jf-Y On-two story 06ptruption,t4pper panels s�hall be attached tolhe top mOmbeT Of the.upper double top to*ries.'.,.`5 N6n-Load�Sparl '(re COMO 2np -Table 9) _g cord largest. p6nlngi.�:(...1.2 A PL I CA E3 i-IT .1dered a stQry)' 8' 12 slape'!�tjall be c6ns (a..roor'i�hich exceed,3 in ..... ...... (Table in.:5 12' 5 ., . - I - N u 2) to. bo. dmpil`k4i,"U�per attachrr 'all-be made to band Joist plate and o'rfra,mlng,. ........ .......... ............... 12' ient�f 1&4f panel-th ................ ....... ......... spans andlov�er-attach .................................. - -----(Fig 2)........... �Iate at first flo /ft .............. .........7- pin .14 .......................... .......(Table 9)� 2 ......... v. Horizontal nail spacing - I I W ..., d joists, and ............... -to Resist uplift and Shear 16r�' :5 .......... ........ (Fig 3)... double tOw of 8d - ......... staqgered at 3 In6h6s,on',6 nt6t'pt,'�-Ajures;below Yert B u i;d i %1\/)dth,,W (Qq'a).............. ...... �cal,�nd Horl di ................. W. zP . Kai nO for Panel Attachment ........................ Length, L ........ (Fig AspectR -vv). NoC46ial Hdigb -af(est opening. ......... ...... Shea hIng Type,-_....., atio (Li .......... ...............................(Tallest Opening" ......... ........ (l,:ig 4)�..... .......(hate 4).......................................I,- ght. o ....... (Table 10 or note 4 if le4$)............ ...... ............... ........ ............�,(Tab(e I 0)�...... F t'1INC3 CoNNECTIONS .............. .. ....... -F .................. ........ Qhnqoffori%(pb.c I ed commOn nce With Ira miag,connec'6ons...... ........(Table 2)... fe 10)....... G ri ra ra COMPlia -66rlt' ............... (Table 10)...................... pe; L---------- ........... .......... ....... ........... d for Wall With opening> (Des�pfi O'd 2.1 OU1\1c)ATION al... ire.mentt of-7'8.0 Cf; 104.1 i� WeN meeting requ Max;C.oncrete....... ................... ....... ............. ......... ............ kit b f T� iti E t 0 P a I� ........ . . .......... ........... (note 4)................................... cc�perete masonry......... .... ........... 7 (vable I I or nte 4 it le ..... .............. 2.2 AN ------------- ........ t F F .: ..� , , ....... Cl,.In,RAGE-ro F:oU_NDAT- f0 .................. 7 letary-Mechanical,Anchors as-�n alterftati% in cor01`13te Onk mb,� ije,�r­e:518, Rropri Shear- 16fft�(2,"Qf.f6d Comrndo nalhi)(T Anchor Bolts .................... G in. _ff,;able 4)........................... vj 61—12' ......... ........ ........ ......4- iffan §hearthlng.for Wall Witli 0 en1n >6V(Design'�b6nca .. .......(Fzig di joint of plate................. 4L .................. 9.......... ------- 13 c, m IF....... ....................... ........... ............... . ............. ..(FID 5)... 3'-x f6r Wind Sp ...................... .......... .............. masonry._-.V eed?........ .......... .................. L3 ........ ........ .........: ...... .........(Fig 5)...... ........... DOtIBLp DETIAL Ed 5A ROQr -f framing. Ippir-spans checked?...... ................(Fo�Rafters use AW(�Sn;ta,Tdofj'sa BSR WeJb 3,1 ....... -Span.� :5.12' 4 9)........... hecked .......... ....... .........(per 780 GMR qhapter 55)........ b t -- . . - ......I....i........ .....I........ . ......... ...... ........ s oorc5pening Dii� �qqdt,L 45 at Loadbeairin�tuds at Floor Openngs-,lass-tha,2' from FxterLorWall(Plg 6)............... -tal Nailing I Height VY'311 S P i �j r-ri Floci-JOist S��t.backs (Tqble 12�................ Supporting Loadbeaang� Sh6aryva w ii� or ...�Fjg-7)......... - �2 . PI 12).................... off .............. %1 x im u m c,-an t i I e v e red:F l o r J e W -9.kea t I' o �16g Lo-adbearing Walis or ........ V:iq 8).... ............................... ...... ... ...... ......(71b ....... � ; Ridge Str;�p S u P'P rt ........................ 0.00 '0 ad per......... ........... coll;Ar tfas not US .....vT= P[f.................(Fig tire 'NO .(per -ype ..................................... E3,racing at Endwalfs.......... ............................. ... 780 GIVIR 'Chapter 55) ......... ......... ......... ...... smaller-qf,Z or(J2 L Roo, heathing T -80 Ci -R Ch.Qpie�,5�) ............�Z_4 oadbea` g ......... 7 Pn P ns at Non Floor, heathing Th,ickness ..................... nails 2t ropno ­ ............... F ............... ........... CMR Chao'(F '4;0-an d t�bfb it 5 11), 'k gh�t ....... Detail on Nexi page §I .............................. ft 20' .(F- o�and-table S. A .... ............ ................... ....... ............................ in Vertical and Horizontal Nallv ............. .................. 1.0 an�TzIble 5) for Pariel*Affachmer�* . .......... ...... .cluding-the.speeffic.�excepripri noteci In-2, to -reqthremant�of .. ............ ..(Fiqs 7&8).. coritply 14h the --------------------------- ...... s a 0 own Che rerty 66 t,a h id d"G WR �MP 'd ut e. .2 EX I , OR VALLS ........... .......Loadbearing vvraNs........ ..................... ............ 'UP ................... d A t-nd Wa�l ........ . _(Fi, ......... -60 S tud: sa.and Fiqvrd,1.8b q 10). Studs............. Full Height Endwall. ........... ft Z�YW3 io i. EKoep I be P�Wttsd-*h6n 5%Is a ki 14,q,pp nt,fult-h -,stiea Oft .............(F I............ ...... WSP Att;c r Le6:"h._ etght, Gypsum Ceilinj L-6n�th(if WSP n6t 4qd).................. G 0, �b_ fnlairptirn 2 In.no'lnakh %.nass. 6 fL 0.C- Pf tro fqd*�rade. 'd 2 X�4 Continuous Lteral rf 2X4 4 ftspa ;r.I&erid-Jois;t6rtru min.wiffi —7 3 ceiling fur�ng strilps Q-167 SP3cfng Double,TO Plate ............ (f=fq 13;�nd T;,4bld,.6 Splice Length . ....................................... -s.)............ ........... SpficP_ Connection (no.'of 16d Common nall DOUBLE TOP PLATIE tlo ApH �XPOSRE 8 WIND ZONE Ailing Sr,,h.aduM. -8d Mer 2-10d, ea. Wend, ailed): 2 each end d) T h FULL (Face -4-16d _16d jo 2-16d 1.6d, 24�',�o.c. (F1 00 T, ailed) ong.edgqs d E e_ �@ ailed) Rt inti a 5TUD XTSN F100?Fr4hlln OU L G '4-1 Od -8d 'perjoist 4 -10d (Fig rnusl extend,r 2-8d 2 NDOW �iLL P A 4t-_ 2'ate(,Toe-n_p#p .bl'ck' 211 up over each 0 rib to ma my?er Wder each joist. - 3_10d per,Joist: I d) (F -1114) -16d 4-16d.3-1 6d d Pi I NA up to 16"0,�r! 8d 10d 10d ------ - Sd� 10d 77 N ano ,ble ovath t'� dk -6 ................. U 10 e r 10d get 6'V 4 &Jul 43'ylul�8d �Qd 4, 4' qoil sch Q9Qfn,,,q Sheathir 8 8'60 M" oaf -26 A Eid coolers 7" oge/.I'Y'fibld jq0"Q.C.- A A, 4 VIE- T A 4% Til aing Wil r),04r - -4 -T- 4 YP 5d 000lers I> 10d 6f�;edbe/ 12"ff Id P 41� s'-sPaGS:, U -241 8d age >bard Parels 8d (*I) musf extend up over heoder Flbor Sheathing . 8d 10d or I Greater tha'n T '10d 16d 8II-ed�i Sheathing joint [it approx. Porrosion res tant nails and 16 gage staple'sare, Oermitted; ohi�ck[13C�or4ddltlonal,requl mant�., Nail S.Chadule 0 Mon 8dc m 01C at 3" Nall: UrliOSS,-OthO.W11--a-stated, sizes,"[von f.qr nails are cofpmon wire sze6. �3ox'andph 9 equWjler matio ,ails r 6 -to,th ad ommon nails may be subst1f6fed Uni thl� ,d APA 1E 'ED WOOD AS�b CIATION _�A 7,