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Home My WebLink About0170 PARK AVENUE ��4 4 � f Lr :..- - ., ,: .,. � �* �',� • �} � ♦ 'S C.. � 1n � ,. "� ��. .. ., �� ',� � - � � - '. � � - ... _ .. ;. .... 4 ... .. r .. �: 3 �, .. ;., A y .? � . , : _,, ,. a = <'. _ .. � -.. - ',_ ,. ,, - � �a o .. - ,. � it �� _ � .{ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map V Parcel r/4 Application / Health Division e� Date Issued Conservation Division //�G Applicatio Planning Dept. ®� �F�06 1 �ermit Fee Date Definitive Plan Approved by Planning Board �O 101� Historic - OKH _ Preservation / Hyannis I/.ay� Project Street Address 17 0 7-)0 �U Village Owner Address 170 ?r>�r_k fA :y-,,_ Telephone Din, ,([-e , MA CQ13-L Permit Request /R ,U Q , ( i-. S �� 1 _ ) Square feet: 1 st floor: existing/prSoposed 2nd floor: existing�y proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation OUb 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 /�3 Historic House: ®Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: Ofull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) 2 to 0 Basement Unfinished Area (sq.ft) Zb Number of Baths: Full: existing -- new 0 Half: existing new Number of Bedrooms: 2 existing D new L Total Room Count (not including baths): existing :7 new 0 First Floor Room Count Heat Type and Fuel ❑ Oil ❑ Electric ❑ Other Central Air: U�Y6s/❑ No Fireplaces: Existing -L -- New 0 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 J21110o�. If yes, site plan review# Current Use F9��.6�- Proposed Usecghndq)",- APPLICANT INFORMATION n � (BUILDER OR HOMEOWNER) Name MQ(—)t7_ ll_S Telephone Number Sb a 88 7- KZU Address t-��-�QJ', I License # CS`" C� 3 01 A o L&.S y Home Improvement Contractor# (/Ll Email lr Worker's Compensation # Jb ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO�11,11�W-r 11-` 5 � r� .✓ I SIGNATURE DATE �� M 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. . I FDATE(MM/DD/YYYIO ACCO CERTIFICATE DIF LIABILITY INSURANCE 12/6/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT y1 Silvia NAME: y The Fair Insurance Agency Inc. ac°NN Ext: (508)775-3131 (FAX No:(506)790-1677 619 Main Street ADDRESS:kathy@ thefairagency..corn Suite 1 INSURER(S)AFFORDING COVERAGE NAIC# Centerville MA 02632 INSURERA:ESseX Insurance Co INSURED INSURER B:Star Insurance Company 18023 Macallister Building Inc INSURERC: 64 Ebenezer Road INSURERD: INSURER E Osterville MA 02655 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1612601503 REVISION NUMBER: ,THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DDY EFF POLICY YYl LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 500,000 A CLAIMS MADE ❑X OCCUR PREM SES Ea occurrence $GE TO RENTED 50,000 3EG2701 8/il/2016 8/11/2017 MED EXP(Any one person)' $ 10,000 PERSONAL&ADV INJURY $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 X POLICY PRO ❑LOC PRODUCTS-COMP/OP AGG $ 1,000,000 JECT OTHER: Employee Benefits $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS " HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? NIA B WC0632030 3/1/2016 3/1/2017 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEd$ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Jackie Stewart/FAIMCI `' u ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) � �i,,, atuclll3G�J- __- -^-----• \ Office of Consumer Affairs rn�riaenl&Business Rewirtion License or registration valid for individul use only r UP I ME IPJIPROVEMENT CONTRACTOR before the expiration date. If found return to: (�Gegistration 133744 Type: Office of Consumer Affairs and Business Regulation xpiration 8!3/2017 DBA 10 Park Plaza-Suite 5170 ' Boston,MA 02116 MACALLISTER BUILDING::. MARK MACALLISTER 64 EBENEZER ROAD OSTERVILLE,MA 02655 Undersecreay.. Not valid.without signature d Massachusetts Department of Public Safety r. Board of Building Regulations and Standards License: CS-079358 ` Construction Supervisor MARK A MACALLISTER 64 EBENEZER RD OSTERVILLE MA 02666 Expiration: Commissioner 08/12/2018 f r . r s�nNsrnBu. « Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us 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 ereby au orize /"/ / /y�C�/I%S7T/ to act on my behalf, in all matt s relative to work authorized by this building permit application for: AW— (Address of Job) 10 13 � 6 Si a of Owner Date C Ir 0 P e If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content0atlook\2PI0IDHR\F.XPRESS.doc Revised 040215 7 e Commonn'ealth of Massachuseft Department of Industrial Accidents ` Office of Investigations ` 600 Washinrgion Street Boston,MA 02111 n%,#i:mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractor&Tlectricians/Plumbers Applicant Information Please Print Leiibly Name - idnaiy �I�c 11� S- i Re,; �, c • - Address: 6 Y 6-4 P22tr- R- , City/State/Zip: OSA/VI I Ce M, .fl/ Phone#: '4-ys- Y z-�- 6yo8 Are you an employer?Check the appropriate box: T of project. r 4. I am a instal contractor and I Type P ] ( �I��= 1.��am a employer with�� ❑ g 6- ❑New construction employees(full and/or part-time)-' have hired the sub-contractors 2_❑ I am a sole proprietor or partner- listed on the attached sheet_ I ❑Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for me in any capacity_ employees and have wodoers' 9_ ❑Building addition [No workers'comp-insurance comp-insurance-1 5_ ❑ We are a corporation and its 10_❑Electrical repairs or additions officers have exercised their 11_❑Plumbing airs or additions 3.❑ I am a homeowner doing all wotjc g myself.[No workers'comp- right of exemption per MGL 12_❑Roof repairs insurance ce Wired-]Tf c_152,§1(4),and we have no employees-[No workers' 13-❑Other comp_insurance required-] •Any applicant that checks boa:#1 must also fill out the section below showing their workers'compensation policy iuformatiasL Homeowners who submit this affidavit indicating they are doing all work and then hire oumde confiactm mast submit a new affidavit indicating such ZContractots that chit 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 ant an employer that is pm ding worker'compensation insurance for my eneplq-ee& Below is the policy and job site information Insurance Company Name: 4a— zh S V 1r-tGQ- - C V Policy#or Self-ins.Inc.#: 0�03ZA31D Expiration Date: 3 10 V7 Job Site Address: f 7 U ?0e+ lav�tn y-� City/State/Zip: ('Qv\44, ►.I IL 011,3 L Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c_ 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator_ Be advised that a copy of this statement may be forwarded to the Office of. Investigations of the DIA for insurance coverage verification_ I do lrereby certify under t pains and penq&eYofperjuty that the information provided above is true and correct Si Date: d Phone 0 O,a4cial use only. Do not write in this area,to be completed by city or town official, City or Town: PermitlLicense# Issuing Authority(circle one): z 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 r MACINNES CONSULTING, LLC PO Box 1182, East Sandwich, MA 02537 (508) 274-2091 shawn@macinnesconsulting.com January 25, 2017 Mark Macallister Macallister Building, Inc. 64 Ebenezer Road Osterville, MA 02655 RE: Engineered Beam 170 Park Avenue Centerville, MA 02632 Dear Mr. Macallister, This letter is in reference to the engineered beam design in order to accommodate the proposed 12'-10" opening in the first floor kitchen/dining area at 170 Park Avenue, Centerville, Massachusetts. The location of the beam and the construction specifications are as follows: 1. Beam to accommodate opening of existing interior wall. It is recommended that a 12'-10" foot long steel beam of size W8x15 or W6x20, be installed to support the second story floor joists. The beam shall be installed on 3 '/2 x 3 '/2 1.8E Parallam Columns (or equal) and lagged on each side of the beam into the columns with 3/8" bolts. Columns shall extend down to the existing poured concrete foundation. If unable to seat column on existing concrete foundation, install 2' x 2' x 10" concrete footing on compacted base to provide support. See attached sketch. Please contact Maclnnes Consulting if you have any questions or require additional information. Sincerot ��SN OF 1 S SHAWN c�G� o N4acINN1rS " CIVIL eo .413280 T� S T SSIONAL Ea Shawn Maclnnes, P.E. License #41328 4 1 PROPOSED W8X15 OR 1N6X20m ;ip ON 3 1"/2 X 3 1/2 1:8E ' = . ,.. . _... .PARALLAM -COLUMNS 4 � ' PROPOSEDBEAM f -, + ._. 7 .. 4 611 Liras;of wale above i4L i Stairs, 1f �, F'ri vder Rm -. - i Cn E � n ' Ca C,(/. .. ap ;r Break ira jo sts g . 7yi f crt srn t \ 13'_3„Cear i 4 x� a First floor plan A PROPOSED BEAM F 170 PARK AVENUE CENTERVILLE, MA 4 i w i CL HE AT L I i Company Name CAPIL COD INSUCAlior4 Phone Number 1-80 - 95-6611 03-13-2017 ` installation Date o Jose Espinol - ~ 170 Park Avenue, Centervllie GE017084 Q A-Side Lot# s D Jobsite Address CO P3151834016 H B-Side Lot#'s o Permit Number U W Thickness d Location of 111SLI'lat'1011 31) R-21 50 square feet Walls 6" R-44 360 square feet Cathedral Crawl m 5lopes LO Thickness Coverage Rate CO Location r- . - . 00 In LO m. m CV m wwwMemilec.com N r 1__%wD N I E M'1LEC M � - .� wIL uT Q jN C Company Name CAPE COD INSULATION Phone Number 03-10-2017 Installation Date H Jose Espinol J 170 Park Avenue,Centerville GE017084 Jobsite Address A-Side Lot #'s co P3165500917 g Permit Number B-Side Lot#'s U W Totalximate Sq. Ft. •Thickness a • a Location • on U Roof Line 3 X R-16 Boo square feet Outside wails Garage Ceiling Between floors 00 Thickness Coverage Ra I- Location Coating r` Intumescertt c M LD M , m � ' N N waww.Demilec.corn M . CV N CN m : M& DEMILEC TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 'L01 Parcel Application #�F I �!/ ✓� Health Division BUILDING ®EPTDate Issued 1 Conservation Division DEC 062016 Application Fee Planning Dept. Permit Fee TOWN OF BARNSTABLE` Date Definitive Plan Approved by Planning Board .Historic - OKH _ Preservation/ Hyannis Project Street Address 170 7>4* AµOL Village Owner Tus Address y535' VP�rD�e. S TP�2{la! ,TX Telephone -7/3--702-1318 Permit Request AI &S 12 lollukj- v)Zte Square feet: 1 st floor: existing LAD proposed '0 2nd floor: existing I 0 proposed 0 Total new U Zoning District Flood Plain Groundwater Overlay Project Valuation Sam Construction Type Lot Size • 4S A Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure /1 Historic House: ❑Yes 0 No On Old King's Highway: ❑Yes ❑ No Basement Type: ®'Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) CI1 Basement Unfinished Area (sq.ft) Number of Baths: Full: existing t new Half: existing / new Number of Bedrooms: 3 existing Q new Total Room Count (not including baths): existing 8new 0 First Floor Room Count Heat Type and Fuel: OGclas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes 0'No Fireplaces: Existing _New O Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: Zxisting 0 new size _Shed: ®'existing ❑ new size A Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 9'No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ark HC�CD��1�, Telephone Number fib$-B�g�Ly� Address 6 y tLAn-a-er p a License #LS -01R359 0S+tr-y,,1U, MA, 0 2.(o S:r Home Improvement Contractor# )33`•7 q Email nQr .``f1A.lsn11►5.9,E@. &A . C.O V"- Worker's Compensation # \tX- O(C 1Lold ALL CONSTRUCTION DEBRIS RESULTING FR M THIS PROJECT WILL BE TAKEN TO /1J3W5 1,, sue;Cj" MA, SIGNATURE DATE /0/ 2, t 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. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,M4 02111 wmnmass gov/dia Workers' Compensation Insurance Affidavit- Builders!Conk-actors/Flectricians/Plumbers Applicant Information Please Print Legibly Name ti idmal): Ma aY; S- i Rt,;l d, TM . Address: (Dy RA City/State/Zip: OS .ff Phone 9- Z 6YC)8 Are you an employer?Check the appropriate box: 1.E"am a employer with-_ 4. ❑ I am a general contractor and I Ty[of protect(r on dj: employees(full and/or pad-time).: have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet_ 7- ❑Remode1mg ship and have no employees These sub-contractors have g_ ❑Demolition working for me in any capacity. employees and have wodoers' 9. ❑Building addition [No worms'comp.insurance comp-insurance--I 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions] officers have exercised their I L Plumbing airs or additions 3.❑ I am a homeowner doing all work ❑ g� myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]Y c. 152,§1(4),and we have no employees.[No workers' 13.0 Other comp.insurance required.] *Amy applicant that checks boot#1 most also fill out the section below showing their waders'compensation policy infunnation_ I Homeownm who submit this affidavit indicating they are doing all worst and then hire outside contractors mast submit a new affidavit indicating surf- kontracuns;that check this boot mast attached an additional sheet showing the name of the sub-contractors and state whether at not tlmse entities have employees. If the sub-coatractors have employees,they on, ipromde fir warkers'comp.policy number. lam an employer that is providing tvvrkers'compensation insurance for my employees. Below is the pe6cy and job site information. Insurance Company Name: C O Policy#or Self-ins.Lic.#: L, )C 0 k3ZA3o Expiration Date: 3 1017 Job Site Address: l 7 0 ?01—h AV-ln V-e1— City/Statelzip: C'�n .]ILI (�3 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c- 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ida hereby certify under t pains and pen ' of perjury that the information provided above is tnae and correct Si e: l Date: 0 Phone#: 0 Official use only. Do not write in this area,to be completed by city or town official City or Town: PermidUcense# Issuing Authority(circle one): 1.Board of Health 2.Budding Department 3.Cityffown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: BAJtNSrABM 39. Town of Barnstable Regulatory Services Richard V.Scali,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 as Owner of the subject property ereby au orize � Acl(/I/S7(/ to act on my behalf, in all matt s relative to work authorized by this building permit application for: Z 70 A W . Cell U- (Address of Job) 10 13 16 i atur of Owner Date Us fi��r, C✓' a v. �� P e H Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\Microso8\Windows\Temporary Internet Files\Content.0udook\2PI01DHMEXPRESS.doc Revised 040215 ��n, (Gri�it��earitacalf��C�/�,r�J{rcirc�c/l•,t 4 -_ -'___.�__ �^ Office of Consumer Affairs&Business Res%u ton .License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR .,before the expiration date. If found`return to: eegistration 133744 Type: Office of Consumer Affairs and Business Regulation xpiration 8/3/2017 - DBA 10 Park Plaza-Suite 5170 MACALLISTER BUILDING - Boston,MA 02116 MARK .MACALLISTER, `t ' 1 64 EBENEZER ROAD OSTERVILLE,MA 02655 Undersecre ary. . . Not valid.without signature UrMassachusetts Department of Public Safety Board of Building Regulations-and Standards License: CS-079358 _ Construction Supervisor MARK A MACALLISTER 64 EBENEZER RD Aw, OSTERVILLE MA 02655 t � f Expiration: Commissioner 08/12/2018 ACORO® DATE(MM/DD/YYYY) `� CERTIFICATE OF LIABILITY INSURANCE 12/6/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Kathy Silvia NAME: y The Fair Insurance Agency Inc. a/c°NN Ext: (508)775-3131 a/c No:(508)790-1677 619 Main Street E-MAIL kath @thefaira en ADDRESS: y g cy'com Suite 1 INSURER(S)AFFORDING COVERAGE NAIC# Centerville MA 02632 INSURERA:ESseX Insurance Co INSURED INSURER B:Star Insurance Company 18023 Macallister Building Inc INSURERC: 64 Ebenezer Road INSURERD: INSURER E: Osterville MA 02655 1 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1612601503 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 I ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 500,000 A CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea $ 50,000 occurrence 3EG2701 8/11/2016 8/11/2017 MED EXP(Any one person) $ 10,000 PERSONAL BADVINJURY $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 X POLICY PRO PRODUCTS-COMP/OP AGG $ 1,000,000 JECT ❑ LOC OTHER: Employee Benefits $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ 100,000 OFFICERMBER B (Manda olry in NH)EXCLUDED? ❑ WC0632030 3/1/2016 3/1/2017 E.L.DISEASE-EA EMPLOYE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Jackie Stewart/FAIMCI � �� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_ 0 Parcel L/3 Application# (. Health Division Date Issued Conservation Division C hc.,,,Q-cJ /11 E:Sq Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board QT`�` Historic - OKH _ Preservation/ Hyannis '' Project Street Address ?a ?Cck PV (NUA- Village ceq�V•j l� Owner so Six� X Le.S(,1-e_ Crot):v, Address 153 S Ver-a"Q_ Telephone ( 4AI C, i X . :21 Yd 1 Permit Request d vh3 Square feet: 1 st floor: existing L`�proposed C7 2nd floor: existing `1!� proposed d Total ne Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supehorting docurnVation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: 'O Yes-rQ No Basement Type: U ull ❑ Crawl ❑Walkout ❑ Other 4 Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 0 new o Half: existing new 0 Number of Bedrooms: 3 existing b new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 2 Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes Flo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: O'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 1'19E mpumu i SAC Telephone Number 9v8 889 - ayV1 -Address (may E64,0,_zer Roa, License # CS 0'70Y3S'79 cs-Ar v�'Rcc ILIA. pa-&SS- Home Improvement Contractor# /337 y� Worker's Compensation #w C O 63 ;a D 3 0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A /�W SIGNATURE Ay DATE 3 .t - r• FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED � a MAP/PARCEL N0. xi s ADDRESS — VILLAGE f OWNER S DATE OF INSPECTION: FOUNDATION FRAME 6 - Jd t 13 ' INSULATION - 2 FIREPLACE ' ` ELECTRICAL: ROUGH FINAL f - • Ll - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r „ FINAL BUILDING DATE CLOSED OUT i } ASSOCIATION PLAN NO: 4 , t. Town of Barnstable Regulatory Services OFTHE Thomas F.Geiler,Director Building Division snxxsrnsi.e. Tom Perry,Building Commissioner v , �� 200 Main Street,Hyannis,MA 02601 ��ED MA'S A Office: 508-862-4038 Fax: 508-790-6230 March 4 2013 0 3 Mark Macallaster 64 Ebenezer Road - Osterville,Ma. 02655 RE: 170 Park Ave., Centerville, Map: 207 Parcel: 143 Dear Mr. Macallaster: This letter is in reply to application number(s) 201300918,201300950 to remodel and add to an existing single family dwelling. Unfortunately, the application(s) can not be approved at this time for the following reasons: 1), Construction documents submitted are incomplete. a) Square footage calculations for the upper floor are needed to'demonstrate compliance with.the Zoning Ordinance of the Town of Barnstable. b) Structural drawings are needed for the proposed entry. Respectfully, jAr L 4Laon Local Inspector' jeffrey.lauzon@towh.bamstable.ma.us (508) 862-4034 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia- Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address:_Co y �2hQZ2 l f2n City/State/Zip: v; 4 0 S.' Phone#: 5-08- Are an employer?Check the appropriate box: Type of pro' t(required) n 4. I am a eneral contractor and I ; 1.[�I uam a employer with O' ❑ g. employees(full and/or part-time).* have hired the sub-contractors 6. ❑ w construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g, ❑ olition 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 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state wheiher,or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:_ S —r Tnspro n," Policy#or Self-ins.Lic.#: W C— 0(n3 a)30 Expiration Date: .3�1 J2 e) /.3 „ Job Site Address::70 N rh ,A V!9,,.A City/State/Zip: CQn�erV,'jI Q,/ALA- "S7 ' Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under t e pains and p hies perjury that the information provided above is ue and correct Sijznaiure: Date: aa Phone#: U' y'l 3— &Tr/ d Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other t ' Contact.Person: Phone#: a ACOR" DATE(M YY)M/DWY `.� CERTIFICATE OF LIABILITY INSURANCE 10/31/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Fcathy Silvia The Fair Insurance Agency Inc. PHONE (508)775-3131 FAX C No):(508)790-1677 619 Main Street ADDRESS:kathy@thefairagency.com P.O. BOX 430 INSURE S AFFORDING COVERAGE NAIC# Centerville MA 02632 INSURER A Western World HTBO18 INSURED INSURERB:CitatiOn Ins. Co. (MA) 40274 Macallister Building LLC INSURERC:Star Insurance company 8023 64 Ebenezer Road INSURERD: INSURER E• - Osterville MA 02655 INSURERF: COVERAGES CERTIFICATE NUMBER:12-13 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN,IS SUBJECT TO ALL THE TERMS,. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence) $ 300,000 A CLAIMS-MADE DOCCUR NPP1318574 /11/2012 /11/2013 MED EXP(Any one person) $ - 5,000 PERSONAL&ADV INJURY. $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG $ 2,000,000 X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED X2082 9/7/2012 9/7/2013 AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $, C WORKERS COMPENSATION _ WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT. $ 100 000 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) C0632030 /1/2012 /1/2013 E.L.DISEASE-EA EMPLOYEE$ 100,000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 - r DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED -fN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Jackie Stewart/FAIJS2 ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. IPIS025?901nOfi1 nt Tho ar pn nnmo 2nrf Innn nro mnieforarf mnArc of Af_npn i Massachusetts'-Department of Public Safety Board of Building Regulations and Standards Construction Supein'isor i N License: CS-079358 S MARK A MACALLSTEIt, r 64 EBENEZER RD 02655 ' OSTERVILLIE 1VFA J n 44� xptration 0611212014 Commissioner V/ee R0411oecclM,o;'C/lla�{rce%uJeff i License or registration valid for individul use only office of Consumer Affairs&Business Regnlafion i before the expiration date. If found return to OME IMPROVEMENT CONTRACTOR { p ffce of Consumer Affairs and Business Regulation _ egistration 133744 Type i0 Park Plaza,-Suite 5170 - expiration: 8/312013 DBA Boston MA 02116 i , MACALLISTER BUILDING MARK MACALLISTER 64 EBENEZER ROAD' C� OSTERVILLE,MA 02655 Undersecretary Not valid without signature a 11/01/2012 09:21 7134640091 CRONIN PAGE 01/01 BAaNsrASM "G& Town of Barnstable 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 s 11.PS C r a ry h ti ',as Owner of the subject property hereby authorize 1 lIN r G S r to act on my behalf,. in all matters relative to work,authorized by this building permit application for.-.. V16 (Address of Job) i i 1 5' ature f Owner Vatef Print ame If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side C.\UsEnkdccolliklAppDatalLocallMicrosofl\WindowslTemporary Internet Files\Content.OullooklQRE6ZUBN16XPWS.dpc Revised 053012 PROSE ADDRESS: c PERMIT# PERMIT DATE: 3 a /P - I LARGE ROLLED PLANS ARE IN: BOA SLOT . Data entered 1n MAPS,program on: (� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map / Parcel Application # /. Health Division Date Issued 7 /-. !L Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 710))-3 Historic - OKH _Preservation / Hyannis Project Street Address /"?'0 /�Qr Ave— Village ��V A _ OwnerM2a&r 112sLe— /''mn nn, Address Telephone Permit Request b QZ o 'X/S' du.k ?-er S i}cA.ke L Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain A Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. E/ Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King' ighway:�p Yes❑ No, Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Others Basement Finished Area(sq.ft.) Basement Unfinished Area(sqft) Number of moths: Full: existing new Half: existing n Number of Bedrooms: existing —new 7 Total Room Count (not including baths): existing new First Floor Room Cour r 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 mw:A, moxd ;s ?y Telephone Number Address (0 Q.0 ru4, License# CS —0193� r oj��l .0Vo.SS_ Home Improvement Contractor# I SV4�1'l Worker's Compensation # W C Uo&7_030 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO AJ3�W S SIGNATURE DATE J FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED �+ , MAP/PARCELNO. ADDRESS - VILLAGE OWNER r DATE OF INSPECTION: FOUNDATION FRAME f{ INSULATION r t FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL_ GAS: ROUGH FINAL. FINAL BUILDING DATE CLOSEDIOUTi ASSOCIATION PLAN NO. '�2 S ' Massachusetts-.Department-of Public Safety Board of Building Regulations and Standards Construction Supervisor ''. - License: CS-079358 �., MARK A MACALA`ISTER ' 4 - 64 EBENEZER RD IS OSTERVILLE .02655 t _ J.•�..-�� • �rs,<< Expiration Commissioner - 08/12/2014 Y Office of Consumer Affairs'&Busi6ess Regulation _ TOME IMPROVEMENT CONTRACTOR L!censc or registration valid for tndividul use only before the ezpiratioa'date. If found return to: egistration 133744 Type: , f Office of Consumer Affairs and Business Regulattan y. r. v� t`xpiration 8/3/2013, -. DBA �' _ i0 Park Plaza.-Suite 5170 > MACALLISTER BUILDING c Boston,MA 02116 MARK MACALLISTI`R m 1Y 64`EBENEZER ROAD _ OSTERVILLE,MA 02655' i ,.. . _ Undersecretary" of d h0 G " N' vali wit out signature Aco CERTIFICATE OF LIABILITY INSURANCE /16/'°°'Y �� 516/2013 3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE_ A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Kathy Silvia The Fair Insurance Agency Inc. PHONE (5QB)775_3131 AIC No:(508)790-1677 619 Main Street ' E-MAIL kath @thefaira en ADDRESS• y g cy.com_ Suite 7 ' INSURERS AFFORDING COVERAGE NAIC# Centerville MA 02632 INSURER A:TIWestern World TB018 INSURED INSURERa:Star Insurance Company 8023 Macallister Building LLC INSURERC: 64 Ebenezer Road iNsuRERD: INSURER E Osterville MA 02655 INSURERF: COVERAGES CERTIFICATE NUMBERCL1351600508 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCEADDLSUBR POLICY EFF POLICY EXP - LTR POLICY NUMBER MMIDD MM/D LIMITS GENERAL LIABILITY ' -` .. EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY ,. DAMAGE TO ENTED PREMISES Ea occurrence $ 300 000 A CLAIMS-MADE OCCUR NPP1316574 /11/2012 /11/2013• MED EXP(Any one person) $ 5,000 l PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO , BODILY INJURY(Per person) $ ALL OWNED SCHEDULED` +AUTOS. AUTOS BODILY INJURY(Per accident) $ r HIRED AUTOS NON-OWNED PROPERTY DAMAGE + $ AUTOS Per accident UMBRELLA LLAB OCCUR EACH OCCURRENCE. $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION .,. W WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 1QQ QQQ OFFICER/MEMBER EXCLUDED? N/A r'� (Mandatory In NH) 60632030 ' /1/2013 /1/2014 E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101;Additional Remarks Schedule,if more space is required) s r CERTIFICATE HOLDER CANCELLATION ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE j THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. . J South Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Jackie Stewart/FAIJS2 Gztcc" `I , ACORD 26(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025l90'IOnfi M _ Tho ARr1Rr1 n2mu onrl Innn�ro ronialororl mnrlrc of ARf1Rr1 r ' a, - TJtC Coarntonwt°altk of M4sackiisells a ltep zrt of Indusfigd Academes D,fjrrce oflnvestons ' 600 Washington Shwt Boston,MA 02111 ° wwnarsassgo►✓dta Workers'Compensation Insurance Affidavit:Builders/Cen lumbers Apdicant Information Please Print Lettbly Name �ir - ctY1Sratdzip_0 --ti19, �t Are you an employer?Check the appropriate - ' ' T of project 'r 1.B I•am a employer with Z 4• on a general contractor pact I 6. NeW c olkstruction employees(201 and/or part4ime)-s havehired the sub-c�as 2_❑ I am a sole proprietor or partner- listed an the attached sleet 7- ❑ Remodeling ship and lave no employees r T Subtras have 8:Q Demolition wtaddug for me in any capacity. , employees and have wo rx' 9. ❑Buffing addition [No wo:j m'camp.insurance comp.insmati P required.] • 5•❑ We are a•corporation and its 10.❑Electrical repairs or additions 3.❑I am a homeowner doing all Wok • officers have exercised dzeir l l.❑Plumbing repairs or additions ULYWE of on 12[:1MGI Roof insurance off]I camp �2,f 1( have no 13>0 Other s'z Gh • ' ' eqpmle-[No workers' ' comp-insurance required.] ,. 3 •A applaanrthatdhtdsboasl—also 5rloattbes�behtwsbawiagth�r�as' policyiaf Hcmlaartse3s trl�Wbaut thin sSdsvia iod'aaeaB d ey ne daft all ec*and the bi m outside round um amst mbmit anew at5dacu ia-h sorb. iCa= mts that check this box mmst attached as additiotnl sheet sbw ft name of the wi-cmuzocmn and am tirhedw at sot am*- here' employees.Uthe mbcommetm have e*loyees,d" Pvd&their 'cwv•poncy ems- - ---- — _ - mptoyer p ding nwenstdion insurance for my sat Below is the pa q and job afte I axe an a that is providing' ttaerlrers'eo iuforma&n. Ittattrance Compsay Natae: . Policy#of Set-ins.Iic.M. p C9 3?_U3 0 FapisatioaDate 11241 Job site Address: /7 U r't ,A 4�� .0 �2 t/f�� Attach a copy of the workers'.compensation policy declaration page(showing the policy namber and en"m- date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of op to S00.00 a day against the viol toc Be advised that a copy of this statement maybe forwarded to the Office of ' Investigations of the DIA for insurance coverage won 1 do hereby cork&under 1he?&v and pwudfbs that the information provided above is fC�m eonva V / F 1 official use only. Do not sarfm in this area,to be completed by c+b'der tetvn ojjufal City or Town: 4 r PermitSkense# ' An circle one),L4sning tT;araty( •- 1.Board of Health 2.Bt�ng Department 3.Cityfrown Clerk 4.17ectrical Inspector S.Plumbing Inspector 6.Other : Contact Person- - Phone#: 6 - 4 - •� - 1 TWT Town of Barnstable ' Regulatory Services . suu1WABLM KASI Thomas F.Geiler,Director 16 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstible.ma.us Office: 508-862-4038 Fax: S08-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1, c°S ro , Of the as wn"er of suJect Pro Pe m' . hereby authorize � M CG �11 1 S-� ' { to act on my behalf, in all matters relative.to work authorized by this building permit application for. M _ (Address of Job) { t to 2S• 13 S' of Owner Date t a s - _ Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERM 1SSlON Town of Barnstable o Regulatory Services . ` Thomas F.Geiler • swtuvsr.+sre. = ,Director KAM 16.59. .�� Building Division PTfD Tom Perry,Building Commissioner 200 Maiti.Street, Hyannis,MA 02601.. www.town.barnstable.ma.us Office: S09-862-4038 Fax: S08-790-6230 HOMEOWNER LICENSE EXEMMON Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: eityhown i state zip code The current exemption for"homeowners"was a ded to elude owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for who es not possess a license,provided that the owner acts as- supervisor. DEFINTTIO O HOMEOWNER Person(s)who owns a parcel of land on which he/she re es or intends to reside,on which there is,or is intended to be, a one or two-family dwelling, attached or detached s ctures accessory to such use and/or farm structures. A person who constructs more than one home in a two-yc p .od shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a acceptable to the Building Official,that he/she shall be res onsIle for all such work erformed under the boil emit (Section 109.1.1) The undersigned"homeowner"assumes responsibility or co Hance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that_he/she erstands a Town of Barnstable Building Department minimum inspection procedures and requirements an that he/she I comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35 l)00 cubic feet or larg r will be required to comply with the State Building Code Section 127.0 Construction Con ol. HOMEo R'S EXEMPTION The Code states that: "Any bonteowner performing w for which a building pem>it t required shall be excmrpt from the provisions of this section(Section 109.1.1-Licensing of construction Sup crvi ors);provided that if the h er engage a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners wbo use this exemption an unaware that they are assuring the rtsp bi'lities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness o results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the rmli sad 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 responnbilities,many communities require,as part of the permit application, that the homcowncr certify that hdsbe 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 forrn/certification for use in your community. Q:forms:bomccxcmpt I • r 14'-6" . House wall �2x'10,*Iledger screwed to house with '/4"ledger loks(2)@ 1 W o:c.typ f, 2x10 @16"o.c.Typ 5/47x6 Azek decking 19 -0 ; .4 House wall (2)2x8 girder below 3.'/2"'Azek Premier handArail'•. System 10"sono tubes 4' below gr dje �,.. up 4 -0 - • x,r" ;�' ° ' CM Plan View Scale. T'='4'-0"°•, New Deck for Jus_tin&Leslie Cronin 170 Park Avenue• E ' •' Centerville,MA 02632 Drafted by:Macallister Building,LLC. 508-889-2441 W-11-14-2012 15:G6 NASHPEE BOH Commonwealth of Massachusetts �51jy�13 Sheet Metal Permit Date: _ 1 Estimated Job Cost: $ //1 PERMIT .� �� Id�'� Permit Fee: Plans Submitted: YES✓_ NO__ Plans Reviewed: YES NO —APR 2 9 2013 Business License# ?--.1 Applicant License tt �� Business Information: 'TOWN OF BARtATMI ,neT/Job Location Information: 13 _ Name:3�\� C'O(1�t1 Street: Street: _ �l� Pc.� City/Town: City/Town: V Telephone: Telephoner— Photo I.D. required/Copy of Photo T.O. attached: YF,S Z NO tits fr i n i tinl 41 /M71-unrestricted license J-2 /M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less / Residential: 1-2 family �/ Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other, Square Footage: under 10,000 sq. ft. Y- over 10,000 sq. ft. Number of Stories: Sheet metal work o be completed: New Work: `// Renovation: Z T HVAC Metal Watershed Roofing Kitchen Exhaust System _ Metal Chimney/Vents Air Balancing Provided tailed description of work to be don G�(2�i6 f �f ' FEE-14-2012 15:bb MH5HNtt BUH r.UZ INSURANCE COVERAGE: +- I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes Pei❑ If you have checked Yes, indic(RRRaat�tt-e,,,,the type of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts eneral Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box[],I hereby certify that all of the details and information I have submitted(or entorod)regarding this application are true and accurate to the best of my knowledge and that all shoot metal work and Installations performed under the pormit Issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the Goner I Laws. Duct inspection required prior to insulation Installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments Zmaster of License: By Title . ❑Master-Restricted City/Town � ❑Journeyperson Permit 7t Signature of Licensee ❑Journeyperson-Restricted Fee$ License Number:- . �& Check at www.mass. 2y d I Inspector Signature of Permit Approval • 2 TOTAL P.02 e The Commonwealth of Massachusetts .Department oflndustrial accidents Office of Investigatioirs } 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Conti-actors/Electricians/Plumbers Applicant Information Please Print Leeibly Name(Business/organizalion/Indiviffiai):C{:.�� F \ � �� `5 " •Address: �1-1� �lc:�� city/state/zip Phone.# Are you an employer? Check the appropriate bog: 1,[�C I am a employer with •4• ❑ I am a general contractor and I Type of project(required);. employees(full and/or part-time).* have hired the sub=contractors 6. New construction . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet 7. [�Remodeling ship and have no employees �.f These sub-contractors have g• Demolition working for me in any capacity, employees and have workers'. [No workers' comp•insurance comp..inmrancc.$" 9 []Building addition required.] : 5. E] We area corporation and its 10T❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their, . Ili[]Plumbing repairs or' additi myself [No workers' corip, right of exemption per MGL ons insurance required.] t c. 152, §IN, and we have no 12.0 Roofrepairs - employees. [No workers' 13 .Other comp.insurance-required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and them hire outside contractors must submit a new affidavit indicating such, #Conhactors 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 worI='comp.policy number. I am an employer that is providing workers'compensation in information surance for,my employees. Below is the policy and job site Insurance Company Name: Policy#or Self-ins.Lic.#k Expiration Date: i Job Site Address: . : • . City/State/Zip: ... Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date): Failure to secure coverage as required under Section tlon 25 ,Ao f MGL c. 152 c fine up to$1,500.00 and/or one-year an lead to the imposition of criminal penalties of a y m?P�ommnt, as well as civil penalties in the form of a STOP WORK ORDER and a of up to$250.00 a day against the violator. Be advised that a copy-of this statement may be forwarded to the Office of Investigations of the bIA for insurance covera e verification I do hereby certify under the aims-and enalties afPsr! rY u that the information providedcorrect.e is true and correct. p p i Signature: Date: I Phone Official use only. Do not write in this area' tb be completed by city or.town tial . r t City or Town: PermitUcense#'Issuing Authority(circle.one): t,Board of Health 2,BuildingDepartment 3.City/'I'own Clerk 4.Electrlumbing Ins ector6. Other pC 11 ontact Person: Phone_ CERTIFICATE OF LIABILITY IN DATE IMMIDDIYYYY) INSURANCE RA N C E 04/30/2012 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((es)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 A Erica H O'Connor HART INSURANCE AGENCY,INC. NAME: 243 MAIN STREET PHONE Extj. (508)759-7326 FAX (508)759-7366 PO,BOX 700 l E-MAIL aC No: BUZZARDS BAY,MA 025320700 ADDRESS; INSURERS)AFFORDINO COVERAGE NAIC q INSURED Carl F Riedell&Son Inc _ wsuRERa: ARBELLA PROTECTION INS CO 41360 778 Main St " INSURER8: ARBELLA INDEMNITY INSURANCE COMPANY 10017 OStervllle,MA 02655 INSURER C INSURER D': •. INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY TI4AT 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., IN SR ADDL SUBR LTR TYPE OF INSURANCE F POLICY EXP POLICY�NE6R �. �05/01 Y MMI DIYYYY LIMITS A GENERAL LIABILITY 85OICOY12 05l01/2013 EACH OCCURRENCE $ A2,000,000 00MMERCIAL GENERAL LIABILITY - - DA A aE TO RENTED CLAIMS-MADE OCCUR OCCUR - - PR MI�.11=a4 urr, u� $ MED EXP An one person) $ PERSON AL&ADVINJURY $ GENERAL AGGREGATE S GENT AGGREGATE LIMIT APPLIES PER: _ POLICY PRO LOC + PRODUCTS-COMP/OP AGG $ B AUTOMOBILE LIABILITY 00831400003 05/01/2012 05/01/2013 COMMEOM cldeDISINGL LIMIT 1,000,00 ANY AUTOALL OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS NON-OWNED - - BODILY INJURY(Per accident) $ HIRED AUTOAUTOS S AUTOS PROPERTY n DAMAGE $ A UMBRELLALIAB $ OCCUR 4600033836 05/01/2012 05/01/2013 EXCESS LIAB EACH CLAIMS-MADE --- ---.000URRENCE-- $ 1,000.000_._ ' g DED RETENTION$ � - AGGREGATE B WORKERS COMPENSATION 0054000511- AND EMPLOYERS'LIABILITY 05/01/2012 05/01/2013 WC STATU- OTH- $ ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N OFFICER/MEMBER EXCLUDED 7 ❑ NIA a - E.L.EACH ACCIDENT $ SOO,OO (Mandatory In NH) If yes,describe underOF O - E.L.DISEASE-EA EMPLOYEE $ 500.00 DESCRIPTION OF OPERATIONS below � �- E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,U more spaceli raquired) CERTIFICATE HOLDER CANCELLATION PROOF OF INSURANCE THE SHOULD EXPIRAT ON HDATE VTHEREOFB NOT COF TE ABOE DESCRIED LECI WILLIES BS BEN DELIVERED O NE ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights re The ACORD name and logo are registered marks of ACORD served, • e COMMONWEALTH OF MA SS ACHUSIETTS 48 E .rah; o :a , ^oval + 311 -'-T METAL WORKERS AS Al NORASTE -L P-MESTRIC:.TED + ISSUES TI IE ABOVE LICENSE TO: ill A PIEDELL_ in CARL F RIEAE:LL. AND SOUS 778 MAIN ST OSTI_RVILLE MA 02655-201.1 � 141 09/28/13 50598 8 `` ` - M � i f �QtE (� ftmMng*Haatirt8*Air Condltlartltt81932 PROPOSALie d 1 °�a� 778 MA 02655 n S{►eet-Ostenitle, www.carlrledelf.com � AeLfsHEO�` (508)4284M Fax(508)420-0180 I I I PHONE DAM TO: Justin Cronin 603-443-0652 4535 Verone Street Jon MMAE I LOGAnON Bellaire,TX 77401 Second&third floor a/c: 170 Park Ave Centerville,MA JOB NLOAM JOB PHONE Dick Mohre Riedell will install A new"American Standard"3 ton a/c system that will provide total cooling comfort for 2nd and 3rd floor of your home.After general contractor exposes knee wall, Riedell well install air handier and duct work in rear side of attic area in this knee wall area.Side wall supply and return sit diffuses will be installed to supply a/c to 3nd floor living area.General contractor will open up floor boards in 3rd floor area that will allow duct work access for air supply to 2nd floor living area.Air conditioning will be supplied to 2nd floor living} g area via ceiling diffuses.Riedell will install a 3 ton American Standard condenser outside of home at ground level.Rerigerant lines will be piped from air handler to condenser.Attractive slim duct covering will be used to conceal exposed refrigerant piping.Riedell will start and test n system after it is wired by others. *System components* "American Standard" -Condenser 3 ton knee wall installed a/c system -Air handler #4A7A3036-condenser -Line set #TAM4A0A36S21SB&it handler -Aux pan 13 seer R-410A -Pad -Thermostat -Insulated duct work -Slim duct covet *Wiring not included in this proposal We Propose hereby to fumish matertal and 1ffbpr--comph to in aoowdanoe vft d,e abov9 apedfkaDorts,tortee aum at. Eleven Thousand Seven Hundred Sixty One and 00 I 0 Dollars ,dollars(a Payment to be made as follows: A deposit of$4,705.00 with signed proposal is requested.Payments are due as work progresses and balance is due upon completion. M mewdal is mmreteaea b tie as Bpoditd Al wort to be mo pieoad in a pmbsWwW rrtMW aoaaWg to ataalatd pr alm Airy WWratbon or deNutart ham aWm apadlea Aulhorined d aerand�ae8eettrrA1�YwwwrdsttoataraarorribecarearietmmSW dders tasy"our cwarat.OMM to a og won strYes,aowmoLw a . "&Asmara r�ymvrod ty VAxk"Co ,t� 11B0B�y Note:This proposal may be . wMWrawn by us if not accepted 30. Acceptance of Proposal—Ti.abate wb ,MWMYMMM am wndtbwa are eat dmtory end are hereby accepta rbu ere aroWood to do Ore work as aPedtlad Payment WN be made as CLAIpW abowe. Date of Acooptanw:___ 3�'3 s YA4,1 2- 2.5,. 4'-7" 2'-4" L 2'-4" 4'-7" 2-5 5-5 5'-5" 2 g DGE OF WALL BELOW � �• TW2642 TW2642 _ o TW'24310_ TW24310 TW24310 TW2431 _E o TYP. NEW INT W LL CONST. M 5/8"GWB N Q 2X4WDSTUD Ca 16O.C. j 5/8"GWB . . 3 4 TYP t � T1T�a� I�b£ „ r{ RODR 1-7 rCE7l J DEN OFFICE Q WWP Ffm 4 cY) CH: 7'-0" WWP DN � � CH:7'-0" D w I I - - ------------------ -- -�— --- ID —�— -- ------------- 1. NUK '`XK —STORAGE/MECH. -_- ?)TON -- - coNOCA N - oN V 3 r;RNp LEvE� IfIK lit .... r. } 4 B kTHROOM DRESSING ROOM.-. �' XXX XXX BEDROOM ° C : EXISTING CH:EXISTING X X CH: EXISTING AN! lYFLOW �Nfl 7 Lm E1: 72�, ---- ------ DNI =0 WIMP BEDROOM MASTER BEDROOM < X CH: EXISTING ' - CH: EXISTING r ----- ---- mob a • . W , - LIMIT OF NEW WORK--: o 1 F. W. Webb - WebbConnect Online Ordering System Page 1 of 1k, Webb onnect*ll w 't •hh • _. . Vfii"ilia 'I hft U 04110~ For WebbConnect II support please contact your local F.W.Webb branch or F.W.Webb sales person Return to Heat Calc User Menu Building Information Rooms Name Cronin Click on room label to edit Location 170 Park Ave. Label Exterior Wall height floor Centerville. Length sq.ft.. Upper design 91 2nd 120 8 680 temp. floor Lower design -10 3rd 108 8 884 temp. floor Room temp. 71 Room 0 8 0 Leeway as % 10 #3 Number of 5@400, �' Add a New Room people Ground temp. 50 Cooling air 50 # t Warming air 120 Change Information ' Calculation Building Rooms Gain BTU 39765 { Label Gain Gain Loss Loss Base Loss BTU 46535 BTU CFM BTU CFM Board Gain CMF 1325 2nd 14671 489 20730 392 36 floor Loss CFM 880 3rd 15944 53.1 25805 488 45 Base Board 81 floor Tonnage 3.3 Room 7150 238 0 0 0 #3 Back to Login I Current Order Pad I All Order Pad Entries I Order/QuoteM Info Home I About F.W.Webb I Products I Locations I Programs I Services I News Copyrighe 1999-2012 F.W.Webb.All Rights Reserved.. } http:Hwebbconnect.fwwebb.com/bin/fwk?wc.hc.r*oom.process 4/17/2013 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION t, Map 5V Parcel /Y3 TOWN OF BARNSTABLE Application # 3o I I � Health Division "' ' Date Issued 20 F B 14AM 9. IN Conservation Division Application Fee G Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board MVISJ(i.M l Historic - OKH Preservation / Hyannis Project Street Address Village Owner ZJ_usT.Y__1 Address Telephone �0 'Permit Request �-�.� i�-�-� �iC.�r C) Square feet: 1 st floor: existincj21'tproposed 2nd floor: existing < f proposed d Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �'CYJQ Construction Type JV 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 bathe): 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 ❑ N Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name I"1 �1•,��t'� Telephone Number s�U �" 65 Address (fJ qEt,, .P.7 License# CS 0 i �� os-�4 • o , Home Improvement Contractor# /3.3-7W Worker's Compensation # (vr— 0 3503 0 ALL CONSTRUCTIO DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /V 8� Ilr✓✓ \ SIGNATURE DATE 4ZI��121 FOR OFFICIAL USE ONLY r, APPLICATION# ' DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME Ste``�13 f7l . INSULATION S E FIREPLACE - R ELECTRICAL: :ROUGH FINAL r PLUMBING: ROUGH /''FINAL GAS: ROUGH FINAL k FINAL BUILDING DATE CLOSED OUT r r ASSOCIATION PLAN NO. r f _ . Gtocf f /7© - _ _. - - �L�' tij� /'- AAICHELEs9�yc. STCUDTLR-L y :. ua a N0 34774 9F(i/STEP /pNAIlp ENG qxq f s V r , . r .r , e , v } y. r a , A ilk_Z4 J a { t/ � •M rA aeb 4 r r + r • m 1 , f rnR , . ,• ,R! . -� fig � f¢ n _ t .8y +ev.n,eRc.�= 5� N.t�[� fjtl eL' ti �..: , goal i� t4iA. OF MA = M�GHEL m� ogTGt3CT RA► N NO 4 y .A9 9FGIsiEP ' IONAV� 3 Lam. LO� - m r t e-�I sT p , • a 3 1 �,�•sT� / �'bd nl. + /10 W N( �A WC Guide to Wood Construction inHigh Wind Areas: ]]#-mph �i�ndhnte_ Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)' � 0 Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust).................................................................. ............................'.....................110 mph . Wind Exposure Category..................�....q..�...,..................................... .......................................:.....................B 1.2 APPLICABILITY Number of Stories .................................... .......:..................(Fig 2)......:..................... Z sto s 5 2 stories RoofPitch ..........................................................................(Fig 2) ........................................... 12:12 Mean Roof Height .............................. ...............................(Fig 2).............. �- ft <33' Buildin Width,W.........I.............I......Z../........................... (Fig3 BuildingLength, L ..............................Z-.f.........................(Fig 3)............................................... ft 5 80' Building Aspect Ratio(L/N10 ...............It.(.....1"..1...................(Fig 4)..'.......................... ................. 1 5 3:1 Nominal Height of Tallest 0 enin z ...........(Fig 4 ..00 Ws 68" 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2).............................. ........:...................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete......................................................................................................*....................... ConcreteMasonry...................................................`............... ................................................................' 2.2 ANCHORAGE TO FOUNDATION'3 5/8"Anchor Bolts imbedded or 5/8" Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general ................... -J4A )6(....(Table 4)........ -.17-M[� ........ in. : Bolt Spacing from end/joint of late ....... ...... 1 P 9 1 P :(Fig 5)....................... ............. in. 5 6"-12" Bolt Embedment-concrete.........................................(Fig 5)......:............... .........................._in.2:7" Bolt Embedment-mason .................(Fig 5 .............. in.>_ 15" PlateWasher......... .................................. .....(Fig 5)........................ ......................>_Tx 3"x'/<" 3.1 FLOORS Floor framing member spans checked ......:............:...........(per 780 CMR Chapter 55)..............'..................... Maximum Floor Opening Dimension....................................(Fig 6)......................:..Z_L1=ft<_ 12'or U2 or W/2 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)......................................... Maximum Floor Joist Setbacks u Supporting Loadbearing Walls or Shearwall..:.............(Fig 7).....................................................q�01:5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)............:......................... Floor Bracing at Endwalls..................................... ..............(Fig 9)..................................... Floor Sheathing Type ........................................................(Per 780 CMR Chapter 55).......................... Floor Sheathing Thickness ................................................ (per 780 CMR Chapter 55 ...E S.Tj.N..�� in. Floor Sheathing Fastening..................................................:(Table 2)..�d nails at 2 midge l ' 4.1 WALLS �K-- �y�-I� Wall Height Loadbearing walls........................':..............................(Fig 10 and Table 5)............................� ft <_ 10, Non-Loadbearing walls...............................:.................(Fig 10 and Table 5).................... ft 5 20' Wall Stud Spacing .....................'.........,....I....................(Fig 10 and Table 5)................... in.5 24"o.c. Wall Story Offsets :.................................................(Figs 7&8).........................................a, ft <_d 4.2 EXTERIOR WALLS' ' Wood Studs Loadbearing walls.'::.. .... ...............................(Table 5)...:.............:... :...2x - 7 ft in. " Non-Loadbearing walls .... ..............................(Table 5)..........:.......... 2x - ft=in. Gable End Wall Bracing' Full Height Endwall Studs................:...........................(Fig 10).�-bb.g...... ...��.w/ ..G r..... WSP Attic Floor Length................................................(Fig 11).....:...........I........................... ft_W/3 Gypsum Ceiling Length(if WSP not used)...................(Fig 11)......................................Z.O ft_0.9W 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11)............................... .............................. of MA le Top Plate ApyG lice Length .....................................................(Fig 13 and Table 6).......)vu...... 9.LJ4,e.=ft MIGNEO a Connection(no.of 16d common nails)..............(Table 6)............................................W'......... C ��AL Cn � 0 3ao h P-o 4. Nk 7AWC Guide to Wood Construction in High Win 110 in d Areas: d Zone rVf Massachusetts Checklist for Compliance (780 CM.R 5301.2.1.1)' Loadbearing Wall Connections' M_b7jS Lateral(no.of endnailed 16d common nails)..............(Table 7)................r........................................ 2 Non-Loadbearing Wall Connections Lateral(no. of endnailed 16d common nails)...............(Table 8).........................................................� Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans .......................:................................(Table 9)................................ ft — in.<- 11' Sill Plate Spans ........................................................(Table 9)..................................�ft — in: 5 11' (T Full Height Studs (no. of studs)................................... able 9)........................................................ I Non-Load Bearing Wall Openings(record largest opening but check all openings for comp) nce to Table HeaderSpans..........................:..................................(Table 9).................................. 3 ft_in.s 12' SillPlate Spans.......:.................................:.. ..............(Table 9).................................aft — in. <-12" Full Height Studs(no. of studs)....................................(Table 9)................ ....................................... .. Exterior Wall Sheathing to Resist Uplift and,Shear SimultaneousV Minimum Building Dimension,W = Nominal Height of Tallest Opening2 .............................::.............. ...r.........:.........;.. SheathingType..............................................(note 4)...................................................... Edge Nail Spacing..........................:..............(Table 10 or note 4 if less)........................ _in. Field Nail Spacing..........................................(Table 10)...........................:...........I.......... in. Shear Connection(no.of 16d common nails)(Table 10).......... . .... . . �_ 61 od1F/ ............. Percent Full-Height Sheathing........................(Table }�)3.►L7. :....-t.... Pi"9z..::....5 DK 5%Additional Sheathing for Wall with Opening>6'8"(Design.Concepts)............... Maximum Building Dimension, L . Nominal Height of Tallest O enin 2` 4-' � ' u< 9 P 9 .................................................................... r -6'8" SheathingType..............................................(note 4)....................................................... Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ ? in. Field Nail Spacing........::................................(Table 11)...................................,.............V,in Shear Connection(no. of 16d common nails)(Table 11)............................�..... t ... Percent Full-Height Sheathing........................(Table V)1!1/3..................3. ........ . r."? ' L1N�FT 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..:.................. Wall Cladding2- Rated for Wind Speed?..............................................' ........................... 5.1 ROOFS Roof framing member spans checked?..........I............(For Rafters use AWC Span Tool, see BBRS Website) Roof Overhang ................................................... (Figure 19)..,........_'�ft<-smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls c'►"'!�' Proprietary Connectors =: , Uplift................ ...............................(Table 12)............................................U- Lateral......................•.......................(Table 12).............................................L= Shear.......... ...., ............:...............(Table 12).............................................S=_7 Ridge Strap Connections,.if ollar ties no sed er page 21..... (Table 13)..............................T= — plf Gable Rake Outlooker......................................... (Figure 20).'.. J: . ft_smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls ` Proprietary Connectors I ` ` Uplift................................................(Table 14)................ . ...:....................U= lb. Lateral (no. of 16d common nails)...(Table 14)............... ......................L= _ lb. Roof Sheathing Type..................:.............°....................(per 780 CMR Chapters 58 and 59).................. Roof Sheathing Thickness........................................... .....:............p. ... 71/6 in.>-7/1 "WSP Roof Sheathing Fastening ..............................:............(Table.2)...8;4.i ... Notes: 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 ` b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d.. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a ption: Opening heights of up to 8 ft. shall be permitted when 5%is added to the percent full-height sheathing \A OF M ents shown in Tables 10 and 11. a. T m sill plate in exterior walls shall be a minimum 2 in. nominal thickness. pressure treated#2-grade. GL)o� MIHEL �cc� ILO STNo 34774 L N Isl , �SIONAV� Z P 39 ti a I 84 Aml.6 W6? EtGE�_ l TIMml Mrs ( I 00- �IN'T�r�tE.D lk'f E I , ��iA�ING �AMIt3G ( I I d��►Ah>��(�• t�E�Mb�r TYP. � a r R�1�P�E9611 3�tt I oil MIN, j PANV, WSP ATTACHMENT , �l OT 7o g GA 1.E - To% Vsim mw JAoitIZ. . OTAGkaNT NOTES:'- ' ,I, Wood Stivctural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels sbaU be installed with strength axis parallel to studs. a. All horizontal joints'shall occur over and be nailed to framing.,:'. iii. On single story construction,panels shall be attached to bottom plates and top member of the double .top plate. «. iv. On two story constructf6N upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at rust floor framing. Y. Horizontal nail spacing at double top plates,band joists.and girders ihaU be a double row of Ild staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment G� 1 � �� _ � { III - . I• � � . � . � . , CL ci l i Co- ca WOOD 9M UCTOP.A L FAMSL WSP ATTACHMENTlow • �. NoT To 5GA4E ICAL 0RIZOWT. A.L -- _ C., i I • GENERAL NOTES AND MATERIAL SPECIFICATIONS: SK-1 FOUNDATIONS 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf,for a medium sand/gravel composition. Other soils encountered, contact the Engineer of Record. 4. Concrete: Minimum 28 day strength,f c=3000 psi,3/4"aggregate,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min.5/8"diameter, 12"long,w/2-1/2"hook spaced per Code Checklist,or in concrete piers w/Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage,Basement,etc.). b.) All walls to have min.2#4 top horizontal,2"clear,to prevent shrinkage c.) All walls longer than 25' shall have vertical control joint with waterstopping between wall joint. FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. Structural Design Loads: Dead Loads:Actual Weight of Building Components Live Loads:Snow Load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf_ Decks and Balconies=60 psf Wind Load: Criteria used for 110 MPH Exposure B or C as noted per plans 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307; 1/2"diameter;punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Alternatively,field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. 4.Timber Framing: a.All new timber framing:Spruce-Pine-Fir No.2 with'Fb=1000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c.Laminated Veneer Lumber:All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi,Fv=285 psi,Fc—per=750 psi, Fc_par=3035 psi. Parallam(PSL):All PSL shall be min. 1.9E ES with Fb=2900 psi,E=1,900 ksi,Fv=285 psi,Fc_per=750 psi, Fc_par=2900 psi. Note that Microllam and Parallam may be used interchangeably. 1. Deflection Criteria: L/480 Live Load,L/360 Total Load 2. Optional: Provide_shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by infgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 16"o/c; Rafter to Ridge Plate: Collar ties min. lx6@ 16"o/c at top or Simpson Straps over top of plywood spaced 16"o/c b. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 4'o/c:.CS-14R-48"centered at band joist 6.Bolts: - Bolts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in wood shall be 1/32"larger than bolt diameter.Bolt heads'and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion of job. 7.Blocking: ` a.Blocking shall be solid blocking,2x minimum,and full depth of member. b.Stud Walls:provide blocking at T-0"o/c,maximum height. Corners to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building corners. c.Nailing Schedule: Solid Blocking to Bearing -•2-8d toenails ea.side Blocking Between Studs' 2-10d toenails ea.end,or 2-16d end-nails ea.End d: New Framing:Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c_in joist and rafter plane at all edges;attach plywood edges to this blocking 8.Nailing Schedule: ' All nailing shall be in accordance with Appendix 120.Q,unless noted herein specifically. Multiple Studs 16d.@ 12"staggered a.All nails shall be common wire nails. r b. Sub-bore where;nails tend to split wood. ' 9. Headers less than 4'-0",use 2-2x6;all others per MA State Building Code Table 5502.5(1)and(2). l CONSTRUCTION DETAILS FOR THE APA NARROW WALL BRACING METHOD F FIGURE 1 NARROW WALL OVER CONCRETE OR MASONRY BLOCK FOUNDATION _ I 1 Outside Elevation Side Elevation I — Extent of header(two braced wall segments) ! Extent of header(one braced wall segment) Top plate continuity is required per R602.3.2 Sheathing filler a t !+Airs 3'>Sgfi �/41 tY�t „ rr' if needed�"a� � ��' „ f 2'to 18'(finished width) Sa ;�, ,� � «�' ,«• �_: t I ne+ It m 16d sinker nails le Fl « ^• 1 0.148"x 3=1/4" Fasten sheathing to header with Bd common , x; ) + m , nails(0.131"x 2-1/2")in 3"grid pattern as shown i�flt�«. a to 2 rows @ { rya and 3"ci in all framing(studs and sills)typ' , 3"o.c.' 1,000Ib.header-to-jack-stud strap �• 1,000lb.header- on both sides of opening i',ka ";'a+ : ,r to-jack-stud strap ' (install on backside as shown on Zl+ ' ,«� on both sides 1 I Max •�, �'" Side Elevation' Ref.No.LSTA24) 1' t-_ of opening(Ref. height „ , •, , i ` No.LSTA24) j 10' ds Min.(2)2x4 h'p• Braced wall 1, t « « )4I• If panel splice is needed it shall segment per I'!"� ' *' occur within 24"of mid-height. A, 3/8"min. t I �' t, ' � Blocking is not required. R602.10.5 1, ,�� thickness wood 1 •, p �• Min.width based on 6:1 No.of "' '� structural panel 4 «• tls ,• «, }; sheathing 4 1$ height-to-width ratio:For jack studs14 „j � ble 1, t « example:!6"min.for 8'height, per tar 20"for 10'height,etc. R502.5(1&2) t Min.2"x2"x3/16"plate washer �P�� 1 L �.. x ,.�7 I ' E i rl ki $; Ijl eq.kkct�r. it 1 Anchor bolt per R403.1.6 Typ. Foundation per code t Not to scale 1 *Or other code-recognized fasteners providing lateral resistance equal to or better than the prescribed nails. 1 Note: This narrow wall bracing segment meets ;�-�J— --- • ---� —� - --� the minimum requirements for wall bracing IFIGURE 2 (racking loads in the plane of the wall). The j I - building designer should determine what spe- EXAMPLE OF REQUIRED OUTSIDE CORNER DETAIL(IRC R602.10.5) cific details are necessary to provide a complete --------' —' -- load path for using this bracing in the structure. At corners,connect the 16d nail at 12"o.c. f two walls together as outlined in this detail to l provide overturning Orientation of stud may vary f restraint. 3j Gypsum,when required, installed in accordance with IRC Chapter 7 } I Wood structural panel I __.:__ _T.�.��-_-----�--•—_-_.�.._.��=---- ------- ---_=-_--------.-- —,--+__._-,ems 6 �, - "REARUN TM —7S/ IPI OC p y Name Phon ;Number Date SPRAY POLYURETHANE FOAMSOYm=200 Applicator Name pplicator Signatur Installed Insulation Statement Location of Insulation Thickness Total RNalue per ESR 3210 Approximate Sq Ft K, Walls Attic Cathedral Ceiling S, .� 3 Intumescent Coating Used Location -Thickness/Coverage Rate',- R-Value=7.4 @ 1" Tensile Strength=45.4 psi Density=2.1 ib/ft3 Compressive Strength =20.6 psi Derhilec'Batch# 2 Z �� Agrlbalance® C pang Name Phone umber Date r-�� a Spray Foam Insulation r �� Applicator Name A licator signatur 111 LCa ll cS�- �- Installed Insulation Statement Location of Insulation Thickness Total R-Value per ESR 2600 Approximate Sq. Ft. Walls S; �5- o?S— Attic Cathedral Ceiling 20 o 19, o ti �/o Intumescent Coating Used Location Thickness/Coverage Rate d l` JER y C-ee l ram- ,01 l w� R-Value=4.45 @ 1" Tensile Strength =3.87 psi Density=0.6-0.8 Ib/ft3 Compressive Strength = 1.86 psi Demilec Batch# �� r The Common'wealth,ofMassachusetts _- Department of Industrial Accidents ' Office of Investigations 600 Washington Street 3 Boston, MA 02111 , www.mass.gov/dia i Workers' Compensation Insurance Affidavit:Builders/Contr'aciors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 01),< r 6t , &-a, - Address: City/State/Zip: derv; ).2 0 sl` Phone#: Sy8- Are an employer?Check the appropriate box: Type of pro' t(required): nn 4. I am a general contractor and I 1. I am a employer with O` ❑.. g 6. ❑ w construction . employees(full and/or part-time).* have.hired the sub-contractors 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have. g. olition working for me in any capacity. employees and have workers' '❑ [No workers' comp. insurance corrip. insurance. 9. Building addition ' oration and its 16.0 Elecfrical repairs or.additions required.] 5. 0 We are a co rP .3.ElI am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right,of exemption per MGL , 12.❑ Roof repairs insurance required.] t c: 152, §1(4), and�we have no employees. [No workers' 13:❑ Other comp.insurance required.].; *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t.Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.' I am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site information. - Insurance Company Name: = SUMIn C4 Policy#or Self-ins.Lic.#: WC. 0(v3 a03D- Expiration Date: ,3 A /,qb 13 Job Site Address:,/ �(� ��Qr� -A1/`ei A City/State/Zip QhArV,jj, , Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage.verification. I do hereby certify under,t e pains and p lties perjury that the information provided above is ue and correct Signature: aa • � � Date: 3 Phone#: Official use only. Do not write in this area,to.be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): ' 1 Board of Health,2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5:Plumbing Inspector 6. Other Contact Person: Phone#: r ACOKU® - - DATE(MM/DD/YWlr) �� CERTIFICATE OF LIABILITY INSURANCE 10/31/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CO TACT KNA : athy Silvia The Fair Insurance Agency.Inc., PHONE FAX (508)775-3131 A/C No;(508)790-1677 619 Main Street ApDRESS,kathy@thefairagency.com P.O. BOX 430 INSURE S AFFORDING COVERAGE NAIC# Centerville Mk 02632 INSURER A Western World HTBO18 INSURED INSURERS Citation Ins. Co. (MA) 40274 Macallister Building LLC wsURERC:Star Insurance Company 8023 64 Ebenezer Road INSURERD: INSURER E c Osterville MA 02655 INSURERF: COVERAGES CERTIFICATE NUMBER:12-13 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 THETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ' INSR ADDLSTYPE OF INSURANCE UBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER M DD MMIDD GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 * t COMMERCIAL GENERAL LIABILITY DAMAGE T RENTED � � � PREMISES Ea occurrence $ 300,000 A CLAIMS-MADE F—IOCCUR' P1318574 /11/2012 8/11/2013 MED EXP(Any one person) $ 5,000 PERSONAL BADVINJURY $ '1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER:, * PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO- LOC I I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT r Ea accident _ B ANY AUTO ' BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED 2082 9/7/2012, 9/7/2013 AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR +^ EACH OCCURRENCE' $ EXCESS LIAB CLAIMS-MADE ` - AGGREGATE $ DED RETENTION$ t' ` $ C WORKERS COMPENSATION I WC STATU- 111- AND EMPLOYERS'LIABILITY y I NI ER ANY PROPRIETORIPARTNER/EXECUTIVE❑ NIA A E.L.EACH ACCIDENT $ 100,000 OFFICERIMEMBER EXCLUDED? C0632030 (Mandatory in NH) /1/2012 /1/2013E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) ' CERTIFICATE HOLDER CANCELLATION �• SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 'DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWn of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street' Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE u. ' " t Jackie Stewart/FAIJS2 �� ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 roMnn51 nt Thp arnpfl niama nnrl Inn^era mniefararl mar4.of Arnon setts Department of public SafetY* • - 1 ,Massachuse e . / uiations and Standards Board Sup � of Building Re9e �`or Construction f _ -079358. License: CS y IN MARK A MACA14-USTER 64 EBENEZER P OSTERV 02655, expiration cJ �Jt�'IR�G" 0811y2014 Commissioner oC?��la�?ac/zuteCll License or registration valid for individul rise only Office of Consumer Affairs&Business Regulation t _bcfoe,the expiration dafe. If found return to OME IMPROVEMENT CONTRACTOR �. Office of Consumer Affairs and Business Regulation Pe: egistration 133744 ' TY e 1 0 ParltPlaza Suite 5170' expiration 813L2013 DBA Boston,MA 02116 -< MACA-ISTER BUILDING c MARK"MACALLISTi:R •. R �64°EBENEZER ROAD Notwalid without signature T I TERVILLE,MA 02655 g'` Undersecretary j M ! t • ; , 11/01/2012 09:21 7134640091 CRONIN PAGE 01/01 • a RARNSTAHM MS& Town.-of Barnstable . ..,Regulatory Services , Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 0260E www.town.barnstable ma.us F Office: 508-862-4038 # Fax: 508-790-6230 Property Owner Must Complete and Sign This Section - If Using A Builder I s I h lr'tO H;h -�,"as Owner of the subject;property hereby authorize I t®11'14._ ClA �5 r to act on my behalf, in all Matters relative to work—authorized by this building permit application or: (Address of job) t . ' . • Sitjaturef Owner. at Prim ame 6 ^ • h If Property Owner is applying'for permit,please complete the Homeowners License Exemption Form on the reverse side • C,�UsastdecoHik AppDatal1.ocaNMicrosoRkWiiido%vslTemporary lntemet FiteslCoatent.OudooktQRE6ZUBNt6XPWS.doc Revised 053012 , } REScheck Software Version 4.4.4 Compliance 'Certificate Project Title: Dormer Renovation Energy Code: 2009 IECC Location: Centerville(Barnstable),Massachusetts Construction Type: Single Family Project Type: Alteration Conditioned Floor Area: 0 ft2 Heating Degree Days: 6137 Climate Zone: 5 Permit Date: Construction Site: Owner/Agent: Designer/Contractor: 170 Park Ave Mr.&Mrs.Justin Cronin Mark MaCallister Centerville,MA 02632 Callhan Architects LLC MaCallister Building Company 68 Harrison Ave • • 64 Ebeneezer Road 5th Floor Osterville,MA 02655 Boston,MA 02111 617-448-2245 • • - Maximum UA: 69 Your UA:61 Envelope Assemblies d� - • t� }�yy p' • • Ceiling 1:Cathedral Ceiling 986 40.0 0.0 26 Wall 1:Wood Frame,16"o.c. 312 21.0 0.0 14 Window 1:Vinyl Frame:Double Pane with Low-E 71 0.300 21 SHGC:0.00 Compliance Statement. The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. � Signature Date Project Notes: REScheck by Cape Cod Insulation, Inc. 18 Reardon Circle South Yarmouth,Ma. 02664 1-800-696-6611 #10602 -= ,ram Project Title: Dormer Renovation Report date: 02/07/13 Data filename: C:\Documents and Settings\Keith\My Documents\REScheck\#10602.rck Page 1 of 7 r REScheck Software Version 4.4.4 Inspection Checklist Requirements: 50.0% were addressed directly in the REScheck software Text in the"Comments/Assumptions"column is provided by the user in the REScheck Requirements screen. For each requirement,the user certifies that a code requirement will be met and how that is documented,or that an exception is being claimed.Where compliance is itemized in a separate table,a reference to that table is provided. Plans Verified Field Verged 20091ECC Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions 103.2 ;Construction drawings and ❑Complies Requirement will be met. [PR1]' Idocumentation demonstrate energy "❑Does Not Comply, ;code compliance for the building []Not Observable I envelope. []Not Applicable 103.2, :Construction drawings and ❑complies 403.7 documentation demonstrate energy ❑Does Not Comply [PR3]' code compliance for lighting and mechanical systems.Systems serving []Not Observable , multiple dwelling units must ,]Not Applicable ;demonstrate compliance with the f ;commercial code. , 403.6 1Heating and cooling equipment is Heating: Heating: ;❑Complies [PR2Y sized per ACCA Manual S based on Btu/hr 1 BbAr :❑Does Not Comply! ;loads per ACCA Manual J or other j filing: Cooling: 5❑Not Observable t , ;approved methods. Btu/hr Btu/hr ,❑Not Applicable r 1 , 1 t ! 1 1 1 1 A ti Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(tier 2) 3 Low Impact(Tier 3) Project Title: Dormer Renovation Report date: 02/07/13 Data filename: C:1Documents and SettingslKeith\My DocumentslREScheckW10602.rck Page 2 of 7 2009 IECC Foundation Inspection Complies? Comments/Assumptions 303.2.1 ;A protective covering is installed to ,[]Complies ;Exception:Requirement is not applicable. [FO1 If i protect exposed exterior insulation 9IDoes Not Comply: and extends a minimum of 6 in.below TINot Observable ;grade. ![]Not Applicable 403.8 1 Snow-and ice-melting system ,OCompries [FO12]2 controls installed. ;ODoes Not Comply i []Not Observable t []Not Applicable Additional Comments/Assumptions: " High Impact(Tier 1) 2 Medium Impact(Tier ) 3 Low Impact(Tier 3) Project TiUe: Dormer Renovation Report date: 02/07/13 Data filename: C:MDocuments and Set ingsWeith\M y DocumentslREScheckl#10602.rck Page 3 of 7 ns Verified 2009 IECC Framing/Rough-In Inspection Pla Feld VerifiedValue Value Complies? Comments/Assumptions 402.1.1, ;Glazing U factor(area weighted ; U ; U- ;❑Complies See the Envelope Assemblies table for 402.3.1, average). ;❑Does Not Complyi'vW s• 402.3.3, 1 :[]Not Observable ; 402.5 ;❑Not Applicable [FR2]1 ; R , 1 1 t 1 1 1 1 f 303.1.3 U-factors of fenestration products are ❑Complies ;Requirement will be met. [FR4]' :determined in accordance with the ❑Does Not Comply NFRC test procedure or taken from []Not Observable ;the default table. 1[]Not Applicable 1 402.3.5 Sunrooms enclosing conditioned ; U U- ❑Complies ;Exception:Requirement is not [FR8]' ;space have a maximum fenestration ;❑1 1Does Not Comply;applicable. U-factor of 0.50 in Climate Zones 4-8. 1 ;[]Not Observable 1 New glazing separating the sunroom 1 ;❑Not Applicable ; :from conditioned space must meet code requirements. 402.3.5 ;Sunrooms enclosing conditioned U- U- ;[]Complies I Exception:Requirement is not [FR9]' ;space have a maximum skylight U- i []Does Not Comply applicable. �+ !factor of 0.75 in Climate Zones 4-8. 4 ❑Not Observable ' :❑Not Applicable _1 402.4.4 Fenestration that is not site built is []Complies ;Requirement will be met. [FR20]' !listed and labeled as meeting []Does Not Comply: ;AAMA/WDMA/CSA 101/I.S.2/A440 or []Not Observable ' i has infiltration rates per NFRC 400 +that do not exceed code limits. []Not Applicable , 402.4.5 M IC-rated recessed lighting fodures ❑Complies ;Requirement will be met. [FR16]2 sealed at housingrmterior finish and IE]Does Not Comply P, I labeled to indicate 2.0 dm leakage at []Not Observable # 75 Pa. 1❑Not Applicable 403.2.1 ;Supply duds in attics are insulated to R- R- ;❑Complies [FR12]1 R-8.All other dues in unconditioned R- R spaces or outside s❑Does Not Comply tside the building ; ;❑Not Observable ' ;envelope are insulated to R-6. ❑Not Applicable 403.2.2 ;All joints and seams of air duds,air J❑Complies [FR1311 handlers,filter boxes,and building ❑Does Not Comply ;cavities used as return duds are 9[]Not Observable ; 1' ;sealed. IE]Not Applicable ; 403.2.3 Building cavities are not used for ❑Complies ; [FR1513 supply duds. []Does Not Comply i j ❑Not Observable iE]Not Applicable 1 403.3 ;HVAC piping conveying fluids above ; R- R- ❑Complies [FR17f 1105 OF or drilled fluids below 55 OF :❑Does Not Comply are insulated to R-3. ❑Not Observable ❑Not Applicable 403.4 Circulating service hot water pipes are; R- R- ;❑Complies [FR18f !insulated to 11-2. T❑Does Not Comply' R f❑Not Observable s :❑Not Applicable 403.5 ;Automatic or gravity dampers are ❑Complies ;Requirement will be met. [FR19f i installed on all outdoor air intakes and []Does Not Comply exhausts. []Not Observable ; []Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Imp act(Ter 2) 3 Low Impact(Tier 3) Project Title: Dormer Renovation Report date: 02/07/13 Data filename: C:\Documents and Settings\Keith\My Documents\REScheckW10602.rck Page 4 of 7 f 20091ECC Insulation Inspection flans Verified Field Verified Complies? Comments/Assumptions Value Value 303.1 'All installed insulation is labeled or the ❑Complies 'Requirement will be met. [IN13]2 installed R values provided. []Does Not Comply []Not Observable []Not Applicable 402.1.1, ;Wall insulation R-value.If this is a R- R ;❑Complies ;See the Envelope Assemblies table for 402.2.4, mass wall with at least%2 of the wall yyppd ydppd T❑Does Not Comply Values. 402.2.5 ;insulation on the wall exterior,the � Mass E] Mass �❑Not Observable [IN3]'y :exterior insulation requirement Sty Steel ;❑Not Applicable' applies. , r 303.2 ;Wall insulation is installed per ❑Complies Requirement will be met. [IN4]' manufacturer's instructions. I❑Does Not Comply ❑Not Observable ~ IE]Not Applicable , R- 402.2.11 ; ❑Complies ,Exception:Requirement is not Sunroom wall insulation has a ; R- ; [IN8]' :minimum R-value of R-13.New walls ❑Does Not Comply'applicable. ;separating the sunroom from ; ❑Not Observable conditioned space must meet code ; 1❑Not Applicable requirements. 3 303.2 'Sunroom wall insulation installed per ❑Complies ;Exception:Requirement is not [IN9]' manufacturer's Instructions. ❑Does Not Comply:applicable. []Not Observable t IE]Not Applicable 402.2.11 ;Sunroom ceiling minimum insulation R- R- ;❑Complies ;Exception:Requirement is not [IN10]1 R-value of R-19 in Climate Zones 1-4, ❑Does Not Comply:applicable. Clim and R-24 in ate Zones 5-8. ![]Not Observable 4l I ❑Not Applicable 303.2 ;Sunroom ceiling insulation is installed ❑Complies ;Exception:Requirement is not [IN 11]' per manufacturer's instructions. ❑Does Not Comply;applicable. ❑Not Observable ONot Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Ter 2) 3 Low Impact(Tier 3) a Project Title: Dormer Renovation Report date: 02/07/13 Data filename: C:1Documents and SettingslKeithUy DocumentsAREScheckWI0602.rck Page 5 of 7 r Plans Verified Field Verified 2009 IECC Final Inspection Provisions Value Value Complies? Comments/Assumptions 402.1.1, ;Ceiling insulation Rarafue.When >R-; R- R- ❑Complies ;See the Envelope Assemblies table for 402.2.1, 30 is required,R-30 can be used if +❑ Wood Wood ;❑Does Not Comply values. 402.2.2 insulation is not compressed at eaves. El Steil ;❑ Steel ❑Not Observable } [F11]' ;R-30 may be used for 500 ff or 20% _ ;❑Not Applicable (whichever is less)where sufficient 1 ;space is not available. 303.1.1.1, ',Ceiling insulation installed per ❑Complies ;Requirement will be met. 303.2 1 manufacturer's instructions.Blown []Does Not Comply [FI2]1 ;insulation marked every 300 fP. ❑Not Observable ' -t []Not Applicable 402.2.3 ;Attic access hatch and door insulation; R- R- ;❑Complies [F13]' R-value of the adjacent assembly. 1❑Does Not Comply ` :❑Not Observable ;❑Not Applicable 402.42, ,Building envelope tightness verified ACH 50= # ACH 50= ;❑Complies ;Requirement will be met. 402.4.2.1 1 by blower door test result of<7 ACH 1❑Does Not Comply [F117]1 at 50 Pa.This requirement may :❑Not Observable 1 instead be met via visual inspection, ; h, 1. ;❑Not Applicable m which case verification may need to; , occur during Insulation inspection. t, , 402.4.3 Mood-buming fireplaces have []Complies ;Exception:Requirement is not [FI8]2 'gasketed doors and outdoor ❑Does Not Comply I applicable. combustion air. ((❑Not Observable 1 ❑Not Applicable 1 403.2.2 ;Post construction duct tightness test ; cfm Chn []Complies [FI4]' 1 result of 8 cdrri to outdoors,or 12 cfrn 1 1❑Does Not Comply 1 ;across systems.Or,rough4n test 1❑Not Observable I result of 6 clm across systems or 4 ; ❑Not Applicable 1 dm without air handler.Rough-in test , verification may need to occur during I 1 Framing Inspection. _ , 403.1.1 ;Programmable thermostats installed []Complies [F[9]2 on forced air furnaces. r []Does Not Comply 1 V t 1E]Not Observable r I❑Not Applicable ;. 403.1.2 ;Heat pump thermostat installed on ❑Complies [FI10]2 `heat pumps. []Does Not Comply []Not Observable I _ []Not Applicable 403.4 ;Circulating service hot water systems ❑Complies [Fl11]2 have automatic or accessible manual ❑Does Not Comply! (controls. []Not Observable I []Not Applicable ; 403.9.1 Readily accessible switch on heaters _ ❑Complies [FI12]3 for swimming pools. ❑Does Not ComP Y 1 1 ,. []Nut Observable I 1[]Not Applicable ; 403.9.2 Timer switches on pool heaters and ❑Complies [FI1913 pumps are present. []Does Not Comply 1 []Not Observable 1[]Not Applicable ; 403.9.3 Heated swimming pools have a cover. 10complies [F120]3 Covers on pools heated over 90°F ❑Does Not Comply are insulates to R-12. []Not Observable I []Not Applicable 404.1 ;50%of lamps in permanent foctures ❑Complies [FI6]' are high efficacy lamps. []Does Not Comply 1 []Not Observable []Not Applicable 1 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Dormer Renovation Report date: 02/07/13 ` Data filename: CADocuments and Settings\KeMMy Documents\REScheck\#10602.rck Page 6 of 7 IL ` . 20091ECC Final Inspection Provisions Plans Verified Field VerifiedValue Value Complies? Comments/Assumptions 401.3 1 Compliance certificate posted. ❑Complies :Requirement will be met. [FI7]2 t []Does Not Comply []Not Observable ❑Not Applicable 303.3 Manufacturer manuals for mechanical ❑Complies [FI18]3 and water heating equipment have ❑Does Not Comply been provided. []Not Observable 1E]Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) f Project Title: Dormer Renovation Report date: 02/07/13 Data filename: C:1Documents and SettingsWeithft Documents\RESchedd#10602.rck Page 7 of 7 d. Wall 21.00 Floor 0.00 Ceiling/Roof 40.00 Y Ductwork(unconditioned spaces): Window .0.30 Door r Film HHeating System: r Cooling System: Water Heater: 10 I ME Name: Date: C�(j - Comments: - �. L$ � et '��*�� ASP•t H .q ° .fir r •� , � - .. , '• . • '}'� - .n Fi � .t r ;v 4 � .. v'.p � r •'� � ft " ry v. t ABBREVIATIONS SYMBOLS ACT ACOUSRC COUNO TIE ADJ ADJUSTABLE AFF ABOVE FINISHED FLOOR uuM uuwNUM wAu rAcnoN AR ABUSE RESISTANT BO BOTTOM OF �� U BD9 BOTTOY OF STEEL CB rl . CENTER LINE PNOnox TYPE CLG CEILING A P�NErtart MOpfhA W O N CMU CONCRETE—ON—IT yy f COL COLUMN wIN00w TtiR ¢00 CONY CONCRETE �w V3 coNT coNnNuous CPT CARPET N 7 CORN a - ,w CT CERAMIC 111E DDI OIMENSX)N 2 � R 0 0 b ON OONTJ 0� DTL OS D— DEACH SPOUT sMMLDlTA. x A 'E DWG RAWDIG MR. & MRS. JUSTIN CRONIN �YAroN x ED EDUrLL ra NUMeEn DO ELECT EWC RIC WATER GOOIER �O . EXP EJOOSEO.E%PANDED RIDA EIEVATIDNSNEEixUMBER 170 PARK AVE FD FLODRDRAW aN MBlR FEC FIRE E%TINGUISXER 6. WET FIN fNLRHED FLOOR CENTERVILLE •MA 02632 FLR F�R PXm �AW FR FIRE RATED ' GALV OKVAN® PF�xATIOx GC GENEPPL CONDUCTOR �� Ol GLASS GWB GYPSUM W,W.BOARD MMFA + XG HANDIGPPEDoRl .. OWMEfAI .. HP HIGH POINT _ a. d _ • INSUL INs1AATKMI R.W9 Tox JAI'IITAaaMXULM JST JOIGT FLOORTwsX/I`j �I�eAs!JT JDWT PROJECT TEAM - - LAM LAMINTAIEO MB ' G OW POM OWNER LP MANMUM Pvws . MR.MRS.JUST IN CRONINMFR MANUFACTURER 110 PARK AVE . YW MIMMUM - CENTERVILLE•MA.M632 _ MO MASONRY OPENING PaoD R MOISTURE RESISTANT CONTRACTOR y ' NAT FIN TUTURAL FINISH INET MACA _ NIC NOT IN coNrRAcr Pau BWSTER BUILDING LLC PHONE SOBA28.W08 - NS OT TO SGa1E iInDPUNs 1 SCALE I/B'-1'-0• %EBENEZER RD a ON CENTER IA . OSTERVILLE,MA 02655 ,� OH OVERHEAD . OPP OPPoSTTE HAND . ARCHITECT - Pl PLATE PLUM PLUMBING I CALIAHAN ARCHITECTS PHONE 6I7.AIB2245 pT PM �cLAMWATE 68 HARRISON AVENUE —SURE TREATED 'FINISH MATERIAL LEGEND BOSTON,MA 02111 PTD PAWTED T OT OIMRRYTLLf R RISERS 11 --aooM RxISNE . RD ROOF DRAM RE" REQUIRED PAT RM ROOM coNp cRlre H.A(Rx SIM SIMILAR - - ' S0 SQUARE TaE IOA 8TME1 - sn sTEEL mAflnHlAw , LIST OF DRAWINGS' - _ - ss —INLESS-8- - STRuc. sraucnlRu T m=u = AT E sTE T TREADS .+..J AO.0 COVER SHEET To TOP OF RTUW TlE I lASE TOs Top OF STEEL 'l X2.1 EXISTING FIRST d SECOND FLOOR PLANS TW � rP'1wOOB v vCT M2 EXISTING THIRD FLOOR PLAN B ROOF PN _ LA U DE COMPOSITION DlE �R L°T'`i°W of _ _ UC N UNO UNLESS-11 NOIED OTHERWISE A2.1 FIRST 6 SECOND FLOOR PLANS A DuAreAUL 'A..I - VIF VERIFY INFIE!➢ A22 THIRD FLOOR PLAN B ROOF PLAN IN, W pD `GENERAL NOTES WP WORK POIM XL1 ELEVATIONS DMlNsror¢Anl TO fACE Of ^� VR WEKJT A32 ELEVATIONS _ _ Fuos.IEn wML VND. 03 AA.1 SECTION 3 DETAILS - - SET NO. ------------------------------- N .. O B TH ® ----1 ---- DRESSING BEDROOM ROOM 6:12 PITCH ----------- ----- ------ a 1 7:12P ITCH W 8:12 PITCH 2= MASTER 8:12 PITCH xi Ee BEDROOM BEDROOM } Existing Second floor Plan m O a TBFAST N ROOM -- KITCHEN' - N ---------- - - -- GARAGE cd — t~ LIVING FROOM, SUN O V W ROOM .. DINING i ------ D...w by:GDC ROOM am SD 1-i 13 Existing First Floor Plan N i 6:12 PITCH 9:12 PITCH F" i 7:12 PITCH W ill 8:12 PITCH 9:12 PITCH ~ ' 8:12 PITCH x LLg e Existing Roof Plan n p. 0 a _o STORAGE - STORAGE ; ¢ 'b}II ♦ 6:12 PITCH DN °> a tc 1 = ¢ . - ---- - ----------- - -- -- ---------- --- - a 7:12PITCH OFFICE 8:12 PITCH ur. ------ ------ --------- -- --- -- --------------- - W --8:12 PITCH" by:GDCDC• by: Cate - STORAGE STORAGE - SD iasu Exlsiting Third Floor Plante Y WALL LEGEND - , LIMIT OF NEW WORKS - N J.E.— OPENINGS ------------ oFLOOR PLAN NOTES 1.CONTRACTOR TO VERIFY ALL DIMENSION IN THE FIELD2.REPLACE ALL EXISTING WINDOWS.ALL WINDOW ARE EXISTING UNLESS NOTED OTHERWISE. .�•.....a - �q.3.ALL EXISTING SIDING AND TRIM TO BE REMOVED.INSTALL NEW PAINTED CLAPBOARD SIDING AND WOOD TRIM. - .. cd LIMIT OF NEW WORK_: y -----�------ -• --� SECOND FLOOR P N 2 �� re:va•=r � R3.SDS ..� : p�rc raurmm.w Laru.Rl r�wwvmcns mzu,° - J�I . .� o LIMIT OF NEW WORK_, � °w�iP1t.oEo O 4 g a� O .°woewau.sw.r nswnra.,..mvrcws.�ruie - •y, _tie C/�wxsuw.waru.r eu.� , �i i a --- -----HI — 1 ! —! ------------------ a U .................................................� '. Sole:Ib•-,. Dawn by: °.rowF� »'1 e � SD 1-3YI3 i b e„°wanco4.nuw,�er•°¢EO.pw LIMIT OF NEW WORKS ...................... •---•••-......- --- FIRST FLOOR PLAN 1 8 WALL LEGEND - - N 59 59 1 ; N N N N v M, . 6:12 PITCH n n n n • x x 2:12 PITCH x x cn 1 H 7:12 PITCH PITCH i W 9:12 PITCH H 8:12 PITCH �.,•y,� FLOOR PLAN NOTES 1.CONTRACTOR TO VERIFY ALL DIMENSION IN THE FIELD 2.REPLACE ALL EXISTING WINDOWS.ALL WINDOW „ - - - E=g OPENINGS ARE EXISTING UNLESS NOTED OTHERWISE. 3.ALL EXISTING SIDING AND TRIM TO BE REMOVED.INSTALL - NEW PAINTED CLAPBOARD SIDING AND WOOD TRIM. ROOF PLANS o 2 o } 1 � �*wm+a arc� CC C% 7 s om,.aa o 1 a - �� co — o Dnwo by: .cccssrosrOuaE Ee,c cee SD c 1-35-13 3 (91 3�Ss� THIRD FLOOR A2.2 NOTES - - - 1.CONTRACTOR TO VERIFY ALL DIMENSION IN THE FIELD - - - - 2.REPLACE ALL EXISTING WINDOWS.ALL WINDOW OPENINGS ARE EXISTING UNLESS NOTED OTHERWISE. - 3.ALL EXISTING SIDING AND TRIM TO BE REMOVED.INSTALL NEW PAINTED CLAPBOARD SIDING AND WOOD TRIM. - 4.INSTALL ALL NEW ROOFING - - :urma oar rc"e:wars««s ". .c L ------------------- ---------- ------------------------------ U— — �..... .......... .�«,eowo«xxw�suw m.. ow�� ®®® ®®® ®®® ®®® ®®® LIMIT OF NEW WORK ——----- —--�— —---;------------------------— —————— ———— U s „ -----------------— —— — ———— os 12El I HI ONE HE op�00 0 1 USE 11 - - a..............I LIMIT OF NEW WORK / ............ — a NORTH ELEVATION n wi swan*... «�icx®waan Sfele:l/4'.1'-0• IMIT OF NEW WORK «a,.•�«.1aor.aa.®ra: ® ® ® ®® ®® ®® ® � ® cU,E.saFce..t,E«s«� uc -------------- -----— oN—— ----------------M------- ----—-------- q ------------------------------------ ------------------------ --—-------- Q sn ..wiand000�.ssEwx.., ® ® � ... ...........� ® ® ® ® ® ®® O G _N ---------------------— ——----- ---------------------------- — - as .-----.-----------.—_---.—_ —_— ---------------------------------- a ,x,o«,wrxatF.aEa dM. ••••...... LIMIT OF NEW WORK�SOUTH ELEVATION A3.1 NOTES 1.CONTRACTOR TO VERIFY ALL DIMENSION IN THE FIELD 2.REPLACE ALL EXISTING WINDOWS.ALL WINDOW -" OPENINGS ARE EXISTING UNLESS NOTED OTHERWISE. 3.ALL EXISTING SIDING AND TRIM TO BE REMOVED.INSTALL NEW PAINTED CLAPBOARD SIDING AND WOOD TRIM. SEE ` 4.INSTALL ALL NEW ROOFING ----'-----'-----_——-------- --------------__------ ----------- :.--------- -�.., - ------------------- DO SEE courosr,E rwunc Sr—. 4 ,x.nx,D wxEw,m,xe s�sw.a;.rr.ssE vx.. - W pp - -----------------—.—.---.—— —__—_—_ — _ —_—_—_-----_—__-__-- .e F�•xLL 0 Ifflimm - --------------------- ----- ------------------ EAST ELEVATION n �Er,• E��.xE,wo ® ® ® ® 1ro.wlucOwsLLSEE/Ar.t� a .� n O Pr y � � xxnx,o ,xa — 1 C ------------------------ ---------------------- r Dnwn by: da¢ SD 1-2513 cvE Ett9,Mc wm.6.McrNa WEST ELEVATION n NA3 x,°.cox.x.oE �xa,eoc N X V] ' .� - xew x+oixsuw,wx . xwcwxn mwsx naoxw, aum um saxe.,m. W H W DORMER SECTION . Score:va•.ro• � U<�8 cl Tl + sxrvvwom - - U Q •S 1 2111 xN�n®'WMOao suxurwc,wcs vccs w,m saxo a.,sPruu swxcses „w..,ex®tawe ' ait:amas eo°xn �sw wtvwa,smrr,aw..,w. ,scan. ° _ „t w.mnw000 . Keaw. nrvsexixo.0 . u c �ocWxss o's�� inmrRwa _ °. v.c ncso,>•R,oa . "� - co.arsuxwo,wu TYP.ROOF RIDGE s DOUBLE HUNG WINDOW HEAD s TYP.FOOTING'A GARAGE TYP.ROOF RAKE sm,:urr.r-0• sms:,,rs•=r-0• seoi,:,,rr-r-0• ° sm,:,,rr-r-0• ,� > A ad xo .x ----------- ,nrxRor,„F,,,,xo xxxo ,a. aaxR�,R wwoow uw w•,exxea,.,xr � y E N °o . : Pex.om a, w.taw cxxwex U cn t 1.tv• wvm� I �� ,ovxu„ Rlaicswseart.um >•m0�oe Srale:AS NOTED w>+rt[xurcirt,m to Dawn Ey: vmtmxartmtro.c— ¢wn° woFFF; x ae iw�itrcx nPu®¢d aan,axW,S iuu Cate Cuneaxm,m�xp tuvuevcxorn„eR sorrR,tm, .Q w.,Fnsrwea,� nc.w SDe 1-25-13 a ..xcrm„u FASCIA/GUTTER DE TAB DOUBLE HUNG WINDOW SILL RAINTABLE DTU GARAGE FOUNDATION s TYP.EXT WALL DETAIL sme:,,rr.r-0• J sob:,,rr.,•-0• R - sL E AlrL j--] a . . Town of Barnstable -Vermi# -bCpB o Expires 6 months from issue date Regulatory Services Fee • 11AMSTesi.E, MASS. Thomas F.Geiler,Director z6;9.A10 , Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint ' Map/parcel Number a0'7 l y3 Property Address ,. 7 6 Pc,�(1\ 7*'V,_1 It Am - w-G3 d ' residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Q_USim Ves/It CWA)I_y1\ 63 5 Vgero)C14 5 23-e.. (�r2, 7X. 7 7yO 1 Contractor's Name "OLC/c M a.CQ I -S7_(f Telephone Number gD$-867 4 9 yj Home Improvement Contractor License#(if applicable) l33.7 y /. Construction Supervisor's License#(if applicable) 07 7 3 rR ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor N O V -2 2012 ❑ I am the Homeowner ['I have Worker's Compensation Insurance v . TOWN OF BARNSTABLE Insurance Company Name ,57� �!'1S(�r��_ . Workman's Comp.Policy# LJC " d(o3 0%03 b Copy of Insurance Compliance Certificate must accompany each permit. . Permit Request(check box) . [4-re-roof(hurricane nailedy(stripping old shingles) All construction debris will be taken to Aj$GaS, S G✓ i�'{A. 0 Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) K?Ie-side #of doors a D--Freplacement Windows/doors/sliders.U-Value 3 (maximum.35)#of-window3 ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required: *Where required:.Issuance of this permit does not exempt compliance with other town department regulations,.i.e.Historic,Conservation,etc. ***Note: Property.Owner must sign Property Owner Letter of Permission. A copy of the Home I_mp ove ent Contractors License&Construction Supervisors License is req ' ed. _ SIGNATURE: ✓ C`.\Users\decollik\AppData\Local\Microsoft\Windows\Temporary.Intemet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 " • The Cofinnonweakh of Marssachusetts Deparhnent of In&stria1 Accidents Ogre of Investigations' . 600 Washington Street Boston,MA 02111 ' - n my anass,gov1dia Workers Compensation Insurance Affi&vit Bu'dders/Contractors/ElectricianslPhunbers Applicant Information Please Print Le twit't • Naa>be. �Pss/�rgs�4ionllrudividual):/�-/QC�L1�'�S7�P�' �C ;l d.�nci ,�C t C� ' • . Address: �P�QLPt- 20 cityrstata zip: OgArud1c, _ o s' Phflne* SM S ya-8-=, Are you an employer?Check the appropriate boa:; Type of project(required): 1.�am a employes with _ 4. ❑,I am a general c o6ttactor and I s have.hired the sub-comtc�ictocs 6. I�exu ovnstiou e 30 ees(fall and/or pact-time), - 2❑ I am a sole proprietor or partner listed on the attached sheet 7- modelsng ship and have no l f`These sub-contractors liar employees 8. EJ Demolition workingfor me in any capacity, employees and haves warms',, (No workers'comp_immn-ance comp.insurance-1 9. ❑Budding addition required] 5. ❑ We ace a corporation and its 10.❑Electrical repairs or adt&ons 3.❑ I am a homeowner doing all wodrk o$ceas have exercised their l l.�Plumbing repairs or aMifions I£ o workers' 'right of exemption per MGL • myse � - 12_❑Roof rep sits. ' insurance required_]i c- 152,§1(4} and we have no employees_(No workers' 13.❑Other tromp.insuiauce,required.] r '?lny applies that checks ham#1 omit also fill out the section below showimmg1hek woa$eiv ou mmpensadou policy i�miff ion. �$OTM�=-era who submmaat thus affidavit MAhC2tmg they are domg all wak and Then lase ouha&eonuaetars.eizsit submit a new sm&vA. .... mg sncb.` (Contractors that check this boat must wa€aed an addita®sl meet showi ag the nacre of Poe sub-�and state whether or got those entities hove employees. If the:sab•coamc ars haae eurptoyees,they roast pzovide the workers'comp.policy numb-- lam an ernplaj-w that is providing workers'compmsation insurance for say anrptojwas Below is the pact'a"Job site. information. --.11 Insurance,Company Name: S7cf Z:n7 tjr*NU-� Policy#or ins_Lic.#-•4/C' 'V�(p 3 a C)3 V F•xgirs4iou Bate: Job Site Address:l > O A bVA uk Cityrstate Zip: vv lam,A9• 0016,1 Attach a ropy of the workers'compensa6ji policy declaration page(showing the policy number and expiration date). - Failure to securee coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a, fine up to$1,500.00 and/or one-year imprisonment as wren as civil penalties in the fbrm of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator..Be advised that a copy of this statement may be forwarded to me Office of Investigations of the DIA for insurance coverage verification. I do hereby c" Harder to s and panahim of iary that the inforinatiora provi&d above is hrato ran eorrea tire: Date: / -tom/ Phone# !TO of Trial me only. Do net 1"ito in this area,to be completed by city or toast affici al. City or Torn: PerinitUcense 9 Issuing Authority(tile ore): I.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person- Phone#• ,,aco CERTIFICATE OF LIABILITY INF10/31/20DATE`M�'°° 12`:� INSURANCE12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME CT Kathy Silvia The Fair Insurance Agency Inc. PHONE . (508)775-3131 (FAX,AIC N„(508)790-1e77 619 Main Street ADDRESS:Ikathy@thefairagency.com P.O BOX 430 , •' INSURERS AFFORDING COVERAGE , NAIC# Centerville MA 02632 INSURER AWestern World HTBO18 INSURED -INSURER BCitation Ins. Co. (MA) 40274 Macallister Building ,LLC t ` INSURERC:Star Insurance Company 18023 64 Ebenezer Road - - INSURER D: • _ INSURER E Osterville MA +02655 INSURERF: COVERAGES CERTIFICATE NUMBER:12-13 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 I POLICY EFF POLICY EXP LTRTYPE OF INSURANCE POLICY NUMBER MMIDD MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000, A CLAIMS-MADE OCCUR NPP1318574 /11/2012 /11/2013 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 r GENERAL AGGREGATE $ 2,000,000 , GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OF AGG' $ 2,000,000 , X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED R 2082 9/7/2012 9/7/2013 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE . HIRED AUTOS AUTOS Per accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 4EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ - -�, $ C WORKERS COMPENSATION f .' WC STATU- OTH- AND EMPLOYERS'LIABILITY YINFR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBEREXCLUDED? ❑ NIA (Mandatory in NH) C0632030 /1/2012 /1/2013` E.L.DISEASE-EA EMPLOYE $ '100 000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE, EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main".Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE , Jackie Stewait/FAIJS2 ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 rgmnnsi ni Tha anew I nnma nnA Innn era raniefarad mnore of Arnpn „ De artment of Puntic safety -011LiVlassachusetts - P �1 Board oT Sullditig'Re9raticns and�+iarrdards _ nn Su ervisor 3 ” C�znstructi �-079358 i_icense. r MAgLC A MACAI,�ISTE 64 EBENEE N�IAA 02655 r A OSTER a - r,a 08112120U ��"�� License or registration valid for.individul nse only Office of Consumer Affairs Business Regulation before the expiration date. If fotin_d return to �. ess jOME IMPROVEMENT CONTRACTOR office of Consumer Affairs and Busin Regulat►on, ' ,MERegistration 133744 I)f3A ;Type i0 Park Plaza Suite 5170 !A �' 81312013 ` • Boston,MA 02116 Expiration: MACALUSTER BUILDING 1 ,, MARK MACALLISTtf 64-EBENEZER ROAD Not valid without signature OSTERVILLE,MA 02655 Undersecretary R e 11/01/2012 09:21 7134640091 . CRONIN -PAGE 01/01 .. A , 8AAN5 IRZ WEASS, Town of Barnstable gegulatory Services. , Thomas F.Geller,Director ` 'Building Division Thomas Perry,CBO Building Commissioner 200.Main Street, Hyannis,MA 02661- 1 www.town.barnstable.tna.us Office: 508-862-4038, ,. Fax: 508-790-6230 Property. Owner Must ,. Complete and Sign This Section • If Using A Builder I -TUA h C ro ��^�ch 25 Owner of the subject property hereby authorize I O r l%_ CIA its 4er to act ou my behalf, w in all matters relative to work-authorized by this building pertnit application fors AvtV1�IrtZ� ', '(Address of Job) t' • Sig(tatulref Owner. 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