Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0095 THISTLE DRIVE
_ � _ � o ,� . . v � f � ,, c _ v � � � �- _. e c U .. v o e �'� �. � c ... .;. .. c, o J ,. A. C r i �. . 4 ;� .R �. .. �. :. .. G- .. i� �. e � > '. i <. c d ., _ - �. ° n. � 9 .. — ..,. 4 F DATE It TIME_ .M. OF e ` U. t PHONE 18013�q CELL uj M AGE TELEPHONED RETURNED YOUR CALL qak LEASE CALL 0 WILL CALL AGAIN ■CAME TO SEE YOU SIGNED 3 WANTS TO SEE,YOU Application Number.... ......................................... .......... MASS. Bu/1 &g,,itFfq...............;&00.......Other Fee......................... 1659. Jb UERT - MARTH F P 'd................................................................ ...... TOWN C Fa-%,�tf Aj�l�>TO" OF BARNSTABLE ,It., '. ..........Dn.... ....... 1,g Lby............V BUILDING PERMIT Map................ ..q .........Parcel.............. ....................... APPLICATION Section I — Owner's information and Project Location Project Address 'r H1,5 71-6 village Owners Name NO,< C-C—V /Vq -n A R/I Owners Legal Address 7-IF! T(-C- el -.9-%/er City /1 ( State Zip Owners Cell# 5 0 7 2 7 E-mail Section 2— Structural,Use Uq,41ngie/Two Family Dwelling F-1 Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Z�Section 3 —Type of Permit ❑ New Construction E] Move Relocate E] Accessory Structure ❑ Change of use El Demo/(entire structure) El Finish Basement El Family/Amnesty El Fire Alarm Rebuild El Deck Apartment El Sprinkle I r System F] Addition ❑ Retaining wall ❑ Solar' ❑ Renovation. Ell pool. El Insulation Other—Specify Section 4 - Work Description /f � P4 "I CC A OOROX 1,'Y 4-r-CCy 19 ROOC� rg V W/4)0 'A.) ?vz �,Q -4,11'7,4 ,g t:_c-o 4 ej TtA*tPA- l7/7R/7f)17 s Application Number...... ...................................... .:... Section 5—Detail Cost of Proposed Construction a o o 4 Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing •` Total# Of Bedrooms (proposed) i 110 MPH Wind•Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design j Section 6 —Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System '❑ Masonry Chimney- ❑ Add/relocate bedroom Water Supply ❑ Public y ❑ Private ' Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8 —Zoning Information osed Use Lot Area Sq. Ft. Zoning Distract Prop 1 Total Frontage Percentage of Lot Coverage # of Dwelling Units(on site) Setbacks Front Yard Required Proposed - Rear Yard Required Proposed ' Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes 0 No CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYYY) 9/27/17 ,LATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS ;tE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED .cSENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. .,1ORTANT: If the eertificat®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 and orsemen s. PRODUCER CONTACT United Insurance en NAME: Cyr ztad. PHONE AX • 508 59-6595 - A N , (50e) 7s9-ae2z F A 199 Main Street SS: P.O. Box1013 INSURQRISIArroK13IN2COVERAOE NA►Cp Buzzards Say, MA 02532 --._._...... .. _ INSURER A:.%cc Lance Indemnity INSURED INSURER B 1 AEIC :lazes Moore INSURERC; Moore Carpenhsy INSURER D i ~� 15 Coeletta Dr _INSURER R: E Falmouth, MA 0253 6 INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE AVE BEEN REDUCED BY PAID CLAIMS. L TYPE OF INSURANCE POUCYNU ..R Y IMUOYMI (MMIDWYYYY) — - LIMITS A GENERAL LIABILITY CL00239080 6/20�17 6/2�/16 EACH OCCURRENCE r 1_,000, }( 9 COMMERCIAL GENF.RAI.I.IABILITY DAMAGETO RRNTRO OOO EMISES_(Ea.occur.r9ug) lOO 000 000 CLAIMS-MADE E]OCCUR MED EXP(Arbon@ person)._ 0 5,BOO PERSONALBADVINJURY $ I.,000 D00 GENERAL AGGREGATE 4 2,000,000 GEN'LAGGREGATE I.IMITAPP LIES PER PRODUCTS•COMP/OP AGO $ 2�0 0 0a OO O POLICY PZCT RO- LOC A AUTOMOBILEIABIUTY COMB rD I L $ ANY AUTO BODILY INJURY(Per person) ALLAUTOS NEO SCIICDAUTOSULED BODILY INJURY(Par eeeldont) $ NON-OWNED PROPERLY DAMAGE '� A hllfdEDAUTOS _ AUT08 (Peres@@„ant S UMBRELLALIAS OCCUR EACH OCCURRENCE A EXCESSUAB CLAIMB•MADE AGO RE GATE $ DED RETENTIONMORKE B COMPENSATION AND EMPPLLOYERTLIABILITY Y/N WC50050101242017 6/14/17 6)14/10 g �RYjIL� OETH _ ANY PROPRIETORMARTNER/EXECUTNE E,L.EACH ACCIDENT S 100,000 OFFICERMIEMBER EXCLUDED? NI A•, (Mnndalory In NH) EL.Dl EAS, EA FMPLOYEE A 100,000 If yyea tleurlbb ar Idr DES�PUPTIONOFOPERAT10NSbolow EL DISEASE-POLICYLIMIT il 900 000 DESCRIPTION OPOPERATIONS/LOCATIONS/VEHICLES (At4eeh ACORD 101,AddmonplRensiftSchaduls,IfineroepeeoIsrogdrod) Remodeling contractor Workers compensation policy doss not include coverage for James Moore 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 AMOR ANCH WITH THE POLICY PROVISIONS. Building Dept 2OO Main St TEED RE SE ALINE Hyannis, MA 02601 t 019 -2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD 'hone: Fax: (508) 790-6230 E-Mall: . The Commonwealth of Massachusetts Department of Industrial Accidents Mw. 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 Lezibly Naive(Business/Organization/Individual): ✓ A 14 C—S A.�fU Address: / GOC6t-tTA DP FALAGwrw City/State/Zip: I"74 S 3 6 Phone#: So Jrr �-7 Aretp an employer?Check the appropriate bog: Type of project(required): 1.E I am a employer with_ 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New constriction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me m any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.msurance.t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required]t c. 152, §1(4),and we have no 13.❑Other lQ DDT employees.[No workers' comp.insurance required.] *Any applicant that checks box#I 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. .�Contraotors that check this box must attached an additional sheet showing the name of the sub-contractors and state,,yhether 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 isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#: .$'P1 Z-7 l 3 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees- Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 1.52, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applican Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or fficially stamped or marked by the city or town may be provided to the town)."A copy of the affidavit that has been o applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Tndustdal Aoddents Office of Investigations 600 Washington Street Boston,MA 021 It Tel,4 617-727-4900 ext 406 or 1477-MASSAFF, Fax# 617-727-7749 Revised 4-24-07 w,m='gov/dia THE FOLLOWING IS/ARE THE BEST IMAGES - FRO MTO OR QUALITY O RI GI NALS) im DA. TA $usiness Regulation Mass.r—�"'.-'�dAIC''.E DATE(MM/roanrrvrl 7 f +,al .Volt %�cial Vl/ebsite "onS of the Office of Consumer Unler-q Affairs& Page 1 of 1 Affairs Business Re ` Business 9ulation(OCABR Home Consume d Busi s Regulation HIC , r Rights and Resources Home I`i:)r e—_—„�„——""`"• �,, �` Registratlo rnprovement Contracting n COmPlaints Registration# 120592 Registrant MOORE CgRP Name ENTRY Address DAMES MOORE Home Im ro es ve s m ent Cont 15 GOELETTq DR ' Re istrafion ractor Home Pa e Cit y, State Zip EAST FALMO Expiration Date 0212212018 UTM, MA 02536 — )0 " JO 00 No Complaints found for this re �eta►Is )00 registrant. You can also view sack To S arbitration and earch Guaran Fund histo 2012 Co mmonwealth of ass.Gov®is a registered servicesetts. . Mark of the Comm onwealth of Massachusetts. )0.000. JO 000 00,000 Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and standards Construction4,s1�`��eU� ?� .� 2 Family Tres: 1112412018 CSFA-045959 ? �,, JAMES S MOORE j+ 15 GOELETTA-DR ) E FALMOUTH MA 02536 J-Ao D ELLED BEFORE )ELNERED IN Commissioner ll//��____ ill rights reserved. vices.oca.state.nia,us/h'c/licdetail �y S.aspx?txtgi-.n.-Lr,. _ w ' Application Number........................................... F Section 9 --Construction Supervisor Name rT 4 .7 C 5 /h0®{F Telephone Number 5 Q � � 2 7- ' /0' C� Address / S C'06C�1`rq OR- City ' FA tnt&y-,fate 4V 4 Zip License Number ® y5 q,51 License Type' / 2 Expiration Date Contractors Email /f7 6 4 2 T��4 G1 S i4 T yq`IOd Cell# d O Z .6 .f 0 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code.. I understand the construction inspection procedures,specific inspections and documentation required y.780 C d the Town of Barnstable.Attach a copy of your license. Signature y Date Section 10—Home Improvement Contractor Name s /d r' Telephone Number S O 4 5 27 - Address / ;5 06C&-it4 City �'e FAL1Aaj9-11 State *"A. Zip d 2-S 7. Registration Number- /2 06 2 Expiration Date 2 - 2 - 9 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Rome Owners Name: lVOR C6 4) /71 A C-/UII /n 4 1Z 4 Telephone Number J b 16 C O 1 7 7 Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction-inspection procedures,specific inspections and documentation required by 780 and the Town of Barnstable. Signature Date APPLICANT SIGNATURE G Signature Date Print Name �g S Telephone Number s0 f SZ 7- r; E-mail permit to: TIM 6 Last undated: 12/28/2017 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District El• Site Plan Review(if required) ❑ = Fire Department ❑ Conservation ❑` For commercial work,please take your plans directly to the fire department for approval Section 13 — Owner's Authorization a I, N 01k CIJ M g C N9 1;'?9 t 04 , as Owner of the subject property hereby authorize J-4 Y'7 c-S ,M 11 C to act on my behalf, in all matters relative to work authorized by this building permit application for: l (Address of job) Signature of Owner y date j Print Name r is T act nnAatPrl• 17/7R/7f117 ' ►. Town of Barnstable L1ilCiln PostyThis Card So That-rt;�s;Visible From the Street A rowed,Plans Must;be Retained on J'ob•and this Card Must be Kept f M Posted UntIlFinal;Inspection Has Been Made , an R Wherea Certificate,af Occu anc �s'Re.,uiredsuch Buldm .s�h�all Notbe O cu ied,until a Final In ectwn�has been made Permit • . ��<.: .. ,�. :_ •, .... ,- .- . .. ._ :p ..... _.". tea... Permit No. B-18-1054 Applicant Name: JAMES S MOORE Approvals Date Issued: 04/25/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 10/25/2018 Foundation: Location: 95 THISTLE DRIVE,CENTERVILLE Map/Lot 148-018 Zoning District:' RC Sheathing: Owner on Record: MCNAMARA,GERALDINE A&SHEILA M 'iz Contractor=Name DAMES S MOORE Framing: 1 21 Contract License 120592 Address: 78 JAMES OTIS ROAD 2 .. �J "� CENTERVILLE,MA 02632 Est Proect Cost: $4,000.00 f 1 Chimney:' Description: Raise Ceiling I ermit Fee: $85.00 Insulation: Project Review Req: Fee Paid;. $85.00 Final at e 4/25/201 8 e 14, . Plumbing/Gas rn 4 /�1 .... Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six monthsaftessuance. Rough Gas: All work authorized by this permit shall conform to the approved apple tion anditheapproved construction documents'for which this permit has been granted. All construction,alterations and changes of use of any building and structuresshall be in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or� d and shall be maintained open for publ clmsp coon for the entire duration of the Electrical work until the completion of the same. - c o _ Service: i r•vi n:his permit. B it m , nd_Fme Officials a.e o ded o The Certificate of Occupancy will not be issued until all applicable signatures by the u d g a� p � t_ p Minimum of Five Call Inspections Required for All Construction Work: ' �: z Rough: 1.Foundation or Footing M` ..- 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth.in.MGL c.142A). Fire Department Se'� Building plans are to be available on site Final: �� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT IHE � onAppiicahNumber. �.�....... G - # J :V ...:.......Other Fee.......:................ 163q. MIS P :d 1P$ �ii : 1 TOWN OF BARNSTABLE Permit Approval by... ..........on.... .. '. BUILDING PERMIT 44 0-T 'SU Map......... ......... . ..PfficeL.............:.......................... .... APPLICATION Section I— Owner's Information and Project Location f Vill Project Address �.� H/S7LE D e Owners Name Al®e?EC',V Owners Legal Address S �"HI 5 7-C C 0/Z City C E°y T CQ 0 l l E State Zip 026 Owners Cell# s O ? 9 7 E-mail Section 2—Use of Structure t Use Group ❑ Commercial Stricture over 35,000 cubic feet ❑ Commercial Structure under 35,000-cubic feet LJ' Single/Two Family Dwelling Section 3 —Type of Permit New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alamo Rebuild. ❑ Deck Apartment © Sprinkler System ;, ❑ Ad 'tion ❑ Retaining n wall ❑ Solar Renovation ElPool El Insulation Other—Specify Section 4-'Work Description Al G Tact m,dated:V9/201 8 APPlication Number.................................................... Section 5—Detail Cost of Proposed Construction 4/000- -- Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing-, Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method 0 MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics P ❑ Wiring s ❑ Oil Tank Storage ❑' Smoke Detectors Plumbing Gas ❑ Fire Suppression ❑ Heating System ❑.Masonry Chimney ❑Add/relocate bedroom u ❑ Public ❑ Private Water Supply Pub vate PP Y - Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility. I am using a crane 11 Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑. J Section S—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. J Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) I Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this roe had relief from the Zoning Board in the past? ❑ Yes ❑ No property rt3' g - d Last imdated 2192018 Office of Consumer Affairs&Business Regulation f HOME IMPROVEMENT CONTRACTOR YP�E�t�idiuidual TYPI . n�� Expiration 1'2tI5 02/21/2020 JAMES S MOORE;I€sl< D/B/A MOORE CARWp5- IJ JAMES S.MOORE' ;: 15 GOELETTA DR '`i.- - •i, ' EAST FALMOUTH,MA 02536 Undersecretary C � I • .. .. .. ..... �. ., i ual use only Registration valid i date.or 'a found return to: before the 4. ulati. . Office of Consumer Affairs and Business Reg One Ashburton Place-suite 1301 Boston,MA 02108 I I I � � ' ature Not valid without sign r , CERTIFICATE OF LIABILITY INSURANCE DATE(MM9/27 9/z7Y) /17 ,LATE IS ISSUED AS A MATTED OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THS ;.tE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED .cSENTATIVE OR.PRODUCER,AND THE CERTIFICATE HOLDER. .?ORTANT: IF the certificate holder Is an ADDITIONAL INSURED,the policy(es) must be endorsed. If SUBROGATION IS WAIVED,subject to the Harms 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 enclorsemen s. PROCUCER CONTACT HAM: _ United Insurance Agency, Inc. PHONE �r0a 59-6595 rAX N : (5oe) 759-3822 199 Main Six®®ttA Ass: P.0. Boat 1013 INSUFQR(SIAFFORDING COVERAGE � NAICp Buzzards Bay, MA 02532 �� �--'•• __._...... _ INSURER A:ACC tance Indemnity INSURED •—. 1_ INSURER E3,:AEIC .-• ...--- Jam®s Moore INSURERO: Moore Carpentry INBURERb: 15 Goeletta Dr _INSURER E; E Falmouth, MA 0253 6 INsuRER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCieS,LIMITS SHOWN MAY_H_AVE BEEN REDUCED BY PAID CLAIMS. —- L TYPE OF INSURANCE POUCYNUMBER _ MltbIYYYY (MMIDDIYYYYI LIMITS A GENERALLIA9ILITY CL002.39080 9/20/17 6/20/18 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENFRALLIABILITY DAMAGE TO RFNTCD EMISFS_cEa.ocaurLsrlpg)_ 9 100,000 CLAIMS-MADE F_1 OCCUR MED OF(Anyone person) m 5,_Q00 .PFRSONAL&ADVINJURY a 1,000 000 �,. GENERALAGGREGATE 6 2,000,000 GEN'L AGGREGATE LIMITAPPUE8PER PRODUCTS•CDMPIOPAGG $ 2, Q-O,,000 PRO POLICY LOC S AUTOMOBILE UhSiUTY COMB INED SINGLn- IMiT (Ee.oecidoM) A ANYAUTO BODILY INJURY(Perperson) S ALLOWNED SCHEDULED BODILY INJURY(Per $ AUTOS AUTOS ( ) NON-OWNED PROPEFr(Y DAMAOF HIRED AUTOS AUT08ef ocCi ont — a UMBRELLA LIAR OCCUR EACH OCCURRENCE A EXCESSLJAB CLAIMB-MADE AGGREGATE $ _ DED RETENTION $ B VJORKERSCOMPENSATION WC50050101242017 6/14/17 6/14/113 OTH- AND EMPLOYERS LIABILITY Y I N ANY PROPRIETORMARTNER/EXECUTNE E.L.EACHACCIDENr S 100,000 OFFICERMIEMBER D(CLIJDED7 N I A (Mnrdatcry In NH) E.L.D1SMS,�EA FMPLOYEE A 100,000 DyeeRIPTIhNOFO EL CIS FASF.POLICY LIMIT 500 000 DEBt; airrI N OF OPERATIONS b010w DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (AtteehACORD101,Addmon4lRonaftSchedule,IfmoroapieolerogJred) Remodeling contractor Workers compensation policy does not include coverage for James Moore CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES IRE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, .NOTICE WILL BE DELIVERED IN Town of Barnstable AMOR ANCE WITH THE POLICY PROVISIONS. Building Dept 200 Main St IZED RE s A e Hyannis, MA 02601 t ®19 ,2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD 'hone: Fax: (508) 790-•6230 E-Mall: 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): ✓ A A40 e(7 /790 va r C1q/P/° yTlt� Address: / 61 G06--6t—M4 0R F-AL/010W rw City/State/Zip: /'�44 S 3 6 Phone#: 50 $ 5 ;L 7 Are yin an employer?Check the appropriate bog: Type of project(required): LEI I am a employer with _ 4• ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for mein any capacity. employees and have workers' con insurance# 9. ❑Building addition [No workers'comp.insurance P• required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required]t c. 152, §1(4),and we have no 13.❑Other /P oo� 2 employees.[No workers' comp,insurance required.] *Any applicant that checks box#I 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%yhether or not those entities have employees. If the sub-contraetcrs have employees,they must provide their workers'comp,policy number. . I am an employer that isproviding workers'compensation insurance for my employees. Below is the policy andjob site information Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under thepains andpenalties of perjury that the information provided above is true and correct Signafore: Date: J ` Phone#: S' Official use only. Do not write in this area,to be completed by city or town official City or Town: Perinit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: THE FOLLOWING. . . IS/ARE THE . BEST, IMAGES FROM POOR . QUALITY ORIGINALS) �C(�J L DATA uralrs&Business Regulation_ ��� DATE(MMlDa'YYYYI Uass.Gov 9/z7/17 ficial Website of the T Qfece of Page 1 of 1 — %ons�►mer gffairs Consumer Affairs 8 Business and B11s1l1e Regulation(pCAaa Nome Consumerss Regulation ) Rights and Resources � . ^ ..,. HIC Registration COn1 I Home Improvement Contractingi , p a►nts Registration* 120592 Registrant MOQRE CARP Name ENTRY Address JAMES MOORE Home Im rovemen ! Re istration t Contractor 15 GOELETTA DR Home Pa e City State Zip EAST FALMp ' Expiration p UTM� MA 02536 — Date 02/22/201 a ,0 )0 �o 00 No com Complaints l00 plaints found for this re Details )00 gistrant. Du can also view a —� 3ck To rbitration and Se�h Guaran Fund histo 112 Commonwealth of Ma s•Gov® ssachusetts. .w i is a service registered mark of the Commonwealth of Massac husetts. �. )0,000 00,000 00,000 commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction,$b'��?tUis`i��f& 2 Family CSFA-045959 > E�ires: 11/24/2018 JAMES S MOORE . 15.GOELETTA DR E FALMOUTH Mid 02536 ELL:ED BEFORE IN Commissioner JI rights reserved, ces.oca.state.ma•us/1uc/liedetails•as X? P •tXt.�P.ar..l.T,. _ Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District F Site Plan Review(if required) ❑ Fire Department ❑ Conservation El For commercial work,please take your plans directly to the fire department for approval. Section 13 — Owner's Authorization I, N M Q C tig ly?9 2�4 , as Owner of the subject property hereby authorize J_A Y� C-S to act on my behalf, in all matters relative to work authorized by this building permit application for: 9� / /-1I -7- L- 6 C6. 7_—'2 cJC!. L <5 (Address of j ob) Signature of Owner date Print Name T act nnriatPri• 7 t, Application Number............................................ Section 9 .Construction Supervisor �; II Name 47;g1`1 11:'.S 1:1,�"e Telephone Number S 0 5 2-7, lOJ 0 Address IS o 6 Le"/JA Ve City � C 117-9 Zip 6> S3 e., r�r License Number 'S 9 . License Type 1+2. Expiration Date %/ --.2 y" 0 < 1 Contractors Email ®6 2 C y� t-k�o T��cy 3 S �T Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code., I understand the construction inspection procedures,specific inspections and documentation required 7 0 CMR and of Barnstable.Attach a copy of your license. Signature Date Section.10—Home Improvement Contractor Name C;7_�q A S 001g Telephone Number • 0 -5-2 7 C) Address fS 6 06C f T71•4 City F. FA(-M b N •tri State 'Zip ® 12 S T 6 a_ / Registration Number 7 G $9 2_ Expiration Date 12L2 a 52 (3 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required b CMR and own of Barnstable.Attach a copy of your HIC... Signature Date " �. Section 11—Home Owners License Exemption Home Owners Name: /1/0 2 g!E J'l/ M6.AI'A /yl�2 q Telephone Number 0 f 6 81 q 7,7 7 Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Buildng Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date —9" r APPLICANT SIGNATURE Signature Date �"✓' `� i �A Print Name k c C) 0 4 C-' Telephone Number O $' j 7 (�3 E-mail permit to: (74 0 d PE T R A C T 3 4T d -1mnm0 Section 12—Department Sign-Offs Health Department © Zoning Board(if required) Historic District ElSite Plan Review(if required) Fire Department; El Conservation For commercial work,please take your plans directly to the fire department for approval Section 13—Owner's Authorization as Owner of the-subject property hereby -authorize - to act on my behalf, in all matters relative to work authorized by this building permit application for: i Address of job) Signature of Owner _, date Print Name ti y l . 1 Last=dated:2J92018 ,Barnstable District Court CapeCodOnline.com Page 1 of 2 Barnstable District Court March 10,2010 2:00 AM In court Friday: ARRAIGNMENTS (The following pleaded not guilty.) KANTOS, James E., no age listed,82 Evergreen St.,Yarmouth; operating a motor vehicle while under the influence of alcohol (OUI) or drugs(OUI/D)and another traffic violation,Thursday in Yarmouth. Pretrial hearing April 6. LEVETIN-HOLLINS, Seychelle, 18, 321 Mitchell's Way, Hyannis; shoplifting, Jan. 13 in Barnstable. Pretrial hearing April 2. MOORE,Tina L., 25,75 Cedar St., Hyannis; possession of cocaine with intent to distribute,Thursday in Barnstable. Pretrial hearing April 6. In court Monday: DISPOSITIONS BENTLEY, James M.,23,45 Danielle St., Cotuit; admitted sufficient facts to operating a motor vehicle while under the influence of alcohol(OUI), March 6 in Barnstable,continued without a finding for one year,45-day license loss, $1,847.22 costs and $50 fee; not responsible for two other traffic violations. DEVINCENT, Marissa,20,55 Moniz Circle, Centerville;guilty plea to assault and battery, assault and battery of a police officer,and resisting arrest, Jan. 16 in Barnstable, 90 days Barnstable County Correctional Facility with 15 days to serve(deemed served)and the balance suspended, one year probation; guilty of shoplifting,filed. r DONAHUE,John R.,27,4340 Main St., Yarmouth;admitted sufficient facts to OUI, Nov. 8 in Barnstable, continued without a finding for one year,45-day license loss, $1,847.22 costs and$50 fee; negligent driving, dismissed. HART,Aubrey, 18, 86 Sisson Road, Harwich; admitted sufficient facts to violating a protective order,Jan. 1 in Sandwich, continued without a finding for one year, $600 costs and $50 fee. RAYMOND, Michael P.,21, 113 Sunset Strip, Mashpee; OUI and another traffic violation,July 4 in Barnstable, not prosecuted. REIS,Valdiney;34, 16 Archie Road, Yarmouth; admitted sufficient facts to OUI, Feb. 8 in Yarmouth,continued without a finding for one year,45-day license loss,$1,847.22 costs and$50 fee; negligent driving and another traffic violation, dismissed. y SULLIVAN, Michael P.,47, 17 County Road, Mattapoisset; admitted sufficient facts to OUI, Saturday in Barnstable, continued without a finding for one year,45-day license loss, $1,847.22 costs and $50 fee. ARRAIGNMENTS (The following pleaded not guilty.) �a BRAUN, Even J., 19, 95 Thistle Drive,Centerville; OUI, negligent driving and another traffic violation, Saturday in Barnstable. Pretrial hearing March 24. COSTA,Malinda, 37, 800 Bearse's Way, Hyannis;three counts assault and battery, Friday in Barnstable. Pretrial hearing April 12. http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20100310/NEWS/3100323/-1/...' 3/11/2010 Barnstable District Court CapeCodOnline.com Page 2 of 2 HUNT, Ian,40, 314 Ocean St., Hyannis; OUI, negligent driving and two other traffic violations, Monday in Barnstable. Pretrial hearing March 23. LAWRENCE,Christopher T.,26, 5 Cheshire Road,Yarmouth;two counts assault and battery, Friday in Yarmouth. Pretrial hearing March 31. MILLER, Derek, 29,99 Walton Ave., Hyannis; shoplifting, Saturday in Barnstable. Pretrial hearing March 31. NILAND, Christopher P.,47, 1321 Bumps River Road, Centerville; intimidating a witness, Dec.28 in Barnstable. Pretrial hearing April 1. RANDALL,Jeffrey S.,25, 70 Woodland Ave., Hyannis_;violating a protective order, Friday in Barnstable. Pretrial hearing April 6. SHANAHAN, Robert W.,26,2301 Swan River Road, Dennis; OUI/drugs, negligent driving and another traffic violation, Friday in Yarmouth. Pretrial hearing April 6. SILVA, Laniece, 32,610 West Main St., Hyannis; assault and battery, Sunday in Barnstable. Pretrial hearing April 13. TAMIANI, Donna, 39, 95 Pleasant St., Hyannis; assault and battery and resisting arrest, Sunday in Barnstable. Pretrial hearing March 23. WILLIAMS, Carey D.,43, 34 Fresh Holes Road, Hyannis; assault and battery, Saturday in Barnstable. Pretrial hearing march 31. ZUNIGA, Said, 29, 9 Woodland Ave., Hyannis; OUI, negligent driving and four other traffic violations, Sunday in Barnstable. Pretrial hearing March 23. Copyright©Cape Cod Media Group,a division of Ottaway Newspapers,Inc.All Rights Reserved. http;//www.capecodonline.com/apps/pbcs'.dll/article?AID=/20100310/NEW S/3.100323/-1/... 3/11/2010 s s�y�j F DIME ® qg� Town of Barnstable *Permit# Ex�r�res 6 months from issue date � � Ong Department Fee M,ST,B �'n� ���� Brian Florence,CBO 9� 039�- tee$ �j f�1 B uilding Commissioner iOrEo act A � 200 Main Street,Hyannis,MA 02601 c�1� .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 Property Address % rL �� el�j ❑Residential Value of Work$ d Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address -)74L..1?/A7 't Contractor's Name � �t�f ia0.e r✓ Telephone Number Jr Q �S 7 Home Improvement Contractor License#(if applicable) / 2 d S / 2 Email: /yJy d 4 F_ G 3 S 47 r %_1 Constru tion Supervisor's License#(if applicable) 7Workman's Compensation Insurance Check one: ❑ 1 am ole proprietor ❑ L the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# - Copy of Insurance Compliance Certificate must accompany each permit. Permit Requ (check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to NF G/ E 0 ' 'd 2' AV-4 C` Aid to CJ:4 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) - - ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is re d. SIGNATURE: QAWPFILESTORMSTY PRESS2017 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street - Boston,MA 02111 www.mass.govldia Workers' Compensation Insurance Affidavit: Builder_ s/Contractors/Electricians/PIumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: < C06-'6C—rr 4 O R �'� F,4 L/L oc.,rw City/State/Zip: Phone#: 56 S 2--7 Arean employer?Check the appropriate bog: Type of project(required): 1.El I am a employer with 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). _ 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling and have no employees These sub-contractors have g. ship ❑Demolition working for me in any capacity. employees and have workers' 9: ❑Building addition [No workers'comp.insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work, officers have exercised their- 11.❑Plumbing repairs or additions l£m se o workers comp. right of exemption per MGL y � ' e p 12.❑Roof repairs, insurance required.]t c. 152;,§1(4),and we have no 13.❑Other employees. [No workers' 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 isproviding workers'compensation insurance for my employees. Below is thepolicy andjob site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signafore: Date: Phone#: .S 0 `S S' Z`7 l a 3 � Official use only. Do not write in this area,to be completed by city or town q ffzciaL City or Towne 'Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: THE FOLLOWING IS/ARE THE BEST IMAGES FROMPOOR QUALITY ORIGINALS) m -A" E DATA ' <-uraus&$us' Re ` mess giliation_ '`LAIC �,�fMMm�, rf Mass.Gov lficial Website of the o onsUmer OfFiceofConsumergffairsg PageiofI Q�a%rS a f3usines ' "IX nd Business Regula rO9t1ulation(pCgBR) Home Consumer / . Rights and Resources �""""""" W HIC Registr Home Improvement C ••.q..,-�•m.,� �„ .. ation Compaints Registration# 120592 Registrant MOgRE C s Name ARPE 'TRY DAMES MO pRE Houle Im u Address rovement Contractor 15 GOELET-rA DR Re istration Home Pa e CitY, State Zip EAST F Expiration ALMO�TH. MA 02536 Date, 02/22/2018 ,0 )0 JO 00 100 No complaints foun �Omplaints Details )oo d for this registrant ou can also vie 3ck To w arbitratin and o Sew Guaran Fund histo 712 Co . mmonwealth ofMassac �""" s.Gov®Is husetfs. �"�"`"��-•n. �, ' a registered service mark of the Commonwealth mmonwealth of Massachusetts. )0,000 JO 000 00,000 commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction, ?�Vigoj t& 2 Family ires: 11/24/2018 CSFA-045959 Syr:,; , � I 1 JAMES S MO(ORE 15.GOELETTA-DR E fALMOUTH MAC, 02536 ELCED BEFORE )SLIVERED IN Commissioner ill rights reserved. .ces.0ca.state-n2a..us/hic/jjr .aSpg?tXt, ,-... L r.. _ I Z CERTIFICATE OF LIABILITY INSURANCE9/27 : DATE(MM9/27Y) 117 ,LATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS lArE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED ..�:SENTATIVE OR PRODUCER,AND THE CERITFlCATE HOLDER. ,1ORTANT: If the certificate holder Is ah ADDITIONAL INSURED,the policypes) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions ofthe policy,certain policios may require an endorsement. A statement on this certificate dogs not confer rights to the certificate holder in-lieu of such andorsemen s. PRODUCER CONTACT United Insurance en Inc. PHONE FAX ' GYr.' 5Q13 59-6595 A N (SOB) 759-3822 199 Main Street M'E P.O. Box 1013 Buzzards bay, MA 02532 INSUMR(SIAFFORDINO COVERAGE NAIL 0 `-- --'••- __._._.,... INSURER A:Acceptance Indemnity INSURED INSURER_a:AEIC Jams Moore INSURERc, Moore Carpentry INSURER D 15 Goeletta Dr _INSURER F; E Falmouth, MA 02536 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCH S,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L TYPEOFINSURANCE pDUCYNU R _ MILbIYYYY MMIDDYYYYI LIItAT9 A GENERALLIABILITY CL00239080 8/20/17 6/20/18 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENF,PAL LIAS ILITY OAMAGETO RENTED 9 100 OOO EMI.SES_(Ea.ocaurLertDg) CLAIMS4VIADE [—]OCCUR MED ETV(Anyone Person) m 5,000 _ PERSONAL ADV INJURY 5�] ,000 000 GENERAL AG GRE•GATE- $ . 2,000,000 GEN'LAGGREGATELIMITAPP LIES PER PRODUCrS•COMP/OPAGG s 2�000,000 POLICY PRO LOC S AUTOMOBILE LIASIUTY COMBINED I L (Ea 0ecitloM S _ ANYAUTO BODILY INJURY(Per parson) S AUTOS ALLOWNED ULED AUTOS BODILY INJURY(Persceldant) S HIRED AUTOS NON-OWNED PROPERR,TYY DAMAGE. AUT08 Pier 0cad4nt 4 S a UMBRELLALIAS OCCUR EACH OCCURRENCE S ExCesSLwB CLAIMS-MADE AGGREGATE $ DED RETENTION S n B ANDEMPPLLOYERS'UABILrry YIN COMPENSATION ATCJr0O501012912017 6I14I17 6�1d�19 X_ T002 0TH- ANYPROPRIEMRIPARTNER/ExECtnT"E ILL.EACHACCIDENr S 100,000 OFFICERUEMBER ExCLUDED7 NI A (MerdalorylnNH)IfEs E.L.D1S_MS�EAFAPLOYEE R 100,000 bFtIP71ON OF OPERATIONS bolw EL DISWF--POLICY LIMIT 500,000 DESCRIPTION OP OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Addltloml RerMft Schadula,Ifmore apaeo IsrogHred) Remodeling contractor Workers compensation policy does not include coverage for James Moore CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES IRE CANCELLED BEFORH THE EXPIRATION DATE THEREOF, .NOTICE WILL BE DELIVERED IN Town of Barnstable ACCOR ANCE WITH THE POLICY PROVISIONS. Building Dept 200 Main St IZED RE SEVrA1nVQ Hyannis, MA 02601 > t ®19 ,2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/06) The ACORb name and logo are registered marks of ACORD 'hone: FaX (508) 790-•6230 E-Mall: - Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) El Historic District Site Plan Review(if required) ❑ - Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval - Section 13 - Owner's-Authorization I, (V D1 iC� M A c N9�q 2, , as Owner of the subject property hereby authorize J'4 r' ' °0 to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name a Office of.Consumer Affairs & Business Regulation- Mass.Gov Page 2 of 2 Click on the registration number to view complaint history. You can also view arbitration and Guaranty Fund history. The list is current as of Thursday, May 3, 2018. Search Results_ RegistrantName RESPONSIBLE REGISTRATION ADDRESS EXPIRATION }STATUS INDIVIDUAL NUMBER DATE AMES S MOORE iMOORE,JAMES �120592 15 GOELETTA DR 02/21/2020 `Current I IDBA MOORE CARPENTRY EAST FALMOUTH,MA .._j Site Policies Contact Us © 2012 Commonwealth of Massachusetts. Mass.Gov@ is a registered service mark of the Commonwealth of Massachusetts. https://services.oca.state.rha.us/hic/licenseelist.aspx 5/4/2018 r Town of Barnstable BUildlri a . g w�PostThls Card;Sotlhat rt is Visible From the;Street .;A' roved;Plans MusL:be Retained on,lob'ana thisCard Must be Ke t M"� �Posted�Until�Finalrins ection H`as`Been Made �v =�� R < �' :. �.. Permit ; s WhereFa Certificate of Occu anc' is�Re ;aired,such Bu�ldm .shall Not be.Occu ied.until a:Finahlns ect on has been made Permit No. B-18-1054 Applicant Name: JAMES S MOORE Approvals Date Issued: 04/25/2018 . Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 10/25/2018 Foundation: Location: 95 THISTLE DRIVE,CENTERVILLE Map/Lot 148-018 Zoning District: RC Sheathing: a Owner on Record: MCNAMARA GERALDINE A&SHEILA M TRS Contractor Name DAMES S MOORE Framing: 1% Ssy Address: 78 JAMES OTIS ROAD 7ontractor1 L ense�120592 2 CENTERVILLE MA 02632 je ct Cost: $4,000.00 Chimney: Description: Raise Ceiling £Rerrnit�Fee: $85.00 Insulation S f8 Project Review Req: Fee Paid: $85.00 'M Final: ®ate 4/25/2018 kM _. �' ..' Plumbing/Gas Rough Plumbing: ._... ,.; P Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authors by this permit is commenced within six months aftet issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents'for which this permit has been granted. ' s° Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. �x �-�� i This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public'inspection for the entire duration of the work until the completion of the same. 5-1 Electrical The Certificate of Occupancy will not be issued until all applicable sign is permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing • •. Rough: 2.Sheathing Inspection Final 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR ^ Z TYPE'In�dividual Reg�s trat�nn�. Expiration tm5 _ 02/21/2020. r JAMES S MOOR�;) I.^ D/B/A MOORE CARP WNW JAMES 5.MOORE 15 GOELETTA DR Lv:. EAST FALMOUTH,MA 02536 Undersecretary 461, Ox,& 1®�® Registration vaiiadtf°�indivdate'dual use onlY If found return W betoe the exp' Regulation Office of Consumer Affairs and Business pie psh6urton Place-Suite 1301 go3ton;MA 02108 Not valid without signature f` f s q2 J 97 � oFYKEj- Town ®f Barnstable *Permit# Expires t;it aiti jront issue date * HA SrABLE Regulatory Services Fee ®� "rA �� Thomas F. Geiler, Director Building Division gARN����l" Tom Perry, CBO, Building Commissioner 0UoJ� 0 200 Main Street, Hyannis, MA 02601 www.town.b arnsta b le.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 Property Address I s+ v U�[/]'Residential Value of Work Minimum fee of$25.00 for work under$6000.60 , Q O'�y Owner's Name&Address C erQ A A , CAlaeae. Contractor's Name kA����Q S it/ Telephone Number Home Improvement Contractor License #(if applicable) Construction Supervisor's License#(if applicable) LI ❑Workman's Compensation Insurance ` Check one: Er I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name 3r Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on rile. Permit Request(check box) -- ❑ Re-roof(stripping old shingles) All construction debris will be taken to w= ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side replacement Windows. U-Value 6 . 2— (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc. ***Note: Proper Owner must sign Property Owner Letter of Permission. rt . H e I rovement Contractors License& Construct Supervisors License is required. SIGNATURE: ;N Q:\WPFILES\FORMS\Express\EXPRESSPERMIT.DOC . Revise06O404 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations + d 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information I / Please Print Legibly Name(Business/Organization/Individual): ,Q �-L s sl✓N Address: (� 1'1✓l� Phone.#: �O — Z2— 42 Z CitylState/Zip: q Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction mployees(full and/or part-titn.e).* have hired the sub-contractors 2.MI am a sole proprietor or partner-' listed on the attached sheet. 7.. ❑Remodeling ship and have no employees These sub-contractors have g, '❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12 ❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. XContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.LLi�c. #: l Expiration Date: Job Site Address: �-] I k ST�s N. City/State/Zip�Pn-�tt�V1 ( ,k..42-6 3.2— 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 crirnirial penalties of a fine tip 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 sins and penalties of perjury that the information provided above is true and correct. 7 Siznature: Date: Phon_ e#• v® -� ZZ 0 Z,FZ— 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#: 1, �:,`• ,. information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in.the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contiactor(s)name(s), addresses)and.phone number(s) along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" Lhe applicant should write"all locations in__(city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e, a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. .The Office oflnveStigations would like to-thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations- 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax 4 617-727-7749 Revised 11-22-06 www.mass.gov/dia VE"I 'Town of Barnstable ` Regulatory Services p'gA"STAB �, Thomas F. Geiler,Director Building Division e Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 509-862-4038 Fax: 509-790-6230 Property Owner Must Complete and Sign This Section If Using .A.Builder as Owner of the subject,property hereby authorize � � � �p�/ to act on my behalf, m all matters relative to work authorized by this building permit application for. c .(Address ofi0 / Signature of Owner Date Print Name If Property owner is applying for permit pl6ase complete the Homeowners License Exemption Form on the reverse side. THE Town of Barnstable t i Regulatory Services Thomas F. Geiler,Director MAIM Building Division prED Tom Petry,Building Commissioner -200 Mairi=Streeter Hy=is;Nf -02601 www.town.barnstable-ma.us Office: 509-862-4038 Fax: 509-790-6230 HOTlF-OWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village { "HOMEOWNER": name home phone# work phone# CURRENi'MAILING ADDRESS: city/town state zip code The current e:temption for"homeowners"was extended to include owner-occupied dwelling of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.L 1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned."homeowner"certifies that.he/she understands the Town of Barnstablq.Builftg Department mm n,um inspection procedures and requirements and that he/she wi11 comply with said procedures and requirements. Signatirrc of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any bomeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 1o9.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assurning the responsibilities of a supervisor(scc Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Scedon 2.15) This lack of awareness often rrsults in serious problems,particularly when the hoco.vner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed m en Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/hcr respmnbilitics,many communities require,as part of the permit application, that the homeowner ccrtifY that belshe understands the responsibilities of a Supervisor. On the last page of this issue is it form currently used by scveral towns. You may caret amend and adopt such a form/ccrtification.for use in your community. License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the-expiration date. If found return to: Board of BuildingRegulations and Standards Registration 128528 (( Expiration 4L:15/2011 Tr# 284326 I One Ashburton Place Rm 1301 �.' Boston,Ma.02108 Type Individual PAUL N.CROSSER' PAUL CROSSEN .' 317 MAIN STD — HARWICH,.MA 02645 „ Administrator Not vali without signature i i Massachrisetts - Department of Public S tfet� Board of Buil'din�� Rc�-ulutions and Standards Construction Supervisor License License: CS 74174 Restricted to: 00 .PAUL N 'CROSSEN 317 MAIN ST Y HARW ICH, MA 02645 Expiration: 12/14/2010 C'unnnissiuner Tr#: 9006 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) �C(�J DATA. r Town of Barnstable *Permit# 2r1 130(e' . O•� raeplres 6 months from issue date Regulatory Services Fee %639. *0� Thomas F.Geller;Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 DEC 1 5 2064 EXPRESS PERMIT APPLICATION - RESIDEMgbQ Y� Not Valid without Red X-Press Imprint BARNS(f-, r_ Map/parcel Number Prope Address Residential Value of Work (-1 9 p Minimum fee of.$25.00 for work under$6000.00 Owner's Name&Address 'cn� �lb Ce0_ Contractor's Name Telephone Number�c bl y -44) Home.Improvement Contractor License#(if applicable)- i a ko y (7 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Board of Building Regulations and Standards Check one: HOME IMVEMENT CONTRACTOR ❑ I am a sole proprietor Re Istf � ❑ I am the Homeownerlug 126480 ❑ I have Worker',s Compensation Insurance 006 r�= `1751 jl�ldual Insurance Company Name MARK HERBST t3 ?,; i MARK HERBST' _ :_: . Worktnan's Comp.Policy# o I l9o`t 1b I aOD I _ 35 PEEP TOAD RD. :5�,% _ Copy of Insurance Compliance Certificate must be on file. CENTERVILLE,MA 02632 Administrator Permit Request(check box) OI a-roof(stripping old shingles) All construction debris will be taken to �f��l�• ��j 1'� ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows: U Value (maximum.44) •Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pr O er t sign Property Owner Letter of Permission. H Impr e tQbntractors License is required. Signature Q:Forms:expmtrg Revisc063004 Y �3 ,fir ` gr5, aj p sN r' r * der yk Cp : n '.•}�j.- :� 'w,.F"..�t yam= _F`-�•34���x .^�p3�'+�t �.s'i+. "€-H tt" `�'"v-�� � v '� $- •�a#3r . .. M 3 Fh ' •I F.S S^I '3:'S 1 '•r L aH(,S l } t� .- } { r 1� � �� w6r .d k S x�t '��' .: i } - � t�•, s 'r�5 � a -t i �i t ud•..�'''is . ,_,,*k Fh - A '1�.�:£�R�� 1l�RD=.7T .r1; p i-3,J1. tr �-t `` ''#,t�q+�ri-ram '3'-( " a 35 Pee Toad Rd. ; P, " Centerville MA 026324 x s u;, .(508) 420-6216t z i �'vtz 4 z U U TED TO: WORK PERFORMED AT: $ �i . " ich Qq x . 95 istie SAME Th , y; k Centerville MA 02632 "' r r �� p�,x�a We herby propose to furnish the materials.and perform the labor necessary for the ;Fy r completion of the following; { New Roof- Remove 1 layer of existing shingles k Install 8"drip edge , x � P,75 _ Install ice &water shield at edge &in valley areas Install ISIb felt paper Install Certainteed Woodscape 30 AR shingles x Color of choice( *Please fill in, Thank You f. Cut ridge &install cobra ventr ` " Replace all plumbing boots All debris cleaned daily Price includes material,labor&dump fee a All material is guaranteed to be as specified, and above work to'performed in a > K F �. ' accordance with specifications submitted:for above; and completed in a substantial workmanlike manner for the sum of Si a - Dollars( 6 ••(}f with payments as follows;full amount due upon completion Fes'=. ` j * Any alteration(s)from above involving extra costs will be added under written agreement,and becom an a ra ch rge over and above signed estimate/agreement .. RESPEC M Y { s i Signature 12-07-04 _ t: k Q t4 1 G ACCEPTANCE OF PROPOSALr � M1 The above a prices specification & conditions are satisfactory,we herb56 :accepty Y . you are authorize to do the work, and payments will;be as specified above. S'• { /: k _ �1 Signature(s) may Date: x This proposal may be withdrawn by said company if not accepted within 30 days } �. di M d 5 r y 'd`_.. .- • - i &";"tom i"��,. 5 :N t 03X'Y.�.(-rf'`•`f 41 t.4 Y N 1 i} -{ .`F � , '.) � "7� .�' 4 a L} - E. '"NYC"•Si:b•,.:.y`�� �'� y Ykin�;q„� r ryrt r 1 x° i ,� - tkr �}�a�� ° ::may r`r th. f{ 4�'.�,�•s .,,,vr'..-_, •'�"�ie ��� v h . •- f ` -�, '- � '` y - c't i' .--r�e.k;r7 '' u f .ti1 f tt d d _ �_x'S... YF`gt n.=`° 3"'•r _ <( 3 i..i i ' Tf •rl�.' .r = a: R'"C4 J��F Z" J"i$�?r 3t �� � •) ���x tt 4 r,k t np HAS '1' 4 i '+.• . 4 v Y - t _ i '°i.�r $ �' ,,,.� ` ""��ii 'ir. 7. 3 •a1 'r }� °'n's .f 3 a a r A'"qo� fir` MN ��� I /����� III ' i�._____s_�---__ daTM�rqy� % The Town of Barnstable MAM• n�arrsr�tE, • . 9 �0�' Department of Health Safety and Environmental Services Eo,9. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Grossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION Location of shed(address) lo4peoawnees _ � 0 84ZS name Telephone number Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Hist oric District? � Old King's Highway Historic District Commission jurisdiction? � Conservation Commission(signature required) A - THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN . Q-forms-shedreg ,_01.-66-1997 11:34AM FROM OLDE STONE LAND SURVEY CO TO 15087900072 P.01 RL.E# A1989 CEPCR TRACT# 129 pEEO BOOK 663 PAGE 2 1-3 CiJENT: SrEVEN J. PI I ES . PIAIV BOOK 247 PAGE 84 LOT. OWNER: LL3TIE L. MIJRPfiY ASSESSORS PLAN PLOT APPUCJNfT: RA MORTGAGE INSPECTION PLAN OF LAND LOCATED AT JANUARY 6, 1996 SCALE: 1=30' 95 7MSII'LE IYtIVS N/F PARKER, II .126.52' a 11 82 c, 169139 SF META S W t,v� -cl n eE S he 1( . sroay N/F HOLLINGSHEAD 18 } PAVED 832'+-TO CUL-DE-SAC NOTT11VGHAM DRIVE / 1 TEMPORARY .014' ' ON NG DETERMINATION THE LOCATION OF THE ORIGIN.%L DWELLING SHOWN HEREON EITHER WAS IN COMPLIANCE WITH LOCAL APPLICABLE ZONING BYLAWS IN EFFECT WHEN CONSTRUCTED WITH RESPECT TO HORIZONTAL DIMENSIONAL REQUIREMENTS ONLY OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS. G.L. TITLE VIZ, CHAP. 40A, SEC. 7, UNLESS OTHERWISE NOTED OR SHOWN HEREON. A CONFIRMATORY INSTRUMENT SURVEY IS ADVISED WHEN STRUCTURES ARE SHOWN'TO•BE ONE FOOT OR LESS FROM PROPERTY OR REQUIRED ZONING SETBACK LINES. FLOOD OETERMrNATlON THE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF COMMUNITY # 250001 0015 C AS ZONE C DATED 8/19/85 BY THE NATIONAL FLOOD INSURANCE PJ=RAM. I CERTIFY TO STEVEN J. PIZZUTI, ESQ. ®Ine *tone Ranh Ourbep (Co. NORWEST MORTGAGE CORP- AND ITS TITLE I ` INSURANCE COMPANY, THAT THERE ARE NO meneibpoaa CA o _ VISIBLE ENCROACHMENTS OR EASEMENTS *tin JNebforb, AM 02743 1 EXCEPT AS SHOWN AND THAT THIS PLAN WAS 1-800-903-3302 PREPARED UNDER MY IKMEDIATE SUPERVISION. USX 1-800-993-3304 GENERAL NOTES:This mortgage inspection pion was prepared for the above mentioned client onty as of this dote and is not Intended or reprGfented to be a land or propsrtV Ilse survey. No comers wew set. It CaMW be used for preparing deed descriptions,construction or establishing fence,hedge or building fines. The land as shown heron Is teased on client hmttahed Information and n ray be subject to further outeales,tckkxp,easerneMs and rights of way. No responsibWty Is extended to the fond owner or occupant. It b not intended to be recorded. Tf1T(]I P Ll1 Engineefing Dept. (3rd floor) Map y© Parcel ' /' Permit#` I House#_ Date Issued �` b r 9 O Board of Health(3rd floor)(8:15 -9:30/1:00- zw- fee Conservation Office(4th floor)(8:30-9:30/1:00-,2:00) 6 r14Za Wul ealth Division Planning Dept.(1st floor/School Admin. Bldg.) t Town of Bams NE►p;_- Definitive n d by Planning Board 19 PO Box 534 Hyannis,Ma 0 601 E (508) T TOWN OFBARNSTABL91ax hone(508) ' Building Permit Application �. Project Street Address CA 5 , I }�� '� r� k-:1�'i� � i o�k;�- Village ' ��� O�„�. p p o ; Owner °.�.:z►i Address . S tf..l AM 6 l 1 S Rcl C_V—U*- ��(It Telephone 5b '1�w' i Ci ' -Permit Request —Du " 105cc— First Floor � square feet Second Floor square feet .Construction Type 000.- Estimated Project Cost $ Zoning,District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No s �I Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 270 CIMS Historic House ❑Yes ®NC-'On Old King's Highway ❑Yes p-Ph" Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sa ft L Basement Unfinishv&A-rertsq:ft) L Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ectric ❑Other Central Air ❑Yes ' _,� ' ing New Existing wood/coal stove ❑Yes ❑No Gar Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name ��J�� )'`a Telephone Number a L( t.o Address .6G,r MA-C-MCF, License# 19Sg3 76 a'% _ o 2- a-d,( Home Improvement Contractor# Worker's Compensation# 00-/00 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS S LTING FROM THIS PROJECT WILL BE TAKEN TO '4 f s.� L NATURE ( j DATELDING T DENIED FOR THE FOLLOWI EASON(S) �� I a FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED' MAP%PARCEL NO. i• i 4 .... .. j.+,,. ADDRESS VILLAGE. OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION 4 FIREPLACE_ ELECTRICAL: ' ROUGH FINAL^ PLUMBING- : +--rROUGH--.. FINAL GAS:'-- ` � oWlf,@>� �` FINALco ca ru FINAL BUILDQ4( Vo a �' ✓_l7 _ .. _ t ,' a �, `, CD DATE CLOSEROUT ASSOCIATION PLAN NO. r _! 780 CWR Appmftj TableALlb(eondaued) peeaeriptive Padlcages for One and Two-Family Residential Buildinp Heated witb Food Fuels MA)"UM blumuM Olaang (Ilaang Ceiling Wall Flaor Bammermt Slab Head4cooiiag Meal(IN.) U-value= R value' R value' R values Wall P Pm Effiae»cy� padcage R value' R valud 5"1 to 6500 Hating Deem Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 .10 6 Normal S 12% 0-50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 N/A WA Normal U 15% 0.46 38 19 19 10 6 Normal V IS'/• 0.44 38 13 2S WA WA M AFUE W 13% 0.52 30 19 19 10 6 IS AFUE X 18% 0.32 38 13 23 WA WA Normal Y 18% 0.42 38 19 23 WA WA Normal Z 12% 0.42 38 13 19 10 6 90 AFUE AA 18•/. 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: � �5 � L BSA O U 3 2_ 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: ct> I 3. SQUARE FOOTAGE OF ALL GLAZING: (� 4. %GLAZING AREA(#3 DIVIDED BY#2): US 5. SELECT PACKAGE(Q—AA-see chart above): A4-e. � NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION.., BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR Appendix J Footnotes to Table J5.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. v' insulation plus insulating sheathing if used). Do not include Wall R-values represent the sum of the wall cavity p g g ( ) exterior siding, structural sheathing, and interior drywall. For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package.; 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope-must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 ..... Commonwealth of Massachusetts q — _ ��_ ^, Department of Industrial Accidents elfice ol/nyesgo'gaons 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name:' �� s ti, �d�J location: city ( � .� �Qd l�� f�l, i ��—lJ,�L phone# 06- �! r ❑ I am a homeot erfortning all work mvself: sole pro rietor alid have no one working in any ca acity %%///�%%%%% %% %%%%%///%��%%%%�%%%%%%%%%%%/ /%%%%%%%��%%%%%%%%/O�%%�%�%/%%%�%/%%// - ❑ I am an employer providing workers' compensation for my employees working on this job. comannv name address: city. phone#: insurance co. olicv# ` a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: .............. companv name: k,�,kc.,t,), address: _ I ( city t A &'� 0��%�al,�,b vhone# insurance co. comnanv name: .....:. ..:......:::::.::::..:.::::..::.:..... address: city phone#: insurance co. olii v# ... .. Fafinre to secure coverage as required under Section 15A of 31GL 152 can lead to the imposition of criminal penalties of a tine up to 51,500.00 and/or one years'imprisonment as well dye pe tin in the form of a STOP WORK ORDER and a tine of S 100.00 a day against me. I understand that a copy of this statement forwarded e O cc of Investigations of the DIA for coverage verification 1 do hereby certify r t e d e perjury that the information provided above is truo and correct ram' Signature U Dated ' ' _ Priest nam //� t��'`�t� ' Phone official use only do not write in this area to be completed by city or town official city or town: permit/license# �❑Building Department ' ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑health Department contact person: phone#; ❑Other (revised 9/95 PIA) z WG, '.00-�> 12 w+i its � zy 15'0 k6'B c aU 2�4 f � r a Vej s } 12 24 15'0 K6`8 c 1124 P J i CS 2A-L461�1b DO 1 O 001 DEPARTMENT OF PUBLIC SAFETY CONSTRUCTIQN.SUP.ERVISOR LICENSE Nuwber Expires: Restr.�cte:d<=Io_., w.., BB f7 r DAVIO,P�SHgSTANY POBX 1830 MARSTONS HILLS, NA 02648 'tSjl HOME IMPROVEMENT CONTRACTOR k1lRegistration .108901 y. .' ;Type PRIVATE fCORPORATI.ON g :Expiration 08/27/00 k 3 ,. z REUISIONS, INC David P. S'hastany" 4' , 4..J Y MISTA CIR 2 MINISTAATOR MASHPEE MA`02649 � i I °p THE r, The Town of Barnstable &#XNsr"l= 1m�' Department of Health Safety and Environmental Services '°rEo 59 '. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commission: For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. 3 Type of Work: Est. Cost � o Address of Work: gs � Pp D Owner's Names �-- Date of Permit Application: — 1� I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a ermit as the ager. NwJvr: Date Contra t NName Registration No. OR Assessor's office (1st floor): Assessor's map-and lot number ..�..�. . �/'8 � SEPTIC SYSTEM I�US �?NE T,�♦ ....... ... . Board 'of Health (3rd floor): ©�� .� •rr 9PISTALLED 10 COOP �" Sewage Permit number ..................................................... .. 1'1 TITLE 5 Z BARNSTADLE, Engineering Department (3rd floor): P9 W L CC House number .... � `� r`. WVIROPIME��TA TI aJul APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only' -TOWS GUL.A TOWN OF BARNSTABLE BUILDING : INSPECTOR v �C APPLICATION FOR PERMIT TO �S�"'f Z-�—. TYPE OF CONSTRUCTION ..................................! ....................................................... .............................. ........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: jT -4E C R ''// w� Location ............................9 ...... .r .................. �.. �- ....:.......... .Y.......................Q....... Proposed Use .................. .115912 f .......7.4 ......� !.S' ZoningDistrict ........................................................................Fire District ...................... ........................................... A� 1 �j� Name of Owner .../Kl. ...lv�5 f�. se5n..!.` M1 f.h/ress ......T.5......�ft S............................� w 1 ®® q n Name of Builder L........675.k.4PqTO_Add ress .......1..` .: ....1.. J 1. . . . 'j Name of Architect ..................................................................Address ................................. - , Number of Rooms ........................../....:..................................Foundation ..... ........ I � '}°q... cfi Exterior .............. .......................... ....................................Roofing ....'.. ...... .................. �C✓ � .......... .............. . .. (!... Floors /.. .. .........!</w"`'..................Interior ....:............:. Heating ...................................Plumbing .................... ......................................................... Fireplace ..................................................................................Approximate Cost .............. Definitive Plan Approved by Planning Board ________________________________19________ . Area ....................... ................ Diagram of Lot and Building with Dimensions Fee / SUBJECT TO APPROVAL OF BOARD OF HEALTH J � �NSYftI?.(.l�T r� � ter G�G f 5`�J, •�c�cSE OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the T n Barnstable regarding the above construction. I Nam ...... Construction Supervisor's License .01T.Cp.1..t............ MURPHY, JAMES 'MR. & MRS. • No•..29.Q!2 Permit; for �'. Build Su orch .3................. ......... alp 4 .... 4 5: Sin le Famil t Location ....�5...�hz�s.In].�..Axx�zs......�Lot• ��82.). t ' ....Centex'vi11e.................................... Owner ......Mr..... ... & Mrs......James. . ...Mur.ph. y .... . .. ...... . ...... . ....`. . .. _ - r r ' 36 Type of Construction Frame ................................................. . 4 Plot ..... Lot ................................ �? Permit Granted ,,,March 18, lq 86 'e Date of Inspection .l 9 Date Completed � ... .t....�..... ....:'^......1t9, ` - � • � �� j - ' ., 4f. W t _ }• �S Assessor's office (1st floor): THE Assessor's map and lot number . ..... ... . Board of Health (3rd floor): Sewage Permit number t BARNST&BLE Engineering Department (3rd floor): - 90o r639. House number �0Yxtlk. APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00, P.M. only It i TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......................... ..... �?�..!.......... ....... ..: ""mot:...--- TYPE OF CONSTRUCTION ................................I'...!` .1................................................................. .................. r ..............."".............?I�a""......19. in TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 9s � IST-C e l ( V .....r .!. . ..... Proposed Use ..................... V....:...............f.!.p.. ! ...... A .. `` ............... ........... .. j Zoning District jj. ✓ _ t ........................r...............................................Fire District ........................ ... - Name of Owner ... ....... ........................Address ............................ Name of Builder......... G:...f....gWY? ....... hISD!"..Address ....... 2................C........5e........ .'-!f11�1�IS���'%� Nameof Architect :.................................................................Address .................................................................................... Number of Rooms ..................................................................Foundation .... � l Exierior e.�?sz Pam►t✓1�....................................Roofing ...... ...5 �' � .......... , FloorsST!✓Iq......................�C.i........ .......................L.........................Interior ................................................................. .......................Plumbin .....................Heating g ......................................... 1 Fireplace .. .. ...................................:...........Approximate Cost ................. ,! .f„„*,: ............................... ...... Definitive Plan Approved by Planning Board ---------------------- "---_--19-------- . Ared .......................................... �`J �p Diagram of Lot and Building with Dimensions Fee / ! .. SUBJECT TO APPROVAL OF BOARD OF HEALTH o N S A cT �•�%7—k— > -10! `j J ✓� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of. Barnstable regarding the above construction. Name . .... Construction Supervisor's License j............ MURPHY, JAMES MR. & MRS. A=148-018 No ..29-G42..... Permit for ...Build..Suu..FPx.r,.h . ...............Single Family Dwelling ..........................................I................ Location .....95.......Thistle Drive, (Lot #82) .... ................................................ Centerville ............................................................................... Owner .........James..MiA-rpby................................ Type of Construction ..........Frame...................... ................................................................................ Plot ............................ Lot ................................ March . 18, 86 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ................. ...................19 - - - -_. ----- - 'I i 2X8 RIDGE 1X8 STRUT - 2X6 RAFTER 0 16" O.C. EXISTING 2X6 RAFTER @ 16 O.C. 2X6 CEILING JOIST 0 16" O.C. In 2X10 RAFTER, AREA FOR PROPOSED ROOF/CEILING, , f f MODIFICATIONS,'/"j + 16" O.C. TYP. `f GARAGE 2X10 CEILING JOIST, 16 O.C. TYP. F „X f A F f EXTSITING 2X8 RIDGE WITH 1/2" X 2 1/2' BLOCK ADDED i AT BOTTOM �p 6' SECTION r.w r EXISTING CONDITIONS ROOF SHEATHING KEY PLAN - 1/4" = 1'-0" I �" STRUCTURAL � 1/s" = i'-0" PANEL MIN. EXISTING 2X8 RIDGE BOAR - ADD 2 �' BLOCK UNDER RIDGE---,,,. 2X BLOCKING BETWEEN RAFTERS, BOARD FOR FULL RAFTER BEARING BEVEL BLOCK AT TOP TO ATTACH EXISTING 2X6 RAFTER @ 16" O.C. TO UNDERSIDE OF PLYWOOD NOTE 2 : SHEATHING. MAY DRILL HOLES OR SISTER 2X10 RAFTER TO THE SIDE OF / `���.,, 12 CUT V' FOR VENTILATION AS EACH 2X6 RAFTER. FASTEN WITH 3 / �'� ?> » > » NEEDED TYP DIMENSION A 5 - 4 ' 12D NAILS 12 O.C. TYP. 22'-0`'` .., —— , 2X10 CEILING JOIST ATTACHED TO 2X1 "� ~��`~ \� CONFIRM IN FIELD RAFTERS WITH 4 SIMPSON SDWS TIMBER h ROOF FRAMING PLAN SCREWS, EACH END, TYP. I DIMENSION ,�g„ _ + _ 1 �_g» i/4" = i'-o" , NOTCH 2X10 RAFTED, NOT TO EXCEED 1 3 OF OVER TOP / BEARING WALL DETAIL " " DIMENSION A GENERAL STRUCTURAL NOTES. IMPSON HANGER EACH 2X10 TYPICAL DETAILI A — GENERAL PROJECT REQUIREMENTS / INFORMATION EXISTING 2X4 _ Al . ALL CONSTRUCTION SHALL CONFORM TO THE MASSACHUSETTS ONE AND TWO—FAMILY WALLS (� 16" DWELLING CODE, 780 CMR, 9TH EDITION, THE REFERENCED 2015 IRC, AND ALL APPLICABLE I LOCAL REGULATIONS. ' THE WORK SHALL COMPLY WITH ALL RELEVANT { O.C. � i + PRESCRIPTIVE REQUIWM.ENTS OF THE ABOVE CODES, UNLESS NOTED OTHERWISE. - CONTRACTOR SHALL COORDINATE ALL NECESSARY INSPECTIONS DURING THE CONSTRUCTION PHASE OF THE WORK. A2. CONTRACTOR IS SOLELY RESPONSIBLE FOR MEANS AND METHODS OF CONSTRUCTION, SUPERVISION, AND SAFETY DURING ALL PHASES OF THE WORK. THIS INCLUDES PROVIDING TEMPORARY SUPPORT TO NEW AND / OR EXISTING STRUCTURES AS REQUIRED DURING CONSTRUCTION. THE 'CONTRACTOR SHALL PROVIDE SAFE ACCESS FOR THE ENGINEER TO OBSERVE DETAILS OF THE CONSTRUCTION AS REQUIRED. A3. CONTRACTOR TO 'VERIFY ALL DIMENSIONS. EXISTING CONCRETE A4. DESIGN CRITERIA: GROUND SNOW = 30PSF (BARNSTABLE MA). ATTIC LIVE LOAD = 20 PSF, WIND LOADS BASED UPON 110NQ"�ND SPEED AND ASCE-7. FOUNDATION B — FRAMING / POSTS: B1 . ALL FRAMING TO BE SPRUCE—PINE—FIR. #2 OR BETTER. M B2. LLL FAST IIN6,1� ANCE SHA�L BE IAC VITH MSBC (TABLE R602.3 1 ) OF THE 2015 EDITION OF THE INTERNATIONAL RESINTIAL CODE). ALL FASTENERS CONNECTORS IN DIRECT CONTACT PROPOSED WITH PESSURE TREATED FRAMING TO BE HOT—DIP GALVANIZED OR EQUIVALENT (G185 ROOF/CEILING FRAMING MINIMUM),COMPATIBLE E MA ERIA�SE(I STAINLESS TA ORS STAINLESSASTEELSHANGERAND N MUSOTN CONNECTORS STEEL NAILS). B3. ALL STRUCTURAL, CONNECTORS TO BE SIMPSON STRONG-TIE, OF TYPE INDICATED ON NOTE 1 : MODIFICATIONS PLANS OR ENGINEER APPROVED EQUAL. A STRUCTURAL CONNECTOR SHALL BE —ATTACH 2X10 CEILING JOIST TO 2X10 RAFTER 1/2" = 1'-0" PROVIDED AT ALL "F'USH—FRAMED" CONNECTIONS, UNO. WHERE SPECIFIC CONNECTORS WITH (4) TIMBER SCREWS AS SHOWN. ARE NOT CALLED OU , FINAL CONNECTOR SELECTION SHALL BE COORDINATED IN FIELD, INSURE ALL MEMBERS ARE PULLED TIGHT AND DATASHEETS SU MITTED BY CONTRACTOR FOR ARCHITECT / ENGINEER REVIEW. TOGETHER AND THERE IS NO MORE THAT PROVIDE COMPATIBLE; FASTENERS OF TYPE REQUIRED FOR FULL CONNECTOR CAPACITY, 1 8 SPACE BETWEEN MEMBERS ATTACH 2X10. RAFTER TO. EXISTING, 2X6 RAFTER TYP. UNO. CONTRACT R IS RESPONSIBLE FOR CONFIRMING AVAILABILITY AND / SIMPSON WS24 FASTENED WITH (4 t \ CONN CTOR FIT—U r 1 s MIN TW N FASTENERS E P F R ALL CONNECTOR LOCATIONS PRIOR TO PROCUREMENT AND __ WITH CONSTRUCTION ADHESIVE AND 3 12D " �.�. e. , ,. , 10DX2 NAILS AT TOP WALL PLATES, O INSTALLATION. REFER TO -HANGER 'SCHEDULE FOR S(ZES AND ADDITIONA REQUIREMENTS. IMPSON 4 SDWS TIMBER NEW 2X10 CEILING JOIST O NAILS :@ 12 O.C. INSURE RAFTERS ARE ' 2 10DX1 " NAILS AT JOIST �� \ � N � SCREW THROUGH 3 0 PULLED TIGHT TOGETHER THERE AND TER S 2X10 CEILING JOIST NEW 2X10 RAFTE THERE , MEMBERS - CEILING JOIST / 4 " NO MORE THAT '1/8" SPACE BETWEEN THE 4 TIMBER SCREW .,,�o I o z a 2X10 RAFTER / 2X6 RAFTER EXISTING 2X --- \ �� "SISTERED" RAFTERS AT ANY POINT W I - ' 5/8 MIN BETWEE m i � ? STAGGERED ROWS �tH OF I � 1 X3 STRAPPIN o NICHOLAS ti 1/2" GYPSUM BOAR 1 " HORIZONTAL CUT AT 2X10 RAFTER a.� • o� F. GIANFERANTE " TIMBER SCREW BOTTOM OF 2X10 RAFTER NOTCHED OVER +�-------I'-i�'----�► � STRUCTURAL52690 BEARING WALL �o �F i c R t , SECTION 1 DETAIL 1 SIMPSON SDWS TIMBER SCREW FS STE SIMPSON 3 SDWS TIMBE __ EW 2X10 RAFTER S�ONAL ECG SCREW THROUGH 2 MEMBERS _— ATTACHED TO 1" = 1'-a' S1 RAFTER END CONDITION SPACING REQUIREMENTS -CEILING JOIST / 2X10 RAFTER EXISTING 2X6 RAFTER 1" = 1'-0" DETAIL 2 CEILING JOIST CONNECTION DRAWING NAME: PROJECT LOCATION: CAPE COD STRUCTURAL ENGINEERING LLC. CLIENT: SHEET: DRAWING: 1" = 1'-0" ROOF CEILING `� oD NICHOLAS GIANFERANTE IlVI MOORE 1 OF 1 MODIFICATIONS 95 THISTLE DRIVE J CENTERVILLE MA 10 CHARLES STREET si DATE: PROJECT NUMBER: , SANDWICH, MA 02563 • 00022018 ' T�> E �► �`' 508-280-9896 $ April 2018