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0110 THOREAU DRIVE
� a -T~h�or��.�. ��, ,, o . . _ e _ . . �. k .. ., .. � .. _ .. .. ..Y,� _ � � 4 ... ... - N ,a. r �" ,. Q - i� A c '�� 'p: '� � , 4 Town of Barnstable Building PostTh�s:Card So,That rt is V�s� le From,the Street Approved<Plans Must.be Re#arced onxJob and;this Gard Must be Kept M•' i S,'. Y A Posted Until Final;Inspection HasBeenlVlade `§ Perme ° Where a Certificate of Occu and �s Reulred,such Bildin`shall Not be=0ccu ied untal a F�na1 Iris ec#ion has been made , , Permit No. B-17.-3379 Applicant Name: i* Approvals Date Issued: 10/12/2017 Current Use: Structure Permit Type: Building-Shed Residential-200 sf and under Expiration Date 04/12/2018 Foundation: Location: 110 THOREAU DRIVE,CENTERVILLE Map/Lot: 191-189 Zoning District: RC Sheathing: Owner on Record: JUTHE,KENDALL S&DIANE M' Contractor Name:' Framing: 1 Address: 11'HOLTON CIRCLE Contractor License 2 �� � LONDONDERRY,:NH'03053p i \' Est Project Cost $0.00 Chimney: p m $35.00 Permit Fee ±. Descn tion 10x12 Shed Insulation: Fee Paid: 'S 35.00 Project Review Req: Date 10/12/2017 Final: tit Plumbing/Gas Rough Plumbing: fL Building Official "Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months aft&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: All construction,alterations and changes of.use of any building and structures�-sfisl Ole in compliance with the local zoning by laws and codes. Final Gas: � >f This permit shall be displayed in a location clearly.yisible from access street orroadand shall be maintained.open for public inspection for the entire duration of the work until the completion of tfie same. Electrical ' , The Certificate of occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: �� x 1.Foundation or Footing Rough: 2.Sheathing Inspection ° 3.All fireplaces must be inspected atthe throat level before firestflue lining is installed final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy ' ' '" " Low Voltage Final'- Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. = Health 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 fdnd" (as set forth in MGL c.142A). Fire Department Building plans are to tie available on site . final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT. . I ti Town of Barnstable ' �TNE„ Building Department,Services Brian Florence,CBO BUILDING DEPT. IILAM STASi.E. * Building Commissioner MAS& A 0396 200 Main Street, Hyannis,MA 02601 SEP 2 9 2017 www.town.barnstable.ma.us QW�0 B4FI(�S.TAQLE Office: '508-862-4038 Fax: 508-790-6230 . PERMIT# / FEE: $35.00 r SHED REGISTRATION RESIDENTIAL ONLY . 200 square feet or less 110 1 4o1--PQtk br-1v,0_ Genf-e�'ui_��e �`�• Location of shed(address) Village ` Le f boa - 3� 1 - -5, Property owner's name Telephone number .fl 'x 2- a �I — i �q f _ Size of Shed Map/Parcel# �� a�� 17 Signature V Date Hyannis Main Street Waterfront Historic District? 1'1 Old King's Highway Historic District Commission jurisdiction? /2 D You must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation,8:00_9:30A 3:30-4;30_) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN s-forms REV:0 REV:O8/6/17 z 2 o z� CERTIFIED PLOT PLAN ATION/li?.77. A�. P,bnTt,✓�ecF�/+9 SCALE . .. 3 a ! DATE . PLAN REFERENCE AIVP . . . s �!silvery 015 �v645 . .. I CERTIFY THAT THE Exlsrl!�!� ,�watt/Kl� SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON . iTE�yp� ; DATE 0 SUR�� 74;-_ 7S' JI wro a o z v� 1 J ; M . I CERTIFIED PLOT PLAN -�g�- ���, 7 f4- 7i,r LOCATI0N114:rf �? �1u ��•C&uTZ✓iccE-��'I. SCALE . . . 3�? DATE .gP D(/Zl PLAN REFERENCE ;L4,N/° i"' e�!v7'E�zvlu )c'Ez3, /2,!17-1. . . NO I CERTIFY THAT THE �"�� SHOWN ON THIS PLAN IS LOCATED ON .THE GROUND AS SHOWN HEREON , . . . ,p 70 a a� �� /.Zw o suR�Fi`''A • DATE . 'ETITIONER: PFh PRnFFSRtnNAL LAND SIJRVF_YOR ' M TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION co7glu h L Map Parcel /7 Application # Health Division Date Issued Conservation Division ` Application Fee Planning Dept. Permit Fee d o Date Definitive Plan Approved by Planning Board gTP W Historic - OKH _ Preservation/ Hyannis Project Street Address /'/U Village Ce- "U,Ir v I �- Owner Address la h._- C, ,��� �m A✓I� r Telephone 6'G 3 3 1 6 9 I Permit Request 2- X ,S"� n o' a r'1 �e ®ve ex b��9 / X��t~ ��,�ra��► !/L /c �1 //,�ol 1 s,� S'o,n,-LJ �.�nr�►v� �e rl �6►+� a oc^1•S t .nnSbr,ncT ��-�lZO �toje /.� ,p/eicc �'�1s »+� CISncr� Square feet: 1 st floor: existing=proposed / oor: existing / proposed,,Z Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 7, 000 Construction Type Lot Size Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family U// Two Family ❑ Multi-Family nits) Age of Existing Structure Historic House: ❑Yes No On Old Kin 's Highway: ❑Yes ® No 9 9 9 Basement Type: a,Kul ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) -146/ � Number of Baths: Full: existing 'Z new Half: existing new Number of Bedrooms: existin _ ew Total Room Count (not incl ing baths): existing new First Floor Rc @m Count=a C) Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other � � �s .,.,.a � o Central Air: ❑Yes Ci'No Fireplaces: Existing New -� Existing wood%c'oal stove:>❑Yes C No De ehed-gefaqe: ❑ existing ❑ new size ee-❑ existing ❑ new size _ rf: ❑ existing new size_ Attached garage: xisting ❑ new size _Shed: ®'existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes L;p O If yes, site plan review# y-Current Use - - ----_._ r - —Proposed=Use= = APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number e -2 -2 9 Address 20'/ le- o,N G License Home Improvement Contractor# S �(s S,/Ell Worker's Compensation # ... RESULTING FROM THIS PROJECT WILL BE TAKEN TO d ' ALL CONSTRUCTION DEBRIS RES ,, 1Iv SIGNATURE DATE 9 y �� •aiM, ., i F�ef FOR OFFICIAL USE ONLY T APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER [Y DATE OF INSPECTION: f FOUNDATION (2,)SOaas Wl�rcFEEr Cob Silt I�2. { FRAME Li V� &17001 ill-ALA INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL �T PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 23163 i r , 'DATE CLOSED OUT 4; ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 606 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lelzibly Name (Business/Organization/Individual): � �•4 � ,��, � ,�s,�' Address: Z_ V City/State/Zip: 1,r, o L.6'o L Phone#: 5-0 T -7-2 I 7 Ar�yan employer. Check the appropriate box: Typ7fject(required): 1. a employer with 4• ❑ I am a general contractor and I *: have}fired the sub-contractors 6. construction employees(full and/or part-time). ' 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling shipand have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' comp. 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 I LE]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 15.2, §1(4), and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 4��) •.�c,� � u J Policy#or Self-ins.Lic..#: A/C Z- 3 ,?S 3 ) 7 "Z, Expiration Date: / 3 z— Job Site Address: /JO' �G. r,c, :.; �;,,a v City/State/Zip: C,„ u,I� /1 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 thpfains and penalties of perjury that the information provided above is true and correct Signature: ` l . Date: J Phone#: 7-7.7 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#: 6/29/20 age: z or z DATE(MMfoorfYYY) 4•� CERTIFICATE OF LIABILITY INSURANCE - . 6/2912012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON.THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR'ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW:' THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE.OR PRODUCER,AND THE CERTIFICATE HOLDER.' IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER BRYDEN& SULLIVAN INS CONTACT NAME: 88 FALMOUTH RD PHONE(nIC.No E:t, 508 775-6060 FAX WC,rro HYANNIS, MA 02601 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIL A INSURERA: INSURED .j. MASS BUILDING SYSTEMS LLC INsuRERe: 24 ST FRANCIS CIRCLE INSURER:: HYANNIS MA 02601 INsuREaD: INSURERE: .. INSURER F: . COVERAGES CERTIFICATE NUMBER: 13480223 REVISION NUMBER: THIS IS TO CERTIFY THAT-THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING.ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH:THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR .ADDL SUBR POLICY EFF POLICY EXP - LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MftUDD/ MwDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES aEocaErrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEJ'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ POLICY PRO LOG $ AUTOMOBILE LIABILITY CO MBINE fSINGIE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODfLY INJURY(Per acddelt) AUTOS 8 AUTOS $ PROPERTY NON-OWNED ( DAMAGE HIRED AUTOS AUTOS recold $ $ UMBRELLA LIAB OCCUR _ EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ $ $ A WORKERS COMPENSATION. VVC2-31 S-317211-042 . 6/712012 6/7/2013 WC STATU- AND EMPLOYERS'LIABILITY YIN .� TORY LIMITS ANY PROPRCTOR/PARTNER/EXECUrNE _ - E.L.EACH ACCIDENT $. 500000 OFFICERlMEMBER EXCLUDED? '❑Y. NIA - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE_-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS ILOCATIONS/VEHICLES(Attach,ACORD 104,Additional R.m*.Schedule,If—.pace 1.required) - - - Workers Compensation insurance coverage applies only to the workers compensation laws of the state of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. - AUTHORIZED REPRESENTATIVE _ ' L Jsff Eldridge O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CERT NO.:-134$0223 CLIENT COD E:.1611184 Maria Anderson 6/2912012 5:23:22 AM page 1 of 1 This certificate cancels and supersedes ALL previously issued certificates. - AYVC Gidde to Wood Cons-tmaiM irr High Wind Areas:110 rnph {Virrd Zorr.e Alassachusetts Checklist for Compliance (78a Cn'1R 5301.2.1.1)' Check _ Compliance 1.1 SCOPE WindSpeed(3-sec. gust)............... ................................. ........ ................................................ 110 mph Wind Exposure Category....:...............:........:.................................... .............................:..........................:...:B Wind Exposure Category................Engineering Required For Entire Project .......................................0 1.2 APPLICABILITY Number of Stories(a roof which exceeds_ 8 in 12 slope shall be considered a story) / stories 5 2 stories Roof Pitch ........ (Fig 2) ............................................... 512:12 . .................................... ............. ........................................ Mean Roof Height ............................:.................(Fig 2).......................::.......:.............._.X?--ft <_33' ................. Building Width,W ....................:.:...........:........:...........:.......(Fig 3)...................: l-z 5 Building Length, L ..............................................................(Fig 3)..................................................Y�ft _<80' Building Aspect Ratio(UW) .................................................(Fig 4)................................................. o<_3:1 Nominal Height of Tallest O enin ......... .....(Fig 4 ....Me s 6'8" 9 P 9 ( 9 )...... .................................... 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)..........................................:.................... 2.1 FOUNDATION / Foundation Walls meeting requirements of 780 CMR 5404.1 / Concrete........................................ ..................... ............._................ ..... ConcreteMasonry................................ ................................. ............................................................... 2.2 ANCHORAGE TO FOUNDATION"' 5/8"Anchor Bolts=imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general ..........................................(Table 4)....................................D..... in. Bolt Spacing from endrjoint of plate ................:......::....(Fig 5).................................... in.5 6"—12" Bolt Embedment—concrete.............:...........................(Fig 5)................................................... .r in.?:7" Bolt Embedment—masonry.........................................(Fig 5)............:......... Plate Washer..:.............................................................(Fig 5).......................: ....>3"x 3'x Y." 3.1 FLOORS Floor-framing member spans checked- ....:... .:........,.......(per 780 CMR Chapter 55) ................................... Z . Maximum Floor Opening Dimension...................................(Fig 6)... ' O ft<-12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)..... ........................... Maximum Floor Joist Setbacks Supporting Loadbearing Wails or Shearwall................(Fig 7)... .. ............................. .:........ d ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8).... .............................................�ft 5 d Floor Bracing at Endwalls..............................................,.....(Fig 9)............................ .... ................... Floor She Type ........................................................(per 780 CMR Chapter 55)................................... Floor Sheathing Thickness ..................................................(per 780 CMR Chapter 55)....................... n. Floor Sheathing Fastening.....:..:.......:.:...............................(Table 2).. $rd nails at in edge//Lin reld 4.1 WALLS Wall Height r / Loadbearing walls.......... ................(Fig 10 and Table 5)..........................._'t ft 15 10, ✓ Non-Loadbearing walls..` ..................(Fig 10 and Table 5)..:..:..:................ ft 5 20' Wall Stud Spacing .......... .... .........(Fig 10 and Table 5)..................... in.5 24"o.c. Wall Story Offsets ..................... ...............:..(Figs 7&8)........................ .. d ft s d 4.2 EXTERIOR WALLS' Wood Studs Loadbearing walls.................................:......................(Table 5r)...............................2x 6 ft y in. Y . Non-Loadbearing walls ...........................(Table 5)..............................2x 6 - ?'ft in. Gable End Wall Bracing Full Height Endwall Studs.............. :.. .. ......................(Fig 10)... ......................... . . WSRAttic Floor Length.................................................• (Fig 11)... ... ,� ft>_W(3 'Gypsum Ceiling Length(if WSP not used)....:.........:..:.(Fig 11)............................................ 0/ ft;!0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. ..(Fig 11)........................................... .............. or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays .Double Top Plate L Splice Length . ........ ....... ....... ..............` ....(Fig 13 and Table 6)........ _ft Splice Connection (no.of 16d-common nails)...... ....(Table 6).......................... ....... .............:: , AH,C Guide to f•Vood Construction itt Higlt I-Yind Areas: 110 mph t•Vind Zone Massachusetts Checklist for Compliance (780 Ci1'[R 5301.2.1.1)' Loadbearing Wall Connections Lateral (no.of 16d common nails)................................(Tables 7)...................................................... Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Table 8)....................................................... Z— Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) HeaderSpans ........................................................(Table 9).................................. S ft-I-, in.s 11' Sill Plate Spans ........................................................(Table 9).................................. 5- ft�in. s 1 V �. Full Height Studs (no. of studs)....................................(Table 9)....................................................... Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans.............................................................(Table 9).................................. ft_in.5 12' Sill Plate Spans...........................................................(Table 9).................................. ft_in.<_12" Full Height Studs(no.of studs)....................................(Table 9)....................................................... j Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest Opening2 ...........................................................................:..6 6`8' Sheathing Type..............................................(note 4)..................................................... ID S110 LOO Edge Nail Spacing Table 10 or note 4 if less ........................ 6 in. Field Nail Spacing able 10 ................................................./-- in. Shear Connection(no. of 16d common nails)(Table 10).......................................................Izer Percent Full-Height Sheathing able 10 ...................................................33 % 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest Opening2........................................................................11(5 6'8" SheathingType..............................................(note 4)..................................................... vs.'o Edge Nail Spacing ... Table 11 or note 4 if less ..................... 6 in. Field Nail S acin T. ..... .. ....... able 11 ...............•,............:................... in. Shear Connection(no.of 16d common nails)(Table 11).................................................... . 3 Percent Full-Height Sheathing.......................(Table 11).........:........................................... 93 %% 5%Additional Sheathing for Wall with'Opening> 6'8"(Design Concepts)..................... Wall Cladding Ratedfor Wind Speed?.............................................................. ............................................................... 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19).............d'-" ft s smaller of 2'or V3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors / Uplift................................................(Table 12)............................................U= plf ✓ Lateral............................................. able 12 L=19g plf (T )............................................ Shear ...colt.............:..:..................(Table 12)..........................:.:...............S=��Plf Ridge Strap Connections, if collar ties not used per page 21... (fable 13)...............................T=/d 3 plf Gable Rake Outlooker...................... ......(Figure 20 ft s smaller of 2'or L/2 ' Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift.......................:........................(Table 14)............................................U= 9/71b. Lateral(no.of 16d common nails)...(Table 14)........ ..............................L=jAIb. Roof Sheathing Type................:..................................(per 780 CMR Chapters 58 and 59) ............. Roof Sheathing Thickness.....................................:.....•............................................. .A -in. >_7/16"WISP Roof Sheathing Fastening..............:.............................(Table 2).......................................... � Notes: 1. . This checklist shall be met in its entirety,excluding the specific exception noted in 2, to comply with the requirements of 780 CMR.5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are.not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-gr6de. Town.of Barnstable Regulatory Services Thomas F.Geller,Director Building DMSIOn Tom Perry,I unndnng Commissioner 200 Main Street,Hyannis,MA 02601 W W W to wn.barnstable.ma.us Office: 508-862-4038 :Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Usinar A.B udder Owner of the subject p to - - . l .perty . herebyauthorize �i .� -e AZ®Jai to act on ray b ehaY, in aIl rn9tters relative to Wank authorized by this building pP_Yfn1t 1�d 7 (Address of Job) Pool fences and alarms are the.re5ponsibili f the,applicant.tY o e.app t. Pools are not-to be filled before fence is installed:and pools are not to be utilized until all final inspections. are performed and accepted. Signature of Omer Signature ofAppEant Print Name Frint Name Date Q:FORMS:OVR41WERMMSIONP00IS F THE own--OfBarn table ------- --- '- -- Regulatory Services t • N *` Thomas F.Geiier,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www1own.barnstable.ma.us Office: 508-862-403 8 Fax: 509-790-6230 HOMEOVF'1 M LICENSE MAIPTION Please Print DATB JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwe iinac of six units or less and to allow homeowners to engage an individual for hire who does not possess a license supervisor. ,provided that the owner acts as DEFINMON OF HOMEOWII'ER Person(s)who owns a parcel of land on which he/she resides or be, a intends to reside,on which there is, or is intended to one or two-family dwelling, attached or detached structures accessory to such use and/or faml 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 shag be responsible for all such work Performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"cer'ifies that he/she understands the Town of Barnstable Building Department requirements. minimum inspection procedures and requirements and that he/she Willl comply with said procedures and Signature of Homeowner Approval of Building Official Note: Three-family dwellings_containing 3 5,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION, ' The Code states that Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a parsons)for hire to do such work,that such Homeowner shall act as supervisor," Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.1:7 This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this Case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor, The homeowner acting as Supervisor is ultimately rssponsible. To ensure that the homeowner is fay aware of his/her responsibilities,many communities require;as part of the permit application, that the homeowner certify that he/she understands the rrsponsbilities of a Supervisor. On the last several towns, You may can t amend and adopt such a fomJcertification for use in p of this issue is a form currently used by . . _ your community. . Z•forms:homeezempt . Massachusetts Deaitment of,Putilic 5g Board ofBwldj R��ula onsacad"5 C06-9tructiun,Supen:Bor License: CS-058987 STEPHEN E SO6OLA 7., 24 ST FRANCIS CIR HYANNIS MA 02601 i t 1a- Expiration I` Commissioner 02/04/2014 " �� /r� ,y�/� Caelta License or registration valid for indiritur use only, Office o onsumer airs . mess egu a on before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Type: Office of Consumer Affairs and Business Regulation Registration: ,1,58588 10 Park Plaza-Suite 5170 Expiration: 2/1L11014 Partnership Boston,MA 02116 M' 'BUILDING SYSTEMS STEPHEN BOBOLA — 24 ST:F A R N C I S CIRCLE riot valid without signature HYANNIS,MA 02601*;: �.a:.' Undersecretary r-- — _ A } � s =;' _ ; ��s_:r� CERTIFIED PLOT PLAN LO CATI ON/14 7f1a PiL? P62;• 05:MTF7Z✓ �(qIVA SCALE /,'.�:�'3� � DATE . - PLAN REFERENCE . ., , E!t1%�E12 0�ltt 4YP I CERTIFY THAT THE � � tia SHOWN ON THIS .PLAN IS LOCATED ON.THE GROUND DES 4� 1!0. AS SHOWN HEREON 7030 11 .• . • . •. 9 OTER��`r 6y a' DATE5757 PETITIONER: REG: .PROFESSIONAL LAND SURVEYOR Y � t � iCf 1 L e 1! 'h L crrxee��_i` i �I r. I I III I ' i I 1 ' I 0/ L:[,m .7&C I.c 2373El V •� a .ae.n a ., ,e, �\ (al-ItY115) V.64 OTC 58 � ��J •� � �' p ni •e7ae f .4apt M�. • - SIa� ,�T9/` 1 ►1-Its•f - „k a - •� o b IIA w ♦` ar .a>".� ,p 3 tv ra p r n -fi►C • •JS Aa O O 9ftvct� \ (�^ C 49 hype `o i a` .45AZ r 4Sae 44 v d 19IN 1 ♦ ®. A 7G, 4 O ♦l o .40 A,C O •GD LA 38LC - ® 4C L76 'O••3 Ywc JAI 6.9 GO ' � � i �T9 •4cr.0 "7>AG e O �E _ N O y ® A 0 C, >0 ° �_ m° 66 � A-A{ •SSA Zy ® m - 1•J 4i, I .. � ° 'mac - ,•7`qC, - s° sae Q '=2l °—•p-- a SZ°c ID 1 •a /'� \ a .35A - ro �4 19S' ,✓6� C 16 ♦. 2! O d•r Z�- - .�5 CNEOUAOJo O T C o 76 Ac �34. y1YY( �tQc O -We" It 4-/i/_44 / 9 B _1 3p O k © 5 N 2/0 � � 1 1.70 4C 41, ;Auk 0 1 6 19 "t I. S ° n rn-sa 0 ° 3 s3 •� 71 o o Idb 4C 'I 0 ^ZI£ 'O 0 �- 2-3 /6j E5� >j- LM_1A 0•LS 1,26 UPLAND/ o A 1 / 17 17s .04 wET �N — ` .I 1' ' \O - .O 1.30 AC TOTAL +' ° 1 1 2-2 ..! ~ Z-� In-�9o-zea �E•Q3 1.3LA� ,U\ IAOURANp -pO•a/4 27� 1• CON5.1 ES7'e,CTow 1 22 AC TOTA�.PREPARED UNDER H GRECTION OF E_ H IZo-194 BARNSTABLE OA OF ASSESSO yp_Z SDI S.A4E °r•100' AVIS AIR AP Ih'C. MASSACHOSETT$ CCKNECTICUT g too I N � To OF . , i E 2 z �y- rut Qom; �q-� t 4 �. August 8, 2 h�12;: Mr. Thomas Perry =2 r M e K E NTFE Building Commissioner ENGINEERING Town of Barnstable ' CONSULTANTS 200 Main Street `4 structural•civil environmental Hyannis,MA.02601 - • . RE: Three Season Addition Wind Requirements, Juthe Residence, 110 Thoreau Drive, Centerville Dear Mr. Perry, McKenzie Engineering Consultants, Inc. was retained by Mass Building Systems, Inc to complete a structural review for the wind requirements for the proposed three season room addition for the Juthe Residence located a.110 Thoreau Drive in Centerville. The plan provided by Mass Building Systems is attached to this letter. The three season room does not meet the Mass Checklist for 110 mph wind requirements and therefore the following connection requirements are necessary to resist the shear and uplift wind forces: • Roof rafters to top plate/continuous headers: Simpson H2.5A clips • Continuous Header to king posts at corners and between windows: Simpson AC/ACE 6 post caps • king posts to perimeter rim joists: (2) Simpson LSTA 18 straps, '/2 on the post, l/2 on the rim fully nailed with 1 Od nails • Posts to sonotubes: Simpson ABU66 post bases with 5/8"threaded rods drilled and epoxy grouted into 3/4"x 10"drilled holes: • All plywood to be full height run vertically with nailing at 3" o/c at the edges and around door and window openings and 1`2" o/c in the field. Use two rows of 3 o/c nailing into the rim board and at the top plate/header staggered as required in the checklist. • All floor sheathing to be nailed b" o/c at the edges and 12" o/c in the field, and all roof sheathing to be nailed 6". o/c at the edges and 6" o/c in the field. If there are any questions, feel free to give me a call. Sincerely, VP J fir. k A. McKerr*r Pres., McKenzie liqA't•� <nr �insultants, Inc. "s�y.nCBtV�� cc: Mass Building Systems 1279 Millstone Road Brewster, MA 02631 t 774.353.2144 f 774.353.2142 www.mckengineers.com OF Ae �' nJ CA dx- IC m Cn _ - N j ZX$ � �j {� 01 _. - I Pay- ! I ^1r � w.. z ' i �. ru ro ji _ r TIP n jib Ut Vic t// fJ ` AL ftT �j ra is r TOWN OF DIVISTOI C V 1 18 1 x f y //[o i b �t 46 is 3 LP y fo i Town of Barnstable Geographic Information System August 2,2012 �� e � off •� ' 7777, - .. # "k 7, - "PIC ,? JUSTICE 00U6t s WAY a o ® _ 3 Feet DISCLAIMERS:This map is for planning purposes only. it is not adequate for legal Map:191 Parcel:189- N boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:JUTHE,KEIJDALL S Total Assessed Value:$267800 Selected Parcel 1"=100'may not meet established map accuracy standards. The parcel lines on this map are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner:%JUTHE,KENDALL S&DIANE Acreage:0.41 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:110 THOREAU DRIVE such as building locations. - Buffer ,x,.+z i N� x Loop Up Print Page 2 of 3 JUTHE,KENDALL S &DIANE M 1/10/2012 25993/221 $1 Sketches-Map/Block/Lot: 191 /189/-Use Code: 1010 err a , I IT It 'I. As Built Cards:Click card#to view: Card#1 . Constructions Details-MapBlock/Lot: 191 /189/-Use Code: 1010 Building Details Land Building value $ 111,600 Bedrooms 3 Bedrooms USE CODE 1010 Total Improvements Value $129,745 Bathrooms 2 Full Lot Size(Acres) 0.41 Model Residential Total Rooms 7 Rooms Appraised Value $ 107 Style Ranch Heat Fuel Gas Assessed Value $ 10' Grade Average Heat Type Hot Water Year Built 1975 AC Type None Effective depreciation ' 14 Interior Floors Carpet Stories 1 Story Interior Walls Drywall Living Area sq/ft 1,540 Exterior Walls Wood Shingle Gross Area sq/ft 4,172 Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp • Outbuildings&Extra Features-Map/Block/Lot: 191 /189/-Use Code: 1010 Code Description Units/SQ ft Appraised Value Assessed Value GAR Attached Garage 440 $ 10,600 $ 10,600 PAT1 Patio-Average 456 $ 1,900 $ 1,900 FOP Open Porch-roof- 196 $ 5,600 $ 5,600 ceiling http://www.town.bamstable.ma.us/Assessing/print l 2.asp?searchparcel=191189 7/31/2012 s Loop Up Print Page 3 of 3 FPLl Fireplace 1 story 1 $3,300 $ 3,300 BMT Basement- 1540 $27,500 $27,500 Unfinished . Sketch Legend Property Sketch Legend B2N Barn-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor, Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished) FUS Second Story Living Area(Finished) TQS Three Quarters Story(Finish( BRN Barn GAR Garage UAT Attic Area(Unfinished) CAN Canopy GAZ Gazebo UHS Half Story(Unfinished) CLP Loading Platform GRN Greenhouse UST Utility Area(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UTQ Three Quarters Story(Unfinis FCP Carport KEN Kennel UUA Unfinished Utility Attic FEP Enclosed Porch MZ1 Mezzanine, Unfinished UUS Full Upper 2nd Story(Unfinisl FHS Half Story(Finished) PRG Pergola WDK Wood Deck FOP Open or Screened in Porch PTO Patio http;//www.town.bamstable.ma.us/Assessing/Printl2.asp?searchparcel=191189 7/31/2012 f e Loop Up Print Page 1 of 3 • Owner Information-Map/Block/Lot: 191 /189/-Use Code: 1010 Owner Map/Block/Lot 1 GIS MAPS 91 / 189/ Owner Name as of LATHE,KENDALL S Property Address 1/1/12 11 HOLTON CIRCLE LONDONDERRY,NH. 03053 HOT HOREAU DRIVE Co-Owner Name %JUTHE,KENDALL S&DUNE M Village: Centerville Town Sewer At Address:No . Assessed Values 2012-Map/Block/Lot: 191/189/-Use Code: 1010 2012 Appraised Value 2012 Assessed Value Past Comparisons Building $ 111,600 $ 111,600 Year Total Assessed Value: Value Extra $47,000 $47,000 2011 -$264,900 Features: 2010-$264,800 Outbuildings: $ 1,900 $ 1,900 2009-$297,400 Land Value: $ 107,300 $ 107,300 2008-$332,900 2007 -$331,800 2012 Totals $267,800 $267,800 2006-$319,600 . Tax Information 2012-Map/Block/Lot: 191/189/-Use Code: 1010 Taxes C.O.M.M.FD Tax $ 382.95 (Residential) Community Preservation Act $67.65 Tax Town Tax(Residential) 2,254 88 Fiscal Year 2012 TAX RATES HERE 2,705.48 . Sales History-Map/Block/Lot: 191 /189/-Use Code: 1010 History: Owner: Sale Date Book/Page: Sale Price: JUTHE,KENDALL S 8/4/2010 24729/162 $60000 JUTHE,KENDALL S&JUTHE,LAUREL 10/6/2004 19109/195 $10 JUTHE,EVELYN 5/23/1994 9203/126 $0 JUTHE,EVELYN 2/15/1991 7442/344 $1 JUTHE,RANDOLPH&JUDITH 8/1/1980 3132/185 $0 ' http://www.town.bamstable.ma.us/Assessing/printl2.asp?searchparcel=1,91189 7/31/2012 p Cl c CO r r , R. ' D 0 Cod 2 A 10 M .-A + �� . d 17 � �i`r - €� � .. € it � [•�.5� Lu —at 1 4LiZ4 �e a ,� `Seh: � . i rp ca TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued Conservation Division "a� Application Fee AJ20 Planning Dept. T ���, Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address uofait &Jh� Village vilte, . A# Owner t�G4A, J( Address Telephone bo- Ni - 1- Permit Request✓ %/4�1 -l"I ll1' 0 G GLG� act, �" �• Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 06101 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number be r ,.r u q_a Address I� V License # I U Home Improvement Contractor# Email w or RIA ha,GOAtWorker's Compensation # W66ad ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WI L BE TAKEN TO WIWA_ 4�y SIGNATURE DATE I FOR OFFICIAL USE ONLY -APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER I� DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t Massachusetts Department of Public Safety^.� Board of Building Regulatlons and Standards License: CS•100988 Construction Supervisor• " HENRY E CASSIDY� • 8 SHED ROW D, , !,;'� `' WEST YARMOUIi001 10, Expiration: Commissioner 11l111201T Cam/ �� •� ¢��.-�I�� �lj����l�� a b Office of Consumer Affairs and Business Regulation 10 Park Plaza = Suite 5170 Boston, Ma usetts 02116 Home improveme-t�.o'h1ractor Registration ( Type: Corporation Registration: 153567 Cape Cod Insulation, Inc n� _ /�1{f ;a Expiration: 12/14/2018 18 Reardon Circle So. Yarmouth, MA 02664 a � y Update Address and return card. Mark reason for change, )CA 1 1.) 2OM•05/11 -- -__�..._.....__.__._.._. ...__.---.. _.__ ...�.__._._..-•----- ------_.[�-6�dt;'s•s.es—I-!.t1.�nrs:;�l..��;!a��mer,>;..r1.l..�s#,C.ar�i... _ �e�c�rr�rsara�uea�l✓c oy�i�aooac%cwetld Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONtRACTOR Registration valid for Individual use only aT before the expiration date, If found return to: 1 jy.�e; Corporation • "• ,.eclst{atlon. Expiration Office of Consumer Affairs and Business Regulation 12/14/2018 g 10 Park Plaza•Suite 5170 •13� k•. 1;'�' Boston,MA 02118 Cap a Cod Insu�t Henry Cassidy Q 18 Reardon Ciroll� So.Yarmouth,M?�` � C� Undersecretary Not valid without signature The Commomveallit ofMassachuset6s Department of Inrlustrlrtl Accidents 1 Congress street, sulle 100 Boston, MA 0211 -2017 MWImass,govIdi a ,Ire, lYovkers' Compensation Insurance Affidavit: Bill Wers/Contractors/Electricians/Plumbers, 6pplIcant Informatio n TO BE FILED WITH THE PERMITTING AUTHORITY, ' Please Print Lc i Name(Business/Orgenizdtion/individual); l ��i a� J" � Address; f City/State/zip; Phone #; �,,.�/4 .>_ Arc you an employer? C4ck tbo appropriate boxt ""'' Type of project (required): I.�I am a employe.(with .�S employees(full and/or part•timo).' 2.Q I am a sole proprietor or partnership and have no ompioyoes working for me In �' NeW Construction any capacity,(No workers'comp. Insurenco required,) $,'[] Remodeling , 3.(D I am a homeowner doing all work myself. fNo workers'comp.insurance required.)t 9. © Demolition 4.[J I am a homeowner and will be hiring contractors to conduct all work on my property, I will 10 C] Building addition onsuro that all contractors either have workors'compensationsurance or arc solo n i proprietors with no employees. I I,C] Electrical repairs or additions I am a general contractor and I have hired the sub•oontrootors listed on the ahachod shoot, 12,[Q Plumbing repairs or additions Those sub•controotors have employeos and have workers'comp,Insurance.: 13.Q Roof repairs 6:C]We are a corporaifon and its officers have exorcised their right of exemption pot MOL o. 14, ' I .§1(4),and we have no employees.(No workers'comp,Insurenco(squired.)11; ,Other_ 'Any applicant that 9hocsubmi his a must also till our the section below showing Choir workors'oompansaUon policy information, r Homeowners who submir1his afiidavlI indicating they are doing alY-work and then hire outsldo contractors must�submit a now affidavit indicating such.�T (Contractors that chock this box must attached an additional shoot showing the name of Cho subcontractors and state whether or not those entities have employees. If tho subcontractors have employees,they must provldo their workers'comp,policy number, 1 arrr«n employer that!s provlrling workers'conrpensatton lrtsurance for my e1nptoyees, Below is Cite policy anrlJob sire lnjornrntlon Insurance Company Name: Policy a or Self ins, Lie. # "' ✓ p �L.h <^ Expiration Date: Job Site Address: / Atinci a copy of the wor ers' compr,nsatlon policy declarailon page (showingtyhe�tol clpau l � Failure to secure coverage as required under MC3L c. 152, §2SA is a criminal violation punts tuber and expiation do ic). and/or one•year imprisonment, as well as Civil penalties in the form Of STOP WO p hable by a fine up to$1,500.0(1 day against the violator. A copy'o�f..this statement may be forwarded to the Office of O�ER and a fine of up to$250.0.0.,o coverage verification, Investigations of the DIA for insurance /r10 hereby certify under rite patrrs all(I penalties of perjury that the irt/ormattoit p rovld r ed abo a is true and correct Signature: i' a Phone#: d I l Official ase only, DgAtot write In Oils area, Oo be completed by clty or town offdclal City or Town: PerrrmIMIcense # Issuing Authority (circle one): 1, Board Of Heaitb 2, Building Department 3, City/Toiva Clerk 41 Electrical Inspector 3, Plumbing Inspector Contact Person: Phone#: F< CAPECOD-27 DEATON CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) . 7/29/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIV9 OR PRODUCER,AND THE CERTIFICATE HOLDER, ,; IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER CONTACT g AME• Ro R e&Gray Insurance Agency,Inc. PHON Extiv ac NO); 877 816-2156 South Dennis,MA 02880 cMAIL D ;mall@rogerisgray.com INSURER 9 AFFORDING COVERAGB NAIC N INSURER A:Peerless Insurance Company INSURED INSURER a:Safe Insurance Company 39454 Cape Cod Insulation,Inc. INSURER C:Endurance American Specialty Insurance Company 41718 Ili Reardon Circle INSURER a Atlantic Charter Insurance Company 44326 South Yarmouth,MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY,PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE POLICY NUMBER MMIDD MMIDD YY LIMITS A X .COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 CLAIMS-MADE 0 OCCUR CBP8263063 04/0112016 04/0112017 MI so, r ce $ 100,000 , MED EXP(Any oneperson) $ 51000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY a JECT ❑LOr PRODUCTS•COMP/OP AGO $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY CO Bll EO dent)SI GL IT $ 11000,000 B ANY AUTO 6232707 COM 01 04/01/2016 04/01/2017 BODILY INJURY(Per person) $ ALL X SCHEDULED BODILY INJURY(Per accident) $ X HIREOAUTOS X AUTO$ R P D $ r dan I $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 (; EXCESSLIAB CLAIMS-MADE EXCIOOO6635001 04/01/2016 04/0112017 AGGREGATE $ DED X I RETENTION$ 10,000 Aggregate $ 2,000,000 WORKERS COMPENSATION S R AND EMPLOYERS'LIABILITY YIN T E ER D OFFICERIMEMBER EXCLUDED?ECUTIVE � NIA WCE00431802 08130/2018 08/3012017 E.L.EACH ACCIDENT $ 1,000,000 (Mandatory In NH) E.L.DISEASE•EA EMPLOYEE $ 1,000,000 If yea describe under 0ES RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT It 1,000,OQO DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Addltlonal Remarks Schedule,may be attached If more apace is required) Workers Compensation Includes Officers or Proprietors. Additional Insured status Is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder, CLEAResult,Eversource and Netlonal Grid are listed as Additional Insureds on this policy on a primary,non-contributory basis.. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE 01988.2014 ACORD CORPORATION. All rinhta ramArvari f Town of Barnstable Re la$o ' & ces XULMAI= Ass 'Ricitatrd'V.Sc:ili,Director �639. 1e� Ars a R"ild as ➢avigRon Tout Perry,Building Co nniissiouer 200'Maiu Street,.,Hyannis,-Ak 02601 www.town.barnsta.bie-ma.us Offiec: 503-562-4038 Fix: 5.08-790-623a 'property Owner Mush Complete�an d Sign This Secto><� Y-UWm .A. uild�r Y) e v,10%11 Sv +L't is C3mner:ofdie-subject property hereby audhorize to act ou nzy behalf, in'aU matters rela-ivC to work autharized by this bolding:permit applicaiaon,for: . 410 AN aa63 ~(Addits' of f'6b) c , � Tool, and alarms are the respoiisibi] t�,.of t�e-.applicant. P661i are not.tti be filled or utiliz&d before fence is insWkd'and-all finr�] . inspections are per[ormed,and.accepted. ,SDriattuE of ON66er Signature-of-Applicant -- Z'nut Varne Pninc Naizae Date Q:FORI�4S:0�i'A'F12PE�tt]SSIOAlPUUi:S :' �, ' 61 I . i INE, ti Town of Barnstable = BARNSTABLE.q• Regulatory Services MASS. 0 1639• N0 Building Division AfFD MPy s, 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection F PA-►'�tqe— Location 0 i 0 K'E 4-0 ��1 Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. x The following items need correcting: A (2) k"J-1 'F6 e 6V L Q--r_A 6T U Cr)R, ctJ`J Please call: 508-862-4038 for re-inspection. Inspected by � 1 L pll A IDate I I s G poi ��a Town of Barnstable *Permit# a Expires 6 m sue d Regulatory Services FeeNAM ,0� Thomas F. Geiler,Director XPRESSMIIT'TE'p MA'1� I1MlA Building Division Tom Perry,CBO,' Building Commissioner JUL 17:2012 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma us TOWN Q� T Office: 508-862-4038 F F:`��5-79 6�9fJLE EXPRESS PERNIIT APPLICATION RESIDENTIAL ONLY lql Not Valid without Red X-Press Imprint Map/parcel Number ( U Prope Address WO 7 0.d'`t *, U 0 e J y e. esidential Value of Work 3 U�o 0 0Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name 1, ,, /J-dJ a Telephone Number S©�—7 7 9 7 Home Improvement Contractor License#(if applicable) 4ctinson Supervisor's License#(if applicable)an's Compensation Insurance Check one: ❑ 1.aWasole proprietor ❑ am the Homeowner I have Worker's Compensation Insurance Insurance Company Name . , .� �7{ "T a_/i„ / Workman's Comp.Policy# A/C Z 3 /S 3/ 7 Z// D 3 I Copy of Insurance,Compliance Certificate must accompany each permit. Permit Reque (check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ZZI'a S� h S, ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) -side � Replacement Windows/doors/sliders.U-Value O (maximum 35) #of doors,#of windows /Z. *Where required: Issuance of this permit does not exempt compliance with other t6m department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of he Home Improvement Contractors License&Construction Supervisors License is requi d/ . SIGNATURE.. QAWPFILESTORMSlbuilding permit forms0TRESS.doc Revised 051811 The Cvmmonnwah*of Massackusetft D4arhnmt o,fIndustrial Accidmis O ke oflnvesttgadons GflU Washington,Street Boston,MA 02111 �w ��ntusgr>,►fdia workers' ampensafi6n Insurance Affidavit Biddders/C,nntr2ckwsTl l6cians/Ph mhers Applicant Information Please Print L4 bly Name Address: // Q a 1 t 0-w �Zzma an employer?Check the appropriate box: T of project r . I am a contractor and I Type ( egg: � employe:with.�_ ❑ genera * have hired the sub-caaatractors 6. ❑New conskuction empfoyee�(full audfo:Part-time). - 2_❑ I air:a sale proprietor or partner- listed on the attached sheet. 7- ❑Remodeling ship and barns no employees. These:sub-contractors have. $. ❑Demolition on wcddng fore in any capacity employees and bave warmrs'. [No workers'comp insurance comp.;na arancr 2 4- .❑Budding addition required] .5. [] We are a corporation and its: 10-El Electrical.repairs or additions 3:❑ I am a homeowner doing all work officers have exercised tbeir 11.0 Plumbing repairs or sdditioms myself [No wormers°comp right of exemption per MGL insurance required..]T c.152,§1(4�and we have n o 12:❑Roof repairs employees.[No workers'. 13.0 Other comp.insurance required.] � Y apphcend that checks box#1 mast also fill our the section beTaw shhoseing then vmdere compensation p�Y m Y f,H�omeovrners rho submit this affidavit-&catiag'they are doing all dim and then hike outside contmcturs nmst submit a new affidavit indicating mch_ AntiactM that check this boat must attached an additional sheet showing thE±nmne of the sub-coutzwj ors and:stste whether ornot those entities bxve eMk ees..If the.sub-cmtractors have employees,they amtst pmvide t9&work—'romp.policy nunthet. I am an employer that is providing workers'compensadon.inmrance for my emplgyem Bdow is the policy and job sits informadon.. Insurance Company blame: 41— .L c d Policy#or Self==ins.Lic.#: d✓C Z -3 J T 3 1 Expiration Date- /�) /� A z- Job Site'Address: 11r,aIA. r v-�- Cify/StaterZip: C\t3 Attach a copy of'the workers'compensation policy declaration page(showing the policy mimber.and expiration date).. Failure to swore coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fore up to$1.500.00 and/or one-yearimpr-sonment,as we11 as civil penalties in the form of it STOP WORIK ORDER and.a fine ofup to$250.00 a.day against the violator. Be.advised that a copy of this statement may be f warded to the Office of Investigations of the DIA for insurance coverage verification- I do hereby carhfy under t As anrlpenabies ofprdutythetthe information, prmiZed above is true and correct Date: .I Phone#_ 7`� Official use only.. Do not write in this area,to be completed by city or town officiat City sac Town: Permit/License# Issuing Authority(circle one) L Board of Health 2.Building Department 3.Cityfrown Cleric 4..Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#• 6 i "� ,� Town of Barnstable Regulatory.Services Thomas F.Geiler,Director Building:Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601. www.town.barnstable.nia.us. Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder ;:as;Owner of the subject property hereby authorize b<;rr .o 4e"i 80 4" / to act on my behalf, in all matters relative to work authorized by this building permit application.for: (Address of Job) \� �li �c - 6- >s � z • Signature of Owng Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. I Q WPHLESTORWbuilding permit formslEXPRESS.doc Revised 051811 �INE Town of Barnstable Regulatory Services Thomas F.Geiler,Director i639. Building Division Tom Perry,Building Commissioner 200 Main Street,.Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons)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 wto constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, )ylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection )rocedures and requirements and that he/she will comply with said procedures and requirements. signature of Homeowner �pprovai of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building-Code section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt 'rom the provisions of this section (Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner :ngages a person(s)for hire to do such work,that such Homeowner shall act as:-supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often esults in serious problems,particularly when the homeowner hires unlicensed persons.In this case,our Board cannot iroceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is .ltimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part.of the ermit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page f this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in our community. :\WPFILES\FORMS\building permit forms\EXPRESS.doC .evised 051811 Office Af��on_mM���irs`A.M.effregu.A. o. License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: = Registration: ,�3158588 Type: Office of Consumer Affairs and Business Regulation Expiration: 2/11J2014 Partnership 10 Park_Plaza-Suite 5170 Boston,MA 02116 M ' BUILDING SYSTEMS ' T: STEPHEN BOB OLA - 24 ST.FARNCIS CIROLE` HYANNIS, MA 02601 Undersecretary ry Not valid without signature MassachLsetts department ofkUblic Saf Board o Btfilding 59wat ins.atid"3��7 •.�, .. �ontifructicin Supe . 1%(jr License CS-058987 !S 1?4�n 1 STEPBEN E B��OLA��.�. z��; `4 , 24 ST..FRAN(as:CIR 11YANNI5 "02 (Il Expiration J. �`:. Commissioner 011041201.4 6/29/2012 .5:25:11 AM PST (GMT-8) FROM: 100005-TO: 15.08771.7021 Page: 2 of 2 CERTIFICATE OF LIABILITY INSURANCE DATE(MIWDDAYYI) cam... 6/29/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON;THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND'OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.' THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE'ISSUING 1NSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER BRYDEN &SULLIVAN INS . , CONTACT NAME:. - 88 FALMOUTH RD PHONE nfc Nn a=i: 508 775-6060: - FAX C No: HYANN IS, MA 02601 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC ft - NSURERA: Libady Mutual Insurance INSURED - NSURER B-: .- •. " i. MASS BUILDING SYSTEMS LLC 24 ST FRANCIS CIRCLE NSURERC: HYANNIS MA 02601 INSURER 0: . INSURER E: INSURER F: - - COVERAGES CERTIFICATE NUMBER: 13480223 REVISION NUMBER: THIS IS TO CERTIFY THAT-THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING.ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH:THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DL SUBR - POLICY EFF POLICY EXP I.ONTTB LTR INSR WVD POLJCY NUMBER MMMDI MWDDIY GENERAL LIABILITY r EACH OCCURRENCE $ - COMMERCIAL GENERAL LIABILITY DAMAGE MISSES( s currence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP:OPAGG $ POLICY PRO. L00 $ AUTOMOBILE LIABILITY (OMBI(JEO SINGLE LIMIT a accl ent $ ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED B DOILY INJURY(Par accident) $ AUTOS AUTOS NON-OWNED PROPERTYDAMAGE HIRED AUTOS e AUTOS (Per acc dent _ $ $ $ UMBRELLA"LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ - DED RETENTION$ $ $ $ A WORKERS COMPENSATION WC2-31 S-317211-042 6/7/2012 617/2013 YIN WC STATu- 47k1- AND EMPLOYERS'LIABILITY - ✓ TCRYLIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L EACH ACCIDENT $, 500000 OFFICERIMEMBER EXCLUDED? ❑Y N/A ' (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500000 If yes,descnbe under DESCRIPTION OF OPERATIONS bebw E.L DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(Attach ACORD 104,Additlorpl Remark.Schedule,If mor..P..a I.requtr.d) _ .. Workers compensation insurance coverage applies only'to the workers compensation laws of the state of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF;, NOTICE.,WILL BE ,DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE. f� - Jeff Eldridge O 1988-2010 ACORD CORPORATION. All rights resented. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD CERT NO.: 13480223 CLIENT CODE:_1611184 Maria Anderson 6/29/2012 5:23:22 Am Page 1 Of 1 _ This certificate cancels and supersedes ALL previously issued certificates. � . ^ ^ ,A BARNSTABLE. 1639. TOWN OF BARNSTABLE . - BUILDING � @� NN �� 0 ^ ��NN � N_0� 0 �0�m . '~/ . . ^ APPLICATION FOR PERMIT TO ...................... .-.--------------.--.. _-T-� c�� TYPE OF CONSTRUCTION ---------------..^�'.���D1��--_.`���^�������-.-.----._-. ' l/� ----X.J[��!m..����......... 9.8.4' � TO THE INSPECTOR OF BUILDINGS: - ? The undersigned hereby applies for o per it � according to the following information �iocohon.------\f t �� ---�''�� ��� \��'----'. |�| \ ! Proposed Use -----..S ---- ------------------------------. Zoning District ................ -^-.--..--.-.--.Rna District --..-..........-.....----~-.--------_. | ` �� | Nome of Owna,=����^-���v����[�*-��.�-.��.��./�\<�Ad6reo ---------------------------- � A/ Nome of Builder -.---------------------A66reo -.---------------.----------.' Nome of Architect ----.-----------------'Ad6raux ------_.---..-.-----.-.-.-----. � Number of Rooms -------/ -------------.Fuundohun ......... --------- GO Ex/e,io, ------ -----------.RooGng ............. ------------' � � Floors ..................... .............................................Interior -----................!..............------------.. ----~ 1- `-_--, Hooting .----------------------_----Plum6ng ..................... Fireplace ----.--~�--'------------------Approximote Coo ............... � Definitive Planning Approved 6v onning Board _--- - lV . An�o � � '......-..-- Diognom of Lot and Building with Dimensions Fee ..........�'---_________ --' / SUBJECT TO APPROVAL OF BOARD OF HEALTH � � ! hereby agree to conform to all the Rules and Regulations of the Town of 8omgoble regarding He above construction. ................. ---^ � JUTH ' �" ~~ ~���"�� " : . � . ' 229-4�9� .No ---. [�J�`h for .� . . ei Single IamiI^— � ---------.. ------ - ' . = . ` Location ..110— .. -----.. . ^ . ---..—.. ��-----�-----.. ' ' ` Dz Owner ---�—���!������...�����/�.--_— T"� of Construction Jp����k�—_ ',-° ------.. . �---------.,.'�-----------.--- ^ � ` Plot �� ---------. ----------.. . ' / . . ' &1azo�z 20 8l PermitG6z ---'�---l9 � ^ .� Date of |��paEh/n .............................. .....lQ / � Dote Completed ------- .]9 ' ' / PERMIT REFUSED . . � -----_—.--.^---------... lA ` . . � . , --------^''----------------- ( . . ^ —.~----.—.--.----------------. -..—.—.--.--.~.....--....—..—.~----.,. -------.-----------.'---..--.- ` ' Approved ................................................ lQ - . .. . ` .............--...........-----------^—.----. . ' ------`�-----------.--~..~.--. , [� Assessor's map and lot number RL:7.195516-k 'THE Sewage 'Permit number ........................................................ MARMTAIILE, Housdnumber ........................................................................ y NAG& 039,MA--t TOWN OF BARNSTABLE BUILDING INSPECTOR C �eL"e, � APPLICATIONFOR PERMIT TO ...................... a...................................................................................... TYPE OF CONSTRUCTION ........................................7H��C...c-4 .......................................................... ............ ........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information. Location ...................).J..3....... ..�Z............. ...tw- u'I........... ............................... K < �C Q. ' ? ............... ProposedUse ................. ....... ... .W... ............................................................................................ ZoningDistrict ..................... ..........................................Fire'District .............................................................................. Nameof Owner XAddress .................................................................................... Nameof Builder ...................... ......I......................................Address .................................................................................... Nameof Architect ...................................................................Address ...................................................................................... (�4 Number of Rooms ..................................................... ...........Foundation .......... .. tlP. ..... ..... ............................... -ior ................ ......... .......Exlei ...... ..................Roofing ................ .. . ... ............................................. ...0011-.1 eAv---kl� Floors .................. ?(.................................................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 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....... ` './ �......�. �!... `� ! ................ . —A=19 1-1 JUTHE, DR. RANDOLPHI--�- No 22949 Permit for .....ADDITION.......... S i 1�5 l.e...F-ami-ly...Dwe.l.1.i4n'9............ .............. .. ....... .. Location ..11.0...T.�Iior.eau...DKive.................. Centerville ............................................................................... Owner ...Dr. Rand �ph Juthe .....................9 .................................. Type of Construction ...EKAM.......................... ................................................................................ Plot ............................ Lot ................................ P ............ Permit Granted .....March 6 . 19 81............ ....... Date of Inspection .....................19 Date Completed ......................................19 PERMIT REFUSED .............................. ........................... 9 .......................... 01 ...................................... ; ...............................P......... Approved ................................................ 19 ............................................................................... ................ ............................................................. s�\t•.A-.T+.TTL=-..A-11.tt,...1.�•...r....,.-......�.......,-„- ..--�g-�,-••.--.�..-,...»..:-�. ....+.-�..r��.r^^s.�., ,.r:;,.ti.�P--.....r�sw....-,��.,�.+...e...:.r�v-"�..=�^'v'--- -----^-i,.._.� JI 11 FEE $41AO , r . s , a TOV1/Ndi; -OF BARNSTABLE, MASS.. ) � °° li rbor 31 4 ;'a THIS IS TO CERTIFY THAT A PERMIT IS HEEREBY GRANTED TO �"o Alan E. Sm ll IF �ex�*i�ifs MV ............................. ......... ............................................................. ......... ....... ........... ....._ ......... .. ...............»...._._.. O (PROPERTY OWNER) j (ADDRESS) o.y pw TO .............._...........:. ......... ......... _ _........ ___ ...... ........ ..._... (BUILD) (ALTER) (REPAIR) a� 5iogla family oll3og Na 24 sq. to: 1 .y FOi (TYPE OF BUILDING( - (APPROXIMATE SIZE) ��aaM lot #23 'f°hOV046 ftiva Um Cc ter illm LOCATION .... .... ............. ........._.._ ....... ......................................... . \ d (STREET AND.NUMBERI (VILLAGE) tnl �1' NAME OF BUILDER OR CONTRACTOIR _ .�._ ... ........_...._...... .._...._..__... _........... ..........._ ....... 1 (u I° . APPROXIMATE COST C oy I HEREBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE.TOWN OF BARNSTABLE, REGARD IN n�THE ABOVE CONSTRUCTION. � .................................................. ..._..._..._...__......._................................................_... 0 d wj}a�y� ^ 0518 JRjt��vvrr{• (OWNER) �j (CONTRACTOR) ....._......._....._ _. . . BUILDING'INSPECTOR Subject to Approval of Board of Health. - y Yr�Yin � :e d.j i:i ♦ l +J�L.A ' ..:r/"/.: $�'fA��/Y .�� C� �.T" 2.3� ',:.fA� c``:},�`l./.T"f. sF-�"�+. �s."...pF'C•; s rye , r y �,_. �. _.._. �' —... ---��, ._._ --•- - -- ate—--- - _ _ _ a g cr A { t � } `1 y (� r n J � V f^� vJ � C c i Assets �rnap- and lot number ' tY fly ITS IrLE' IN . �.I� • Se`wag '�Permit .number ........................ . .......'3.. t... ...::. •..... -. 1�1�'8- 7•��' f� � I, 'LE .AT T Y QyTHEro�� TOWN. OF BARNSA41 = n SAHHSTADLE, T- 'M639 \0�0 r: BU1- DING INSPECTOR 0 D MPY *M APPLICATION FOR, PERMIT TO .. .. .. ...... ................................ .... ' ................................ . ............ .. . . .... .... .... r, TYPE OF CONSTRUCTION ......... .... . .....................:............................. ........ . ..............:................................ d.... '.............19?. TO THE INSPECTOR OF BUILDINGS: The undersigned reb n plies for 'a permit according to a following informatOA4V<-� Location ....... ...... ::... ......�. ............. ........ .. ... ..... . .... ........................... ProposedUse .......... ... ........... ..... ...... ....................:................................................................................................... Zoning District .................................. Fire District ...... ... ........................................ ........................ Nameof Owner ... .... .. ............................................:......Address ......... . . ....... .... .................. Nameof Builder ..........IV.....................0"t...........................Add ress .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Room ....... ...................................................Foundation .......... ........ ............ .......�.....:........................... Exterior ......... ......................................................Roofing ......: . ................ ..........................................I...... y.,.. . Floors ........... .........Interior .. ... . .......... . Heating ..... . v`'...................................Plumbing ................................ ................................ ... ...................................... Fireplace ... .... ............. .......... ..... . .....................................Approximate Cost .......... Definitive Plan Approved b Planning Board ________________________________19____-___. Area ` F q '. ... PP Y 9 ..a............ Diagram of .Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH fg I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ®®®® Name .......................... sr !............... Small, Alan E. � 17-543 one sww�� . Permit ... ~� ~^~e^e ^~~i^y ~~=^^^ng u Thoreau Drive Locoho� �--,----,----~--' --.. � Centerville \ / ' � m ,______'_'_�_''�_�_____~_`��___'' � ^ Alan E. Small ' Owner .--------.------------ , Type of Con �raConstruction ---------.----.. ' ^ . ` ----.—..-------------------- P|c» --.------- Lot ---..�0��----. . � � 31 7 � Permit Granted. — � ' Date of |nupoc�on ' Date Completed —.�-��—./� ` � PERMIT REFUSED ' -----_—._.----------.. lV � ' .........................-----------.----.--. ' ' ^—..-.~--_.,....-----...—.-------- � ^ .----...---------------..-.—.—.. ' ----'---'-----'^—^^^—^^^------'' ' ' App,oved ................................................ lg � �� ,� ^ ----------------^^^-------- ----------------------^^'^^^'' ' Assessor's map and Iot number r 9 1 Se a Permit number ...'........................................................ QyFt"E.T°�� TOWN OF BARNSTABLE Z BARNSTADLE, i "b 9 BUILDING INSPECTOR °'EO MPY a' P APPLICATION FOR PERMIT TO ...................................................................................... TYPEOF CONSTRUCTION ......... .... ..... ......... ........................................... . ................................................ ....` f..............19?.v TO THE INSPECTOR OF BUILDINGS: The undersigned reb pplies for a permit according tot a following informatio . Location ...... ..... .......... ........... ✓.. ................ .....w... rr!....... �r.1J........................... ProposedUse ...... ... .: .... ........ ........... .:............................................................................................,......................... ZoningDistrict ......................... .............................Fire District ...... :• .................................. M ....................... Name of Owner ... .. :...••:..... ............Address ........ ............................... Name of Builder ...........1Y., ..................•.•r•.:............................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Room .......�...................................................Foundation ........eer..... ............. ........................................ Exterior ..... ..................•...................................Roofing ...... ... .. ................ ................................................. .. ................. Floors .......I. 7v..........................................................................Interior ............. ... ................................... Heatingl'........... .................. .................................Plumbing ............................. ............................................. Fireplace •.' ... .. .. . .....................................Approximate Cost .......... 1. r• Definitive Plan Approved by Planning Board -----_-------------------------19________. Area f "` ... Diagram of Lot and Building with Dimensions Fee / SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................ . .............. Small, Alan ° ^ ' 17543 one story, No ................:,,,,Permit for .................................... .......o&ng-lm... ..dwelling....................... � Location .\kO. .��1va_________ ' - � ....................... ................................ ' - ^ . O,Xmer .......... �l0��'��.. --------- ' ' ^ Typo of Construction ....�����--------- ' -----^--------------------.. � ~ ~ Plot ............................ Lot ..........#91................ ^ . . � . . De�aowr 3l 7� ' Permit Granted ------------..�]P Date of Inspection -----------`:lA Dote Completed ...................................... . ` ' ^ ' PERMIT REFUSED � ' ~ � -----_—.------------- lg ' - . . , --------.------------------ _ ~ . - � —.-----...------------------. '—'—'----------^^—~--`—~--~r'' � - - . ---------~------.--.—~—.----. ` ' . . - Approved ---------------' 19 � ^ -----------------'--------- � ----------------------^^^~'— �