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HomeMy WebLinkAbout0037 WEDGEWOOD DRIVE i ACTIVE I R SEP 8YSTE,14 P,tU le B� Cam, INSTALL z O'�4 .S Zlit� .z ��f '�° _TH ART, , � ` hIC. 141T �PyOf THE Tp�♦o TOWN O BA D W�I ib ti � i BASBSTABM "6 q ®�c M BUILDING : INSPECTOR pY a• APPLICATION FOR PERMIT TO .....Z...&..........U..:..`^'.... . ........................... TYPE OF CONSTRUCTION .........C.ram.........'......... ., ..........�./........ .. ................................................. ................................................19........ TO THE INSPECTOR OF BU•ILDINGS:. The undersigned hereby applies for a ,pe-r/mit according to the following information: Location ......... .U. T.........9...........f'!lf! 1 .. .. ......... 4L` � . ......... .�........... r Proposed Use .........1� ... .................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner .. � /- „ ' L-••.... . ....... . ... ...Address ......3.,�yd�'-�.�.. G.r✓ :��,c�c Name of Builder ..EZLr�'•. ..... ................Address .. . .. .. ..w. Nameof Architect ......, - ......... ..............................Address ............. . ....... � ................................................. r �- Number of Rooms ..Foundation• ....f.,T.. ,,,,,,.,. �f,>,��„ Exterior .��.. .... .......... .......:��......al ..........Roofing ......... :. :................................................... Floors ........ ................ 1-�..........................lnterior ..... ..... �........ , ........;:... .........Plumbing ..... �` �......�........ � ,, ..... .. .Heating .......1 .p.....��.�!f..........1Z!:f. .............. • Fireplace .......V;...a" ` . .........................................................Approximate Cost ... .../...�.......... ............................ Definitive Plan Approved by Planning Board -----------_------__________-_19 Diagram of Lot and Building with Dimensions075 i SUBJECT TO APPROVAL OF BOARD OF HEALTH , f i I hereby agree to conform to all the'Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...A11 ^ ...... /,-1 ........ ------------- Kavanagh, Thomas J. t 16889 one sto �� n rd No ................. Permit for .....................�.......... ' .........single fa.mi. .y..dwellin�........ . q ?........... Locatiow Wedgewood Drive ......... C.,te x�, le...............:.............. Owner Thomas J. Kavanagh frame i Type of Construction .......................................... a � r '37 �• Plot ............................ Lot ................................ Permit Granted Februa 8 4 �� /L' Date of Inspection . °.... �� per. Date Completed fa��/7 .C ~~ �`� 4 T 8'£' 100, PERMIT REFUSED ! ......................................... ................... 19 .. .................. ............. ................................... } Q\ ! �• � ,�� Q ............................................ .................................. t '1 - ; i .................................. R ti mJ/- _ b ............................:.................................................. Zoe a 1- -Approved ................................................ 19 \ ........ . .............................................................. .. 4 a ............................................................................... i i . , �i, ;� � � � / ,� , / j / ®, / � � � /� � � i � � � �� � s �� ; � � j , ! � �- � � i / � � M TOWN OF BARNSTABLE BUILDING-PERMIT APPLICATION Map Parcel Permit# Health Division 1.,� - ' � '� Date Issued " Conservation Division qhilwol j . FeeY3 7/ O/ Tax Collector. - ,7 �/D� Treasurer SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board ' T 1tdITH TITLE 5 All 1 ENVIR®NMENTAL CCU n Historic-OKH Preservation/Hyannis TOWN rEQULX G "s Project Street Address 3 7 !✓FD 6 rGvo op Village r/w7XRV1,c tL' Owner ��(a<1-PA S- _Ad_- /4/0 Address 3 7- fl ma ri✓OGD .UR. Telephone �[ " 778"D 4 3 (o Permit Request Ay //17; ,� ,g �� v -z 7, �iyCI V,VZ 4 1)1y/V 2&1Au 0e n 9.4; f �v CA , ST � i To 6 Oo M Square feet: 1 st floor: existiny / M proposed �/� 2nd floor: existing O proposed O Total new Valuation 0 Zoning District �� Flood Plain � y Groundwater Overlay Aoa � Construction Type Lot Size /.5. 000 Grandfathered: ❑Yes Uff No If yes, attach supporting documentation. Dwelling Type: Single Family ® Two Family ❑ Multi-Family(#units) Age of Existing Structure 2 7 xw Historic House: ❑Yes A No On Old King's Highway: ❑Yes X No Basement Type: ® Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) /SG B Number of Baths: Full: existing new / Half: existing C2 new D Number of Bedrooms: existing_ new I Total Room Count(not including baths): existing S new 3 First Floor Room Count Heat Type and Fuel: ❑Gas W Oil ❑ Electric ❑Other Central Air: m Yes ❑No Fireplaces: Existing D New d Existing wood/coal stove: ❑Yes M No detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage: ®existing 99 new size.26 31 Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# -Recorded❑ Commercial ❑Yes A No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name &iyi S 57EwAR 7"IRi e GAR/YFA v Telephone Number 7 7/ -G 0 6 7 /4.2 8 -2 06 7 Address Arri<yt,Aar rr-If ,Z�''/ P00�0s<0_X License# /t✓. YARmO vTt/ Al �fIiPNSTAB.0� ` Home Improvement Contractor# 001'J 7/4- Worker's Compensation# ALL CONST TIO EBRI ULTI FROM THIS PR JECT WILL BETAKEN TO _Yz R1novrr� To w.l 0 SIGNATURE DATE - 4 v A. FOR OFFICIAL USE ONLY . _ � � „_a ,. ��, .� - •- �� is r PERMIT NO. - - • " � ' DATE ISSUED , MAP/PARCEL NO. ADDRESS VILLAGE, N OWNER DATE OF INSPECTIGNr ;f FOUNDATION '' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH esz FINAL PLUMBING: ROUGH . s FINAL GAS: ROUGH -: FINAL z , FINAL BUILDING DATE CLOSED OUT r - ASSOCIATION PLAN NO. Ir A F-D -� - Side 5/ F f STANDARD LEGEND ONOTE:not all symbols will appear on a map GOLF COURSE FAIRWAY C1=x=m EDGE OF DECIDUOUS TREES EDGE OF BRUSH• t i ORCHARD OR NURSERY V-V-7'V EDGE OF CONIFEROUS TREES c MARSH AREA — — EDGE OF WATER _ _ = DIRT ROAD DGI DRIVEWAY ' PARKING LOT PAVED ROAD ' -- DRAINAGE DITCH MAP181 PATH/TRAIL PARCEL LINE 144 0 W11a4 MAP# 211------PARCEL NUMBER # 51 #18d0-�—HOUSE NUMBER - MA S9 - r' 2 FOOT CONTOUR LINE 1 - - 10 FOOT CONTOUR LINE Elevation based on NGV029 -X4.9 SPOT ELEVATION 3 4 �o STONE WALL '} MAP -x-X FENCE s d& RETAINING WALL 14 .-. .-1- RAIL ROAD TRACK STONE JETTY CJ SWIMMING POOL �. PORCH/DECK AP189 MAP 189 � 9 0 BUILDING/STRUCTURE ��- QOCK/PIER 163 1:3164 HYDRANT ../,�. � � � � � 6 VALVE A MANHOLE #f- 0 POST Q FLAG POLE T d W N O F B A R N S T A B l E G E O G IR A P H 1 C 1 N F O it M A T 1 O N S r S T 'E M S U N 1 T 4 SIGN ® STORMDRAIN p PRINTED S[AtE:IN FEET *NOTE:Tha map is an enlargement of a **NOTE:The parcel lines are only graphic representations 11 DATA SOURCES: Plonimetrics(man-made features)were interpreted from 1995 aerial photographs by The James 1"=100'scole map and may NOT meet of property boundaries They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD UTILITY POLE A TOWER 0 20 40 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards a I INCH=40 FEES* enlarged scale, on the map. at a scale of 1"=100'. Parcel lines were digitized from 2000 Town of Barnstable Assessor's tax maps. 4 LIGHT POLE O ELECTRIC BOX TRIEDLINE&CARTER ADJUSTMENT, INC. 436 Main Street, P. 0. Box 338 Hyannis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 TO: (wilding Commissioner or Inspector of Buildings O Board of Health or Board of.Selectmen ( ) Fire Department TOWN OF BARNSTABLE TOWN HALL HYANNIS, MA 9 RE: Insured: BOUTIETTE Alfred D. -� Property Address: 37 Wedgewood Dr. (JI, M Centerville, MA.02632 ' Policy Number: HM00400515 ,, Type of Loss: Bio-Hazard Date of Loss: 9/23/2016 File#: 125830 = Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section.6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. C. WALLACE Adjuster 10/6/2016 i r I 37 Wedgewood Dr, Centerville, MA 02632 * U/C Cont.t to Market (08/15/10) DOM/CDOM: 6E Beds: 3* Baths: 3 (3 0) (FH) Sq Ft: 2700 Lot Sz: 0.340ac Town: Barn Yr: 1974* Remarks _ Not a drive by... Need Space? This home has it!Sprawling 2,700 sq ft, Split-Plan L-Shaped Ranch w/3 Bedrooms, 3 Full Baths, Hardwood & Pergo Mrs, Soaring Cathedraled Ceilings w/Beams, Living Room w/Pegged Hardwood Mrs, Open Kitchen/Dining w/Breakfast Bar,Corian Counters & Lots of Cabinet Storage +French Door to the Multi Decks overlooking Private rear yaid. 2 Bedrms w/a full bath are separate from the 3rd bedroom/bath by the main living space. Laundry Room, Office/Den & In-Law Potential (Wing added in 2001) offering a Den, Full Kitchen, Full Bath &Nice Sized Living Room w/Do to private Deck. Main House is heated by Hot-Air (Oil),New Wing is Gas Hot Air& Both parts have Central AC. Alarm System,Newer Anderson Windows,Newer Furnace & a 2+ Car Garage on a cul-de-s street! Nice South of 28 Neighborhood & close to Craigville Beac • r i = ONE IMPROVEMENT CONTRACTOR Registrat' fY — i Ezpir on 8/26/01 Type: Individual C-BRE - WART' 1 e i Stewart nchester Ave ! ADMINISTRATOR. W. Yarnouth NA 02673 coo C-BREEZE PROJECTS Building &Remodeling Commercial/Residential • Additions • Doors/Windows • New Construction • Decks t • Kitchens/Baths • Roofing • Siding-Wood • Painting-Int./E:xt. ; Denis Stewart 508-771-6067 } i Building Contractor Reg.#124813 428-2067 Fully Insured �� �, Itichard P.bGarneau Jr.° r x { hfi K General kUpentry&Remodelrng?� �� � <: N y P Addiaons 4.D6Nvw rmers Homes•Krtc6ens :In nor Tna runy } .. r i} 2s1=Woodside RoWWesf Bainstabl MA 02668 I MLS T Page 1 of 3 Property History Listing Summary Attached Docs Virtual Media Report Violation Listing #21005905 37 Wedgewood Dr, Centerville,'MA 02632" U/C Cont.to Market (08/15/10) DOM/CDOM:68/68 $350,000(LP) Beds: 3* Baths: 3 (3 0) (FH)- Sq Ft: 2700 Lot Sz: 0.340ac Town: Barn Yr: 1974* Remarks Not a drive by... Need Space? This home has it! !� Sprawling 2,700 sq ft, Split-Plan L-Shaped Ranch w/3V. Bedrooms, 3 Full Baths, Hardwood & Pergo Flrs, F� +. Soaring Cathedraled Ceilings w/Beams, Living Room w/Pegged Hardwood Flrs, Open Kitchen/Dining w/Breakfast Bar, Corian Counters & Lots of Cabinet t• Storage + French Door to the Multi Decks overlooking Private rear yard. 2 Bedrms w/a full bath are separate y from the 3rd bedroom/bath by the main living space. 7 Laundry Room, Office/Den & In-Law Potential (Wing �I added in 2001) offering a Den, Full Kitchen, Full Bath & Pictures(25) a r Location Description South of Route 28 ' Agent Marie Souza Team. (ID: U1 LR)Direct:508790-2000 Sec Fax:508-790-4005 Office Cape Cod Real Estate Services(ID:CCRES)Phone:508-790-2000,FAX:508-790-4005 Property Type Single Family Property Subtype(s) Single Family Status U/C Cont.to Market(08/15/10) Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 0% 2.5% 2.5% No Facilitator Comm 2.5% Listing Type Excl.Right to Sell Owner Name Shapiro County Barnstable Tax ID 189-145-0-0-BARN Beds 3* Baths (FH) 3(3 0) Approx Square Feet 2700 8q Ft Source Field Card Lot Sq Ft(approx) 14810 Lot:Acres(approx) 0.340 Lot Size Source (Field Card) Year Built 1974* Listing Date 06/11/10 All Office Remarks Was permitted for an In-Law Apartment.New owner must re-apply with the Town&meet Town's requirements Directions to Property Bumps River Road-OR-Old Stage Road(South)to Fuller Road to Wedgwood.Home is on the Left. Listing Page Commission-Other n/a Special.List Cond. None Showing Instructions Appointment Req.,Call Listing Office,Yard Sign General Page Zoning Res School District Barnstable Year Built Desc. Approximate Total Rooms 10 Total Levels 1:0 Basement Baths 0.0 http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSP-ropertyDetail 8/18/2010 r MLS Page 2 of 3 Level 1 Baths 0.0 Level 2 Baths 0.0 Level 3 Baths 0.0 Basement Yes Basement Description Full .Foundation Concrete Foundation Width 50 Foundation Depth 35 Fndation Wing Width 42 ; Fndation Wing Depth 30 Irregular No Lot Depth 0 Lot Width 0 Association No Annual Assoc.Fee $0 Assoc.Fee Year 0 Garage Yes #of Cars #2 Garage Description Attached, Direct Entry, Door Opener Parking Description Paved Driveway Year Round Yes Separate Living Qtrs Yes. Sep Living Qtrs Desc Attached,First Floor„In-Law Apartment Waterfront No Water View No Convenient To Conservation Area,Golf Course,House of Worship,School,Shopping Miles to Beach 1 to 2 Beach/Lake/Pond Craigville Beach Water Access Beach,Ocean, Public Beach Description Lake/Pond Beach Ownership Public Street Description Cul-De-Sac, Paved Interior Page Fireplace No Number of Fireplaces' #0 Master Bedroom 14x12 Level: First Floor Mstr Bdrm Features Bay/Bow Windows,Closet,French/Patio Door,HU Cable TV,HU High Speed Inet,Wood Floor Bedroom#2 13x12 Level:First Floor Bedroom#2 Features Closet,Wood Floor Bedroom#3 13x12 Level: First Floor' - Bedroom#3 Features Closet,Wood Floor Laundry Room 8x5 Level: First Floor Living/Dining Combo No , Living Room 20x14 Level:First Floor: Living Room Features Beamed Ceilings,Bow/Bay Windows,Cathedral Ceilings,Closet,Wood Floor Kitchen/Dining Combo Yes Kitchen 20x12 Level:First Floor Kitchen Features Beamed Ceilings,Breakfast Bar,Cathedral Ceilings, Dining Area,french/Patio Door,Pantry, Upgraded Cabinets, Upgraded Countertops Other Room 1 25x11 Level: First Floor' Other Room,1 Type 2nd Kitchen Other Rm 1 Features Deck,Dining Area,French/Patio Door,Wood Floor Other Room 2 14x11 Level:First Floor Other Room 2 Type In-Law Apartment Other Rm 2 Features Private Master Bath,Wood Floor Other Room 3 23x10 Level:First Floor ' Other Room 3 Type In-Law Apartment Other Rm 3 Features. HU Cable TV,HU High Speed Inet,Wood Floor Appliances Countertop Range,Dishwasher,Microwave,Security Alarm,Wall/Oven Cook Top Floors Hardwood,Laminated Veneer,.Other,Vinyl,Wood Exterior _ Style Ranch "Pool No Dock No Energy Saving feat Insulated Windows,Insulated Doors,Programbl Thermostat Exterior Features Deck,Exterior Lighting,Yard http://ccimis.rapm1s.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSPropertyDetail 8/18/2010 MLS Page 3 of 3 IRoof Description Asphalt,Pitched Siding Description Clapboard,Shingle Mechanical Heating/Cooling 3+Zone Heat,AC Central,Natural Gas,Oil,Hot Air Water/Sewer/Utility Cable,Septic,Electricity,Gas,High Speed Internet,Town Water Hot Water/Water Heat Natural Gas Legal/Tax Annual Tax $2827 Tax Year 2010 Land Assessments $157600 Improvement Asmt $227100. Other Assessments $0 Total Assessments $384700 Annual Betterment $0.00 Unpaid Betterment $0.00 To Be Assessed Unknown Mass Use Code 101-Single Family Title Reference-Book 13746 Title Reference-Page 208 Land Court Cert# 0 Underground Fuel Tnk Unknown Lead Paint Unknown Flood Zone Unknown ' *Denotes information autofilled from tax records. Information has not been verified,is not guaranteed,and is subject to change.Copyright 2010 Cape Cod&Islands Multiple Listing Service,Inc.All rights reserved Copyright©2010 Rapattoni Corporation.All rights reserved. Generated:8/18/10 1:15pm r welttV-0la RapattonLi fft http://ccimis.rapmis.com/scripfs/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSPropertyDetail 8/18/2010 MLS Page 5 of 9 f 3,14 -t In-Law Potential/Guest Quarters l http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSPictureDescriptio... 8/18/2010 I MLS Page 6 of 9 In-Law Potential/Guest Quarters f In-Law Potential/Guest Quarters Y f 6 In-Law Potential/Guest Quarters http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSPictureDescriptio... 8/18/2010 MLS Page 7 of 9 In-Law Potential/Guest Quarters private deck In-Law Potential/Guest Quarters 'nllt- l In-Law Potential/Guest Quarters Arm http://ccimis.rapmis.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME=MLSPictureDescriptio... 8/18/2010 Y:rwtt�aC� :'r� yes,�- i��' v • �i'r`; " ,w} J * , '' R 4 a t • . • • folklmilt • • . •- •� : • • . �. • AA1 1 MLS t Page 2 of 9 { http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSPictureDescriptio... 8/18/2010 r MLS Page 3 of 9 i . r http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSPictureDescriptio... 8/18/2010 MLS Page 4 of 9 M2,L t I t r F. ❑ http://ccimis.rapmis.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME=MLSPictureDescriptio... 8/18/2010 i MLS Page 8 of 9 Laundry Area a � t • d 1 • t Sewing Room/Office d . W , http://ccimis.rapml s.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME=MLSPictureDescriptio... 8/18/2010 MLS Page 9 of 9 Mc � Information has not been verified,is not guaranteed,and is subject to change.Copyright 2010 Cape Cod&Islands Multiple Listing Service, Inc.All rights reserved Copyright©2010 Rapattoni Corporation.All rights reserved. Generated:8/18/10 1:20pm FqWma ft�p http://ccimis.rapmis.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME=MLSPictureDescriptio... 8/18/2010 Board of Building Re ulations One Ashburton Place, Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 04/04/1957 Number: CS 009714 Expires:04/04/2002 Restricted To: 00 RICHARD P GARNEAU JR 251 WOODSIDE RD W BARNSTABLE, MA 02668 Tr,no: 21613 Keep top for receipt and change of address notification. Board of Building Regula ons and Standar s One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 100034 Type: DBA Expiration: 6/8/02 RICHARD P. GARNEAU JR. G.C. & Remod Richard Garneau Jr. 251 Woodside Rd --- W. Barnstable, MA 02668 - Update Address and return card.Mark reason for change Address L 1 Renewal Employment Lest Card C��v' (�. I 4 i �I 1 t } y i � b��.s 02 0o � �� � � I a_cs a 1 n ' d TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel L c� Application # Health Division 8�/`�E Date Issued S ZZ­t 7 Conservation Division Applicatio Planning Dept. TVA Y®� 92 ® 1 Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis eVtA a�lc� Project Street Address Village Owner /��-� �, ��o //� � Address Telephone Permit Request ermi A®)-�� u�rs/®� B/�fl rf o/' qg2l2 Zoo d is Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay _Project Valuation 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: F 1 : xisting new Half: existing new Number of Bedroo _nC w existing 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 ��>�C' L5�_/a� _ Telephone-Number Address License# kcG P,d2_4- lez�01_60)6 Home Improvement Contractor# Email Worker's Compensation # 67 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 01 SIGNATURE DATE Z_ 1, T e FOR OFFICIAL USE ONLY a APPLICATION # } J 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 i FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ormatxon and Instructions Mas,achuseft Gehmaal Laws chapter 152 requffes a employes to pravide workers'compensation far their empIoyees. pin safe this sinte,anIoy�is defined as"-.ev�Person in.fiie service of another ceder any conixact of him, express or impliod,oral or writCrm" An WIF&yer is defined as"an indrvidnaI,partnership association,cozparaiion or Other legal entity,or any two or more of the foregoing engagedina Joint ent>;rp>ise,and including the legal representatives of a deceased empIayer,or the receiver or trustee of an mdividoal,partnership,association or other Iegal entity,employing employees. However the owner of a dweIImg house having not more than tbree apartments andwho resides therein,or the o=Vmt of the- dweIling house of another who employs persons to do mat iteamce,conk-action or repay woik on such dwelling house or on the gro-unds or buying 0nH notbecanse of such employmeirtbe deemedto be an employer." MI GL chapter 152,§25C(6)also sf3tes that"everys ata:or local licensing agencyshall.withhold fire issuance or renewal of a license or permit to operate a.business or to constrict bu=Idmgs fa the commonwealth for any applicantwho has not produced acceptable evidence of compliance with the insurance cove.rage required_" AdditionaIly,M(ff chaptz<r 152,§25C(7)states-Teithm the cone auwealth nor airy of its political subdivisions shall enter into any contract for the perb=aace ofpubho waiic until acceptable evidence of camplia a=with the mSUrB .ce.. requn-ememfs of this chapter have Tieen presented:to the contracting a of ority." Applicants , Please:fiIl ovt the workers'compensation affidavit completely,by checldag one boxes that apply to your siinafian and,if necessary,supply sub-contactor(s)mme(s), addresses)and phone numbers)alongviththeir certifrcat�(s)of an ;,nuce. Li nit---d Liability Companies(LLQ or LnnitedLiabitity-Partnerships(I.I P)withno waployees other than the members or partners,are not requn:ed to cagy worke&coiapensafion insmanoe. If an LLC or L LP does have employees,a policy isr4a-r-d. Beadvised that this affidayit may besnbi ii to theDepa-Lmentoflndustrial Accidents for confamaiion of fiz=mce coverage._Also be sure to sign and dafe-are atf-davit The affidavit should b eret arced to the city or town fliat the application for the permit or license is being requester not the D ppartmeni'of ' LoAastxial A-r-cidenis. Shouldyou have any questions regarding the Iaw or ifyou are required to obtam a workers' compensation policy,please call the:Despa tnent at the cumber listed below. Self-tined companies shanld enter ilieir self-insurance license number an the appropriate Ime. City or Town Officials f - Please be sure that tjie affidavit is complete andprided legibly. Thin Departmnthas provided a space at the bottom of the:affidavit for you to fill out in the event the Office of Investi gafions has to coirtact you regarding the applicant Please:b e s=in fill in the peamn t crose m=bea which WM be used as a reference mmnber. In addition,an applicant that must submit multiple permWHceose applications in any given year,need only submit one affidavit indicating cmreMt policy inlfbr matian(if necessary)and under"Job�e A ddmSS"the applicant should write"aII locations in ( Y Or town)-"A-copy of fihe-affidavit that has been.officially stamped or marked by the city or torn may b e provided to the ' applicant as proof that a valid affidavit is on file for f d= 'permits or licenses A new a$davltmust be filled dirt each year.Where:a home owner or citizen is obtaining a license or permit not related to any business or commercial vet a dog license.orpermitto bum leaves etc.)said person is NOT zuqairedto complete this affidavit ke to thank you in.advanco for your cooperation and should you have any qu�ons, The Office of Investigations would Ir please do not hesitate to give us a caIl. The 1}epartmefs:address,telephone and fax number: C xMMMWMIthE of 111as�arhns tfs , Degarfrnmt of Iadusbdal AwUan force of)t.Ve&ttati o.= F��4��in�an Sfz . • lrM&f111 `fe1.4, 617 -4-M=t 4-06 or 1-9 lL &3AFB Fax 617=727 7M Revise 42407 .mas.5_g1Tfdia- the Commorrtvealth ot -Vassachusetts Dep artimmt of rnriustdal Acr iderds Office of.rrmwfigations . . 600 Washizrgtou Street :::._ Boston, L4 02111 ' � � }��rvtt�r�rrrs�gov�ilin . "War•leers' Campensat ma Imm=ce Affidavit:BmlderslContractursMechicianslPlumhers Applicant Iufcirrm,atian. Plea-se Print Legibly NameBss�Ozgan�tionfIedFc=id� rA.ddres 3�e e ,0eZJ ► �rtyT/ tatelig - Phoae <S� -4 UP Are you an employer?Check.the a propriate bow ' Type of project(required): 1.❑ I air a em to with 4 ❑I am a general contractor and I P 3`� a 6. ❑New construction. employees(R-d andlorpart-timed* have hired the sub-coartractors 2.❑ I am a sole etor or stner- listed on the attached sheet. 7. ❑Re.-modeling These sub-contractors have slurp and fame;no employees $..E]Demolition woA-ng for me in an i• . employees mad hate porkers' Y capacity. 9. ❑Building addition! . [No Si dour comp.insurance CUm17.rnsuranW-1 rezinired] 5. ❑ We.are a corporation and its 10_❑Ele#cal repairs or add 3 I am a homeo-mer doing all work Ofdcershave exorcised their 1L0 Plumbing repairs or additions.. myself[No vseskers'gip- tight of exemption per MGL 13.❑Roofrepairs insurance re aired E c.152,§1(4�andwe have no + to o workers' 13.El Other employees camp-insurance r equired.ji •tiny RnUcsnt dat checlabox 91 nmst also Moutthe secdanbeTasyshuning 6erriuoAe3s'campensat; npeHcyiaformsffan. �F�ameowaersuhosub�ltdsisaf�davuin,�aliagtbeyaLedaiagsllwc�cauiiifieahIIeautsid�contractarsamstsnlrmitanewaffidaYat;��;r�+�<smcTi rca=Rctorsthmt rhea tirls box must attached as additional sheet showfngthen=e of the sub-camsscto-a and seaix vrbe&ec arnotthose eaddeshaee employees.'If the sub-cankactaesb=eempIoyee%theynnotpmvidetheir vmrkeu'tamp.palkynumber. I atrt arc er►�p&iy�r tlsat is prauidirtg wuarketss con peresatiort ireszirarrce f or rrz}r enipl�y�es Below is fitepa-icy and jab rite information Itssurance Company Name: — Roficy,orself-ins.Luc.4 EkpirationDate: Job Site tlddress: citylStatelzip: Arch a copy of the workers'compensatioexpolicy-declaration page(showing the policy number and expiration date). Failure to secure cogecage as required under Section 25A of MGL c 157 can lead to the imposition of criminal penalties of a fine up to,$1,50D OQ an&or one-yearinaprisonn-wrnt,as wen as civil peualfies.in the form of a STOP WORK ORDERand a fine of up to$250.00 a day against the tiolatur. Be adIdsed that a copy of this statement maybe forwarded to the Office of Iuvestigati,ons of the DIA.for insurance coverage mcifrcation- .I do hereby*- ,UzJtd ,41? awes ofperfuxy thattlia inc;fvrnzcr#ioni?n dedab is tars aced rued Signature_ Bate: Phone ik of dd us¢orery. Da not o-srke iet this lrrea,to be comp}'etM by city arteirli official City or To-= Permi f aicense if Issuing- uthor€ty(crdeone): 1.Board of Health 2.RwIding Department 3.Citytrown Clerk 4.Electrical Inspector S.Phumbmg Inspector G.Other Contact Person: Phone#: } 1NE Town of Barnstable • � ti Regulatory Services BAM` LE, Richard V.Scali,Director Eo;9 ��� Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601. www.town.barnstable.ma.us Office: 508-862-403 8 . Fax: 508-790-6230 Property.Owner Must Complete and Sign=This Section If Using A Builder. I, as Owner the subject property hereby authorize to act on my behalf, in all matters relative to work autho ' ed by this b ding perinit application for: (Addr s of Job **Pool fences and alarm e the responsibih of the applicant. Pools are not to be filled utilized before fence is talled and all final- inspections are p formed and accepted. Signature of Own _ Signature of Applicant Print Name Print Name Date. s Q:FORM&OVNERPERMISSIONPOOLS Town of Barnstable Regulatory Services drrtHE Richard V.Scali, Director Building Division a+xiv Paul Roma,Building Commissioner MAM %639. ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION_ rl Please Print ' DATE:. T,�/ •- JOB LOCATION: number street village "HOMEOWNER!, ��i�9 630 6�dy;li name homee phone# 4ork phone# 3 CURRENT MAILING ADDRESS: city-hown s e 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 who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. . The undersigned``homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspe 'on eed and requirements and that he/she will comply with said procedures and re ent 'Sign of Ho owner . Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor.. The homeowner acting as'Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many.communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. 1 ICI II ' Y67 FRIEDI-INE&CARTER ADJUSTMENT, INC. 436 Main Street, P. O. Box 338 Hyannis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 TO:, (wilding Commissioner or Inspector of Buildings ( ) Board of Health or Board of Selectmen ` O Fire Department TOWN OF BARNSTABLE TOWN HALL HYANNIS, MA _ RE: Insured: BOUTIETTE, Alfred D. = �; Property Address: 37 Wedgewood Dr. ' Centerville, MA 02632 Policy Number: HM00400515 ,� Type of Loss: Bio-Hazard Date of Loss: 9/23/2016 —r File#: 125830 _ e Claim has been made involving loss,damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass..General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. t: On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. C. WALLACE Adjuster 10/6/2016 f Page 1 of 1 Anderson, Robin From: Flynn, Margaret Sent: Monday, June 05, 2017 11:47 AM To: Anderson, Robin Cc: Gallant; Therese Subject: Phone Message Hi Robin I spoke with Gerry Johnson today regarding a potential painting business being run out of an home on Wedgewood Drive, Centerville. He is calling on behalf of a neighbor and the best address he could provide was'. the house across the street from#30. This property is evidently a new rental location. There is aware of this property because there was a call made into the BPD to investigate. I told Mr.Johnson that I would forward this information to you for your review. He can be reached at 508-776 9032.Thanks. Maggie r Maggie Flynn Licensing Administrative Assistant Town of Barnstable .20O.Main Street Hyannis, MA 02601 508-862-4674(o) 50'8-'778-2412(f) Parcel Detail Page 1 of 4 y4 cyan ov 41 , a �TE� M by a. _ •, t�,., � Logged In As: Pa rce I Detail Tuesday, June 6 2017 Parcel Lookup Parcel Info Parcel ID 189-145 I Developer Lot LOT 9 I Location 137 WEDGE Pri Frontage 1129 I Sec Road I r— I Sec Frontage I Village lCenterville I Fire District C-O-MM Town sewer exists at this address No !f Road Index 1803 I Asbuilt Septic Scan: ` Interactive Map 189145_1 =at Owner Info — -- — Owner BOUTIETTE,ALFRED LI Owco- ner ALFRED D BOUTIETTE I Streets 1222 NEW BOS Street2 I City ISTURBRIDGE State IMA Zip 101566 Country � Land Info ------- -- -- - 1 Acres 10.34 I Use Single Fam MDL-01 I Zoning F 777 Nghbd 0106 �rl Topography I Road I Utilities�— I Location Construction Info Building 1 of 1 Year 1974 !� Roof Gable/Hip I Ext Wood Shingle Built Struct Wall Living 2599 Roof(A�s h/F GIs/Cm AC Central Area�� Cover p p Type I�—� WDK 22 1 Style Ranch I wall D wall Rooms nt 3 Bedrooms + e 0As; 4 ; ��J � � � 1 P118. DK' Model Residential Floor Hardwood Int RoBath oms 3 Full-0 Half t Grade Average type Hot Air ��Rooms 8 Rooms As rim2ri35 2` Stories 11 Story HeatFuel Gas ! F ation Mixed Gross 4704 �I Area � Permit History Insp Issue Date Purpose Permit# Amount Date Comments 12/15/2014 Insulation 201408582 $4,500 WEATHERIZATION/INSULATION http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=13069 6/6/2017 Parcel Detail Page 2 of 4 6/30/2015 12:00:00 AM Remodel- 1/1/2002 4/26/2001 Addition 52997 $119,680 12:00:00 KITCHEN, BEDROOM, BATH AM Visit History Date Who Purpose 1/20/2011 12:00:00 AM Lisa Henderson In Office Review 1/5/2011 12:00:00 AM Nancy Finch Cycl Insp Comp 7/26/2010 12:00:00 AM Denise Radley Change of Address 12/19/2008 12:00:00 AM Paul Talbot Cyclical Inspection 4/11/2002 12:00:00 AM Martin Flynn Meas/Listed-Interior Access Sales History Line Sale Date Owner Book/Page Sale Price 1 3/6/2012 BOUTIETTE, ALFRED L TR 26132/310 $1 2 10/1/2010 BOUTIETTE, ALFRED DOMINIQUE 24878/334 $349,000 3 4/20/2001 SHAPIRO, SONYA R & JANSSON, AVIS 13746/208 $1 4 9/15/1988 SHAPIRO, EVELYN & SHAPIRO, 6463/238 $1 SONYA 5 10/15/1985 SHAPIRO, EVELYN F 4772/341 $107,000 6 10/15/1985 KAVANAGH, JULIA C 4772/339 $1 7 4/28/1972 1 KAVANAGH, THOMAS J & JULIA C 1640/144 1 $0 Assessment History Save Building - Total Parcel # Year Value XF Value OB Value Land Value. Value 1 2017 $186,900 $37,200 $5,000 $134,600 $363,700 2 2016 $186,900 $37,200 $5,000 $135,600 $364,700 3 2015 $176,100 $36,100 $6,100 $131,300 $349,600 4 2014 $176,100 $36,100 $6,300 $131,300 $349,800 5 2013 $176,100 $36,100 $6,500 $136,600 $355,300 6 2012 $176,100 $35,100 $5,100 $162,800 $379,100 7 2011 $227,200 $0 $0 $162,800 $390,000 8 2010 $227,100 $0 $0 $157,600 $384,700 9 2009 $217,900 $0 $0 $170,100 $388,000 10 2008 $267,200 $0 $0 $186,100 $453,300 12 2007 $266,500 $0 $0 $186,100 $452,600 13 2006 $263,100 $0 $0 $149,100 $412,200 http://issgl2/intianet/propdata/ParcelDetail.aspx?ID=13069 6/6/2017 iParcel Detail Page 3 of 4 14 2005 $233,800 $0 $0 $168,900 $402,700 15 2004 $190,500 $0 $0 $114,800 $305,300 16 2003 $176,000 $0 $0 $44,600 $220,600 17 2002 $103,100 $0 $0 $44,600 $147,700 18 2001 $103,100 $0 $0 $44,600 $147,700 19 2000 $76,100 $0 $0 $33,500 $109,600 20 1999 $76,100 $0 $0 $33,500 $109,600 21 1998 $76,100 $0 $0 $33,500 $109,600 22 1997 $82,000 $0 $0 $26,800 $108,800 23 1996 $82,000 $0 $0 $26,800 $108,800 24 1995 $82,000 $0 $0 $26,800 $108,800 25 1994 $75,100 $0 $0 $36,200 $111,300 26 1993 $75,100 $0 $0 $36,200 $111,300 27 1992 $85,300 $0 $0 $40,200 $125,500 28 1991 $91,300 $0 $0 $53,600 $144,900 29 1990 $91,300 $0 $0 $53,600 • $144,900 30 1989 $91,300 $0 $0 $53,600 $144,900 31 1988 $72,500 $0 $0 $25,100 $97,600 32 1987 $72,500 $0 $0 $25,100 $97,600 33 1986 $72,500 $0 $0 $25,100 $97,600 Photos - - .9t k,u .h• .��.. `n M1ry� ¢ ll AA� M1 rn � http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=13069 6/6/2017 - t C� h�it. m iM9k MF .14 it-k.Ls i{# �s I' ,y _�4 �, ,n,• r r'"`�-� - o -0i�6120�6- 05y_16/2016 } y 3° ��a �%;r�� �,� , '��''�°r^• +��,�.+�� 'roc � :eil�jzWleta'�`�>��`„r •' �+.mL ism+ L .a"� *�'��6Y�5 o f� kF i 05/1 61201 6 1w'sJ6 I Y I% x y ♦ }`i P ' � / �1 I I • I , I I � , 1 � ' � / l - -- - - _ _ _ _ -- r - -_ __ _ _ -�u�S �a`�ssa� _ _- -- � _ . _ _ - - _ _- - 'r - -- -- - -- - - -- ._ _ --I-- - � - -- - 4 4 .___ �.._ _.. �___.�-____�.�._ ...r___, - -_�.r___..,�.y__.___� �.�__ ___ ___ __ . ._ I ._ -- __ _ .-_--____._ 4�_ .____�.______�_._.-_----__�..___-__-_. -- - _ �_� -._�________._ 1 ��_,..___..�______--_.______�...--_ _- -- __ _ _-- __. ._ .___ �._____ __ _______..-i_____. r..______. _,.---.___ _._.�.. _____..__ f l 1 -- _ ___--- - -.�_._.._.�..._..____..Y __,__�--'-_ ___._..____-.-- ------..__ .�__._.._ --.--- i _�_ �_�._�___._.._ ..�._���__..__�.,.__ _.._ _.,,r�_.---.�__.___._ ____ _�_ ___ __----------____-- ----____1_ _��._� _______._- _ _-- _ _.___�.___ _�-- t_ __ __ _�_*_____ �� ____ _____-_ �_�__ __ e Town of Barnstable *Permit pIF Expires 6 mon from issue e ' Regulatory Services Fee tRsrnaM nrnss. $ Thomas F.Geiler,Director039. QQ Building Division fit Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 IiRMS PERMIT APPLICATION - RESIDENTIAL ONLY of Valid without Red X-Press Lnprint Map/parcel Number ` Property Address ` 'A Residential Value of Wor 71 Q Minimum fee of$35.00 for work under$600.0.00 �fr Owner's Name&Address A `T RW ` 4e 3� i�e�gr✓woa� ®�'t'�� Ce���rv� ll� �M.1� Contractor's Name �0 kh D Mj c mx 4 y�� `, r / eQ QTelephone Number S6$ Home Improvement Contractor License#(if applicable) /0 / U I U Construction Supervisor's License#(if applicable) S y ❑Workman's Compensation Insurance Check one- �s E P I am a sole proprietor ❑ I am the Homeowner TOWN OF BARNSTABLE ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# C.apy of Insurance Compliance Certificate Must accompany each permit. Permit Request(check box) Re-roof hurricane naffed (stripping old shingles) All construction debris will be taken to la( iS bsa I ( )( PP g ) ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows R *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 Im ovement Contractors License&Construction Supervisors License is equired. SIGNATURE: C:\Users\decollik\A \Local\Microsoft\ indo porary Intemet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 Ire Covintonwedth-ofAlasstrrkwens Deparim,ent%fInd ustricti'Accide is CD re o, If lresfigatioans Bosion,MA 02111 rrva�»?.rrr�rs.*.gr�i�ld',ie Workers' Compensation Insurance Aftadawuit:.Bvildersl,ContractaistElectilclan.4PLuauhers .Applicant'IInfermnaition L :Please`Print IIJe 'h• Nine(Bib -s/orgauizationllu&iduno. `�e�•r. Wl 4 L �'vti'fy i C_ �r. Address: 69 UGbbIG Qd� GitylStatetZip: tJ f0 uk Tt\ M a+ 11 lone 010 $ q/SA We iou an employer?-Checkth9e aPpropa ate box: Type-of projaect(retgtdred): 1..[] I.am a employer with 4..0 I am a general contractor and 1 to ee fuIl ancl.Eorpart-time).* have hired the sub-contractors ❑�tes�r,coar��taaictiou � Y '�'( 2. I.am a sole proprietor or partner- listed-on the attached sheet `7. .❑Remodeling VNship and baw no,employees Theme stub-core vtor,,have S. ❑:Demolition working :forme in any capacity. empldyeLn end lu+x,e w i's° 9• El Building addition J[No csorl 'coup.insurance comp-in.urauce.T required] 5.. ❑ We are.a corporation.and its 10.0:Elechical repaiaa or additions 3_n:I.ama homeoumer doing all-work ofFrcers!have exercised their I LE]Flnuibika repairs or acklitiom m :pelf. No workers'oozV. right of eicemption per 1*d O imurance Yegtarred. r c..152,II 1(.4),and we hme.no 1;' Ror�fr urirs ). _ employees.I[Noworlmn' fl3..❑C1.t comp-insurance required.] *Any app6i=that dwxks bos!?1 aaast also fill ow the sEcdon betou skowiag deirva*ws c mpensanoapolic;r iufocr wdou. T Horuernvafs w3w submit ttas af1'i&n it iadi:s fmg they are doing a 1wak aid 4hm hie outsi&co=scmrs smut sribaut a new affift-it indicating smb- +CoatrWmm tbat check this bne utast attached au t dd oatd sheet shOWU the-am"of the sub-c omctors and stmetvlr mbw or:aw*ose eu&tees:luau.* entp4oyeea. If rire stitr con7ractoes hswt a enzmlroyaes,they:mast ffios ide their xi orkus'.*map.pohq number. f,arrr Jlilr B,rtt -er�P�.f ZS Jpix»RLlde�g 1A�O.P I�fPJ'8'CAeeJ�pwEJ.tStrP�OJe 7Jr;SJtJYaeJCe�OJ'aiat�a?w�i',vg� . :f3eti(tvn�.4:S,P,lee�pvlicv rawtsd�ja,�b;site fJrfa,�rJJaraPiDre• Insurance Company There: Policy#or-self-ins.Lac.:9: Ersphation'Date: Job Site.Addr s: city/State/zip: Aft ch as.copy of tlae wo:rktW,compemsattiou policy d-e+inrrrtion page((slioning the p6Ttey au n be(r mA�e$pfiratson date). F.aihare to secure coverage as required under Section 25.A of I+l G L c.. 15"can lead to the inrpotition of crauunal penalties of a fine up to•51,500..00.audror one-}sear imprisormieut,as ixeli.as chil penalties in ifie fonn of a STOP bVORK ORlDER.and.a;fine of up to$250.00 a day against ilne violator. Be adt ased that a copy of this statement nuay'be:foruwded to the Office of Investigations of the DU for insurance coverage verification. i&hebycwffi,J PAPJSaJ� s,v�le7ti.vl.t3errQJ7�7rDrVJsiOr3rvsad�dtbu istrr ,rJ�carr€tr t .. Pirrone#E Jy K aO Y Offirirv7,t+,se-ontt: Do not write in this area,to be.co.irpks6t d ky efty o r,tmm.gffl. sal City oa'`T ,w _ 1Perialtll3�nse� ' Issuing Authe.nty(clNrde,one): 1.I$oaaul of., ealtih -2.BuiQdling.Depaaatment A.Cityftomwderlk 4.Vectrical Inspector 4.Plumbing Inspector 6.Other Contact Person: 7110ne A: ■A IMABIA °'� Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO - r— Building Commissioner 200 Main Street, Hyannis,MA 02601 - www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 661 �1(4 as Owner of the subject property 1 r�'.�r�� - .�f�, to act on m hereby authorize y pr � y behalf, in all matters relative to work authorized by this building permit application for: ( ddress of Job) Signatur of D to Roi4t' e Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\deco111dAppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\DDv87AAZ\EXPRESS.doe Revised 072110 f Licensee Details Page 1 of I The Official Website of the Executive Office of Public Safety and Security(EOP$) - Mass.Gov Home Public Safety Department of Public Safety Licensee Complaints License Type ConshuctionSupervisor ry ly5.l�frUSFtt� _ flEl).tttrlllnT.O't i.cen,ea 70122 Buary: t'Buildrna �rrc Regul,ltuio� ,ttt�.,5tan(larrls Restriction oo Construction Su Name John D MacintyreJr Pervisor Llcb,hse. City,stare Zip Brockton Mn 02302 L icense: CS 70122 Expiration Date 7/14/2013. Status Current , No complaints found for this Licensee. JOI IN-D Back To search MAGINTYRE JR Y -; 173'MONCRIEF ST 7 BROCKTOhj,`MA 02302 Expiratio'n .7/14/2011 • F''nnurtis „�+et T;#. 407 Vomvnzreo� a�del76 License or registration valid for individul use only Office o onsumer airs siness egu a on HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:g�161598 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expiration: a0/2P/2012 Individual Boston,MA 02116 r i J' D.MACINTYI�E,1R I JOHN MACINTYRE r� n� 3P 67 DEBBIE RD. } /r BROCKTON, MA 02302 Undersecretary Not valid wit;iout signature:' J' L httT)://db.state.ma.us/dps/licdetails.asD?txtSearchLN=CSL70122 9/28/2011 Cape Cod Military Support Foundation on Serving Those Who Serve Us Inc , Donald Cox President Cell: 5O8-367-1080 Office: 774-392-56 88 doncox2@comcast.net P.O. Box 641 Falmouth, MA 02541 www.capecodMilitaryfoundation.com Providing Aid&Assistance To Our Military Personnel&Their Families TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma p Parcel fy� pplication # Health Division Date Issued Z 15Ll Conservation Division Application Fee _ Planning Dept. ; Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address VV Village 62v I&V Owner Ljidlk Address Telephone Permit Request fteId gZJ 0 `.Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain s Groundwater Overlay . Project Valuation Construction TypeQ - Lot Size Grandfathered: ❑Yes ❑ No If yes, attacf pporting=docentation. t i.3 C Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King' Highway ❑4s ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other rn 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�No rization ❑ Appeal # Recorded ❑ Commercial ❑Yes If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) --�- ?,I A Name v Telephone Number U.U Address V License # Home Improvement Contractor# Email Worker's Compensation # k. A w `� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PFPJEQT WILL BE TAKEN TO 140, X7 UAMAK-6wgo SIGNATURE DATE Li% 4 FOR OFFICIAL USE ONLY .APPLICATION# i. i DATE"ISSUED. MAP/PARCEL NO. ADDRESS VILLAGE Ir OWNER DATE OF INSPECTION: FOUNDATION �Y FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL y GAS: ROUGH FINAL t F.-,INAL BUILDING _... ti DAT,,&CLOSED OUT ASS ION PLAN NO. '_. .. ' Massachusetts -D&partment of'Public Safety *..:Board of Building Regulations and Standards Construction Supervisor License: CS-100988., Jj Is HENRY E CASSIDY' 8 SHED ROW + WEST YARMOLPtH 3 Expiration Commissioner 11/11/2015•- x Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116` Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2016 Tr# 259188 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE SO. YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. sCA 1 :5 20M•05/11 ( Address ❑ Renewal Employment Lost Card ✓V/ae rpar���toouuetc�l�cL�C%�/�cut:tac/cr4eCti . �\ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 153567 Type:, Office of Consumer Affairs and Business Regulation xpiration:;::1211.5/20:1.6 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE COD INSULATCON';;;INC` :;' - HENRY CASSIDY 18 REARDON CIRCLE'-- SO.YARMOUTH, MA 02$64 Undersecretar y y, N- valid wi ut sign e x� The Commonwealth of Massachusetts Department of Industrial Accidents z w Office of Investigations a, a 1 Congress Street, Suite 100 a Boston MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/El ectricians/Plumbers Applicant Information �� Please Print Le ibl Name (Business/OrZ'zation/Individual): e —,9W �(, t V VAddress: 0 V U 6V �� r City/State/Zip: L U"rq tvL I " Phone#: Are you an employer? Check ihe appropriate box: Type of project(required): .i 1. I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have morkers' [No workers' comp. insurance comp, insurance. # 9. Building addition 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 I.[] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 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#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit thisWiidavit 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: 1' Qv,,�Iy [w*yGc (, Policy#or Self-ins. Lic. #: I IV a 400 P-2 ZIA 0 1 Expiration Date: Job Site Address: City/State/Zip: �T Attach a copy of the workers' co pensation 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 n r pains and penalties of perjury that the information provided above is true an✓Jd,�corr ct. Si nature: Dater r v" i Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: CAPECOD-27. KLIGETT CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 6/13/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pOlicy(Ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). ROgDUCER CONTACT f4 Rte&Gray Insurance Agency, Ina PHON o Barbara DeLawrence FAX No): (877) 816-2156 r Guth Dennis:MA 02660 ASS:bdelawrence@rogersgray.com - INSURERS AFFORDING COVERAGE NAICN INSURERA:PeerlesS Insurance Company su13ED INSURER B:COMMERCE INSURANCE COMPANY Cape Cod Insulation Inc INSURER C:Evanston Insurance Company 18 Reardon Circle INSURER 0 ATLANTIC CHARTER INSURANCE GROUP South Yarmouth, MA 02664 INSURER E INSURER F: 0 ERAGES CERTIFICATE NUMBER: REVISION NUMBER: T IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ' IN ACATED. 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. 3R TYPE OF INSURANCE POLICY NUMBER MM/DDf'EF Y MM/DD E YY - LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE PX OCCUR CBP8263063 04/01/2014 04/01/2015 D R ED PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY❑ PRO- ElJECT LOC X C OTHER: PRODUCTS-COMPIOP AGG $ 2,000,000 � - AUTOMOBILE LIABILITY $ COMBINED SINGLE OMIT ' Ea accident $ 1,000,000 ANY AUTO 14MMBCKVMK ° 04/01/2014 04/01/2015 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ u X NON-OWNED HIRED AUTOS X PROPERTY DAMAGE AUTOS Per accident $ $ X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE XONJ453514 _ 04/01/2014 04/01/2015 AGGREGATE $ DED X RETENTION 10,000 Ag ORKERSCOMPENSATION gregate $ 11000,000 ND EMPLOYERS'LIABILITY . STATUTE ER. NY PROPRIETOR/PARTNER/EXECUTIVE Y/N PER OTH- WCA00525904 06/30/2014 06/30/2015 E.L.EACH ACCIDENT $ 11000,000 FFICER/MEMBER EXCLUDED? a N/A Mandatory In NH) f yes,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000 ESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ 1,000,000 SCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) h rkers Compensation Includes Officers or Proprietors. lItional Insured status is provided under the General.Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. p -. iR IFICATE HOLDER CANCELLATION OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at (Property Address) ko,—C\ (Property Address) i Q-aoe,hereb author zeY , (Subcont ctor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature .Date. ° . Town of Barnstable Building r 4 r,T,f Post This d T aR�t i' is Fr he=5t t A ` rouedP.lans ust beY2e#a'ined:OrrJob.and this:Card:IVlu5t,be„Ke t »►ems v ,„h a pm tee pP ,,rt ti g p POStedUnt11 Flnal,Ins ectwonHasBeen:Made = x � ��u�"� .* iz..n'';_ '£ _ ...-x.�^zr' -;°E .�'�.,,,'.' ..„w.:s. .:`..A a.w.. z ,a,• ,.. : ."•�.5 �, Permit auk' W=herea,Cert� ca#e oFOFclul antk. �srRe `u�red such Bu>tldin shall Not be Ocu, ied nt�I a:Finallns ection has been made - '�a�. .'w:=.2:..�p_�:,�.���.:.��..��.. ,•��a..v�:,.�r��.�-..g...s3s�*, '-�a;.>, z., :SAC .:M$-..,,...,-....,..,a:g�a:..:.:... 7a;��.y.Sas....«a Permit No. B-17-2405 Applicant Name: BOUTIETTE,ALFRED L TR Approvals Date Issued: 08/10/2017 Current Use: structure Permit Type: Building-Addition/Alteration-Residential Expiration Date:- 02/10/2018 Foundation: Location: 37 WEDGEWOOD DRIVE?:CENTERVILLE Map/Lot 189 145 Zoning District: RC Sheathing: Owner on Record: BOUTIETTE,ALFRED L TR ' T Contractor Name Framing: 1 Address: 222 NEW BOSTON ROAD . � �Contracto tense ,, 2 STURBRIDGE, MA 01566, Est Project Cost: $0.00 Chimney: Description: CREATE 4TH BEDROOM (FORMER SUDY/DENj �rPermit Fee:. $85.00 x Insulation: Fee Project.Review Req: CREATE 4TH BEDROOM (FORMER SUDY/DENj Paid; $85.00 a ®ate 8/10/2017 Final: i = Plumbing/Gas " a a r�� ✓ _ . Rough Plumbing: 'EV. , A Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorizedty this permit is commenced within six'-,,m-"'g'nt,h after 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 struudtu es shall be in compliance with the local zoning bylaws a d codes. Final Gas: f This permit shall be displayed in a location clearly visible from access street oroad and shall be maintained open for publicinspection for the entire duration of the work until the completion of the same. �� y Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided o�nthis permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 3 a 1.Foundation or Footing : Rough: l 2.Sheathing Inspections. n . ., �... r..,... ��. .,• 3.All Fireplaces must be inspected at the throat level before firest flue 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 eontractors;d.o-not have access to the guaranty fund" (as set,fortWin MGL.c.142A). Y _ Fire Department Building plans are to be available on site Final: ISSUED RECIPIENT All Permit Cards are the property of the APPLICANT- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division BUILDING DEPT . Date Issued . _ter Conservation Division s AUG 01 2017 Application F Planning Dept.. ©� � 1 O;�� f B E Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis , ,:.r Project'Street-Address "~-am� 1� �4V ger I :Owner � Address Telep_hone0�� �- �3 q r � purer S /rkl J Permit Re nest ����t�e. c.��, ����in� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 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 0 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' /�F)�c'r1 (�0atl p7§ Telephone5Number r CAddress- - zZ Ati 44 ft;W - __ License# Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ��/// FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 27ze CormnowireaM-of-Mumac tusetts Deparhffera of ri dus-ftid Acc ideirtr Q e fbn.wsVafi&= r . 600 Washiugl=Jtreet -- Baswn,M4 612111 ' tu�vxurrtg�v�iiiri 'Tar•leers' Campensatsan Insm-auce Affidavit:BWider-JCantractarsMecfti =rJPhm:Lbers Applicant Infarma&n Please Print r'-Aaa� 7 e O t t Plwn� e�, Ara yoII an employer?Cfteckthe apprGprMe bum ' T e of -o"ect r . LEI I am a 1 W ffi 4. ❑I am a general confrsctor and I PP e i ( �iom �P liave hired.the mb-contractois 6- ❑Idea oonstructiog employees(f�11 an�dfor part-time).*. 2.❑I am a sole proprietor or partner Usted on the,attached sheet, '7''. ❑Remodeling These sib-cmilractors hale ship and have no employees � � S.,❑Demalifioa Worling Ex MM in any capacity. employs andhave wo3nexs' LNo wodmrs'-cAsnp-r�u�e comp.k�,�•# 9. ❑Building addifiou rez -a, -.• 1 ❑ We are a•corpondinnand its 10-❑Eleetrical repairs or adrrifions �3: I am a homeauner doing all work officers have exmcised their 1 L❑Plumbingrepaiss ar a bns ❑ airs eel€ o�ua�lrers' P rat of per 14GL fion ;;mr=e a d)l c.152,§1(4)6 and wehaveno' 12 Roafr ep employees-LNovodoess' 13.0 Other comp-ia8[I=ce require&] *•$ayappfi�Bsatcbedsbox#lmawalsofiIlaof sectioabeTowsbatda�d�eas+o�tedcompeasatiaupoycyi�oams6® 1�0�3e041II4Z5=sabmxft ffiir dfidav7F uuEc2t^z""-T Rm dma.-,�mU WaI M-II flea hie Ct=deContmCkim� 5�fmil S neW�d t IDdiCC a rnrT� �tacfo�s tcheckiId boamastat=d%=addifi-slshadshamirgtiiea—ofiliesub-cemtxctDmxadstspwhe2hecarnottmeemitieshrm er�9vye�.Ifthesvir-caa�eshzce emptogees,tfieymnstgmride ths±ir trarkes'imp.paTi�as�bec I am all employer that is pratadbl"warkers'tompaudimi h=zranca for my earpL4,em. $ela�v is YJt�paBcy arm jab she irtforrrrQtiora - !� Tin rartcecompanyNarne: - Paficy 416 ar Self-ims Ii Expindon.Date: " Job Site Address Cifg/StxWzip: Attach a copy of the workers'coaarpmsationpo cydecIaration Me(showing the poficy,number and expiration date). FaRnre to secure coverage as requirednndes Section 25A of MGI m 157 can lead to the impositim of criminal penalties of a fine up to$UROG aadfar one-yeasimprisonmeat,as w&as civil penalties in the faffi of a STOP WORK ORDERand a$me of up to 0-00 a dap against the violator. Be adiised that a copy of this zWement mayba fmwaided to the Office of Imresligations of the DIA for insuramce coverage sredfica ibn ' I do her 6y car*warder a s afFayury t#atflne incforma m prm-wW above is true anzd wrrect t faixatn ��a Date-- Phone ig: - t),ociai tree ornl. Do not agate in tfdis area,to be campfeted by Cky artenrri offs- cutt City or"town.• PermiVUceuse 4 Issuing?nihniity(ca de:one): L Board of$ealth I Boil fing Departramt 3.#grown Clerk 4.Ele:cErical Inspector S.Plumbing erecter 6.Other Contact Persam' Phone#: laformaflo)a and Tastructions General Laws chaj� a M re:[ Eff�oy=to provide wOzh�'cow a for their earploay contract afhm, pms¢a�in 1 stafr�e,as�LV5e is defined as-'—Cezypeasonin.the SerPi:ce of anathernnder niie, eggress or ffipaed,oral or wry" AIL �p�yer is defined as man indiQidrral,parfn ,assocr.oa,cozpmaffm or other Legal eutdy,or any two or mare m a omt andi3r-kzU igthe Legal sepreseafativ-s of a deceased employer,or the of the foregoing J to However the receiver or trastee;of an iondividnaL P IP,Moeiahnn or outer Iegal entity,=Ploymg ea y=S or o ofte- • owner of a dwelling house having not mare than. do apartrm�s andwho resides fberein, - �� h I es�fn do make,cuogtruc on or repair wodc On such dweIlmg house Oro ahouse of anofer who effip M P 1 grounds orb�7dmg appvrfen.a�jh=to.sballnotbecanse of such employmentbe d=nedtn bean emp Oyer MM chapter 152,§25C(6)also states that aevery state or 10=1 firens'ng agency shall Withhold'the iss'aance or renewal of a T cease or permit to operate a business or to construct b•mdcYmgs in the commonwealth for nap coy applrcantw•ho has aotprodcx nd acceptable evidence of crimpTrancewifir the insuraneet exage r aqair� Adcfltionally.M(H-chapter 152,§25C(7)states-Neither the coxmnanreaffii nor any of its political subdivisions shall enter min any wirtraet for the perfamnaucd ofpubho wmk mmI acceptable evidence of campliancewifh the�snu-�ce- girds of this teahavebeginpresenfedtofleeCM aciing.anthOaY., AgpHaur s Please fi11..o� $re wormers'compensation ai�davit con-EpIdDly,by ch=Fmg�boxes�apply 6o your situation and,if necessaip.supply sab-cautractor(s)name(s), addresses)andphnnenoinber(s)along with their certfficat*)of _ s )with no p emloyees other than the msnxance_ LanitedLiah ityCompames(LLC)orL=te&LiabiiityPartne�p (LLP members or partners,are not rtgoited to cry workers'compensafron h S 72MCM If an LLC or F LP does have =pIoyees,apolicyisreq i Be advised tbA this affida.Yk maybe snbm�edto,the Departmentof lndusizial Accidents for con�mati on of fi=mce coverage. Also Be sure to sign andclafmitheaffidVit The affidavit should beref=ed to the,city or town that the application for the permit or license is being recluestcd,not the D�parfinenf of .s dam. Shonldyon have any questions regaX Mg me 1 °r ifyo- are required to obtain a wormers' compensationpofiey,pleasecalltizoDepartmentatthenumberlfit dbelow. Self-insuredcompaniesshoulden'rrheir self-T„ nee Iice�se z�ber on fiie appmpaate lin City or Town.OffidaTs Please be sore that tho affidavit is complete andprimed legr-bIy. Me,Depaf m.enthas provided a space of the bottom of the affidavit for youo ft tl out an eve nt ent the Office ofIuvestigatiom has to�rdactyot< g tine applicant PLeasebe sure to,filliathepemitlHcensemimber which will bin:used asareferencenumber.In addition,an applicant that must submit multiple puce nse:appliesions in.any give.Ymx.need only submit one affidavit mdicaiiog cao ent p olicv infon atioa Cif necessary)and under`mob e 1��drese tie applicant should write"all larati� >a ( Y Or town)_"A.copy of fhe-affidavitthathas been officially shed or ma±edbythe city ortnwn maybe provided to the ' applicant as prooftbat a valid affidavit is on file for f ltux pemifs or licenses- d new affidavitr r C be: M-ci oit coat tntUM year.Vh=a home owner or ei�u is obfa�n ag a license or permit no any usi o=or commeacial 4 r e.a dug license or permit to bum leaves etc.)said person is l'IOT lcqcilcd to complete iris affidavit fficeofTn wovldhke.tothaokyoum adv`Mceforyotscooperzd=zac sbovldyonbave aaYq O � The O ves�b�ions please do nothesifatzfo g}veus a CA The Departmeofs address,telephone and fax nmuber_ y COMMMwedtil Of Masmch-nsetts- Departamt c6f lidmtdd AoDidenta T(,-L 617E-T27-49W cxt4.0f ar 14 MA99AM Fax#a7 727 7M xevised424 07 -��wdia- AWC Guide to Wood Construction in Sigh Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 Check 1.1 SCOPE Compliance WindSpeed(3-sec.gust)................................................................. .................................................110 mph WindExposure Category.................................................................:...............................................:.............B 1.2.APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories 5 2 stories RoofPitch ................................................. ...............(Fig 2) ...... .... . .................... 512:12 MeanRoof Height .......................................?.......................(Fig 2)................................................._ft <-33' BuildingWidth,W...............................................................(Fig 3)................................................ _ft s 80, Building Length,L .....(Fig 3)................................................. ft :5 80, Building Aspect Ratio(LW) ................................................(Fig 4)................................................ 5 3:1 Nominal jHeight of Tallest Opening2 ...................................(Fig 4)...:.................................... ....... s 618" 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)....................................... ................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. ConcreteMasonry................................................................... ................................................................ 2.2 ANCHORAGE TO FOUNDATION''3 5/8"Anchor Bolts imbedded or 5/8'Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general..............................:.. ........(Table 4)............................................... in. Bolt Spacing from endfjoint of plate ............................(Fig 5). ................................. in.-<6"-12" Bolt Embedment-concrete........................................(Fig 5).................................................._in.Z 7" Bolt Embedment-masonry.........................................(Fig 5): ........:............................... in.>_15" . .. Plate Washer...............................................................(Fig 5).........:.....................................z 3"x 3"x'/4" 3.1 FLOORS Floor framing member spans checked .................................(per 780 CMR Chapter 55)................... Maximum Floor Opening Dimension....: . ...................... .(Fig 6). ............................ ............... —ft s 12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)...................... ................ Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall.:..............(Fig 7).....,.............................................. ft s d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8).............,....................................... ft s d Floor Bracing at Endwalls...................................................(Fig 9)".................................................................... Floor Sheathing Type ........................................................(per 780 CMR Chapter 55).................................... Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55).................... in. Floor Sheathing Fastening..................................................(Table 2)..._d.nails at in edge/_in field 4.1 .WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)............................_ft 510, 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)............:........... 4.2 :EXTERIOR WALLSs Wood Studs Loadbearing walls..........................................................(fable 5).......:......................2x -—ft_in. Non-Loadbearing walls................................................(Table 5)..............................2x_-_ft_in. Gable End Wall Bracing Full Height Endwall Studs...........:................................(Fig 10). ................................................................ WSP Attic Floor Length...............................................(Fig 11).............................................. ft 2:W/3 Gypsum Ceiling Length(if WSP not used) .................(Fig 11). ................... .................. ft z 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 Splice Length ........................................................(Fig 13 and Table 6)....................................._ft Splice Connection(no.of 16d common nails) ....:.......(Table 6).............................:............................_ AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)t Loadbearing Wall Connections Lateral(no. of 16d common nails)...............................(Tables 7)...................................................... Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)...............................(Table 8)........................................................ Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(fable 9).................................._ft_in.511' Sill Plate Spans ........................................................(fable 9)............................;....._ft_in.511' Full Height Studs no.of studs able 9 Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans...... (Table 9).................................._ft_in.512' .................................................... SillPlate Spans..........................:................................(Table 9).................................._ft_in.512" II'I Full Height Studs(no.of studs)....................................(Table 9)..........,.............................I............... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously Minimum Building Dimension,W jNominal Height of Tallest Opening2 .............................................................................._s 6180 SheathingType.............................................(note 4)...................................................... Edge Nail Spacing.................................:.......(Table 10 or note 4 if less)....................... in. FieldNail Spacing.........................................(Table 10)................................................. in. Shear Connection(no.of 16d common nails)(Table 10)........................................................ Percent Full-Height Sheathing......................(Table 10). ...... .......................................... 5%Additional Sheathing for Wall with Opening>6V(Design Concepts)..................... Maximum Building Dimension,L Nominal Height of Tallest OpeningZ ........................................................... 5 6'8° - ............... SheathingType.............................................(note 4)......................................:............... Edge Nail Spacing..........................................(Table 11 or note 4 if less)....................... in. Field Nail Spacing ........................................(Table 11). ............................................. in. Shear Connection(no.of 16d common nails)(Table 11)........................................................ Percent Full-Height Sheathing. ... ................ (Table 11)........... ...................................... _% 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)............._ft s smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)............................................U= pif Lateral.............................................(Table 12).............................................L= plf Shear..............................................(fable 12)..............................................S= plf Ridge Strap Connections,if collar ties not used per page 21... (Table 13) T= plf Gable Rake Outlooker.........................................(Figure 20)..........:.._ft 5 smaller of 2 or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U= lb. Lateral(no.of 16d common nails)...(Table 14).......................................L= lb. Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59) ............................ ............ Roof Sheathing Thickness........................................... .............................................. in.z 7/16°WSP RoofSheathing 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-grade. .,Town-of Barnstable Regulatory Services dpt Richard V.,Scali,Director Building Division A1= Paul Roma,Building Commissioner e k�e 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 ' Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION r Please Print DATE: J t, JOB LOCATION. 2r7 Q 1C)0 number street village IIOIv1EOwNER�: /f')-ec� /�` 1 ��Li P name home p one# work phone# ('CURRENT MAILING�ADDRESB ` city/towrr state, 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 Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility'for compliance with the State Building Code and'6ther applicable codes, bylaws,rules and regulations. The undersign "ho wner"certifies that he/she understands the Town.of Barnstable Building Department minimum inspection proced s r ' and that he/she will comply with said procedures and requirements. Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control.' ` HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Al Many homeowners who use this.exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack-of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the. permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doC ; 06/20/16 . Town of Barnstable Regulatory Services NIAM Richard V.Scab,Director Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on.my behalf; in all matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:F0RMS:0Va-U RFER IISSIONPOOLS SA E D DATE S� R A U/R D FO PERM 111NG Elm f (pp iu J�. �4Nr°ram 3 'V J is -- ED 7/7 E 3UILDINGDEFT. DA TE F IRE WOUN.ENT DATE 110�N S0�!JAMPI S ARE IQUJ ED FOR PERA1 MNG i - ea:• S 9 N litA) 4kn fTr S /v r c� - s �� f Vladimir&Liya Tsukernik 206 Mt.Vernon Street West Roxbury,MA 02132 Phone(617)-417-9321 tsukemv@aol.com 8/11/2017 City of Barnstable Building Comissioner Mr.Jeffrey Lauzon Dear Mr.Lauzon, ' We are in the process of purchasingthe property located at 37 Wedgewood Dr.,Centerville,MA.This house has two kitchens and we would like to legalize the use of both kitchens for our family needs.We are Jewish and keep kosher.We would like to use one kitchen forfish and dairy and the other for meat preparation.We understand that the house is located in a single family zoning area and thus is allowed the use of only a single kitchen,but due to ourfamily's religious beliefs we would like to ask for an exception to be granted to 3 ourfamily. Sincerely, Vladimir and Liya Tsukernik i �s t !:i F F O Nji,#,Oj i OF THE Town of Barnstable Building Department Services . BARNSTAB Brian Florence,CBO "'ate' Building Commissioner Fo►��° 200 Main Street; Hyannis,MA 02601 Office: 508-862-4038 - Fax: 508-790-6230 AGREEMENT FOR ACCESSORY USE OF RESIDENTIAL BUILDINGS ASSOCIATED WITH RESIDENCE I; NAME.,.'Trustee/Owner being the undersigned, the Trustee occupant of property situated at 37 Wedgewood Drive„Centerville holding title under a deed recorded with the Barnstable County District Registry of the.Land Court in Book XXXX Page XX, being shown on Assessors' Map 189 as Parcel 145 , hereby agree; certify,warrant and represent to the Tow n of Barnstable that the area containing the second kitchen in the residence located on the same parcel as above-described is not intended for and shall not be used as a separate apartment for year-round or summer occupancy,or offered for rent in any fashion. This Agreement shall be notarized and maintained on file or duly recorded and filed at the Barnstable County.Registry of Deeds/Land Court for the purpose of alerting future owners of the property.of this,. inding Agreement concerning the use of the property as herein stated,which,shall run with the land and binding l . future owners. The consideration for this Agreement is the issuance.of,a building permit and/or certificate of occupancy by the Town`'of:Barnstable Building Department. WITNESS our hands and seals this day of 201 TOWN OF BARNSTABLE OWNER y briars tI±1oience �5. B�atldtlg Commissioner TTHEIOOMMONWEALTH OF MASSACHUSETT.BARNSTABLE COUNTY,SS' Date Then. personally appeared the above-named (owner), ( and made oath as to the truth of the foregoing instrument;before me: s ; , Notary Public My Commission Expires: j.. Q:word/accessoryagreement i CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DEPARTMENT 1875 Falmouth Road . Centerville, MA 02632 508-790-2375 ext. .1 FAX 508-790-2385 August.16, 2017 ;BOUTIETTE;,ALFRED 37 WEDGEWOOD DRIVE,. sCE. TERVILLE; MA 02632 An inspection of your facility on Aug 16, 2017 revealed the violations listed below. :, —Dt—R_10 COMPLY: Since these conditions are contrary to M.G.L. Chapter 148 and/or 527 CMR 1, you must correct them upon receipt of this notice. An inspection to determine compliance with this Notice will be conducted on Sep 15, 2017. ..-you:;fail to comply with this notice before the reinspection date listed, you may be liable for the penalties provided for by law;,or such violations. violations'' `1 7 6 2-Failure to abate dangerous or unsafe conditions ;Note'"Several building code violations that need to be resolved through building department (identified by building inspector) 1 � ``-2'Pocking doors separating house into 2 units. Fire separation in garage scuttle. " -raw( spacelnext to garage venting into garage. 11 6.3(3) Restraining means used at plug end -Note Panelplu for alarm must be secured to outlet: �. L Smokes min of 36" from fan blades/HVAC/bath„ ;. . . Note 'Relocate mud room smoke/CO combo (outside centerbedroom) to minimum of 36" from bathroom door. Relocate smoke" detector in bedroom near non-kosher kitchen to minimum of 36" horizontally from floor mounted HVAC supply vent::: "Inspelction.Note Call.for re-inspection. s. you fiave any questions or concerns please contact Fire Prevention at 508-790-2375 ext. 1 1 ,r i 8350 MARTIN MACNEELY NA Inspector v �. v I' L � - j ne (.ommonwe=i of xassachusa= _ Department of rn&tstrial Act:idents - oW 600 Warhington Street Boston,Mass. 02111 - — Workers' Compensation hunrance davitNOR name: �! 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' // MI I •r I ♦�• tifti ..• �. 111I11 r�. • •\ • . • 1► 1/ • •••r•�• • r •• • all r • I•..e .Ip•=u !1�•••.e•1♦ 1✓. • r • •1. ••11 • • • • • .N • •• • •.e•�. •./ •• 1 .r•• •.I .•• •II ..•• • • .• •••• .I•• ry .11•n •« 1 1 11 11 1 1 1 , 1 •11 ell 1 1 1 1 I A • ( 1 1 - 1 1 I I I I • / 1/ I 1 7=CUR Avwmt:j Table-fit 3.2b(ao hpuiprfre Pxzkx a for Qaa aad Twa`FamilY ReaidauW EalldIal gcgmd with Fowl Farb MA=um 1 M1NiMUM Gazzog I Qla:ia8 Ctilia8 Wall HOW $an t SLb Hraaa3 c iia3 U•vala� R valise Rrvaiml R►vahms Wall Plaiamac � •-= P�as<s: R.vaiusl &vdsisJ 5101 to 690 Htuing Deer Doran Q 12% 1 0.40 1 31 13 19 10 ( 6 I Na=&i R IZY. am 30 19 19 10 1 __6 ( Normal mo 3= 13 19 10 6 I 93 AFUE T I.PA 1 026 31 13 23 WA I NIA ( Norris! U IMA d46 3= 19 19 10 I 6 I Normal v iri. 0.44 1 33 13 1 25 WA I WA I is AFUE R+ Isx 0M 30 19 19. 10 I 6 u AFUE X 18% ( 032 32 13 25 NIA I NSA I Normal Y IS*/. 0.42 3E 19 23 WA I WA Normal Z 18% I GA2 3= 13 19 10 1 6 ( 90 AFUE AA IE'/. QSO I 30 19 19 10 1 6 I 90 AFt1E 1. ADDRESS OF PROPERTY: 3 7 !t/.�'/�gz�r g P.000 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: ,/,� 96 3. SQUARE FOOTAGE OF ALL GLAZWG. 76.3 4. %GLAZING AREA(#3 DIVIDED BY#2): /g 10 S. SELECT PACKAGE(Q—AA-see ci=above): X NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: roans-[�803D3n 780 CMR Appendix J Footnotes to Table J5.11b: Glazing arem,. 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 fl of decorative glass may be excluded from a building design with 300 ft 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 taus 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-39 insulation may be substituted for R-49 insulation. Ceiling R-values represent the stun 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 roo£ •Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R•19 requitement could be met EITHER by R-19 cavity insulation OR R I3 cavity itrsrriation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall moons,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 Iess 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 as additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or S. 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 ef?iciency must meet or exceed the efficiency required by the selected package. 'Fot'Heating Degree Day requirements of the closest city or townsee Table J5.Z.la 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 035. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-vaIue 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(Le.,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 aura-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(035 for doors). ' The Town of Barnstable Regulatory Services ED r � Thomas F. Geller,Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 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. T �, Type of Work�iV�,�9#77 D� TT X/s T/W C!<D/US.4 Estimated Cost / Address of Work: 3 7 /V fFD6trwool7J?,e Owner's Name: :501V YEA 5f14 PAI O Date of Application: I hereby certify that: Registration is not required for the following reason(s): r7Work excluded by law [3Job Under S1,000 ❑Building not owner-occupied QOwner 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 pe th age t of the own N gad Contractor Name Registration No. OR Date Owner's Name q:focros:Affidav ESTIMA TED PROJECT COST WORKSHEET LIVING SPACE Val (high end construction); 5 2 square feet X S115/sq. foot= 6o (above average construction) square feet X S96/sq. foot= (average construction) square feet X S57/sq. foot= GARAGE (UNFINISHED) 4/6 5- square feet TS25/sq. foot= d 2p o PORCH square feet X S20/sq. foot= :DECK square feet X S15/sq. foot= ,OTHER square feet X S??/sq. foot= Total Estimated Project Value / �P�551261� 6z ED IN: BOISE CASCADE - BC CALCTm 2000b DESIGN REPORT - US Friday,August 10,2001 13:57 File Double - 1 3/4" x 9 1/2" V-L SP 2900 Name: Garnaeu shapiro roof beam 156 trib.BCC Job Name - Shapiro Customer Garnaeu Address Specifier - Designee' - Jay Malaspino . City,State,Zip - Centerville, Ma. Company: - Shepley Wood Products Code Reports - ICBO 5512, BOCA 98-52,SBCCI 9852 Misc: - Eng.Wood(508)862-6223 Member Diagram Roof Beam �0 12 Standard Load-25 PSF 115 PSF Tributary 04-00-00 �iPOW Ilk 525 Ibs LL 1500 Ibs LL 525 Ibs LL 312 Ibs DL 12-00-00 Total Hut JRM&$4,24 60-00 12-00-00 312Jbs_DL General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Live Dead Trib. Dur. S Standard Unf.Area Load Left 00-00-00 24-00-00 25 PSF 15 PSF 04-00-00 115 Member Type: - Roof Beam Number of Spans - 2 Controls Summary Left Cantilever - No Control Type Value %Allowable Duration Loadcase Span Location Right Cantilever - No Moment 3048 ft-Ibs 20.3% @ 115% 2 2-Left End Shear. 703 Ibs 9.5% @ 115% 5 2-Right Slope 0/12 Cont.Shear 1136 Ibs 15.4% @ 115% 2 1 -Right Tributary 04-00-00 Total Deflection L/1562(0.092") 11.5% 5 2 Repetitive n/a Live Deflection U2206(0.065") 10.9% 5 2 Construction Type n/a Total Neg. Defl. -0.013" 1.7% 5 1 Span/Depth 15.2 1 Live Load 25 PSF Dead Load 15 PSF Part Load 0 PSF NOTES: Duration 115 Design meets Code minimum(U180)Total load deflection criteria. Design meets Code minimum(U240)Live load deflection criteria. Disclosure Slope=0,consider drainage. The completeness and accuracy of Minimum End bearing length is 1-1/2". the input must be verified by anyone Minimum Intermediate bearing length is 3". who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation. Page 1.of 1 BCI@ and Versa-Lam@ are registered trademarks of Boise Cascade Corp. 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